Auditor jobs at BlueCross BlueShield of South Carolina - 45 jobs

Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits. Description The Auditor is responsible for assist in executive of financial, compliance, and operations audits. This is a remote full time position working 8:00 to 5:00 Monday through Friday. What You'll Do: Conducts audits of the financial, management, and administrative procedures of assigned divisions, providers, departments, and various lines of businesses throughout the organization to ensure that procedures are in compliance. Audits include interviewing key personnel, conducting testing, evaluating internal controls, analyzing existing financial and management practices to determine effectiveness, and reviewing relevant documentation to support findings. Develops detailed reports on each audit conducted. Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. Conducts testing of corrective actions as identified. Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. Prepares reports of finding and recommendations for management. Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel. Required Education: Bachelor's in a job related field Required Work Experience: No previous work experience required. Required Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data. Ability to draw conclusions and make appropriate recommendations for analyzed data. Ability to gather information by examining records and documents and interviewing individuals. Strong interpersonal skills and the ability to work professionally with persons at all levels. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis. Required Software and Tools: Microsoft Office. Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) Work Environment: Typical office environment. Travel between office buildings required. Out of town travel may be required. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits at the first of the month following 28 days of employment: Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Salary Range: Range Minimum $19.36 Range Midpoint $27.51 Range Maximum $35.67 Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Altus Receivables Management, Brown & Joseph, Paragon, SubroIQ, and NEIS, each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945 and seeking a Remote Premium Auditor as we continue to grow our team! Remote Premium Auditors examines the financial records of insurance companies to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insurance companies adhere to these regulations are your primary responsibilities. Your job will be based from home. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder's records, and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and type of records needed Prepare schedule to maximize optimal use of time Correspond with insured via phone, email and mail to setup audit appointments. Examine the policyholder's records, gather data to determine correct classifications for business activities and write an effective description of operations Prepare complete audit document, explain results to insured and communicate the results to the home office Job Requirements: Associate's Degree or equivalent plus one year performing premium audits or equivalent combination of education and experience highly desired. Ability to read, analyze and interpret financial documents General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Compensation and Benefits: Benefit package with health, dental, vision, life and disability coverage options 401(k) retirement plan option with company matching Generous paid time off policy and 7 paid holidays Salary is $41-45 per billable hour Weekly pay 401(k) plan with company matching and immediate vesting We look forward to you joining the team! ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS, each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insured businesses adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 2-4 days per week within your assigned territory. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder's records, and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and type of records needed Prepare schedule to maximize optimal use of time Correspond with insured via phone, email and mail to setup audit appointments. Examine the policyholder's records, gather data to determine correct classifications for business activities and write an effective description of operations Prepare complete audit document, explain results to insured and communicate the results to the home office Travel to multiple audit locations Hybrid position - work from home and complete remote audits 2-3 days per week Job Requirements: Associate's Degree or equivalent plus two years' performing premium audits or equivalent combination of education and experience highly desired Ability to read, analyze and interpret financial documents General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver's license and satisfactory driving record Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined Compensation and Benefits: $44-$46 per billable hour Weekly pay Part-Time Hours - flexible work days and schedule We look forward to you joining the team! ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS, each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insured businesses adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 2-4 days per week within your assigned territory. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder's records, and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and type of records needed Prepare schedule to maximize optimal use of time Correspond with insured via phone, email and mail to setup audit appointments. Examine the policyholder's records, gather data to determine correct classifications for business activities and write an effective description of operations Prepare complete audit document, explain results to insured and communicate the results to the home office Travel to multiple audit locations Hybrid position - work from home and complete remote audits 2-3 days per week Job Requirements: Associate's Degree or equivalent plus two years' performing premium audits or equivalent combination of education and experience highly desired Ability to read, analyze and interpret financial documents General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver's license and satisfactory driving record Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined Compensation and Benefits: Benefit package with health, dental, vision, life and disability coverage options 401(k) retirement plan option with company matching Generous paid time off policy and 7 paid holidays $44-$46 per billable hour (DOE) Trainee pay for inexperienced auditors Weekly pay FT and PT Positions available 401(k) plan with company matching and immediate vesting We look forward to you joining the team! ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS, each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insured businesses adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 2-4 days per week within your assigned territory. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder's records, and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and type of records needed Prepare schedule to maximize optimal use of time Correspond with insured via phone, email and mail to setup audit appointments. Examine the policyholder's records, gather data to determine correct classifications for business activities and write an effective description of operations Prepare complete audit document, explain results to insured and communicate the results to the home office Travel to multiple audit locations Hybrid position - work from home and complete remote audits 2-3 days per week Job Requirements: Associate's Degree or equivalent plus two years' performing premium audits or equivalent combination of education and experience highly desired Ability to read, analyze and interpret financial documents General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver's license and satisfactory driving record Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined Compensation and Benefits: Benefit package with health, dental, vision, life and disability coverage options 401(k) retirement plan option with company matching Generous paid time off policy and 7 paid holidays $44-$46 per billable hour Weekly pay FT and PT Positions available 401(k) plan with company matching and immediate vesting We look forward to you joining the team! ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS, each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insured businesses adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 2-4 days per week within your assigned territory. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder's records, and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and type of records needed Prepare schedule to maximize optimal use of time Correspond with insured via phone, email and mail to setup audit appointments. Examine the policyholder's records, gather data to determine correct classifications for business activities and write an effective description of operations Prepare complete audit document, explain results to insured and communicate the results to the home office Travel to multiple audit locations Hybrid position - work from home and complete remote audits 2-3 days per week Job Requirements: Associate's Degree or equivalent plus two years' performing premium audits or equivalent combination of education and experience highly desired Ability to read, analyze and interpret financial documents General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver's license and satisfactory driving record Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined Compensation and Benefits: Benefit package with health, dental, vision, life and disability coverage options 401(k) retirement plan option with company matching Generous paid time off policy and 7 paid holidays $44-$46 per billable hour Weekly pay FT and PT Positions available 401(k) plan with company matching and immediate vesting We look forward to you joining the team! ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and well-being of the people and communities we serve. The Auditor, Payment Integrity role conducts pharmacy claim audits for Independence Blue Cross to ensure accurate provider payments, detect fraud, waste, or abuse, and improve audit processes. It requires a Certified Pharmacy Technician with at least four years of experience, including pharmacy and audit work, strong analytical skills, and proficiency in Microsoft Office and pharmacy claims systems. Conduct audits of claims submitted to Independence Blue Cross (IBX) to ensure accuracy of provider payments and charges. Analyze provider billing patterns to detect potential fraud, waste, or abuse. Perform audits through daily reviews, live audits, and desk audits to identify inappropriate billing practices. Review and verify provider billing records, collaborating with CFID audit analysts, auditors, investigators, internal, and external sectors Execute standard provider audit assignments using sound audit methodologies to uncover patterns of abuse or fraud. Screen and audit claim samples-both summary and detailed-to select cases for further review. Initiate and validate claim adjustments, maintain comprehensive audit documentation, and prepare statistical reports. Identify and escalate potential provider fraud or abuse to management. Contribute to the development and implementation of new audit processes and functions. Qualifications • Certified Pharmacy Technician (CPhT) required. • Minimum of four (4) years of relevant experience, including: • At least two (2) years in retail or hospital pharmacy. • At least two (2) years in pharmacy audit. • Extensive understanding of healthcare provider audit practices and medical terminology. • Familiarity with fraud, waste, and abuse detection methodologies. • Strong written and verbal communication skills for reporting and presenting audit findings • Proficiency in Microsoft Office applications, including Excel, Word, Outlook, SharePoint, and Access. • Advanced Excel skills (pivot tables, VLOOKUP, data analysis). • Experience with pharmacy claims systems such as RxTrack and RxClaim is preferred but not required. Fully Remote: This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania. IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. Must have an Android or iOS device that is compatible with the free Microsoft Authenticator app.

