27 claims auditor jobs found

We are looking for Claims Assistant to join our team. This role will be responsible for assisting the claims auditor by ensuring filings, documentation, and reports are accurately and timely entered into our databases. Your Impact: Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies Ensuring compliance with state laws, company policies, and procedures in all claim-related activities Monitor incoming emails and enter information received in database within 24 hours Enter 50% notices/Trigger Diagnosis Reports and alert nurse on any potentially large claimant based on the guidelines established (diagnosis and/or dollar amount) Enter LCM (Large Case Management) notices and notify the nurse Process claims, checks and SLAM Reports Successful Candidate Will Have: BA/BS degree preferred or high school diploma with six to twelve months related experience and/or training; or equivalent combination of education and...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Program Manager to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Programs With over 50 years in the Programs space, AIG Programs is an industry leader in the U.S. Program business. We focus on developing strategic solutions designed to make Program Administrators’ lives easier. By leveraging our breadth of offerings and dedicated Underwriting, Claims and Loss Control teams, we offer exceptional service and solutions. We serve niche markets on both an admitted and non-admitted basis, through market leading infrastructure and underwriting expertise. How you will create an impact A Program Manager is highly motivated, results oriented problem solver who exemplifies a willingness to be flexible, learn on the job and maintain a “can do” attitude.  Program Manager is responsible for 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 Job Summary : Rockwood Casualty Insurance Company, a division of Argo Group, specializes in workers’ compensation insurance for mining, oil & gas, niche specialty industries, and Main Street businesses. The Underwriting Data Analyst is responsible for the preparation, analysis, and distribution of loss and financial reporting that supports underwriting, actuarial, finance, Loss Control, insureds, and agents. This role produces and analyzes Monthly Large Loss reports, Large Deductible analyses, Quarterly, Semi-Annual, and Yearly paid-detail loss reports, as well as recurring weekly and monthly calendar reporting, identifying...

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firm in the US, is adding a Commercial Lines Account Manager to their KMRD Partners  team in Warrington, PA.   Job Summary: As an Account Manager, you’ll manage client relationships, oversee policy renewals, and ensure coverage meets evolving business needs. This position is ideal for someone who thrives in a fast-paced environment, values client service, and enjoys collaborating with a team to provide tailored risk management strategies. Essential Functions: Serve as the primary liaison between clients, carriers, and producers for billing, policy changes, cancellations, claims, and general inquiries. Address and resolve client questions, service issues, and coverage or accounting concerns. Prepare marketing submissions and market accounts approximately 90 days prior to renewal. Negotiate pricing, terms, and coverage details with underwriters. Prepare proposals...

Company Details   W. R. Berkley Corporation, founded in 1967, is one of the nation’s premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers an array of coverages for virtually all classes traditionally known to have environmental liability exposures on both an admitted and non-admitted basis. We provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers.   Company URL:   https://berkleyenvironmental.com/   The company is an equal opportunity employer. Responsibilities We are currently seeking a Sr. Underwriter. Within authority, the incumbent will manage assigned brokers to underwrite and process environmental...

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 Sr Account Manager PRIMARY PURPOSE :  To manage claim caseload of highly complex claims, coverage issues (handling claims against insurance or other companies related to personal, casualty, or property loss of at least $1million) and complex litigation within granted authority level including related financial implications, along with financial implications and to mentor other team members. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages claim caseloads...

GBLI | Global Indemnity  provides specialty property and casualty insurance for small to middle-market businesses – and we’re on a mission to be the best-in-class while achieving steady, profitable growth. Our guiding principles include the core belief that our people are number one. We also strongly emphasize a customer-centric mentality and disciplined underwriting practices. Our work environment is flexible, friendly, and collaborative, with plenty of opportunities to take charge of your career.  What GBLI offers you: Generous paid time off (PTO) Professional development opportunities (including a mentorship program) Educational assistance program, which covers up to $5,250 in educational costs per year Comprehensive health insurance plan (with vision and dental) Paid Parental Leave Life insurance 401(k) retirement plan with up to 6% company match and immediate vesting Healthcare and dependent care flexible spending accounts Short-term and long-term...

