153 claims processor 1 jobs found

The Litigation Processor is responsible for providing clerical support to the General Claims Legal Department by reviewing, analyzing, and processing incoming complaints directed to the Company. Essential Duties and Responsibilities: Provide support to staff attorneys in processing complaints. Provide support to the PIP Litigation team in processing PIP arbitration demands. Provide support as needed to FNOL (First Notice of Loss) Dept in taking claims. Receive, analyze, and process complaints, determine type of lawsuit, and prepare investigation file accordingly.  Assign trail adjuster, submit complaint to staff attorney for review. Process various types of legal letters to defense firms and insureds. Maintain Legal Exchange (electronic billing site) by creating matters, closing matter and processing attorney invoices for payment. Periodic telephone communications with insureds, plaintiff counsel and defense firms regarding the status of legal pleadings....

Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.   Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work ® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.   C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum &...

Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. Our most valuable asset is our people: more than 2500 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards for four years running, including the 2025-2026 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion. C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information...

Crum & Forster Company Overview Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.   In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions.   The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market. Job Description Information about the Role, Line of Business and Team: The...

Crum & Forster Company Overview Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.   In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions.   The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market. Job Description Information about the Role, Line of Business and Team: The...

Role Purpose   The Group Data Enablement Lead activates Guardian’s enterprise data management, governance, and data product practices across the Group business. The role ensures that data from source systems, platforms, analytics, and AI use cases is trusted, well-governed, and ready for use by design. It also leads and influences stakeholders by turning enterprise data strategy and standards into practical execution and building sustainable accountability within the business over time.  Key Responsibilities   Operationalize enterprise data management, data governance, and AI‑readiness practices within Group value streams.   Partner with Group business leaders to   identify , frame, and prioritize high‑value business and AI use cases, translating them into clear data product requirements.   Embed data product practices into Group execution, including clear ownership, lifecycle management, quality, semantics, lineage, and...

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Senior Underwriter to their Corporate Synergies team in Philadelphia  Metro Region.  Job Summary: The Senior Underwriter partners closely with the Vice President of Underwriting and Account Management team to support complex health and welfare programs. This role is integral in driving renewal strategy, analyzing claims data, and ensuring accuracy and consistency across underwriting deliverables for both fully insured and self‑insured clients. Essential Functions: Analyze carrier renewals and manage ongoing carrier interactions Review proposals and underwriting materials for accuracy and completeness Review and analyze claims reports; oversee claims reporting for self‑insured clients Develop self‑insured budgets, including premium equivalent rate calculations Prepare fully insured pre‑renewal projections and financial...

Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious Commercial Lines Account Manager to join our team. This position will report to our agency located in Somerset, NJ. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is a hybrid position. Responsibilities: Handle a dedicated book of business. Respond to client inquiries via phone, email, or in-person regarding policies, coverages, billing, and claims. Process policy changes, endorsements, cancellations, and renewals accurately and promptly. Provide quotes/remarket existing policies when appropriate. Build and maintain strong client relationships through professional, friendly service. Review coverage and policy details with...

The Functional Analyst, Senior is responsible for gathering, analyzing, and documenting business or system processes and requirements for NJM’s applications. This role will work closely with all Project, Business team members and Solution Owners throughout the project lifecycle. This role may be required to lead other team members and coordinate work efforts, assist in problem and solution scoping, effectively communicate requirements, and may get involved in quality assurance. Essential Duties and Responsibilities: Strategy Analysis:  Consistently support the alignment of business strategy with system implementations by assisting in the support of the FA team. Business Analysis/Elicitation Skills :  Consistently ensure that the business need is understood and articulated clearly by performing, and assist in supporting the FA team members. Requirements Life Cycle Management:  Consistently achieving deliveries that reflect business outcomes by collaborating with the...

To provide day-to-day service and support to new and existing clients such that objectives for profitability and growth are met.   Job Duties and Responsibilities (Essential Job Functions) Support sales programs and long-term objectives to enhance business strategy and achieve goals relative to profitability, cost control and organizational effectiveness. (75-80%) Research and answer calls from clients, underwriters and third parties. Advise clients regarding insurance coverage and risk management issues. Process policy changes and cancellations. Handle claims and billing inquiries. Foster and maintain good working relationships with insurance companies and underwriters. Work with existing clients to providing quotes on current lines of business, or line replacements, and cross-selling. (10-15%) Report immediately any circumstances that may lead to potential or actual HomeServices errors and omissions claim and/or any DOI (Dept. of...

Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+"(Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2024 Great Place to Work® Award  for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion. C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster, please visit...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations.   Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a common mission and purpose. Our greatest strength is a talented team who flourish in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find a better way, The Ascot Way.   The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our Client Centric, Risk Centric and Technology Centric strategies   Built to be resilient, Ascot offers clients leading financial security while delivering bespoke products and world class service — both pre- and post-claims. Ascot exists...

