252 claims adjudicator jobs found

We are adding a Claims Adjudicator 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. With over...

We are adding a Claims Adjudicator 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. With over...

Job Responsibilities and Requirements KEY RESPONSIBILITIES *other duties as assigned* The Supplemental Health Claims Examiner I evaluates and processes lines coverage handled in the Supplemental Health Claims Department in accordance with applicable law and company guidelines. Claims may include Wellness, Accident, Critical Illness, and Hospital Indemnity benefits.  The goal of the role is to consistently pay the accurate amount for each claim in accordance with the contract. This role also provides customer service that is respectful, prompt, concise, and accurate in an environment with competing demands. Analysis and Adjudication Reviews and processes Wellness, Accident, Critical Illness, or Hospital Indemnity claim documents and proofs to verify eligibility based on contractual provisions and premium status within company guidelines and applicable law. Authorizes claim payments up to $5,000. Determines proper payee, verifies the accuracy of benefit amount...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Injury Examiner , you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM , and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations....

Job Description TITLE:                          Senior Property Adjuster DEPARTMENT :            EMA Loss Adjusting REPORTS TO:               Claims Manager STATUS:                       Regular, Full-Time, Exempt SUMMARY OF JOB PURPOSE :  The Senior Property Adjuster effectively determines and communicates the extent of loss or damage associated with commercial property claims in a variety of business classes. The Senior Property Adjuster is typically assigned loss or damage assessments in a moderate cost range, based on incumbent’s experience and demonstrated ability for handling larger or more complex claims. *This is a field position in the Cleveland, OH market* PRIMARY JOB RESPONSIBILITIES : Investigates insurance claims in any of a variety of settings, including, but not limited to, retail establishments, private or public office buildings, commercial habilitation, hospitality, corporate facilities, transportation sites, manufacturing sites,...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): TEMP - Workers’ Compensation Claims Adjuster Employment Type: Contingent Worker FLSA Status: Non-Exempt Location: In-Office or Remote   Summary: We are looking for a highly capable Workers’ Compensation Claims Adjuster to join our team and work from anywhere in the United States. The position reports to a manager based in Rockwood, PA and initially will be focused on adjudicating medical-only claims and indemnity claims, in the jurisdiction of MN.  In addition, this position manages both Federal and State Black Lung claims that have already been reviewed and a schedule of benefits approved by the...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): TEMP - Workers’ Compensation Claims Adjuster Employment Type: Contingent Worker FLSA Status: Non-Exempt Location: In-Office or Remote   Summary: We are looking for a highly capable Workers’ Compensation Claims Adjuster to join our team and work from anywhere in the United States. The position reports to a manager based in Rockwood, PA and initially will be focused on adjudicating medical-only claims and indemnity claims, in the jurisdiction of SC.  In addition, this position manages both Federal and State Black Lung claims that have already been reviewed and a schedule of benefits approved by the...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): TEMP - Senior Workers’ Compensation Claims Adjuster Employment Type: Contingent Worker FLSA Status: Non-Exempt Location: In-Office or Remote   Summary: We are looking for a highly capable Senior Workers' Compensation Claims Adjuster to help us on a temporary assignment with an estimated end date of October 9, 2026 and work from anywhere in the United States. This role will adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the state AZ. If the candidate has California experience, then California claims will also be assigned. But California experience...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): TEMP - Senior Workers’ Compensation Claims Adjuster Employment Type: Contingent Worker FLSA Status: Non-Exempt Location: In-Office or Remote   Summary: We are looking for a highly capable Senior Workers' Compensation Claims Adjuster to help us on a temporary assignment with an estimated end date of October 9, 2026 and work from anywhere in the United States. This role will adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the states of SC and VA.   As this is a temporary assignment, only government mandated benefits will be provided.   Contractors...

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 Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience 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...

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 Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | Remote 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 representative knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.   Deliver innovative customer-facing...

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 Team Lead - Liability 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?      Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.    Access diverse and comprehensive benefits to ta ke care of your mental, physical, financial and professional...

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 Team Lead, Auto PRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL...

Overview Join an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employers for 2026!     Position Summary: As a Mid-Loss supervisor your role is to provide inspired leadership, technical and administrative oversight for a team of claims adjusters/examiners responsible for the adjudication and settlement of moderate to complex first party property claims through efficient and compassionate service. Your responsibilities will include coaching and mentoring team members to achieve company goals and to ensure all activity and file handling is consistent with company policies, procedures, and statutory guidelines. The role supports continuous development of team members in pursuing their career goals. The Supervisor manages staffing levels and workloads while monitoring attendance, personnel issues, performance evaluations, interviewing and completing the...

Position Summary The Director of Clinical & Cost Containment is a senior strategic role within Strategic Benefit Resources (SBR) responsible for leading the clinical consulting and cost containment program capabilities that differentiate SBR's self-funded solutions in the wholesale distribution market. This individual serves as the primary clinical subject matter expert across SBR's book of business, partnering with sales, distribution, and stop-loss consulting teams to evaluate, implement, and communicate clinical cost containment strategies that drive measurable financial outcomes for employer clients. This role bridges clinical expertise and consultative sales support — working directly with broker/consultant partners, TPAs, stop-loss carriers, and employer plan sponsors to identify high-cost claim drivers, optimize vendor program selection, and develop clinical frameworks that reduce plan cost and improve member outcomes. Why This Role Exists As the...

Job Description: Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate – pushing one another to transform not just Pacific Life, but the entire industry for the better. Why? Because it’s the right thing to do. Pacific Life is more than a job, it’s a career with purpose. It’s a career where you have the support, balance, and resources to make a positive impact on the future – including your own. We’re actively seeking a talented Sr. Life Claims Specialist to join the Workforce Benefits Division team, this position will be remote. How you'll help move us forward: Serve as a subject matter expert on Life claim practices, consulting on best practices and contributing to the design and refinement of internal procedures, workflows, and system...

Overview Seeking a candidate based in California who is within a reasonable commuting distance of Rancho Cucamonga.   Position Summary:   If you’re passionate about helping people restore their lives when the unexpected happens to their homes and providing the best customer experience, then our Mercury Insurance Property Claims team could be the place for you! As a supervisor your role is to provide inspired leadership, technical and administrative oversight for a team of claims adjusters/examiners responsible for the adjudication and settlement of minor to moderate complexity first party property claims through efficient and compassionate service. Your responsibilities will include coaching and mentoring team members to achieve company goals and to ensure all activity and file handling is consistent with company policies, procedures, and statutory guidelines. The role supports continuous development of team members in pursuing their career goals. The...

The Company    At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. Utica National Insurance Group is an "A" rated $2.0B award-winning, nationally recognized property & casualty insurance carrier. Operating along the Eastern half of the United States, based in our Home Office in Central New York, with Regional Office locations including NYC, Dallas and Charlotte. What you will do This is an important customer-facing position, as you'll be responsible for meeting with our insureds and completing field estimates. The territory for this field adjuster position is primarily in the Buffalo/Western New York area. Personal and commercial lines losses will be reviewed, with estimates then moving to our team of desk adjusters. On occasion, desk estimating will be required as needed. This position includes eligibility for a company vehicle. Key...

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 Workers Compensation Claims Examiner - Orange, CA 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...

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 (HYBRID- West Hills, CA/3 Days Remote) 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...