81 claims administrator jobs found

As a Medical Claim Lead Auditor, you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader and primary interface with administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims, resolve open issues, and draft the final report. You will contribute to the creation of new tools and approaches. The Responsibilities Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings Understand client’s plans and apprise team of unique provisions/issues prior to audit Adjust workloads as necessary to achieve successful completion of project Clearly communicate and professionally interact with vendor and audit team Review documentation of potential discrepancies for thoroughness and accuracy Resolve post-audit activities in an accurate and timely fashion Write quality value-added draft report in a timely manner...

About Us: HUB is a global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. With over 20,000 employees in 600+ offices throughout North America, HUB has grown substantially, in part due to our industry leading success in mergers and acquisitions. Primary Role: The Employee Benefits Account Manager works collaboratively with the Team Leads, Producer, and Account Executive to manage a book of business . Coordinates and provides day-to-day service for employee benefits clients by maintaining client relationships, supporting client retention, maintaining strong carrier relationships, and understanding client needs. Serves as day-to-day contact and provides resolution for client questions and issues. Duties and Responsibilities: Maintains client relationships, supports client retention, maintains strong carrier...

As a Medical Claim Field Auditor, you will apply your medical claims audit, project management and claim processing and auditing experience to perform self-insured client audits. You will serve as a team member on audits, evaluate claims for accuracy and identify potential errors and issues. The Responsibilities Understand self-insured client’s plan designs  Audit claims using the administrators claims system to determine if claims were adjudicated in error Submit error inquiries and perform research on administrators’ claim systems during the audits Clearly communicate and professionally interact with administrator and audit team Understand administrators’ processes, operating environment, and specific challenges and take them into account with daily work Develop working relationship with vendor counterparts Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings Efficiently utilize audit-specific analytic...

Location(s) Birmingham, Alabama, Dallas, Texas, St. Louis, Missouri Details The Director, Financial Operations leads all activities for Accounts Payable, Billing, Escheatment, Travel & Entertainment Expense Processing, Vendor Processing, Payroll, Check Services, and 1099 Processing.  This position also develops, implements, and administers the vision, strategy, and goals of the department. This position proactively works with enterprise-wide stakeholders as a strategic partner. This position must use independent judgement and initiative in the planning, organization, assignment and reporting of work. This strategic leader understands business drivers for success and knows how to leverage leading practices to ensure Financial Operations is efficient in delivering on department objectives. This position can be located in one of our office - Dallas, TX; Birmingham, AL; St. Louis, MO PRINCIPAL DUTIES AND RESPONSIBILITIES Refine, devise, and...

This position is for: Claim Assist Solutions, LLC To know more, visit us at  http://claimassistsolutions.com Job Title: Jr Systems Administrator Location: San Antonio Office Job Summary: We are seeking a highly skilled Jr Systems Administrator to join our IT team. This role requires expertise in managing network security, identity, and endpoint security, with a focus on Fortinet firewalls, Cisco Meraki switches, Okta for identity and access management, and a variety of security tools, including SentinelOne, Tenable, and a SIEM solution (such as Sumo Logic). The ideal candidate will also be proficient in Microsoft Intune for endpoint management and be responsible for ensuring the security, performance, and reliability of our IT infrastructure. Key Responsibilities: Network & Security Management: Configure, manage, and troubleshoot Fortinet firewalls to maintain robust network security and monitor potential vulnerabilities. Oversee Cisco Meraki...

About HUB International HUB International is a global insurance broker providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. HUB has more than 600 offices across the United States, Canada and Puerto Rico with more than 20,000 employees. Our regional offices throughout North America are dedicated to helping individuals and businesses evaluate and manage their risks and insurance needs.  We are a company dedicated to superior customer service with employees committed to adding value to every client activity. Primary Role: The Employee Benefits Account Manager works collaboratively with the Producer, Account Executive and Account Administrator managing a book of business. Coordinates and provides day-to-day service for employee benefits clients by maintaining client relationships, supporting client retention, maintaining strong carrier relationships and understanding client...

About Us: HUB is a global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. With over 20,000 employees in 600+ offices throughout North America, HUB has grown substantially, in part due to our industry leading success in mergers and acquisitions. Primary Role: The Employee Benefits Account Manager works collaboratively with the Team Leads, Producer, and Account Executive to manage a book of business . Coordinates and provides day-to-day service for employee benefits clients by maintaining client relationships, supporting client retention, maintaining strong carrier relationships, and understanding client needs. Serves as day-to-day contact and provides resolution for client questions and issues. Duties and Responsibilities: Maintains client relationships, supports client retention, maintains strong carrier...

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 Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. National General is hiring for an experienced Unrepresented Bodily Injury Consultant. The ideal candidate is a self-motivated professional with strong time management skills, capable of working independently while effectively prioritizing tasks. Exceptional customer service, organizational abilities, and attention to detail are essential. Experience handling claims in Taxes and Nevada is highly...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description The Enterprise Project/Program Management Manager is responsible for managing teams of employees and/or frontline supervisors who are responsible for managing low-high complexity projects. The Manager is accountable for the performance and results of the team. The Manager may also direct strategic, enterprise-level projects/programs of the highest complexity and impact with the highest level of risk, organizational span, business complexity, team size, and interdependencies. Projects are managed across multiple functional areas and are of...