GBLI | Global Indemnity  provides specialty property and casualty insurance for small to middle-market businesses – and we’re on a mission to be the best-in-class while achieving steady, profitable growth. Our guiding principles include the core belief that our people are number one. We also strongly emphasize a customer-centric mentality and disciplined underwriting practices. Our work environment is flexible, friendly, and collaborative, with plenty of opportunities to take charge of your career.  What GBLI offers you: Generous paid time off (PTO) Professional development opportunities (including a mentorship program) Educational assistance program, which covers up to $5,250 in educational costs per year Comprehensive health insurance plan (with vision and dental) Paid Parental Leave Life insurance 401(k) retirement plan with up to 6% company match and immediate vesting Healthcare and dependent care flexible spending accounts Short-term and long-term...

The Role We are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance analyst you will play a crucial role in supporting our attorneys by performing a variety of tasks, which will include drafting/amending pension (defined benefit and defined contribution) plan documents, summary plan descriptions, summaries of material modifications and other plan related documents (e.g., policies, procedures) as well as participant communications (e.g., QDIA notices).  DUTIES AND RESPONSIBILITIES Plan Drafting: Draft/amend customized comprehensive defined benefit and defined contribution plan documents, summary plan descriptions, summaries of material modifications and other plan related documents and participant communications. Stay current on latest documentation technique and best practices to ensure use of cutting-edge tools and language. Compliance: Ensure all plan documents comply with ERISA regulations and other...

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...

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: The Senior Underwriter within Arch Construction is responsible for the technical underwriting and account management of large account construction casualty programs. Responsibilities and Accountabilities: Technical Underwriting Solicits and reviews new and renewal account information required to evaluate a risk. Identifies all potential exposures and hazards in relation to coverage requested and individual risk characteristics. Assesses insurance and related financial risk and structures appropriate loss sensitive program to effectively protect against frequency, severity, catastrophic and credit risk. Underwrites prices and prepares proposals...

GBLI | Global Indemnity  provides specialty property and casualty insurance for small to middle-market businesses – and we’re on a mission to be the best-in-class while achieving steady, profitable growth. Our guiding principles include the core belief that our people are number one. We also strongly emphasize a customer-centric mentality and disciplined underwriting practices. Our work environment is flexible, friendly, and collaborative, with plenty of opportunities to take charge of your career.  What GBLI offers you: Generous paid time off (PTO) Professional development opportunities (including a mentorship program) Educational assistance program, which covers up to $5,250 in educational costs per year Comprehensive health insurance plan (with vision and dental) Paid Parental Leave Life insurance 401(k) retirement plan with up to 6% company match and immediate vesting Healthcare and dependent care flexible spending accounts Short-term and long-term...

GBLI | Global Indemnity  provides specialty property and casualty insurance for small to middle-market businesses – and we’re on a mission to be the best-in-class while achieving steady, profitable growth. Our guiding principles include the core belief that our people are number one. We also strongly emphasize a customer-centric mentality and disciplined underwriting practices. Our work environment is flexible, friendly, and collaborative, with plenty of opportunities to take charge of your career.  What GBLI offers you: Generous paid time off (PTO) Professional development opportunities (including a mentorship program) Educational assistance program, which covers up to $5,250 in educational costs per year Comprehensive health insurance plan (with vision and dental) Paid Parental Leave Life insurance 401(k) retirement plan with up to 6% company match and immediate vesting Healthcare and dependent care flexible spending accounts Short-term and long-term...

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 Senior Adjuster - Construction Defect PRIMARY PURPOSE:  To act as a department subject matter expert by providing guidance to the complex claims team to ensure consistency resolving matters optimally while creating a culture of continual quality improvement destined to elevate the overall claim handling to benefit our stakeholders; to ensure the consistency in the developed targeted solutions, and technical guidance and oversight provided to claims team. ESSENTIAL...

