368 claims processor 1 jobs found

Title: Customer Service Claims Processor                                 Department: Customer Service Union: OPEIU 29                                                                               Grade: 17 Position Summary The Customer Service Claims Processor is focused on providing customer service via call handling to participants, beneficiaries, union locals and providers regarding eligibility, benefits and claims status in conjunction with claims processing as business needs dictate. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Provides written, verbal or face-to-face customer service to members by responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits. Resolves customer inquiries and complaints in a timely and accurate manner. Escalates issues as appropriate. Processes routine...

Title: Customer Service Claims Processor                                 Department: Customer Service Union: OPEIU 29                                                                               Grade: 17 Position Summary The Customer Service Claims Processor is focused on providing customer service via call handling to participants, beneficiaries, union locals and providers regarding eligibility, benefits and claims status in conjunction with claims processing as business needs dictate. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Provides written, verbal or face-to-face customer service to members by responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits. Resolves customer inquiries and complaints in a timely and accurate manner. Escalates issues as appropriate....

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Territory: California - Sacramento *This territory includes the entire Sacramento area, with some limited engagement through Northern California. The successful candidate must live within the assigned territory. Preferably, this individual will be based in or near Sacramento. This role requires frequent travel throughout the territory. Regular, in person engagement with agency partners within your assigned territory is critical to maintain a level of field...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Territory: California – Central Valley / Fresno *This territory includes the entire Central Valley / Fresno area. The successful candidate must live within the assigned territory. Preferably, this individual will be based in or near Fresno. This role requires frequent travel throughout the territory. Regular, in person engagement with agency partners within your assigned territory is critical to maintain a level of field presence and visibility that supports...

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 Staff Counsel team is currently seeking a Workers’ Compensation Defense Attorney who resides in  California .  This position is remote based or hybrid depending on candidates location. In-person Board appearances required as necessary.   Position Overview: Investigates and manages Workers’ Compensation cases from inception until conclusion through dismissal, settlement, or trial. Works with adjuster and clients to resolve claims as expeditiously and efficiently as possible.   This is a Full Time / Exempt role.   In this role, you will:   Handle a caseload of Workers’ Compensation cases Meet with clients and claims professionals to resolve cases in the most...

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 Staff Counsel team is currently seeking a Workers’ Compensation Defense Attorney who resides in  California .  This position is remote based or hybrid depending on candidates location. In-person Board appearances required as necessary.   Position Overview: Investigates and manages Workers’ Compensation cases from inception until conclusion through dismissal, settlement, or trial. Works with adjuster and clients to resolve claims as expeditiously and efficiently as possible.   This is a Full Time / Exempt role.   In this role, you will:   Handle a caseload of Workers’ Compensation cases Meet with clients and claims professionals to resolve cases in the most...

Description This role is primarily remote in the state of California except for required appearances.   At Liberty Mutual, we’re committed to delivering exceptional legal services to our customers around the world, working to uphold and protect our policyholders’ rights and positively impacting our business. As an Attorney at Liberty Mutual, you’ll join a diverse team that values a healthy work/life balance and enjoy benefits that include eligible performance bonuses, 20 days of flexible time off each year, personal holidays, and a 401(k) plan with matching contributions. If you’re looking for a place to build a long-term career while making a positive difference, consider joining our legal team where you’ll represent Liberty Mutual and our policyholders in moderately complex civil litigation matters involving claims for monetary damages or compensation for personal injuries or property damage of moderate value.   Liberty Mutual is seeking a skilled...

Job Description TITLE:                          Senior Property Adjuster DEPARTMENT :            EMA Loss Adjusting REPORTS TO:               Claims Manager STATUS:                       Regular, Full-Time, Exempt This is a field position in the Los Angeles, CA market. SUMMARY OF JOB PURPOSE :  The Senior Property Adjuster effectively determines and communicates the extent of loss or damage associated with commercial property claims in a variety of business classes. The Senior Property Adjuster is typically assigned loss or damage assessments in a moderate cost range, based on incumbent’s experience and demonstrated ability for handling larger or more complex claims. PRIMARY JOB RESPONSIBILITIES : Investigates insurance claims in any of a variety of settings, including, but not limited to, retail establishments, private or public office buildings, commercial habilitation, hospitality, corporate facilities, transportation sites, manufacturing sites,...

About the Position Location: Fully remote within the continental United States. Join our People & Culture team as a Senior Compensation Partner and shape the future of how we reward talent! As a growing company of 700+ people across the US, Australia, and Poland, we're at an inflection point. You'll have the opportunity to shape our global compensation philosophy and enhance the programs already in motion, ensuring we stay competitive, equitable, and ahead of the curve. This isn't about maintaining the status quo; it's about evolving what works and building what's next. We need that rare blend of strategic vision and hands-on execution. You're someone who can dive into the details and zoom out to see the bigger picture. You'll partner closely with HR, Finance, and business leaders to design and refine compensation programs that fuel our growth and help us attract, retain, and reward world-class talent. There will be a lot of opportunities to learn along the...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: The Content & Communication Support II role provides hands-on, non-exempt support to the Content and Communications function by assisting with the preparation, coordination, and distribution of routine communication materials. This role focuses on executional work, accuracy, and timely delivery of content across internal and external channels, following established processes and standards. The...

