Senior Forensic Auditor — Litigation & Healthcare Claims
Cgsfederal
CGS Federal is seeking a Senior Auditor to support government investigations in financial services, with emphasis on forensic accounting, data analysis, and expert reporting. The role involves complex financial analyses, asset tracing, and testimony in litigation. Responsibilities include analyzing payments, computing ability-to-pay settlements, preparing expert reports, and testifying as needed. Strong collaboration with attorneys and investigators is essential, with opportunities for #J-18808-Ljbffr Cgsfederal
- ...Senior Auditor – Employment Type: Full Time, Mid-level. Department... ...by conducting medical claims data analysis, forensic investigations, financial... ...party transactions. Analyze healthcare claims and other data.... ...damage models for use in litigation. Conduct asset valuation....SeniorClaimsLitigationFull timeFlexible hours
- Dormont Manufacturing Co is seeking a Senior Auditor to assist the legal staff with medical claims data analysis and forensic investigations in Boston, Massachusetts. This... ...records and preparing expert reports for litigation, contributing significantly to government...SeniorClaimsLitigation
$75k - $140k
...Salary Range: USD $75000.00 - $140000.00 Job Category: Claims Description The Senior Claims Specialist works within a Claims Team, using the... ...authority limits, to settle claims. Coordinates the litigation activities associated with assigned claims to ensure a timely...SeniorClaimsLitigationFull timeWork experience placementWork at officeLocal area$207.5k - $252.5k
A national employment law firm located in Boston is seeking an experienced attorney to litigate employment-related claims. The ideal candidate will have a JD from an accredited law school and at least 5 years of experience in employment law. Responsibilities include representing...SeniorClaimsLitigation- Arbella 56 Group in Quincy, MA is seeking a Claims Service Specialist IV for Commercial Lines Bodily Injury. Under minimal supervision, you will investigate and resolve complex claims, guiding litigation, and mentoring newer staff. The role emphasizes timely case activity...SeniorClaimsLitigation
$97k - $189k
...Managing Director Strategic Claim Oversight leads the Severity... ...the highest exposure claims in Healthcare. Ensures the effective execution... ...claim should be settled or litigated. Develops and directs the... ...Skills, Knowledge & Abilities Senior level knowledge of the theories...ClaimsLitigationFull timeWork experience placementWork at office- ...settlement of homeowners liability and adjudication of 3rd party claims, involving the most technically challenging claims.You will... ...proposed legislation, court decisions and new trends in claims litigation to monitor our compliance and recommend process changes.Direct...SeniorClaimsLitigationFull timeWork at officeLocal areaRelocation package
- CSAA Insurance Group (CSAA IG) is seeking a Sr. Litigation Specialist who will manage litigated claims from start to resolution, including auto and homeowner issues. The role emphasizes directing defense counsel, negotiating settlements, and controlling defense costs while...SeniorClaimsLitigationRemote jobWeekend work
$86k - $118k
Job DescriptionAre you a seasoned claims professional ready to take your career to the next level? Join our team and make a direct impact... ...accurate, timely reserve analyses based on claim developments.Litigation & Fraud Prevention - Collaborate with defense counsel, manage...SeniorClaimsLitigation- ...internally and externallyProficient use of applicable technologyMust be able to travel based on client and business needsThe Forensic and Litigation Associates work as a member of the Client Services group and can expect a diverse experience ranging from accounting...SeniorLitigation
$120k - $180k
...Berkshire Hathaway Specialty Insurance (BHSI) is seeking a Senior Product Owner to join the Claims Technology team in Boston for the implementation and... ...FNOL, investigation, reserving, payments, recoveries, litigation, and claim closure.Hands-on experience leading or...SeniorClaimsLitigationTemporary workFlexible hours- ...Target Openings1What Is the Opportunity?The Senior Counsel role is responsible for... ....Experience managing complex commercial litigation, including litigation strategy, and resolution... ...legal support on management liability claims, including interpretation of insuring agreements...SeniorClaimsLitigationFull timeLocal area
- EY seeks an experienced insurance claims Manager to lead complex engagements, partnering with forensic accountants, attorneys, risk managers, brokers, and insurers to develop and execute claim strategies. You will guide teams through loss assessment, claim submissions,...SeniorClaimsWork at office
$38.46 - $52.4 per hour
...leadership in the markets they serve. We help healthcare organizations build innovation... ...create your future. The Inpatient Coding Auditor will be responsible for the auditing of... ...corrective action is initiated before the claim is rebilled to the insurance. Conduct...ClaimsHourly payPermanent employmentFull timeWork at officeLocal areaImmediate startRemote workFlexible hoursDay shift$280k - $400k
