7 clinical review auditor jobs found

Description This a range posting. Candidates will be considered for the appropriate level depending upon experience and qualifications.   The Business Operations Lead / Manager for Risk Financing is responsible for strengthening the operational backbone of the Risk Financing function to execute on our vision. This role owns Standard Operating Procedures (SOPs), drives process optimization and innovation, reduces operational waste, whilst being aware of impact on other functions & teams.   The role combines operational leadership with strong reinsurance knowledge and data fluency, using insights to improve efficiency, transparency, and decision‑making across the end‑to‑end reinsurance lifecycle.   Job Responsibilities Operational Excellence & SOP Ownership Own, maintain, and continuously improve Risk Financing Standard Operating Procedures across the treaty lifecycle Fully document Risk Financing processes including leadership...

Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious Commercial Lines Account Manager to join our team. This position will report to our agency located in Southborough, MA. Can also sit in our Northampton or E Longmeadow, MA locations. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is a hybrid position, working 3 days in-office.  Responsibilities: Be main conduit of communication to insured and handle day-to-day correspondence with client (email, phone) for commercial accounts  Use discretion and judgement to interpret policy language and communicate changes in coverage to the insured   Act as the relationship builder with the account   Communicate with carriers and insured...

Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious Employee Benefits Account Executive to join our team. This position will report to our agency located in Canton, MA. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is an in-office position. Responsibilities: Develop and implement benefit strategies that are both innovative and compliant, leveraging creative thinking to address client needs Partner with producers to lead client meetings, presentations, and onboarding of new clients Actively participate in strategic discussions, providing out-of-the-box solutions and consulting expertise to enhance clients’ benefit programs Manage benefit program implementations and oversee annual...

Why Arbella? At Arbella, we’re focused on people. We work hard to attract and retain the best. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, and competitive, industry-leading salaries and benefits packages. We invest in our employees and encourage them to grow so that we, too, can grow as a company. Other perks include: •On-site gym and fitness classes and one-on-one personal training •On-site nurse, nutritional counseling, and mental health resources •Full-service cafeterias •Free shuttle service to Quincy Adams T Station •Tuition assistance programs •Opportunities to get involved: Arbella Activities Committee, Diversity and Inclusion Council, and more •A company committed to community: volunteer opportunities, employee- led community efforts, and the Arbella Insurance Foundation •Robust training, mentorship, and professional/personal development programs •Colleagues who genuinely care about...

Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious Consultant to join our team. This position can report to our agency located in Farmington, CT, Southborough, MA, Canton, MA or Cranston, RI. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is an in-office position. Responsibilities: ​ Develop and execute client benefit strategies; advise clients on all areas of compliance. Assist in preparing requests for proposals and renewals of benefit coverage. Provide client utilization and monthly financial reporting to clients with analysis of activity and large claim detail. Partner with Producers to lead client meetings and presentations, and onboard new clients. Delegate tasks,...

Warning: Fraudulent Job Adverts Beware of fraudulent activities claiming to represent Insurify. We are not associated with any entities soliciting personal information or payment. The safety of our job seekers is a top priority, and we actively work to prevent such incidents. Insurify will never request sensitive information or payment during the hiring process. Be cautious of text-only interviews, interviews conducted through Microsoft Teams, or suspicious offer letters.  Why us?  Insurify is one of America’s fastest-growing MIT FinTech startups and has been recognized as one of Inc. 5,000’s fastest-growing private companies in America in 2025, 2024, 2023, 2022 and 2021, Forbes Fintech 50 List for 2023, 2022, and 2021, Forbes Next Billion Dollar Startups of 2022 global and Top 100 InsurTech company. We’re changing the way millions of people compare, buy and manage insurance with artificial intelligence, technology, and superior product design. Our company vision is to...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary: The Vice President within Arch Construction is responsible for the technical underwriting and account management of large account construction casualty programs. Responsibilities and Accountabilities: Technical Underwriting Solicits and reviews new and renewal account information required to evaluate a risk. Identifies all potential exposures and hazards in relation to coverage requested and individual risk characteristics. Assesses insurance and related financial risk and structures appropriate loss sensitive program to effectively protect against frequency, severity, catastrophic and credit risk Underwrites prices and prepares proposals based on...