51 claims processor jobs found

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown / Remedy Analytics is looking for a full-time experienced Pharmacy Audit Engineer , with keen analytical skills and an eye for detail, to join our growing team . The Audit Engineer will be responsible for completing pharmacy claims audits to ensure compliance to PBM contracts. This role will involve facilitating calls with PBMs, obtaining claims audit data, perform data loading and data quality checks, data reconciliation, running and analyzing Oracle output reports, running ad-hoc analysis, reviewing PBM contracts, completing audit support documentation and working with the client support team to develop PBM & client deliverables. The audit engineer will utilize ad hoc SQL automation and build a highly customized framework to complete projects. This role will develop, prioritize, and conduct financial and...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown \ Remedy Analytics is looking for a full-time experienced Senior Client Audit Engineer - Pharmacy. The Senior Client Audit Engineer will be responsible for completing pharmacy claims audits to ensure compliance to PBM contracts. This role will involve facilitating calls with PBMs, obtaining claims audit data, perform data loading and data quality checks, data reconciliation, running and analyzing Oracle output reports, running ad-hoc analysis, reviewing PBM contracts, completing audit support documentation and working with the client support team to develop PBM & client deliverables. How You Will Contribute: o    Plan and develop the audit approach for assigned projects consistent with guidelines established by Remedy internal Audit Standards o    Work simultaneously on multiple audits with differing...

We are adding an Agent Solutions Coordinator !  This is a hybrid position requiring individuals to work in office 10 days per month; or as needed for business needs.   Who We Are: Since 1909, National Guardian Life Insurance Company (NGL) has been one of America’s most successful and highly rated independent life insurance companies. We specialize in a suite of innovative products for life’s journey, giving people the financial stability, careful guidance and peace of mind to lead a life filled with confidence, dignity and grace.   NGL's Core Values – integrity, dependability, collaboration, compassion and growth are a foundation of our company and help to build on the interactions we have with our policyholders, partners, funeral homes and each other. We believe in creating an inclusive, welcoming environment for all where diversity is celebrated, and everyone is encouraged to live their best, most authentic self. We offer  Employee Resource Groups for...

Acuity is seeking a Security Specialist to assist in creating, implementing, and maintaining security and emergency response procedures and systems for the Acuity Corporate Headquarters and Business Resumption Center campuses. This role works collaboratively with a team to establish and maintain a strong security presence across campus, helping to safeguard employees, visitors, facilities, and operations while supporting preparedness and response efforts for a variety of security and emergency situations. ESSENTIAL RESPONSIBILITIES: Provides a security presence on campus. Completes security inspections of Corporate Headquarters daily. Completes additional inspections of buildings and grounds as situations dictate. Questions unauthorized persons. Reports and logs all encounters or unusual conditions found. Responds to Unauthorized Guest alarms. Works with the Administration and area management teams to respond to alarms in their areas. Assists with the creation,...

We are adding a Claims Adjudicator to our team! Who We Are: Since 1909, National Guardian Life Insurance Company (NGL) has been one of America’s most successful and highly rated independent life insurance companies. We specialize in a suite of innovative products for life’s journey, giving people the financial stability, careful guidance and peace of mind to lead a life filled with confidence, dignity and grace.   NGL's Core Values – integrity, dependability, collaboration, compassion and growth are a foundation of our company and help to build on the interactions we have with our policyholders, partners, funeral homes and each other. We believe in creating an inclusive, welcoming environment for all where diversity is celebrated, and everyone is encouraged to live their best, most authentic self. We offer  Employee Resource Groups for employees to get involved, learn, network, and offer professional and personal development opportunities. With over...

