Claims administrator jobs | InsurancePond.com

06/02/2026

Senior Claims Administrator - EMC Life

At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together. **This position is eligible to work from home anywhere in the United States** Analyzes and investigates claims to ensure compliance and timely payment of benefits. Responds to agents and policyholders regarding pending claims and appeals. Processes complex beneficiary and ownership changes and approves eligibility of waivers for life and disability income policies. Collaborates with peers and management to ensure consistent interpretations of policies and claim payment methods. Essential Functions: Analyzes, investigates, and adjudicates individual/group life, annuity, and critical, chronic, and terminal illness claims to ensure the...

EMC Insurance Des Moines, IA Full Time

05/05/2026

Claims Administrator - Med Only Claims

CBCS, a division of Cottingham & Butler, is growing — and we’re looking for driven individuals to join our Workers’ Compensation team as Claims Administrators. In this role, you’ll be trained to investigate, evaluate, and resolve medical-only claims while delivering the high‑quality service our clients expect. No insurance experience? No problem. We will teach you the technical side — what matters most is your ability to think critically, communicate clearly, and take ownership of your work. Responsibilities As a Claims Administrator, you will manage a caseload of medical-only Workers’ Compensation claims from start to finish. Your core responsibilities include: Reviewing and evaluating medical-only claims to understand what occurred Communicating with injured workers, medical providers, and clients Documenting claim activity accurately and consistently following CBCS Best Practices Making timely decisions within your assigned authority to resolve claims...

Cottingham & Butler Dubuque, IA

12/22/2025

Claims Administrator

Hi, we’re HUB Warranty! We are a dynamic and fast paced innovative construction insurance brokerage offering and developing products and services that meet the ever-changing needs in our home building clients and industry. We represent 3 New Home Warranty brands with over 400,000 home inspections completed and countless homes protected. We focus on delivering value to all our home builders and owners. At HUB Warranty we believe it is vital that we bring like-minded people on board to join us in this journey! We believe in our people – they are the best in the industry! We encourage and support each other and want to see our people grow. With this, we have implemented many leadership development programs and support career advancement! If you are a lifelong learner looking for an advancing and rewarding career, please read further to see what this job entails. The Opportunity! The Claims Administrator is an entry level claims position where you will be responsible for...

HUB International United States Full Time

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

06/04/2026

Claims Associate - Whippany, NJ

About the Role American Global has an exciting and growing entry-level opportunity to join our team as a Claims Associate . We are looking to add a passionate, talented individual who will help our growing claims department deliver exceptional customer service to our clients. Key Respon sibilities Include: Create and maintain carrier portal access instructions Keep internal claims account assignment spreadsheet up to date Update and maintain internal claim review schedule as needed Copy, scan and file documents for all assigned accounts Enter new losses into agency claim system Report new claims as needed (on behalf of clients as requested) Follow-up with carriers to obtain outstanding information on newly reported claims File claims documentation and correspondence into agency claims system in a timely manner...

American Global Hanover, NJ Full Time

05/29/2026

AVP or VP MBU Claims Leader - Eatontown, NJ or Remote

Crum & Forster Company Overview Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support. In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions. The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market. Job Description Information about the Role, Line of Business and Team: The...

Crum & Forster Eatontown, NJ Full Time

05/19/2026

Claims Supervisor - Med Only

CBCS, a division of Cottingham & Butler, is seeking a driven leader to join our Workers’ Compensation team and lead a team of Claim Administrators. This role combines people leadership with technical oversight to ensure high-quality claim handling and client service. Responsibilities Lead, coach, and develop a team of Claims Administrators Review claims for quality, adherence to best practices, and proper documentation Provide guidance on complex claims, escalation decisions, and reserving strategies Monitor team performance against key metrics Support hiring, onboarding, and ongoing training of team members Maintain strong communication with clients, injured workers, and providers Qualifications Prior business or claims experience preferred; leadership experience a plus Strong communication, critical thinking, and organizational skills Do you think this might be a fit for you? Send us your resume – we’d love to talk! Pay &...

