58 claim intern jobs found

The Underwriter of Employer Stop Loss is responsible for evaluating and analyzing risk. This role involves reviewing submissions, assessing medical and financial risk factors, and determining appropriate pricing and terms in alignment with company underwriting guidelines. The Underwriter works closely with sales, brokers, consultants, and underwriting team to ensure profitability and growth within the stop loss product line. This is a hybrid position based out of our office in Newtown Square, PA. Your Impact: Review and analyze employer stop loss data, including claims experience, demographics, and plan design. Assess medical conditions and financial risks to determine appropriate coverage terms and pricing. Apply underwriting guidelines and company policies to maintain a balance between risk acceptance and profitability. Work collaboratively with sales teams, brokers, and consultants to gather necessary information and provide competitive quotes. Ensure underwriting...

We are looking for Claims Assistant to join our team. This role will be responsible for assisting the claims auditor by ensuring filings, documentation, and reports are accurately and timely entered into our databases. Your Impact: Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies Ensuring compliance with state laws, company policies, and procedures in all claim-related activities Monitor incoming emails and enter information received in database within 24 hours Enter 50% notices/Trigger Diagnosis Reports and alert nurse on any potentially large claimant based on the guidelines established (diagnosis and/or dollar amount) Enter LCM (Large Case Management) notices and notify the nurse Process claims, checks and SLAM Reports Successful Candidate Will Have: BA/BS degree preferred or high school diploma with six to twelve months related experience and/or training; or equivalent combination of education and...

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 Sr Account Manager PRIMARY PURPOSE :  To manage claim caseload of highly complex claims, coverage issues (handling claims against insurance or other companies related to personal, casualty, or property loss of at least $1million) and complex litigation within granted authority level including related financial implications, along with financial implications and to mentor other team members. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages claim caseloads...

About Acrisure Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more. Acrisure employs over 19,000 entrepreneurial colleagues in 22 countries and has grown from $38 million to $4.8 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win. Your Next Chapter:   Do you thrive in an environment where technology, data, and relationships intersect? At Acrisure, we’re redefining what it means to be a sales professional - giving you cutting-edge tools, entrepreneurial freedom, and the backing of a $4.8B global fintech leader. As an Acrisure Business Development...

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, Nurse - Medical Case Manager 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...

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...

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our  journey as we strive to transform the insurance  carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our  internal and external communities better everyday! Learn more...

The Float 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 role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives 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 and non-problematic medical only claims and minor 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 Property Adjusters investigate commercial property claims, evaluate damages, determine coverage, set accurate loss cost estimates, control the insured's exposures and losses, manage consultants, and achieve a prompt, fair and equitable settlement according to fair claims handling requirements. Negotiate settlement of claims with varying complexity and perils. Training is a critical component to your success and that success starts with reliable attendance.  Attendance and active engagement during training is mandatory Responsibilities:    Conducts a prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin, and extent of loss. Reviews and utilizes financial statements to adjust moderately sized business interruption losses. Conduct on-site appraisal or direct independent adjuster to determine facts relevant causation, damages and exposure. Engages and manages consultants and independent...

Job Responsibilities and Requirements The Manager of Data Engineering is responsible for leading a high-performing and inclusive team of data engineers within the Information Services department. This role oversees the technical vision, execution, and optimization of enterprise data solutions, ensuring robust, auditable, and compliant data pipelines and models. The manager collaborates across business units and IT stakeholders to drive impactful data initiatives, optimize processes, and support the organization’s financial and operational objectives.   Key Responsibilities: Lead, coach, and develop a team of data engineers, fostering technical and professional growth. Implement and execute a strategic technical vision for enterprise-wide data integration, modeling, and processing, encompassing all business subject areas such as policies, claims, billing, ratings, general ledger, and annuities. Design, build, and scale robust and compliant data pipelines and models,...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s):  Workers’ Compensation Claims Adjuster  Employment Type:  Full-Time  FLSA Status:  Exempt  Location:  In-Office    Summary:    We are seeking a highly capable Workers’ Compensation Claims Adjuster to join our in-office team (5 days/week) from either our Rockwood, PA, Omaha, NE or Richmond, VA offices. Alternatively, we can also fill this role in our offices in Albany, NY, Chicago, IL, Los Angeles, CA, New York, NY, or Springfield, MO.  This role reports to a manager in Rockwood, PA and focuses on adjudicating workers’ compensation indemnity claims in  MD ,  PA , and  VA . You’ll play a meaningful role in...

