34 claims 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 As an IDI disability claims analyst you will secure and analyze claim information to make disability claim decisions, including complex and high liability claims while also delivering excellent and timely customer service. Investigate, secure, and analyze information pertaining to claimants' medical condition, occupational demands, work earnings, business...

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 leads moderately to highly complex inbound and outbound data integrations that support absence management and claim administration. It owns customer onboarding conversations, business testing, issue triage, and coordination with internal and external partners to ensure accurate, timely data flow. The position also provides subject‑matter expertise, supports...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description National General Insurance is currently seeking an Experienced Bodily Injury Adjuster. The ideal candidate will have experience handling non-attorney represented bodily injury claims. Candidates should be located in the Pacific Time Zone in one of the following states: California, Arizona, Nevada, or Oregon. Key Responsibilities: Handles investigation regarding all aspects of bodily injury claims (coverage, damages, subrogation, litigation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by...

As a Regulatory Compliance Analyst , you will play an integral role in the compliance program for Hagerty, ensuring that Hagerty promotes an organizational culture that encourages ethical business conduct and a commitment to compliance with the law, resulting in a positive image to associates, customers, vendors, and the community. This position will ensure that sufficient internal policies and controls, reasonably capable of reducing the likelihood of improper conduct, are in place. As a Regulatory Compliance Analyst, you will play a critical role in ensuring Hagerty’s operations meet the highest standards of regulatory compliance. You’ll partner with leaders across the business to provide strategic guidance, support enterprise initiatives, and educate teams on what compliance is and why it is important to our collective success. In this role, you will conduct legal and regulatory research, support audits and market conduct examinations, and provide advice for regulatory...

Summary   The Senior Claims Adjuster manages all components of claim handling for the Management Liability line of business. Independently reviews submitted materials and policy documents, performs complete coverage analysis, and prepares coverage determination correspondence. Reviews and provides direction on reserve and settlement authority, where required, on complex, specialized claims including D&O, EPL, Fiduciary, Commercial Crime, Financial Institution E&O, Financial Institution bonds and Representations and Warranties/ transactional liability. Supports business partners through communication about specific claims, identification of claim trends, input on development, and marketing support. Monitors claim quality and customer feedback to ensure compliance with regulatory requirements, customer satisfaction and achievement of corporate objectives. Independently operates within company guidelines and authority levels in the settlement of claims. Makes appropriate...

Title: Claims Processor Department: Claims Bargaining Unit: UFCW 555 Grade: 3 Position Type: Non-exempt Hours per Week: 40 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. Minimum...

Title: Claims Processor Department: Claims Bargaining Unit: UFCW 555 Grade: 3 Position Type: Non-exempt Hours per Week: 40 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. Minimum...

Description Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the West Region!   As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. You may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Depending on your overall skills and experience, you may be considered as a Claims Specialist II,...

CorVel leverages proprietary software to deliver claims management, bill review, and case management services. The Product Support Specialist II provides advanced application support for CorVel’s proprietary systems. This role focuses on diagnosing, troubleshooting, and resolving complex application issues while adhering to established policies and procedures.          The Product Support Specialist II works under general supervision, demonstrates strong problem-solving skills, and takes initiative to expand technical knowledge as systems and technologies evolve.   This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Troubleshoot and resolve application issues submitted through ServiceNow by field offices and business users, ensuring timely resolution and high user satisfaction Provide professional, effective support via ServiceNow, email, and phone Serve as a subject-matter expert for CorVel proprietary applications and ServiceNow ITSM processes...

We’re thrilled that you are interested in joining us here at the Amynta Group! This role is built for an underwriter looking to grow their career in the complex Public Entity & Non-Profit space. You will work closely with a tenured team of peer underwriters while actively underwriting your own portfolio of accounts – determining strategy, setting terms, managing exposures, and making sound decisions within your authority. Equally important, you’ll be a trusted partner to brokers and clients: responsive, knowledgeable, and focused on long-term relationships that drive retention and new business. Role Responsibilities Underwrite and grow a portfolio of risks within the public entity & non-profit space, including direct, excess and reinsurance accounts. Perform loss and exposure analysis to ensure risks are within core appetite and underwriting guidelines. Manage the full underwriting cycle including submission triage, pricing, setting coverage terms, contract...

