Process Risk & Claims Audit Manager (Internal Audit - Insurance)
Posted: 3 days ago
Job Description
As a Process Risk & Claims Audit Manager, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their business risks and assist in addressing risk in both proactive and responsive contexts for the Risk Advisory Practice – all with the resources, environment, and support to help you excel.From day one, you’ll be empowered by the greater Risk team to help clients make the moves that will help them achieve their vision and help you achieve more, confidently. Your day-to-day may include:Leverage claims operations experience and claim audit experience to review and analyze claims processed by TPAs and carriers, ensuring accuracy and compliance. Manage the development and execution of Sarbanes-Oxley (SOX) compliance and internal control over financial reporting programs for clientsManage the development and execution of internal audit outsourcing and co-sourcing engagements for clientsManage the risk identification process and evaluation and testing of business processes and related controlsLeverage analytics and automation solutions to deliver client services efficiently and effectivelyMaintain a good working relationship with clients and work effectively with client management and staff at all levels Work closely with clients and staff to develop client and project risk assessments, implement opportunities, and recommendations regarding process optimization, profit improvement, cost reduction, fraud prevention, internal control, and compliancePerform engagement management responsibilities, including performance reviews, task delegation, project scheduling, project financials, quality review and client managementActively participate in business development activities, such as developing new business relationships, contributing to / leading proposals, participating on client account teams, developing whitepapers and/or other thought leadership material, and attending conferencesUnderstand and manage firm risk on proposals and client engagementsManage, develop, train, coach and mentor staff on projects and assess performance for engagement and year-end reviewsOther duties as assignedYou have the following technical skills and qualifications:Bachelor’s degree in Accounting, Finance, Information Technology, MIS, or a related field is requiredMinimum 6 years of related work experience in a similar consulting practice or function servicing cross-industry clients at a national levelCertification required, CPA, CISA, CISSP, CIA or CISM preferredProven track record managing and resolving complex insurance claims, including property, casualty, and liability.Experience working with clients in insurance, financial services, or other regulated industries.Strong analytical mindset with the ability to identify patterns, assess risk, and recommend solutions. High attention to detail in documentation, reporting and compliance reviews. Sarbanes-Oxley compliance and internal audit experience preferredExperience performing financial and operational audits, as well as business process control reviewsAbility to execute multiple engagements and completing priorities in a rapidly growing team environmentExperience with analytics and/or automation software and an understanding of the impact of technologyExceptional client service, communication, analytical, organizational and project management skills Can travel as neededThe base salary range for this position in New York office only is between $129,600 to $194,400.
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