8 claim operations specialist jobs found

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of low to moderate complexity and exposure Personal Lines Marine physical damage claims in multiple jurisdictions. Job Responsibilities Typically handles low to moderate exposure personal lines marine claims. Confirms coverage of claims by reviewing policies and documents submitted in support of claims.  Analyzes coverage and communicates coverage positions. Ability to draft coverage position letters independently Utilizes acceptable...

Company Details   We’re a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers. Responsibilities This position will be responsible for the investigation, evaluation, and adjustment of claims for a dedicated program handling municipal property claims in the State of Wisconsin. The position will help with the underwriting of new potential insureds on an ad hoc basis which may require the use of a drone. Interview insureds, witnesses, and others as appropriate. Inspect property damage....

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. PlanIT is seeking a Carrier Integration Specialist to join our growing team. The Carrier Integration Specialist serves as the vital link between the Brown & Brown analytics team and our carrier partners. Your primary mission is to ensure that health plan enrollment, medical claims, pharmacy claims, and other critical data flow seamlessly from external partners into the Brown & Brown HPI analytics environment. You will manage the end-to-end lifecycle of inbound data feeds—from initial outreach and implementation to long-term maintenance—ensuring data completeness, integrity, and timeliness. How You Will Contribute: Process Management: Act as the project manager for all carrier data integrations. You will lead the carrier outreach process and keep data pipeline projects on track from initial request and implementation...

Administer specialty insurance programs, service insureds, process requests, and coordinate monthly updates with John Deere. The role will be staffed at our Sentry Home Office in Stevens Point, WI following the hybrid work model. This role is NOT available for remote work. What You'll Do   Respond to a variety of customer calls including, but not limited to coverage questions, quotes for new/additional coverages, policy change, cancellation and loss run requests and billing questions. Maintain agent appointments, distributes agent materials and generates agent commission reports. Create, analyze & distribute statistical spreadsheets for John Deere programs. Reports are provided to Direct Writer management for the purposes of review and evaluation of supported programs. Maintain applicable systems to support the dealer programs and products by monitoring and collaborating with the appropriate areas when issues arise. Reconcile and balance financials between John...

Sentry is seeking a motivated Senior Actuarial Analyst to support pricing and actuarial analysis across our Small Commercial insurance portfolio. Working under the guidance of actuarial leadership, this role will help develop the analytical foundation that supports our small commercial products. You will contribute directly to pricing and product decisions that impact the future of Small Commercial at Sentry. This position can be filled as an Actuarial Analyst, Actuarial Analyst II, or a Senior Actuarial Analyst based on the qualifications and experience of the selected candidate. This position works within Sentry's hybrid work model and is eligible to work on a hybrid-basis out of our Stevens Point, WI or Madison, WI office locations. What You'll Do As an Actuarial Analyst, you will: Compile, validate, and analyze data used in actuarial studies supporting pricing, reserving, and rate adequacy for Small Commercial products. Assist in the preparation of state rate...

We are adding a  Claims Verification Specialist   to our team!  Who We Are: Since 1909, National Guardian Life Insurance Company (NGL) has been one of America’s most successful and highly rated independent life insurance companies. We specialize in a suite of innovative products for life’s journey, giving people the financial stability, careful guidance and peace of mind to lead a life filled with confidence, dignity and grace.   NGL's Core Values – integrity, dependability, collaboration, compassion and growth are a foundation of our company and help to build on the interactions we have with our policyholders, partners, funeral homes and each other. We believe in creating an inclusive, welcoming environment for all where diversity is celebrated, and everyone is encouraged to live their best, most authentic self. We offer  Employee Resource Groups for employees to get involved, learn, network, and offer professional and personal development opportunities....

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.   DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all....

Responsible for assessing client’s risk exposure on personal and/or commercial property, making appropriate recommendations and placing coverage to address those risks. Job Duties and Responsibilities (Essential Job Functions) Market and sell personal lines insurance policies. Proactively contact all leads to recommend appropriate insurance, quote and place coverage. Identify and assess client risk exposures. (65‑75%) Foster referral relationships with all real estate personnel including agents, office managers and mortgage brokers to maximize sales opportunities. (20-25%) Provide work direction as appropriate to new business specialists to ensure all aspects of client on-boarding are completed properly and in a timely manner. (0-5%) Actively monitor and report to management any circumstances that may lead to a potential or actual insurance errors and omissions claim, DOI (department of insurance) or related complaints. (0-5%) Remain current on industry trends and...