Remote Insurance Claims Auditor

Naukri Mitra; United States; Remote; USD 51,000 - 62,000; Full time

Benefits offered by this job

Equipment reimbursement

Home office stipend

Health and Wellness plans

Job summary

Naukri Mitra is hiring a Remote Insurance Claims Auditor to help ensure accuracy and compliance across health, life, and property claims. The role emphasizes data-driven audits, use of BI tools, and ongoing quality assurance in a fully remote environment.

Ideal candidates bring 3+ years of claims auditing experience, familiarity with ICD/CPT/HCPCS, and proficiency in Guidewire/Duck Creek/ClaimCenter SAS along with Tableau/Power BI. Training and collaboration are core parts of the role.

Qualifications

• Bachelor’s degree in a related field (Accounting/Insurance/Finance).
• Minimum 3 years in insurance claims auditing (remote or onsite).
• Knowledge of claims lifecycle, regulations, and auditing standards.
• Familiarity with ICD/CPT/HCPCS codes for healthcare claims.
• Strong experience with auditing software and BI tools.

Responsibilities

• Audit health, life, and property claims for accuracy and compliance.
• Generate audit reports and dashboards using BI tools (Power BI/Tableau).
• Collaborate with processors, adjusters, and compliance teams; train new staff.

Skills

Bachelor's degree

Insurance claims

Remote work

Audit standards

BI tools

ICD/CPT/HCPCS

Education

Bachelor’s degree in Accounting/Finance

Tools

Guidewire

Duck Creek

ClaimCenter SAS

ACL Analytics

AuditBoard

Tableau

Power BI

Excel

Jira

Slack

Job description

Remote Insurance Claims Auditor Position Overview

We’re seeking a detail-obsessed and tech-savvy Remote Insurance Claims Auditor to join our dynamic auditing team. This opportunity is ideal for someone who excels in a data-driven remote environment and is passionate about leveraging auditing tools, digital workflows, and intelligent systems to ensure insurance claim accuracy and compliance. You’ll work entirely virtually, applying analytical rigor to policy claims, reducing errors, and driving quality assurance across multi-line insurance products.

Key Responsibilities

Audit Execution and Compliance Conduct comprehensive audits of health, life, and property insurance claims with a keen eye for discrepancies. Verify claims for accuracy, eligibility, and adherence to internal protocols and external regulations. Review payout justifications, supporting documentation, and claim notes. Identify trends, red flags, or system inefficiencies across processed claims.

Reporting and Analytics Generate audit reports and dashboards using BI tools such as Power BI and Tableau. Provide data-backed recommendations to refine underwriting and claims practices. Translate raw claims data into actionable quality control insights. Track and monitor audit outcomes to inform ongoing risk mitigation strategies.

Collaboration and Knowledge Sharing Partner with claims processors, adjusters, and compliance teams to share insights. Help train new team members on audit protocols and tech platforms. Act as a remote knowledge base for policy interpretation and best practices.

Work Environment and Culture

Our remote-first structure is supported by advanced digital platforms, empowering you to work independently while staying connected through agile communication tools like Slack, Zoom, and Jira. You’ll experience a culture where analytical minds are encouraged to challenge conventions, propose improvements, and drive measurable results—all within a flexible virtual workspace that values autonomy and precision.

Tools and Technologies

Claims and Audit Platforms Guidewire, Duck Creek, ClaimCenter SAS, ACL Analytics, AuditBoard Data Analysis Tools Tableau, Power BI, Excel Pivot Tables Collaboration and Workflow Microsoft Teams, Zoom, Jira, Slack Google Workspace, SharePoint

These technologies streamline workflows, enhance validations, and provide centralized access to audit logs.

Qualifications and Skills

Essential Qualifications

Bachelor’s degree in Accounting, Insurance, Finance, or a related field Minimum 3 years of experience in insurance claims auditing (remote or onsite) Deep knowledge of claims lifecycle, insurance regulations, and auditing standards Familiarity with ICD, CPT, and HCPCS codes for healthcare claims High proficiency in auditing software and BI tools Preferred Attributes Strong pattern recognition and investigative thinking Comfort working with large datasets in cloud environments Experience in agile work settings or virtual-first teams Detail-oriented with high accountability and follow-through

Why Join Us

You’ll be part of a mission-driven auditing team that values precision, integrity, and innovation. We don’t just review claims—we shape the digital backbone of tomorrow’s insurance practices. Our claims auditors play a key role in elevating trust and accuracy within the insurance industry. If you have an eye for numbers and a passion for process improvement, this is your opportunity to contribute to something impactful.

Growth and Development

As a Remote Insurance Claims Auditor, you’ll enjoy continuous opportunities for skill expansion through: Professional Development Opportunities Certifications in compliance and insurance auditing Access to internal analytics and AI training modules Mentorship from seasoned audit leaders Cross-functional exposure to underwriting, compliance, and tech integration

Compensation and Benefits

Salary and Financial Perks

• Annual Salary: $56,202 (USD) 401(k) with employer match
• Equipment reimbursement and home office stipends
• Health and Wellness Comprehensive health, dental, and vision plans
• Virtual wellness programs and mental health resources
• Flexibility and Support Fully remote position with schedule flexibility
• Paid training and career development resources

Building a Global Workforce

Applications are open to professionals from the United States, Canada, United Kingdom, European Union, Australia, India, and many other international regions.