14 claim service specialist jobs found

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...

About the role. PURE is seeking a Director, Data Science to help professionalize, scale, and lead our data science practice as a true engineering discipline. This is a foundational role at a pivotal moment: our VP, Applied Sciences has recently joined to grow our data science capability from a handful of models to a production-grade engine influencing decisions across Claims, Underwriting, Risk Management, Distribution, and more. This Director hire will be a critical partner in making that vision real. This is not a “manage the backlog and report upward” role. It’s a builder/path-maker position for someone who is energized by establishing the patterns, frameworks, and habits that make a team consistently excellent — and who can also roll up their sleeves and be one of the principal architects of that work. What you'll do. Architect and enforce a cohesive development standard across the data science team — from exploratory analysis through experimentation,...

About the role: We are seeking an analytically minded Python developer to help build an in-house rating engine at PURE. The ideal candidate has experience contributing to large-scale Python codebases, writes clean and maintainable code, and enjoys partnering closely with business stakeholders to solve complex operational and analytical problems. This role is well suited for someone who thrives at the intersection of software engineering and analytics, and who is comfortable navigating both independent and team-based development. We value developers who approach engineering as a problem-solving discipline and who enjoy the process of understanding complex business challenges and designing elegant technical solutions. What you'll do: - Write clean and maintainable Python code. - Collaborate with teammates to design and implement features in a shared, version-controlled Python codebase. - Design, develop, and maintain both back-end and front-end code for...

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 Ideal candidates have prior injury claims experience and bring strong analytical and negotiation skills, along with the ability to confidently manage claims within authority limits while delivering a high-quality customer experience. This is a great opportunity to join a growing team, as we are hiring for multiple openings within our auto claims organization including both initial and extended handling . We are seeking candidates with prior claims experience—specifically those with a background in material damage claims and/or attorney-represented bodily injury claims . In this role, you will...

At Genworth, we empower families to navigate the aging journey with confidence. We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet families where they are. Further, we are the spouses, children, siblings, friends, and neighbors of those that need care—and we bring those experiences with us to work in serving our millions of policyholders each day. We apply that same compassion and empathy as we work with each other and our local communities, Genworth values all perspectives, characteristics, and experiences so that employees can bring their full, authentic selves to work to help each other and our company succeed. We celebrate our diversity and understand that being intentional about inclusion is the only way to create a sense of belonging for all associates. We also invest in the vitality of our local communities through grants from the Genworth Foundation, event sponsorships, and employee volunteerism. Our...

Description In order to deliver an exceptional customer experience, a leader creates a culture of engagement by inspiring passion in others. A leader explores opportunities to continuously improve within a constantly changing environment. A leader challenges each team member to exceed expectations while developing professionally. A leader understands the vision of Liberty Mutual and can translate how their team’s work connects to that vision. A leader confidently communicates what extraordinary claim service looks like and empowers their team to achieve superior result. Liberty Mutual has an immediate opening for a Claims Team Manager who will lead a team of Claims Specialists who manage a portfolio of Workers Compensation claims, for a dedicated account, to achieve the best possible outcomes and deliver an exceptional customer experience.  In this role, the Claims Team Manager contributes to the organization’s success by developing talented employees,...

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 Take on a pivotal role in handling complex automobile claims, where your expertise makes a meaningful impact for customers during critical moments. In this position, you will thoroughly investigate losses, evaluate coverage and liability, and assess damages with accuracy and care. Leveraging your strong analytical and negotiation skills, you’ll manage claims within your authority, working toward fair and timely resolutions that support both the customer experience and business outcomes. Key Responsibilities • Applies advanced understanding of insurance policies written by the company, the industry,...

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...

At Genworth, we empower families to navigate the aging journey with confidence. We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet families where they are. Further, we are the spouses, children, siblings, friends, and neighbors of those that need care—and we bring those experiences with us to work in serving our millions of policyholders each day. We apply that same compassion and empathy as we work with each other and our local communities, Genworth values all perspectives, characteristics, and experiences so that employees can bring their full, authentic selves to work to help each other and our company succeed. We celebrate our diversity and understand that being intentional about inclusion is the only way to create a sense of belonging for all associates. We also invest in the vitality of our local communities through grants from the Genworth Foundation, event sponsorships, and employee volunteerism. Our...

About CareScout Join us on a mission to simplify and dignify the aging experience. We are the children, siblings, neighbors, and friends of those navigating the fragmented and confusing system of long-term care. Our team is ferociously curious and relentless in our pursuit of a better system – and we are deeply committed to a sense of belonging for all, in all phases of life. We’re creating a new experience for care seekers and their families, bringing together long-term care options, non-healthcare resources, education, and human support into one place. We work hard, we have fun, we care about each other, and we share the mission. If this sounds like a place where you could thrive, join us! CareScout is a division of Genworth Financial, Inc, a Fortune 500 provider of products, services and solutions that help families address the financial challenges of aging.   POSITION TITLE Associate Claims Clinical Specialist POSITION LOCATION Remote, U.S.   YOUR ROLE The...

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...

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...

The Private Client Relationship Manager will fulfill an integral role in developing cohesive relationships with clients by serving as a strategic advisor for coverage related inquiries and analysis, driving renewal efforts, and partnering with Producers on prospective marketing initiatives. The ideal candidate will be an interpersonal and proactive problem solver with demonstrated success in servicing a book of Private Client accounts. *PLEASE NOTE: This is a hybrid position that will require 3 days/week in our Portland office* Your Impact: Develop and maintain strong, long-term relationships with high-net-worth individuals and families. Conduct in-depth needs assessments to understand clients' unique risks and insurance requirements, including all personal lines. Proactively identify opportunities to cross-sell and up-sell additional insurance products and services to existing clients. Serve as the primary point of contact for clients, addressing inquiries, resolving...

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,...