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CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in determinations regarding investigations, prosecutions, settlements, and recovery in these matters, which can be voluminous and complex.
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Reviews and analyzes Revenue Agent, Appeals Officer, and Counsel Attorney instructions, reports, case files and support statements, and interprets tax law court decisions, and legal opinions to determine and prepare accurate computations for the most demanding and complex Appeals cases.
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As a dedicated injury examiner, you will adjust complex bodily injury claims and UIM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations.
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Conducts independent examinations, reviews, and related financial investigations of complex cases encompassing all types of financial institutions (FIs) and non-financial trades or businesses (NFTBs) to assure their compliance with statutory and regulatory requirements of Title 31 (Bank Secrecy Act), and Form 8300 filing.
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Prepares draft stipulations expressing the tax effect of agreed disposition or complex cases docketed for trial before the United States Tax Court. Conducts examinations of complex individual and business taxpayers involved in activities or transactions designated or structured to hide or conceal income such as offshore activities, multiple-related entities, and other means using a wide range of financial and other investigative skills.
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Examining accounting systems and records including computerized accounting and financial information systems which reflect a variety of complex financial operations. Applies a comprehensive knowledge of the Bank Secrecy Act (BSA) and Internal Revenue Code 6050I, rulings, court decisions, regulations, IRS and Treasury policies to determine compliance with requirements including registration of money services businesses (MSB) s, development by FIs of anti-money laundering programs, recordkeeping and reporting requirements.
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Under supervision, act as examiner-in-charge of large, complex or small problem institutions. Must be a current or former (recent) bank examiner commissioned by the FDIC, Federal Reserve, OCC, Texas Department of Banking, or another approved state banking authority.
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Claim Examiner - Liability (Complex Litigation with GL/Product Liab Experience Preferred) PRIMARY PURPOSE : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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15% Span of Control (include # direct reports): no direct reports, but encompasses regular communication with Clients and Prospects, Portfolio Management teammates, Relationship Managers, Credit Risk Managers, Credit Review partners, Technology, and other internal and external audit and examiner functions.
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To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
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A leading P&C carrier is looking to hire a Senior Claims Examiner - General Liability for their casualty team. We can also consider candidates at Claims Examiner level (2-3 years CGL claims experience) at $105,000 + 10% bonus.
$100,000 - $120,000ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Substitute EDUCATION for EXPERIENCE: A master's degree, admitted to practice law in good standing in the Commonwealth of Kentucky, or certification as a Certified Public Accountant, Certified Information Systems Auditor, Certified Information Security Manager, or Certified Fraud Examiner will substitute for one year of the required experience.
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Your role as the Consumer Compliance Supervising Examiner: As the Consumer Compliance Supervising Examiner, you will be responsible for evaluating supervised institutions’ consumer compliance risk management programs and practices through the identification and assessment of complex consumer risks and supervisory issues.
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As a Revenue Agent (Examiner), you will independently examine and investigate complex income tax returns filed by individuals or organizations. Use your bachelor’s degree or higher in accounting or your Certificate as a Certified Public Accountant (CPA) to qualify for an entry to mid-level Internal Revenue Agent (Examiner) employment opportunity.
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The Opportunity As a dedicated injury examiner, you will adjust complex bodily injury claims and UIM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations.
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