34 claim operations analyst jobs found

The next part of your journey is right around the corner — with The Standard. A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we’ve been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference? Job Summary This role is responsible for adjudicating and processing supplemental insurance claims from intake through final payment. The position focuses on gathering and analyzing claim information, verifying eligibility, making accurate benefit decisions, and ensuring timely, precise payments. You’ll manage each claim end‑to‑end while delivering responsive, compassionate...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: Provide administration and operational assistance to Underwriting team including preparing, reviewing, organizing and maintaining policy documentation required for all risks. Invoice policies, coordinate the service of new and renewal accounts from the time of binding and throughout policy period according to Company guidelines and anticipate/prevent issues and problems as necessary. Provides...

Job Responsibilities and Requirements Sales Develop and successfully execute strategies to increase sales premium, case count, retention and profitability to achieve both personal and regional sales goals Responsible for the development of brokers within his or her specific sales territory Partner with leadership and internal team members to identify market potential with assigned territory and prioritize opportunities Effectively prepare and present product recommendations and solutions to brokers and clients Cross-sell products to existing customers and new prospects Develop territory sales strategies with Voluntary, Absence Management and Japanese Market Practice Leaders as well as the Medical Stop Loss, Limited Medical Benefit RSL teams and other Tokio Marine companies to drive sales and meet/exceed premium and case count goals Send applications and related materials to prospects and perform appropriate follow-up to generate and close the sale...

At AIG, we are reimagining the way we help customers to manage risk. Join us as an Underwriter I, Energy to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Underwriter, Energy This Underwriter role will be an ideal next step in your career if you already have some relevant experience in insurance – or this could be your entry into underwriting if you have transferable skills. Make your mark in Underwriting AIG underwriting teams help to find insurance solutions in areas including Financial Lines, Property, Casualty, Specialty Lines, Cyber, Multinational Clients, and High Net Worth individuals. We are reimagining how we help customers to manage risk, transforming our operating model, and reshaping our role responsibilities and career pathways. The goal is to unlock the full potential in each colleague – empowering our people to grow as insurance professionals and add more value to our customers...

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 General Liability Adjuster Primary Purpose   The Commercial General Liability (CGL) Claims Adjuster is responsible for the end-to-end handling of complex third-party bodily injury and property damage claims arising under commercial general liability policies. This role requires advanced expertise in coverage analysis, liability determination, litigation management, and risk transfer, particularly across multi-jurisdictional and construction-related exposures. The...

Description This role is primarily remote in the state of Florida except for required appearances.   At Liberty Mutual, we’re committed to delivering exceptional legal services to our customers around the world, working to uphold and protect our policyholders’ rights and positively impacting our business. As an Associate Attorney at Liberty Mutual, you’ll join a diverse team that values a healthy work/life balance and enjoy benefits that include eligible performance bonuses, 20 days of flexible time off each year, personal holidays, and a 401(k) plan with matching contributions. If you’re looking for a place to build a long-term career while making a positive difference, consider joining our legal team where you’ll represent Liberty Mutual and our policyholders in moderately complex civil litigation matters involving claims for monetary damages or compensation for personal injuries or property damage of moderate value.   Liberty Mutual Insurance offers an...

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a Senior Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. Confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state...

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 General Liability Adjuster Primary Purpose   The Commercial General Liability (CGL) Claims Adjuster is responsible for the end-to-end handling of complex third-party bodily injury and property damage claims arising under commercial general liability policies. This role requires advanced expertise in coverage analysis, liability determination, litigation management, and risk transfer, particularly across multi-jurisdictional and construction-related exposures. The...

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 Mgr Client Services - Workforce Absence PRIMARY PURPOSE : To manage accounts of multiple client service programs or single large national program; to maintain client, client broker and key vendor relationships; and to manage program procedures and processes that impact customer satisfaction ensuring consistency in process within the account as well as client retention. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs client renewal and Client Service Instruction...

Claims Representative - CH09CN 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.              The Worker Compensation Claim Representative is accountable to plan, recommend and execute the investigation of worker compensation claims. Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies. Additionally, the Claim Representative will work within established procedures in adherence to statutory, regulatory and ethical requirements. Work Arrangement : This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office locations (Hartford, CT, Las...

At FCCI, it is the personal touch of our local presence and expertise, combined with the knowledge and relationships of our agency partners, that creates a winning combination which sets us apart. We are committed to hiring the best people. If you want to work for a company you can be proud of, we want to hear from you!   We are currently seeking a Major Case Unit (MCU) Manager  to oversee the daily operations of the commercial major case unit team handling complex commercial claims. The selected individual will ensure that claims are handled efficiently, accurately, and in compliance with state laws and company policies.  This role can be located in one of FCCI’s office locations or remotely within FCCI states. Key Responsibilities include:       Lead team workload planning and performance, optimizing workflows and driving process improvements. Oversee claim operations, including reserve approvals, settlements, and compliance with authority guidelines....

