18 clinical review auditor jobs found

UFG is seeking a Director - Internal Audit to provide strategic leadership and operational oversight for the planning, execution, and reporting of the audit function. Reporting directly to the VP, Internal Audit, this role is responsible for managing the audit lifecycle, evaluating the effectiveness of internal controls, and ensuring the audit team delivers high-quality results. The ideal candidate is a seasoned leader with extensive technical expertise, capable of driving department-wide initiatives and mentoring a team of professionals to meet the organization’s evolving risk landscape. Essential Duties & Responsibilities:   Collaborate with the VP, Internal Audit and business leaders to develop and implement a multi-year, risk-based internal audit plan. Oversee the end-to-end execution of the annual audit plan, ensuring all financial, operational, and compliance projects are completed on time and within budget. Lead the department-wide risk...

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 ADA Accommodation Coordination 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...

Company Details   Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted.   As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions.  W. R. Berkley Corporation , and all member insurance companies, are rated A+ (Superior) by A.M. Best Company, and carry Standard & Poor’s Financial Rating of A+ (Strong).     This role is based in one of our locations listed below where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so.   Urbandale, IA Lincoln, NE The Company is an equal employment...

UFG is looking for an experienced P&C capital modeling professional charged with advancing our capital modeling, solvency assessment and stress testing framework.  As a member of the risk office, this position collaborates closely across all functions including underwriting, actuarial, finance, catastrophe modeling, and investment management. This position is a hands-on actuarial and financial modeling role with highly influential access to primary decision makers regarding capital management, reinsurance programs, and other corporate development activities requiring risk assessment and capital deployment.  This is a challenging role requiring strong technical ability, financial business acumen and excellent communication skills.  The Director - Corporate Risk Analysis will be involved in key strategic initiatives to assist in evaluating optimal outcomes of varied growth opportunities and capital management. Essential Duties and Responsibilities:...

Posting Title: Actuary Location: West Des Moines, Iowa (Mostly On-Site) Employment Type: Full-time About Us: EquiTrust Life Insurance Company is a national carrier of competitive, client-friendly annuity products sold through a variety of distribution channels, including more than 20,000 independent agents and independent marketing organizations (IMOs). Since 2003, we have provided exceptional customer service to our clients by operating with integrity and passion. Our efforts are supported by a dedicated workforce who execute their responsibilities through teamwork and an entrepreneurial spirit. EquiTrust sells products nationwide and is headquartered in Chicago, Illinois, with operations in West Des Moines, Iowa. How You’ll Contribute:...

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:       Cedar Rapids, IA   : 333 1 st   Street SE Ste. 200 Cedar Rapids IA 52401   Irving, TX : 2201 W. Royal Lane Suite 125 Irving, TX 75063   Eden Prairie, MN   : 11000 Prairie Lakes Drive Eden Prairie, MN 55344   Southfield, MI   : 300...

UFG is looking for an Underwriting Associate to join our Great Lakes Region.  In this role you will assist with underwriting insurance risks in accordance with the business plan and delegated authority to meet business objectives, ensuring compliance with internal and external regulations and guidelines. This role is responsible for providing technical underwriting and administrative support to the underwriting staff to ensure timely and streamlined processes to best serve agents and insureds. This role works to gather information, prepare file documentation, collaborate with internal partners, and assist underwriters with agent interactions. Responsibilities: Analyze underwriting information to triage, prepare and respond to quotes, renewals and policy endorsements or inquiries as granted within assigned underwriting authority. Apply underwriting guidelines as published and ensure compliance with all company filings, rules, and regulations. Underwrite and process all...

At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together.    **Ideal candidate will be located in the Des Moines metro area with a hybrid schedule** Essentials Functions: Manages a team responsible for accurate and timely reporting to regulatory authorities and reporting bureaus. Leads the analysis of regulatory texts, official guidance documents, regulatory updates, and industry publications to understand the nuances of reporting requirements. Maintains a deep understanding of the regulations and reporting requirements impacting assigned lines of business. Collaborates closely with Compliance, legal counsel, and regulatory affairs teams to ensure a comprehensive understanding of regulatory...

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all....

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 We offer a hybrid work environment with on-site collaboration. Candidates must be located near our Center of Excellence in Dubuque, Iowa     4141 Westmark Drive, Dubuque, IA 52002   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 making timely payments/approvals 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 Disability Representative Sr We offer a hybrid work environment with on-site collaboration. Candidates must be located near our Centers of Excellence in Cedar Rapids, Iowa.     333 1 st   Street SE Ste. 200 Cedar Rapids IA 52401   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 making...

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 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 making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims,...

UFG is currently hiring for a Reinsurance Accountant to assist in the preparation of accounting, reporting, and analysis of United Fire Group’s (UFG) reinsurance transactions. This role prepares supporting documents and performs procedures to ensure all ceded and/or assumed reinsurance activity is properly recorded in accordance with GAAP and statutory accounting principles while maintaining data integrity across subledger and financial reporting systems. Working closely with other members of the Reinsurance Team, the Reinsurance Accountant aids with treaty execution activities, cash settlements, and reconciliations. This individual also assists in implementing process improvements, strengthening internal controls, and supporting both external and internal audit requests. The ideal candidate demonstrates strong analytical skills, a principle understanding of reinsurance accounting practices, and the ability to work both independently and collaboratively in a complex...

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 Claims Assistant Claims Assistant Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our Dynamic Center of Excellence📍 Dubuque, IA   : 4141 Westmark Drive, Dubuque, IA 52002 ✨ What we offer: A stable, consistent work environment —both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most...

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 Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Dubuque, IA   : 4141 Westmark Drive, Dubuque, IA 52002   ✨ What we offer: A stable, consistent work environment —both in-office and virtual A comprehensive training program to help you support employees and customers from some...

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 Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence Cedar Rapids, IA : 333 1st Street SE Ste.200 Cedar Rapids IA 52401 ✨ What we offer: A stable, consistent work environment —both in-office and virtual A comprehensive training program to help you support employees and customers...

The Director of Reinsurance Accounting provides strategic and operational leadership for the company’s reinsurance accounting function, ensuring the integrity, accuracy, and transparency of all ceded and assumed reinsurance financial activities. This role oversees the timely preparation and analysis of reinsurance financial reports, manages compliance with GAAP and statutory accounting principles, and maintains strong relationships with internal stakeholders and external partners. As a key member of the Finance leadership team, this role collaborates across the enterprise—particularly with Actuarial, Underwriting, Claims, Legal, and Technology—to align reinsurance accounting processes with business and regulatory requirements. The Director drives process improvement, systems modernization, and control enhancements, positioning the organization for efficiency, scalability, and audit readiness. The ideal candidate combines deep technical expertise in reinsurance accounting with...

Company Details   "Our Company provides a state of predictability which allows brokers and agents to act with confidence." Founded in 1967, W. R. Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States. Along the way, we’ve been listed on the New York Stock Exchange, become a Fortune 500 Company, joined the S&P 500, and seen our gross written premiums exceed $10 billion. Today the Berkley brand comprises more than 60 + businesses worldwide and is divided into two segments: Insurance and Reinsurance and Monoline Excess. Led by our Executive Chairman, founder and largest shareholder, William. R. Berkley and our President and Chief Executive Officer, W. Robert Berkley, Jr., W.R. Berkley Corporation is well-positioned to respond to opportunities for future growth.   The Company is an equal employment opportunity employer....