13 claims solutions analyst jobs found in Phoenix

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity This Sr. Auto Adjuster role is a great fit for those who currently hold an active Adjuster's License and have current USAA claims experience in multi-vehicle liability to include comparative negligence. In this role you will, within defined guidelines and framework, be responsible to adjust highly complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations. Accountable for delivering best in class...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are seeking a dedicated Claims Litigation Manager Senior - Auto. We offer a flexible work environment that requires an individual to be in the office 3 days per week . This position can be based in our Phoenix, AZ, Colorado Springs, CO, San Antonio, TX offices . Relocation assistance is not available for this position. What you'll do: Responsible for managing complex litigation arising out of the auto or property contract in compliance with state laws and regulations, to include creating...

The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early...

About the job The Population Health & Wellness Director is a senior-level, client-facing leader responsible for designing, implementing, and optimizing population health, wellness, and preventive care strategies for employer clients. This role partners closely with benefits consultants, carriers, vendors, and client leadership to improve employee health outcomes, enhance engagement, and drive measurable cost containment results. This position blends strategic consulting, program design, data-driven insights, and vendor management, supporting The MJ Companies Employee Benefits Consulting value proposition as a trusted advisor in employee health and wellbeing. Key Responsibilities Population Health Strategy & Program Design Develop and lead comprehensive population health and wellbeing strategies aligned with clients’ benefits, workforce demographics, and business objectives Design multi-year population health roadmaps addressing preventive care, chronic...

Objective:    This role blends the sales position and responsibilities with those of a typical Account Executive position. Your focus is to enhance relationships with clients, staff, and carriers. The Account Executive will function as the team lead, and salesperson, supporting their Producer(s) in providing a dynamic spectrum of innovative strategies to develop and maintain customer’s insurance and risk management needs. This role requires an individual who can effectively balance multiple and competing priorities.      Responsibilities Include, But Not Limited To:    Total account responsibility, while utilizing Assistants for endorsements, follow-up, claims, etc.   Respond to clients same day via email or phone.    Account Management – all duties usual to an Executive Account Manager.   Independently managing account issues and problems and providing solutions   Thorough analysis of forms, policy terms, conditions,...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Sr Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations. Accountable for delivering best in class service, through setting appropriate expectations, proactive communications, advice, and empathy. We offer a flexible work environment with hybrid in the office 3 days per week eligibility after 3 months of in-office tenure, subject to...

Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+"(Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2024 Great Place to Work® Award  for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion. C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster, please visit...

Crum & Forster Company Overview Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.   In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions.   The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market.   The A&H Medical Business Unit (MBU) takes a full-spectrum approach to designing and servicing a robust...

Crum & Forster Company Overview Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.   In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions.   The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market.   The A&H Medical Business Unit (MBU) takes a full-spectrum approach to designing and servicing a robust...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Risk Control Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program,...

OVERVIEW We are The MJ Companies—a firm dedicated to inspiring the success, fulfillment, and wellbeing of each person we serve. Our commitment to excellence and collaboration has enabled us to maintain a best-in-class approach to risk management, employee benefits, and total rewards. ESSENTIAL FUNCTIONS/RESPONSIBILITIES + Assist client with claim reporting by establishing best practices, collecting relevant information, analyzing potential coverage, and submitting on their behalf. + Provide ongoing consultation and monitoring of open complex claims. Support and guide clients through the carrier claim process. Act as an advocate for the best and most expedient resolution of claims. + Analyze policy language to determine all appropriate avenues to seek coverage. Conduct in-depth review of all coverage positions, challenging when appropriate. + Conduct formal client onboarding to assist in the development of processes for internal claim administration, facilitate and...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: Drive sales growth and maintain strong client relationships with employee benefit brokers and consultants, stop loss carriers, and various clinical point solutions providers. Responsible for understanding client’s needs, assessing risk profiles, and recommending tailored solutions to protect their financial interests.  This is role is remote; however, it will require travel and in person meetings...

SUMMARY Deliver expert consultation and outstanding service to Employee Benefits clientele. Responsible for helping clients navigate their benefit needs with short- and long-term solutions through planning, evaluating, implementing and managing employee benefits. ESSENTIAL FUNCTIONS Provide day-to-day customer service to clients, including helping to resolve issues related to billing, claims and eligibility Lead the renewal and marketing process, including preparing and distributing RFP packets Analyze and view proposals; provide recommendations to the Sales/Consulting team Work with Consultant in the preparation of new and renewal service contracts Verify receipt of final client contract from carrier/TPA/vendor; review final contract to ensure reflection of negotiated terms and accuracy of data Coordinate plan design changes, contract changes and carrier changes Review and maintain executed client contracts, plan documents, SPDs, Business Associate...