Claims Quality & Compliance Auditor

Edison Health Solutions, LLC; Tulsa (OK); On-site; USD 32,000 - 47,000; Full time

Benefits offered by this job

401K

Paid time off

Employee assistance programs

Health benefits

Job summary

Relation Insurance Services is seeking a Claims Auditor in Tulsa, OK to ensure claims processing meets contractual, regulatory, and internal standards. You will audit activity, document findings, and help improve operational policies while collaborating with cross‑functional teams.

The role emphasizes accuracy, confidentiality, and client service excellence, with opportunities to utilize AI-enabled tools and contribute to quality initiatives.

Qualifications

• High school diploma or equivalent.
• Minimum 2 years of experience in claims processing and auditing.
• Proficient in Microsoft Word and Excel; able to learn new systems.

Responsibilities

• Perform operational and quality audits of claims processing activity for accuracy and compliance.
• Review claims files and workflows to ensure adherence to procedures.
• Document audit findings and prepare timely audit reports and records.
• Identify trends and opportunities for improvement; support follow-up actions.

Skills

Attention to detail

Analytical skills

Verbal communication

Written communication

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Job description

Relation Insurance Services is seeking a Claims Auditor in Tulsa, OK to ensure claims processing meets contractual, regulatory, and internal standards. You will audit activity, document findings, and help improve operational policies while collaborating with cross‑functional teams.

The role emphasizes accuracy, confidentiality, and client service excellence, with opportunities to utilize AI-enabled tools and contribute to quality initiatives.