15 clinical review auditor jobs found

Position Title Private Banking Business Execution Lead Location New York, NY 10018 Job Summary The Private Bank Business Manager role is responsible for serving to support strategic execution working with senior leadership within Private Banking & Wealth Management, supporting the execution of governance, sales and business performance management, business strategy, cost discipline, and people priorities. This role will play a critical part in driving operational excellence, ensuring financial stewardship, and advancing strategic initiatives that enable the Private Bank to deliver sustainable growth and superior client service. The anticipated base pay rate range for this role will fall between $76,470 - $124,339, depending on individual qualifications, experience, and geographical location. Pay Range: Local Minimum Wage - $0.00 - $0.00 Job Responsibilities: Governance & Risk Oversight Support execution of the business governance and management...

Primary Details Time Type: Full time Worker Type: Employee The Opportunity Oversee and manage assumed reinsurance excess of loss and proportional business emanating from QBE Re’s casualty and property book of business including an emphasis on Cedent audits. Ensure that all claims are being properly reported to QBE Re pursuant to the terms and conditions of the reinsurance contract(s). Location: Ny- New York City Work Arrangement: Hybrid (2-3 days in the office) The salary range for this role is between $126,000 -$189,000 depending on experience Your new role Complete either on-site or remote reinsurance claim audits when necessary Deliver quality claims service to our internal underwriters, actuaries, etc. and external partners (Brokers and Cedent’s) Manage a portfolio of reinsurance claims (via our ProSume system) in accordance with QBE Re’s Claim Guideline and Procedures to ensure a favorable outcome. Where necessary, conduct...

Who we are AIG, Inc. is a leading provider of insurance products and services for commercial and personal insurance customers.  It includes one of the world’s most far-reaching property casualty networks.  AIG, Inc. (“AIG”) offers a broad range of products to customers through a diversified, multichannel distribution network.  Customers value AIG’s strong capital position, extensive risk management and claims experience and its ability to be a market leader in critical lines of the insurance business. Corporate Finance - Investment Accounting The Investment Accounting group at AIG is responsible for the accounting and reporting for AIG's Invested Assets of over $95 billion a comprised primarily of fixed maturity securities and includes private equity, hedge funds, commercial/residential loans and equity securities.  In addition, AIG’s derivative portfolio consists primarily of foreign exchange derivatives but also includes interest rate and other derivative...

MSIG USA continues to grow!  Company Overview: MSIG USA is the US-based subsidiary of  MS&AD Insurance Group Holdings, Inc. , one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. The Trade Credit & Political Risk Claims Manager plays a critical role in safeguarding the company’s financial stability and reputation by overseeing the end‑to‑end claims process for trade credit and political risk lines of business. This leader ensures fair, timely, and strategic claims resolutions while maintaining strong relationships with insureds, brokers, reinsurers, and internal stakeholders. Key Responsibilities Claims Management Lead the investigation, evaluation, and resolution of complex...

Description Summary: The Managing Director - Warehouse Lending for CSG - Corporate Mortgage Finance Group, will be an integral component to the building out of the Corporate Mortgage Finance Group vertical for Huntington Bank and will serve as a point person in determining the customer’s needs, meeting them through the seamless delivery of the bank's products, services and associated resources.  You will manage an assigned team of Relationship Manager/Bankers as direct reports; personally originate, service and maintain an assigned Commercial Loan Portfolio within the Corporate Mortgage Finance Group; work collaboratively with the group’s Banker/RMs, Portfolio Managers and other internal colleagues to support current and prospective client relationship growth. This position reports to the Head of CMFG, or another senior leader determined by the Head of the group.  In this role, you will be performing the...

Overview The Senior Treasury Analyst reports to the Vice President of Treasury and provides reporting, analysis, and operational oversight across key Treasury functions including Global Bank Services, Liquidity & Collateral Management, Bank Relationship Management, Credit Risk and FX. The role requires strong execution of daily treasury activities while upholding AmTrust’s organizational mission, values, and standards.   This position will be hybrid (Monday - Thursday in office, Friday remote) and can be worked in either our Jersey City, NJ or Manhattan (Financial District), NY office.    The expected salary range for this role is $80,000 - 95,000.   Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of...

As a team member in Finance at Nationwide, a Fortune 100 company with nearly $70 billion in annual sales, the opportunities are endless! Let Nationwide help create your career journey! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. It is our intention to fill this role in Des Moines, Iowa or Columbus, Ohio. However, remote applicants who bring critical industry skills and relevant experience may be considered. Serve as a strategic liaison between business stakeholders and line-of-business pricing teams. This role is instrumental in advancing pricing strategy by translating complex technical analyses into actionable insights that guide business decision-making. The ideal candidate will bridge the gap between actuarial expertise and business execution, ensuring pricing recommendations are aligned with organizational goals....

Position Title Commercial & Private Bank Compliance Risk & Controls Associate Location New York, NY 10018 Job Summary The Commercial & Private Bank Compliance Risk & Controls Associate will play an integral role in the design, buildout, transformation and implementation of a Compliance risk management framework as well as advise and oversee business lines through ongoing identification, assessment, and measurement of material risks and key controls. The Commercial & Private Bank Compliance Risk & Controls Associate, in this 1st Line of Defense (1LOD) role, will bring expertise in regulatory Compliance and risk experience in Commercial & Private Banking businesses. • The Private Bank consists of Private Client Groups (PCGs) who are highly specialized in providing white glove service to High Net Worth and Commercial clients by offering Deposit products, lending, and products and services from Flagstar’s broader offerings. • The Commercial Bank...

