68 claim jobs found

We are looking for Claims Coordinator to join our team. In this role, you will be responsible for reviewing and analyzing claims to ensure they are processed accurately and in accordance with policy provisions. You will handle moderate to complex claim issues, ensuring that all necessary documentation is obtained, and claims are either approved or denied based on established guidelines. Your Impact: Analyze and research claim issues of moderate to complex difficulty. Ability to comprehend complicated workflows, policy certificates and policy provisions. Review and apply policy provisions in processing of claims received. Request and obtain necessary documents for claim processing/consideration, including scheduling follow ups for documentation. Release of accurate benefit payments in accordance with CBP policy, industry standard & other applicable TPA or SLA agreements. Proper documentation of required information in claim system, including follow up information....

Job Summary: As a Travel Claims & Customer Service Representative, you will serve as the first point of contact for reporting claims and initiating the claims process. This vital frontline role within our Travel department plays a key part in delivering on our commitment to providing exceptional, white-glove service to claimants and callers. Utilizing your independent judgment and strong communication skills, you will gather essential information, assess coverage eligibility, and effectively communicate findings to claimants, ensuring a seamless and professional experience. Your Impact: Independently process travel claims in accordance with associated policies Ability to read, analyze and interpret general business materials, technical procedures, benefit plans and regulations Handle incoming calls from and make outgoing calls to claimants and suppliers in a professional, positive, and proactive manner Consistently meet established performance standards,...

The Claims Associate supports captive insurance claims operations by managing communications, maintaining accurate claim data, and assisting with reporting and administrative processes. This role monitors dedicated mailboxes and phone lines, triages and distributes correspondence, and serves as a point of contact for insureds, brokers, captive managers, TPAs, and fronting carriers. Responsibilities include entering and maintaining claim information in the claims system, preparing and issuing routine claim correspondence, supporting report and loss run production, and managing incoming documentation from carriers to ensure timely follow-up. The position also handles administrative tasks such as document redaction, quality review, indexing, DocuSign workflow creation, and secure distribution, while contributing to audits, special projects, and regulatory or client-driven initiatives. Your Impact Monitor Oxford’s dedicated claim mailboxes, handling and distributing mail as...

We are looking for Claims Coordinator to join our team. In this role, you will be responsible for reviewing and analyzing claims to ensure they are processed accurately and in accordance with policy provisions. You will handle moderate to complex claim issues, ensuring that all necessary documentation is obtained, and claims are either approved or denied based on established guidelines. Your Impact: Analyze and research claim issues of moderate to complex difficulty. Ability to comprehend complicated workflows, policy certificates and policy provisions. Review and apply policy provisions in processing of claims received. Request and obtain necessary documents for claim processing/consideration, including scheduling follow ups for documentation. Release of accurate benefit payments in accordance with CBP policy, industry standard & other applicable TPA or SLA agreements. Proper documentation of required information in claim system, including follow up information....

The Senior Claim Data Analyst plays a strategic leadership role in the Claims department, transforming complex data into actionable insights. This role is responsible for overseeing data analytics initiatives, leading junior analysts, and driving strategic decision-making across Commercial Auto, General Liability (GL), Workers’ Compensation (WC), and Enterprise Risk Management (ERM) lines. The analyst will collaborate with internal stakeholders and Third-Party Administrators (TPAs) to ensure data integrity, regulatory compliance, and optimal claim outcomes.                                          Your Impact: Lead data strategy initiatives and junior analysts. Analyze claim data across multiple lines of business to identify trends, anomalies, and opportunities for improvement. Develop and maintain dashboards and reports to monitor claim performance metrics (e.g., loss ratios, severity, frequency, etc.). Support TPA oversight by providing data-driven evaluations...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description This Vice President Casualty Claims Delivery role was established to address increasing claim complexity and severity by introducing dedicated senior leadership focused on execution, performance, and outcomes across Casualty. The role provides clear ownership of high-severity and high-cost segments, ensuring accountability for loss cost performance, severity management, and expense control. Responsible for end-to-end delivery and operational performance, the Vice President Casualty Claims Delivery drives consistency in claim execution,...

Compensation Grade:‏‏‎ ‎15 Job Description “How can we help you?” Those may be welcome words to a worker who has been injured on the job. As a claims assistant at SAIF, you’ll work with adjusters and others to ensure that injured workers receive timely and accurate information. It’s one of the most important parts of the workers’ compensation process. To do it well, you’ll need to be fast, accurate, organized, and dedicated to helping others.  SAIF is looking for claims assistants. This position offers lots of opportunities to learn and grow. You’ll be tracking down medical records, preparing documents, setting up appointments, auditing payments, and assisting with questions from injured workers, policyholders, attorneys, and medical providers. You’ll also be joining a diverse culture that embraces health and wellness, community, inclusion, and sustainability. And you’ll have a little fun, too. We’re looking for someone with an excellent command of the three Cs—customer...

