22 clinical review auditor jobs found

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description Responsible for creating or auditing a comprehensive estimate of damages for 1st and 3rd party material damage claims in either the auto or specialty lines leading to the proper disposition. Responsible for training, mentoring, controlling quality and providing technical assistance on material damage claims. National General is seeking a Field Auto Adjuster to join our Toledo, OH Claims team . This is a remote, territory-based role that handles claims both virtually and in the field . The ideal candidate will have experience managing a variety of auto claims, conducting vehicle inspections, and...

Our Underwriters within Sentry’s Regional unit work closely with independent agents to underwrite, price and program individual policies/accounts. At Sentry, our business is built around people. And we pride ourselves on the promise to deliver efficient and effective services.  We are currently seeking a result driven individual to fulfill a critical part in underwriting of policies.  As one of our premier Underwriters, you’ll be part of a team that stimulates production through independent agencies and then reviews insurance applications and evaluates their potential risk to Sentry. Based on the qualifications and experience of the selected candidate, this position can be filled as an Underwriter Senior, Underwriter Specialist, or Underwriter Specialist Senior. What You’ll Do As a Middle Market Underwriter, you will: Underwrite middle market multi-line accounts with premiums generally in the 50K to 500K range. Be able to thrive in a team environment. Provide...

Description Summary: Huntington Bank’s Internal Audit Department is searching for an Audit Project Manager with a passion for identifying and mitigating business risk. Serving as an advisor to your business segment, the Project Manager becomes both a subject matter expert in their designated field and a solid line of defense against threats, trusted by colleagues across the bank and external regulators. From initial scope to final report, you will manage and coordinate financial and operational audits that ensure Huntington’s compliance with policies, procedures, and laws. You will collaborate with colleagues across the Audit Department and the wider organization to learn key business processes, test and document results, and communicate with your stakeholders.  Our team works collaboratively and is driven by results, but we are flexible to our colleagues’ needs. Work schedules and locations are customized...

Location: Van Wert, OH; Dublin, OH Work Model: Hybrid  Position type: Full time - salary   We are a team of employees who are passionate to deliver best in-class customer service and innovation in the industry. It’s because we put Integrity, Relationships and Excellence in all aspects of our work. Our employees have the opportunity to fully utilize their talents and bring their best self.  We believe that who you are is just as important as what you do! The Construction Premium Auditor plays a critical role in ensuring accurate and compliant premium audits for construction-related policies. This position serves as a technical resource in construction audits, applying knowledge of construction operations, workers’ compensation classifications, and state-specific rules to determine appropriate exposures and audit outcomes. Key Responsibilities of the Role   Serve as a subject matter expert in construction audits, providing...

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:       Dublin, OH   : 5500 Glendon Court Dublin OH 43016   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...

- The Staff Accountant will be a critical member of our general accounting team.  They will be responsible for assisting with the maintenance of general accounting accruals and capitalized assets, as well as assisting with cost center, divisional, and legal entity allocations. Key Accountabilities/Deliverables: Perform monthly, quarterly, and year-end close processes for the general accounting team Work with the cost center owners and division presidents to identify and record monthly and quarterly expense accruals Prepare monthly and quarterly account reconciliation for balance sheet accounts Create journal entries and adjustments when necessary Assist with preparation of reports and statements for various state and regulatory filings Assist with internal and external audit requests, as needed Assist in ensuring we have an effective control environment Perform monthly reporting of expenses against plan and against...

Would you like to take ownership in a dynamic, high-growth business that truly walks the talk? Oswald Companies seeks goal-driven professionals ready to take their career to the next level. Job Summary The Client Manager will be responsible for providing quality client management of client relationships by anticipating client needs and questions, performing research to ensure the client’s employee benefits program supports their financial and organizational goals, and providing renewal management with oversight, guidance, and input from other senior members of the team. This also includes growth on the current book of business, an understanding of the client’s business, and a minimum of 95% retention and client satisfaction rating. Essential Functions Quality, Client Service & Expertise Proficiently manage the client service cycle, monitor time frames and meet renewal deadlines. With oversight, guidance and input from the CE/Producer: Participate in annual...

Description Job Summary: The Segment Risk Manager Sr - Credit Card supports the execution of the Card (Credit and Debit Card) risk program through identifying, measuring, monitoring, and controlling aggregate risk in the context of the Enterprise Payment’s Segment risk framework. Works cross-functionally with Card Leadership, Segment Risk Leadership, and Risk Pillar partners to fulfill responsibilities such as on-going risk assessments, support of change management activities, and qualitative and quantitative risk analysis and mitigation. Key Responsibilities: Develop and implement comprehensive risk management frameworks for credit and debit card portfolios. Partner with the payments credit risk team to establish and maintain risk appetite, credit policy, and exposure limits for card products. Monitor portfolio performance metrics (delinquencies, charge-offs, fraud trends, and economic conditions). Partner...

Would you like to take ownership in a dynamic, high-growth business that truly walks the talk? Oswald Companies seeks goal-driven professionals ready to take their career to the next level. Job Summary : We are seeking an analytical and operationally focused Pharmacy Analyst to join our pharmacy consulting team. This role supports the operational, clerical, and compliance functions of the pharmacy department to ensure smooth, efficient, and accurate workflow. This role assists with documentation, scheduling, request for proposal coordination, data entry, and communication between pharmacy benefit managers, client service teams and our pharmacy consultant and clinical pharmacist. Responsibilities include maintaining paperwork, audit documentation, processing billing and invoicing information, and supporting pharmacy leadership with reporting and administrative projects. The ideal candidate is detail‑oriented, organized, and skilled in customer service, multitasking, and...