Job Title: Enterprise Account Executive   Acrisure is a fast-growing fintech leader that operates a global insurance broker. Acrisure provides a broad array of insurance and financial related solutions, including commercial property and casualty, personal lines and employee benefits insurance, real estate services, cyber services and asset and wealth management. Acrisure’s massively valuable, high margin distribution network combines the strength of trusted advisors with growth and efficiency enabled by AI.   Position Overview: As an Enterprise Account Executive at Acrisure, you play a crucial role in driving Total Client Growth, delivering exceptional client experience, and managing complex, enterprise-level insurance relationships. This role requires advanced technical insurance expertise, strategic advisory capabilities, and the ability to translate client needs into impactful risk solutions. You will lead sophisticated risk strategy engagements—including...

About Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more.  In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible. Job Summary Acrisure is seeking an Employee Benefits Account Manager to join our growing team. The Account Manager is the primary day-to-day contact for all service needs for both external and internal customers. They are accountable for facilitating team service...

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 Litigation Consultant | Commercial Bodily Injury PRIMARY PURPOSE OF THE ROLE: To address and handle high end cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. Handles high end...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking an experienced Property & Casualty Risk Consultant/ Producer to drive profitable growth through new business development, strategic relationship management, and customized risk advisory solutions. This role is ideal for a proven commercial insurance sales professional who can identify opportunities, advise clients on complex risk needs, and leverage Brown & Brown’s market access, service teams, and national platform to deliver exceptional client outcomes. What You'll Do Generate new business opportunities through prospecting, networking, referrals, centers of influence, and targeted market outreach. Build and maintain trusted relationships with business owners, executives, risk managers, carrier partners, and key decision-makers. Identify client exposures and develop customized insurance and...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking an experienced Employee Benefits Consultant/ Producer to drive profitable growth through new business development, strategic relationship management, and customized risk advisory solutions. This role is ideal for a proven benefits insurance sales professional who can identify opportunities, advise clients on complex risk needs, and leverage Brown & Brown’s market access, service teams, and national platform to deliver exceptional client outcomes.   What You'll Do Generate new business opportunities through prospecting, networking, referrals, centers of influence, and targeted market outreach. Build and maintain trusted relationships with business owners, executives, risk managers, carrier partners, and key decision-makers. Identify client exposures and develop customized insurance and risk...

As an Intern on the Human Resources team, you will gain hands-on experience supporting payroll administration and a variety of HR operations. Your primary focus will be assisting with accurate and timely payroll processing, reviewing timekeeping information, maintaining records, and responding to routine payroll questions. You will also support HR projects and day-to-day activities based on team and business needs. This opportunity offers practical learning, collaboration with experienced HR professionals, and exposure to multiple areas of Human Resources.  This is a year-round internship; during the school year, this position is part-time (approximately 15-20 hours per week) based on your class schedule and our company’s business hours, which are Monday through Friday, 8:00 a.m. to 4:30 p.m. During the summer and school breaks, the position may flex up to 40 hours per week.  RESPONSIBILITIES:   Assist with preparing and processing payroll data in accordance with...

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 Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE ROLE: To analyze and process auto and general liability property damage claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Processes auto and general liability property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Develops and maintains action plans to ensure state required contract deadlines are met and...

As a Claims Co-op, you’ll practice investigation, evaluation, and communication skills while making real impact. Work part-time during school and full-time over breaks. At Sentry, we realize that getting valuable, hands-on experience is important for you and your career. We’re looking to recruit UW-Stevens Point for our Claims Co-op program. In this program you’ll have the opportunity to work part-time while attending classes and full-time during summers. Our co-op program is designed to provide you the opportunity to gain valuable experience while working in our Stevens Point location.   What You’ll Do The Claims co-op students will work closely with a mentor to understand how claims are handled.   Our Claims Co-op offers opportunities to: Gain hands-on insight into claims negotiations and settlement processes to help reach fair resolutions for customers. Stand by customers during stressful times, guiding them through the claims process with genuine care and...