RT Specialty, a division of Ryan Specialty, is a leading wholesale distributor of specialty insurance products and services. Our experienced brokers are specialized in property, casualty, professional lines, transportation and workers’ compensation, providing creative solutions to retail brokerage firms. We define ourselves through our superior execution on behalf of our clients, which has established us as a leader in the industry. Position Summary The RT ProExec Internship is a dynamic, high-impact opportunity for undergraduate students eager to gain exposure to executive operations, strategic initiatives, and cross-functional collaboration within a corporate environment. The intern will work closely with senior leaders and the ProExec team to support real-time executive priorities, business planning, and operational excellence. This role provides hands-on experience in executive-level environments and is well suited for candidates who are highly organized, analytical, and...

The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives   Workers’ Compensation  claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early...

ABOUT HUB: In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected-through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of professionals across North America represents a broad, deep and one-of -a kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. THE OPPORTUNITY: The Employee Benefits Account Management provides critical support to clients through day-to-day program oversight, client advocacy and systems management in order to effectively managing their health and welfare programs. The Account Manager facilitates positive and effective relationships sales and/or account team colleagues. DUTIES & RESPONSIBILITIES: Manages all aspects...

Overview Join an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employers for 2026!     Position Summary: Entry level position that provides secretarial and administrative support to professional legal staff. Demonstrates thorough degree of legal knowledge, competence and secretarial skills. Prepares and files legal documents, motions, pleadings and correspondence of a legal nature as directed. Maintains attorneys calendar, sets court dates and appearances, and schedules meetings with witnesses and other involved parties. Maintains department records. May be required to support up to as many as three litigation attorneys.   Geo-Salary Information An in-person interview may be required during the hiring process     The expected base salary for this position will vary depending on a number of factors, including...

Description Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Senior Workers Compensation Claims Specialist within the West Region!   The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Depending on your overall skills and experience, you may be considered as a Senior Claims...

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. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes coverage, recognize liability exposure and negotiate equitable settlements in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling....

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. The Opportunity Tasks: With the use of digital tools, evaluates and appraises highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate guidelines and state laws and regulations. Investigates claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members and third parties. Reviews facts of loss and vehicle damage to determine if subrogation opportunities exist and ensures all...

Job Description: Pacific Life is investing in bright, agile, and diverse talent to contribute to our mission of innovating our business and technology to support a superior customer experience. We are actively seeking a talented Director of Software Engineering in Test (SET) to join our Pacific Life Technology team. This new role will report to the VP, Engineering Excellence.  The role is based in Newport Beach, CA (hybrid), and works with a diverse group of business and technology leaders ensuring delivery teams have the direction and tools needed for success.  As a Director of Software Engineering in Test within Pacific Life Technology, you will play a key role in Pacific Life’s growth and long-term success, developing and executing upon the overall strategy and roadmap for the ecosystem of technology driving quality assurance engineering excellence across Pacific Life.  The Director of Software Engineering in Test does more than test software. Principally, they...

Primary Details Time Type: Full time Worker Type: Employee The Opportunity: This position will assist in the delivery of a compliance quality control function by performing compliance reviews and identifying and mitigating potential risks. Location: o California o Council Bluffs, Iowa o Fargo, North Dakota o Eau Claire, Wisconsin o North Carolina • Work Arrangement: This role will be remote unless you are within 50 miles of a NAU office, which then you will be required to work on a hybrid schedule. • The salary range for this role is: o California ($28.00 - $42.00) o Council Bluffs, Iowa ($25.50 - $38.25) o Fargo, North Dakota ($25.50 - $38.25) o Eau Claire, Wisconsin ($25.50 - $38.25) o North Carolina ($25.50 - $38.25) Your new role Use established guidelines to review, analyze and make recommendations regarding basic RMA (Risk Management Agency) required compliance reviews and make necessary corrections to insured’s Schedule of Insurance, acres, yield, etc....

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description The Auto Field Adjuster is responsible for working in the field to assess vehicle damage, conduct on‑site inspections, and accurately document losses. This role includes writing repair estimates in accordance with company guidelines, taking detailed photographs of vehicle damage, and managing the full estimating process, including supplements and negotiations with repair facilities and other vendors. The appraiser schedules and completes inspections efficiently, maintains thorough documentation, and communicates clearly with customers and partners. A strong focus on exceptional customer service is...