Claims Auditors Jobs

This full-time remote role within BlueCross BlueShield of South Carolina's subsidiary involves auditing and authorizing reimbursement for medical stop loss claims. The position requires analyzing complex claims, identifying cost mitigation opportunities, and managing investigations to ensure accurate adjudication. Key responsibilities include interpreting plan language, communicating with carriers and vendors, and generating reports to adjust reserves. The role appeals to experienced professionals seeking stability with a seven-decade legacy organization that values diversity, inclusion, and career development. The position offers a collaborative environment with opportunities to mentor junior staff and contribute to a leading national administrator of government contracts.

The Associate role within Blackstone's Portfolio Management Valuations and Analytics team supports Private Equity Strategies by preparing and analyzing investment valuation results. Key responsibilities include building and updating discounted cash flow and performance multiple models, managing the onboarding process for new portfolio investments, and coordinating valuation reviews with external auditors and third-party firms. The position also involves creating presentation materials for internal committees and driving process improvements using technology. This opportunity appeals to candidates seeking to work within the world's largest alternative asset manager, offering exposure to a global investment platform with a focus on long-term value creation. The role requires strong analytical skills and collaboration across finance, operations, and deal teams.

This hybrid pharmacist role operates across various retail locations in Missouri with one day per week dedicated to remote centralized support. The position involves verifying prescriptions, compounding medications, and conducting drug therapy reviews while ensuring strict regulatory compliance. Key responsibilities include providing patient consultations, administering immunizations, managing inventory, and collaborating with medical providers to optimize patient care and pharmacy operations. The role is appealing for its blend of direct patient interaction and strategic support work, offering opportunities to foster community health through outreach and mentorship. The position supports a collaborative culture focused on continuous improvement and professional growth within a large, established healthcare organization.

This hybrid pharmacist role is based in North Carolina, combining four days of in-store retail duties with one day of remote centralized support. The position involves verifying prescriptions, compounding medications, and providing clinical services such as immunizations and patient consultations. Key responsibilities include managing inventory, optimizing pharmacy workflows, and fostering relationships with local healthcare providers. The role appeals to professionals seeking a blend of direct patient care and operational leadership within a large, established healthcare organization. It offers a flexible work arrangement that balances community engagement with remote administrative tasks, supporting a mission to create healthier futures for patients.

This hybrid pharmacist role is based in North Carolina, combining four days of in-store retail operations with one day of remote centralized support. The position involves verifying prescriptions, compounding medications, and conducting drug therapy reviews while ensuring strict regulatory compliance. Key responsibilities include providing clinical services such as immunizations and patient consultations, managing inventory and financial workflows, and fostering professional development within the pharmacy team. The opportunity appeals to candidates seeking a blend of direct patient care and operational leadership within a large, established healthcare organization. The role offers a flexible work arrangement that balances community engagement with remote administrative duties, supporting a mission to build healthier futures through accessible healthcare services.

This hybrid pharmacist role is based in North Carolina, combining four days of on-site work at retail locations with one day of remote support for centralized services. The position involves verifying prescriptions, managing medication compounding, and providing clinical services such as immunizations and patient consultations. Key responsibilities include optimizing pharmacy workflows, managing inventory, and fostering relationships with local healthcare providers. The role appeals to professionals seeking a blend of direct patient care and operational leadership within a large, established healthcare organization. It offers the opportunity to work in diverse environments while contributing to community health initiatives and supporting team development.

The Accounting Officer Intermediate role supports the Direct Care and Treatment Financial Operations Team within the State of Minnesota. Key responsibilities include developing and verifying internal accounting procedures, maintaining accounts payable integrity, and providing leadwork direction to junior staff on payment and vendor activities. The position requires analyzing fiscal data to ensure proper controls and resolving discrepancies using systems like SWIFT and Excel. This opportunity appeals to candidates seeking to contribute to public service while improving the well-being of Minnesotans. The role offers a hybrid work arrangement with onsite presence required at least 50% of the time, alongside opportunities for professional development, training, and a commitment to equity and inclusion.

This senior accounting role within Cherry Bekaert's Finance & Accounting Outsourcing practice supports clients in the captive insurance industry. The position involves managing day-to-day accounting operations, including premium revenue recognition, loss reserve accruals, and complex balance sheet reconciliations. Key responsibilities include preparing monthly and quarterly financial packages, overseeing regulatory filings, and supervising staff accountants to ensure accurate and timely deliverables. The role appeals to professionals seeking a collaborative environment that values integrity and continuous career growth. It offers the opportunity to work with diverse teams, including actuaries and external auditors, while contributing to process improvements. The position is based within a firm known for fostering inclusion and providing flexibility to balance impactful work with personal life.

