8 claims business analyst jobs found

Job Responsibilities and Requirements Obtains and analyzes information to make claim decisions and payments on LTD, Voluntary disability and Waiver of Premium claims. The goal of the position/role is to consistently render appropriate claim determinations based on a review of all available information and the terms and provisions of the applicable policy.  Reviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim. Adjudicates claims accurately and fairly in accordance with the contract, appropriate claim policies and procedures, and state and federal regulations, meeting productivity and quality standards based on product line. Utilizes appropriate medical and risk resources, adhering to referral polices, and transferring claims to the appropriate risk level in a timely manner. Conducts in-depth...

At OneAmerica, we deliver on promises when customers need us most.  We believe the best way to serve our customers is to know that every individual, employee, family and business we work with has unique personal and financial goals.  We keep our promises, so we can help them achieve their goals and realize their definition of financial success. Job Summary The STD Claims Examiner is responsible for contributing to the overall success of OneAmerica objectives by providing timely and accurate support to our client companies and the Claims department. This individual will be responsible for managing appropriate adjudication of short-term disability claims in accordance with policy provisions. The STD Claims Examiner will initiate and facilitate case management as well as other ancillary services to assure optimum outcomes. We are currently seeking Level I & II Representative experience. KEY RESPONSIBILITIES: Promote a positive customer service image through prompt,...

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship.  We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together.  Come be a part of this journey with us as we champion lives! Job Summary LTD Claims Associates are responsible to contribute to the overall success of OneAmerica's objectives by providing timely and accurate support to our customers and the claims department. To obtain and analyze information in order to make claim decisions and payments on disability claims. To develop and apply appropriate claim and disability management techniques to ensure prompt and accurate payment and liability management of disability claims. To provide responsive customer service to claimants, policyholders, brokers, and internal departments....

At OneAmerica, we deliver on promises when customers need us most.  We believe the best way to serve our customers is to know that every individual, employee, family and business we work with has unique personal and financial goals.  We keep our promises, so we can help them achieve their goals and realize their definition of financial success. At OneAmerica, we are committed to delivering exceptional service and meaningful outcomes for our customers. This role blends leadership, operational excellence, and customer advocacy—ensuring that every claim decision is handled thoughtfully and fairly. We’re looking for a Manager, LTD Claims who is passionate about leading people, delivering meaningful service, and driving fair, equitable outcomes for our customers. What You'll Do...

Company Details   Acadia Insurance is a regional property casualty insurer with offices throughout the Northeast.  As a member of W.R. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us.  Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor’s.    At Acadia, we value our employees, our customers and our communities.  Employees at Acadia are part of a progressive company where everyone can make a difference.  We promote an inclusive environment which encourages continuous learning and the chance to grow and develop.    Company URL: https://www.acadiainsurance.com/ Responsibilities Investigate, evaluate and resolve assigned high exposure claims in accordance with company standards,...

The Cross Family of Agencies welcomes you. We need your talent and expertise. Position Requirements: High school graduate or equivalent; college degree or equivalent work experience preferred. Minimum of two years’ experience in Safety/Loss Control capacity or two to five years safety-engineering school/loss control training preferably in the insurance industry. Strong technical knowledge in services such as hazard assessments, fire protection, liability exposures, workers compensation, OSHA and loss prevention techniques. Experience and aptitude in exposure analysis to determine desirability of risks and knowledge of risk management concepts. Demonstrated time management skills with a solid ability to anticipate needs, exercise independent judgement and manage multiple priorities. Ability to work independently. Exceptional orientation to detail, analytical problem-solving abilities and organizational skills with the ability to develop and obtain goals....

When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:  Award-winning culture  Inclusion and diversity as a priority  Performance Based Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability  Generous PTO (including paid time to volunteer!)  Up to 9.5% 401(k) employer contribution  Mental health support  Career advancement opportunities  Student loan repayment options  Tuition reimbursement Flexible work environments  *All the benefits listed above are subject to the terms of their individual Plans. And that’s just...

The Cross Family of Agencies welcomes you. We need your talent and expertise. Regional Sales Representative Regional Sales Representative agents are primarily responsible for receiving & selling incoming new commercial lines business while creating and maintaining strong relationships with customers, underwriters, and other industry professionals. The secondary responsibility is to utilize knowledge and experience to assist Commercial Lines Producers with placing new business.     Duties of a Regional Sales Representative include but are not limited to : Maintain a Property & Casualty license along with keeping up with Continuing Education. Understanding and following the Cross Basic Procedure Manual. Understanding and following the Commercial Lines Workflow Manual. Meeting annual sales goal. Following up and completing open suspense’s daily.  Using carrier websites proficiently to generate accurate quotes. Selling commercial insurance...