MarshBerry is growing! We are seeking a Vice President, Transaction Advisory, to join our team. We have a people-first, fast-paced, collaborative culture with plenty of opportunity for growth. MarshBerry has been successful in achieving growth objectives because the trust our clients place in our talented team of professionals, and all MarshBerry colleagues play a critical role in directly or indirectly cultivating those trusted relationships. MarshBerry provides an environment where employees can learn, improve and realize their career goals. We offer competitive benefits, hybrid work schedules, new challenges, and learning experiences. Job Details Position Summary: MarshBerry is seeking a Vice President, Transaction Advisory , based either our Beachwood OH, Grand Rapids MI, Plano TX, or Dana Point CA office. The Vice President is responsible for the execution of transaction advisory projects and will provide strategy and project oversight to MarshBerry’s...

Description Summary: Huntington Bank’s Internal Audit Department is searching for an Audit Project Manager with a passion for identifying and mitigating business risk. Serving as an advisor to your business segment, the Project Manager becomes both a subject matter expert in their designated field and a solid line of defense against threats, trusted by colleagues across the bank and external regulators. From initial scope to final report, you will manage and coordinate financial and operational audits that ensure Huntington’s compliance with policies, procedures, and laws. You will collaborate with colleagues across the Audit Department and the wider organization to learn key business processes, test and document results, and communicate with your stakeholders.  Our team works collaboratively and is driven by results, but we are flexible to our colleagues’ needs. Work schedules and locations are customized to...

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:       Dublin, OH   : 5500 Glendon Court Dublin OH 43016   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...

Would you like to take ownership in a dynamic, high-growth business that truly walks the talk? Oswald Companies seeks goal-driven professionals ready to take their career to the next level. Job Summary The Client Manager will be responsible for providing quality client management of client relationships by anticipating client needs and questions, performing research to ensure the client’s employee benefits program supports their financial and organizational goals, and providing renewal management with oversight, guidance, and input from other senior members of the team. This also includes growth on the current book of business, an understanding of the client’s business, and a minimum of 95% retention and client satisfaction rating. Essential Functions Quality, Client Service & Expertise Proficiently manage the client service cycle, monitor time frames and meet renewal deadlines. With oversight, guidance and input from the CE/Producer: Participate in annual...

Would you like to take ownership in a dynamic, high-growth business that truly walks the talk? Oswald Companies seeks goal-driven professionals ready to take their career to the next level. Job Summary The Client Manager will be responsible for providing quality client management of client relationships by anticipating client needs and questions, performing research to ensure the client’s employee benefits program supports their financial and organizational goals, and providing renewal management with oversight, guidance, and input from other senior members of the team. This also includes growth on the current book of business, an understanding of the client’s business, and a minimum of 95% retention and client satisfaction rating. Essential Functions Quality, Client Service & Expertise Proficiently manage the client service cycle, monitor time frames and meet renewal deadlines. With oversight, guidance and input from the CE/Producer: Participate in annual...

Would you like to take ownership in a dynamic, high-growth business that truly walks the talk? Oswald Companies seeks goal-driven professionals ready to take their career to the next level. Job Summary The Client Manager will be responsible for providing quality client management of client relationships by anticipating client needs and questions, performing research to ensure the client’s employee benefits program supports their financial and organizational goals, and providing renewal management with oversight, guidance, and input from other senior members of the team. This also includes growth on the current book of business, an understanding of the client’s business, and a minimum of 95% retention and client satisfaction rating. Essential Functions Quality, Client Service & Expertise Proficiently manage the client service cycle, monitor time frames and meet renewal deadlines. With oversight, guidance and input from the CE/Producer: Participate in annual...

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:  To provide disability case management and claim determinations based on complex medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims; coordinating investigative efforts, thoroughly reviewing contested claims, negotiating return to work with or without job accommodations, 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 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. 📍 Dublin, OH 5500 Glendon Ct #100, Dublin, OH 43016  ✨ What we offer: Exciting Part-Time Opportunity! $16.25 per hour A stable, consistent work environment —both in-office and virtual A comprehensive training program to help you support...

Overview The Senior Premium Auditor is responsible for conducting both virtual and minimal physical audits of the highest complexity to ensure the accuracy of earned premium risk calculations. This role supports AmTrust’s various lines of business with a focus on Workers Compensation and General Liability. This role verifying premium base exposures in accordance with policy terms, manual rules, company filings, and procedures. The auditor plays a key role in delivering exceptional service through a flexible auditing approach that leverages technology and remote collaboration. This position upholds AmTrust’s mission, vision, and values while maintaining the highest standards of professionalism and accuracy.   This role will require a hybrid work schedule in any of our US AmTrust Offices.   The expected salary range for this role is $61,500 - 80,000.   Please note that the salary information shown above is a general guideline only. Salaries are based...

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 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📍 Dublin, OH : 5500 Glendon Ct #100, Dublin, OH 43016 ✨ 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 respected brands A...

Overview Highly skilled SQL Server Database Administrator with extensive experience in designing, implementing, installing, and managing complex large scale database environments. Proven experience in ensuring high availability, implementing robust disaster recovery strategies, and optimizing database performance monitoring. Proficient in Always-On Availability Groups, Windows Clusters, Query Optimization, Index design, and troubleshooting complex database performance issues by recommending fixes and tuning complex SQL queries.   To assist with the day-to-day support of all AmTrust SQL servers and databases. Administering and supporting all SQL servers and databases within the organization (On-Prem and Azure). Working with DBA team to support all lines of business and all departments with their specific or customized SQL solutions. Providing support and training to other members of the DBA team. Maintains a solid understanding of AmTrust’s mission, vision,...