13 claims litigation auditor jobs found

This full-time position will report to the Vice President, Specialty Claims. We are seeking a highly skilled and experienced Claims Manager who will direct a team of claims professionals in the investigation, evaluation, and settlement of complex GL and casualty claims. This role drives litigation strategy, ensures proper reserving, manages outside counsel, and mitigates indemnity exposure while delivering exceptional service. Additionally, the Claims Manager will be responsible for conducting detailed claim audits to ensure accuracy, consistency, and compliance with internal standards and regulatory requirements. Minimum Qualifications: Bachelor's degree in Business Administration, Accounting, Finance or a related field, or the equivalent education, or career experience. At least 10 years of relevant and progressive experience in direct handling of liability claims and management of staff. Adjuster's license, as mandated by specific states, are required. Primary...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure Medical and Healthcare claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as...

Crum & Forster Company Overview Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.   In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions.   The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market. Job Description Information about the Role, Line of Business and Team: The...

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Clinical Risk Management Consultabt to their  Cornell Insurance Services  team in the Edison, NJ office.  Job Summary: The Clinical Risk Management Consultant is focused on identifying, assessing, and mitigating clinical risks for healthcare providers within an insurance brokerage firm, utilizing their medical expertise to analyze potential claims, advise clients on risk reduction strategies, and work with underwriters to secure appropriate coverage based on clinical risk factors.  Essential Functions: Clinical Risk Assessment: Review medical records, incident reports, and claims data to identify potential clinical risks associated with patient care, including medication errors, standard of care compliance risks, and diagnostic errors. Detect and manage risk exposure Maintain and update an organization's policies...

This is your opportunity to join AXIS Capital – a trusted global provider of specialty lines insurance and reinsurance.  We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture.  As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.  All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil...

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. Summary/Job Purpose:                                                                                                               The Senior IT Auditor’s primary focus is to provide an independent, objective assurance and consulting activity to add value to the company. The Senior IT Auditor will evaluate and assess information technology systems, processes, and controls to identify control gaps and make recommendations to improve the organization’s operations. In addition, the Senior IT Auditor will determine if...

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. Summary/Job                                                                                                            The Senior Internal Auditor’s primary focus is to provide an independent, objective assurance and consulting activity to add value to the company. The Senior Internal Auditor will analyze risks, operations and financial reliability and drive actions to address those risks to improve the organization’s operations. In addition, the Senior Internal Auditor will determine if the Company’s network of risk...

This is your opportunity to join AXIS Capital – a trusted global provider of specialty lines insurance and reinsurance.  We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture.  As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.  All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil...

Are you an experienced forensic accounting professional looking to apply your expertise in a meaningful way? Guardian is seeking a Forensic Accountant to support the evaluation of complex disability claims through detailed financial and investigative analysis. In this role, you will leverage your accounting, tax, and analytical expertise to identify financial patterns, assess income credibility, and support accurate claim decisions. If you are driven by intellectual challenge, collaboration, and purpose-driven work, Guardian will provide the support and modern resources to help you grow your career while making an impact when our clients need it most — we are their Guardian. You are An experienced forensic accounting professional with a strong investigative mindset and the ability to analyze complex financial information with precision and professional judgment. You are comfortable evaluating nuanced financial scenarios, identifying inconsistencies, and communicating...

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. Job Summary The Claim Account Executive (CAE) is responsible for the execution and oversight of claims service delivery for assigned strategic and complex accounts. The role serves as the primary claims relationship owner, ensuring consistent communication, disciplined claim execution, issue resolution, and delivery of claims insights aligned to client business objectives. Operating within MSIG’s Claims‑Led Modern Account Management Program, the CAE partners with Claims Leadership, Distribution Risk...

Company Details   What makes Admiral Insurance Group ADMIRABLE .   Since 1974, Admiral Insurance Group has been supporting business innovation and market growth through our wholesale-dedicated excess and surplus (E&S) lines of commercial insurance.  We specialize in underwriting difficult-to-place moderate to high-risk commercial businesses that require creative solutions, outside of the box thinking, entrepreneurial spirit and astute business knowledge.  As a member of the W. R. Berkley Corporation, a Fortune 500® Company and one of the nation’s premier commercial lines property casualty insurance providers, we have the resources, support and industry data to provide exceptional service and exciting solutions for our clients and partners.    Unlock your insure -ability. Learn more about Careers at Admiral Insurance Group .   See what it’s like to work in Admiral’s Claims department .   The Company is an equal employment opportunity employer....

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.   Summary/Job Purpose:   Provide oversight and technical advisement for casualty claims. Oversees   the   bundled   auto physical damage   TPA business including technical claim oversight.  Responsible for the   direct oversight   of   coverage issues   to ensure timely recognition and referral in full compliance with MSMM Coverage Guidelines .   Ensures   compliance with all MSMM claim handling procedures, guidelines and manuals and other special unit procedures, as developed....

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. About the Role We are seeking an experienced Subrogation Manager to lead and oversee subrogation and recovery efforts across a diverse claims portfolio, including carrier-managed (in-house) claims and TPA-managed claims. This role is responsible for maximizing recoveries, establishing consistent subrogation standards, and ensuring strong governance, performance management, and compliance across internal teams and third-party administrators. The ideal candidate brings deep technical subrogation expertise, proven...