127680 Zurich North America is hiring a Premium Audit Auditor II to join our team! We are open to hiring talent in one of the following states remotely: CA, OR, WA, ID, NV, UT, AZ, or NM. To perform examination of policyholder´s accounting and financial records to ensure accurate calculation of earned premium for risks of moderate complexity and that audited exposures are accurately calculated Key Accountabilities: + Plan, organize and manage assigned workload and territory. + Provide timely and accurate service to the insured, agents, and internal business partners for the completion of the audit process on moderately complex risks. + Provide information and feedback as needed to enhance the flow of communication and comfort level of internal and external customers. + Ensure that audited exposures are accurately calculated. + Resolve potential disputes/questions that arise from the auditing function. + May assist in the training process for new auditors. + Provide technical advice that enables a customer to solve a problem or improve business . + Develop and maintain positive customer relationships. + Anticipate customer needs and provide feedback on trends in order to recommend changes. + Escalate technical issues within function or unit. + Listen and understand needs, provide feedback for improvements to processes, customer service or products. + Participate in short-term defined scope projects Basic Qualifications: + Bachelors Degree and 5 or more years in the Casualty Premium Audit area OR + High School Diploma or Equivalent and 7 or more years of experience in the Casualty Premium Audit area OR + Zurich approved Apprenticeship Program including an Associate Degree and 5 or more years of experience in the Casualty Premium Audit area AND + Experience with laptop computer auditing and Microsoft Office + Knowledge of NCCI Workers Compensation and ISO General Liability rules, manuals and industry practices Preferred Qualifications: + APA + CPCU + Large, multi-state premium audit experience + Strong verbal and written communication skills + Advanced Microsoft Excel skills At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please clickhere (****************************************** . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply as they will be considered based on their experience, skills, and education. The compensation indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled.The proposed salary range for this position is$65.900.00 - $107,900.00, with short-term incentive bonus eligibility set at 10%. As an insurance company, Zurich is subject to 18 U.S. Code § 1033. A future with Zurich. What can go right when you apply at Zurich? Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500 . Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere (********************************* to learn more. Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission. Location(s): AM - California Virtual Office, AM - Arizona Virtual Office, AM - Washington St Virt. Office, AM - Oregon Virtual Office, AM - Idaho Virtual Office, AM - Nevada Virtual Office, AM - Utah Virtual Office, AM - New Mexico Virtual Office Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-JM1 #LI-ASSOCIATE #LI-REMOTE EOE Disability / Veterans

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS, each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insured businesses adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 2-4 days per week within your assigned territory. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder's records, and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and type of records needed Prepare schedule to maximize optimal use of time Correspond with insured via phone, email and mail to setup audit appointments. Examine the policyholder's records, gather data to determine correct classifications for business activities and write an effective description of operations Prepare complete audit document, explain results to insured and communicate the results to the home office Travel to multiple audit locations Hybrid position - work from home and complete remote audits 2-3 days per week Job Requirements: Associate's Degree or equivalent plus two years' performing premium audits or equivalent combination of education and experience highly desired Ability to read, analyze and interpret financial documents General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver's license and satisfactory driving record Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined Compensation and Benefits: Benefit package with health, dental, vision, life and disability coverage options 401(k) retirement plan option with company matching Generous paid time off policy and 7 paid holidays $44-$46 per billable hour Weekly pay 401(k) plan with company matching and immediate vesting We look forward to you joining the team! ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS, each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insured businesses adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 2-4 days per week within your assigned territory. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder's records, and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and type of records needed Prepare schedule to maximize optimal use of time Correspond with insured via phone, email and mail to setup audit appointments. Examine the policyholder's records, gather data to determine correct classifications for business activities and write an effective description of operations Prepare complete audit document, explain results to insured and communicate the results to the home office Travel to multiple audit locations Hybrid position - work from home and complete remote audits 2-3 days per week Job Requirements: Associate's Degree or equivalent plus two years' performing premium audits or equivalent combination of education and experience highly desired Ability to read, analyze and interpret financial documents General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver's license and satisfactory driving record Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined Compensation and Benefits: Benefit package with health, dental, vision, life and disability coverage options 401(k) retirement plan option with company matching Generous paid time off policy and 7 paid holidays $44-$46 per billable hour Weekly pay FT and PT Positions available 401(k) plan with company matching and immediate vesting We look forward to you joining the team! ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

The Senior Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. Your Impact Perform in-depth claims file reviews for accuracy and compliance. Document findings and provide recommendations for corrective action. Identify trends and collaborate with departments to improve claim practices. Support audit reporting and analytics. Successful Candidate Will Have Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus. 4 - 6 years of claims or audit experience (specific stop loss or first dollar medical). Strong understanding of claims handling and insurance regulations. Analytical, organized, and skilled in Excel/audit systems. At Risk Strategies Company, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, and life insurance, retirement savings, and paid time off and paid holidays for eligible employees. The total compensation for a position may also include other elements dependent on the position offered. The expected base pay range for this position is between $51,800 -$75,000 annually. The actual base pay offered may vary depending on multiple individualized factors, including geographical location, education, job-related knowledge, skills, and experience. Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices and over 5,000 employees across the US and Canada. Our industry recognition includes being named a Best Places to Work in Insurance for five years (2018-2022) and on the Inc. 5000 list as one of America's Fastest Growing Private Companies. We are committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues. Pay Range: 51,800 - 75000 Annual The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role. Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: ******************************** Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice.