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. The Opportunity As a dedicated Benefits Advisor Lead - Leave Advisor , you will be responsible for the design, development, implementation, ongoing administration and assessment of employee leave plans, programs, and services . Ensures alignment with the total rewards philosophy and HR strategy. Provides strategic guidance and solutions for time off programs. Leads efforts to monitor enterprise risk regarding benefit programs and services associated with legislative, regulatory, market and expense trends. We offer a flexible...

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. The Opportunity As a dedicated Benefits Advisor Lead for Benefit Program Performance , you will be responsible for the assessment of benefit plans, programs, and services to ensures program performance is aligned with the total rewards philosophy and HR strategy. Provide data-based strategic guidance and design solutions covering a wide range of benefit programs including health & welfare, retirement, work-life, total health management, voluntary benefits and time off programs. Leads efforts to monitor enterprise risk...

We’re thrilled that you are interested in joining us here at the Amynta Group! The Director is strategic and innovative and is key to the success of the Warranty business and the organization as a whole. The person in this position must have the ability to develop and implement strategic plans, as well as set and achieve goals that align with the overall organization. This position oversees multiple departments within the Auto Claims operation and requires someone who is very collaborative and sets high standards of performance for self and subordinates. The Director is strategic and innovative and is key to the success of the Warranty business and the organization as a whole. The person in this position must have the ability to develop and implement strategic plans, as well as set and achieve goals that align with the overall organization. This position oversees multiple departments within the Auto Claims operation and requires someone who is very collaborative and sets high...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description As an Automotive Virtual Total Loss Adjuster you will be responsible for providing a superior level of customer service and attention to customers who have a vehicle that needs repaired. The individual virtually inspects damage to a vehicle (which may include automobiles, motorcycles, all-terrain vehicles and recreational vehicles), writes damage repair estimates, completes total loss valuations and negotiates moderately complex and occasionally complex settlements with repair facilities, tow yards, customers, and estimates repair times...

About Us: HUB is a global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. With over 18,000 employees in 600 offices throughout North America, HUB has grown substantially, in part due to our industry leading success in mergers and acquisitions. Mission Statement: We are a highly committed, diverse financial services organization serving hundreds of thousands of retirement plan participants, individuals, and institutions across the United States. We provide financial piece of mind and top of class solutions, investments, administration, and service. We are committed to the highest Ethics, Competency, Customer Service, and providing our valued clients with the best and most competent professional team. Position Summary This is an entry-level student position providing administrative support to different departments within...

Are You Driven?® We Are. We are a company of driven, enthusiastic, and determined people. We celebrate achievement and success.  We foster innovation, determination, and recognition. Because of that, our employees feel recognized and rewarded for the contributions they make daily. At GAINSCO, it is our people that set us apart. If you are looking for a place where you can make a difference, understand how your work impacts the company, and be recognized for your efforts and passion, then GAINSCO is the company for you. Why Join GAINSCO? GAINSCO’s work environment rewards engaged individuals who have a desire to contribute and succeed. That’s because our culture encourages individuals to grow their skills as they build their careers. Come join us and become a Champion with GAINSCO. Are you a compliance leader with deep expertise in claims governance and regulatory requirements? GAINSCO is seeking a Compliance & Governance Manager to oversee claims guidelines,...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: KEY RESPONSIBILITIES Following is a summary of the essential functions for this job.  Other duties may be performed, both major and minor, which are not mentioned below.  Specific activities may change from time to time.  Subject Matter Expertise (SME) and Strategic Leadership: Develop and execute business strategies to drive growth and operational efficiency. Collaborate with senior...

Job Description iA American Warranty Group is seeking a dynamic Claims Support Agent to assist with claims handling. Your Day to Day Resolve disputes and conflict with inbound caller -taking escalation calls   Answering customer service related calls from inbound callers including contract holders, and repair shops.   Initiating the claim based on contract holder information being provided.   Providing the contract holder with the appropriate direction as to the procedure and the next steps of the claim process, and identifying any questions or concerns from the caller.   Research the contract and provide pertinent information for claim eligibility based on contract verbiage, and to ensure that the contract term is valid, and that the concern is a covered component .   Transferring claim concerns that go beyond basic customer service handling to the appropriate department in claims,...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description This job is responsible for executing Learning & Development strategy, programs, processes, accountabilities, and/or policies to deliver customer-centered products in an efficient and cost-effective manner that align to business unit and enterprise strategies. We’re excited to expand our team with Learning & Development Claims Trainers based in Dallas, TX! As a Trainer, you'll facilitate engaging and effective sessions for Auto Claims classes typically ranging from 13 to 24 adjusters. This is an in-office role with travel...

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our  journey as we strive to transform the insurance  carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our  internal and external communities better everyday! Learn more...