17 claim jobs found

We’re looking for a seasoned  Claim Specialist IV to take ownership of complex lost time claims while serving as a mentor and subject matter expert within our Claims team. This is a high-visibility role designed for a skilled professional who thrives in a fast-paced environment, exercises sound judgment, and enjoys elevating the capabilities of others. The Claim Specialist IV investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision. This position can be remote, hybrid or in-person What You’ll Do Own the full claim lifecycle: Investigate, evaluate, negotiate, and resolve lost time workers’ compensation claims within designated settlement and reserving authority Analyze complex exposures: Assess compensability, medical, legal, and indemnity...

Company Details   Acadia Insurance is a regional property casualty insurer with offices throughout the Northeast.  As a member of W.R. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us.  Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor’s.    At Acadia, we value our employees, our customers and our communities.  Employees at Acadia are part of a progressive company where everyone can make a difference.  We promote an inclusive environment which encourages continuous learning and the chance to grow and develop.    Company URL: https://www.acadiainsurance.com/ Responsibilities Investigate, evaluate and resolve assigned high exposure claims in accordance with company standards,...

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.   The Opportunity: The Associate...

At OneAmerica, we deliver on promises when customers need us most.  We believe the best way to serve our customers is to know that every individual, employee, family and business we work with has unique personal and financial goals.  We keep our promises, so we can help them achieve their goals and realize their definition of financial success. Job Summary The STD Claims Examiner is responsible for contributing to the overall success of OneAmerica objectives by providing timely and accurate support to our client companies and the Claims department. This individual will be responsible for managing appropriate adjudication of short-term disability claims in accordance with policy provisions. The STD Claims Examiner will initiate and facilitate case management as well as other ancillary services to assure optimum outcomes. We are currently seeking Level I & II Representative experience. KEY RESPONSIBILITIES: Promote a positive customer service image through prompt,...

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship.  We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together.  Come be a part of this journey with us as we champion lives! Job Summary LTD Claims Associates are responsible to contribute to the overall success of OneAmerica's objectives by providing timely and accurate support to our customers and the claims department. To obtain and analyze information in order to make claim decisions and payments on disability claims. To develop and apply appropriate claim and disability management techniques to ensure prompt and accurate payment and liability management of disability claims. To provide responsive customer service to claimants, policyholders, brokers, and internal departments....

The Director, Managed Care Services & Vendor Management is responsible for the strategic oversight, operational performance, and continuous improvement of all medical management programs within MEMIC. This role leads internal clinical teams and manages external medical management vendors to ensure high-quality, cost-effective care for injured workers while supporting optimal claim outcomes. This position plays a critical role in driving medical cost containment, improving return-to-work outcomes, and ensuring compliance with jurisdictional workers’ compensation regulations. Principal Duties and Responsibilities: 1.      Design and execute medical management strategies that support early intervention and injury triage, ensure appropriate utilization of medical services, and promote timely return-to-work outcomes. 2.      Establish clear productivity, quality, and outcome-based performance expectations tied to claim outcomes, and ensure consistent...

Job Posting End Date: June 28 When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:  Award-winning culture  Inclusion and diversity as a priority  Performance Based Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability  Generous PTO (including paid time to volunteer!)  Up to 9.5% 401(k) employer contribution  Mental health support  Career advancement opportunities  Student loan repayment options  Tuition reimbursement Flexible work environments  *All the benefits listed above are subject to the terms of their...

Job Posting End Date: July 01 When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:  Award-winning culture  Inclusion and diversity as a priority  Performance Based Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability  Generous PTO (including paid time to volunteer!)  Up to 9.5% 401(k) employer contribution  Mental health support  Career advancement opportunities  Student loan repayment options  Tuition reimbursement Flexible work environments  *All the benefits listed above are subject to the terms of their...

At OneAmerica, we deliver on promises when customers need us most.  We believe the best way to serve our customers is to know that every individual, employee, family and business we work with has unique personal and financial goals.  We keep our promises, so we can help them achieve their goals and realize their definition of financial success. The Clinical Consultant is responsible for supporting OneAmerica’s Claims operation acting both in a consultative nature during claim discussions and to provide comprehensive reviews of medical information. This role is responsible for discussing and documenting an assessment of a claimant's potential for recovery and work function. The Clinical Consultant also educates claims associates on topics such as medical conditions, treatment, & recovery to function.   What you will do: Maintain expertise to educate others and suggest process change when updates occur in the medical industry. Conduct comprehensive clinical...

