Senior Auditor

ARAG North America•Des Moines, IA

About The Position

ARAG is hiring a Senior Auditor to proactively identify and evaluate risk across claims, attorney network, and financial processes. This role is ideal for someone who thrives in independent work, applies strong analytical judgment and professional skepticism, and can both detect unexpected patterns in data and effectively communicate findings to drive informed decision-making and continuous improvement. The Senior Auditor will design, execute, and continuously refine audit procedures to evaluate the effectiveness of claims and financial processes, with a focus on identifying control gaps, process weaknesses, and unintended consequences of change. They will proactively monitor claims activity, attorney performance, and financial transactions using data analytics and dashboards (including PowerBI) to identify unusual trends, patterns, and anomalies. The role involves conducting thorough investigations of anomalous activity by developing hypotheses, selecting suitable testing methodologies, analyzing relevant data/documentation, and ensuring issues are addressed through to root cause identification and resolution. The Senior Auditor will evaluate claims for adherence to insurance policy provisions, coverage terms, and exclusions, and develop a working understanding of end‑to‑end claims and financial processes by engaging directly with business partners with a focus on understanding controls and identifying vulnerabilities in processes. Documentation of audit objectives, procedures, findings, and conclusions will be clear, well‑supported, and defensible. The role requires preparing and presenting concise reports to senior management that clearly articulate findings, risk implications, and recommended corrective actions. Follow-up and ongoing monitoring of audit findings and risk areas to assess remediation effectiveness and emerging trends will be performed. The Senior Auditor will partner with Risk, Compliance, Legal, and operational leaders on investigations, special reviews, and emerging risk areas, while maintaining independence and professional skepticism. They will serve as a subject matter contributor to relevant committees (e.g., Claims Oversight, Special Investigation Unit) by providing an objective risk and control perspective grounded in data and operational insight. Continuous challenging of assumptions, asking probing questions, and applying sound professional judgment when evaluating explanations, data, and process design are key. Identifying opportunities to enhance audit coverage, analytical techniques, and risk identification methods as the business, systems, and processes evolve is expected. Maintaining a high level of professional skepticism and independence while building effective working relationships across the organization is crucial. The Senior Auditor will serve as a positive role model by representing the ARAG at its Best. Other duties and special projects as assigned.

Requirements

Strong understanding of internal controls, audit concepts, and risk assessments methodologies.
Knowledge of financial and operations processes, preferably within insurance or regulated environments.
Familiarity with identifying unusual trends, anomalies, and risk indicators through data analysis.
Exceptional critical thinking and problem-solving skills; able to work through ambiguity without step-by-step direction.
Strong written and verbal communication skills, with the ability to clearly explain complex issues to non-technical audiences.
Demonstrated ability to design audit tests and procedures tailored to the risk being evaluated.
Strong investigative mindset with a natural curiosity to ask “why,” “how,” and “what could go wrong.”
Strong analytical skills, including the ability to interpret trends, identify anomalies, and translate data into meaningful risk insights.
Ability to work independently, set priorities, and manage audits from planning through reporting.
Sound professional judgment and the confidence to challenge assumptions and explanations when warranted.
High level of integrity, objectivity, and discretion.
Strong prioritization skills; able to balance multiple projects simultaneously.
Proficient in Microsoft Office Suite (Excel, Word, PowerPoint, PowerBI); ability to use data tools as needed to support audit work.
Bachelor’s degree in finance, accounting, risk management, business analytics or related field or equivalent experience.
5+ years of related experience, preferably in insurance or a related field.

Nice To Haves

Professional certification such as CIA, CPA, CFE, or similar risk‑based audit or investigation credentials are preferred but not required.

Responsibilities

Design, execute, and continuously refine audit procedures to evaluate the effectiveness of claims and financial processes, with a focus on identifying control gaps, process weaknesses, and unintended consequences of change.
Proactively monitor claims activity, attorney performance, and financial transactions using data analytics and dashboards (including PowerBI) to identify unusual trends, patterns, and anomalies.
Conduct thorough investigations of anomalous activity by developing hypotheses, selecting suitable testing methodologies, analyzing relevant data/documentation, and ensuring issues are addressed through to root cause identification and resolution.
Evaluate claims for adherence to insurance policy provisions, coverage terms, and exclusions.
Develop working understanding of end‑to‑end claims and financial processes by engaging directly with business partners with a focus on understanding controls and identifying vulnerabilities in processes.
Document audit objectives, procedures, findings, and conclusions in a clear, well‑supported, and defensible manner.
Prepare and present concise reports to senior management that clearly articulate findings, risk implications, and recommended corrective actions.
Perform follow‑up and ongoing monitoring of audit findings and risk areas to assess remediation effectiveness and emerging trends.
Partner with Risk, Compliance, Legal, and operational leaders on investigations, special reviews, and emerging risk areas, while maintaining independence and professional skepticism.
Serve as a subject matter contributor to relevant committees (e.g., Claims Oversight, Special Investigation Unit) by providing an objective risk and control perspective grounded in data and operational insight.
Continuously challenge assumptions, ask probing questions, and apply sound professional judgment when evaluating explanations, data, and process design.
Identify opportunities to enhance audit coverage, analytical techniques, and risk identification methods as the business, systems, and processes evolve.
Maintain a high level of professional skepticism and independence while building effective working relationships across the organization.
Serves as a positive role model by representing the ARAG at its Best.
Other duties and special projects as assigned.