COB Claims Auditor, Associate

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

As a COB Claims Auditor, Associate at Gainwell, you’ll apply your attention to detail and analytical skills to ensure claims are accurate, compliant, and processed according to policy and regulatory standards. By auditing claim files, verifying payment accuracy, and identifying discrepancies, you’ll help safeguard the integrity of our claims process and contribute to our mission of delivering quality outcomes for the communities we serve. In this role, you’ll collaborate closely with management and the claims processing team, ensuring compliance with company procedures and state/federal regulations. Here are the details on this position.

What we are looking for

• Review and verify insurance claims for accuracy and compliance with policy terms
• Audit claim files and analyze claim payment accuracy
• Examine complex claims to determine the legitimacy of the claim
• Identify inconsistencies or discrepancies in claims and report them to the appropriate departments
• Ensure that claim payments are made in accordance with company procedures and guidelines
• Work closely with management and the claims processing team to resolve claim issues
• Maintain updated knowledge of state and federal regulations regarding insurance claims
• Prepare reports detailing audit findings and recommendations

What you should expect in this role

• Remote position within the United States

Applications for this posting will be accepted until November 25, 2025.

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The pay range for this position is $35,000.00 - $50,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.