Cottingham & Butler Dubuque, IA

05/13/2026

Captive Claims Advocate

Position Summary: The Captive Claims Advocate is responsible for oversight and management of claims including coordination of receiving new property and casualty first reports of claims via phone, email, fax or mail from insureds; reporting them to the appropriate carrier and following up to ensure timely and complete resolution. This position will help facilitate communication, documentation and understanding between insureds, adjusters and other involved parties in an effort to keep claims moving proactively toward resolution. Position is also responsible for assisting with education of agency employees and clients relative to claims process. Position will work with various individuals including agency, clients and carriers, claims administrators and captive personnel. Position will also work to become proficient in state regulations applicable to workers compensation benefits, along with mitigation programs offered by the various captive programs and help to educate both...

Higginbotham Bossier City, LA Full Time

05/12/2026

Senior Account Manager

We’re thrilled that you are interested in joining us here at the Amynta Group! First Nonprofit - Member Services & Compliance Manager This fully remote position is responsible for supporting existing clients managed by SVP and VP of Sales, sales of ancillary products and programs to existing clients, onboarding of new accounts added by existing and new clients, as well as sales and placement of state mandated surety bonds for existing and new clients. Position will be working with stakeholders from Marketing, Sales and Underwriting. Under direct supervision, this position will assist in account retention, drive additional products/programs to existing clients and be accountable for execution of the duties identified above. Responsibilities: Support existing agents and clients managed by SVP and VP of Sales. Drive ancillary product/program sales for existing clients. Day to day agent and client support including responding to inquiries and resolving issues....

Amynta Group NH Full Time

04/28/2026

Director of Operations

We’re seeking a Director of Operations to take ownership of the operational backbone of a growing insurance program manager with delegated underwriting authority. This role is at the center of the business, working across underwriting, carriers, regulators, vendors, and parent company support teams to manage operations efficiently while identifying opportunities for improvement. The right person is organized, driven, and comfortable stepping into complex projects and taking ownership. This is a hands-on leadership role with broad visibility and significant room to grow with the business. Your Impact: Lead and manage overseas outsourcing partners responsible for submission clearance, rating, endorsement processing, and other policy administration functions; set expectations, track performance, and improve workflows. Oversee and develop a small internal operations team handling policy servicing, agency appointments, and licensing. Serve as primary liaison to parent company...

One80 Intermediaries PA Full Time

04/03/2026

P&C Program Manager (Remote)

At TruStage, we’re on a mission to make a brighter financial future accessible to everyone. We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what’s possible. We need you to help us shape what’s next. You’ll be encouraged to share your experiences, ideas and skills to help others take control of their financial future. Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition Remote Position United States Only Job Purpose: This role is responsible for the Program management, development and administration of Program Business and Program Business relationships with external MGA/MGU Program Managers to support the Property & Casualty (P&C) insurance business. This includes managing existing MGA/MGU Program Managers along with the...

TruStage United States Full Time

06/12/2026

Vice President, WC Claims Managed Solutions

Description Liberty Mutual Insurance and Helmsman Management Services are seeking a dynamic and experienced Vice President, Workers' Compensation Managed Care to lead one of the most comprehensive and strategically critical managed care operations in the industry. This senior executive role carries oversight of a 400-person national organization spanning Nurse Case Management, National Medical Directors, Provider Networks, Vocational Rehabilitation, Utilization Management, Medical Bill Review, Workers' Compensation Technology Solutions, Medicare Compliance, and Managed Care Leadership. The ideal candidate brings deep expertise in workers' compensation managed care gained through a career in property & casualty insurance, a third-party administrator, or a large brokerage/risk management services organization, and is ready to drive innovation, talent development, and superior outcomes for injured workers, employers, and brokers alike. **PLEASE NOTE**...

