61 senior risk analyst jobs found

As a Healthcare Financial/Actuarial Senior Analyst you will contribute to a wide variety of complex analyses and projects involving the design, financing, and measurement and financial analysis of the full spectrum of employer health and group benefit programs including medical, dental, life, disability, voluntary benefits, etc. You will interface with vendors and client teams, help prepare client deliverables, and ensure quality standards are met. You will have the opportunity to significantly grow your health and benefits business acumen as well as your financial, project management and communication skills by working on cutting edge projects alongside leaders in the industry.   The Role Is an active member on multiple employer client teams providing financial analyses, outputs and client deliverables across a region. Supports benefit plan analysis, design, cost avoidance, risk and funding strategies. Contributes to vendor financial reviews for clients. Provides quality...

The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for multiple states and lines of business. This is a Hybrid Role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts May consult reference materials in the auditing process Based upon situation or state-specific cases, meet 98% accuracy, 10,000+ keystrokes per hour Additional duties as assigned   KNOWLEDGE & SKILLS: Knowledge of medical terminology, workers’ compensation billing guidelines and fee schedules Knowledge of CPT/ICD/HCPS coding Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred Strong interpersonal skills and commitment to customer service Ability to work independently and in a team environment Ability to identify...

The Data Verification Analyst is responsible for all bill review clerical functions, including mail, prepping and scanning medical bills, data entry, data verification and assisting with various phone and email tasks to support the bill review department. This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Validate incoming data to the Bill Review system Identify and apply customer-specific rules and processes Requires continual and consistent communication with supervisor regarding status of Data Verification queues and workload Assist the bill review department with all clerical duties as assigned Additional duties as assigned   KNOWLEDGE & SKILLS: Ability to work on several concurrent tasks and prioritize workload with minimal direction Ability to identify, analyze and solve problems Basic computer proficiency, including familiarity with Microsoft Office applications Strong interpersonal, time management, and organizational...

The Strategic Analyst, Disability Insurance & Executive Benefits, supports strategy execution and initiative governance by translating strategic direction into clear plans, prioritized initiatives, and leadership‑ready insights. This role partners cross‑functionally with Product, Finance, Legal, Distribution, Marketing, and Technology to coordinate planning activities, track progress, and ensure alignment between enterprise strategy, DI and Multi‑Life priorities, and funded initiatives. The analyst maintains strategy roadmaps and initiative portfolios, prepares executive materials and dashboards, documents decisions and trade‑offs, and monitors risks, dependencies, and performance metrics to enable informed leadership decisions and disciplined execution. You are A structured, detail‑oriented business analyst who helps leaders turn strategy into action. You are comfortable working across multiple teams, pulling together data, assumptions, and inputs to support planning,...

Job Description NewLane Finance is seeking an individual to assist the credit and risk modeling and analytics function using data to advance credit risk behavior and quantification of these risk and return tradeoffs through the deployment of models and algorithms to optimize such strategies. This role will be responsible for providing analytical/quantitative input to help develop, implement, and monitor the build of complex commercial small business Expected Default (ED) and Probability of Default (PD) credit default models.  The successful candidate will use their business analysis, process, and quantitative knowledge to ensure business intent is matched with modeling outcome, and document development decisions under SR11‐7 guidelines. In addition to responsibilities on individual modeling projects this role will be expected to work on ad‐hoc projects as needed. Communicating model mechanics and articulating nuances to leadership will be an important aspect of the role. This...

Job Description At WSFS Bank, we empower our Associates to grow their careers, guide our customers to secure their financial futures, and actively support our Communities so they can fully thrive. Careers with WSFS Bank offer an inclusive and supportive culture, competitive salaries, advancement opportunities, and more. We are the region's locally headquartered bank and wealth management company. We are honored to consistently be named a Top Workplace by our Associates, who make a difference every day for the people, businesses, and Communities we serve. We Stand For Service® is more than part of our name, it’s our mission and our purpose. The Wealth ERM Risk Analyst will support the execution and evolvement of the Company’s Enterprise Risk Management Framework. The incumbent will reside within the WSFS ERM department, with a focus on assisting independent risk management oversight over the WSFS Wealth Division and in accordance with the Company’s broader ERM framework. The...

