5 senior claim consultant jobs found in Remote, Remote

Job Description: Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate – pushing one another to transform not just Pacific Life, but the entire industry for the better. Why? Because it’s the right thing to do. Pacific Life is more than a job, it’s a career with purpose. It’s a career where you have the support, balance, and resources to make a positive impact on the future – including your own. We’re actively seeking a talented Sr Long Term Disability Claims Specialist to join our growing Work Force Benefits Division. As a Senior Long Term Disability Claims Consultant you'll move Pacific Life and you career forward by developing and refining claims processes, ensuring compliance with evolving regulations, and helping deliver a best-in-class, empathetic...

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....

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...

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,...

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firms in the US, is adding an Employee Benefits Customer Service Representative to their Corporate Synergies team. Job Summary: The Employee Benefits Customer Service Representative handles claims resolution, benefits inquiries, coverage eligibility concerns, and other related issues for our clients' administrators and employees. They work closely with clients and carriers via phone and email to resolve matters within a 24-hour timeframe. Essential Functions: •     Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution, patient advocacy, and pre-certifications. •    Educate client employees on optimal benefit utilization and provide guidance on cost-effective plan options. •    Maintain detailed records of client interactions, entering data into Salesforce and generating client analysis reports as necessary. •    Use...