887 claims administrator jobs found

At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together.    **This position is eligible to work from home anywhere in the United States** Analyzes and investigates claims to ensure compliance and timely payment of benefits. Responds to agents and policyholders regarding pending claims and appeals. Processes complex beneficiary and ownership changes and approves eligibility of waivers for life and disability income policies. Collaborates with peers and management to ensure consistent interpretations of policies and claim payment methods. Essential Functions: Analyzes, investigates, and adjudicates individual/group life, annuity, and critical, chronic, and terminal illness claims to ensure the...

About the Role   American Global has an exciting and growing   entry-level   opportunity to join our team as a   Claims Associate . We are looking to add a passionate, talented individual who will help our growing claims department deliver exceptional customer service to our clients.    Key   Respon sibilities   Include:   Create and   maintain   carrier portal access instructions   Keep internal claims account assignment spreadsheet up to date   Update and   maintain   internal claim review schedule as needed   Copy, scan and file documents for all assigned accounts   Enter new losses into agency claim system   Report new claims as needed (on behalf of clients as requested)   Follow-up with carriers to obtain outstanding information on newly reported claims   File claims documentation and correspondence into agency claims system in a timely manner...

Crum & Forster Company Overview Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.   In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions.   The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market. Job Description Information about the Role, Line of Business and Team: The...

We’re thrilled that you are interested in joining us here at the Amynta Group! First Nonprofit - Member Services & Compliance Manager This fully remote position is responsible for supporting existing clients managed by SVP and VP of Sales, sales of ancillary products and programs to existing clients, onboarding of new accounts added by existing and new clients, as well as sales and placement of state mandated surety bonds for existing and new clients. Position will be working with stakeholders from Marketing, Sales and Underwriting. Under direct supervision, this position will assist in account retention, drive additional products/programs to existing clients and be accountable for execution of the duties identified above. Responsibilities: Support existing agents and clients managed by SVP and VP of Sales. Drive ancillary product/program sales for existing clients. Day to day agent and client support including responding to inquiries and resolving issues....

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...

Title: Participant Services Representative Department: Associated Administrators FLSA: Non-exempt Hours per week: 40 Position Summary The Participant Services Representative provides customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintains current knowledge of assigned Plan(s) and effectively applies knowledge in all job functions. Provides written, verbal, or face-to-face customer service by responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits. Updates files, including documenting system notes of conversations or action taken. Performs tasks associated with the administration of retirement and health and welfare...

At Safety National, we don’t just offer jobs – we build careers with purpose! Since 1942, we’ve been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success—both personally and professionally. Ready to grow with us? Apply today! Follow this link to view all of our available careers and apply: https://www.safetynational.com/careers-page/ This opportunity is in the Claims department. Our Claims department oversees both high-exposure workers’ compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess and large deductible carrier, the high exposure claims we handle keep our group...

Title: Office Support Assistant                                 Department: Claims Union: UFCW 3000 Bothell                                         Grade: 4 Position Summary The Office Support Assistant provides clerical and administrative support for multiple departments within assigned location in accordance with Company guidelines, client needs, and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Provides clerical support: scans, copies, or files paperwork and/or documents, archives documents and files per retention schedule, provides research or completes print requests as needed, and creates documents and forms related to internal operations. Provides administrative support: maintains inventory of office and stationery supplies, processes invoices for payment, prepares scheduled reports as...

Job Description: We are looking to add a Benefits Administrator to join our Talent & Culture (HR) team in West Des Moines, IA . This role will implement and manage the benefits strategies in alignment with the organization’s overall business operations to attract, retain and motivate employees. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: Administer benefit and retirement programs, such as medical, dental, life insurance, disability and 401(k). Manage and administer leave of absence with vendor and HRIS and oversee absence policies, procedures, and practices. Manage benefit vendor relationships and elevating concerns, as needed. Responsible for ensuring benefit and retirement programs are accurately reflected in Human Resources Information System (HRIS). Own annual Open Enrollment strategy, administer and...

