256 claims processor 1 jobs found

Why Join GEICO? 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 on relentless innovation to exceed our customers' expectations while making a real impact on local communities nationwide.   Founded in 1936, GEICO is a member of the Berkshire Hathaway family of companies and one of the largest auto insurers in the United States. 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. Claims Service Specialist **This is an in-office position Your Impact at GEICO     As an Auto Claims Specialist, you’ll reassure customers and offer solutions when they need us the most with empathy and care. You will guide...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned   KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in...

The Company  Willis Towers Watson (NASDAQ: WLTW) is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth. With roots dating to 1828, Willis Towers Watson has 40,000 employees serving more than 140 countries. We design and deliver solutions that manage risk, optimize benefits, cultivate talent, and expand the power of capital to protect and strengthen institutions and individuals. Our unique perspective allows us to see the critical intersections between talent, assets and ideas – the dynamic formula that drives business performance. Together, we unlock potential. Learn more at willistowerswatson.com. The Business Corporate Risk and Broking We know how companies can unlock potential through effective risk management. Our clients rely on us to craft strategies to quantify, mitigate, and transfer risk, taking advantage of our global capabilities, specialist industry experience, and unparalleled market...

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℠. Job Summary The VP, Enterprise Claims Initiatives, reporting directly to the Chief Claims Officer, acts as a strategic advisor and project management leader within the claims function. This role blends operational oversight with organizational responsibilities, driving transformation, stakeholder engagement, and continuous improvement across claims operations. This position reports directly to the Chief Claims Officer. The VP works closely with department heads, project stakeholders, and external partners to ensure successful outcomes and drive positive change across the claims function. Key Responsibilities Advise senior leadership and project stakeholders on best practices,...

Job Description: Title:   A ccount Manager - Commercial Lines   Hybrid Preferred:   1 day in the Binghamton, NY or Syracuse, NY office OR Fully Remote: applicants residing in Eastern or Central Time Zones Book Focus:   Construction, Contractors, Habitational | Required: active property & casualty (P&C) license   Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Additionally, our remote work policy includes having a dedicated, distraction-free workspace.   Remote work is not a substitute for childcare, elder care, or other personal responsibilities during working hours.   To view our branch locations, please visit: ioausa.com/locations   About the...

The Casualty Supervisor will coach, mentor, give general oversight and guidance to the casualty team and examiners. They will collaborate with casualty management and lead team to determine coverage, refine investigations, formulate action plans, develop negotiation tactics and drive litigation strategies to move the claim towards resolution. They will also participate in supervisor and committee reviews to develop, implement and assess, claims processes and provide innovative solutions to common and unique claim and coverage scenarios. Duties & Responsibilities: Verify and approve timekeeping records and consult employees about any discrepancies. Complete evaluations, progress reports and personal improvement plans for all personnel under their supervision.  Document performance feedback and other personnel matters. Ensure adherence to company policies and procedures and undertake disciplinary actions if the need arises. Knowledge of leave policies and...

The Senior Safety Loss Control Consultant position is responsible for the provision of risk management, loss prevention, and safety related services to assist our clients in the identification and mitigation of safety related hazards with an emphasis on workers’ compensation, general liability, and automobile losses. Your Impact Conduct safety assessments at client facilities including manufacturing, non-manufacturing occupancies such as hospitals, universities, real estate, retail, and process industries, etc. Assist clients in reducing actual and potential losses by recommending, implementing, and improving safety and loss control programs based on loss history, regulations, organizational needs, and industry “best practices” Work closely with the claims team and analytics group to review large losses, analyze loss trends and develop service plan for clients to mitigate future losses Manage relationship between insurance company loss control and clients by...

Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.   Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work ® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.   C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster,...

CAC, part of The Baldwin Group, is a leading insurance broker and advisor that provides expertise and placement capabilities across the spectrum of insurance and capital markets. Our team defines our success. We recruit and retain the industry’s best talent with deep knowledge and experience in their respective segments, products, and industries. We root for each other, as we are all connected and aligned to serving clients in a better and smarter way. Find out more about career opportunities to work with the best team in the industry. The Human Capital Risk Analyst will be joining the employee benefits consulting arm of the Private Equity Practice. Our team serves private equity firms and their portfolio companies from a holistic human capital risk perspective. The HCR Analyst will be responsible for supporting the Benefit Consulting Client Service team based on the evolving needs of the practice. Duties & Responsibilities: Creation of financial dashboards...

Position Summary The Property and Casualty Underwriting Associate is responsible for ensuring the accuracy of existing policy information for renewals, communicating effectively with clients for information gathering, and supporting the underwriting process through precise documentation. The role conducts risk assessments and audits for insurance applications, calculates premium and generates reports. They ensure strict adherence to company policies, industry regulations, and compliance standards in all underwriting activities. What will your job entail? Job Responsibilities: • Evaluates and maintains existing policy information to ensure data is current, accurate, and appropriately priced for renewal. • Responds to client requests and questions, offering information and advice regarding the insurance products & underwriting appetite. • Communicates with clients to gather necessary information, resolves inquiries, and ensures a smooth underwriting process. •...

