11 account claims rep ii jobs found

An exciting opportunity exists to join the ProAssurance family of companies! Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance? At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm—and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States. This position supports our workers’ compensation line of business, Eastern...

Company: Guy Carpenter Description: We are seeking a talented individual to join our Transactional Services team at Guy Carpenter. This role will be based in New York City. This is a hybrid position, requiring a minimum of three days per week in the office. As an Associate II - Transactional Services, you will play a key role in supporting complex reinsurance transactions and client service delivery. You will be part of a collaborative team that drives operational excellence, process improvement, and business growth through innovative solutions and strong client relationships. We will count on you to: Assess and submit client and reinsurer presentation materials, resolving complex questions and securing agreements and payments. Integrate KPIs and system tools to manage transactional processes, ensuring tasks are completed efficiently and in compliance with SLAs. Lead and participate in team meetings to share knowledge, promote process improvements, and support the...

CorVel is seeking a dynamic and experienced Special Investigation Director to lead our Special Investigations Unit (SIU). This role is critical in safeguarding the integrity of our claims and managed care operations while ensuring compliance with regulatory standards. The ideal candidate will combine investigative expertise with strategic leadership to enhance CorVel’s market image and deliver measurable results. This is a remote role.   ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Education & Training: Develop and deliver SIU training programs for CorVel claims and managed care personnel to ensure awareness of fraud indicators and compliance requirements. Data Mining & Analysis: Utilize ISO and other data sources to identify red flags and determine when further investigation is warranted. Vendor Audits: Review and analyze audit findings from strategic vendors to ensure adherence to contractual and regulatory obligations. Regulatory & Carrier...

The Care Advocate Nurse oversees initiatives surrounding assessing the severity of the injured workers’ reported injury(ies), reviews medical data in CareMC, validates and secures medical information, assesses and evaluates prescribed treatment of work related injury. The Care Advocate Nurse functions as a nurse consultant, supporting the goals of the Claim Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Initiates and receives telephonic contact with reported injured worker, employer and medical providers to obtain treatment plan, secures medical documentation, and assesses if injured worker has returned to work Responsible for detailed documentation within the claim system focusing on medical condition, treatment plan and return to work status Directs callers to appropriate medical and/or claim resources Identifies and communicates urgent situations related to treatment or patient condition directly to the...

We are seeking an experienced Price Analyst II with 3-5+ years of experience in pricing analysis, market research, and strategic pricing initiatives. This mid-level role focuses on developing pricing strategies, conducting advanced market analysis, and supporting revenue optimization efforts. The ideal candidate demonstrates proven analytical expertise, strong business acumen, and the ability to translate complex pricing data into actionable business insights.   Experience in Workers' Compensation pricing and analysis is required. This role is ideal for a strategic, data-driven finance professional, who values accuracy , as well as quality over quantity , and thrives in environments that demand insightful analysis and independent ownership .  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Develop and execute comprehensive analyses to support strategic pricing decisions Lead competitive intelligence initiatives and market positioning...

ABOUT HUB: In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the world's 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: HUB's Customer Service professionals provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make us a leading sales and service organization in the insurance industry. Through a robust network of resources, you will be among some of the industry's top talent to help guide and support...

Company: Marsh Description: What can you expect: Marsh Management Services Dublin Limited is a leading provider of captive management services in the insurance sector. We are committed to delivering innovative solutions to our clients and fostering a collaborative and supportive work environment. Join Marsh Captive Solutions in Dublin as an Insurance Manager and become part of a successful, expanding team within the world’s largest captive management practice. This role offers the opportunity to work closely with senior executives across various industries, develop your skills, and build a long-term career in captive insurance management. We will rely on you to: Build relationships with clients, including liaison with brokers and insurers. Work as part of a team to prepare for presentations to our managed insurance company boards. Provide technical advice and expertise to clients. Oversee or assist with financial statement review and preparation, accounting...

Company Details       Berkley Select delivers professional liability insurance solutions to individuals, businesses, professional services firms, and nonprofit organizations. As a Berkley company, Berkley Select is staffed with a team of experts with a specific focus on Professional Liability. Berkley Select utilizes individual risk underwriting, loss control, and claims practices providing superior products and services to its customers. Berkley Select is a Berkley Company. W. R. Berkley, founded in 1967, is one of the nation’s premier commercial lines property casualty insurance providers. W. R. Berkley Corporation (NYSE: WRB). Responsibilities Evaluate (selection and pricing) and maintain (control) risk acceptability and profitability within the company’s underwriting guidelines and procedures for professional liability with a focus on Lawyer Professional Liability. Manage, maintain and develop good wholesale and...

A Strategic Insights Manager (SIM) is a trusted advisor to CorVel customers.  A SIM engages a customer at an executive strategic level.  A SIM harnesses the power of CogencyIQ to deliver actionable insights to the customer to help mitigate risk and reduce their total cost of risk.  A SIM does not replace the function of an account manager but supplements their activity with problem solving, benchmarking and scanning the marketplace.  As a SIM you will administratively report to an Area Vice President or Regional Vice President with a dotted line to the Strategic Insights Leader.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: A SIM typically will be assigned one to four strategic accounts depending on their size, needs and complexity.   As a SIM you are expected to work closely with the Account Manager, Area Vice President, and CorVel Product Line Leaders to identify opportunities on the program.  Typically, opportunities shall be identified through the analysis of the...

The Procurement Team Lead position is 50% production and 50% assisting and supporting direct supervisor with ensuring their team meets protocol, as well as, performing supervisor duties if and when the supervisor is out. This is an onsite position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Monitor/Audit and report Both Aging Reports for Procurement and Humana Monitor/Audit files in Procurement staffs individual Queues via Management Console Tool for accuracy and timely claim processing Work through Procurement QC Queue assisting to maintain when Queue is over 2 pages Assist Reps with all questions and concerns Answer emails from both Procurement and other internal departments and also externally from Clients/Providers in reference to any concerns to complete the processing of claims Answer phone calls from both internal departments and externally from Providers in reference to any concerns to complete the processing of claims Requires regular and consistent...

About Us  We’re not like other insurance companies. From our specialty products to our business model, our culture to our results — we’re different. Different is who we are, and how we work, interact, deliver and succeed together. Creating a different and better insurance experience doesn’t just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us.  RLI is a Glassdoor Best Places to Work company with a strong, successful background. For decades, our financial track record has been stellar — a testament to our culture and validation of our reputation as an excellent underwriting company....