13 claims technician jobs found in Remote

Service Representative – Licensed in Life & Health Location: Work From Home SISCO is seeking remote candidates who are licensed in Life and Health. We pride ourselves on putting the customer first and finding ways to improve our business. Above all else, we are committed to fostering an open-door culture where the opinions and suggestions of our team members are valued and appreciated. Our Service Center is open Monday –Thursday 7 am to 7 pm and Friday 7 am to 5 pm.  Essential Functions: Answer customer inquiries on benefits plans Process Medical/Dental Claims Ability to learn/retain large amounts of technical information Navigate multiple record keeping systems What We're Looking For: Licensed in Life and Health is required. Strong communication (verbal and written) skills The ability to multi-task and have great attention to detail Ability to work with customers of diverse background and dispositions Experience...

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 Business Analyst, Data Operations is the primary liaison between the Data Operations team and AffirmedRx’s business-facing teams, particularly Client Management and Patient Care Advocates, and the day-to-day operational contact for the third-party administrators (TPAs) that exchange eligibility and accumulator data with AffirmedRx. Reporting to the Manager, Data Operations, this individual owns the operational health of...

About the Role Location: Fully remote within the continental United States.  Use of AI data in insurance pricing entails regulatory review by state departments of insurance. When a carrier intends to use Nearmap data in its rates, both the carrier’s own actuaries and state insurance regulators can come back with various questions and/or objections. Many are predictable and specific: how was ground truth for an attribute determined, what do the goodness-of-fit metrics look like on held-out data? Others have never been asked before and have yet to be fully answered.  You will be the actuarial voice inside Nearmap’s and our customers’ rate filings. Working with our AI and Computer Vision team, you will build a library of validation materials behind every Nearmap attribute and score used in rating, produce exhibits and memos for state DOI review, and answer regulator objections with analysis that holds up under scrutiny.   This is a customer-facing actuarial role, not a...

Senior Data Engineer Insurance underwriting runs on human judgment, manual workflows, and knowledge locked in someone's head. It breaks when that person leaves and doesn't scale when the book doubles. Sixfold is building AI agents that understand risk the way a 20-year veteran underwriter does. Not summaries or flags, but systems that make real decisions on billions in premium for some of the world's largest carriers. AI is the product and the workflow. The Senior Data Engineer makes sure the data powering those decisions is trusted, governed, and built to scale. If you live and breathe Data and AI tools, understand how models work under the hood, and can translate that into business outcomes for a room full of skeptical underwriters, this role was written for you. Who We Are 🏔 Product: Sixfold is the AI brain for underwriting. Our platform handles submissions at scale, assessing risk against appetite, surfacing cited insights, and deploying AI agents to handle...

The Roof and Exterior Measurement (REM) Strategic Account Executive will drive the expansion of Nearmap's Roof and Exterior Measurement suite across the Property & Casualty Insurance market. This role is responsible for identifying, developing, and closing complex REM opportunities with new strategic carriers, while also expanding Nearmap's REM suite within our existing book of 200+ insurance customers. The successful candidate will bring enterprise SaaS and claims/insurance technology sales experience, positioning Nearmap's owned-and-operated Roof and Exterior Measurement offering as the differentiated alternative to third-party measurement providers. You will lead with a customer-first mindset, navigate complex multi-stakeholder sales cycles, and consistently deliver results aligned with business goals. Key Responsibilities Sales Execution & Pipeline Management Identify, qualify, and close complex REM opportunities with new strategic carriers and expand within...

At Swyfft, we're reshaping the way home insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service.   Our focus on lightning-fast quotes and seamless claims service is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry.   Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive.   As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at Swyfft! About...

At Swyfft, we're reshaping the way home insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service.   Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry.   Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive.   As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at Swyfft!...

At Swyfft, we're reshaping the way home insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service.   Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry.   Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive.   As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at Swyfft!...

At Swyfft, we're reshaping the way home insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service. Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry. Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive. As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at Swyfft!...

- The Commercial Surety Regional Manager is responsible for the underwriting, marketing, production, profitability, and overall management of a regional Commercial Surety portfolio. This position serves as the senior underwriting leader for the assigned territory and is accountable for achieving premium growth, underwriting profitability, agency development, and portfolio management objectives. The Regional Manager will develop and maintain strong relationships with agents, brokers, principals, indemnitors, and other business partners while exercising significant underwriting authority and ensuring compliance with company underwriting guidelines and risk appetite. The position is highly market-facing and focused on profitable business development, agency management, and underwriting execution. Key Accountabilities/Deliverables: Underwriting Leadership Serve as lead underwriter for the assigned territory. Analyze, evaluate, and approve commercial surety...

- The Commercial Surety Regional Manager is responsible for the underwriting, marketing, production, profitability, and overall management of a regional Commercial Surety portfolio. This position serves as the senior underwriting leader for the assigned territory and is accountable for achieving premium growth, underwriting profitability, agency development, and portfolio management objectives. The Regional Manager will develop and maintain strong relationships with agents, brokers, principals, indemnitors, and other business partners while exercising significant underwriting authority and ensuring compliance with company underwriting guidelines and risk appetite. The position is highly market-facing and focused on profitable business development, agency management, and underwriting execution. Key Accountabilities/Deliverables: Underwriting Leadership Serve as lead underwriter for the assigned territory. Analyze, evaluate, and approve commercial surety...

About the Role Engagement Type - Full time, fully remote consultant; ~6 - 24 month engagement Nearmap's Roof & Exterior Measurements (REM) program delivers aerial property measurement outputs - roof geometry, wall dimensions, window/door counts and measurement, and material classification - to insurance carriers, restoration contractors, and estimating platforms. As we scale toward broader carrier and commercial deployment, we are seeking a seasoned industry practitioner to serve as a full-time Subject Matter Expert (SME) Consultant embedded within the REM product team.  This role is a critical bridge between deep industry knowledge and product execution. The SME Consultant will inform us how we define measurement standards, evaluate output quality, shape process flows, and position our capabilities relative to the market. You will work directly with the VP of Product and product team as well as cross-functional leads spanning Engineering, Operations, and Go-to-Market....