27 claims solutions analyst jobs found

The Senior Claim Data Analyst plays a strategic leadership role in the Claims department, transforming complex data into actionable insights. This role is responsible for overseeing data analytics initiatives, leading junior analysts, and driving strategic decision-making across Commercial Auto, General Liability (GL), Workers’ Compensation (WC), and Enterprise Risk Management (ERM) lines. The analyst will collaborate with internal stakeholders and Third-Party Administrators (TPAs) to ensure data integrity, regulatory compliance, and optimal claim outcomes.                                          Your Impact: Lead data strategy initiatives and junior analysts. Analyze claim data across multiple lines of business to identify trends, anomalies, and opportunities for improvement. Develop and maintain dashboards and reports to monitor claim performance metrics (e.g., loss ratios, severity, frequency, etc.). Support TPA oversight by providing data-driven evaluations...

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...

Summary This position is responsible for building strong relationships with our internal customers by being a thought leader supporting various segments and divisions. Excellent communication, customer service and organizational skills are required for success in this position. This role involves approaching problems with a holistic perspective, focusing not just on resolving the immediate issue but also on identifying sustainable and innovative ways to achieve long-term success. The candidate will have excellent analytical skills, and the ability to communicate effectively with technical and non-technical stakeholders. Principal Duties and Responsibilities Responsible for developing and maintaining trusted business relationships, driving the greatest possible business value from technology to meet the business needs and organizational goals. Apply influential analytical and problem-solving skills to communicate solutions in both technical and user-friendly language....

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 This role is responsible for investigating and managing non-attorney represented bodily injury claims from initial report through resolution. You will evaluate coverage, determine liability, assess damages, and negotiate claims within your level of authority. In this role, you will work directly with customers to gather information, explain the claims process, and provide a clear and supportive experience. You will also identify potential subrogation or fraud and partner with internal teams to achieve the best outcome. We are seeking an Experienced Bodily Injury Adjuster to join our team supporting...

The Workers’ Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as...

The Software QA Engineer supports the planning, coordination, automation, execution, and reporting of testing activities for proprietary software applications developed by our Engineering teams. This role performs functional, regression, integration, and post-release validation while leveraging AI-assisted tools to improve test design, coverage, and test execution. The QA Engineer partners closely with Engineering, business units, and subject matter experts to develop test cases, manage test data, validate expected results, and contribute to robust automated test suites. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Create, automate, execute and maintain test cases for new and modified functionality Utilize AI in all phases of the testing process  Develop complex SQL scripts from scratch Perform baseline, regression, functional/integration, and post-release testing on assigned application modules Quickly respond to and test fixed defects;...

Compensation Grade:‏‏‎ ‎27 Job Description Being our industrial hygiene and health technician is like being Robin to Batman, or Lieutenant Clark to Captain Lewis. But instead of fighting crime or blazing trails, you help hunt down hazards and analyze and interpret risks that could cause occupational diseases.  If the risks are unacceptable, then you think creatively and come up with solutions to prevent those diseases.  One of your main tasks is assisting our board-certified industrial hygienists and ergonomists with exposure evaluations and risk assessments at various customer locations. You interpret data, apply occupational health standards, and analyze the potential danger of chemical, physical, biological, and ergonomic stressors. Key to that work is using, maintaining, and calibrating the team’s industrial hygiene and ergonomic equipment.  It’s fulfilling work, and you do it in a supportive, collaborative environment. Your teammates are passionate, talented, certified...

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...

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...

We are seeking a highly motivated and ambitious PD Adjuster to aggressively investigate, evaluate, reserve, determine liability, negotiate, and settle assigned multi-line rental, contingent leasing, business auto and trucking claims in accordance with Best Practices. This position would provide quality claim handling and superior customer service on assigned claims while engaging in indemnity and expense management. Your Impact: Prompt and aggressive investigation of each claim through appropriate and effective contact with all necessary parties such as policyholders, insured's claimant, law enforcement agencies, witnesses, agents and technical experts to determine the extent to liability, damages and contribution potential. Take necessary recorded statements Keep effective diary management system to ensure all claims are handled timely Responsible for prompt disposition of claims with insured and claimants. Recognize and implement alternate means of cost-effective...