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Join our Audit team as an Underwriting Audit Consultant, where you will play a key role in ensuring underwriting excellence and compliance for National Accounts Casualty and Monoline Umbrella. This role ensures compliance with internal policies, procedures, and all applicable laws and regulations. The consultant evaluates underwriting quality, identifies improvement opportunities, and provides detailed reporting on audit results. This position reports to the Commercial and Specialty Underwriting Audit AVP. JOB DESCRIPTION: Performs a combination of duties in accordance with departmental guidelines: Conduct regular underwriting audits for Monoline Umbrella and large casualty accounts, ensuring compliance with underwriting guidelines and documentation quality. Assess underwriting quality by reviewing files for selection, quoting, pricing, and compliance with corporate underwriting guidelines. Prepare detailed reports on audit findings, highlighting trends, gaps, and recommendations for improvement. Collaborate with Business Unit Liaisons to ensure all audit responses and necessary action plans are submitted within required time frames. Support audit-related projects, collaborating with leadership and underwriting teams to implement findings and recommendations within established timelines. Partner with the Audit Leader and team members to enhance underwriting quality assurance and operational efficiencies. Contribute to the development and refinement of corporate underwriting guidelines, philosophies, and strategic initiatives. Perform additional duties as assigned to support departmental and organizational goals. Reporting Relationship Reports to the Commercial and Specialty Underwriting Audit AVP. Skills, Knowledge & Abilities Strong technical knowledge of large, complex underwriting risks and practices within the insurance industry. Excellent interpersonal and communication skills, with the ability to interact effectively with internal and external business partners at all levels. Superior analytical and problem-solving abilities; capable of managing multiple audits and projects simultaneously. High attention to detail and a results-driven approach to resolving issues. Proficiency in Microsoft Office Suite and other business-related software. Experience with Athenium/Team Think is preferred. Ability to adapt quickly in a rapidly evolving environment. 5+ years of experience in large accounts underwriting and/or Monoline Umbrella. Ability to influence and drive change. #LI-KC2 #LI-Remote In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois , Maryland, Massachusetts , New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.

The Medical Claim Auditor (Claim Department Auditor) will be responsible for coordinating and completing audits as well as compiling and reporting results and trends accurately, appropriately, and timely. ESSENTIAL FUNCTIONS Logging/Tracking all Claims/Tasks to be audited Audit for accuracy as well as workflow compliance; Release of appropriate claims using established workflows Assist with all audit programs currently in place as well as identifying issues for future audit programs Assist with other tasks as needed and identified by Claims Management Monthly meetings with Claims Management to report on audit trends and training suggestions Other duties as assigned EDUCATION High School Grad or GED required EXPERIENCE & SKILLS Applicant should be proficient in the use of the Excel and Word programs. Communicate effectively verbally & electronically. Applicants must have 5 years of comprehensive experience with the processing or auditing of medical, dental and vision claims. Applicants must have a history of excellent quality results and the desire to take on a new challenge. Auditing experience is preferred, but not required. COMPETENCIES Job Knowledge Time Management Accountability Communication Initiative Customer Focus PHYSICAL DEMANDS Ability to sit for long periods of time. Ability to communicate via telephone. WORK ENVIRONMENT: Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. Protect Yourself from Hiring Scams Important Notice About Our Hiring Process To keep your experience safe and transparent, please note: All interviews are conducted via video. No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process. For your security, please verify all job opportunities through our official careers page: Current Career Opportunities at Allied Benefit Systems Your security matters to us-thank you for helping us maintain a fair and trustworthy process!