Oversees the management and analysis of reinsurance claims, including complex and high value exposures. Ensures accurate reporting, billing, and recovery of reinsurance assets while acting as a subject matter expert on treaty agreements. Partners with claims teams to support effective handling, optimize recoveries, and maintain compliance with contractual requirements. Your Impact: Evaluate underlying claims to determine reinsurance applicability and coverage alignment with precision. Interpret reinsurance treaties to drive accurate reporting and ensure full contractual adherence. Collaborate cross functionally with underwriters, brokers, and actuaries to assess claim developments and optimize outcomes. Enforce strict compliance with internal protocols while upholding operational integrity and consistency. Successful Candidates Will Have: Bachelor's degree required; reinsurance certifications preferred (e.g., ARe, CPCU, AIC) 5+ years of reinsurance...

Description In order to deliver an exceptional customer experience, a leader creates a culture of engagement by inspiring passion in others. A leader explores opportunities to continuously improve within a constantly changing environment. A leader challenges each team member to exceed expectations while developing professionally. A leader understands the vision of Liberty Mutual and can translate how their team’s work connects to that vision. A leader confidently communicates what extraordinary claim service looks like and empowers their team to achieve superior result. Liberty Mutual has an immediate opening for a Claims Team Manager who will lead a team of Claims Specialists who manage a portfolio of Workers Compensation claims, for a dedicated account, to achieve the best possible outcomes and deliver an exceptional customer experience.  In this role, the Claims Team Manager contributes to the organization’s success by developing talented employees,...

Bodily Injury Claims Adjuster Say hello to Hagerty   Hagerty is a company built by drivers for drivers. We put our members at the center of everything we do, and are dedicated to making it easier and more enjoyable for enthusiasts to drive and celebrate the machines they love. We’re proud to be the world’s largest insurer of collectible and enthusiast vehicles and are home to the Hagerty Drivers Club, the world’s largest car club. Our Marketplace business presents live and digital sales across the U.S. and Europe, we host a number of driving events and concours, and our award-winning automotive journalists produce the most popular car magazine globally, alongside internationally awarded videos. We’re committed to Never Stop Driving.  Ready to get in the driver’s seat? Join us! As a Bodily Injury Claims Adjuster , you’ll handle all aspects of third-party injury claims resulting from personal auto losses, including the investigation, evaluation, and settlement of Bodily...

The Claims Adjuster is responsible for f acilitating a service event for the customer and accurately processing the claim in a courteous, sincere and timely manner. Forwarding the appropriate forms and helping the customer with completing and returning the necessary documentation to resolve the loss.  Your Impact: Provide inbound customer support by answering incoming calls promptly and courteously. Verify contract information, accurately enter new claims into system based on client specific terms and conditions and confirm coverage in accordance with policies and procedures. Review all documentation supporting the claim, proof of ownership, and parts and replacement costs. Issue coverage denials where appropriate or schedule a servicer as needed to handle the damages to the customer’s property. Approve or deny estimates from servicers up to $750.00 . Maintain email box in an efficient and timely manner, responding to customers and vendors as...

The Senior Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. Your Impact Perform in-depth claims file reviews for accuracy and compliance. Document findings and provide recommendations for corrective action. Identify trends and collaborate with departments to improve claim practices. Support audit reporting and analytics. Successful Candidate Will Have Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus. 4 - 6 years of claims or audit experience. Strong understanding of claims handling and insurance regulations. Analytical, organized, and skilled in Excel/audit systems. At Risk Strategies Company, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, and life insurance, retirement...

The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the goals of the Claims Department and of CorVel.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent customer service skills Excellent written and verbal communication skills Fast learner; develops knowledge and understanding of claims...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation | Jurisdiction: WA | Licensing: Required Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?  Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise...

Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines...

The Workers’ Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as...

Description Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the West Region!   As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. You may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Depending on your overall skills and experience, you may be considered as a Claims Specialist II,...

About HUB In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the world’s largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected — through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of professionals across North America represents a broad, deep, and one-of-a kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. Why Choose HUB? Throughout our network of more than 450 HUB offices in North America, we offer a competitive, exciting, and friendly work environment that strategically positions our employees for longevity and success. At HUB, we believe in investing in the future of our employees and provide continuous opportunities for growth and development. Our entrepreneurial culture fosters an environment...

Description Join us as a Field Property Claims Adjuster where you’ll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner’s property.  This is a role where people who love every day to be new, different and exciting, can thrive – you’ll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support .   The Field Property Claims Adjuster will be traveling locally to insured homes within West Linn, OR (97068) and surrounding areas. To be successful within the role, candidates should live within or near this area.   Sign-On Bonus Available!  We’re offering a sign-on bonus for experienced and actively licensed new hires.   What you’ll do Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include...