31 claims auditor jobs found

Staff Attorney - LM07EE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              The Hartford is seeking to hire a Senior Litigation Analyst to join our Legal team.  We are looking for motivated attorneys to join this team responsible for reviewing outside counsel legal bill invoices and to conduct in office Legal Bill Review audits.  As a Senior Litigation Analyst you will be expected to provide a breadth and depth understanding around the billing process in specific practice areas.  You will be responsible for identifying deficiencies in our panel counsel billing at an increased volume over current levels.  As well as provide your legal practice experience and expertise to communicate directly with panel firms/attorneys to...

Spec Legal Admin - LL09AN We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              The Hartford is seeking a highly analytical, detail-driven Legal Practices Customer Support & Data Specialist to join our Legal Practices team. This is a high-impact role where you will partner with Audit Attorneys and Outside Counsel nationwide to drive accuracy, efficiency, and oversight of legal spend. You will play a key role in ensuring billing accuracy, data integrity, and operational excellence across claims and payment systems, directly contributing to cost management and business outcomes. This team leads the strategic oversight of claims legal expenses, ensuring financial discipline, compliance, and continuous improvement. The ideal...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Responsibilities include, actively managing and effectively overseeing large exposure and complex general/auto liability and trucking claims (primary, umbrella and excess) direct handled by Third-party Administrators (“TPA’s”) and supporting Arch business stakeholders. Please note this role does require managing any direct reports but is responsible for managing the claims & TPA process. Responsibilities Deliver industry leading technical claim handling/oversight, claim outcomes, business support and customer service. Make claim services an Arch competitive advantage Collaborate with TPA team members, Arch Claim Account Managers (“CAM’s”) and other claim...

Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. Feel empowered to learn and grow while being valued for who you are. At Intact, we commit to supporting you in reaching your goals with tools, opportunities, and flexibility. It’s our promise to you.  Who we are At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups. Intact’s Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe. The following...

The Select Account Manager plays a vital role on our Commercial Lines Service team and is at the center of delivering exceptional client experiences. This position partners closely with Account Executives to help design, support, and execute tailored insurance solutions for a diverse portfolio of commercial clients. You will be actively involved in the service, placement, and growth of accounts, making a meaningful impact on both client success and the overall business. In this role, you will thrive by staying organized, managing and interpreting data, and ensuring accurate documentation within agency management systems. Strong attention to detail, the ability to follow established processes, and the skill to balance multiple priorities are essential. This is an excellent opportunity for someone who enjoys collaboration, problem solving, and contributing to a fast paced, client focused environment. Your Impact: Drive smooth and successful renewals by partnering closely...

Company Details Berkley Product Protection (BPP) Berkley Product Protection (BPP) was founded in July 2015 as an operating unit of W. R. Berkley Corporation focused on product recall and contaminated product insurance solutions. Since its inception, BPP has achieved consistent growth by delivering tailored coverage solutions to complex product risks. Today, BPP has expanded its coverage offerings to General Liability and Excess/Umbrella for medium to high hazard product risks and continues to expand its geographic reach to better serve the product recall and product liability market. Backed by the financial strength and reputation of W. R. Berkley Corporation, a leading commercial property casualty insurance provider, BPP provides innovative underwriting expertise, responsive service, and high-quality claims handling support to the insurance industry.   The Company is an equal employment opportunity employer. Responsibilities...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided.  This is a hybrid role. Training is onsite Full Time, then Hybrid once trained . ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned   KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines...

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 | CT, MA, NH, RI, VT Jurisdictional Knowledge | 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...

Make your mark in Data Management & Governance  As a world leader in commercial and personal insurance solutions operating in over 70 countries and jurisdictions, AIG’s Global Business Operations & IT team identifies and drives high-quality innovation and cost efficiency in all our processes, systems and operations. The organization ensures we operate as one globally consistent business delivering end-to-end services locally that contribute to our customers’ and AIG’s success. We are seeking a Data Access Manager to advance our data access controls strategy to enable a more automated, and metadata driven control framework.   How you will create an impact We are seeking a Data Access Manager to join our Data Governance team and play a hands-on role in operationalizing data access controls across our global data warehouse. In this role, you will be responsible for the implementation, configuration, and ongoing management of data access policies and related metadata...

