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30 claim jobs found

The Murphius Group
05/12/2026  
Claims Adjuster - Michigan PIP/Injury (Entry to Sr. Level) - (REMOTE) Featured
Are you looking to work for an amazing insurance carrier that values work-life balance? Do you have experience with Michigan PIP?   Essential Duties and Responsibilities: Investigate claims to determine compensibility Follow company guidelines and claim handling practice Manage claim/caseload Recommend and adjust reserves   Benefits Package: Industry leading healthcare plan including low deductibles compared to many industry competitors Dental, vision, life insurance, long-term, short-term disability, AD&D, Long Term Care Program and FSA 401K with match Competitive Paid Time Off (PTO) Bank Annual Incentive Bonus Plan Educational Assistance and Tuition Assistance RETIREE HEALTHCARE COVERAGE  
The Murphius Group Remote (MI)
TransEleven Claims Managers
04/16/2026  
Senior Claims Counsel Featured
$120,000 - $150,000 yearly
TransEleven Claims Managers (www.trans11claims.com) is looking for an experienced attorney to join our team in the role of Senior Claims Counsel, handling a high volume of claim files in multiple PL/GL practice areas. This position is 100% remote after initial training at our corporate offices in Allen, TX (DFW Metro Area).  We desire attorneys that have worked for another third-party claims administrator, insurance group, captive firm or law firm (preferably insurance defense, litigation) handling professional and general liability matters. Position Description: As a Senior Claims Counsel, you will oversee claims administration and litigation management for a portfolio of claim files, from initial coverage and claims analysis through resolution, including retaining and management of outside counsel, negotiations, mediations, settlement conferences, invoice and expense management and complex reporting to all parties. The right candidate must be able to engage...
TransEleven Claims Managers Remote
Swyfft
05/13/2026  
Complex & Represented Claims Representative
At Swyfft, we're reshaping the way home insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service. Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry. Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive. As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at Swyfft!...
Swyfft Remote (United States) Full Time
Risk Strategies
05/12/2026  
Lead Claims Advocate
The Lead Claims Advocate will handle all insurance claim matters presented by clients of Risk Strategies Inc., and affiliates, in accordance with objectives and procedures outlined by management. Your Impact Receive newly created loss and confirm that the claims are filed under the appropriate policy(ies) Extensive knowledge in industry specific coverages Review circumstances surrounding claims along with appropriate coverage and verbally communicate preliminary coverage opinion to the client Acknowledge receipt of claim to client in writing and request all documents necessary in order to move forward and properly advocate on client’s behalf Keep claim file properly updated and attach documents in accordance with protocols created and set within the department Handle to conclusion insurance claims presented by clients and/or as assigned by Claims Team Leader.  Duties include advocating for the client, maintaining an active diary, transmittal of documentation, follow up...
Risk Strategies Remote Full Time
Risk Strategies
05/05/2026  
Healthcare Lead Claims Specialist
To provide ultimate claim service for insurance claim matters presented by clients of Risk Strategies Inc., and affiliates, in accordance with objectives and procedures outlined by management. Your Impact Receive loss reports from Healthcare Clients and confirm that the claims are filed under the appropriate policy(ies) Research policy terms and stipulations to determine coverage applicability and advocate for maximum recovery. Strong understanding of all lines of insurance policies, coverage, and relevant regulations. Educate and address questions from Clients regarding claim reporting requirements Advocate for the client, maintaining an active diary, transmittal of documentation, follow up calls, and emails to the client and carrier Oversee the claims at the carriers to ensure timely investigation, liability determination, litigation and fair resolutions.  Evaluate complex, high-exposure claims and interpret policy wording. Ability to work with demanding stakeholders,...
Risk Strategies Remote Full Time
Swyfft
03/31/2026  
Daily Claims Representative (P&C Insurance)
At Swyfft, we're reshaping the way home insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service.   Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry.   Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive.   As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at Swyfft!...
Swyfft Remote (Tampa, FL) Full Time
Swyfft
03/31/2026  
Complex & Represented Claims Representative
At Swyfft, we're reshaping the way home insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service.   Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry. Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive.   As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at Swyfft!...
