Hiring Now : Experienced Workers’ Compensation Claims Auditor | Remote Position | $30 to $40 / hour

Clark Personnel; Atlanta (GA); Remote; Full time

Job summary

Clark Personnel is hiring a Workers’ Compensation Claims Auditor for a fully remote position. The role involves reviewing claims for accuracy, conducting compliance audits, and preparing reports. Ideal candidates will have at least 2 years of relevant experience and strong Excel skills, working independently to ensure regulatory compliance and accuracy in data management.

Benefits

Professional Mentoring & Education Program

Qualifications

• Minimum 2 years in workers' compensation claims analysis or similar.
• Advanced proficiency in Excel functions such as pivot tables and VLOOKUP.
• Experience with medical-only, indemnity, and lost time claims.

Responsibilities

• Review and analyze all types of workers' compensation claims.
• Conduct audits and reconciliations to identify discrepancies.
• Prepare detailed audit reports and ensure corrective actions.

Skills

Analytical skills

Problem-solving

Organizational skills

Attention to detail

Tools

Excel

Claims management systems

Job description

Location : Remote

Pay : $30 to $40 / hour

Experience : Minimum 2 years in workers’ compensation claims analysis, auditing, or a related data-focused role.

Type : Full-time; Contract

Schedule : 9-5 M-F, then goes to more flexible hours

Clark Personnel is seeking a Workers’ Compensation Claims Auditor to join a growing and dynamic team! This fully remote role is responsible for reviewing and evaluating workers’ compensation claims to ensure accuracy, compliance, and completeness. The Auditor conducts detailed file reviews, audits, and reconciliations while collaborating with internal teams to uphold regulatory compliance, data integrity, and industry best practices.

Job Description :

• Review and analyze all types of workers’ compensation claims—medical-only, indemnity, and lost time—for accuracy and completeness.
• Conduct audits and reconciliations to identify discrepancies, patterns, and process improvement opportunities.
• Ensure compliance with NCCI audit guidelines and internal standards.
• Track key performance indicators (KPIs), including audit accuracy, error rates, and turnaround times.
• Validate data and support enhancements across claims systems.
• Prepare detailed audit reports and ensure corrective actions are implemented.
• Stay current on regulatory updates and state-specific workers’ compensation laws.
• Monitor compliance metrics including audit accuracy, error rates, claims review timeliness, and documentation / reporting quality.

Position Requirements :

• Proficiency in Excel (advanced functions such as pivot tables, VLOOKUP, and data validation) is required.
• Experience with all three claim types : medical-only, indemnity (including TTD, TPD, IIB, PTD, catastrophic), and lost time is required.
• Familiarity with Maximum Medical Improvement (MMI) and controverted claims.
• Experience using claims management systems (e.g., Guidewire, ClaimCenter, or similar).
• Previous work with NCCI or internal audit standards preferred.
• Strong analytical, problem-solving, and organizational skills.
• High attention to detail and ability to work independently in a remote setting.

Clark Personnel does not just connect you with a job; we offer a Professional Mentoring & Education Program to help you be great at your job, love it, and grow.

Clark Personnel is part of Array Corporation , the leading technology-enabled workforce solutions company whose mission is to fix how labor is bought, sold and delivered to enable universal access to the American Dream.

We are proud to be an Equal Employment Opportunity and Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

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