Claims Quality & Compliance Auditor

Relation Insurance, Inc.; Tulsa, Northern (OK, KY); Hybrid; USD 48,000 - 70,000; Full time

Benefits offered by this job

Competitive pay

Healthy work environment

401K

Employee assistance programs

Paid time off

Paid holidays

Career development opportunities

Job summary

Relation Insurance, Inc. in Tulsa, OK, is seeking a Claims Auditor to perform operational and quality audits of claims processing. You will review files, document findings, and prepare audit reports, identifying trends and opportunities for improvement.

The role requires attention to detail, strong analytical and communication skills, and the ability to manage multiple priorities. This position emphasizes confidentiality and professional conduct, with opportunities to contribute to policy

Qualifications

• High school diploma or equivalent.
• Minimum 2 years of experience in claims processing and auditing.
• Demonstrated ability to review claims activity for accuracy, consistency, and compliance with established rules and guidelines.
• Strong attention to detail and analytical skills.
• Effective verbal and written communication skills.
• Ability to document findings clearly and maintain accurate records.
• Proficiency in Microsoft Word and Excel; ability to learn new systems and software applications.
• Ability to manage multiple priorities and meet deadlines in a structured environment.
• Commitment to confidentiality and appropriate handling of sensitive information.
• Consistently demonstrates professionalism, tact, and discretion.

Responsibilities

• Perform operational and quality audits of claims processing to ensure accuracy, compliance, and adherence to guidelines.
• Review claims files, documentation, and workflows to confirm procedures and standards are followed.
• Document audit results and prepare timely, accurate audit reports and records.
• Track audit outcomes and identify trends or opportunities for improvement.
• Communicate audit findings to stakeholders and support follow-up actions.
• Participate in development and refinement of policies, procedures, and quality standards.
• Support internal performance and compliance initiatives with data and documentation.
• Facilitate collaboration across teams to promote consistent claims processing practices.
• Utilize technology and AI-enabled tools to support efficient workflows and client service.

Skills

Attention to detail

Analytical skills

Verbal and written communication

Education

High school diploma

Tools

Microsoft Word

Microsoft Excel

Job description

Relation Insurance, Inc. in Tulsa, OK, is seeking a Claims Auditor to perform operational and quality audits of claims processing. You will review files, document findings, and prepare audit reports, identifying trends and opportunities for improvement.

The role requires attention to detail, strong analytical and communication skills, and the ability to manage multiple priorities. This position emphasizes confidentiality and professional conduct, with opportunities to contribute to policy