21 claims administrator jobs found

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 benefits such as; Processing...

The Baldwin Group is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take them throughout the U.S. and abroad. The Baldwin Group has award-winning industry expertise, colleagues, competencies, insurers, and most importantly, a highly differentiated culture that our clients consider an invaluable expansion of their business. The Baldwin Group (NASDAQ: BWIN), takes a holistic and tailored approach to insurance and risk management. The Population Health Consultant designs and delivers custom wellbeing solutions driven by population health data for the clients in our Mid-Atlantic Region. Principal Responsibilities: Manages the data analytics/population health vendor relationship by setting up...

For more than 60 years, Avemco has been a recognized leader in aviation insurance. Avemco Insurance Company is the only direct writer of aircraft insurance. That means we’re the only insurance company that connects pilots directly with an Aviation Insurance Underwriter who is empowered to solve problems and approve coverage instantly – and now YOU have a unique opportunity to join our team! If you are a proactive individual with a passion for aviation and a desire to contribute to the growth of a leading aviation insurance company, we want to hear from you! Apply now and embark on an exciting career journey with us. Job Summary Sells and supports our product to pilots and other aviation customers throughout the United States through phone and internet sales. Primary objective is to assist in achieving growth and profitability goals. Key Responsibilities Qualify prospective clients and explain features of policies offered, determining amount and type of coverage...

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.  Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers’ expectations while making a real impact for our company through our shared purpose.  When you join our company, we want you to feel valued, supported and proud to work here. That’s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Location : Hybrid - DC, Dallas, Houston, Tampa, NYC, Chicago, Tucson, or Lakeland Reports To : Senior Director, HR Compliance & Controls About the Role GEICO is seeking an experienced HR Compliance Manager to lead the development, execution, and ongoing governance of employment compliance programs across Workers’ Compensation, OSHA, regulatory reporting, audit remediation, and HR policy governance....

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers’ comp, we strive to provide an atmosphere of constant growth and development for our employees.   Summit provides workers’ compensation programs and services to thousands of employers throughout the Southeast.   Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where...

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers’ comp, we strive to provide an atmosphere of constant growth and development for our employees.   Summit provides workers’ compensation programs and services to thousands of employers throughout the Southeast.   Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where...

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 We are currently seeking a talented personal injury Legal Assistant for our Columbia, MD staff counsel law office. As a dedicated personal injury Legal Assistant, you will provide assistance with legal work which is reviewed and approved by the supervising attorney. This includes but is not limited to research, contract administration, document preparation, and trial preparation. The legal work performed differs by practice area and area of specialty such as insurance, banking, investments, financial services,...

Captive Accountant is responsible for maintaining accurate financial records and supporting the accounting operations of multiple captive insurance entities. This role involves preparing monthly financial statements, reconciling accounts, and ensuring compliance with GAAP and regulatory requirements. The ideal candidate will have strong analytical skills, attention to detail, and proficiency in accounting software. Your Impact: Maintain monthly financial records for several captive insurance entities. Record and reconcile bank transactions monthly. Analyze investment account statements, enter transactions, and reconcile accounts monthly. Prepare and post monthly journal entries. Maintain client-specific claim funds ledger. Coordinate premium and claim reporting between fronting carriers and third-party administrators. Generate monthly financial statements in accordance with GAAP. Assist with preparation of 1099 forms and annual reports. Calculate surplus to...

Captive Accountant is responsible for maintaining accurate financial records and supporting the accounting operations of multiple captive insurance entities. This role involves preparing monthly financial statements, reconciling accounts, and ensuring compliance with GAAP and regulatory requirements. The ideal candidate will have strong analytical skills, attention to detail, and proficiency in accounting software. Your Impact: Maintain monthly financial records for several captive insurance entities. Record and reconcile bank transactions monthly. Analyze investment account statements, enter transactions, and reconcile accounts monthly. Prepare and post monthly journal entries. Maintain client-specific claim funds ledger. Coordinate premium and claim reporting between fronting carriers and third-party administrators. Generate monthly financial statements in accordance with GAAP. Assist with preparation of 1099 forms and annual reports. Calculate surplus to...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary The Account Manager plays a key role in managing and retaining a portfolio of Accident & Health (A&H) clients, including employer groups, brokers, and distribution partners. This position ensures exceptional service delivery throughout the policy lifecycle—supporting onboarding, renewal strategy, product education, and ongoing relationship management. The ideal candidate brings strong communication skills, deep knowledge of A&H products, and the ability to collaborate across underwriting, claims, operations, and sales teams. Responsibilities and Accountabilities Serve as the primary point of contact for assigned A&H clients and brokers. Advise...

