68 claims auditor jobs found

If you're passionate about being part of a diverse organization that enables a Fortune 100 company with nearly $70 billion in annual sales to deliver innovative business solutions with excellence, then Nationwide's Legal team could be the place for you! 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. This position is a critical member of Nationwide’s Alternative Risk, Reinsurance, and Insurance Claims legal center of excellence within the Office of the Chief Legal Officer (OCLO), supporting complex matters across the Nationwide enterprise. The role provides specialized legal and regulatory counsel on alternative risk financing strategies, reinsurance transactions, and insurance and reinsurance claims, including related coverage, regulatory, governance, and external audit matters for Property & Casualty and Financial Services...

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. Position Summary   The Workers’ Compensation Delegated Claims Audit Specialist conducts comprehensive audits of workers’ compensation claims administered under delegated authority by third-party administrators (TPAs) on behalf of the company and its insureds/clients. The role evaluates the quality, accuracy, compliance, and financial integrity of delegated claim handling, ensuring adherence to company guidelines, client-specific service instructions, jurisdictional statutes, and industry best practices....

- Core Specialty is seeking an Assistant General Counsel to serve as a key legal advisor to business leaders and the compliance department on insurance regulatory matters affecting day-to-day operations.   This role will focus on regulatory interpretation and compliance support, helping translate legal requirements into practical business advice across underwriting, product development, claims and licensing.   Key Accountabilities/Deliverables: Provide practical, business-oriented legal advice on insurance regulatory requirements impacting operations, including underwriting, rating, claims, product development, and distribution.   Work closely with the compliance department on regulatory change management, forms and rates, policy administration, agency licenses and appointments, insurance company licenses, and consumer complaint handling.    Serve as legal advisor in connection with regulatory inquiries, data calls, audits, market conduct exams, and...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance AVP Client Services PRIMARY PURPOSE: To be responsible for the administrative, managerial and client relationships associated with Client Services within the assigned area. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Ensures contract compliance with company guidelines within an assigned area. Handles financials including accounts receivable, invoicing and pricing support within an assigned area. Responsible for client knowledge including threatened status and...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Representative PRIMARY PURPOSE :  To negotiate, facilitate and monitor successful return-to-work of claimants within appropriate disability duration guidelines and to assist case management staff with client competence decisions for individual positions. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Determines objective, quantifiable, medically supported work restrictions for assigned claims. Facilitates return-to-work (RTW) and accommodation efforts...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. The Human Resources (HR) team plays a critical role in supporting employees and fostering a positive, high-performing workplace. Within HR, the Benefits team is responsible for delivering comprehensive employee benefits programs, ensuring compliance with regulatory requirements, and...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. The ideal candidate is comfortable dealing with ambiguity, detail-oriented and able to work through evolving needs and cross-functional questions while helping to move work forward.  Prior experience in Property & Casualty (P&C)/Excess & Surplus (E&S), reinsurance, and/or underwriting is strongly preferred to enable a seamless transition into the role, establish a solid understanding of core concepts, and build effective partnerships across key...

If you’re passionate about being part of a dynamic organization that enables a Fortune 100 company with nearly $70 billion in annual sales to drive innovation and adopt new technologies that deliver business results, then Nationwide’s Technology team could be the place for you! 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. This role does not qualify for employer-sponsored work authorization.  Nationwide does not participate in the Stem OPT Extension program. This role will work a hybrid schedule coming into the Columbus, Ohio office 2 days per week. Do you want to directly shape how Nationwide protects customers and their futures with extraordinary care? As a leader within Claims, part of the CSS BSA in Property & Casualty Technology, you will leverage technology and a customer-focused approach to do just that. Our...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Case Coordinator PRIMARY PURPOSE OF THE ROLE: To provide excellent customer service and internal support to an assigned team. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work, are customer-oriented and are naturally empathetic. Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? A...