Servicing a book of Middle Market clients, this role will serve as a trusted advisor to key client groups by providing strategic and consultative guidance on identified collaborative initiatives, assessment of potential risk profiles and conducting policy audits, proposals and renewals. Your Impact: Build and maintain constructive relationships with customers by meeting and exceeding expectations Actively service/retain existing accounts and develop new business opportunities Maintain appropriate system records of service, marketing, and policy communications with clients and carriers by documenting and updating electronic files and AMS accordingly Schedule personal client meetings at annual renewal or more frequently to maintain client contact Support Producers through proposals, suspense, follow-up, etc. to assist clients and achieve agency's business goals. Keep Producers apprised of client status Respond to client inquiries, service requests and claims issues within...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description The Employee Recruiting Consultant II will support Claims recruiting by managing both high volume and low volume searches of increasing complexity by overseeing the recruiting process including the hiring strategy, sourcing approach and client relationships. They are responsible for maintaining accurate and concise records and reports for all phases of the recruitment process. They also provide role/area specific solutions driven by data, industry knowledge and personal experiences in the client business area. Key Responsibilities   Deliver a positive candidate experience while exercising sound...

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 The Digital Delivery Experience Manager owns the strategy and operations for how customers digitally receive their product‑related documents. They utilize paperless delivery channels such as electronic mail, text messages, and mobile applications, and evolve the capabilities required to electronically deliver customer‑facing documents—including policy packages, letters, notices, bills, claims, and membership materials—to ensure digital delivery creates a positive customer experience while also complying with state regulations. The team...

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. Nationwide Insurance is the 8th largest commercial carrier.  Our Risk Management & Client Solutions organization has over 100 Risk Management associates and technical staff.  Our commercial portfolio of accounts consists of traditional, middle market and national accounts.  Business segments include contractors, manufacturing, real estate management, service industries, retailers, etc. We are seeking a Specialist, Loss Control (Construction) who will be part of...

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 standards,...

Why Openly Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly Difference We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. The Price Difference : Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. The Experience Difference: From tailored claims handling to highly responsive customer service, we are...

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 This position is responsible for investigating and analyzing moderately complex, single-discipline coverage and claims referred to the Special Investigation Unit (SIU) for potential fraud. The role involves conducting detailed investigations, performing background searches, taking recorded statements, interviewing witnesses, and reviewing social media activity. The individual evaluates whether fraud can be substantiated and supports litigation when appropriate. Key Responsibilities Claims Documentation: Summarize documents and...

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 In this role, you will be responsible for performing complex commercial mortgage loan servicing and administration functions to support our investor clients and borrower requirements. You'll oversee loan portfolio compliance, ensure timely collection of payments, and handle delinquent property taxes, insurance coverage, and loss claims. You will also analyze loan...

Step into a role where you’re more than an Account Manager—you’re a trusted advisor, problem‑solver, and go‑to expert for our standard Personal Lines clients. In this role, you’ll deliver proactive, best‑in‑class service while helping clients navigate their coverage with confidence. You’ll partner closely with a supportive, high‑energy team and collaborate with producers across multiple RSC offices to deliver a seamless client experience. And because we’re big on developing our people, you’ll also have the chance to mentor PL Select Assistant Account Specialists, helping them grow their skills while elevating the strength of our team. If you enjoy building relationships, finding smart solutions, and working in an environment where no two days look the same—this role is built for you. Your Impact: Building and maintaining constructive and effective relationships with internal and external customers by meeting and exceeding expectations Leveraging personal insurance...

We are seeking a dynamic and experienced actuarial professional to assist with the continued development of our actuarial team and enhance RSC’s support for our client’s healthcare initiatives and innovations. The ideal candidate will offer an extensive understanding of the healthcare landscape, including medical, pharmacy, stop loss, contracting and payor operations. This role demands a motivated self-starter with proven leadership skills, capable of thriving in a fast-paced, dynamic environment. The ideal candidate will excel in a matrixed environment, demonstrate creative actuarial and analytical capabilities, exceptional communication, interpersonal and organizational skills, and possess a proactive and resourceful approach to problem-solving. This role will be critical to delivering the RSC value proposition for our clients through innovation, technical expertise and highly effective and efficient execution which will directly impact the clients’ financial strategies and...