Position: Filling Compliance Analyst Department: Regulatory & Government Affairs Reports To: Manager of Regulatory & Government Affairs Position Summary: The purpose of this position is to coordinate and execute the daily operations of  programs to manage compliance risk and ensure regulatory compliance with state and federal insurance laws on a corporate and departmental basis. Essential Functions and Responsibilities: Perform Office work directly related to management and regulatory compliance operations of the department and employers customers. Exercise discretion and independent judgment with respect to matters of significance.  Develop, implement and administer quality management programs to manage compliance risk and ensure regulatory compliance with state and federal insurance laws on a corporate and departmental basis. Circulate, monitor, and track compliance/regulatory literature and/or actionable items to appropriate areas as required....

Note: This role does not offer any type of sponsorship now or in the future. Please do not apply if you require sponsorship at any time. Is the opportunity to join a culture where “We Do the Right Thing,” and “We Courageously Shape Our Future Together” important to you? If so, Guardian is seeking a resolute motivated individual to join our team as a Workforce Management Senior Analyst. We are looking for curious, confident, and results-oriented individuals who want to be part of a solution-based team. In this role, you will partner across the organization to influence workforce strategy and develop practical solutions that continuously evolve and simplify how we operate. If you’re energized by meaningful work, collaborative problem-solving, and making a real difference, this role offers the opportunity to help Guardian show up at its best every day. This role is responsible for intraday and short-range workforce optimization to ensure service level stability,...

GBLI | Global Indemnity  provides specialty property and casualty insurance for small to middle-market businesses – and we’re on a mission to be the best-in-class while achieving steady, profitable growth. Our guiding principles include the core belief that our people are number one. We also strongly emphasize a customer-centric mentality and disciplined underwriting practices. Our work environment is flexible, friendly, and collaborative, with plenty of opportunities to take charge of your career.  What GBLI offers you: Generous paid time off (PTO) Professional development opportunities (including a mentorship program) Educational assistance program, which covers up to $5,250 in educational costs per year Comprehensive health insurance plan (with vision and dental) Paid Parental Leave Life insurance 401(k) retirement plan with up to 6% company match and immediate vesting Healthcare and dependent care flexible spending accounts Short-term and long-term...

GBLI | Global Indemnity  provides specialty property and casualty insurance for small to middle-market businesses – and we’re on a mission to be the best-in-class while achieving steady, profitable growth. Our guiding principles include the core belief that our people are number one. We also strongly emphasize a customer-centric mentality and disciplined underwriting practices. Our work environment is flexible, friendly, and collaborative, with plenty of opportunities to take charge of your career.  What GBLI offers you: Generous paid time off (PTO) Professional development opportunities (including a mentorship program) Educational assistance program, which covers up to $5,250 in educational costs per year Comprehensive health insurance plan (with vision and dental) Paid Parental Leave Life insurance 401(k) retirement plan with up to 6% company match and immediate vesting Healthcare and dependent care flexible spending accounts Short-term and long-term...

The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary responsibility is evaluating claim handling quality, accuracy, and timeliness in categories including but not limited to: coverage analysis, investigation, valuation, reserving, compliance and accurate disposition of claims. This role has the ability to interpret results and trends in order to deliver operational reporting, and participate in the development and presentation of training.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Model ethical behavior and executes job responsibilities in accordance with CorVel’s core values, ethics, and information protection policies Serve as technical QA lead to assigned offices or departments Lead QA projects and serve as primary coordinator for senior leadership of assigned offices Support the...

Job Description At WSFS Bank, we empower our Associates to grow their careers, guide our customers to secure their financial futures, and actively support our Communities so they can fully thrive. Careers with WSFS Bank offer an inclusive and supportive culture, competitive salaries, advancement opportunities, and more. We are the region's locally headquartered bank and wealth management company. We are honored to consistently be named a Top Workplace by our Associates, who make a difference every day for the people, businesses, and Communities we serve. We Stand For Service® is more than part of our name, it’s our mission and our purpose. The Business Banking Relationship Manager will manage and grow relationships with small-to-medium-sized businesses with up to $10 million in annual revenues, delivering customized financial solutions with total credit exposure of up to $3 million. This position plays a key role in driving business growth by providing expert financial...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. The Environmental Division of the Great American Insurance Group provides a comprehensive portfolio of environmental insurance products to a broad array of industries.  All products can be customized to address the specific risks and exposures of the client.  We are looking for a...

