CLAIM AUDITOR
$3,844 - $4,811 per monthState of California
$3,844.00 - $4,811.00 per Month New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable. Final Filing Date: 6/9/2026 The Operations Bureau performs prepayment audits of claims from state agencies to ensure legality, validity, and compliance with laws and regulations. The auditing process safeguards against improper claims by verifying legal justification, budget appropriation, and program alignment with state and federal statutes, judicial opinions, attorney general guidance, and the California Constitution. Responsibilities Audit‑related Tasks Audit claims to ensure payments are legal, valid and proper for payment from the State Treasury. Verify that legal authority to incur financial obligations exists and is proper with regard to the agency’s programs. Verify claims are charged against the proper appropriations and comply with contract terms, CalHR, and other regulatory and statutory provisions. Verify claims are supported by proper evidence and documentation. Validate work was performed or goods delivered. Perform research using the State Constitution, State and Federal statutes, court opinions, Attorney General opinions, California Administrative Code, and SCO opinions. Contract‑related Tasks Review grants, contracts, and contract amendments. Prepare contract briefs for entry into a contracts database for reviewing claims for payment of contracts. Post contract payments to the database to ensure total payments claimed do not exceed the total contract amount. Communication Answer questions that arise while reviewing claims for legality and validity of payment. Prepare written summaries of claim corrections for lead auditor review. Prepare claim correction and claim rejection letters to agencies explaining reasons for correction or rejection. Desirable Qualifications Driver’s License. Exceptional organizational skills and commitment to quality customer service. Proven reliability and strong attendance record. Strong communication skills. Judgment, tact, and respectful discretion. Positive attitude, resilience under pressure. Adaptability and collaboration in diverse situations. Flexibility and creative problem‑solving. Strong interpersonal skills, ethics, and integrity. Technology proficiency and adaptability. Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. It is an objective of the State of California to achieve a drug‑free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants. #J-18808-Ljbffr
- 6AM City, LLC is seeking a Hospital Claims Auditor located in California, Missouri. This role is responsible for ensuring the quality of claims processes and adherence to regulations. Main duties include auditing processed claims, training Claims Examiners, and conducting...Claims
$3,844 - $4,811 per month
...The State of California is hiring for an auditing role focusing on the legality and validity of claims. Responsibilities include auditing claims for payment from the State Treasury, reviewing contracts, and validating financial obligations. Ideal candidates will demonstrate...ClaimsContract work- ...Job Description Summary: A Hospital Claims Auditor is responsible for the overall quality of claims processes as well as compliance, in accordance with outside regulations and the contractual obligations of the Health Plans and/or Hospital Clients. Research, reviews and...ClaimsContract work
- Job Description We are seeking a Medical Chart Auditor whose primary responsibilities involve verifying, rectifying, and finalizing edits in the Patient Accounting System or claims editing system. Occasionally, the Medical Chart Auditor will conduct insurance audits in...ClaimsContract workWork at office
- Israelvcforum is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN to audit inpatient medical records and ensure compliance... ...experience in clinical documentation improvement and claims auditing. The position comes with a comprehensive benefits package...ClaimsRemote jobFull time
$365 per month
...with state and Office policies. Process vendor payments, prepare claim schedules, resolve invoice disputes with vendors to ensure... ...sponsorship by the start date of employment. The California State Auditor’s Office is not an E-Verify employer. Special Requirements Any...ClaimsPermanent employmentTemporary workSummer workWork at officeRemote workWeekend work$56.7k - $94.9k
Blue Cross Blue Shield of Michigan seeks Claim Representatives I, II, and III in California. These positions involve verifying insurance coverage, investigating claims, and facilitating return-to-work processes. Candidates should have a bachelor’s degree and relevant experience...Claims$70k - $73k
...AvonRisk LLC is seeking a General Liability and Auto Claims Adjuster II to work fully remotely. The ideal candidate will investigate and evaluate insurance claims while managing a diverse caseload. AvonRisk emphasizes a supportive culture with opportunities for career...ClaimsRemote work- A leading claims adjusting firm is seeking Licensed Insurance Claims Adjusters in California, MO. The role involves aiding individuals and businesses in recovering from disasters while enjoying flexible working conditions. Candidates will receive comprehensive training...ClaimsFlexible hours
- A leading insurance claims organization is seeking Independent Insurance Claims Adjusters in California, MO. This role offers the chance to make a significant impact on clients' lives while enjoying a flexible career path and competitive compensation. Candidates should...ClaimsFlexible hours
- Independent Insurance Claims Adjuster Join MileHigh Adjusters Houston as an Independent Insurance Claims Adjuster. This role offers flexibility, autonomy, and competitive compensation. Why This Opportunity Matters Demand for claims adjusters is growing due to increased...Claims