This Financial Controller role at Flock involves leading the finance function for a rapidly scaling insurtech company focused on connected vehicle insurance. The position reports to the VP of Finance and includes overseeing day-to-day accounting operations, ensuring accurate month-end closes, and managing regulatory compliance and audit processes. Key responsibilities also involve driving process transformation through automation and AI, partnering with commercial teams to align finance with business goals, and coaching a small accounting team. The opportunity is appealing due to the chance to shape financial strategy at a pivotal growth stage, gain high visibility with the leadership team, and work in a culture that values innovation and professional development. The role follows a hybrid model requiring three days per week in the Central London office.

This hybrid pharmacist role operates across various retail locations in Tennessee, combining four days of in-store duties with one day of remote centralized support. The position involves verifying prescriptions, compounding medications, and conducting drug therapy reviews while ensuring strict regulatory compliance. Key responsibilities include providing clinical services such as immunizations and patient consultations, managing inventory and financial workflows, and fostering professional development within the pharmacy team. The opportunity is appealing for its flexible hybrid work arrangement and the chance to contribute to a large, established healthcare organization dedicated to improving community health outcomes through trusted patient relationships.

This hybrid retail pharmacist role is based in North Carolina, combining on-site duties at various locations with one day per week of remote centralized support. The position involves verifying prescriptions, compounding medications, and conducting drug therapy reviews while ensuring strict regulatory compliance. Key responsibilities include providing patient consultations, administering immunizations, managing inventory, and collaborating with medical providers to optimize patient care. The role appeals to professionals seeking a blend of clinical practice and operational leadership within a large, established healthcare organization. It offers opportunities for professional growth, community engagement, and the chance to work in a flexible environment that supports both in-store and virtual pharmacy services.

This full-time, remote Global Product Manager role focuses on the Molecular Diagnostics portfolio within Hygiena's food safety division. The position involves owning the multi-year product roadmap, defining go-to-market strategies, and leading cross-functional teams from concept through commercialization. Key responsibilities include translating market needs into product requirements, managing portfolio lifecycle decisions, and driving sales enablement and pricing strategies. The role appeals to candidates seeking to contribute to a mission-driven organization that prevents global health crises while offering a collaborative culture, opportunities for professional growth, and a comprehensive benefits package including tuition reimbursement and charitable matching.

The General Counsel role serves as the Chief Legal Officer for the NYC Department of Citywide Administrative Services, providing strategic legal oversight for one of the city's most operationally diverse agencies. The position involves advising the Commissioner and executive team on complex matters including procurement, real estate, civil service policies, labor relations, and compliance. Key responsibilities include leading a team of approximately 60 legal professionals, managing high-stakes contract negotiations, and serving as the primary liaison with the Law Department for litigation and legislative matters. This opportunity appeals to legal leaders seeking to drive organizational transformation and shape policy for a mission-driven agency that supports all New York City operations. The role offers a chance to balance legal risk with innovation while fostering a collaborative culture within a dynamic public sector environment.

The Trust and Estate Manager role supports the Office of the General Counsel at Humane World for Animals by administering the organization's portfolio of active estates and trusts. Key responsibilities include reviewing legal documents such as wills and trusts to identify organizational interests, managing correspondence with executors and attorneys, and coordinating with auditors for annual reviews. The position also involves maintaining accurate records, processing deposits, and assisting with departmental training. This opportunity appeals to candidates seeking to apply their legal and administrative expertise to advance a global animal advocacy mission. The role is based in Washington, DC, requiring on-site presence within a fast-paced environment that values discretion, critical thinking, and organizational excellence.

The Senior Tax Specialist role at Vistra involves supporting the corporate tax team in managing complex federal, state, and property tax matters. Key responsibilities include analyzing transaction facts to document tax positions, reviewing property tax returns for multiple legal entities, and assisting with the quarterly and annual provision process. The position also requires monitoring regulatory changes and providing technical research to support tax filing and refund claims. This opportunity appeals to professionals seeking to work with a global energy leader in a hybrid environment based in Irving, Texas. The role offers a collaborative culture focused on teamwork and effective communication, with a preference for candidates possessing Big 4 experience and a strong background in public company tax compliance.

This provisional Assistant Auditor role within the City of Buffalo involves performing professional auditing work of significant complexity under general supervision. Key responsibilities include examining purchase transactions, invoices, and payrolls for accuracy, reconciling revenue accounts, and assisting in the design or computerization of accounting systems. The position requires strong knowledge of auditing principles to detect irregularities and may involve supervising personnel. The role appeals to candidates seeking to apply advanced auditing techniques in a stable municipal environment. Successful candidates must maintain continuous residence in the City of Buffalo throughout their employment.

This remote role at Sedgwick involves analyzing complex workers' compensation claims to determine benefits, manage litigation, and negotiate settlements. Key responsibilities include calculating claim reserves, processing benefit payments, ensuring compliance with state regulations, and coordinating vendor referrals for investigations. The position appeals to professionals seeking a career within a globally recognized organization that prioritizes a caring culture, work-life balance, and professional growth. The role offers the opportunity to utilize advanced technology in a supportive environment while contributing to meaningful outcomes for individuals facing unexpected challenges.

