Senior Claims Auditor: Quality & Compliance

Virginia Farm Bureau Mutual Insurance; Richmond (VA); On-site; USD 72,000 - 75,000; Full time

Job summary

Virginia Farm Bureau is seeking a Claims Auditor to join our Richmond-area team. The role focuses on reviewing claim files for accuracy, auditing payments and reserves, and ensuring adherence to procedures to strengthen service outcomes.

The position supports coaching and process improvements with adjusters and management. Minimum education includes a bachelor’s degree or equivalent, plus 3–5 years of P&C auditing and 8 years of claims adjusting experience.

Qualifications

• Bachelor’s degree or equivalent experience.
• 3-5 years P & C auditing experience.
• 8 years of claim adjusting/examining experience.

Responsibilities

• Review claim files for accuracy, completeness, and proper documentation.
• Audit payments, reserves, coverage decisions, and claim notes.
• Identify discrepancies, quality trends, and corrective action opportunities.
• Prepare audit findings, summaries, reports, and recommendations for claims leadership.
• Partner with adjusters, supervisors, and management for coaching and process improvement.
• Maintain knowledge of policies, regulatory requirements, and audit standards.
• Enter W-9s into the Finys system and index into Imageright.
• Reconcile out-of-balance transactions and Hartford Steam Boiler discrepancies.
• Perform due diligence and reimbursements per Va guidelines for unclaimed property.
• Back-up Finys system security and ensure proper access for claims staff.
• Review reinsurance reports for reserve accuracy and reinsurer invoicing.
• Rotate entering cash receipts and reviewing ledgers with the audit team.
• Assist in training new auditors and claims adjusters.
• Liaise with other departments as needed and serve on committees.
• All other duties as assigned by the Claims Audit Manager.

Skills

Claims auditing

Analytical skills

Attention to detail

Communication skills

Confidentiality

Claim systems proficiency

Education

Bachelor’s degree or equivalent experience

Tools

Finys

Imageright

Job description

Virginia Farm Bureau is seeking a Claims Auditor to join our Richmond-area team. The role focuses on reviewing claim files for accuracy, auditing payments and reserves, and ensuring adherence to procedures to strengthen service outcomes.

The position supports coaching and process improvements with adjusters and management. Minimum education includes a bachelor’s degree or equivalent, plus 3–5 years of P&C auditing and 8 years of claims adjusting experience.