33 claim operations analyst jobs found

Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious ­­­­­Stop Loss Analyst to join our team. This position will report to our agency located in either Cranson, RI, Farmington, CT, Mansfield, MA, Canton, MA, or Southborough, MA. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is a hybrid position. Responsibilities: Monitor and manage all stop loss reporting activity for assigned clients. Download and review relevant reports from carrier, TPA, PBM, and stop loss carrier portals. Analyze, pull, and review medical, pharmacy, eligibility, and stop loss claim data for self-funded clients, including 50% reports, 100% reports, reimbursement notices, pended claims, denied claims, and large...

  Salem Five is a growing regional financial services organization with a rich history of over 170 years.  As an independent bank, we are deeply rooted in the communities we serve and offer our employees successful and rewarding careers.   This position requires the ability to work in the Salem, MA offices.     Salem Five has more than 30 retail banking branches throughout Essex, Middlesex, Norfolk and Suffolk counties, strong business banking capabilities, an Insurance division, a Wealth Management & Trust organization and a Mortgage Company that has provided homeownership to generations of families. Salem Five believes deeply in supporting the communities in which we reside. Donations through our Charitable Foundation or events at the branch or location-level are an important part of our DNA. We would not be the company we are without our commitment to businesses and organizations that help the region thrive and to our employees. Come see...

The Commercial Risk Client Executive is responsible for leading the management and service of complex commercial accounts and functions at a strategic level to develop and retain consultative relationships with clients. Sr Client Executive must also evaluate and educate clients on missing or newly available coverage options. POSITION SUMMARY:   The Commercial Risk Client Executive is responsible for leading the management and service of complex commercial accounts and functions at a strategic level to develop and retain consultative relationships with clients. Sr Client Executive must also evaluate and educate clients on missing or newly available coverage options.   PRIMARY RESPONSIBILITIES:   The Commercial Risk Client Executive is responsible for leading the management and service of complex commercial accounts and functions at a strategic level to develop and retain consultative relationships with clients. Sr Client Executive must also evaluate and educate clients on...

The Client Executive is responsible for the management and service of complex commercial accounts and functions at a strategic level to develop and retain consultative relationships with clients. He/she must also evaluate and educate clients on missing or newly available coverage options. Position Summary: The Commercial Risk Client Executive is responsible for the management and service of complex commercial accounts and functions at a strategic level to develop and retain consultative relationships with clients. He/she must also evaluate and educate clients on missing or newly available coverage options. Principal Responsibilities: Acquires and retains large, complex clients through a deep understanding of risk, risk mitigation, and insurance architecture and the ability to leverage and effectively communicate that knowledge in direct alignment with client operations. Develops trusted partnerships with key insurance company partners and broker representatives. Leads...

A career at Concord Insurance Group is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description This job is responsible for supervising and coordinating activities within an assigned Claims Division area of responsibility involving the products or services of the Company by working individually or through associates. Work is performed independently. Responsibilities Make suggestions and recommendations as to the hiring, termination, advancement, promotion or any other change of status of associates. Assist management by supervising office/department activities in accordance with Company policies and applicable laws. Supervisory responsibilities include but not limited to: training and developing associates and conducting performance appraisals; planning, assigning, and directing work to meet Company objectives; ensure that associates...

Salem Five is a growing regional financial services organization with a rich history of over 170 years.  As an independent bank, we are deeply rooted in the communities we serve and offer our employees successful and rewarding careers. Why Join Us: At Salem Five Insurance, you will be part of a team that delivers more than just coverage, we provide peace of mind to the clients we serve. With experienced professionals across six Massachusetts offices and access to a broad network of trusted carrier partners, we work together to create tailored insurance solutions that reflect each client’s unique goals and values. Whether supporting families, businesses, or individuals with complex needs, you will play a key role in delivering clarity, care, and professionalism every step of the way. Key Responsibilities include the following; however other duties may be assigned. Recruitment and Talent Identification: Conducting interviews to identify potential...