About The Institutes Located in beautiful Malvern, Pennsylvania, The Institutes® are a not-for-profit comprised of diverse affiliates that educate, elevate, and connect people in the essential disciplines of risk management and insurance. Through products and services offered by our nearly 20 affiliated business units, people and organizations are empowered to help those in need with a focus on understanding, predicting, and preventing losses to create a more resilient world. Additionally, we understand the importance of work-life balance—in 2025 Philly.com named us a Top Workplace for the tenth year and USA Today named us a USA Top Workplace for the third year. We provide excellent benefits and a friendly, team-focused work environment to drive employee engagement. IT Service Desk & Security Support The IT Service Desk and Security Support role is an AI-leveraged operator position responsible for resolving end-user issues, supporting day-to-day cybersecurity operations,...

Primary Details Time Type: Full time Worker Type: Employee Work Experience: Necessary Work Experience includes: Relevant years of Technical Service Experience Preferred Work Experience includes: Must possess at least one Implementation or Application Developer Certification Relational database and SQL development experience Responsibilities : Document and demonstrate solutions clearly through various means. Deliver solutions that meet customers' needs effectively. Support the analysis of business requirements, and design and implementation of solutions. Provide support during testing, handover, and post-implementation. Ensure accuracy and timeliness of output and reporting. Identify and assess risks within your subject matter area, lead risk-related dialogue as the SME for that domain, and support stakeholders in making informed, risk-based decisions. Mitigate risks in delivery while keeping to agreed plan and timeframes. Mentor and develop staff to maintain desired...

Position: Vice President of Claims  Department: Claims  Reports To: President Position Summary: The Senior Vice President serves as the department head of claims, and is accountable for establishing claims strategy and overseeing its execution by providing leadership and direction for operational, technical, and claims systems activities (including claims strategic and operational planning and results management) to ensure that goals, objectives and policies of the Claims Department and Pennsylvania Lumbermens Mutual Insurance are achieved.  Key Responsibilities: Leadership & Team Management: Oversee a department of professionals handling complex commercial property and casualty claims. Provide strategic direction, coaching, and performance management. Foster a culture of accountability, continuous improvement, and customer focus. Claims Operations: Ensure timely and accurate investigation, evaluation,...

The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This role is available for both remote and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall...

As a Healthcare Financial/Actuarial Senior Director, you will be a key member of the Financial, Actuarial and Analytics (FAA) Community of Expertise. You will lead financial and actuarial engagements for a portfolio of clients and play a strategic role on complex accounts, delivering insights that shape benefit program performance. In partnership with Client Service colleagues, you will communicate sophisticated financial concepts in a way that drives client action, improves plan outcomes, and strengthens WTW’s value proposition. This role offers the opportunity to work on innovative projects alongside industry leaders and to influence the future of employer-sponsored health programs.   The Role: Lead Client Engagements: Manage financial and actuarial deliverables for a portfolio of clients, or direct FAA resources for large, complex engagements. Financial Strategy and Modeling: Develop pricing strategies, employee contribution models, reserves, and forecasts across...

The Role We are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance analyst you will play a crucial role in supporting our attorneys by performing a variety of tasks, which will include drafting/amending pension (defined benefit and defined contribution) plan documents, summary plan descriptions, summaries of material modifications and other plan related documents (e.g., policies, procedures) as well as participant communications (e.g., QDIA notices).  DUTIES AND RESPONSIBILITIES Plan Drafting: Draft/amend customized comprehensive defined benefit and defined contribution plan documents, summary plan descriptions, summaries of material modifications and other plan related documents and participant communications. Stay current on latest documentation technique and best practices to ensure use of cutting-edge tools and language. Compliance: Ensure all plan documents comply with ERISA regulations and other...

The Senior Property Broker serves as the primary liaison between insurers and clients. This person is responsible for managing major client relationships, deploying placement expertise and helping to drive revenue growth within the assigned office. Serves in a senior role on major accounts.  Advise clients/strategize/provide expertise on difficult-to-place business. Perform policy contract reviews; negotiate competitive terms and conditions. Assists in establishing placement strategy for region. Act as a thought leader and contribute to business growth objectives. May act as a mentor to Jr. Brokers and Brokers on smaller accounts. Note that visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. The Role This role provides knowledge, leadership, insight and direction for broking activities to ensure that clients’ expectations are regularly met. This role incorporates a wide level of expertise, but always assumes...