Liberty Mutual United States Full Time

06/11/2026

Vice President, TPA Governance

At Safety National, we don’t just offer jobs – we build careers with purpose! Since 1942, we’ve been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success—both personally and professionally. Ready to grow with us? Apply today! Follow this link to view all of our available careers and apply: https://www.safetynational.com/careers-page/ This opportunity is in the Claims Department Our Claims Department oversees both high-exposure workers’ compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess carrier, the catastrophic claims we handle keep our group challenged, but the...

Safety National St. Louis, MO Full Time

06/10/2026

Procurement Analyst

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. Role Summary We are currently seeking to add a qualified individual to our Procurement organization to support the Senior Director of Procurement in various aspects of managing external vendor relationships while meeting the needs of the respective internal business stakeholders. The Procurement Analyst will play a key role in fulfilling the objectives of the Procurement organization by: Performing tasks in support of supplier negotiations, including...

Starr Insurance New York, NY Full Time

06/10/2026

Director, Program Manager

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This position leads the strategic management and performance of assigned programs within CNA’s P&C Programs unit. The position is accountable for program profitability, growth, and overall business performance, partnering closely with Program Administrators to define and execute strategies that drive sustainable, profitable growth. This position serves as a key liaison across underwriting, product, actuarial, and claims to ensure strong program execution, operational effectiveness, and alignment with CNA’s broader business objectives. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Drive...

CNA United States Full Time

06/09/2026

Claims Processor 1

Title: Claims Processor 1 Department: Claims Union: OPEIU 29 Grade: 16 Position Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims. Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers’ Compensation, or disability. May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries. Performs other duties as assigned....

Zenith American Solutions San Francisco, CA Full Time

06/09/2026

Claims Processor 2

Title: Claims Processor 2 Department: Claims Bargaining Unit: OPEIU 29 Grade: 17 Position Type: Non-Exempt Hours per Week: 40 Position Summary The Claims Processor 2 provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims. Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries....

Zenith American Solutions San Francisco, CA Full Time

06/09/2026

Claims Processor 3

Title: Claims Processor 3 Department: Claims Union: OPEIU 29 Grade: 18 Position Summary: Responsible for independently processing all types of health claims on an assigned Plan(s), and for assuming primary or back-up customer service responsibilities as necessary. General Duties: Independently process all types of health claims in accordance with assigned Plan(s). Perform customer service responsibilities for providers and members as needed. Generate correspondence and form letters. Maintain current knowledge of assigned Plan(s) and effectively apply this knowledge in the payment of claims. Assist other processors with claims as needed to minimize backlog. Perform other related duties and special projects as assigned. Minimum Qualifications: High school diploma or general education degree (GED); two years related experience processing all types of group health and/or dental...

Zenith American Solutions San Francisco, CA Full Time

06/09/2026

Workers Compensation Risk Consultant

LOCATION: Remote, California Come join our team! There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day, EPIC is always looking for people who have “the right stuff” – people who know what they want and aren’t afraid to make it happen. Headquartered in New York City and founded in 2007, our company has over 4,000 employees nationwide. With locations spread out across the U.S., our local market knowledge and industry expertise helps support our clients' regional and global needs. We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees. Our core values are: Owner mindset, Inspire trust, Think big, and Drive results. If these values and growth align with what you're looking for in your...

EPIC Insurance Brokers & Consultants Ontario, CA

06/09/2026

Workers Compensation Risk Consultant

LOCATION: Remote in California Come join our team! There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day, EPIC is always looking for people who have “the right stuff” – people who know what they want and aren’t afraid to make it happen. Headquartered in New York City and founded in 2007, our company has over 4,000 employees nationwide. With locations spread out across the U.S., our local market knowledge and industry expertise helps support our clients' regional and global needs. We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees. Our core values are: Owner mindset, Inspire trust, Think big, and Drive results. If these values and growth align with what you're looking for in your...

EPIC Insurance Brokers & Consultants Ontario, CA

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