3 claim operations associate jobs found in Remote

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: Remote Position Schedule / Shift: Monday-Friday 9am-6pm ET Position Summary: As an Auto Liability Claim Representative II , you will play a pivotal role in delivering exceptional claim outcomes while making a meaningful difference in customers' lives during challenging situations. In this dynamic and fast-paced role, you will investigate, evaluate, negotiate, and resolve automobile liability claims with confidence and expertise, ensuring compliance with insurance laws, company guidelines, and regulatory requirements. Leveraging strong analytical, problem-solving, and negotiation skills, you will assess liability, gather critical facts, and drive fair, timely claim resolutions. Key Responsibilities: Claim handling responsibilities will include the following: Reviewing assigned claims Contacting the insured and other affected...

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Stop Loss Insurance Administrative Support Assistant t o their team at Arbor Benefit Group .  Job Summary: The Stop Loss Insurance Administrative Support Assistant plays a critical role in supporting the Financial/Medical Underwriting, Claims, Policy Issuance, Premium administration teams. This position ensures the efficient intake, tracking, and management of key documents—enabling timely underwriting decisions and effective high-dollar claim reviews. This role serves as a central hub for incoming reporting, including Group Claim Experience reports, medical documentation, underwriting materials, financial records and licensing records received through company mailboxes. The ideal candidate is highly organized, detail-oriented, and thrives in a fast-paced, document-driven environment. Key Responsibilities Manage the intake,...

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care outcomes for all!  We promise to do what’s right, always. Position Summary: The Associate, Data Engineer is responsible for maintaining the reliability and performance of AffirmedRx’s Snowflake data warehouse and upstream data ingestion pipelines. This hands-on role supports daily operations by monitoring file ingestion, data movement, transformation processes, scheduled loads, and troubleshooting data-related issues. The position also assists in expanding and enhancing the data warehouse through new...