As a team member in Internal Audit 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. #LI-ML1 Job Description Summary With the ever evolving and increasing levels of internal auditing requirements, as well as heightened operational, financial, strategic and technology risks inherent in a Fortune 100 protection organization, Nationwide prioritizes internal audit as a critical component of our business strategy, governance and success. If you have the desire to develop and lead internal audit practices that drive business outcomes and deliver outstanding solutions and results, we want to know more about you! As the AVP, Internal Audit – Business Assurance, you will be...

Job Summary Westfield is executing a modern, AI-enabled data governance program that directly shapes how a leading P&C insurance carrier understands its risk, serves its customers, and competes in the market.  As Data Governance Lead, you'll own the strategy and drive the execution. You'll work at the intersection of data, technology, and the business — translating governance principles into tangible outcomes that people actually care about: trusted data for underwriting, clean feeds to the general ledger, AI that works because the data underneath it is governed. This is a high visibility role with direct impact on Westfield's data platform modernization and AI enablement agenda.  If you've built governance programs before and know the difference between governance that delivers value and governance that collects dust — this is the role for you.   Applicants must be currently authorized to work in the United States on a full-time basis without employer sponsorship....

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Operations Manager PRIMARY PURPOSE : To oversee technical and operational functions including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to oversee staffing and training needs; and to oversee budget preparation and profit and loss management. Has direct responsibility for less than 25 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Oversees internal quality review process and reports...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Operations Manager PRIMARY PURPOSE : To oversee technical and operational functions including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to oversee staffing and training needs; and to oversee budget preparation and profit and loss management. Has direct responsibility for less than 25 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Oversees internal quality review process and reports...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Service Center Associate-12 PRIMARY PURPOSE : To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as a customer liaison in assisting the customer with the correct contact person to resolve problems and/or questions. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Assigns new claims to the appropriate claims handler. Enters verbal and written application information that meets both the internal and external...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Case Coordinator Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? A stable and consistent work environment in an office and/or virtual setting A training program to learn how to help employees and customers from some of the world’s most reputable brands An assigned mentor and manager who will guide you on your career journey Career development and promotional growth opportunities through...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Liability Claims Associate | Blue Ash, OH - Hybrid Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?  •    A stable and consistent work environment in an office setting  •    Career development and promotional growth opportunities through increasing responsibilities  •    A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Great American's focus on the trucking industry started in the early 1990s with the development of a trucking physical damage policy. Backed by the financial strength of the Company, but solely built and focused on the trucking industry, the Trucking Division has grown to be a leader...

Overview This position will be hybrid (4 days in-office, 1 day WFH) and can be worked in either our Jersey City, NJ or Cleveland, OH office.   AmTrust Financial Services, Inc. is a multi-national property and casualty insurance holding company that is looking for an Accountant I to join the Specialty Risk Division in Jersey City, NJ or Cleveland, OH. In this position, you will be responsible for the timely and accurate preparation of internal journal entries and account reconciliations and assist with external financial reporting prepared in accordance with Generally Accepted Accounting Principles (GAAP).    The expected salary range for this role is $60,000 - 70,000.     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...

Location: Van Wert, OH; Dublin, OH; Waltham, MA; Alpharetta, GA; Irving, TX Work Model: Hybrid or Remote based on location  Position type: Full time - salary       We’re a team of employees passionate about delivering best-in-class customer service and innovation in the industry. Integrity, relationships, and excellence are at the heart of everything we do. Our employees fully utilize their talents and bring their best selves to work. We believe who you are is just as important as what you do! Fraud prevention is at the heart of protecting our customers and our business—and that’s where this role makes an impact. As Anti-Fraud Manager, you’ll lead front-line investigative efforts, tackle complex and high-impact cases, and partner with a wide network of internal teams and external agencies. This is an opportunity to shape strategy, develop talent, and bring modern tools and analytics into real-world fraud detection and...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Instructional Designer - Learning & Development PRIMARY PURPOSE :   To design training courses and materials in compliance with the process of learning using eLearning tools; assists with organizing and conducting training using a webinar tool and tests learning deliverables ensuring performance improvement in line with business goals. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Designs courseware and course certification in compliance with company process of...