The Doctors Company is seeking an experienced Vice President of Underwriting to join our team. This is a hybrid opportunity based in our Jacksonville, FL office.   Qualifications: Bachelor’s degree or equivalent, preferably in Business or Economics. RPLU or CPCU designation, or progress in obtaining such a designation, is preferred. Eight (8) or more years Insurance management or supervisory experience, with emphasis on working with multiple staff and business teams, including underwriting and product development. Ten (10) or more years Commercial general liability or professional liability insurance underwriting, claims and/or product development experience with insurance or contract law strongly preferred. Responsibilities Leadership Development & Staff Management Develop and communicate regional, department, and individual staff plans that support corporate priorities. Discuss performance expectations for each role and identify any staff...

Provide oversight of Specialty Claims Third Party Administrators (TPAs) managing casualty, property, inland marine, excess/umbrella, and professional liability claims. Responsibilities include the leadership of TPA oversight adjusters, high-exposure case management, participation in TPA selection, audits and reviews, and assistance with onboarding and setup of new TPAs. The ideal candidate will possess experience in claims management, TPA contract negotiation, and compliance. Minimum Qualifications: A Bachelor’s degree or the equivalent education and/or experience. Candidate should have 8+ years of progressive claims management and TPA oversight experience. Adjuster licenses, as mandated by specific states, are required. Experience managing a team. Primary Job Functions: Oversee the performance of TPA operations to ensure adherence to service level agreements and claim handling guidelines. Assist with the negotiation of services, contracts and service...

The Credit Claims Examiner is responsible for delivering exceptional customer service while accurately adjudicating Credit Protection and Debt Cancellation claims. This role reviews claim documentation, determines coverage eligibility, and communicates claim decisions in accordance with policy provisions, regulatory requirements, and company guidelines The position requires balancing claim adjudication with inbound customer service responsibilities based on business needs while maintaining quality, productivity, and compliance standards. Minimum Qualifications: High School Diploma or equivalent. Minimum 2 years’ experience in claims and/or other related claims processes. Experience reviewing documentation and making coverage or eligibility determinations preferred. Strong customer service experience with the ability to effectively communicate verbally and in writing. Experience handling confidential information while maintaining accuracy and...

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a Senior Auto Adjuster your work will focus on adjusting non-injury auto claims. You will investigate and determine coverage and liability, evaluate, negotiate, and settle highly complex auto claims such as comprehensive (i.e., theft and fire), collision (i.e., minimal policy limits, coverage determinations/issues,...

Transportation & Logistics Claims Specialist / Developing Adjuster Position Summary The Transportation & Logistics Claims Specialist / Developing Adjuster will support the SPG Cargo & Logistics Claims & Recoveries Department in the handling, investigation, documentation, and resolution of transportation, logistics, cargo, broker liability, and related claims. This role is designed for a transportation professional with strong logistics, carrier compliance, freight claims, risk management, and carrier-vetting experience who will develop into a licensed claims adjuster. The position will support the Transportation & Logistics claims function by assisting with claim investigations, document review, carrier and broker file development, coverage and liability issue-spotting, claim communication, and resolution strategy under the supervision of the Head of Claims & Recoveries. The successful candidate must obtain an adjuster license within sixty...

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...

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 Join Allstate’s Litigation Services team as a Paralegal Specialist, where your contributions will be essential to delivering strong legal outcomes and exceptional service to our clients. This role supports the Special Investigations Unit (SIU) and is open to candidates located in the New York metro/Westchester area or within the state of Florida, with the expectation of attending the office as needed. You’ll work closely with experienced attorneys on insurance litigation matters, supporting federal court cases involving pleadings,...

About the Role We are seeking an experienced insurance attorney to serve as trusted legal advisor to the business on insurance product innovation, design, coverage, product research, and specialty insurance matters across Fortegra’s admitted, surplus lines, and warranty/service contract businesses. This role will partner closely with Underwriting, Product, Regulatory, Reinsurance, Operations and business leadership to advise on complex risk issues, craft and interpret policy and contract language, assess claim and coverage positions, and support the development, distribution and administration of insurance and warranty products. This is a hands-on insurance and warranty product development and legal construct-focused role for an attorney who understands how insurance products work in practice — from policy language, exclusions, and coverage determinations to state insurance considerations, product structures, claims disputes, and specialty program operations. The ideal...

Our Company At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in creating a culture where every associate has the opportunity to learn and grow. We strive to create a work environment to meet associate needs and we are determined to achieve excellence in everything we do. This is an opportunity to join a dynamic team in a company that is a leader in the non-standard auto insurance space and functions with a small company, entrepreneurial style. This position will require someone with an understanding that one needs to have a “roll up your sleeves” attitude to help make things happen. Job Summary A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial role in assisting the SIU and claims departments with fraudulent activities related to insurance claims. The Desk Investigator conducts low to moderate investigations involving suspicions of insurance fraud related to the application of...