Actuarial Analyst - AC08DE Sr. Actuarial Analyst - AC08CE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.           This Actuarial Analyst position will be the key actuary responsible for   reserving of   the   Supplemental Accident & Health products   ( e.g .   Critical Illness)   while also gaining exposure to all   Employee   Benefits   products , such as LTD and Life, through projects and analyses .   The candidate will work closely with the other   functions   in   Employee   Benefits including   Business Intelligence,   Pricing, Finance, Claims , and Data Science .   This position will be tailored to the competency level and the career development needs of the...

AD Product Development - ED07AE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              Reporting to the E&S Director of Liability Product Development, the E&S Liability Product Specialist will assist with the management of the Liability Line of Business (LOB) product suite (General Liability and Excess Liability) for our E&S Binding unit. This critical business role supports the overall growth and profitability of the Liability LOBs via product development, forms maintenance, underwriting guidelines, and product pricing. Responsibilities: Support of Liability product suite offering (General Liability & Excess Liability) , which includes terms & conditions; underwriting guidelines; form development &...

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 Finance and Accounting 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...

Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. Feel empowered to learn and grow while being valued for who you are. At Intact, we commit to supporting you in reaching your goals with tools, opportunities, and flexibility. It’s our promise to you.  Who we are At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups. Intact’s Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe. The following...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations. Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a joint mission and purpose: One Ascot. Our greatest strength is a talented team flourishing in a collaborative, inclusive, entrepreneurial culture steeped in underwriting excellence, integrity, and a passion for finding a better way, The Ascot Way . The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our unique Fusion Model: client-centric, risk-centric, and technology-centric. Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world-class service —pre- and...

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 Adjuster | CT, MA Jurisdictions | CT License | Dedicated Client | 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 Workers Compensation Adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.   Deliver innovative customer-facing solutions to clients...

Business Consultant - BB08AE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              The Employee Benefits Underwriting Best Practice Team is at the forefront of building a best-in-class underwriting organization—championing disciplined risk management and empowering confident decision-making through clear, compliant, and actionable processes. The EB Underwriting Best Practice Consultant is expected to build relationships and collaborate with cross functional business partners, at various levels of the organization, to successfully execute, manage and communicate procedural change. The EB UW Best Practice Consultant is crucial in establishing and maintaining processes, system, and tool guidance our underwriters utilize daily....

Specialist Claims - CH07DE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, bodily injury, and construction related bodily injury claims from inception to final disposition.  These claims will involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties to determine indemnity and contribution obligations and risk transfer opportunities.  As these claims are often in litigation, experience handling litigated matters and managing...

Specialist Claims - CH07DE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              As a Claims Specialist, you will be responsible for handling a caseload of complex, high exposure, auto and general liability claims throughout the claim’s life cycle. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required. Responsibilities: Conducting investigations and analyzing and evaluating the information learned; Making coverage determinations and communicating written position(s) to insureds and other required parties; Within prescribed authority levels, setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed...

Specialist Claims - CH07DE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              As a Claims Specialist, you will be responsible for handling a caseload of complex, high exposure , Personal and Advertising Injury Liability claims throughout the claim’s life cycle. The Claims Specialist may also be called upon to handle complex, high exposure Auto and General Liability claims. As all these claims are often in litigation, experience handling litigated matters and managing defense counsel is required. Responsibilities: Conducting investigations and analyzing and evaluating the information learned Making coverage determinations and communicating written position(s) to insureds and other required parties Within...

AVP Data Science - GD05AE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              The Hartford is hiring an AVP leading Applied AI for the Claims organization. This leader will play a pivotal role in transforming the end-to-end Claims process by developing and embedding AI capabilities to enhance outcomes, process and experience. This role will have a  Hybrid work schedule,  with the expectation of working in an office (Columbus, OH, Chicago, IL, Hartford, CT or Charlotte, NC) 3 days a week. Candidates must be eligible to work in the US without company sponsorship. Primary Job Responsibilities Own delivery, performance, and risk outcomes for a large, complex Claims Applied AI portfolio spanning multiple teams,...