- 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
- American Water (Camden, NJ)
- …opportunity for a detail-oriented and solutions-focused individual with experience in claims management, insurance program oversight, contractual risk transfer, ... role is responsible for the management of American Water's overall loss control, risk control, and analytics-focused claims programs, including but not limited… more
- Sedgwick (Trenton, NJ)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Cardinal Health (Trenton, NJ)
- …planning, as well as the development and completion of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory ... evaluates the adequacy of management corrective action to improve deficiencies; maintains audit records. + Conducts risk assessments to define audit… more
- American Water (Camden, NJ)
- …wastewater services to our communities. Effective, efficient, and intelligent insurance claims management, oversight, and forecasting are essential to this mission. ... As the Insurance & Risk Analyst, you'll be instrumental in ongoing management and...coverage. o Lead all components of the invoice payment process related to the insurance function. * * Manage… more
- Ford Motor Company (Trenton, NJ)
- …strategic decisions, or adoption of best practices . Manage internal and external audit procedures **UW Audit Process :** . Manage overall underwriting ... compliance . Lead and manage the quality/content of Underwriting audit findings and the audit process... to do so. Implement and monitor supplementary underwriter self- audit quality control processes ** Risk Management:** .… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …ready, oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity. ... sites, and vendors (including contract research organizations) and ensure that audit results are communicated, and appropriate corrective actions are implemented and… more
- Highmark Health (Trenton, NJ)
- …to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and… more
- Citigroup (New Castle, DE)
- …of factual information, and provides assistance in the implementation of loan documentation process improvements. + Minimizes risk to the bank through increased ... while providing support to a variety of tasks related to the loan process . + Activities will include independently processing and closing loans within a complex… more
- Citigroup (New Castle, DE)
- …of factual information, and provides assistance in the implementation of loan documentation process improvements. + Minimizes risk to the bank through increased ... while providing support to a variety of tasks related to the loan process . + Activities will include independently processing and closing loans within a complex… 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
- Citigroup (New Castle, DE)
- …management of any potential client or control issues within the Operations. Identify process or procedural improvements within the Ops group with both internal and ... efficiencies. Able to work with multiple groups to ensure a streamline process . Must be versatile and demonstrate the ability to resolve issues/escalations while… 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