This remote role at Sedgwick involves analyzing complex workers' compensation claims for California-based cases. The position requires managing high-exposure files, negotiating settlements, calculating reserves, and handling litigation processes while ensuring compliance with state regulations. Key responsibilities include coordinating vendor referrals, managing claim recoveries, and maintaining professional relationships with claimants and clients. The opportunity is appealing due to Sedgwick's caring culture, recognition as a top workplace, and the chance to work with advanced AI-enabled technology within a global organization. The role supports work-life balance and offers significant professional growth for experienced claims professionals.

This full-time Servicing Quality Control Auditor role is based in Dallas or Irving, Texas, within the AmeriHome Mortgage servicing team. The position involves reviewing and testing loan servicing transactions to ensure compliance with internal policies and regulations. Key responsibilities include conducting quality control audits on vendor actions across various mortgage life-events, identifying discrepancies to drive process improvements, and coordinating with management to resolve identified issues. The role appeals to candidates seeking professional growth through hands-on experience in banking operations and regulatory compliance. It offers a collaborative environment with opportunities to develop business knowledge and foster relationships across departments.

The Care Specialist II role at Fuze Rx is a patient-facing position within the pharmacy team, dedicated to delivering a five-star care experience by combining personalized support with modern pharmacy agility. The role involves processing complex prescription cases, resolving pharmacy-related inquiries, and managing patient escalations through phone, email, and chat. Key responsibilities include providing direct patient support, collaborating with cross-functional teams to improve workflows, and utilizing empathy to ensure high satisfaction levels. This position appeals to those seeking a mission-driven environment that transforms traditional pharmacy models, offering a collaborative culture focused on patient well-being. The role requires an active pharmacy technician license and prior experience in high-volume settings, with work arrangements varying by location to include onsite or hybrid options in select states.

The Grants Accountant role within the Town of Fort Myers Beach Finance team ensures fiscal integrity and regulatory compliance for all grant-funded programs. Key responsibilities include managing grant budgets, tracking expenditures, preparing reimbursement requests, and coordinating with external auditors to maintain audit-ready documentation. The position requires interpreting complex regulations like Uniform Guidance and collaborating with various departments to maximize fund recovery. This opportunity is appealing due to a comprehensive benefits package that includes fully employer-paid health premiums, immediate vesting in a pension plan, and flexible scheduling to support work-life balance. The role is based on-site and may require emergency response duties during critical situations.

The Manager, Medical Coding and Education role leads the Physician Group coding education and denial prevention teams within Lee Health's Coding department. This position is fully remote for Florida residents and focuses on strengthening documentation quality and reimbursement accuracy. Key responsibilities include developing provider education programs, analyzing coding error trends to implement improvement strategies, and resolving denied insurance claims. The role requires translating complex regulatory guidelines into actionable training for physicians and operational leaders while collaborating with compliance and information systems teams. The position is appealing for its opportunity to drive organizational revenue integrity and documentation excellence within a mission-driven, not-for-profit health system that values collaboration and continuous improvement.

This senior leadership role serves as the strategic bridge between reserving actuaries and data engineering teams within an Agile environment. The Director manages the actuarial loss data platform and reserving systems, ensuring compliance with SOX regulations while translating complex business needs into technical solutions. Key responsibilities include leading requirements elicitation, owning the product backlog, driving process automation, and mentoring a team of Business Analysts. The position offers the appeal of working for a 170-year-old industry leader known for its collaborative culture and commitment to innovation. Employees benefit from comprehensive health coverage, a fully funded pension plan, and a strong emphasis on work-life balance with generous paid time off.

The Budget Manager serves as a strategic partner within the Town of Fort Myers Beach Finance team, reporting directly to the Finance Director. This role oversees the entire budget lifecycle, including developing the annual operating budget and capital improvement plan, conducting revenue forecasting, and monitoring departmental expenditures to ensure fiscal responsibility. Key responsibilities involve preparing financial reports for the Town Council, managing the purchasing system, and collaborating with department heads to align resources with organizational goals. The position offers a collaborative environment with a strong emphasis on public service, featuring comprehensive health benefits, immediate retirement plan vesting, and flexible scheduling options. While primarily based in the office, the role includes potential emergency response duties requiring availability during critical situations.

The Wage Fraud Investigator role within the Maine Department of Labor's Bureau of Unemployment Compensation focuses on protecting the state's Unemployment Trust Fund by identifying benefit overpayments. Key responsibilities include reviewing unemployment claims and wage audits to determine if overpayments were accidental or intentional, validating identity documents to prevent fraud, and participating in appeal hearings to defend investigative findings. This position offers a hybrid work arrangement requiring at least one day per week in an office after training, with occasional statewide travel. The role is appealing for its purposeful mission to ensure program integrity, the opportunity to utilize analytical and interviewing skills in a professional setting, and access to a comprehensive benefits package including significant health insurance contributions, retirement matching, and generous paid leave.