19 clinical review auditor jobs found

The Role: Willis Towers Watson is looking for an energetic individual with growth, pharmacy, clinical, and client-facing expertise to join our growing team. As an Associate Manager, Pharmacy Consulting, you will be at the forefront of managing pharmacy benefits projects for large, complex clients and leverage your experience as a pharmacy benefits expert to make recommendations on plan design and management. You will participate in new business activities and the creation of new intellectual capital. You will position yourself to grow into a consultant role by serving as the pivotal point on all projects and working alongside industry experts on cutting-edge solutions. The ideal candidate is a patient-centric problem solver who possesses the ability to balance client clinical needs and business growth. You will collaborate with a strong team of highly experienced consultants within the practice as well as engage in cross-functional activities.   Responsibilities: Provide...

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 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. Job summary The CR primary objective is to drive our initiatives and empower our teams. This role requires a dedicated focus on meeting company goals for quality and cycle time. Key...

About HUB In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the world’s largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected — through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of professionals across North America represents a broad, deep and one-of-a kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. Why Choose HUB? Throughout our network of more than 550 HUB offices in North America, we offer a competitive, exciting and friendly work environment that strategically positions our employees for longevity and success. At HUB, we believe in investing in the future of our employees and provide continuous opportunities for growth and development. Our entrepreneurial culture fosters an environment that...

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 Advocacy Coordination Team Specialist Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:      Dubuque, IA   : 4141 Westmark Drive, Dubuque, IA 52002  Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401  Coralville, IA:  3273 Ridgeway Drive Coralville IA 52241  Dublin, OH : 5500 Glendon Court Dublin OH 43016  New Albany, OH : 7795 Walton...

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 Advocacy Coordination Team Specialist Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:      Dubuque, IA   : 4141 Westmark Drive, Dubuque, IA 52002  Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401  Coralville, IA:  3273 Ridgeway Drive Coralville IA 52241  Dublin, OH : 5500 Glendon Court Dublin OH 43016  New Albany, OH : 7795 Walton...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  Job Summary The Reinsurance Director provides leadership and oversight for core ceded reinsurance operational activities, ensuring accurate, controlled, and timely reinsurance processing across the department. This role leads a team responsible for reinsurance processing, external reinsurer audits, and captive reinsurance administration, while partnering closely with Reinsurance Operations, Underwriting, Actuarial, Technology, and Accounting/Finance to support financial reporting, operational stability, and data integrity. The Director serves as the business owner for core reinsurance platforms, including ProCede and related applications, with accountability for system availability,...

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 Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near our centers of excellence:       Chicago, IL :   175 W. Jackson Blvd. 12th Fl. Chicago IL 60604   PRIMARY PURPOSE : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and...

ABOUT US At HUB International, we are a team of entrepreneurs. We believe in empowering our clients, and we do so by protecting businesses and individuals in our local communities. We help businesses evaluate their risks and develop solutions tailored to their needs. We believe in empowering our employees. As a global firm, we offer employees resources in both technology and industry expertise, but we still maintain the local flavor of our offices. Our structure enables our teams to maintain their own unique, regional culture while leveraging support and resources from our corporate centers of excellence. HUB is one of the largest global insurance and employee benefits broker, providing a boundaryless array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. With over 20,000 employees in more than 600 offices throughout North America, HUB has grown substantially, in part due to our industry...

Looking for more than just a job? You’ve found it. At Pekin Insurance, you’re not a number—you’re part of something bigger. For over 100 years, we’ve built a community where people are valued, supported, and empowered to grow. Here, you’ll find a workplace where collaboration is real, ideas are welcome, and the work you do truly matters. We’re proud to help people through life’s toughest moments—and it’s our people who make that possible. From day one, you’ll be encouraged to bring your whole self to work, take on meaningful challenges, and grow in ways that matter to you.   This is your opportunity to belong, thrive, and make a difference—right here at Pekin Insurance.   Position Objective The Enterprise Security Analyst II proactively protects the integrity, confidentiality, and availability of information and informs management of the effectiveness of network and data security controls. This position assists with the development and implementation of...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  The Senior Consultant, Third Party Risk Management (TPRM) is the front door for new third party engagements. This role co-leads the intake and review of net new vendors, serves as the liaison and “shepherd” across Business Leadership, Procurement, Legal, InfoSec and other stakeholders to create a seamless experience. The role is central to maintaining CNA’s standards for vendor onboarding and risk control throughout the lifecycle. JOB DESCRIPTION: Core Responsibilities Manage the intake and reviews for all net‑new vendors entering the organization; validate scope, data flows, service criticality, and inherent risk indicators at the point of request. Operate the intake workflow...

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 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. Job summary The CR primary objective is to drive our initiatives and empower our teams. This role requires a dedicated focus on meeting company goals for quality and cycle time. Key...

