[Hiring] Claims Payment Auditor Lead @Gallagher

Role Description

We are seeking a highly analytical and professionally skeptical Claims Payment Auditor Lead specializing in Workers’ Compensation and Liability claims. In this role, you will audit high-risk payments to identify potential fraud, errors, and non-compliance with GB Best Practices. Your work directly supports the integrity of our claims payment processes and our commitment to delivering exceptional service to our clients.

Qualifications

• Associate degree in a related field.
• 5–7 years of experience in claims auditing, Workers’ Compensation, Liability claims, or a closely related discipline.
• Strong understanding of Workers’ Compensation and Liability regulations, claims processes, and industry standards.
• Demonstrated analytical skills with exceptional attention to detail and accuracy.
• Proficiency with audit software and Microsoft Office (especially Excel).
• Strong written and verbal communication skills.
• High ethical standards and the ability to consistently apply professional skepticism.
• Ability to work both independently and collaboratively.

Requirements

• Conduct detailed audits of Workers’ Compensation and Liability claim payments with a strong fraud-risk mindset and professional skepticism to identify, investigate, and escalate potential internal fraud, errors, and non-compliance with GB Best Practices.
• Review supporting documentation—including invoices, medical bills, and settlement agreements—for accuracy, appropriateness, and alignment with policy.
• Collaborate with adjusters, managers, and cross-functional teams to resolve discrepancies and implement corrective actions.
• Maintain current knowledge of jurisdictional regulations, industry trends, and best practices relevant to Workers’ Compensation and Liability claims.
• Contribute to the development and enhancement of audit procedures to improve audit quality, consistency, and effectiveness.
• Participate in special projects or process improvement initiatives as needed.

Benefits

• Medical/dental/vision plans, which start from day one!
• Life and accident insurance
• 401(K) and Roth options
• Tax-advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• Paid parental leave
• Digital mental health services (Talkspace)
• Flexible work hours (availability varies by office and job function)
• Training programs
• Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
• Charitable matching gift program
• And more...