In this role, you will provide exceptional service to all guests by assisting them in a friendly, efficient, courteous and professional manner. At The Inn at SentryWorld, our business is about people and the relationships we build. Our atmosphere is welcoming and our team is genuine, dedicated, and insightful when it comes to delivering excellent service. If you enjoy forming long-lasting connections join our Front Desk team. As our Full-time Front Desk Attendant, we’ll count on you to create an exceptional first impression and luxury experience for all our guests What You’ll Do As a Front Desk Attendant, you will: Provide guests with a friendly and efficient check-in confirming guest information, verifying room rate, selecting room, coding electronic keys, providing welcome packet, and providing directions to room. Provide detailed and accurate information in person or over the phone regarding hotel policies, services, amenities, and special promotions. Assist...

The salary range for this job posting is $97,153.00 - $194,990.00 annually + bonus + benefits. Pay Type: Salary The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process. Encova Insurance has an immediate opening for Production Underwriter, Package Lines for accounts averaging over $75k in premium. Ideal candidates will reside in the Madison or Milwaukee, Wisconsin areas. This position will travel the assigned territory to visit agencies in order to develop new and existing relationships. A company vehicle will be provided. We may hire a senior level depending on candidate qualifications and the posting is inclusive of the non-senior and senior-level full range. This role will report to...

In this internship, you'll gain hands-on experience and work with a mentor to learn all about the Claims role and network with leadership at social events. Here at Sentry, we value real work experience for our interns. We offer not only an internship, but an experience for students to get a head start on their careers, early on. With the claim’s internship, you will work with a mentor to learn what claims are and how they play a vital role in the company’s success, as well as how claims are handled. You will also get opportunities to network by attending diverse social events and meeting leadership in multiple areas. What You’ll Do Our Claims internship offers opportunities to: Gain hands-on insight into claims negotiations and settlement processes to help reach fair resolutions for customers. Stand by customers during stressful times, guiding them through the claims process with genuine care and understanding. Review policy details to accurately verify coverage and...

Position Title Branch Banking Client Consultant II   Location Menominee, MI 49858   Job Summary Branch Banking Client Consultant II provides best in class experience by resolving concerns and providing various product details that focus on meeting the financial needs of our clients. Focuses on client management, client retention, and introductions to key bank partners (Mortgage, Business Banking) to ensure our clients have access to experts who can help them achieve their financial goals. This position will have greater lending and basic investment interactions and will participate in more complex banking conversations with clients.   Job Responsibilities: JOB   RESPONSIBILITIES     Sales Performance : Support team efforts to achieve growth targets in financial performance (outstanding deposits, outstanding loans, non-interest income) and primary client acquisition. Actively   seek   and deliver the right client introductions to the right team...

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 Claims Examiner - Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution...

Acuity is seeking a Field Claims Representative to investigate, record facts, preserve evidence, determine coverage. The representative evaluates liability, exposure, subrogation potential and arrange for the disposition of claims through settlement or denial, including litigation. In this role, duties and responsibilities are to be carried out in the field and in person with a high level of frequency. Internal Deadline to Apply: Wednesday, September 30th ESSENTIAL RESPONSIBILITIES: Organizes work and arranges for immediate contact with all pertinent parties surrounding claim assignment. Completes a thorough investigation to determine coverage, assess liability and evaluate damages. Conducts investigations and provides customer follow-up in person. Evaluates, revises or recommends reserve changes. Inspects and determines property damage. Understands basic anatomy, medical terminology and has ability to decipher medical records and bills.  Identifies and...

Summary The Jewelers Mutual Claims Internship position is designed to offer challenging and rewarding experiences related to Personal Lines claim tasks and responsibilities. The program is ideal for students looking for professional development within a customer-facing team charged with adjudicating $100M in personal jewelry insurance claims annually. Why Jewelers Mutual: Since 1913 we’ve been committed to supporting the Jewelry industry and putting customers at the center of everything we do. With over a century of trusted expertise, we’re financially strong, forward-thinking, and driven by curiosity. Guided by our core values of Agility, Accountability, and Relevancy, we lead through innovation.  As a technology focused organization, we embrace cutting-edge tools and data-driven insights to continuously improve our products, services, and customer experience. Our mission is to be the industry’s most trusted advisor by investing in our people, adopting new...