7 claim consultant jobs found in Remote, remote

To provide ultimate claim service for insurance claim matters presented by clients of Risk Strategies Inc., and affiliates, in accordance with objectives and procedures outlined by management. Your Impact Receive loss reports from Healthcare Clients and confirm that the claims are filed under the appropriate policy(ies) Research policy terms and stipulations to determine coverage applicability and advocate for maximum recovery. Strong understanding of all lines of insurance policies, coverage, and relevant regulations. Educate and address questions from Clients regarding claim reporting requirements Advocate for the client, maintaining an active diary, transmittal of documentation, follow up calls, and emails to the client and carrier Oversee the claims at the carriers to ensure timely investigation, liability determination, litigation and fair resolutions.  Evaluate complex, high-exposure claims and interpret policy wording. Ability to work with demanding stakeholders,...

Why Openly Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly Difference We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. The Price Difference : Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. The Experience Difference: From tailored claims handling to highly responsive customer service, we are...

The Mid-Market Account Manager plays a vital role on our Commercial Lines Service team and is at the center of delivering exceptional client experiences. This position partners closely with Account Executives to help design, support, and execute tailored insurance solutions for a diverse portfolio of mid-market commercial clients. You will be actively involved in the service, placement, and growth of accounts, making a meaningful impact on both client success and the overall business. In this role, you will thrive by staying organized, managing and interpreting data, and ensuring accurate documentation within agency management systems. Strong attention to detail, the ability to follow established processes, and the skill to balance multiple priorities are essential. This is an excellent opportunity for someone who enjoys collaboration, problem solving, and contributing to a fast paced, client focused environment. Your Impact: Drive smooth and successful renewals by...

About the Role Location:  Fully remote within the continental United States. The Insurance GTM team is helping our customers and prospects solve critical problems within their Rating, Underwriting and Claims workflows.  Our Solutions Engineering team serves as the technical counterparts to the Account Executives.  Through this partnership, this role will help to understand a customer’s current challenges and desired outcomes through deep discovery and technical understanding.  The Pre-Sales Data Scientist will help insurance companies unlock the value of Nearmap's AI-driven data within their pricing, underwriting, modeling, and regulatory workflows through direct engagement with Nearmap customers as they scope, execute and analyze large scale data tests to measure this value.   This role’s key responsibility will be aligning customer data tests to the Nearmap suite of data and software products.  You will work closely with customers and prospects to develop success criteria,...

At Risk Strategies, our Sr. Claims Advocate will handle large & complex client Workers Compensation, Automobile, General Liability, Management Liability and Property insurance claim matters for clients. Your Impact: The handling to conclusion of insurance claims presented by RSC clients and/or as assigned by Claims Practice Leader. Duties include advocating for the client, maintaining an active diary, transmittal of documentation and follow-up correspondence to the client and carrier Role includes claims submission, review and monitoring of claims and consultative services Provide information/documentation to adjusters and other company personnel as requested Handle Account Executive inquiries and provide loss information when necessary Successful Candidate Will Have: 5-10+ yrs. Commercial Lines claims experience; Valid P&C Broker’s license preferred; agency management system knowledge required, AMS 360/Work Smart or EPIC preferred Proficient computer...

We’re seeking an experienced  Director of Software Engineering who will be accountable for the software engineering, application development, and quality assurance functions in the enterprise. This leadership role is responsible for the effective and efficient design, development, integration, and testing of all third-party and internal software used to support all business processes across the enterprise. This individual will have proven software development leadership experience, strong project management acumen, and excellent vendor management skills. This is an opportunity for a proven engineering leader who thrives at the intersection of technology strategy, people leadership, and business outcomes . What You’ll Do Lead & Inspire Define and execute a multi‑year engineering strategy aligned with business goals and the enterprise technology roadmap. Lead, mentor, and develop high‑performing engineering teams, including managers, leads, and senior engineers....

The Reinsurance division at Risk Strategies is part of the National Healthcare Practice, providing consultative risk management and evaluation services across a full range of individual and group medical and supplemental health products for both private and public-sector clients.   Our team is driven by a passion for client service, emphasizing prompt, courteous support and long-term relationship building. We value clear, consistent communication and have assembled a team of professionals who combine strong technical expertise with exceptional interpersonal skills. Risk Strategies fosters a collaborative, family-oriented culture where teamwork and client satisfaction are paramount.   Primary Responsibilities and Duties:   Client & Program Review and Support (Primary) Develop proformas and evaluate business plans and new product opportunities for clients/prospects Support carrier/reinsurer discussions to secure rating and...