17 claims representative jobs found

Acuity is seeking a Field Claims Representative to investigate, record facts, preserve evidence, determine coverage. The representative evaluates liability, exposure, subrogation potential and arrange for the disposition of claims through settlement or denial, including litigation. In this role, duties and responsibilities are to be carried out in the field and in person with a high level of frequency. Internal Deadline to Apply: Friday, September 4th ESSENTIAL RESPONSIBILITIES: Organizes work and arranges for immediate contact with all pertinent parties surrounding claim assignment. Completes a thorough investigation to determine coverage, assess liability and evaluate damages. Conducts investigations and provides customer follow-up in person. Evaluates, revises or recommends reserve changes. Inspects and determines property damage. Understands basic anatomy, medical terminology and has ability to decipher medical records and bills.  Identifies and...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA - Hybrid Are you looking   for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?      Apply your  Claims Representative, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.    Enjoy flexibility and autonomy in...

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,...

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...

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 Specialty Operations Senior Consultant plays a critical role in shaping successful outcomes for highly complex reinsurance claims. In this position, you will lead the resolution and settlement of high exposure assumed reinsurance matters—including asbestos, pharmaceutical, toxic tort, environmental, sexual abuse and molestation, and other mass tort claims. You will join a collaborative and knowledgeable Specialty Operations team where independent judgment, analytical skill, and strategic decision making are valued. This is an...

Your Impact: Analyze aggregate stop loss high level review and aggregate accommodation claims. Validate which expenses are eligible under the aggregate stop loss contract. Perform enrollment evaluation and calculations to ensure the correct attachment is applied. Produce deliverables related to audit findings including audit report for client, exhibits and non-exhibits within the company accepted timeframes. Contribute innovative ideas and assist with the implementation of new processes. Successful Candidate Will Have Excel proficiency including knowledge of basic or advanced Formulas and PIVOT Tables. Minimum 3-4 years of experience with self-funding in combination with specific stop loss claims, first dollar medical claims, aggregate claims, HMO reinsurance, and provider excess claims. Demonstrated proficiency in Microsoft Office including Microsoft Word and Outlook. Brown & Brown, Inc. (NYSE: BRO) is a leading insurance brokerage firm delivering...

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 Associate Claims Clinical/Care Advocate      POSITION...

A career as a Claims Analyst, (Casualty and Environmental Liability) , will expose you to litigation and emerging environmental issues that are front and center in the world today. We will teach you about casualty and environmental law, regulation, insurance contracts and claims. The work is interesting, fast moving and collaborative. We operate in a paperless environment and work fully remote. Your Impact: Complete accurate and timely coverage, liability, damage investigations, analysis and evaluations on complex casualty and environmental claims generated under our full suite of environmental insurance Products (combined casualty, casualty pollution and site pollution, monoline site pollution and contractor’s pollution and professional, as well as follow form excess). Make coverage determinations and draft and communicate written coverage positions to insureds and other required parties Investigate, analyze, evaluate, document, manage, report and execute...

The Health Claims Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. Your Impact Perform in-depth claims file reviews for accuracy and compliance. Document findings and provide recommendations for corrective action. Identify trends and collaborate with departments to improve claim practices. Support audit reporting and analytics. Successful Candidate Will Have Bachelor's degree (preferred); CPCU, AIC, or other insurance certifications a plus. 4 - 6 years of claims or audit experience (specific stop loss or first dollar medical). Strong understanding of claims handling and insurance regulations. Proficiency in Excel/audit systems. Brown & Brown, Inc. (NYSE: BRO) is a leading insurance brokerage firm delivering comprehensive and customized insurance solutions and specialization since 1939. With a global presence spanning 700+...