Description We’re hiring a Special Claims Examiner on our Reinsurance Claims Examining team. Our mission is simple: recover the money Liberty is owed under our reinsurance contracts. The role is ideal for someone who likes complex claim analysis, contract review, financial detail, and working with internal and external partners to drive recoveries. It’s a high-impact opportunity where strong execution directly contributes to the company’s bottom line.   The Special Claims Examiner is responsible for managing the end-to-end ceded reinsurance claims process, ensuring accurate and timely reporting, collections, and reconciliations with reinsurers. This role serves as a subject matter expert, partnering with  internal stakeholders, brokers, and reinsurers to resolve complex claim issues while maintaining compliance with treaty and facultative reinsurance agreements.   The ideal candidate possesses strong technical reinsurance knowledge, excellent...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. This Director is responsible for a team of Territory Managers (field-based senior production underwriters) spread throughout the East Coast and the respective book of business within our Commercial Middle Market Construction Services organization. This is a remote/WFH (work-from-home) role, requiring travel throughout the territory as well as conferences and leadership/team meetings - average travel is likely on a monthly basis, including overnight trips....

The Senior Manager, Marketing & Communications is responsible for providing leadership and day-to-day operational management and implementation of programs for all U.S. Coverys companies in the area of marketing communications and public relations.  This includes management of the company’s corporate communications activities for all products and services, including national advertising, thought leadership, channel marketing to clients and prospects, Agent/Broker communications vehicles, and oversight of public relations, social media as well as support for internal and crisis communication responsibilities as requested by leadership.  In addition, this role will provide support services for Coverys international companies as requested.   The Senior Manager, Marketing & Communications is responsible for the planning, development and implementation of the organization’s marketing communication strategies and programs and deliverables related to market penetration, lead...

The Cross Family of Agencies welcomes you. We need your talent and expertise. Commercial Lines Account Executive/Team Lead – This position is a client-facing role responsible for directly supporting client relationship management on a book of business and building insurance programs based on client’s daily business operations and exposures. The Account Executive will also be involved with creating and assisting with new or expanded business opportunities for Cross Insurance with either existing clients or prospective clients. As a Team Lead, this person will also be responsible for mentoring and training members of the Commercial Lines team. Duties of a Commercial Lines Account Executive/Team Lead include, but are not limited to: Foster strong relationships with consistent, value-added engagement between Cross and its client. Employ technical knowledge of insurance coverages and products to develop detailed, effective, state-of-the-art insurance...

Company Details   Acadia Insurance is a regional property casualty insurer with offices throughout the Northeast.  As a member of W.R. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us.  Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor’s.    At Acadia, we value our employees, our customers and our communities.  Employees at Acadia are part of a progressive company where everyone can make a difference.  We promote an inclusive environment which encourages continuous learning and the chance to grow and develop.    Company URL: https://www.acadiainsurance.com/ Responsibilities Investigate, evaluate and resolve assigned claims in accordance with company standards, procedures, and...

The Litigation Management Associate is primarily responsible for auditing legal and litigation support vendor invoices, and educating panel defense counsel as to the Company's litigation management programs, but is also responsible for training other staff, generating legal audit data and reports, and for developing and implementing litigation management programs and initiatives. Essential Duties & Responsibilities Audit invoices from panel firms, coverage counsel, and litigation support vendors, which includes: meeting of standards for production, timeliness, quality. Communicate and builds relationships with panel firms, to include written/verbal/electronic and off-site feedback. Negotiate alternate fee arrangements with vendors providing litigation support, which includes the creation and review of contracts for such vendors, where appropriate. Participate in the selection/review of panel counsel and coverage counsel, including the setting of rates and...

Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. Feel empowered to learn and grow while being valued for who you are. At Intact, we commit to supporting you in reaching your goals with tools, opportunities, and flexibility. It’s our promise to you.  Who we are At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups. Intact’s Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe. The following...