Description Liberty Mutual Insurance and Helmsman Management Services are seeking a dynamic and experienced Vice President, Workers' Compensation Managed Care to lead one of the most comprehensive and strategically critical managed care operations in the industry. This senior executive role carries oversight of a 400-person national organization spanning Nurse Case Management, National Medical Directors, Provider Networks, Vocational Rehabilitation, Utilization Management, Medical Bill Review, Workers' Compensation Technology Solutions, Medicare Compliance, and Managed Care Leadership. The ideal candidate brings deep expertise in workers' compensation managed care gained through a career in property & casualty insurance, a third-party administrator, or a large brokerage/risk management services organization, and is ready to drive innovation, talent development, and superior outcomes for injured workers, employers, and brokers alike.   **PLEASE NOTE**...

At Safety National, we don’t just offer jobs – we build careers with purpose! Since 1942, we’ve been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success—both personally and professionally. Ready to grow with us? Apply today! Follow this link to view all of our available careers and apply: https://www.safetynational.com/careers-page/ This opportunity is in the Claims Department Our Claims Department oversees both high-exposure workers’ compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess carrier, the catastrophic claims we handle keep our group challenged, but the...

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. Role Summary We are currently seeking to add a qualified individual to our Procurement organization to support the Senior Director of Procurement in various aspects of managing external vendor relationships while meeting the needs of the respective internal business stakeholders. The Procurement Analyst will play a key role in fulfilling the objectives of the Procurement organization by: Performing tasks in support of supplier negotiations, including...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  This position leads the strategic management and performance of assigned programs within CNA’s P&C Programs unit. The position is accountable for program profitability, growth, and overall business performance, partnering closely with Program Administrators to define and execute strategies that drive sustainable, profitable growth. This position serves as a key liaison across underwriting, product, actuarial, and claims to ensure strong program execution, operational effectiveness, and alignment with CNA’s broader business objectives. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Drive...

Title: Claims Processor 1                             Department: Claims Union: OPEIU 29                                               Grade: 16 Position Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims. Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers’ Compensation, or disability.  May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries. Performs other duties as assigned....

Title:   Claims Processor 2   Department:   Claims Bargaining Unit:   OPEIU 29   Grade:   17 Position Type:   Non-Exempt   Hours per Week:   40 Position   Summary The Claims Processor 2 provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims. Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries....

Title: Claims Processor 3                             Department: Claims Union: OPEIU 29                                               Grade: 18 Position Summary: Responsible for independently processing all types of health claims on an assigned Plan(s), and for assuming primary or back-up customer service responsibilities as necessary. General Duties: Independently process all types of health claims in accordance with assigned Plan(s). Perform customer service responsibilities for providers and members as needed. Generate correspondence and form letters. Maintain current knowledge of assigned Plan(s) and effectively apply this knowledge in the payment of claims. Assist other processors with claims as needed to minimize backlog. Perform other related duties and special projects as assigned. Minimum Qualifications: High school diploma or general education degree (GED); two years related experience processing all types of group health and/or dental...

Primary Role: The Employee Benefits Account Manager works collaboratively with the Producer, Account Executive and Account Administrator managing a book of business. Coordinates and provides day-to-day service for employee benefits clients by maintaining client relationships, supporting client retention, maintaining strong carrier relationships and understanding client needs. Serves as day-to-day contact and provides resolution for client questions and issues. Duties and Responsibilities: Manages routine client requests , builds and maintains client relationships, helps support client retention, maintains strong carrier relationships, and understands client needs Manages projects in concert with the client including, but not limited to, all vendor implementation Provides benchmarking reports to client (annually, quarterly, or monthly) Manages claims and coverage issue resolution for clients’ employees when elevated from HR, understands when to escalate complex...

At Swyfft, we're reshaping the way home insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service. Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry. Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive. As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at Swyfft!...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Program Manager to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Programs 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 and AIG. How you will create an impact Senior Program Manager reports directly to the (Senior Director). A Senior Program Manager is highly motivated, results oriented problem solver who exemplifies a willingness to be...

At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together.    **This position is eligible to work from home anywhere in the United States** In this role, you’ll have the opportunity to take ownership of moderately to highly complex workers' compensation claims and make a direct impact on outcomes for clients and claimants. You’ll drive investigations, evaluate coverage and liability, and shape claim strategies from start to resolution—balancing thoughtful analysis with decisive action. Your expertise will be key in setting reserves, negotiating fair settlements, and identifying risk and recovery opportunities. Along the way, you’ll build strong relationships with clients and stakeholders, ensure compliance...