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Bethlehem 6 Norristown 1 Pittsburgh 1 Rockwood 1
Full Time clinical review auditor Pennsylvania

9 clinical review auditor jobs found

Guardian
05/22/2026  
Engineer, Infrastructure Service Management
Job Title Digital Workplace AV Support Engineer Location Bethlehem, PA. This role requires travel to other Guardian locations including Hudson Yards (NYC), Holmdel, NJ, and additional sites as needed (up to 25%). Occasional off-hours and weekend support is required. Job Summary Guardian is seeking a highly capable AV Support Engineer to join the Digital Workplace organization. This role is responsible for delivering reliable, high-touch audiovisual and collaboration support across conference rooms, executive meeting spaces, and enterprise event environments. This is a hands-on, customer-facing role supporting Microsoft Teams Rooms and modern hybrid collaboration technologies. The position requires strong technical depth, composure under pressure, and the ability to resolve issues in real time during business-critical meetings and events. The ideal candidate operates independently, partners effectively across IT, Facilities, and vendors, and takes ownership of...
Guardian Bethlehem, PA Full Time
Guardian
05/21/2026  
Software Engineer
Software Engineer – Java Description As a Software Engineer, you will develop and execute key technology components of the Group Benefits Absence Platform. Absence Comprehensive Experience (ACE) is one of the key initiatives that will drive the success of the Group Benefits growth strategy.  It is one of the largest programs within Guardian today.  This is not just a multi-year program to re-platform; it is the future of how we transform as a business: bringing a comprehensive Disability and Absence Management suite of offerings to Guardian Insurance customers.  This role will work directly with solution architects, testing partners, cross-functional stakeholders and development team members to define, design and deliver the technical solutions that will support the business’ vision, strategy and goals.  The role will specifically support the objectives aligned with the ACE Program, implementing absence functionality across multiple workstreams. You are A...
Guardian Bethlehem, PA Full Time
CorVel
05/18/2026  
Claims Quality Assurance
The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary responsibility is evaluating claim handling quality, accuracy, and timeliness in categories including but not limited to: coverage analysis, investigation, valuation, reserving, compliance and accurate disposition of claims. This role has the ability to interpret results and trends in order to deliver operational reporting, and participate in the development and presentation of training.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Model ethical behavior and executes job responsibilities in accordance with CorVel’s core values, ethics, and information protection policies Serve as technical QA lead to assigned offices or departments Lead QA projects and serve as primary coordinator for senior leadership of assigned offices Support the...
CorVel Norristown, PA Full Time
Guardian
05/05/2026  
Life Waiver of Premium Claims Specialist for FPRS (Financial Protection and Retirement Solutions)
As the Life Waiver of Premium Claims Specialist for FPRS (Financial Protection and Retirement Solutions) , you will play a key role in delivering meaningful experiences that support growth—both for your career and for our team’s collective future. At Guardian, we live our Purpose every day. As champions of wellbeing for ourselves, our communities, and our consumers, we work together to turn what’s possible into reality. We believe in your aspirations for purpose, leadership, and achievement in both your professional and personal life, and this role provides the opportunity to bring those aspirations to life. We will help build the core competencies you will need to be a successful Life Waiver of Premium Claims Specialist. In your first year, we will provide extensive training in a highly supportive environment. If you have an internal drive to investigate using your critical thinking skills, assessing policy matters, and can manage competing priorities while meeting deadlines,...
Guardian Bethlehem, PA Full Time
Guardian
05/05/2026  
Claims Coordinator for FPRS (Financial Protection and Retirement Solutions)
As a Claims Coordinator for FPRS (Financial Protection and Retirement Solutions), you will play a key role in delivering meaningful customer experiences that support growth—both for your career and for our team’s collective future. At Guardian, we live our Purpose every day. As champions of wellbeing for ourselves, our communities, and our consumers, we work together to turn   what’s   possible into reality. We believe in your aspirations for purpose, development, and achievement in both your professional and personal life, and this role   provides   the opportunity to b ring those aspirations to life.     We will help build the core competencies you will need to be successful as a Claims Coordinator. In your first year, we will provide extensive training in a highly supportive environment. If you enjoy working directly with customers,   gathering   and   validating   information, navigating multiple systems, and managing competing priorities while...
Guardian Bethlehem, PA Full Time
Guardian
05/03/2026  
Technical Product Owner/ Engineer
The Technical Product Owner/ Engineer supports strategic modernization initiatives within the Financial Protection and Retirement Services Technology organization. The role partners closely with engineering teams to translate business needs into clear technical specifications, features, and system designs. This individual contributes hands‑on to technical discussions, solution design, and implementation support to ensure high‑quality delivery. This individual collaborates with product managers, business partners, and cross‑functional technical teams to shape technical solution. Strong knowledge of Agile is required to manage the backlog and drive iterative development. The individual will be deeply involved in hands-on technical activities such as development, supporting design decisions, creating technical requirements, and ensuring high‑quality implementation. You Are A self-starter, continuous learner and hands-on technical engineer who can translate vision from the...
Guardian Bethlehem, PA Full Time
BP&C, Shared Services Inc. (American National & Argo Group)
04/15/2026  
Premium Audit Supervisor
Company Shared Services Argo and Farm Family are specialty property and casualty insurance brands whose underwriting companies are wholly-owned subsidaries of Clearbrook Holdings Inc. Argo and Farm Family partner with agents and brokers to provide insurance solutions that enable businesses to manage risks with confidence. Job Description Premium Audit Supervisor Job Description The Premium Audit Supervisor is responsible for overseeing the day-to-day operations of the premium audit team, ensuring timely, accurate, and compliant audits of policyholders.  This role supervises audit staff, including analysts and coordinators, manages workflow, ensures quality control, and provides training and support to direct reports. This position reports to the Premium Audit Manager. The supervisor plays a critical role in maintaining audit standards and fostering team development while helping the audit department meet their goals. The primary duties and responsibilities of...
BP&C, Shared Services Inc. (American National & Argo Group) Rockwood, PA Full Time
Guardian
03/24/2026  
Wealth Management Operations Support
The Wealth Management Operations Support role is responsible for overseeing and optimizing daily operations to support our field force. This position plays a critical role in planning capacity, improving workflows, supporting the operations team, and partnering with firm leaders to drive efficiency and service quality. You will be responsible for, but not limited to, broad operational administration, covering grey areas, workflows, and relationship management for our field force. You excel in a dynamic and fast-paced environment and have the ability to create relationships with senior leaders across firms we partner with. You will Lead capacity planning for our Guardian India operations partners Oversee and manage all broker-dealer operations work queues Own and maintain the operations training curriculum in partnership with our Training & Development Team Partner with Third-Party platform owners on operational support and optimization Design, implement, and...
Guardian Bethlehem, PA Full Time
Oswald
02/03/2026  
Client Manager - Group Benefits
Would you like to take ownership in a dynamic, high-growth business that truly walks the talk? Oswald Companies seeks goal-driven professionals ready to take their career to the next level. Job Summary The Client Manager will be responsible for providing quality client management of client relationships by anticipating client needs and questions, performing research to ensure the client’s employee benefits program supports their financial and organizational goals, and providing renewal management with oversight, guidance, and input from other senior members of the team. This also includes growth on the current book of business, an understanding of the client’s business, and a minimum of 95% retention and client satisfaction rating. Essential Functions Quality, Client Service & Expertise Proficiently manage the client service cycle, monitor time frames and meet renewal deadlines. With oversight, guidance and input from the CE/Producer: Participate in annual...
Oswald Pittsburgh, PA Full Time

 

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