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 Architecture, Compute, and Engineering (ACE) organization provides a transformative platform ecosystem with a comprehensive set of capabilities that empowers end users and digital product teams to innovate seamlessly and drive growth for Allstate through the Consumer Connected Cloud mission. This ecosystem aims to provide a frictionless experience for our user community.  As a Digital Product Manager within ACE, you will lead Allstate’s Infrastructure Monitoring product team, a critical enabler of operational excellence across the...

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...

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,...

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...

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 Your role in the team The Architecture Compute, and Engineering (ACE) organization provides a transformative platform ecosystem with a comprehensive set of capabilities that empowers end users and digital product teams to innovate seamlessly and drive growth for Allstate through the Consumer Connected Cloud mission. This ecosystem aims to provide an absolute frictionless experience for our user community. As a Principal Digital Product Manager of our Digital Workplace product group in the ACE organization, you’ll develop and guide...

The Private Client Relationship Manager will fulfill an integral role in developing cohesive relationships with clients by serving as a strategic advisor for coverage related inquiries and analysis, driving renewal efforts, and partnering with Producers on prospective marketing initiatives. The ideal candidate will be an interpersonal and proactive problem solver with demonstrated success in servicing a book of Private Client accounts. *PLEASE NOTE: This is a hybrid position that will require 3 days/week in our Portland office* Your Impact: Develop and maintain strong, long-term relationships with high-net-worth individuals and families. Conduct in-depth needs assessments to understand clients' unique risks and insurance requirements, including all personal lines. Proactively identify opportunities to cross-sell and up-sell additional insurance products and services to existing clients. Serve as the primary point of contact for clients, addressing inquiries, resolving...

The Assistant Vice President, Healthcare Solutions Underwriting is a leadership role responsible for driving the profitable growth and influencing the strategic direction of a healthcare underwriting portfolio encompassing Medical Malpractice, Healthcare Professional Liability, and General Liability for miscellaneous medical facilities (primary and excess), physicians, and physician groups as well as stand-alone Sexual Misconduct & Physical Abuse for healthcare providers and facilities. This individual will maintain strong producer and client relationships across an assigned territory. The AVP will serve as a key voice in shaping underwriting strategy, mentoring talent, and representing the Healthcare Solutions brand in the marketplace. Essential Duties and Responsibilities Drive the profitable growth of a complex book of new and renewal healthcare business, setting clear portfolio objectives and monitoring performance against targets. Exercise senior underwriting...

Title: Director, Client Relationship Department: Client Services Bargaining Unit: NBU Grade: N/A Position Type: Exempt Hours per Week: 40   Position Summary The Director, Client Relationship directly leads a defined book of business (BOB), comprising a set of named clients, in accordance with Company guidelines, client needs, and regulatory requirements. The Director, Client Relationship acts in a mentorship role to their BOB's assigned team. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Manages all aspects of the client relationship and account management activities of the assigned client(s) to retain and strengthen client relationships. Directs the execution of a defined account strategy, remaining abreast of the specific needs of each assigned client, to develop a value-based client...

Position Summary The Client Relationship Director directly leads a defined book of business (BOB), comprising a set of named clients, in accordance with Company guidelines, client needs, and regulatory requirements. The Director, Client Relationship acts in a mentorship role to their BOB’s assigned team. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Manages all aspects of the client relationship and account management activities of the assigned client(s) to retain and strengthen client relationships. Directs the execution of a defined account strategy, remaining abreast of the specific needs of each assigned client, to develop a value-based client relationship. Sets and manages client expectations and account-related activities such as identifying and developing additional service opportunities and coordinating the delivery of ZAS...

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...