The Supervisory Accountant is integral in supporting AIG’s General Insurance International Controllership team, with primary responsibility for controllership activities related to the preparation and analysis of quarterly consolidated financial statements for the General Insurance International operating segment in accordance with US GAAP and internal policies.  This position is responsible for supporting delivery of consolidated financial information included within the AIG 10-Q/10-K, maintaining data integrity and a robust control environment to provide effective support to the General Insurance International Controllership.  This role will also involve partnering with other stakeholders to build strong relationships and collaborate across various functions of the Company, to support an efficient close process. Key Responsibilities: Preparing quarterly consolidated financial statements for AIG General Insurance International’s results based on regional submissions, in...

Consultant Claims - CH08CE Specialist Claims - CH07DE Specialist Claims CA - CH07DN Consultant Claims CA - CH08BN We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.           This position can be filled at either the Consultant or Specialist level, based on the candidate’s experience.  The Claim Specialist and Claim Consultant roles are advanced claim handler positions within the ENVIRONMENTAL unit of The Hartford’s Complex Claims Unit (CCU), responsible for the management of various complex claims brought against The Hartford’s insureds.  Claims in CCU are often associated with complex fact patterns and coverage issues that may involve multiple years and types of insurance coverage. CCU claims also commonly involve...

Position Title Quantitative Model Risk Analyst Location Hicksville, NY 11801 Job Summary Pay Range: 59- 106K The Quantitative Model Risk Analyst supports the implementation and execution of the Bank-wide model risk management policy. This includes the review of complex models used within the organization, model development documentations, model code, and model performance. The Quantitative Model Risk Analyst prepares written validation reports, makes recommendations, and follows up and tracks ongoing model risk issues. Pay Range: Local Minimum Wage - $0.00 - $0.00 Job Responsibilities: JOB RESPONSIBILITIES Performs independent validation of selected models to assess the conceptual soundness of model design and development, ongoing monitoring, and outcomes analysis. Replicates the model code, reviews model development documentation and model inputs, processing, and outputs. Develops and maintains effective partnerships with analysts, model owners,...

Overview AmTrust Financial Services, a fast-growing commercial insurance company, has a need for Clinical Review Nurse remote or in an office  location.     PRIMARY PURPOSE:   The Clinical Review nurse has the responsibility of reviewing the medical necessity, appropriateness, quality and efficiency of services in the appropriate setting for Workers’ Compensation claimants. This position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the AmTrust Claims Adjuster team to expedite medically necessary treatment for each claim.  They also review pharmacy authorizations to determine appropriateness of pharmaceutical treatment.  Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of the AmTrust organization.   This position will be hybrid out of one of our AmTrust office locations!  Responsibilities...

Position Title Check Operations Specialist Location Hicksville, NY 11801 Job Summary The Check Operations Specialist for Item Processing is responsible for ensuring the accuracy, compliance, and timely processing of check-related transactions and remittances. This role supports critical operational functions including data validation, exception handling, and customer adjustments. Pay Range: $18.58 - $23.00 Pay Range: Local Minimum Wage - $0.00 - $0.00 Job Responsibilities: File Review and Data Accuracy Review and correct incoming check file data to ensure accuracy and completeness prior to processing  Identify and resolve discrepancies Ensure timely handling to minimize customer impact and regulatory risk Account and Transaction Reconciliation Perform daily reconciliations of general ledger transactions to ensure timely resolution of exceptions Monitor and resolve rejects, exceptions, and outstanding items within set timelines Participate in end-of-day...

Primary Details Time Type: Full time Worker Type: Employee The Opportunity: The purpose of the AVP, Internal Audit Manager is to manage audits, ensuring that the work performed by the audit team is delivered within agreed timelines and to a high standard. They will also lead more complex audits, managed by a VP, Senior Internal Audit Manager. They may be assigned direct reports to manage their performance and support their career development. Location: New York City, New York Work Arrangement: This role is hybrid, where you will be expected to be in the office 2-3 days per week. The salary range for this role is: $166,000 -$249,000 Your New Role: Audit execution  Manage audits “end to end” ensuring that the work performed by the audit team is delivered within agreed timelines and to a high standard.  Review key deliverables and working papers, raising coaching notes where necessary.  For more complex audits, lead audit engagements,...

Company Description WTW is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth. With roots dating to 1828, WTW has 40,000 employees serving more than 140 countries. We design and deliver solutions that manage risk, optimize benefits, cultivate talent, and expand the power of capital to protect and strengthen institutions and individuals. Our unique perspective allows us to see the critical intersections between talent, assets and ideas – the dynamic formula that drives business performance. Together, we unlock potential. Learn more at  wtwco.com . Description The Associate Client Advocate (ACA) client-facing functions utilizing the colleague’s advanced skills in Commercial Property and Casualty Insurance and is responsible for a blend of internal delivery activities. The ACA is responsible for supporting client relationships, strategy development, and execution at the insurance program level.  The...