Why Arbella? At Arbella, we’re focused on people. We work hard to attract and retain the best. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, and competitive, industry-leading salaries and benefits packages. We invest in our employees and encourage them to grow so that we, too, can grow as a company. Other perks include: • On-site gym and fitness classes and one-on-one personal training • On-site nurse, nutritional counseling, and mental health resources • Full-service cafeterias • Free shuttle service to Quincy Adams T Station • Tuition assistance programs • Opportunities to get involved: Arbella Activities Committee, Diversity and Inclusion Council, and more • A company committed to community: volunteer opportunities, employee-led community efforts, and the Arbella Insurance Foundation • Robust training, mentorship, and professional/personal development programs • Colleagues who...

Position Summary The Data Architect will help design, build, and evolve our next‑generation enterprise data platform & data integration pipeline. This role is central to our transformation toward a modern, governed, cloud‑based data ecosystem that supports all functions at Coverys (notably underwriting, claims, actuarial, finance, and enterprise analytics etc.) The Data Architect will help define the architectural blueprint, establish data modeling standards, and guide the development of scalable, automated data pipelines in Snowflake.  In addition to design of the architecture, this position will work closely with business and technology teams to ensure data is accurate, trusted, and available for advanced analytics, reporting, and operational decision‑making. Essential Duties & Responsibilities Data Architecture & Modeling Design and maintain enterprise data architecture aligned to business domains (Policy, Party, Claims, Billing, Underwriting,...

Why MSI? We thrive on solving challenges. As a leading MGA, MSI combines deep underwriting expertise with insurer risk capacity to create specialized insurance solutions that empower distribution partners to meet customers’ unique needs. We have a passion for crafting solutions for the important risks facing individuals and businesses. We offer an expanding suite of products – from fully-digital embedded renters coverage to high-value homeowners insurance to sophisticated commercial coverages, such as cyber liability and habitational property – delivered through agents, brokers, wholesalers and other brand partners. Our partners and customers count on us to deliver exceptional service through a dedicated team that makes rapid resolutions a priority. We simplify the insurance experience through our advanced technology platform that supports every phase of the policy lifecycle. Bring on your challenges and let us show you how we build insurance better. The...

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 Underwriting 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,...

Why MSI? We thrive on solving challenges. As a leading MGA, MSI combines deep underwriting expertise with insurer risk capacity to create specialized insurance solutions that empower distribution partners to meet customers’ unique needs. We have a passion for crafting solutions for the important risks facing individuals and businesses. We offer an expanding suite of products – from fully-digital embedded renters coverage to high-value homeowners insurance to sophisticated commercial coverages, such as cyber liability and habitational property – delivered through agents, brokers, wholesalers and other brand partners. Our partners and customers count on us to deliver exceptional service through a dedicated team that makes rapid resolutions a priority. We simplify the insurance experience through our advanced technology platform that supports every phase of the policy lifecycle. Bring on your challenges and let us show you how we build insurance better. The...

The  IT Project Manager II  will lead and support complex cross-functional initiatives that advance the company’s modernization of core insurance systems and digital platforms. Additionally, this role will establish a traditional project management discipline, organizational change management, and Agile delivery practices to ensure technology programs are executed efficiently, within scope and budget, and aligned with Coverys’ mission to support the healthcare community through innovative insurance and risk management solutions.   The IT Project Manager II has a solid understanding of standard project and change management practices required to successfully execute technology initiatives, excels at stakeholder management, and can bridge the gap between business and technology teams in a dynamic, compliance-driven environment.    Essential Duties & Responsibilities Project Leadership & Delivery  Lead Duck Creek Upgrade for Coverys, through all stages of...

Description Liberty Mutual Insurance is a leading global insurer committed to helping people live safer, more secure lives. Within our Personal Lines business, we partner with independent agents across the United States to deliver a broad portfolio of property and casualty solutions. We value a diverse, inclusive workforce and offer meaningful work where your expertise directly impacts growth, customer experience, and the communities we serve.   As a Senior Territory Manager, you will drive profitable premium growth across an assigned territory by building strong, consultative partnerships with independent agents. This role is critical to expanding market share through strategic agency management, collaboration with underwriting and internal partners, and disciplined execution of Personal Lines growth initiatives.   Key Responsibilities   Own and manage an assigned territory, driving profitable growth in alignment with financial and operational...