Swyfft Remote (United States) Full Time
Cottingham & Butler
04/21/2026  
Workers Compensation Claims Adjuster (California Experience Required)
Workers Compensation Claims Adjuster (California Experience Required) Location: Work from Home (Must be located in California) Who says you can't have it all? Cottingham & Butler Claims Services (CBCS) is offering the opportunity to work in a fast-paced and exciting position with NO commute! You will be working from home so previous workers compensation adjusting experience is required (i.e. taking statements, paying lost wage benefits, filing state forms, denying claims, subrogation, litigation, etc.). As a Work Comp Adjuster, you will be responsible for investigating, evaluating, negotiating, and settling workers compensation claims on behalf of our clients. The ideal candidate will have excellent communication and negotiation skills, be detail-oriented, and possess a strong understanding of workers compensation laws and regulations. You will be communicating with a wide variety of individuals, to include CEO's, claimants, providers offices, and attorneys. Experience...
Cottingham & Butler Remote
The Murphius Group
05/12/2026  
Property Field Adjuster (Up to Sr. Level) - (Northeast Michigan/Lower Peninsula) / Work-from-Home Featured
Work for an amazing Regional Mutual Insurance Carrier that values company culture and work-life balance.  They handle both Homeowners and Commercial Lines Property Claims.  *If you don't have the commercial experience you could however still be a fit for this role.     Investigates, evaluates and resolves field property claims.     Essential Duties and Responsibilities: Investigates claims to determine validity and extent of liability. Sets or recommends reserves based on results of claim investigation. Within defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports. Conducts inspections and writes repair estimates. Attends settlement conferences and/or trials   Desired Qualifications: Bachelors degree or equivalent education and/or experience 4+ years of property claims experience   Benefits Package: Healthcare...
The Murphius Group Remote (MI)
The Murphius Group
05/12/2026  
Property Field Adjuster (Up to Sr. Level) - (Northwest Michigan) / Work-from-Home Featured
Work for an amazing Regional Mutual Insurance Carrier that values company culture and work-life balance.  They handle both Homeowners and Commercial Lines Property Claims.  *If you don't have the commercial experience you could however still be a fit for this role.     Investigates, evaluates and resolves field property claims.     Essential Duties and Responsibilities: Investigates claims to determine validity and extent of liability. Sets or recommends reserves based on results of claim investigation. Within defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports. Conducts inspections and writes repair estimates. Attends settlement conferences and/or trials   Desired Qualifications: Bachelors degree or equivalent education and/or experience 4+ years of property claims experience   Benefits Package: Healthcare...
The Murphius Group Remote (MI)
The Murphius Group
05/12/2026  
Property Field Adjuster (Up to Sr. Level) - (Southeast Michigan/Northern Ohio) / Work-from-Home Featured
Work for an amazing Regional Mutual Insurance Carrier that values company culture and work-life balance.  They handle both Homeowners and Commercial Lines Property Claims.  *If you don't have the commercial experience you could however still be a fit for this role.     Investigates, evaluates and resolves field property claims.     Essential Duties and Responsibilities: Investigates claims to determine validity and extent of liability. Sets or recommends reserves based on results of claim investigation. Within defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports. Conducts inspections and writes repair estimates. Attends settlement conferences and/or trials   Desired Qualifications: Bachelors degree or equivalent education and/or experience 4+ years of property claims experience   Benefits Package: Healthcare...
The Murphius Group Remote (MI)
The Murphius Group
05/12/2026  
Property Field Adjuster (Up to Sr. Level) - (Southeast Michigan/Northern Ohio) / Work-from-Home Featured
Work for an amazing Regional Mutual Insurance Carrier that values company culture and work-life balance.  They handle both Homeowners and Commercial Lines Property Claims.  *If you don't have the commercial experience you could however still be a fit for this role.     Investigates, evaluates and resolves field property claims.     Essential Duties and Responsibilities: Investigates claims to determine validity and extent of liability. Sets or recommends reserves based on results of claim investigation. Within defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports. Conducts inspections and writes repair estimates. Attends settlement conferences and/or trials   Desired Qualifications: Bachelors degree or equivalent education and/or experience 4+ years of property claims experience   Benefits Package: Healthcare...
The Murphius Group Remote (OH)
One80 Intermediaries
05/03/2026  
Senior Underwriting Manager, Reinsurance
We’re seeking a Senior Underwriting Manager to oversee reinsurance operations and lead the placement of reinsurance for the division’s managed pools as well as other self-insured clients.  Your Impact: Prepare and present proposals for reinsurance placements including claims analysis, costs, terms, and conditions of coverage Negotiate insurance and reinsurance placements Maintain current in-depth knowledge of the reinsurance marketplace including industry activity and trends, state issues and regulations and market developments Develop and maintain relationships with current and prospective clients Serve as primary contact for any carrier underwriting and claim audits Work with all functional areas of the company including claims, accounting, underwriting and marketing to support company objectives Understand and manage current policy administration procedures for compliance with reinsurance treaties and governmental regulations Lead in the...