Pay Rate/Hourly Range: The hourly range is $20.00 - $43.00 per hour. Pay is based on factors including school year, program of study, role responsibilities, etc. CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-trillion-dollar insurance economy , creating intelligent experiences for insurers, repairers, automakers, part suppliers, and more. At CCC, we’re making life just work by empowering more than 35,000 businesses with industry-leading technology to get drivers back on the road and to health quickly and seamlessly. We’re pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its connections, CCC technologies empower the people and industry relied upon to keep lives moving forward when it matters most. Learn more about CCC at www.cccis.com .   The Role Our internship program is crafted to jumpstart your career in the dynamic...

Looking for more than just a job? You’ve found it. At Pekin Insurance, you’re not a number—you’re part of something bigger. For over 100 years, we’ve built a community where people are valued, supported, and empowered to grow. Here, you’ll find a workplace where collaboration is real, ideas are welcome, and the work you do truly matters. We’re proud to help people through life’s toughest moments—and it’s our people who make that possible. From day one, you’ll be encouraged to bring your whole self to work, take on meaningful challenges, and grow in ways that matter to you.   This is your opportunity to belong, thrive, and make a difference—right here at Pekin Insurance. Position Overview The Director of Internal Audit is responsible for establishing, leading, and continuously enhancing the organization’s internal audit function to ensure compliance with regulatory requirements, internal policies, and industry best practices. This role provides enterprise-wide...

Company: Marsh McLennan Agency Description: Peak Health  is a subsidiary of one of the nation’s largest insurance brokers, McGriff, that employs clinically-based lifestyle and behavior change programs led by registered nurses who provide health risk assessments, help employees navigate wellness offerings, and drive individual accountability of health through personalized coaching to help employers get control over their healthcare costs. Peak Health is a recognized behavioral change and nurse coaching leader in the industry. Our company was founded in 1989 by two nurse practitioners who wanted to improve employee health behaviors. With over 35 years of results and impact, touching the lives of 100,000+ participants with clinical programming, check out this case study that highlights our proven results to understand why we do what we do! Peak Health is seeking Traveling Health & Wellness Nurse Coach to cover the Dallas, TX area. Work Schedul e: 24 hours/3...

Why Join Risk Consulting at AIG?   Risk Consulting at AIG is about teamwork! It is about utilizing your resources, working together to solve real world problems, and making a positive impact on our client’s futures. When asked, “why do we enjoy what we do?” The answer is simple, the people.   The role of an Account Risk Engineer is critical to what we do at AIG, both as a risk management resource to our clients and as a leading global insurance organization. Account Risk Engineers are responsible for working with clients to identify and mitigate risks to their business such as fire, flood, windstorm, equipment breakdown etc.  A Day in the Life   Looking for variety and a challenge? Client’s range in size, scope, and complexity. One day you may be discussing the loss prevention strategy on an account with an underwriter, the next, surveying a manufacturing plant or diving into the contingent business interruption risks of an account. The key to success isn’t about...

Description This position is available to be filled at any Huntigton Corporate office location. This is a hybrid role preferably located near 222 N LaSalle, Chicago IL or 5555 Cleveland Ave, Columbus, Ohio. Summary: The Municipal Syndicate Operations Analyst is responsible for supporting municipal competitive and negotiated underwriting deal processing, execution, and settlement. The ideal candidate will work closely with all members of the internal deal team including underwriters, investment bankers, sales and operations, as well as external partners including bond counsel, municipal advisors, and syndicate members to ensure timely, accurate and compliant execution of transactions. This role offers an excellent opportunity to learn about the municipal securities business. Additionally, you may participate in special projects to drive process improvement. Duties & Responsibilities: Setup new...

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 Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:       Chicago, IL :   175 W. Jackson Blvd. 12th Fl. Chicago IL 60604   PRIMARY PURPOSE : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due...

Argo Group and Farm Family are specialty property and casualty insurance brands whose underwriting companies are wholly owned subsidiaries of Brookfield Wealth Solutions, a leading provider of wealth and insurance solutions. Argo and Farm Family partner with agents and brokers to help businesses stay in business, delivering collaborative insurance solutions for niche markets. Job Description The Senior Compensation Analyst plays a key role in developing, analyzing, and implementing compensation programs that support the organization's strategic goals and ensure market competitiveness, internal equity, and legal compliance. This role provides expert-level analytics, consultation, and project leadership in the design and administration of base pay, incentive, and recognition programs while also contributing to career architecture initiatives such as job analysis, job architecture frameworks, titling conventions, and market pricing strategies. The ideal candidate brings...

About Us At  HUB International , we are a team of entrepreneurs. We believe in protecting and supporting the aspirations of individuals, families, and businesses. We help our clients evaluate their risks and develop solutions tailored to their needs. We believe in empowering our employees to learn, grow, and make a difference. Our structure enables our teams to maintain their own unique, regional culture while leveraging support and resources from our corporate centers of excellence. HUB is one of the largest global insurance and employee benefits broker, providing a boundaryless array of business insurance, employee benefits, risk services, personal insurance, retirement, and private wealth management products and services. With over $5 billion in revenue and almost 20,000 employees in 600 offices throughout North America, HUB has grown substantially, in part due to our industry leading success in mergers and acquisitions. Summary: Internal Audit provides assurance...