50 claims processor jobs found

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...

We’re thrilled that you are interested in joining us here at the Amynta Group! In today’s fast-paced and highly competitive market, delivering clear, accurate, and timely pricing is more important than ever. Our customers rely on us not just for numbers, but for confidence—confidence that every rate is built on solid understanding, thoughtful analysis, and strong collaboration. This role plays a key part in that mission by ensuring every case starts with a high-quality foundation for sound pricing decisions. This position is responsible for producing consistently accurate and timely rates for customers with a vast range in complexity. Specialists support the evaluation and selection of risk and the establishment of premium levels which ensure profitable acquisition of new cases and/or the continued profitable retention of in-force cases. Primary accountability is to determine the proper plan design and census manipulation needed to build the appropriate rate. The quality,...

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 job is responsible for investigating and analyzing complex Michigan PIP claims that have been referred to the special investigation unit (SIU) for potential fraud. This role typically handles a combination of complex attorney represented and unrepresented claims and moderate to complex losses, in which suspicious activity has been identified. The individual performs a thorough investigation including; (1) conducting background searches, scene investigations, and clinic inspections; (2) taking recorded statements; (3) reviewing and...

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 Material Damage Claims Adjuster is responsible for investigating and confirming the facts of loss for automobile accidents. This role determines coverage, liability, damages and otherwise adjusts and negotiates claims within authority. National General seeking an experienced Material Damage (MD) Claims Adjuster, preferably located in the CST or MST time zones. The ideal candidate will possess exceptional communication skills, a strong customer service orientation, keen attention to detail, a metrics-driven mindset with the ability to meet performance goals and strong organizational skills to...

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 job is responsible for investigating and analyzing complex and occasionally highly complex, multi-discipline coverage and claims that have been referred to the special investigation unit (SIU) for potential fraud. This role typically handles a combination of complex attorney represented and unrepresented claims and complex losses and claims involving extra-contractual liability, medical losses in which suspicious activity has been identified. The individual performs a thorough investigation including; (1) conducting background...

Compensation Grade:‏‏‎ ‎33 Job Description At SAIF, actuaries are more than our numbers people. Their work is the thread that binds together our enterprise-wide projects, strategies, and mission. Heavily relied-upon for their creativity and expertise, this team has the autonomy to work directly with business partners to help establish rates, maintain adequate reserves, produce forecasts, and ensure long term stability.  As our new senior actuarial analyst, you'll play a vital role in SAIF's mission to serve Oregon's workers and employers by making workers' compensation coverage widely available and affordable, and by providing extraordinary service. We're looking for a highly motivated self-starter with actuarial experience, but just as importantly, we're seeking a collaborative teammate, strategic communicator, seeker of challenges and opportunities, and champion of analytics. Your work won't be done in isolation. You will work closely with a seasoned team of actuaries...

The Cross Family of Agencies welcomes you. We need your talent and expertise. Director of Operations, Employee Benefits Position Summary The Director of Operations will build, lead, and optimize the operational foundation of the Cross Insurance Employee Benefits Division. This role is responsible for developing scalable processes, streamlining workflows, strengthening carrier and vendor partnerships, and driving operational excellence across all facets of the employee benefits business. The ideal candidate is a hands-on leader who translates strategy into execution , improves efficiency, and enables growth while delivering an exceptional client and employee experience. Key Responsibilities Build and lead the operational strategy for the Employee Benefits Division, aligning people, processes, and technology with business goals. Develop, implement, and refine standardized workflows that improve efficiency, accuracy, and scalability across new business,...

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 We are seeking an experienced Manager of Financial Communications to join our team and help build a best-in-class financial communications function. Reporting to the Senior Manager, Financial Communications, this is an opportunity for someone passionate about financial communications to shape how we tell Allstate's financial story and instill confidence in our strategy with investors, analysts and the broader business community. The ideal candidate has 7+ years of relevant experience in financial communications with strong writing skills...

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 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, employees...

ABOUT HUB: In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected-through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of professionals across North America represents a broad, deep and one-of -a kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. THE OPPORTUNITY: The Employee Benefits Account Management provides critical support to clients through day-to-day program oversight, client advocacy and systems management in order to effectively managing their health and welfare programs. The Account Manager facilitates positive and effective relationships sales and/or account team colleagues. The Account Manager manages a book of insurance...

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 About the Team The Property Liability (PL) Strategy & Operations Team partners closely with PL leadership to define priorities, translate enterprise operating and financial plans into actionable direction, and ensure disciplined integration and execution across the organization. The team plays a critical role in: • Coordinating integrated planning across business units, technology, and finance • Supporting high impact, cross functional initiatives from problem definition through delivery • Preparing executive level materials for senior...

As a Customer Service Representative, you interact with customers to provide information in response to inquiries about claims. This is a front line position in our medical department and is crucial in setting the tone for fulfilling our promise of providing exceptional white-glove service to our claimants and callers. You will use your independent judgment and communication skills to obtain information and relay information to claimants and providers. Responsibilities include: Answering incoming telephone calls. Required to login into phone queues (as assigned) daily.  Providing eligibility and claim information to medical providers and members. Reviewing and interpreting plan certificates to determine covered benefits and limitations/exclusions. Investigating claim payment issues. Research PPO websites/database as required to determine if claims are received and processed by the PPO network. Document telephone call reason and details in claim system. Monitoring and...

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,...

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 In this job, your main focus will be investigating automobile accidents involving single or multiple vehicles, which result in property damage and/or bodily injury with litigation/mediation/arbitration involved. You will have the convenience of working remotely from your home while efficiently handling your responsibilities. You will assess coverage, liability, and damages while providing exceptional customer service throughout your day. Customer and attorney communication will take place through different channels, including voice calls,...

ABOUT HUB: In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected-through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of professionals across North America represents a broad, deep and one-of -a kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. THE OPPORTUNITY: The Employee Benefits Account Management provides critical support to clients through day-to-day program oversight, client advocacy and systems management in order to effectively managing their health and welfare programs. The Account Manager facilitates positive and effective relationships sales and/or account team colleagues. The Account Manager manages a book of insurance...

About CareScout Join us on a mission to simplify and dignify the aging experience. We are the children, siblings, neighbors, and friends of those navigating the fragmented and confusing system of long-term care. Our team is ferociously curious and relentless in our pursuit of a better system – and we are deeply committed to a sense of belonging for all, in all phases of life.    We’re creating a new experience for care seekers and their families, bringing together long-term care options, non-healthcare resources, education, and human support into one place. We work hard, we have fun, we care about each other, and we share the mission. If this sounds like a place where you could thrive, join us!    CareScout is a wholly owned subsidiary of Genworth Financial, Inc, a Fortune 500 provider of products, services and solutions that help families address the financial challenges of aging.   POSITION TITLE Senior Living Sales Operations Manager      POSITION LOCATION...

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 A day in the life of a Large Loss Field Property Adjuster, and what it takes to do the job!    As a Large Loss Field Property Adjuster, you will provide exceptional service to our policyholders. Your primary responsibility will involve traveling to our customers' homes to conduct on-site inspections, investigate coverage, prepare estimates, and settle claims promptly and efficiently. Additionally, you will handle virtual claims countrywide, leveraging various platforms and software such as Xactimate and ClaimsX Video Collaboration....

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 an onsite position. 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 office...

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our  journey as we strive to transform the insurance  carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our  internal and external communities better everyday! Learn more...