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 Auto Field Appraiser- Philadelphia , PA PRIMARY PURPOSE : To handle field appraisal assignments for our corporate fleets and insurance clients with an emphasis on Auto's. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Set appointments same day, inspect within 24 hours and write estimate car side Depending on location - appraiser is expected to write 6 to 10 estimates per day Ensures proper vehicle tear down Determine repair time allotments and required labor...

Job Responsibilities and Requirements The Manager, Investment Accounting is also responsible for the supervision and review of the month-end, quarter-end, and year-end close processes, including statutory and GAAP deliverables across all companies for which assets are managed.  Responsibilities also include review of income, gains, and positions for an investment portfolio containing fixed income, equity, and alternative investment holdings.  Serves as a key point of contact for financial reporting team, investment managers, external client stakeholders, and external / internal auditors.  The Manager, Investment Accounting will also serve as a resident expert in respective GAAP and statutory guidance, providing assistance with appropriate disclosures and accounting treatment for various asset classes and investment strategies, and ensuring that new accounting pronouncements are understood and implemented correctly. The Manager, Investment Accounting is responsible for...

Would you like to take ownership in a dynamic, high-growth business that truly walks the talk? Oswald Companies seeks goal-driven professionals ready to take their career to the next level. Job Summary The Client Manager will be responsible for providing quality client management of client relationships by anticipating client needs and questions, performing research to ensure the client’s employee benefits program supports their financial and organizational goals, and providing renewal management with oversight, guidance, and input from other senior members of the team. This also includes growth on the current book of business, an understanding of the client’s business, and a minimum of 95% retention and client satisfaction rating. Essential Functions Quality, Client Service & Expertise Proficiently manage the client service cycle, monitor time frames and meet renewal deadlines. With oversight, guidance and input from the CE/Producer: Participate in annual...

New Jersey Manufacturers Insurance Company (NJM) was founded in 1913 by a group of manufacturers seeking to provide cost-effective, safety conscious and financially secure workers' compensation insurance for their workers. From inception the Company has operated as a mutual, with a focus on the needs of its policyholders. Today, NJM Insurance Group, is a leading mid-sized U.S. property and casualty insurance company with 90 consecutive years of A+ financial strength ratings by AM BEST. Due to exceptional employee experiences, NJM has been included on the latest Forbes List of Best Employers in New Jersey for the fourth year in a row. The NJM reputation for being a top provider of outstanding customer service was reaffirmed by the most recent J.D. Power Auto Insurance Claims Survey. Over the last five years, the Company has focused on a strategic plan that calls for it to become a regional property & casualty insurer and has transitioned away from its affinity-based...

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firm in the US, is adding a Commercial Lines Account Manager to their KMRD Partners  team in Warrington, PA.   Job Summary: As an Account Manager, you’ll manage client relationships, oversee policy renewals, and ensure coverage meets evolving business needs. This position is ideal for someone who thrives in a fast-paced environment, values client service, and enjoys collaborating with a team to provide tailored risk management strategies. Essential Functions: Serve as the primary liaison between clients, carriers, and producers for billing, policy changes, cancellations, claims, and general inquiries. Address and resolve client questions, service issues, and coverage or accounting concerns. Prepare marketing submissions and market accounts approximately 90 days prior to renewal. Negotiate pricing, terms, and coverage details with underwriters. Prepare proposals...

Position Summary The Captive Insurance Accounting and Reporting Analyst is an integral part of the financial team, specializing in the unique accounting and reporting needs of captive insurance entities. This role involves a blend of complex accounting tasks, regulatory compliance, and strategic financial analysis. The specialist ensures the financial integrity of the captive insurance operations, providing valuable insights that drive business decisions. What will your job entail? Job Responsibilities: • Manage the administration of insurance policies, ensuring all policy documents are accurate and up to date. • Oversee the processing of insurance claims, ensuring they are handled efficiently and accurately. • Analyze financial data to identify trends, make forecasts, and provide recommendations for financial planning. • Prepare and file tax returns for the captive insurance entities, ensuring compliance with tax laws and regulations. • Monitor the performance of the...