The Medicare Cost Reporting Auditor is a full time remote position working 8:00 to 5:00. What You'll Do: Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. Identifies, documents, and evaluates business risks. Documents issues, the causes of those issues, and their effects on the process/function and the corporation. Drafts recommendations to limit risks and improve processes, functions and activities. Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions, and recommendations. Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws, regulations, and management policies. Conducts testing of corrective actions as identified. Develops detailed reports on each audit conducted. Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. Examines and evaluates financial and information systems, recommending controls to ensure system reliability and data integrity. Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. Prepares reports of findings and recommendations for management. Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel. To qualify for this position, you will need: Required Education: Bachelor's in a job related field. Required Work Experience: 3 years auditing experience. Required Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data. Ability to draw conclusions and make appropriate recommendations for analyzed data. Ability to gather information by examining records and documents and interviewing individuals. Strong interpersonal skills. Ability to maintain effective working relationships. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis. Required Software and Tools: Microsoft Office. Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits at the first of the month following 28 days of employment: Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, and SubroIQ, each a powerhouse in its own right, providing specialized expertise in debt management and financial services. NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945, and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insured businesses adhere to these regulations are your primary responsibilities. Your job will be based at home with required daily travel to each audit location. Car travel will be on average of 2-4 days per week within your assigned territory. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholders' records and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and the type of records needed Prepare a schedule to maximize the optimal use of time Correspond with insured via phone, email, and mail to set up audit appointments. Examine the policyholder's records, gather data to determine correct classifications for business activities, and write an effective description of operations Prepare a complete audit document, explain the results to the insured, and communicate the results to the home office Travel to multiple audit locations Hybrid position - work from home and complete remote audits 2-3 days per week Job Requirements: Associate's Degree or equivalent plus two years' performing premium audits or equivalent combination of education and experience highly desired Ability to read, analyze, and interpret financial documents General PC knowledge, including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver's license and satisfactory driving record Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined Compensation and Benefits: Benefit package with health, dental, vision, life, and disability coverage options 401(k) retirement plan option with company matching Generous paid time off policy and 7 paid holidays $44-$46 per billable hour Weekly pay 401(k) plan with company matching and immediate vesting We look forward to you joining the team! ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

Responsible for auditing group (small/large/complex) accounts to ensure premium payments and/or reimbursements are processed/reported in timely/accurate manner. Audits subscriber accounts to ensure premium payments are within grace period. Resolves billing/payment problems, adjudicates insufficient and/or incorrect payments back to subscribers. May serve as primary contact with group regarding monthly reporting activities. Description Logistics: This position is full-time (40 hours per week), with regular work hours from 8:30 AM to 5:00 PM, located onsite at 4101 Percival Road, Columbia, SC 29229. What You Will Do: Prepares monthly activity reporting for groups. Audits large and complex accounts. Prepares deposits of subscriber payments. Processes check runs and writes member checks to cut reimbursements to subscribers. Resolves discrepancies noted from controllers. Processes refunds to subscribers. Responds accurately and timely to internal/external customers with regard to reporting and processing of premium payments and reimbursements. To Qualify for This Position, You Will Need: Required Education: Associate's Degree Equivalency: 2 years job related work experience Required Work Experience: 1 year of experience in accounting, audit/compliance, or a combination of these. Required Skills and Abilities: Good judgment skills. Effective customer service, organizational, problem solving skills. Demonstrated verbal and written communication skills. Analytical or critical thinking skills. Required Software and Tools: Microsoft Office. We Prefer That You Have: Preferred Education: Associate degree-in Accounting. Preferred Software and Other Tools: Knowledge of computer and reporting systems and files - membership, billing, accounting. additional computer/reporting systems/files - AMMS, cobra, retiree software. Knowledge of underwriting rules/regulations, benefit structures, contracts. Preferred Software and Other Tools: Working knowledge of Microsoft Access or other database software. Work Environment: Typical office environment. What We Can Do for You: 401(k) retirement savings plan with company match. Subsidized health plans and free vision coverage. Life insurance. Paid annual leave - the longer you work here, the more you earn. Nine paid holidays. On-site cafeterias and fitness centers in major locations. Wellness programs and healthy lifestyle premium discount. Tuition assistance. Service recognition. Incentive Plan. Merit Plan. Continuing education funds for additional certifications and certification renewal. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Provides training and guidance on accounting responsibilities for current or new support staff employees who are performing account reconciliations, processing bills, initiating correspondence and collection activities, creating reports, maintaining appropriate documentation, etc. Assigns work to support staff associates, performs quality review checking of their work, and monitors team workload to ensure standards are maintained. Helps resolve complex or problematic issues. Logistics: Palmetto GBA- one of BlueCross BlueShield of South Carolina's subsidiary companies. Location: This is a full-time position working (40-hours/week) Monday-Friday 8:00am - 5:00pm working on-site at 17 Technology Circle Columbia SC, in an office environment. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). As a Service Contract Act (SCA) employee, you are required to enroll in our health insurance, even if you already have other health insurance. Until your enrollment is complete, you will receive supplemental pay for health coverage. Your coverage begins on the first day of the month following 28 days of full-time employment. What You'll Do: Provides administrative support to area management and assists with development or updating of work instructions. Creates weekly and monthly reports to provide ongoing feedback to management to enhance area quality, accuracy, and timeliness. Performs timely and accurate processing and maintenance of data relevant to financial records. Performs quality control of financial records and coordinates with operations managers to assist with resolution. Prepares journal entries and account reconciliations. Processes complex adjustments, deferrals and/or disbursements and enters refunds received into departmental system. Responds to telephone and written inquiries from internal and external customers to ensure accurate billing, payments and/or collections. To Qualify for this Position, You'll Need The Following: Bachelor's in a job-related field. Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience. Strong oral and written communication skills. Strong organization skills and attention to detail. Good leadership and planning skills. Strong business math skills. Microsoft Office. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401K retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Wellness program and healthy lifestyle premium discount Tuition assistance Service recognition Employee Assistance Discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours, please attach your transcript to your application. Management will be conducting interviews with the most qualified candidates, with prioritization give to those candidates who demonstrate the preferred qualifications. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

At Builders Mutual, we believe in the power of a team to get the job done right. Our team, does their best work each day, creating a one-stop resource for all commercial insurance solutions and construction safety resources, leading to powerful results. Our cultural elements of teamwork, inclusion, expertise, and community aren't just words on a page-it's integral to who we are, how we work, and what sets us apart. We live out our values every day, striving to serve better and achieve more. The Opportunity Leverage your industry expertise and join our expanding team in this Premium Auditor role! We are seeking candidates who reside in and around Memphis, Bartlett, Collierville, and Germantown cities! The Premium Auditor is responsible for performing audits on Property/Casualty Commercial Lines adjustable policies to establish appropriate classifications, exposures, and basis of premium. This level auditor works with minimal supervision on routine audits and may refer higher-level accounts to management for assistance. The success of our company is rooted in teamwork, the way we care about the people we work with and serve. This field role will allow you to set your schedule working from your home office; you will be in the field about 3-4 days per week with overnight travel as needed. You will travel to our Raleigh office for meetings and company events up to four times a year. Your WORK as a Premium Auditor will make a difference as you: Schedule and conduct physical audits of selected commercial lines policies by reviewing the customer's business operations, including examining, verifying, and recording pertinent classification-related data from financial business records Ensure quality of the audit through proper risk classification and exposure basis identification. Utilize laptop computer to record audit information and to transmit completed audits in a timely manner Discuss issues and problems with insureds to ensure understanding of the change in premium and to maintain good customer relations Provide external customers ( i.e., agents and insured's) and internal customers (i.e., underwriting, claims, and accounting) with information to assist in their understanding of audit-related matters, including audit statements, procedures, and worksheets Remain informed of changes and current information relative to premium auditing through discussions with industry experts and review of industry-related literature Exhibit excellent time management skills and have the ability to work from a home office with little direct supervision Conduct business in a professional manner to conserve and protect the corporate assets of Builders Mutual Conduct physical audits and pre-audits on larger or more complex risks SKILLS to get the JOB done RIGHT: BA / BS in Accounting, Business Administration, or related field plus 1-3 years of experience in premium audit or an equivalent combination of education and experience Strong computer skills (MS Office), mainframe experience a plus Excellent customer service skills Excellent verbal, written, and presentation skills Highly effective in time management Superior organizational and problem-solving skills Higher degree of experience and technical knowledge of the NCCI and ISO manual rules as they relate to the classification and calculation of exposures to determine the appropriate premium for the coverages provided by the policies assigned to be audited Travel Requirements Some overnight travel is required WHY YOU'LL LOVE TO WORK HERE Builders Mutual cares about you, and we offer comprehensive employee benefits built to support your success and wellbeing, including: Market-driven compensation and bonus plan 3 weeks of paid time off (and your birthday too!) 37.5-hour work week; end your Friday at 2:30 PM Builders University for employees, dedicated to supporting the development and enhancing expertise Earn swag and extra time off through peer recognition Builders Bucks program LIFE at Builders Mutual Collaboration| You are part of a team working together to reach a common goal. Empowerment| You will feel trusted, valued, and given the resources to be successful. Flexibility| You will be part of a dynamic work environment designed to allow you to do your best work while also creating the best possible customer experience. Impact| You will positively influence our business, customers, and industry. Sense of pride | You will tell others how much you enjoy working at Builders Mutual. Builders Mutual is an Equal Opportunity Employer.

