UNKNOWN

FEED

Analyze and calculate ability to pay settlements and judgments, including analyzing debt covenants, borrowing capacity, adjusted earnings and earnings per share, financial ratios, accounts receivable and accounts payable, aging schedules, tax considerations, assessing collectability, and developing payment terms and schedules. CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in determinations regarding investigations, prosecutions, settlements, and recovery in these matters, which can be voluminous and complex.

YEAR

Contact Government Services LLC

Senior Auditor

Assess risk of liquidation of assets in the context of an Asset Based Loan, primarily through detailed testing of transactions and development of borrowing base calculations to ensure lenders are properly secured against deteriorating performance of a borrower. Our plans are cost-effective, convenient and provide progressive ways for staying healthy, protecting loved ones, pursuing financial security and living a full and balanced life.

IMA Financial Group

Director, Lender Due Diligence

GreenHouseAPI

Through engagement, data-driven regulation and policy, and operational excellence, the Department and its employees are responsible for empowering consumers and protecting them from financial harm; ensuring the health of the entities we regulate; driving economic growth in New York through responsible innovation; and preserving the stability of the global financial system. This program forgives the remaining balance on any Direct Student Loans after you have made 120 qualifying monthly payments while working full-time for a U.S. federal, state, local, or tribal government or not-for-profit organization.

New York State Thruway Authority

Consumer Examination Unit Fair Lending Team Lead, (Director Financial Services Programs 1, SG-31)

Duties include, but are not limited to, the following: Manage the qualitative, second review of examination reports ensuring noted findings are factually correct and documentation is verified before remitting for final review; Ensure communication between team leaders, examiners, and review team members occur in a timely manner; Oversee junior Review team members; Mentor examination staff; Perform quality control editing for CCFL and CRA examination reports; Ensure examination reports adhere to the established timeline; escalating as needed; Perform constructive criticism and push back on questions as needed; Thoroughly analyze and query information within the examination report; Apprise senior management of trends observed in industry conduct/ examination reports; Liaise with Sr. Through engagement, data-driven regulation and policy, and operational excellence, the Department and its employees are responsible for empowering consumers and protecting them from financial harm; ensuring the health of the entities we regulate; driving economic growth in New York through responsible innovation; and preserving the stability of the global financial system.

Consumer Examination Unit Review Team Lead (Director Financial Services Programs 1, SG-31)

44,600 - $59,745 ​This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience.

Horizon Healthcare Services

Professional Resident (Commercial/Medicare)

Duties and Responsibilities: Own the AI marketing review tool and drive the shift toward automated, AI review, including: Act as business owner and administrator of the tool, including configuration, rule and prompt tuning, testing, and release management. Ethos offers instant, accessible products and a seamless online process that requires no medical exams and just a few health questions; it eliminates traditional barriers, making it easier than ever for everyone to protect their families.

Ethos Technologies Inc

Director, Marketing Process & Technology

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Routinely handles cases that are sensitive or high profile, those that are complex cases involving or cases involving multiple perpetrators or intricate healthcare fraud schemes. Demonstrates high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal proceedings.

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health Corp

Senior Investigator, Special Investigations Unit (Aetna SIU)

You will be helping our clients and their counsel understand and resolve the financial impacts around their legal matters relating to complex accounting and financial issues across a wide range of projects involving economic disputes, claims, misunderstandings, investigations of white-collar crime, forensic accounting and consulting, and post-acquisition disputes. Stretch roles, evolving business needs, and firm growth create ongoing opportunities for ownership and building new skills, while direct access to senior leaders provides mentorship and real-time coaching along the way.

Alvarez & Marsal Holdings LLC

Associate, Disputes and Investigations

Summary: The Senior Auditor as a member of the Internal Audit function, is responsible for executing the company's Internal Controls over Financial Reporting (ICFR), including SOX and Model Audit Rule activities, and risk-based Internal Audit engagements. The role evaluates risks, assesses control design and operating effectiveness, performs financial, operational, compliance, and integrated audits, communicates findings, and monitors remediation.

Argo Group International Holdings Ltd.

Senior Internal Auditor

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Argo Group International Holdings Inc

FULL_TIME

OTHER

You will be helping our clients and their counsel understand and resolve the financial impacts around their legal matters relating to complex accounting and financial issues across a wide range of projects involving economic disputes, claims, investigations of white-collar crime, forensic accounting and consulting, and post-acquisition disputes. A&M's Disputes and Investigations practice comprises professionals from a wide range of backgrounds, who bring and share their deep expertise in conducting investigations, delivering expert witness reports and testimony, and providing forensic technology services.

Alvarez & Marsal Disputes and Investigations, LLC

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Role responsibilities include supervising a team of auditors, validating repair claims against warranty policies and procedures, identifying ineligible sales incentive claims as well as supporting Sales Operations/Customer Service/Field Personnel with identified policy/procedural deficiencies. Our purpose is to 'Live the Exceptional with Soul' by being the proud creators of modern luxury and being guided by a set of behaviors we call our Creators' Code: Customer Love; Unity; Integrity; Growth; Impact.

Jaguar Land Rover Automotive Plc

Retailer Audit Manager

This position performs financial and operational audits of Managing General Agents (MGAs) and Third Party Administrators (TPAs), who underwrite and administer policies, collect premiums and adjudicate claims on behalf of Starr Companies. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets: experience and training: licensure and certifications: and other business and organizational needs.

Claims Examiner Jobs in New York, NY

Senior Auditor Contact Government Services LLC

Director, Lender Due Diligence IMA Financial Group

Consumer Examination Unit Fair Lending Team Lead, (Director Financial Services Programs 1, SG-31) New York State Thruway Authority

Consumer Examination Unit Review Team Lead (Director Financial Services Programs 1, SG-31) New York State Thruway Authority

Professional Resident (Commercial/Medicare) Horizon Healthcare Services

Director, Marketing Process & Technology Ethos Technologies Inc

Professional Resident (Commercial/Medicare) Blue Cross and Blue Shield Association

Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health Corp

Associate, Disputes and Investigations Alvarez & Marsal Holdings LLC

Senior Internal Auditor Argo Group International Holdings Ltd.

Senior Internal Auditor Argo Group International Holdings Inc

Associate, Disputes and Investigations Alvarez & Marsal Disputes and Investigations, LLC

Retailer Audit Manager Jaguar Land Rover Automotive Plc

Staff Auditor - Managing General Agents (Mgas) And Third Party Administrators (Tpas) Starr Companies

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