11 director claims jobs found

The Reviewing Dentist for appeal claims is a licensed dental professional who completes clinical reviews of dental claim appeals to determine benefit assignment in accordance with Guardian clinical guideline criteria. The role focuses on benefit determination (not treatment recommendations) and supports consistent, fair application of dental policy. Responsibilities also include assigned peer‑to‑peer and provider outreach calls. This position reports to the Assistant Dental Director. Schedule: 24 hours/week. Key Responsibilities Clinical Appeals Review Independently review appealed claims and clinical documentation. Apply clinical criteria, dental policy, and benchmarks to ensure consistent, defensible decisions. Document clear clinical rationale to support decisions, compliance, and audits. Escalate cases as needed to the Dental Director/leadership. Communicate openly, demonstrate self-awareness, and incorporate feedback. Participate in monthly updates,...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Work Environment: This position follows a hybrid work schedule, requiring a minimum of two days per week in our New York City (Battery Park Plaza) office, with the remaining days working from home. For the right candidate, we may be able to consider individuals as fully remote. An ideal candidate will have: Juris Doctorate (JD) is preferred. Prior claims file handling experience: Including Cyber, EPL, D&O liability, E&O, or professional...

About SPG:  Specialty Program Group (SPG) is the wholesale & MGA division of HUB International (5th Largest Global Broker). SPG acts in a holding company capacity acquiring best in class underwriting businesses to operate independently under discrete brands (portfolio companies).  Job Description: The Claims Service Associate Summer Intern is a critical position supporting claims advocacy teams and clients in all phases of claims service. This position directly affects customer satisfaction and positively impacts the client retention goals of the organization. Essential Duties and Responsibilities: Quickly identifies the requirements of the incoming claims task and executes steps to complete the task with accuracy, empathy and speed. Tasks include: Touchpoint client communications for claims (i.e. new claims intake calls, answer non-coverage client inquiries, provide claim updates, claim follow up calls) Maintains data and documentation in EPIC (i.e. claim...

Job Description About Us: HUB is a global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. With over 18,000 employees in 600 offices throughout North America, HUB has grown substantially, in part due to our industry leading success in mergers and acquisitions. Mission Statement: We are a highly committed, diverse financial services organization serving hundreds of thousands of retirement plan participants, individuals, and institutions across the United States. We provide financial piece of mind and top of class solutions, investments, administration, and service. We are committed to the highest Ethics, Competency, Customer Service, and providing our valued clients with the best and most competent professional team. Position Summary This is an entry-level student position providing administrative support...

Pay Rate/Hourly Range: The hourly range is $20.00 - $43.00 per hour. Pay is based on factors including school year, program of study, role responsibilities, etc. CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-trillion-dollar insurance economy , creating intelligent experiences for insurers, repairers, automakers, part suppliers, and more. At CCC, we’re making life just work by empowering more than 35,000 businesses with industry-leading technology to get drivers back on the road and to health quickly and seamlessly. We’re pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its connections, CCC technologies empower the people and industry relied upon to keep lives moving forward when it matters most. Learn more about CCC at www.cccis.com .   The Role Our program is designed to #CCCJumpstart your career! At CCC, you will work...

Company Details   BerkleyNet is an innovative workers compensation insurance provider that does all our business online. Our Goal? To make doing business “Ridiculously Fast. Amazingly Easy.” Responsibilities The Return to Work (RTW) Specialist advances BerkleyNet’s mission of delivering exceptional workers compensation outcomes by facilitating safe, timely, and sustainable return‑to‑work plans for injured employees. The role serves as a strategic partner to employers, injured workers, medical providers, and internal claims teams, ensuring that modified duty opportunities are identified, communicated, and implemented effectively. This position directly contributes to loss cost management, improved recovery outcomes, and an elevated customer experience by reducing disability duration and supporting early, collaborative return‑to‑work solutions. Coordinate individualized return‑to‑work plans that align with medical...

Our team is proud to host events both large and small including social celebrations, corporate meetings and retreats and golf outings. The SentryWorld Private Events & Banquet team is seeking Part-time Banquet Servers to join their team. The team is looking for someone with a passion to deliver on our high standards for customer service, while working as part of a small, cohesive team. A professional and friendly demeanor is required. If you think you’d be a good fit, we’d love to hear from you. What You’ll Do As a Banquet Server you will: Ensure proper set-up of tables and bars in assigned meeting room according to Banquet Event Order Deliver and serve food and beverages, including, but not limited to meals, condiments and accompaniments. Ensure guest satisfaction by monitoring guests needs on a continuous basis Promptly remove dishes from tables at conclusion of meal period and delivers to stewarding area Open and serve wine or alcoholic beverages as directed....

Join our detail-oriented housekeeping team that helps maintain the beauty and charm of The Inn at SentryWorld At The Inn at SentryWorld, our business is about people and the relationships we build. Our atmosphere is welcoming, and our team is genuine, dedicated and insightful when it comes delivering excellent service. The team is seeking Seasonal Part-Time Housekeepers to join our detail-oriented housekeeping team and help maintain the beauty and charm of The Inn at SentryWorld. This position has a starting rate of $16/hour. What You’ll Do As a housekeeper, you will: Clean guest rooms to ensure all areas are properly sanitized and appropriately stocked with room amenities. Change and replace guest room bedding and towels and direct necessary items to laundry area. Vacuum guest rooms and clean all floor surfaces while following set procedures. Dust and sanitize all in-room surfaces, safely, using appropriate chemicals and equipment. Deliver items such as extra...

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 Remote Customer Service Team Lead Schedule: Monday, Tuesday, Friday 12:00pm-9:00pm EST Saturday, Sunday 11:00am-8:00pm EST OFF: Wednesday & Thursday PRIMARY PURPOSE : To provide exceptional customer support on Sedgwick’s primary temporary housing line while serving as a working team lead responsible for daily operational oversight, task delegation, and frontline leadership. This role supports policyholders, adjusters, hotels, and partners with housing-related...

Ignite your potential. Impact what matters. Hi – we’re HUB, we’re more than an insurance broker – we’re a network of doers with diverse stories and a shared goal: to support our clients and communities. Great work happens when people come together, which is why we build teams where every voice is valued, ideas are encouraged, and growth is supported.   Are you ready to launch your career in insurance brokerage?   As an intern at HUB, you’ll be part of our collaborative culture where your contributions matter and your growth is supported. This internship is specifically designed to give you exposure to the many career opportunities within the fast-growing insurance brokerage industry. You’ll gain hands-on experience working alongside our Commercial Lines, Personal Lines, or Employee Benefits, learning the ins and outs of our business while exploring areas like client service, sales, and more. Throughout the program, you’ll learn directly from industry experts...

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 through relentless innovation to exceed our customers’ expectations while making a real impact for our company through our shared purpose.  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. 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 through relentless innovation to exceed our customers’ expectations while making a real impact for our company through our shared purpose. When you join our company, we want...