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clinical review auditor Wisconsin

5 clinical review auditor jobs found

West Bend Insurance Company
04/13/2026  
Claims Representative - Investigations Featured
This role is responsible for reviewing, analyzing, and investigating P&C insurance claims to determine their validity and ensure accurate and fair settlements. This role involves examining policy coverage, gathering evidence (such as statements, reports, and documentation), interviewing claimants and witnesses, and identifying potential fraud or inconsistencies.  Work Location This position offers both remote and hybrid work locations.  Candidates who reside within 50 miles of an office location (West Bend, Madison, Appleton) will be offered a hybrid work schedule.  Candidates who are fully remote (beyond 50 miles) may occasionally be asked to travel to an office location for in-person engagement activities such as team meetings, training and corporate events.  Responsibilities & Qualifications Are you ready to put your problem-solving skills to work and make a real difference for customers? We’re looking for a motivated Claims...
West Bend Insurance Company Hybrid (Madison, WI)
NGL - National Guardian Life Insurance Company
05/19/2026  
Operations Team Lead (Hybrid - In Office 10 days/Month)
We are adding a Operations Team Lead to our team!   This is a hybrid position requiring individuals to work in office 10 days per month; or as needed for business needs.   Who We Are: Since 1909, National Guardian Life Insurance Company (NGL) has been one of America’s most successful and highly rated independent life insurance companies. We specialize in a suite of innovative products for life’s journey, giving people the financial stability, careful guidance and peace of mind to lead a life filled with confidence, dignity and grace.   NGL's Core Values – integrity, dependability, collaboration, compassion and growth are a foundation of our company and help to build on the interactions we have with our policyholders, partners, funeral homes and each other. We believe in creating an inclusive, welcoming environment for all where diversity is celebrated, and everyone is encouraged to live their best, most authentic self. We offer Employee Resource Groups for...
NGL - National Guardian Life Insurance Company Madison, WI Full Time
QBE
05/03/2026  
Claims Adjuster-Crop
Primary Details Time Type: Full time Worker Type: Employee Title: Claims Adjuster - Crop  The Opportunity: The purpose of this role is to investigate and process crop claims, conduct field inspections, communicate with stakeholders, and ensure compliance with insurance policies and regulations.  Location: Work Remotely Wisconsin, USA Work Arrangement: This role is fully remote; approximately 20% home office work and 80% field work. The salary range for this role is between $56,000-$84,000   Your new role    Complete field inspections, reviews and adjustments accurately and efficiently to administer crop insurance policies.  Ensure compliance with insurance statutes and regulations to apply crop policies cost-effectively.  Build and maintain customer relationships through timely and accurate policy service.  Document and transmit loss information accurately to assess potential damages.  Support business...
QBE WI Full Time
Acuity Insurance
04/15/2026  
Director - Finance
Acuity is seeking a Director – Finance to support the Assistant VP, EVP–CFO, and the Accounting Department by leading and contributing to complex accounting, compensation, and software-related projects and tasks. This role plays a key part in special initiatives such as overseeing accounting planning and implementation for the creation of two new insurance subsidiary companies and completing a general ledger upgrade. In addition, the Director reviews long-term incentive and other non‑qualified plan calculations and serves as the preparer of Annual Statement and Quarterly footnotes. The position also acts as the key reviewer of complex accounting exhibits, including Annual Statement Schedule P, Management Discussion & Analysis, AM Best SRQ, Reinsurance Summary, and tax reserve discounting. ESSENTIAL FUNCTIONS: Assist and support the implementation of new accounting, tax, and financial software packages, including user testing, documentation, and end-user training as...
Acuity Insurance Sheboygan, WI Full Time
QBE
03/26/2026  
Claims Adjuster Crop
Primary Details Time Type: Full time Worker Type: Employee Title: Claims Adjuster - Crop  The Opportunity: The purpose of this role is to investigate and process crop claims, conduct field inspections, communicate with stakeholders, and ensure compliance with insurance policies and regulations.  Location: Work Remotely Wisconsin, USA Work Arrangement: This role is fully remote; approximately 20% home office work and 80% field work. The salary range for this role is between $56,000-$84,000   Your new role    Complete field inspections, reviews and adjustments accurately and efficiently to administer crop insurance policies.  Ensure compliance with insurance statutes and regulations to apply crop policies cost-effectively.  Build and maintain customer relationships through timely and accurate policy service.  Document and transmit loss information accurately to assess potential damages.  Support...
QBE WI Full Time

 

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