Reinsurance Claims Auditor

Pro Global

Claims Auditor conducting audits and ensuring claims adherence to standards remotely within the USA. Overseeing audit processes while developing client relationships and preparing clear reports.

Posted 4/30/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Perform multiple audit engagements and lifecycles at one time
Overseeing the entire audit process including compiling data cedants or TPAs on claims handling structure and requesting information in preparation for the audit
Audit Cedants, TPAs and Client Claims Teams to ensure adherence to contractual agreements, SLAs and within industry standards and regulatory requirements
Review pre audit questionnaire (PAQ) responses and necessary documentation; drafting follow-up questions and inquiries as needed
Review direct and/or ceded claims submissions for accuracy, timeliness, and compliance with reinsurance contract terms (treaty and facultative, where applicable)
Manage communication, preparatory, onsite/remote, wrap up, meeting, and post audit/reporting activities
Analyze claims handling practices through structured audit testing and sampling to identify systemic risks, deviations from contract terms, and exposure trends
Evaluate any liability or coverage decisions to evidence appropriate claims handling decisions
Prepare clear, defensible audit reports and executive summaries; support client read ‑ outs and respond to follow ‑ up inquiries regarding findings and recommendations
Liaise with Audit Administrator regarding audit preparations and reinsured/TPA readiness

Requirements

What you’ll need

5+ years of (re)insurance claims experience
Demonstrable track record of auditing or quality assurance reviews
Strong evidence of business and client relationship development
Bachelor’s degree in business administration or similar field
One or more industry designations Chartered Property Casualty Underwriter (CPCU), Associate in Claims (AIC), Associate in Reinsurance (ARE), etc.
Excellent working knowledge of reinsurance claims
Highly structured and conceptual mindset coupled with strong quantitative and analytical problem-solving aptitude
Excellent written and oral communication skills
Detail orientated, with excellent organizational and planning skills
Ability to work independently, with a team, and with initiative is essential
Ability to travel within the USA up to 10% of the time

Benefits

Comp & perks

Client-facing role
Travel opportunities
Opportunities to grow and maintain client relationships

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

audit engagementsclaims handlingaudit processdata analysisaudit reportingquality assurance reviewscontract complianceclaims submissionsstructured audit testingquantitative problem-solving

Soft Skills

communication skillsorganizational skillsplanning skillsrelationship developmentindependent workteam collaborationinitiativeattention to detailanalytical skillsconceptual mindset

Certifications

Chartered Property Casualty Underwriter (CPCU)Associate in Claims (AIC)Associate in Reinsurance (ARE)