16 claims intern jobs found

The Director, Managed Care Services & Vendor Management is responsible for the strategic oversight, operational performance, and continuous improvement of all medical management programs within MEMIC. This role leads internal clinical teams and manages external medical management vendors to ensure high-quality, cost-effective care for injured workers while supporting optimal claim outcomes. This position plays a critical role in driving medical cost containment, improving return-to-work outcomes, and ensuring compliance with jurisdictional workers’ compensation regulations. Principal Duties and Responsibilities: 1.      Design and execute medical management strategies that support early intervention and injury triage, ensure appropriate utilization of medical services, and promote timely return-to-work outcomes. 2.      Establish clear productivity, quality, and outcome-based performance expectations tied to claim outcomes, and ensure consistent...

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: The opportunity: Member Support Representatives are the face to Sun Life’s external clients.  The position is accountable for the intake of all telephone calls and inquiries from claimants and policyholders as well as Sun Life’s internal claims professionals and Client Relationship Executives....

Job Posting End Date: June 28 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...

Job Posting End Date: July 01 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...

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....

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. The Clinical Consultant is responsible for supporting OneAmerica’s Claims operation acting both in a consultative nature during claim discussions and to provide comprehensive reviews of medical information. This role is responsible for discussing and documenting an assessment of a claimant's potential for recovery and work function. The Clinical Consultant also educates claims associates on topics such as medical conditions, treatment, & recovery to function.   What you will do: Maintain expertise to educate others and suggest process change when updates occur in the medical industry. Conduct comprehensive clinical...

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...

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work.   Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week.   The Opportunity: The Associate...

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 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 Allstate’s sales organization is growing its virtual workforce, and we are looking for highly motivated individuals that thrive in a fast-paced sales environment and enjoy being rewarded for their efforts. At Allstate, we are committed to offering a reputable product suite that protects people from life’s uncertainties so they can realize their hopes and dreams. As a full-time Insurance Sales Representative, you will: Engage with active insurance shoppers via inbound/outbound calls, live chat, SMS, and more in a work from home call...

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....

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 Field Adjuster ***5+ years of continuous property insurance adjusting experience involving complex loss valuation and scope analysis (homeowners & commercial property.*** PRIMARY PURPOSE :  Appraisal Assignment Execution •    Review claim files assigned to appraisal to understand the dispute parameters and valuation issues in scope. •    Perform loss inspections as necessary to evaluate disputed damages, including measurements, photo documentation, and...

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...

Company Story: Seek Now is a customer experience-technology company leveraging a network of professional experts to provide data-driven inspections. We deliver ground truth to property & casualty, real estate, and finance customers that enable them to solve their business problems in a matter of hours…minutes…seconds. Seek Now is well-positioned to disrupt the inspection world through a combination of our hard-working 3rd party contractors, talented employees, vast network, and cutting-edge technology.  For us, it is all about solving business problems for our customers.  Our proven methods, commitment to excellence, and diverse team of professionals are what set Seek Now apart.  The claim volume and opportunity has never been greater than it is now.  So, if you have been thinking about making a change, this may be a great fit for you and your business! Position Summary: Seek Now is searching for reliable, skilled, and experienced 1099 independent contractors to...

The Cross Family of Agencies welcomes you. We need your talent and expertise. Personal Lines Account Manager – Lewiston, Maine Personal Lines Account Managers are primarily responsible for servicing personal lines insurance policies (new and renewal) while creating and maintaining strong relationships with customers, underwriters and other professionals. The successful Personal Lines Account Manager candidate will be reliable, detail-oriented, have good time management skills, be able to multi-task & prioritize, be a self-starter/be able to work independently and also be able to collaborate well in a team environment.     Duties of an Account Manager include but are not limited to : Maintain a Property & Casualty license and keep up with Continuing Education. Understand and follow the Cross Basic Procedure Manual. Understand and follow the Personal Lines Workflow Manual, using only approved Action Codes in AMS 360. Follow up and complete...