When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:  Award-winning culture  Inclusion and diversity as a priority  Performance Based Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability  Generous PTO (including paid time to volunteer!)  Up to 9.5% 401(k) employer contribution  Mental health support  Career advancement opportunities  Student loan repayment options  Tuition reimbursement Flexible work environments  *All the benefits listed above are subject to the terms of their individual Plans. And that’s just...

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 Field Adjuster ***5+ years of continuous property insurance adjusting experience involving complex loss valuation and scope analysis (homeowners & commercial property.*** PRIMARY PURPOSE :  Appraisal Assignment Execution •    Review claim files assigned to appraisal to understand the dispute parameters and valuation issues in scope. •    Perform loss inspections as necessary to evaluate disputed damages, including measurements, photo documentation, and...

When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:  Award-winning culture  Inclusion and diversity as a priority  Performance Based Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability  Generous PTO (including paid time to volunteer!)  Up to 9.5% 401(k) employer contribution  Mental health support  Career advancement opportunities  Student loan repayment options  Tuition reimbursement Flexible work environments  *All the benefits listed above are subject to the terms of their individual Plans. And that’s just...

Company Story: Seek Now is a customer experience-technology company leveraging a network of professional experts to provide data-driven inspections. We deliver ground truth to property & casualty, real estate, and finance customers that enable them to solve their business problems in a matter of hours…minutes…seconds. Seek Now is well-positioned to disrupt the inspection world through a combination of our hard-working 3rd party contractors, talented employees, vast network, and cutting-edge technology.  For us, it is all about solving business problems for our customers.  Our proven methods, commitment to excellence, and diverse team of professionals are what set Seek Now apart.  The claim volume and opportunity has never been greater than it is now.  So, if you have been thinking about making a change, this may be a great fit for you and your business! Position Summary: Seek Now is searching for reliable, skilled, and experienced 1099 independent contractors to...

The Cross Family of Agencies welcomes you. We need your talent and expertise. Personal Lines Account Manager – Lewiston, Maine Personal Lines Account Managers are primarily responsible for servicing personal lines insurance policies (new and renewal) while creating and maintaining strong relationships with customers, underwriters and other professionals. The successful Personal Lines Account Manager candidate will be reliable, detail-oriented, have good time management skills, be able to multi-task & prioritize, be a self-starter/be able to work independently and also be able to collaborate well in a team environment.     Duties of an Account Manager include but are not limited to : Maintain a Property & Casualty license and keep up with Continuing Education. Understand and follow the Cross Basic Procedure Manual. Understand and follow the Personal Lines Workflow Manual, using only approved Action Codes in AMS 360. Follow up and complete...

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: The opportunity: Member Support Representatives are the face to Sun Life’s external clients.  The position is accountable for the intake of all telephone calls and inquiries from claimants and policyholders as well as Sun Life’s internal claims professionals and Client Relationship Executives....

When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:  Award-winning culture  Inclusion and diversity as a priority  Performance Based Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability  Generous PTO (including paid time to volunteer!)  Up to 9.5% 401(k) employer contribution  Mental health support  Career advancement opportunities  Student loan repayment options  Tuition reimbursement Flexible work environments  *All the benefits listed above are subject to the terms of their individual Plans. And that’s just...

The Cross Family of Agencies welcomes you. We need your talent and expertise. Regional Sales Representative Regional Sales Representative agents are primarily responsible for receiving & selling incoming new commercial lines business while creating and maintaining strong relationships with customers, underwriters, and other industry professionals. The secondary responsibility is to utilize knowledge and experience to assist Commercial Lines Producers with placing new business.     Duties of a Regional Sales Representative include but are not limited to : Maintain a Property & Casualty license along with keeping up with Continuing Education. Understanding and following the Cross Basic Procedure Manual. Understanding and following the Commercial Lines Workflow Manual. Meeting annual sales goal. Following up and completing open suspense’s daily.  Using carrier websites proficiently to generate accurate quotes. Selling commercial insurance...