Sr Staff Attorney - LM07DE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future. Come join an exciting and inclusive work environment where your work matters and we put the customer at the center of all we do. This Senior Staff Attorney role is an in-house, remote position that will handle a designated caseload of Tort/Liability defense matters which requires extensive experience with and strong working knowledge of Pennsylvania civil litigation practice....

The Stop Loss Accounting Operations Specialist provides administrative processing support within the Medical Stop Loss division of One80 Intermediaries. This role supports Accounting, Claims, Premium, and Employer Groups by processing claim reimbursement communications, obtaining premium back up when needed, issuing premium late notices, ACH processing documentation, and compliance tracking. This role is critical to ensuring accurate financial transactions, regulatory compliance, and professional communication with brokers and clients. Your Impact: Prepare and distribute Explanation of Reimbursements (EORs) to brokers, TPAs, and employer groups. Coordinate claim reimbursement processing, including obtaining ACH authorization forms and managing special handling requests. Maintain accurate contact records for EOR distribution and premium billing within ESL systems. Support accounting operations by coordinating commission ACH forms and maintaining required producer W9...

The Role We are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance analyst you will play a crucial role in supporting our attorneys by performing a variety of tasks, which will include drafting/amending pension (defined benefit and defined contribution) plan documents, summary plan descriptions, summaries of material modifications and other plan related documents (e.g., policies, procedures) as well as participant communications (e.g., QDIA notices).  DUTIES AND RESPONSIBILITIES Plan Drafting: Draft/amend customized comprehensive defined benefit and defined contribution plan documents, summary plan descriptions, summaries of material modifications and other plan related documents and participant communications. Stay current on latest documentation technique and best practices to ensure use of cutting-edge tools and language. Compliance: Ensure all plan documents comply with ERISA regulations and other...

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...

The salary range for this job posting is $49,225.00 - $78,759.00 annually + bonus + benefits. Pay Type: Salary The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process. The actual salary range for candidates who reside in Pennsylvania is $53,241 - $85,186 annually + bonus + benefits. Pay Type: Salary While we may prefer candidates who can work remote in Pennsylvania, we will consider those who live in any of our listed payroll approved states. Ideal candidates will have Workers' Compensation claims handling experience in Pennsylvania. Maryland, Delaware, DC or New Jersey workers compensation claims handling would be a plus. The position reports to the Director, Workers' Compensation...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to...

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 Step into a role where your advocacy drives meaningful recoveries and impactful results! As a Subrogation Trial Attorney, you’ll lead litigation efforts to pursue responsible third parties and recover losses on behalf of the Company. You’ll manage a dynamic caseload involving property damage, auto, commercial, and complex subrogation matters—guiding cases through investigation, negotiations, arbitrations, mediations, and trials. Beyond litigation, you’ll advise internal business partners on recovery strategies, evaluate liability and...

Company: Marsh McLennan Agency Description: Marsh McLennan Agency’s East Region is a leader in the employee benefits marketplace. Our associates simplify employee health and welfare benefits and risk management for regional, national, Fortune 500 and Fortune 1000 companies. We value integrity, collaboration, passion, innovation, and accountability, and we are committed to making a difference in the moments that matter for our colleagues, clients, and communities BRIEF DESCRIPTION The primary role of the Stop Loss Claims Analyst role is to manage the stop loss claims process for the MMA Stop Loss Center of Excellence including establishing the claims submission process in accordance with vendor processes, overall tracking and auditing to assure timely payment of eligible stop loss claims managed by the Center of Excellence.  ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited, to the following: Partner with carriers and internal teams to...

We’re seeking a Director of Operations to take ownership of the operational backbone of a growing insurance program manager with delegated underwriting authority. This role is at the center of the business, working across underwriting, carriers, regulators, vendors, and parent company support teams to manage operations efficiently while identifying opportunities for improvement. The right person is organized, driven, and comfortable stepping into complex projects and taking ownership. This is a hands-on leadership role with broad visibility and significant room to grow with the business. Your Impact: Lead and manage overseas outsourcing partners responsible for submission clearance, rating, endorsement processing, and other policy administration functions; set expectations, track performance, and improve workflows. Oversee and develop a small internal operations team handling policy servicing, agency appointments, and licensing. Serve as primary liaison to parent company...