98 claim jobs found

The next part of your journey is right around the corner — with The Standard. A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we’ve been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference? Job Summary As an IDI disability claims analyst you will secure and analyze claim information to make disability claim decisions, including complex and high liability claims while also delivering excellent and timely customer service. Investigate, secure, and analyze information pertaining to claimants' medical condition, occupational demands, work earnings, business...

The Claims Associate supports captive insurance claims operations by managing communications, maintaining accurate claim data, and assisting with reporting and administrative processes. This role monitors dedicated mailboxes and phone lines, triages and distributes correspondence, and serves as a point of contact for insureds, brokers, captive managers, TPAs, and fronting carriers. Responsibilities include entering and maintaining claim information in the claims system, preparing and issuing routine claim correspondence, supporting report and loss run production, and managing incoming documentation from carriers to ensure timely follow-up. The position also handles administrative tasks such as document redaction, quality review, indexing, DocuSign workflow creation, and secure distribution, while contributing to audits, special projects, and regulatory or client-driven initiatives. Your Impact Monitor Oxford’s dedicated claim mailboxes, handling and distributing mail as...

We are looking for Claims Coordinator to join our team. In this role, you will be responsible for reviewing and analyzing claims to ensure they are processed accurately and in accordance with policy provisions. You will handle moderate to complex claim issues, ensuring that all necessary documentation is obtained, and claims are either approved or denied based on established guidelines. Your Impact: Analyze and research claim issues of moderate to complex difficulty. Ability to comprehend complicated workflows, policy certificates and policy provisions. Review and apply policy provisions in processing of claims received. Request and obtain necessary documents for claim processing/consideration, including scheduling follow ups for documentation. Release of accurate benefit payments in accordance with CBP policy, industry standard & other applicable TPA or SLA agreements. Proper documentation of required information in claim system, including follow up information....

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...

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...

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 Property Claim Associate Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?   Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.  Be...

The next part of your journey is right around the corner — with The Standard. A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we’ve been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference? Job Summary This role is responsible for adjudicating and processing supplemental insurance claims from intake through final payment. The position focuses on gathering and analyzing claim information, verifying eligibility, making accurate benefit decisions, and ensuring timely, precise payments. You’ll manage each claim end‑to‑end while delivering responsive, compassionate...

The Supervisor, Claims Audit – A&H Core Team, is responsible for leading a team of claims auditors focused on reviewing and rendering decisions on liability for claims made under Medical Stop Loss policies issued to Skyward non captive insurance clients. This role oversees the claims audit process for accident and health captive programs, ensuring claims are handled accurately, efficiently, and in accordance with company standards and client expectations. The manager will guide and support staff, ensure compliance with audit protocols, and partner with stakeholders to drive quality results and client satisfaction. This position will work a hybrid schedule in our Kennesaw, GA office. Essential Duties and Responsibilities •    Supervise, train, and mentor the Claims Audit team, ensuring adherence to claims audit standards and achievement of performance goals •    Oversee audits of medical claims across Skyward insurance programs (monitoring over/under payments, duplicate...

The Senior Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. Your Impact Perform in-depth claims file reviews for accuracy and compliance. Document findings and provide recommendations for corrective action. Identify trends and collaborate with departments to improve claim practices. Support audit reporting and analytics. Successful Candidate Will Have Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus. 4 - 6 years of claims or audit experience. Strong understanding of claims handling and insurance regulations. Analytical, organized, and skilled in Excel/audit systems. At Risk Strategies Company, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, and life insurance, retirement...

Are you detail-oriented, analytical, and looking to grow your career in the insurance industry? We’re seeking a Reinsurance Claims Processor to join our dynamic team. In this role, you'll play a key part in ensuring the accurate and timely handling of reinsurance claims while collaborating with various internal and external partners to support seamless claims operations. Your Impact: Reviewing and analyzing incoming reinsurance claims submitted by ceding companies Verifying claim accuracy and completeness in accordance with reinsurance treaties and policy language Communicating effectively with reinsurance intermediaries and internal stakeholders such as underwriters and management to clarify claim details Calculating reinsurance recoveries based on treaty terms and applicable loss allocation provisions Preparing and maintaining thorough claim documentation and files Processing payments in line with company procedures and regulatory standards...

The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the goals of the Claims Department and of CorVel.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits 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 necessary Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent customer service skills Excellent written and verbal communication skills Fast learner; develops knowledge and understanding of claims...

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 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 Investigative Specialist reviews complex and often unique claims to assess their validity and ensure accurate outcomes. In this role, you will investigate and verify the facts of loss for a range of automobile claims, from...

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 Claims Examiner - Workers Compensation | Jurisdiction: WA | Licensing: Required Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?  Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise...

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 This role is responsible for managing and motivating approximately 9 – 11 adjusters to achieve high levels of performance and execute required claim processes with expertise. This individual supports the implementation of operational initiatives that enable the achievement of Allstate’s business objectives. This individual develops strategies to achieve employee performance levels and the expert execution of claim processes. The individual monitors staffing levels and workloads, provides coaching and mentoring and participates in...

Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines...

Why Openly Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly Difference We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. The Price Difference : Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. The Experience Difference: From tailored claims handling to highly responsive customer service, we are...

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 Claims Examiner - Workers Compensation | Jurisdiction: OR | Licensing: Required Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?  Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise...

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...

Oversees the management and analysis of reinsurance claims, including complex and high value exposures. Ensures accurate reporting, billing, and recovery of reinsurance assets while acting as a subject matter expert on treaty agreements. Partners with claims teams to support effective handling, optimize recoveries, and maintain compliance with contractual requirements. Your Impact: Evaluate underlying claims to determine reinsurance applicability and coverage alignment with precision. Interpret reinsurance treaties to drive accurate reporting and ensure full contractual adherence. Collaborate cross functionally with underwriters, brokers, and actuaries to assess claim developments and optimize outcomes. Enforce strict compliance with internal protocols while upholding operational integrity and consistency. Successful Candidates Will Have: Bachelor's degree required; reinsurance certifications preferred (e.g., ARe, CPCU, AIC) 5+ years of reinsurance...

Description Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the West Region!   As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. You may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Depending on your overall skills and experience, you may be considered as a Claims Specialist II,...