17 coding compliance analyst jobs found

The Actuarial Analyst I supports the pricing of new/renewal business and development of effective premium/rating structure and strategies in support of business objectives while being introduced to basic ratemaking and insurance concepts. Calculates profit on new and renewal business. Coordinates, prepares and performs actuarial analysis. Supports Underwriters on pricing decisions.  Essential Duties & Responsibilities:   Learn and apply fundamental actuarial principles and apply when analyzing company and industry data to prepare for pricing analysis Support rating administration and stat coding on the policy administration system Support the annual profitability review process Support the review of portfolios’ historical financial performance Assist with preparation of rate and actuarial memorandums to support rate filing Support experience and rate indication studies to assess rate adequacy Support improvement efforts in order 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 our center of excellence in Dubuque, Iowa. 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...

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 Workforce Absence Team Lead PRIMARY PURPOSE :  To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams, including frequent diaries on complex or high exposure claims. ESSENTIAL...

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,...

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,...

Job Description: We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states . This team member will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. This includes assisting staff supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling. Assisting claim staff with goals, career pathing, and ensuring engagement. Essential Responsibilities: Claims Management: Adjudicate claims during staffing shortages, investigate, and negotiate settlements per “Best Practices for Claims.” Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed. Research and respond to questions and...

Job Description: We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states . This team member will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. This includes assisting staff supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling. Assisting claim staff with goals, career pathing, and ensuring engagement. Essential Responsibilities: Claims Management: Adjudicate claims during staffing shortages, investigate, and negotiate settlements per “Best Practices for Claims.” Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed. Research and respond to questions and...

UFG is currently seeking a Manager, Reinsurance Accounting to be responsible for overseeing the day-to-day accounting operations, reporting, analysis and compliance of the Company’s reinsurance activities. This role directs the procedures performed by the team to ensure the completeness, accuracy, and timeliness of all reinsurance accounting processes, including ceded and/or assumed transactions, integrity of calculations, reconciliations, and financial disclosures. Working closely with Finance leadership, Actuarial, and Reinsurance Operations teams, this position provides technical research and other accounting support for treaty execution activities, cash settlements, and reinsurance reporting (GAAP and statutory) processes while maintaining an effective internal control environment. The Manager will play a key role in continuous improvement, driving process optimization, ensuring regulatory compliance, and contributing to the modernization of reinsurance accounting...

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 Field Adjuster ***5+ years of continuous property insurance adjusting experience involving complex loss valuation and scope analysis (homeowners & commercial property.*** PRIMARY PURPOSE :  Appraisal Assignment Execution •    Review claim files assigned to appraisal to understand the dispute parameters and valuation issues in scope. •    Perform loss inspections as necessary to evaluate disputed damages, including measurements, photo documentation, and...

Job Description: We are looking to add a Business Information Security Officer to join our Information Security team in West Des Moines, Iowa Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! The purpose of this position is to be the strategic liaison between the Information Security Department and the organization’s business units. This position ensures that enterprise security policies are implemented in a way that aligns with the business unit’s goals and risk appetite. Essential Responsibilities: Translate high-level enterprise security strategies into actionable, tactical plans tailored for a specific business unit. Identifies and assesses cybersecurity risks unique to the business unit’s operations and advises business leaders on risk mitigation or acceptance based on risk tolerance. Ability to translate complex technical jargon into...

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 Workforce Absence Team Lead PRIMARY PURPOSE :  To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. ESSENTIAL...

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...

Job Description: Innovative Captive Strategies (ICS) is a premier captive insurance management and advisory firm dedicated to delivering customized, forward‑thinking captive solutions . ICS combines deep technical expertise with an entrepreneurial mindset to help organizations better manage risk, enhance financial performance, and achieve long‑term strategic objectives. At ICS, we believe innovation, collaboration, and client‑first thinking are the foundation of great captive programs. The Senior Captive Manager serves as a key leader within ICS, responsible for overseeing the strategic management, performance, and growth of complex captive insurance programs. This role partners closely with clients, regulators, service providers, and internal teams to ensure captives operate efficiently, compliantly, and in alignment with each client’s evolving risk strategy. This position is ideal for an experienced captive professional who enjoys combining technical leadership ,...

Job Description: Innovative Captive Strategies (ICS) is a premier captive insurance management and advisory firm dedicated to delivering customized, forward‑thinking captive solutions . ICS combines deep technical expertise with an entrepreneurial mindset to help organizations better manage risk, enhance financial performance, and achieve long‑term strategic objectives. At ICS, we believe innovation, collaboration, and client‑first thinking are the foundation of great captive programs. The Senior Captive Manager serves as a key leader within ICS, responsible for overseeing the strategic management, performance, and growth of complex captive insurance programs. This role partners closely with clients, regulators, service providers, and internal teams to ensure captives operate efficiently, compliantly, and in alignment with each client’s evolving risk strategy. This position is ideal for an experienced captive professional who enjoys combining technical leadership ,...

Job Description: Innovative Captive Strategies is redefining what’s possible in the captive insurance space—and we’re looking for an experienced Financial Analyst who’s ready to grow with us. If you’re energized by analytical work, committed to accuracy, and excited to support clients in a dynamic, relationship‑driven environment, this role offers the opportunity to make a meaningful impact. As a Financial Analyst on our Captive Finance team, you’ll play a key role in delivering high‑quality financial analysis and reporting for captive insurance entities. You’ll support the financial operations of multiple captives, ensure compliance with accounting standards, and collaborate closely with internal teams, external partners, and captive members. Core Responsibilities Manage core accounting functions, including accurate financial recordkeeping, AP/AR processing, reconciliations, and compliance with accounting standards. Prepare captive financial statements,...

Job Description: Innovative Captive Strategies is redefining what’s possible in the captive insurance space—and we’re looking for an experienced Financial Analyst who’s ready to grow with us. If you’re energized by analytical work, committed to accuracy, and excited to support clients in a dynamic, relationship‑driven environment, this role offers the opportunity to make a meaningful impact. As a Financial Analyst on our Captive Finance team, you’ll play a key role in delivering high‑quality financial analysis and reporting for captive insurance entities. You’ll support the financial operations of multiple captives, ensure compliance with accounting standards, and collaborate closely with internal teams, external partners, and captive members. Core Responsibilities Manage core accounting functions, including accurate financial recordkeeping, AP/AR processing, reconciliations, and compliance with accounting standards. Prepare captive financial statements,...