​ Underwriting Specialist, Accident and Health Join us as an Underwriting Specialist to make more of your specialist expertise and experience. Make your mark in Underwriting AIG underwriting teams help to find insurance solutions in areas including Financial Lines, Property, Casualty, Specialty Lines, Cyber, Multinational Clients, and High Net Worth individuals. We are reimagining how we help customers to manage risk, transforming our operating model, and reshaping our role responsibilities and career pathways. The goal is to unlock the full potential in each colleague – empowering our people to grow as insurance professionals and add more value to our customers and AIG. The role will work closely with Sales, Claims and Operations, Finance, Legal, Risk and Compliance to help achieve strategic initiatives, which will ensure long-term growth of profits for Accident and Health. How you will create an impact This role is your opportunity to drive profitable...

The First Notice of Loss Associate serves as the first point of contact for policyholders, claimants or other parties reporting claims. They are responsible for addressing customer inquiries concerning the claim process and collecting essential details about the incident, to accurately and efficiently establish new Auto, Property and Commercial claims. Schedule: Monday to Friday (10:45am-7pm) and 1 Saturday a month (8:30am-4:30p) Essential Duties and Responsibilities: Receive initial reports of loss or damage from policyholders, claimants or other parties. Accurately process information into the system for assignment to an adjuster. Address customers’ questions and concerns related to the claims process and procedures and offer clear instructions on the next steps. Determine appropriate coverage and complete necessary follow-ups in a timely manner. Navigate systems with proficiency to access appropriate information to service callers. Perform additional duties...

MSIG USA continues to grow!  Company Overview: MSIG USA is the US-based subsidiary of  MS&AD Insurance Group Holdings, Inc. , one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. Role Overview: Join us at the forefront of enterprise AI, building intelligent agentic systems that reason, plan, and take action across complex business workflows. You will design and implement Python-based agents that orchestrate models, tools, and data to automate real-world decision-making at scale. This role blends deep engineering with cutting-edge AI—working on everything from agent frameworks and APIs to safety, observability, and performance. If you are excited about shaping how autonomous systems operate in...

MSIG USA continues to grow!  Company Overview: MSIG USA is the US-based subsidiary of  MS&AD Insurance Group Holdings, Inc. , one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. Role Overview: The Business Systems Analyst serves as a key liaison between Underwriting business teams and Technology, translating business needs into practical, scalable system and process solutions. This role supports Commercial P&C underwriting capabilities, including submission intake, triage, clearance, referrals, appetite and rules support, pricing, quote/bind workflows, document handling, data needs, and operational efficiency. The role requires strong business analysis, systems thinking,...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations.   Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a common mission and purpose: One Ascot. Our greatest strength is a talented team who flourish in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find a better way, The Ascot Way.   The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our unique Fusion Model: Client Centric, Risk Centric, Technology Centric.   Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world class service — both pre- and post-claims....

Reporting to a Supervisor in Medical Claim Services Bill Processing, the Bill Processing (BP) and Workflow Specialist is responsible and accountable for ensuring that medical documents are researched and processed within multiple applications. Timely and accurate processing is vital to ensuring that medical bills are routed to so they can be processed within regulatory timeframes. This position also includes processing a limited number of medical bills for payment, providing the opportunity for career progression. Schedule: Monday-Friday, specific hours are subject to selected start times between 8:00am-9:00am pending supervisory approval. (Potential for hybrid schedule once fully trained.) Essential Duties and Responsibilities: Demonstrate a strong understanding of the workflow(s) of processing documents for both lines of business. Review and research documents in multiple systems. Update information in systems to ensure medical bills are routed for bill processing....

Company Farm Family Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Summary:    The   Underwriting Consultant reviews and underwrites large books of business, diverse accounts, and evaluates complex risk scenarios or situations and   is responsible for   contributing to target profit and   loss   metrics for an assigned book of business. This role will act as a lead within underwriting, perform training with individuals or groups, and answer questions for lower-level underwriters .       This is a 100%   in -office position. Candidates must be able to work on-site at a designated company office during standard business hours.     Essential...

Join Westfield Specialty’s newest team!   Westfield Specialty’s new A&H team has an opening for joining our expanding operation. As a key contributor on this highly experienced team, you'll help build a premier A&H reinsurance and insurance operation. This new team offers significant opportunities for career growth and development.    The Senior Stop Loss Claims & Cost Containment Analyst  supports the Accident & Health (A&H) team by serving as a forward-facing liaison to cost containment vendors and customers while also providing hands-on support to stop loss and reinsurance claims operations. This role is responsible for coordinating cost containment strategies, assisting in claims production, and helping manage claims inventory and volume to ensure timely, accurate, and compliant claim outcomes. The position partners closely with internal claims staff, underwriting, reinsurance partners, and external vendors to drive consistency, efficiency,...