Position Summary The Senior Client Support Associate is responsible for assisting clients by addressing inquiries, guiding them through policy-related matters, and communicating policy renewals. The role resolves customer concern promptly, gathers feedback, and collaborates with internal teams while staying informed about industry trends for enhanced client support. They maintain organized client records, identify cross-selling opportunities, and educate clients on insurance details.       What will your job entail? Job Responsibilities:  • Assists clients by addressing inquiries, resolving issues, and offering information related to insurance products and services.  • Guides clients through policy-related matters, explaining coverage details, terms, and conditions, and assists with policy adjustments or updates.  • Communicates regarding policy renewals, providing information on renewal options, premiums, and any changes in coverage.  • Maintains accurate and...

The Claims Assistant will support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific customer needs.  This is a hybrid role.     ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Sets up new claims Process mail, handle files (until paperless), and input notes/diary entries in the claims system Process payments, as needed Process form letters, state forms and reports Assist claims examiners with telephone calls including provider, claimant and customer calls Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent written and verbal communication skills PC literate, including Microsoft Office (Word, Excel) Ability to work independently and in a team environment Strong organizational skills   EDUCATION & EXPERIENCE:  High school diploma, college degree preferred Six (6) months of service oriented...

The Baldwin Group is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take them throughout the U.S. and abroad. The Baldwin Group has award-winning industry expertise, colleagues, competencies, insurers, and most importantly, a highly differentiated culture that our clients consider an invaluable expansion of their business. The Baldwin Group (NASDAQ: BWIN), takes a holistic and tailored approach to insurance and risk management. JOB DESCRIPTION: The mission is to be an integral part of the Commercial Lines team and partner with Advisors, Directors Risk Management, Client Service Specialists and others in the agency to deliver a high level of service to our commercial clients.  This...

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 Empower Possibility. Protect What Matters. Build a Career You’re Proud Of. As an Allstate Sales Consultant, you’ll do more than sell insurance — you’ll help customers protect what matters most while building a career with purpose, backed by a Fortune 100 brand. In this role, you’ll play a key role in driving local sales growth through proactive prospecting, lead generation, networking, and relationship building within your community and surrounding areas. Y ou’ll identify gaps in home and auto insurance plans,...

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 hourly 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 hourly rate 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 Baldwin Group is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take them throughout the U.S. and abroad. The Baldwin Group has award-winning industry expertise, colleagues, competencies, insurers, and most importantly, a highly differentiated culture that our clients consider an invaluable expansion of their business. The Baldwin Group (NASDAQ: BWIN), takes a holistic and tailored approach to insurance and risk management. The Sr Employee Benefits Client Executive is responsible for leading the tactical and operational leadership in the design, development, implementation, administration, and communication of all assigned client benefit plans, including making appropriate recommendations...

Position Summary The Senior Property and Casualty Underwriter is responsible for overseeing and managing property and casualty business workflows, providing technical expertise and ensuring adherence to underwriting guidelines. The role develops strategies for new business opportunities and portfolio retention and actively contributes to achieving business targets. They cultivate long-term broker relationships, while also supporting training for new staff in underwriting processes. What will your job entail? Job Responsibilities: • Oversees and strategically manages workflows for new property and casualty business and renewals, showcasing advanced professionalism, technical expertise, and adherence to underwriting guidelines. • Evaluates, prioritizes, and selects submissions and prices risks that will develop an underwriting profit for the carrier, refers or declines risks that present excessive risk. • Drives risk assessment comprehensively, evaluating factors such as...

Position Summary The Property and Casualty Underwriter is responsible for managing a portfolio of accounts and driving new and renewal business opportunities for Property and Casualty insurance. The role assesses risks associated with insuring properties and liabilities, evaluates applications, analyzes data, and determines coverage terms and premiums to ensure sound underwriting decisions. They develop and maintain underwriting practices and guidelines as per delegated authority and build relationships with brokers and other stakeholders in the designated portfolio. What will your job entail? Job Responsibilities: • Underwrites new and renewal property and casualty business, analyzes policy forms, broker endorsement requests, and submitted documentation as per company underwriting standards and guidelines and obtains additional information as needed. • Determines whether to accept, modify or decline a risk through evaluation of the coverage value, location, usage, safety...

As a Senior Claims Specialist, you will manage 3rd party claims, providing technical guidance, support analytics, and liaise with TPAs, legal, and clients in the claims review process. You will be specifically be responsible for managing and overseeing claims in captive insurance programs. Captive insurance refers to a form of self-insurance where a company creates its own insurance company to cover its risks. In this role, you will work closely with clients, insurance brokers, and underwriters to ensure timely and accurate claims handling. Your Impact: Review and assess claims submitted by clients within captive insurance programs. Investigate and gather necessary information to determine the validity of claims. Collaborate with internal teams, external vendors, and legal counsel to resolve complex claims issues. Negotiate settlements and manage claims payments in accordance with policy terms and conditions. Provide guidance and support to junior claims specialists in...