- Grant Thornton (Philadelphia, PA)
- As a Process Risk & Claims Audit Manager, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand ... and help you achieve more, confidently. Your day-to-day may include: + Leverage claims operations experience and claim audit experience to review and analyze… more
- Axis (Princeton, NJ)
- …Accommodation is available upon request for candidates taking part in the selection process . **Job Description: Senior Claims Specialist** AXIS is seeking a ... We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns...of signal reserves as well as the sensitivity projection process , to drive optimal claims resolutions for… more
- Humana (Trenton, NJ)
- …degree + 2 or more years of project leadership experience + 1+ year of audit , compliance, and/or risk experience + Must be passionate about contributing to an ... caring community and help us put health first** The Risk Management Lead acts as a consultant to the...and compliance partners to consult on initiatives and drive process excellence + Develop annual work plan for responsible… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …with Sourcing, Legal, Compliance, Information Security, Finance and Quality to embed regulatory risk and controls into the purchasing process . + Lead continuous ... process integrations, especially across affiliated companies and/or acquisitions. ** Risk & Compliance:** + Monitor supplier and contract compliance with company… more
- NJM Insurance (Trenton, NJ)
- …limited to audit results, state and federal regulatory compliance changes, risk assessments, process flows, meeting discussions and action plans. + Prepare ... + Perform data analysis using data auditing tools/techniques to audit high risk business areas efficiently. +...audits as needed. Required Skills and Experience: + WC Claims experience and strong knowledge of process … more
- Ryder System (Trenton, NJ)
- …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... issues, and complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims , ensuring appropriate follow-up,… more
- Fujifilm (Trenton, NJ)
- …assessment. Support development of new or updated polices to address new risk areas or to improve operations and/or internal controls. + Conduct healthcare, ... anti-corruption, antitrust, anti-corruption, and anti-money laundering compliance risk analysis. Identify potential areas of compliance vulnerability and risk .… more
- Akumin (Philadelphia, PA)
- …opportunities for improvement. + Ensure data integrity across systems and support audit readiness. **Compliance & Risk Management** + Maintain up-to-date ... oversee all facets of the billing lifecycle, including charge capture, claims management, collections, cash application, denial resolution, and system optimization.… more
- Burns & McDonnell (Conshohocken, PA)
- …Negotiate prime contracts, CM contracts, subcontracts, and change orders. + Participate in risk review process . + Implement assigned sections of the Project ... client, supplier and company commissioning and startup teams as needed. + Implement, audit , and oversee project documentation. + Implement process for confirming… more
- WTW (Philadelphia, PA)
- …management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our ... drive revenue across our business by leading strategic quantitative and risk conversations with employer clients. We deliver quantitative reporting and projections… more
- Deloitte (Philadelphia, PA)
- …to clients in the insurance industry across business functions such as underwriting, claims , IT, finance and accounting + Coordinating with the client's tax and ... law and drafting technical memos + Assisting with IRS audit defense. The Team At Deloitte Tax LLP, our...operations while working within the confines of their individual risk profiles. Business Tax subject matter experts and industry… more
- Penn Medicine (Bala Cynwyd, PA)
- …efficient and timely claim submission. . Review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the procedures preformed . ... In partnership with coding colleagues, educate provider community through independent audit analysis to ensure knowledge and understanding of correct coding and… more
- Burns & McDonnell (Conshohocken, PA)
- …client, supplier and company commissioning and startup teams as needed. * Implement, audit , and oversee project documentation. * Implement process for confirming ... related items. * Participate in internal and external project risk reviews and consult with Legal Department as required....oversee the downstream Request for Proposal (RFP) and bid process and prepare detailed scope of work documents for… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …them to achieve their goals. Our talented team delivers actuarial, audit , corporate communications, financial and investment, human capital services, information ... processes + Assist corporate actuaries in preparation of the annual Own Risk and Solvency Assessment report + Participate in programming, preparation, and… more