The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay while supporting the goals of the Case Management department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identifies the necessity of the review process and communicates issues of concern to the appropriate claims staff/customer Collects data and analyzes information to make decisions regarding certification or denial of treatment Documents all work in the appropriate manner Promotes utilization review services with stakeholders Additional duties as assigned   KNOWLEDGE & SKILLS:  Must have thorough knowledge of both CPT and ICD coding Ability to interface with claims staff, attorneys, physicians and their representatives, as well as advisors/clients and coworkers...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Position Summary The Senior Litigation Specialist is responsible for the end-to-end management of complex, high-exposure claims, primarily involving bodily injury under General Liability, Commercial Auto, and Personal Auto claims. Experience with New York Labor Law is a plus. This role requires advanced technical claim handling, strategic litigation oversight, and close partnership with defense counsel to drive optimal outcomes. The ideal candidate must have strong negotiation skills, and the ability...

The Sales Enablement Marketing Manager enabl es   sales success through content   strategy , clear communications, and best‑in‑class enablement experiences. This role serves as the owner of the sales content ecosystem—anchored in Seismic—and as a key partner to sales and   client management   leadership.   This individual translates enterprise strategy, product and program updates, and go‑to‑market priorities into compelling, field‑ready tools that drive alignment, confidence, and action across the sales organization. The role sits within Field Marketing and partners closely with Sales Enablement, Product, Training, and Enterprise Communications.     Key Responsibilities   Seismic   Content   Strategy & Enablement   Drive full   utilization   of the   overall   Seismic   sales content management platform   by   the sales   and marketing   organization, ensuring the platform is intuitive,...

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. Position Overview: The AVP of Operations is responsible for leading and optimizing the operational processes that support the Casualty Lines underwriting profit centers. This role will collaborate cross-functionally with underwriters, IT, finance, compliance, and customer service teams to ensure process excellence, regulatory compliance, and achievement of business objectives. The AVP of Operations will analyze data, manage resources, and drive continuous...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Complex Claims Director – Management Liability 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 Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact As Senior Complex Claims Director for Management Liability, you will be responsible for handling all aspects of our highest severity D&O claims with opportunity to handle high exposure Employment Practices Liability and Fiduciary Liability claims...

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 Responsible for investigating and confirming the facts of loss for the most complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors and provides direction to junior employees. We are seeking a Litigation Adjuster to handle attorney‑represented claims with values up to $100,000. This specialty role focuses primarily on soft‑tissue injuries, with occasional exposure to more complex cases such as fractures. The position supports litigation across Northeastern states, including Maryland and Michigan. The idea...

Role Summary Guardian Life is seeking a Senior AI Transformation Lead to drive execution of high-impact AI initiatives across the Financial Protection, Retirement Solutions (FPRS) and Client Wealth Management (CSWM) businesses. This individual will own end-to-end delivery of AI-enabled products focused on our highest-value processes—such as underwriting, claims and servicing, advisor productivity, and operations automation—to accelerate growth, improve efficiency, and enhance customer experience. Unlike traditional product roles, this position sits at the intersection of business strategy, product management, and AI execution. You will translate enterprise AI strategy into tangible solutions, partnering closely with data science, technology, and business teams to move from opportunity → use case → production deployment at speed.  Success in this role requires operating with urgency, navigating ambiguity, and delivering measurable outcomes in an environment that blends...

The Supervisory Accountant, Reinsurance, is a key member of AIG’s Reinsurance Controllership team ensuring accurate accounting, robust internal controls and timely financial reporting for AIG’s domestic Commercial and Personal insurance businesses.  Reporting to the Assistant Director, Reinsurance , this role is primarily responsible for execution of financial and operational controlling activities associated with administration of external excess of loss and quota share for Western World reinsurance programs and involves direct engagement with an extensive offshore platform. Success in this role will require ability to accurately and timely process reinsurance related activities in the sub-ledger/general ledger to meet monthly close deadlines, demonstrate appropriate level of understanding of assigned reinsurance programs, manage an offshore team, and clearly and effectively respond to inquiries from management. Key Responsibilities: Coordinating excess of loss and...

The Company    At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. Utica National Insurance Group is an "A" rated $2.0B award-winning, nationally recognized property & casualty insurance carrier. Operating along the Eastern half of the United States, based in our Home Office in Central New York, with Regional Office locations including NYC, Dallas and Charlotte. What you will do We are seeking an experienced and dynamic Commercial Lines Underwriter to join our team. In this role, you will be responsible for evaluating and analyzing risks associated with new or renewal business, as well as managing a profitable portfolio in accordance with company guidelines and authority levels. You will have the opportunity to utilize your underwriting expertise and knowledge to make sound and strategic underwriting decisions. Key responsibilities Receive,...

Position Title Branch Banking Client Consultant II-Licensed   Location Lawrence, NY 11559   Job Summary Branch Banking Client Consultant II-Licensed provides best in class experience by resolving concerns and providing various product details that focus on meeting the financial needs of our clients. Focuses on client management, client retention, and introductions to key bank partners (Mortgage, Business Banking) to ensure our clients have access to experts who can help them achieve their financial goals. This position will have greater lending and basic investment interactions and will participate in more complex banking conversations with clients.   Job Responsibilities: JOB RESPONSIBILITIES Sales Performance: Support team efforts to achieve growth targets in financial performance (outstanding deposits, outstanding loans, non-interest income) and primary client acquisition. Actively seek and deliver the right client introductions to the right team member(s) to...