Claims Auditor – TPA

Relation Insurance Services

Claims Auditor auditing insurance claims for Relation Insurance Services. Reviewing accuracy, compliance, documentation, and operational quality across claims processing workflows.

Posted 8/19/2026full-timeRemote • Oklahoma • 🇺🇸 United StatesJuniorMid-Level💰 $23 - $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims processing and auditing, with a strong focus on accuracy, compliance, and quality standards. Proficient in utilizing technology and data insights to enhance operational efficiency and support performance initiatives.

Highest-signal resume keywords

Claims Processing ExperienceAudit DocumentationData AnalysisMicrosoft Word ProficiencyMicrosoft Excel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingAuditingData AnalysisDocumentationQuality AuditsOperational PoliciesProcess ImprovementCompliance ReviewWorkflow AnalysisTrend Identification

Soft Skills

Attention to DetailAnalytical SkillsEffective CommunicationProfessionalismDiscretion

Tools & Technologies

Microsoft WordMicrosoft ExcelAI-Enabled Solutions

Industry Keywords

Claims ProcessingQuality StandardsOperational PoliciesCompliancePerformance Initiatives

About the role

Key responsibilities & impact

Perform operational and quality audits of claims processing activity
Review claims files, documentation, and processing workflows
Document audit results and prepare audit reports, findings, and supporting records
Track audit outcomes and identify trends, recurring issues, and improvement opportunities
Communicate audit findings and support follow-up actions
Participate in developing, reviewing, and refining operational policies, procedures, and quality standards
Support internal performance and compliance initiatives with data, insights, and documentation
Facilitate collaboration and feedback across functional teams
Facilitate meetings related to audits, quality initiatives, or process improvements
Use technology, including emerging and AI-enabled solutions, to support efficient workflows, accuracy, and client service
Complete special projects and other assigned duties

Requirements

What you’ll need

High school diploma or equivalent
Minimum 2 years of experience in claims processing and auditing
Ability to review claims activity for accuracy, consistency, and compliance with established rules and guidelines
Strong attention to detail and analytical skills
Effective verbal and written communication skills
Ability to document findings clearly and maintain accurate records
Proficiency in Microsoft Word and Excel
Ability to learn new systems and software applications
Ability to manage multiple priorities and meet deadlines in a structured environment
Commitment to confidentiality and appropriate handling of sensitive information
Professionalism, tact, and discretion

Benefits

Comp & perks

Family health and wellness programs
401K
Employee assistance programs
Paid time off
Paid holidays
Career advancement and development opportunities
Discretionary annual incentive program eligibility