9 claim consultant jobs found

Compensation Grade:‏‏‎ ‎33 Job Description At SAIF, actuaries are more than our numbers people. Their work is the thread that binds together our enterprise-wide projects, strategies, and mission. Heavily relied-upon for their creativity and expertise, this team has the autonomy to work directly with business partners to help establish rates, maintain adequate reserves, produce forecasts, and ensure long term stability.  As our new senior actuarial analyst, you'll play a vital role in SAIF's mission to serve Oregon's workers and employers by making workers' compensation coverage widely available and affordable, and by providing extraordinary service. We're looking for a highly motivated self-starter with actuarial experience, but just as importantly, we're seeking a collaborative teammate, strategic communicator, seeker of challenges and opportunities, and champion of analytics. Your work won't be done in isolation. You will work closely with a seasoned team of actuaries...

Compensation Grade:‏‏‎ ‎32 Job Description A 2015 Harvard School of Public Health article called industrial hygienists the “guardians of workplace safety.” With their abilities to anticipate, prevent, identify, and mitigate health and safety hazards, SAIF’s certified industrial hygienists live up to that description. As our new certified industrial hygienist, you will be a part of a team that identifies, evaluates, and controls harmful exposures to help policyholders improve the safety, health, and well-being of their employees. Everything we do centers around preventing occupational diseases. You’ll need skills in communication, relationship-building, and mentoring. You’ll also need to be action-oriented, persuasive, adaptable to different situations, focused on customers, and able to manage complexity. The ideal candidate will have at least five years of experience in industrial hygiene consulting. If you’d like to join our team as a workplace safety and health...

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...

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 About the Team The Property Liability (PL) Strategy & Operations Team partners closely with PL leadership to define priorities, translate enterprise operating and financial plans into actionable direction, and ensure disciplined integration and execution across the organization. The team plays a critical role in: • Coordinating integrated planning across business units, technology, and finance • Supporting high impact, cross functional initiatives from problem definition through delivery • Preparing executive level materials for senior...

The Private Client Relationship Manager will fulfill an integral role in developing cohesive relationships with clients by serving as a strategic advisor for coverage related inquiries and analysis, driving renewal efforts, and partnering with Producers on prospective marketing initiatives. The ideal candidate will be an interpersonal and proactive problem solver with demonstrated success in servicing a book of Private Client accounts. *PLEASE NOTE: This is a hybrid position that will require 3 days/week in our Portland office* Your Impact: Develop and maintain strong, long-term relationships with high-net-worth individuals and families. Conduct in-depth needs assessments to understand clients' unique risks and insurance requirements, including all personal lines. Proactively identify opportunities to cross-sell and up-sell additional insurance products and services to existing clients. Serve as the primary point of contact for clients, addressing inquiries, resolving...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description This role is responsible for investigating and managing non-attorney represented bodily injury claims from initial report through resolution. You will evaluate coverage, determine liability, assess damages, and negotiate claims within your level of authority. In this role, you will work directly with customers to gather information, explain the claims process, and provide a clear and supportive experience. You will also identify potential subrogation or fraud and partner with internal teams to achieve the best outcome. We are seeking an Experienced Bodily Injury Adjuster to join our team supporting...

Servicing a book of Middle Market clients, this role will serve as a trusted advisor to key client groups by providing strategic and consultative guidance on identified collaborative initiatives, assessment of potential risk profiles and conducting policy audits, proposals and renewals. Your Impact: Build and maintain constructive relationships with customers by meeting and exceeding expectations Actively service/retain existing accounts and develop new business opportunities Maintain appropriate system records of service, marketing, and policy communications with clients and carriers by documenting and updating electronic files and AMS accordingly Schedule personal client meetings at annual renewal or more frequently to maintain client contact Support Producers through proposals, suspense, follow-up, etc. to assist clients and achieve agency's business goals. Keep Producers apprised of client status Respond to client inquiries, service requests and claims issues within...

We are seeking a dynamic and experienced actuarial professional to assist with the continued development of our actuarial team and enhance RSC’s support for our client’s healthcare initiatives and innovations. The ideal candidate will offer an extensive understanding of the healthcare landscape, including medical, pharmacy, stop loss, contracting and payor operations. This role demands a motivated self-starter with proven leadership skills, capable of thriving in a fast-paced, dynamic environment. The ideal candidate will excel in a matrixed environment, demonstrate creative actuarial and analytical capabilities, exceptional communication, interpersonal and organizational skills, and possess a proactive and resourceful approach to problem-solving. This role will be critical to delivering the RSC value proposition for our clients through innovation, technical expertise and highly effective and efficient execution which will directly impact the clients’ financial strategies and...

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 savings, and paid...