Remote Insurance Claims Auditor - Data-Driven & Flexible

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

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.