62 senior claims manager jobs found

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 Finance and Accounting 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...

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℠. Your Role You will provide actuarial support to the Entertainment Business Unit. This division highly values actuarial support, in both quantitative & qualitative capacities. The AVP Actuary will lead a team of actuaries to partner with business to deliver actuarial insights, develop actionable strategies, monitor executions and leading indicators to assess business health. Profitability Reviews: Review products including Auto, GL, Property, Inland Marine, Workers Comp, Umbrella by applying actuarial techniques to determine portfolio profitability; analyzing and digging into detailed segmentations. Large Account Pricing: Provide actuarial premium recommendation on large...

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 Actuarial, Data Analytics 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...

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 is a hybrid position until fully trained. Training will be full-time onsite. 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...

The Cross Family of Agencies welcomes you. We need your talent and expertise. We are seeking an experienced and strategically minded Senior Account Manager specializing in Employee Benefits and Health Insurance. In this role, you will serve as the primary strategic partner and trusted advisor to our mid-to-large-market corporate clients. Unlike an entry-level service role, the Senior Account Manager owns the overall retention, satisfaction, and strategic direction of a dedicated book of business. You will lead the annual renewal process, analyze financial data, navigate complex compliance landscapes, and work closely with Producers to deliver high-touch, consultative service that keeps our clients ahead of the curve. Key Responsibilities Strategic Client Management: Act as the primary point of contact for a book of sophisticated corporate clients, building deep relationships with HR Directors, CFOs, and executives to understand and support their long-term...

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 is a hybrid position until fully trained. Training will be full-time onsite. 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...

Crum & Forster Company Overview Travel Insured International , a Crum & Forster company, is hiring for a Product Management Specialist.   Travel Insured International is a leading travel insurance provider with more than 30 years in business. As a key component of our Specialty Business Unit, within the Accident & Health division, TII provides travel protection plans to help each individual travel confidently. Travel Insured International is proud to offer products to consumers and to agency partners of all sizes. We're committed to providing dependable coverage, great value, and end-to-end satisfaction for all customers. Job Description The Product Management Specialist will be a detail oriented and self-driven professional who will be responsible for system set up and document creation, product maintenance and editing, compliance review and submission, and administrative case research and review. The position...

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℠. Position Summary This role is responsible for driving strategy execution and financial performance for assigned programs by coordinating internal teams and external partners, including MGAs, TPAs, and key service providers. The position oversees all program management activities and collaborates cross‑functionally with underwriting, claims, actuarial, finance, IT, compliance, and other Arch partners to deliver strong, sustainable results. Responsibilities and Accountabilities This position is accountable for evaluating and ensuring execution of strategies and initiatives for assigned programs and financial results of such programs.  Position will be responsible for coordinating...

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 is a hybrid position until fully trained. Training will be full-time onsite. 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...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations.   Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a common mission and purpose: One Ascot. Our greatest strength is a talented team who flourishes in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find a better way, The Ascot Way.   The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our unique Fusion Model: Client Centric, Risk Centric, Technology Centric.   Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world class service — both pre- and...

Senior Manager, Reinsurance Accounting Wilton, CT or Parsippany, NJ The Manager, Reinsurance Accounting, 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 Director, External Reinsurance, this role is primarily responsible for managing the financial and operational controlling activities associated with multiple complex external reinsurance programs.  Given the level of complexity across these programs, this role is structured with three direct reports and an extensive offshore platform. Success in this role will require a strong and well-balanced combination of re/insurance technical knowledge, operational savvy with an ability to efficiently leverage all levels of available resources, connecting operational inputs and outcomes to the financial results of AIG, organizational dexterity with capability...

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 Technology 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,...

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 Data Analytics 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,...

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 Risk Control 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,...

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 Underwriting 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,...

Description As a Liberty Mutual Insurance Assistant Actuary, you'll use your analytical talents to resolve thought-provoking business problems and bring value to our customers. You'll work in a collaborative and dynamic work environment where the challenges are on-going. In this position, you will support a business group or company's profit, growth and operational objectives by performing and reviewing advanced actuarial analyses. Responsibilities: Perform complex actuarial analysis within a designated business segment/s to assist business decision making, financial planning, and strategy development. Prepare actuarial research and complex reports and projects present findings and recommendations. Provide clear and concise communication of technical actuarial work to technical and non-technical audiences, and on cross functional teams. Maintain clear and concise documentation of methods and activities. Interact with and provide...

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 Actuarial, Data Analytics 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...

Job Type: Permanent Build a brilliant future with Hiscox   Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple insurance products and interact with business leaders across the organization.    Please note this position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations: Atlanta, GA Boston, MA Chicago, IL Manhattan, NY Scottsdale, AZ West Hartford, CT                 The Role: The Senior Claims Examiner-Miscellaneous Professional Liability adjudicates assigned claims within given authority and according to Hiscox Claims Best Practices. This person: Adjusts and resolves low to moderate professional liability claims that include litigated matters Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company...

Crum & Forster Company Overview The Medical Business Unit (SBU) within Accident & Health encompasses multiple profit centers, including Stop Loss, Managed Care, and Ancillary products.   We are seeking an Executive Assistant to support the Senior Vice President (SVP) responsible for the overall leadership and oversight of the MBU. This role will focus on coordinating and managing executive scheduling, preparing and organizing strategic materials, and supporting board meetings and related documentation. As a key partner to the SVP, this position will help ensure meetings and materials are efficient and effective, and will facilitate the flow of critical business information across the MBU.   The ideal candidate will possess exemplary time management skills, the ability to anticipate the SVP’s needs, and a professional demeanor. This role requires seamless interaction with senior management, department leaders, and staff across all MBU profit centers as...

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work.   Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week.   Director, Stop Loss Claims Responsible...