Payment Auditor Lead

Arthur J. Gallagher & Co. (AJG); Remote; USD 70,000 - 100,000; Full time

Job summary

A leading insurance company based in the United States is seeking a highly analytical Claims Payment Auditor Lead specializing in Workers’ Compensation and Liability claims. You will conduct detailed audits of claims payments to identify potential fraud, errors, and non-compliance with best practices. The ideal candidate should have at least 5 years of experience in claims auditing and possess strong analytical skills. This role offers a competitive salary and flexible remote work options.

Benefits

Medical/dental/vision plans

Life and accident insurance

401(K) and Roth options

Paid parental leave

Flexible work hours

Qualifications

• 5–7 years of experience in claims auditing, Workers’ Compensation, or Liability claims.
• Strong understanding of claims processes and industry standards.
• Ability to work independently and collaboratively.

Responsibilities

• Conduct detailed audits of claims payments to identify potential fraud.
• Review supporting documentation for accuracy and alignment with policy.
• Collaborate with teams to resolve discrepancies and implement corrective actions.

Skills

Analytical skills

Attention to detail

Communication skills

Ability to maintain ethical standards

Education

Associate degree in a related field

Bachelor’s degree in a related field (preferred)

Tools

Audit software

Microsoft Excel

Job description

Introduction

At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers—people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

Overview

Role specifics:

• Jurisdictions: United States
• Location: This role is eligible for fully remote work.
• Professional designations such as Certified Fraud Examiner (CFE) or similar is preferred.

We are seeking a highly analytical and professionally skeptical Claims Payment Auditor Lead specializing in Workers’ Compensation and Liability claims. In this role, you will audit high‑risk payments to identify potential fraud, errors, and non‑compliance with GB Best Practices. Your work directly supports the integrity of our claims payment processes and the commitment to delivering exceptional service to our clients.

How you'll make an impact

Key Responsibilities

• Conduct detailed audits of Workers’ Compensation and Liability claim payments with a fraud‑risk mindset and professional skepticism to identify, investigate, and escalate potential internal fraud, errors, and non‑compliance with GB Best Practices.
• Review supporting documentation—including invoices, medical bills, and settlement agreements—for accuracy, appropriateness, and alignment with policy.
• Collaborate with adjusters, managers, and cross‑functional teams to resolve discrepancies and implement corrective actions.
• Maintain current knowledge of jurisdictional regulations, industry trends, and best practices relevant to Workers’ Compensation and Liability claims.
• Contribute to the development and enhancement of audit procedures to improve audit quality, consistency, and effectiveness.
• Participate in special projects or process improvement initiatives as needed.

About You

Required Qualifications

• Associate degree in a related field.
• 5–7 years of experience in claims auditing, Workers’ Compensation, Liability claims, or a closely related discipline.
• Strong understanding of Workers’ Compensation and Liability regulations, claims processes, and industry standards.
• Demonstrated analytical skills with exceptional attention to detail and accuracy.
• Proficiency with audit software and Microsoft Office (especially Excel).
• Strong written and verbal communication skills.
• High ethical standards and the ability to consistently apply professional skepticism.
• Ability to work both independently and collaboratively.

Preferred Qualifications

• Bachelor’s degree in a related field.
• Professional designations such as Certified Fraud Examiner (CFE) or similar.

Compensation and benefits

We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to, previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.

Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

• Medical/dental/vision plans, which start from day one!
• Life and accident insurance
• 401(K) and Roth options
• Tax‑advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• Paid parental leave

Other benefits include:

• Digital mental health services (Talkspace)
• Flexible work hours (availability varies by office and job function)
• Training programs
• Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
• Charitable matching gift program
• And more…

**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.

We value inclusion and diversity

Click Here to review our U.S. Eligibility Requirements

Inclusion and diversity (I&D) is a core part of our business, and it’s embedded in the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non‑conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.