One80 Intermediaries Remote Full Time
Hilb Group
10/17/2025  
Personal Lines Customer Service Representative
Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious ­­­­­Personal Lines CSR to join our team. This position will report to our agency located in Bonita Springs, FL. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is a remote position. Responsibilities: Assists clients with cancellations, telephone inquiries, mail requests and other services as needed Binding, filng/data entry Order policies and request endorsements from the company as required Policy verification assistance Updating Certificates of Insurance Requesting Loss Runs Provides solutions and resolves issues for clients in a timely and effective manner Order renewal, expiration lists as needed and review lists to determine...
Hilb Group Remote Full Time
Risk Strategies
07/21/2025  
Sr Vice President - Actuary
The Reinsurance division at Risk Strategies is part of the National Healthcare Practice, providing consultative risk management and evaluation services across a full range of individual and group medical and supplemental health products for both private and public-sector clients.   Our team is driven by a passion for client service, emphasizing prompt, courteous support and long-term relationship building. We value clear, consistent communication and have assembled a team of professionals who combine strong technical expertise with exceptional interpersonal skills. Risk Strategies fosters a collaborative, family-oriented culture where teamwork and client satisfaction are paramount.   Primary Responsibilities and Duties:   Client & Program Review and Support (Primary) Develop proformas and evaluate business plans and new product opportunities for clients/prospects Support carrier/reinsurer discussions to secure rating and...
Risk Strategies Remote (United States) Full Time
Cottingham & Butler
04/24/2025  
TPA Sales Executive (Fully Remote)
SISCO, our medical claims TPA, is looking for an experienced sales professional to launch their suite of services into new markets. Through SISCO, your broker-partners can leverage the strength of national carriers coupled with the oversight of an independent TPA. Why SISCO? “Privately Owned” does not mean private equity - Our family of companies has a history in insurance services that spans over 130 years and is characterized by organic growth with zero debt.  Professional Staff – Imagine working with a team that includes ERISA attorneys, MDs, PharmDs, RNs and Health Coaches; where member service is delivered by licensed agents and the average tenure of the Account Management team is 8+ years. True Integration – SISCO’s “One Roof” service model includes expert claim adjudication for both self-funded medical and insured ancillary benefits. Optional services include a suite of advocacy and population health...
Cottingham & Butler Remote (United States)
Swyfft
05/19/2026  
VP, Marketing
At Swyfft, we're reshaping the way home insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service. Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry. Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive.   As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at Swyfft!...
Swyfft Remote (United States) Full Time
Cover Whale
05/18/2026  
Predictive Modeling & Risk Scientist
Who is Cover Whale? Cover Whale is the nation’s leading commercial trucking insurtech. We improve road safety by combining the insurance products we sell with our telematics-based, data-driven driver coaching and safety program known as DriveSmart. Our program is proven to save lives while delivering better insurance for our drivers. For more information, please visit www.coverwhale.com .  Join us in the mission! The Role: We are seeking a highly analytical, technically strong Actuarial/Data Science professional to own and evolve our end-to-end reserving and predictive modeling capabilities. This role will maintain and enhance our Python-based reserving models while building predictive models using live telematics and claims data to drive pricing, cancellation strategy, and large loss detection. The position sits at the core of our underwriting and growth strategy, directly influencing dynamic pricing, loss ratio performance, and profitable expansion. This is a very...
Cover Whale Remote (New York, NY) Full Time
Swyfft
05/15/2026  
NJ/NY Territory Sales Manager (P&C Insurance)
At Swyfft, we're reshaping the way home insurance, flood insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service.   Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry.   Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive.   As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at...
Swyfft Remote (NJ) Full Time
AffirmedRx
05/12/2026  
Pricing Manager
AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care outcomes for all!  We promise to do what’s right, always. Position Summary: The Pricing Manager will be responsible for managing pricing and underwriting processes in support of business development efforts.  They will have a thorough understanding of PBM pricing intricacies, financial modeling, and data analysis.  The ideal candidate will have experience in development and execution of PBM competitive bidding, guarantee setting, rebate projections, ad-hoc analysis, and narrating pricing related...
AffirmedRx Remote

 

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