A leading accounting and advisory firm is seeking a Partner for its Forensic, Litigation & Valuation Services group in Boston. This role involves business development, client service, and providing thought leadership while mentoring staff. Candidates should hold a CPA,...SeniorLitigation- A leading healthcare organization in Boston is seeking a detailed-oriented professional to conduct inpatient DRG reviews. The role requires... ...readmission reviews while documenting findings and managing claims. An excellent compensation package and benefits are provided, underscoring...ClaimsRemote job
- ...Associate General Counsel, Litigation & Payor Relations About the Company Fast-growing integrated healthcare system Industry Hospital & Health Care Type Non... ...for identifying, evaluating, and pursuing claims related to reimbursement, claim denials, and...ClaimsLitigation
$275k - $425k
...Job Description Job Description Senior Litigation Attorney – Mergers & Acquisitions Disputes Locations: Atlanta, GA | Baltimore, MD... ...complex post-closing M&A disputes, including indemnification claims and representations and warranties (R&W) insurance litigation...SeniorClaimsLitigationWork at officeRemote work$175k - $250k
...presence across the Northeast is seeking a Senior Employment Associate to join its growing... ...mix of counseling, transactional, and litigation work, along with meaningful client... ...retaliation, wrongful termination, wage and hour claims, restrictive covenants, and other...SeniorClaimsLitigationLocal area- ...Managing Director, Strategic Claims Oversight, Healthcare Severity About the Company Top provider of insurance products... ...best practices. The ideal candidate will have a senior-level knowledge of claim and litigation management, excellent communication, negotiation...ClaimsLitigation
- ...Senior Vice President, Legal Services & Compliance About the Company Esteemed healthcare organization advancing the health of women & infants Industry Hospital & Health... ..., including contracts, transactions, and litigation. The ideal candidate will have a strong...SeniorLitigationContract work
$135k - $185k
1 Day In Office - Hands-On Litigation - Collaborative Team This Jobot Job is hosted by: Scott Rundlett Are you a fit? Easy Apply now... ...work is varied and engaging, with exposure to both individual claims and broader employment issues. We are looking for someone who...ClaimsLitigationWork at officeLocal areaRemote workFlexible hoursShift work$130k - $152.5k
Charles River Associates is seeking a Senior Associate for their Forensic Services practice in Washington, DC. This role focuses on eDiscovery, requiring... ...5-8 years of experience in managing data relevant to litigation. Candidates must have deep knowledge of tools like...SeniorLitigation- ...financial advisory firm focused on business valuation, forensic accounting, and consulting for litigation, transactions, and strategic planning. The team... ...attention to client needs. The firm seeks a manager or senior manager with strong foundation in financial and taxation...SeniorLitigation
$116k - $165k
...market leader in insuring Allied Healthcare Providers, including nurses,... ...Malpractice focused Complex Claims Consultant position, you will... .../or disposition of complex litigated and non-litigated claims in multi... ...and paid timely. Keeps senior leadership informed of significant...ClaimsLitigationFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work$74k - $110k
We are a healthcare technology company that provides platforms and solutions to improve the... ...Position Summary The Pharmacy Network Auditor is responsible for the maintenance and growth... ...results in detail prior to initiating claim adjustments Review results to determine...ClaimsContract work$60k - $100k
...Senior Paralegal-Enablement Manager At Morgan & Morgan, the work we do matters. For... ...Responsibilities Oversee and develop litigation staff across various markets, focusing on... ...Development Team Guide case staff to negotiate claims proactively and aggressively to...SeniorClaimsLitigationFull timeWork experience placementWork at officeLocal area$120k - $160k
...Disability firms in the United States. Its attorneys are known for their deep experience in workplace injury claims, long-term disability matters, and related litigation, providing comprehensive support from the initial filing through appeals and courtroom advocacy. Why...SeniorClaimsLitigationPermanent employmentLocal areaRemote work- CVS Health is seeking a Healthcare Encounter Analyst - Senior for claim reconciliation in the State Medicaid Encounters team. You will research, analyze and correct Medicaid encounters generated by Pharmacy, working with SAS and AS400 data. This role requires strong data...SeniorClaims
$67k
Senior Claims Specialist Job Locations: US-TX-Plano | US-MA-Boston | US-GA-Suwanee | US-IL-Hoffman Estates Position Type: Full-Time Minimum... ...authority limits, to settle claims. Coordinates the litigation activities associated with assigned claims to ensure a timely...SeniorClaimsLitigationFull timeWork experience placementWork at officeLocal areaFlexible hours
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