8 insurance program delivery specialist jobs found in Remote

CANDIDATES MUST HAVE FL CLAIMS LICENSE AND EXPERIENCE The Claim Specialist II or III investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision. Principal Duties and Responsibilities 1. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed. 2. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits. 3. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on...

CANDIDATES MUST HAVE NY CLAIMS EXPERIENCE The Claim Specialist I - IV investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision. Principal Duties and Responsibilities 1. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed. 2. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits. 3. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and...

CANDIDATES MUST HAVE PA CLAIMS EXPERIENCE The Claim Specialist III investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision. Principal Duties and Responsibilities 1. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed. 2. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits. 3. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and...

CANDIDATES MUST HAVE NY CLAIMS EXPERIENCE The Claim Specialist I - IV investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision. Principal Duties and Responsibilities 1. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed. 2. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits. 3. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and...

Job Summary The Materials & Repair Estimate Operations Specialist position performs quality assurance and analytical tasks related to wood cabinet and furniture repair estimates, supporting the Technical Repair Estimate team.  Role Location:  Fully remote within the continental United States. Key Responsibilities Reviews estimates and files completed by the Technical Repair Estimator team to ensure that the submitter’s request has been met Confirms completion of estimate, support components, billings, and close out the file.  Using industry standard software, such as Xactimate, completes the estimate by providing a valuation of wood cabinetry and/or furniture on an as needed basis which is used by the submitter and compared to our repair estimates to determine the disposition of the damaged items. (i.e. repair vs. replace) Follows-up on incomplete file submissions Communicates any next steps to other team members Assists Operations Manager with analysis of team...

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!...

SISCO, our medical claims TPA, is looking for an experienced sales professional to launch their suite of services into new markets. Through SISCO, your broker-partners can leverage the strength of national carriers coupled with the oversight of an independent TPA. Why SISCO? “Privately Owned” does not mean private equity - Our family of companies has a history in insurance services that spans over 130 years and is characterized by organic growth with zero debt.  Professional Staff – Imagine working with a team that includes ERISA attorneys, MDs, PharmDs, RNs and Health Coaches; where member service is delivered by licensed agents and the average tenure of the Account Management team is 8+ years. True Integration – SISCO’s “One Roof” service model includes expert claim adjudication for both self-funded medical and insured ancillary benefits. Optional services include a suite of advocacy and population health...

We are seeking an experienced Employee Benefits Insurance Broker with at least 3 years' experience in the employee benefits space. This role will be responsible for providing expert advice and guidance to clients in navigating the complex landscape of employee benefits insurance and programs. Individuals who apply should possess: Proven experience and success as an insurance broker, with a focus on employee benefits A strong understanding of employee benefits products Detail-oriented with strong analytical skills, capable of evaluating complex insurance plans and identifying cost-saving opportunities.  Excellent communication and interpersonal skills, with the ability to build rapport and trust with clients. Join a Winning Team: The individual in this role will joining a team with a solid track record of success in the employee benefits insurance industry. Over the years, our team has experienced significant growth of 18% (driven organically) and a client retention...