Working at CGS Administrators CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, health care providers, and medical equipment suppliers in 33 states, supporting the needs of more than 20 million Medicare beneficiaries nationwide. We are seeking a passionate, collaborative and experienced IT Process Assurance Auditor to join our enterprise project management office team. This is an on-site position in Nashville, TN. This role operates as a Capability Maturity Model Integration (CMMI) champion coordinating internal and external audits and appraisals. If you're enthusiastic about technology, continuous improvement and have a passion for quality then look no further and join CGS Administrators, LLC! Description Logistics: CGS -one of BlueCross BlueShield's South Carolina subsidiary companies. Work Environment: Typical office environment. What you'll do Responsible for examining, evaluating and analyzing I/S processes, technical standards and management procedures to ensure they are working effectively to improve the overall performance of the organization. Conduct less complex audits against established standards to ensure compliance. Provide recommendations of process improvements. Participate in Governance sub-committees. Assist IT staff by providing education and guidance to I/S staff regarding IT methodology, processes and standards. Ensure the quality of data maintained by the Quality Assurance area. Perform periodic audits (weekly, monthly, quarterly and annual). Conduct trend analysis and provide recommendations of process improvements. Provide reports to management on compliance with adapted IT standards. Under the guidance of senior auditor, develop new or enhanced audits, of internal I/S areas and processes to assess compliance with adapted processes, standards and regulations. Document findings and prepare detail and summary audit reports relating to the standard being validated. Provide administrative support for the I/S systems which document authorized software/hardware, Product/Service offerings and/or systematic data archival. Develop knowledge of internal and external standards, regulations and regulatory bodies. Serve as a liaison to I/S Governance organization on applicable I/S sub-committees. Identify and communicate compliance issues and risks promptly so that they are understood. To Qualify for This Position, You'll Need: Required Education: Bachelor's in a job-related field Degree Equivalency: Associates degree plus an extra 2 years job-related experience for a total of 6 years of required work experience (see "required work experience") OR 8 total years required work experience. Required Work Experience: 4 years of job-related experience including 2 years of IT system auditing, data security administration, contingency planning, quality assurance, systems development, or IT business system analysis. Required Skills and Abilities: Intermediate knowledge of systems development concepts. Fully understands acceptable internal standards and methodologies. Understand the interaction and relationship of business operations and information systems. Understand the interaction and relationship of network processes. Demonstrated ability to analyze best-in-class processes. Ability to identify problems and recommend solutions. Ability to provide guidance in developing and implementing validation processes for all development and enhancement projects. Excellent oral and written communication skills. Required Software and Other Tools: Microsoft Office and standard office equipment. We Prefer That You Have: Direct or indirect experience as a Capability Maturity Model Integration (CMMI) Appraisal Team Member and/or have provided support to an appraisal. Completed CMMI Foundations of Capability and Building Development Excellence Course work. Demonstrated collaboration with internal and external audit teams. Conducted performance, improvement, and benefit analysis. Developed and provided staff education. What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have access and opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. Our comprehensive benefits package includes: Subsidized health plans, dental and vision coverage 401K retirement savings plan with company match Life Insurance Paid Time Off (PTO) Nine paid holidays On-site cafeterias and fitness centers in major locations Wellness program and healthy lifestyle premium discount Tuition assistance Service recognition Employee Assistance Discounts to movies, theaters, zoos, theme parks and more What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify with prioritization given to those candidates who demonstrate the preferred qualifications. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.