Workers’ Compensation Claims Auditor

Clark Personnel; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company in workforce solutions is seeking a Workers’ Compensation Claims Auditor to join their remote team. This role is crucial for reviewing and evaluating workers’ compensation claims, ensuring accuracy and compliance. The auditor will conduct detailed reviews, collaborate with teams, and prepare audits to uphold industry standards. Applicants should have a minimum of 2 years experience in claims analysis and strong Excel skills.

Benefits

Professional Mentoring & Education Program

Qualifications

• Minimum 2 years of experience in workers’ compensation claims auditing.
• Proficiency in Excel (advanced functions required).
• Familiarity with NCCI audit standards is preferred.

Responsibilities

• Review and analyze all types of claims for accuracy and completeness.
• Conduct audits to identify discrepancies and ensure compliance.
• Prepare detailed audit reports and track key performance indicators.

Skills

Analytical skills

Problem-solving skills

Attention to detail

Communication skills

Excel proficiency

Tools

Claims management systems

Job description

Join to apply for the Workers’ Compensation Claims Auditor role at Clark Personnel

Join to apply for the Workers’ Compensation Claims Auditor role at Clark Personnel

• Please note: Only qualified applicants who meet the experience requirements will be considered for this role.***
  
  

• Please note: Only qualified applicants who meet the experience requirements will be considered for this role.***
  
  

Position: Workers’ Compensation Claims Auditor

Location: Remote (Must be able to work in Central Standard Time)

Pay: $30 to $40/hour

Experience:

• Minimum 2 years of experience in workers’ compensation claims analysis, auditing is required.
• Experience with all three claim types: medical-only, indemnity (including TTD, TPD, IIB, PTD, catastrophic), and lost time is required.
  
  

Type: Full-time; Contract (3 to 6 months)

Schedule: Monday - Friday, 9am to 5pm (CST)

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.
• 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.
• Must have a personal laptop and monitor.
• Strong analytical, problem-solving, and organizational skills.
• Excellent written and verbal communication.
• 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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