The Business Analyst leads data-driven initiatives to improve operational performance and support strategic decision-making. Your Impact Analyze complex datasets and operational trends. Build dashboards and present insights to leadership. Drive continuous improvement projects. Successful Candidate Will Have Bachelor's degree in Business, Analytics, or related field. 4 - 6 years of experience in data analysis or operations. Background in specific stop loss claims. Brown & Brown, Inc. (NYSE: BRO) is a leading insurance brokerage firm delivering comprehensive and customized insurance solutions and specialization since 1939. With a global presence spanning 700+ locations and a team of approximately 23,000 professionals, we are dedicated to delivering scalable, innovative strategies for our customers at every step of their growth journey. Learn more at BBrown.com. Pay Range: $51,800 - $75,000 Annual The pay range provided above is made in good faith and...

The Health Claims Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. Your Impact Perform in-depth claims file reviews for accuracy and compliance. Document findings and provide recommendations for corrective action. Identify trends and collaborate with departments to improve claim practices. Support audit reporting and analytics. Successful Candidate Will Have Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus. 4 - 6 years of claims or audit experience. Strong understanding of claims handling and insurance regulations. Analytical, organized, and skilled in Excel/audit systems. Brown & Brown, Inc. (NYSE: BRO) is a leading insurance brokerage firm delivering comprehensive and customized insurance solutions and specialization since 1939. With a global presence spanning 700+ locations...

The Claims Consultant serves as a trusted advocate for brokerage clients throughout the insurance claims lifecycle. Acting as the primary claims advisor, this role partners with clients, insurers, third‑party administrators (TPAs), and internal brokerage teams to deliver proactive claims management, improve outcomes, and ensure claims are handled fairly, efficiently, and in alignment with coverage terms and client objectives. Your Impact Act as the primary claims liaison for assigned clients across multiple lines of coverage (e.g., casualty, property, workers’ compensation, professional liability). Provide strategic guidance on claim reporting, claim development, settlement strategy, and resolution. Advocate for clients in complex, high‑severity, or disputed claims to achieve optimal outcomes. Ensure insurers, TPAs, and defense counsel adhere to best practices, service standards, and policy obligations. Analyze claim trends, loss drivers, and reserve adequacy; prepare...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking a Personal Lines Account Manager to join our growing team in Bend, OR The Account Manager’s primary responsibility is servicing existing accounts while generating additional revenue through cross-selling, accounting rounding, and new business. Account Managers provide high level consulting services for our customers’ personal insurance needs. Developing strong relationships with our customers and understanding their risk exposures, ensures our customers’ personal assets and their financial positions are protected. How You Will Contribute: Analyze customer’s lost exposures and determine coverage needs Annual revenue (commission) generation through cross-selling, account rounding, and new business Meet or exceed annual department retention goals Prepare proposals and meet with customers to...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking a Commercial Lines Account Manager to join our growing team in Bend, OR! This role involves working closely with clients to understand their coverage requirements, recommending appropriate insurance products, and ensuring that their policies are up-to-date and meet their needs. How You Will Contribute Help customers understand their insurance policies/coverages and determine individual service needs Answer customer and carrier questions via their preferred communication method in the areas of polices, endorsements, audits, accounting/billing, and coordination of claims/lost control services Oversee assigned book of business including policy changes, proposals, applications, and endorsements Maintain high retention on existing accounts Increase revenue by crossing selling and writing new...

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...

Description This role is primarily remote in the state of Oregon except for required appearances.   At Liberty Mutual, we’re committed to delivering exceptional legal services to our customers around the world, working to uphold and protect our policyholders’ rights and positively impacting our business. As an Associate Attorney at Liberty Mutual, you’ll join a diverse team that values a healthy work/life balance and enjoy benefits that include eligible performance bonuses, 20 days of flexible time off each year, personal holidays, and a 401(k) plan with matching contributions. If you’re looking for a place to build a long-term career while making a positive difference, consider joining our legal team where you’ll represent Liberty Mutual and our policyholders in moderately complex civil litigation matters involving claims for monetary damages or compensation for personal injuries or property damage of moderate value.   Liberty Mutual Insurance offers an...

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...