2548 claims management analyst jobs found

Claims Management Analyst Join us as a Claims Analyst to grow your experience in handling complex claims. Make your mark in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.  How you will create an impact Analyzing the scope and extent of coverage of primary policies with deductibles. Clear and concise written and verbal communication with insureds, TPAs, brokers and underwriters. Make regular and appropriate contact with internal and external customers including leading national Fortune 500 companies. Give guidance to insureds and/or brokers to manage expectations. Effectively strategize and...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Worker's Compensation Claims Adjuster 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 Claims   Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.    How you will create an impact   Focused on Workers' Compensation, this role is an ideal opportunity to develop your expertise in handling and investigating complex claims. The aim is deal with genuine claims through a proactive, best practice approach, in line with AIGs quality...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Worker's Compensation Claims Adjuster 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 Claims   Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.    How you will create an impact   Focused on Workers' Compensation, this role is an ideal opportunity to develop your expertise in handling and investigating complex claims. The aim is deal with genuine claims through a proactive, best practice approach, in line with AIGs quality...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst IV – Management Liability 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 Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact As a Claims Analyst IV, you will be responsible for handling Employment Practices Liability with opportunity to handle Director & Officers and Fiduciary Liability Claims, identifying, investigating, and resolving multiple coverage issues at the earliest...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst IV – Management Liability 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 Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact As a Claims Analyst IV, you will be responsible for handling Employment Practices Liability with opportunity to handle Director & Officers and Fiduciary Liability Claims, identifying, investigating, and resolving multiple coverage issues at the earliest...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Property Claims Adjuster, TPA Oversight 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 TPA Claims Our claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact Analyze and process first party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through...

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity This role is remote eligible in the continental U.S. with occasional business travel. However, individuals residing within 60 mile radius of a USAA office will be expected to work on-site 4 days per week. We have multiple exciting opportunities available on our Modeling Factory and Insights & Development teams. As...

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.   Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by  core values and operating principles  that guide every decision we make. The Senior Claims Learning & Development Specialist is responsible for facilitating and supporting the design, delivery, and continuous improvement of Claims Learning & Development programs, including the creation of a Claims Skills School. This position will administer training and learning programs for workers' compensation claims, both in person and virtually, applying effective training methodologies and learning theory. The role partners closely with the Claims Quality & Compliance, Claims Adjudication, and Claims Technology teams, as well as other...

Overview As a Technical Sales Consultant on our P&C Insurance team, you will seek to understand detailed customer needs and define how Origami Risk solutions can meet those needs both in RFPs and in person. Technical Sales Consultants are responsible for configuring and presenting complex solution demonstrations and leading technical discussions.      Responsibilities Presents customized demonstrations tailored to customer requirements. Delivers business-oriented presentations to all levels of the customer organization including board level. Engages in business consulting activities and conducts detailed prospect discussions. Designs and configures solutions to address customer’s business requirements. Stages scenarios and creates demo data as needed. Collaborates with the sales executive on opportunity strategy and approach. Partners with client business and technical teams to understand business...

The Provider Management Analyst is responsible for verifying provider information and requests for documentation to audit claims including but not limited to itemized bills, medical records, UB04’s, HCFA’s, etc. Responsibilities include verifying patient information, provider contact information, and client information for accuracy to ensure proper delivery of requests.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Communicate with respective leadership on any issues or problems identified Maintain production standards, production requirements, and quality of work Assist coworkers, supervisor, or management to accomplish product goals; report potential issues in a proactive manner Timely forward misdirected requests to the correct recipient Ensure strict confidentiality of all medical records, PHI, and PII Outbound calling may be needed Additional duties as assigned KNOWLEDGE & SKILLS: Ability to work independently...

The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post pay claim audits based on client, policy, industry standards and/or CMS guidelines.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication Use clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits Utilize applicable tools and resources to complete internal audits and/or appeals Timely completion of internal audits and/or appeals Attends clinical team meetings, company meetings, educational opportunities/trainings, and other meetings Additional duties as assigned   KNOWLEDGE & SKILLS: Ability to use clinical judgment and analytical skills for...

Together we fight for everyone’s opportunity for a better financial future. We will do this together — with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone’s access to opportunities. The status quo is not good enough … we believe every individual and every community deserves access to financial opportunities. We are determined to support both individuals and communities in reaching a better financial future.  We know that reaching this future depends on our actions today. Like our Purpose Statement, Voya believes in being bold and committed to action.  We are committed to a work environment where the differences that we are born with — and those we acquire throughout our lives — are understood, valued and intentionally pursued. We believe that our employees own our culture and have a responsibility to foster an environment where we all feel comfortable bringing our whole selves to work. Purposefully...