- MileHigh Adjusters Houston is looking to hire an Independent Insurance Claims Adjuster in California, United States. This position offers flexibility, autonomy, and competitive compensation. The demand for claims adjusters is rising due to storm-related events, and licensed...ClaimsFlexible hours
- A national insurance adjuster company is seeking Independent Insurance Claims Adjusters to join their team in California, MO. This role offers a dynamic career path with flexibility and competitive compensation. The company provides comprehensive training to equip new...ClaimsFlexible hours
- A leading insurance claims adjusting company in Missouri seeks Independent Insurance Claims Adjusters. This role is vital in aiding recovery efforts for clients affected by disasters, providing a rewarding career with flexibility and competitive compensation. You will...Claims
- ...One80 Intermediaries Inc. seeks a Senior Claim Data Analyst to lead analytics initiatives across various insurance claims. This role includes responsibilities such as overseeing junior analysts, analyzing claim data for trends, and developing performance monitoring dashboards...ClaimsRemote work
- A leading contents restoration provider in Missouri is seeking a dedicated Project Manager to oversee insurance claims from initiation to completion. The ideal candidate will manage project schedules, maintain records, and communicate regularly with clients and field teams...Claims
- A claims adjusting company is looking for Independent Insurance Claims Adjusters in California. This role offers the opportunity to make a positive impact in people's lives by assisting with recovery from disasters. Ideal candidates will be licensed adjusters or willing...ClaimsFlexible hours
- The State of California is seeking a Supervising Insurance Compliance Officer to oversee the resolution of consumer claims within the Department of Insurance. The role involves planning, organizing, and directing staff to ensure effective claims handling practices. Candidates...ClaimsRemote job
- A leading claims adjusting company in California is seeking Independent Insurance Claims Adjusters to join their team. This is a dynamic career opportunity where you will help individuals and businesses recover from disasters. Whether you are an experienced adjuster or...ClaimsFlexible hours
- A leading claims adjusting training provider in California is looking for Independent Insurance Claims Adjusters. Join this rewarding career where you can make a difference while enjoying flexibility and competitive compensation. You'll receive comprehensive training to...ClaimsImmediate startFlexible hours
- Chumashcareers is seeking a dedicated Risk Manager to oversee the risk management team. This role includes managing insurance and claims, ensuring compliance with regulations, and fostering a safe work environment. Candidates should have a Bachelor's degree and five years...Claims
$26.49 - $50.24 per hour
...Field Auto Appraiser for a remote territory-based role. This position involves creating detailed damage estimates for material damage claims and negotiating settlements. The ideal candidate must have skills in auto estimating and auto insurance claims. The role requires...ClaimsRemote jobHourly pay- ...Field Investigators to work on an as-needed basis. This role involves conducting various types of investigations related to insurance claims, including surveillance and fraud detection. The ideal candidate will need to possess strong communication skills and be dependable...ClaimsFlexible hours
- ...Summit Orthopedic Specialists. The ideal candidate has medical office experience and a strong background in medical billing, insurance claims processing, and patient account management. Prior experience in an orthopedic medical office is a plus. This role is critical to...ClaimsWork at office
- ...compliance with laws. This full-time position requires in-office attendance and may offer a hybrid work schedule. Key responsibilities include conducting interviews, processing claims, providing training, and identifying fraud. #J-18808-Ljbffr Employment Development DepartmentClaimsFull timeWork at office
- ...knowledge of Xactimate (required) Understanding of water categories, drying principles, and mold protocols Familiarity with insurance claims processes and adjuster communication Ability to read moisture data and field documentation Strong attention to detail and...ClaimsFull time
- ...a highly visible enterprise sales role focused on developing and expanding relationships throughout the insurance replacement and claims ecosystem. The successful candidate will focus heavily on building partnerships with large insurance carriers, broker networks, claims...ClaimsMonday to Friday
$68.5k - $104.1k
...Job Description The Bodily Injury Team Leader manages a team of attorney‑represented bodily injury adjusters supporting West Coast claims operations during Pacific Time Zone business hours. The role delivers exceptional claims and inquiry experiences for agents via chat...ClaimsWork from homeFree visa$89.2k
...Overview Select how often (in days) to receive an alert: Create Alert This Senior QA Auditor role focuses on planning, executing, and documenting internal and external quality audits, with a strong emphasis on ISO 13485 compliance. The individual will lead audits end to...Hourly payShift work$28 - $31.35 per hour
Customer Service Supervisor - Claims Intake Seeking an experienced Supervisor to lead a team of claims advisors providing in-person support to customers impacted by wildfires. Base pay range $28.00/hr - $31.35/hr Responsibilities Oversee daily operations of in-person claims...ClaimsContract work
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