- As the Sr. Litigation Analyst you will be providing direct oversight and handling of Excess Casualty Claims. Key Accountabilities/Deliverables: Ensure compliance with established claim handling guidelines regarding complex and catastrophic claims, coverage, investigation, liability, damages, evaluation, and resolution of Excess Casualty Claims across multiple jurisdictions. Establish reserves pursuant to established reserving protocols and reserve authority procedures. Adhere to the Core Specialty Americas Panel Counsel Program and Litigation Guidelines. Establish and maintain close communication with underlying carriers and defense counsel providing input and direction in the handling of cases as warranted. Work closely with management and litigation department to develop case strategy. Ability to write coverage letters and work with coverage counsel, as needed. Engage in rigorous ALAE control and management, by competently selecting,...

Join us as a Claims Analyst IV, Lex Pro to take on key responsibilities within a world-class claims function. Make your mark in Claims The Claims Analyst IV, Lex Pro position is responsible for handling a caseload of pending and incoming employment practices liability and management liability claims. The analyst will determine coverage, evaluate liability, assess damages, establish appropriate reserves and handle all aspects of claims tendered on architects & engineers professional liability policies. The analyst will communicate extensively with insureds, brokers, and counsel to resolve matters and provide appropriate information and updates to all stakeholders. The analyst will also collaborate with underwriters and senior claims management as necessary to support the business. How you will create an impact Focused on Employment Practices Liability and Management Liability, you will be responsible for a portfolio of claims from coverage inquiry through legal...

The next part of your journey is right around the corner — with The Standard. A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we’ve been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference? Job Summary As an IDI disability claims analyst you will secure and analyze claim information to make disability claim decisions, including complex and high liability claims while also delivering excellent and timely customer service. Investigate, secure, and analyze information pertaining to claimants' medical condition, occupational demands, work earnings, business...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Great American Financial Institution Services specializes in providing risk management and product enhancement programs to vehicle lenders and lessors, commercial equipment lenders, auto dealers and mortgage lenders throughout the U.S. and Canada. Target clients include commercial...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture .   Our Corporate Actuarial department is seeking a Actuarial Analyst to join our growing team in Worcester, MA Corporate Headquarters or remote work location.  POSITION SUMMARY:  This role within the Corporate Actuarial department will be responsible for helping to ensure the strength of Hanover’s balance sheet and providing management with critical insights through the Reserving analysis process.  Various forms of analysis include a formal quarterly review of the loss and DCCE reserves by accident and/or report year, appropriate business unit segmentation of carried reserves, an annual ULAE reserve review, a forecast of the ex-cat loss and ALAE ratios for the corporate financial plan, and...

As a Health and Benefits Senior Analyst  you will contribute to a wide variety of projects involving the design, financing and ongoing management of the full spectrum of health and benefit programs.  You will support the  project manager on select projects, interface with vendors and key clients internally and externally, create client deliverables, and ensure quality standards are met.  You will have the opportunity to significantly grow your health and benefits business acumen as well as your financial, project management and client relationship skills by working on cutting edge projects alongside leaders in the industry. The Role Materially contribute to core health and benefits projects supporting the design and management of group medical, dental, wellbeing, life, disability and absence management benefits for clients. Responsibilities include: Partnering with client service team leader to deliver superior project management Providing superior client service in response...

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 P&C Programs Business Analyst is responsible for the execution of operational support for P&C Programs. Providing operational and technical support to the P&C Programs team and our MGU/Program Administrator Partners. As the business analyst lead, ensure that all programs have the technical expertise and resources to support MGA and program needs around all aspects of program management outside of underwriting. This includes working with the Program Management and CUO teams, leading due diligence for the onboarding of new programs, maintaining underwriting and operational excellence for assigned P&C Programs and assisting with P&C Programs not...

The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication Use clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits Utilize applicable tools and resources to complete internal audits and/or appeals Timely completion of internal audits and/or appeals Attends clinical team meetings, company meetings, educational opportunities/trainings, and other meetings Additional duties as assigned   KNOWLEDGE & SKILLS: Ability to use clinical judgment and...