70 claims processor 1 jobs found

Title: Claims Processor Department: Claims Bargaining Unit: UFCW 555 Grade: 3 Position Type: Non-exempt Hours per Week: 40 Position Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims. Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries. Performs other duties as assigned. Minimum...

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 As a Virtual Auto Supplement Estimator on our NEST team, you will be responsible for reviewing and writing supplemental vehicle damage estimates. In this role, you’ll partner closely with body shops and customers, evaluating vehicle damage through photos, documentation, and repair requests to produce accurate, high‑quality supplements in a fast‑paced, high‑production virtual environment. The ideal candidate has a strong foundation in technical estimating skills, a solid understanding of repair procedures, and the confidence to negotiate effectively with repair facilities. Experience in CCC and...

Summary  The Senior Accountant is responsible for day-to-day financial activities. This includes creating month end journal entries, reinsurance statements, internal management reporting, including the analysis and interpretation of data, systems and data flows, maintenance of the general ledger and support of the finance control environment.  Principal Duties and Responsibilities •    Oversee the month end close and manage the preparation of monthly journal entries and account reconciliations •    Prepare and distribute monthly commission and reinsurance reports •    Prepare monthly transfers •    Review general ledger items for accuracy and completeness •    Review, analyze, report, and interpret financial reports •    Review, analyze and report claim payments, including xs claims •    Prepare monthly account reconciliations  •    Assist with preparation of audit work papers •    Review reinsurance agreements and prepare settlements •    Prepare draft various statutory...

Why Openly Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly Difference We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. The Price Difference : Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. The Experience Difference: From tailored claims handling to highly responsive customer service, we are...

About the role. The VP, Product Development role will be responsible for driving strategic product innovation, development, and management across the portfolio of property products offered to members. This critical leadership role will focus on creating and maintaining a dynamic product suite that meets evolving member needs, drives sustainable growth and ensures continued market relevance. What you’ll do. ​ Responsible for comprehensive product development for all assigned lines of business including, but not limited to: Ideation, prioritization, design and successful launch of new or enhanced products, leveraging deep and broad expertise of the insurance business and product knowledge to influence decisions and shape the long-term product vision across the organization  Leads cross-functional teams in understanding the link between PURE’s vision and strategies and department initiatives through a product development lens to ensure progress towards company...

The  AVMA Technician  provides technical insurance support to the Account Coordinators, Sales Representatives, Customer Service Representatives, Client Relations Representatives, and clients by performing the following duties.    Your Impact:   Maintains and updates log of all renewal PIS business within the team in the respective system:  Quote Tracker and Synergy CRM  Sends renewal solicitations to existing clients in a timely manner to facilitate successful renewals of PIS policies.  Determine proper renewal tract with carriers to each policyholder  Handles communication with insurance carriers throughout the renewal process.  Creates Pearl branded quote documents and payment instructions for all PIS renewals.  Reviews and processes money mail orders for renewal business (checks for accuracy and completeness).  Sorts mail, indexes scanned mail and distributes to appropriate underwriter if necessary.  Issues policies and processes invoices to ensure payments to...

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 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 Investigative Specialist reviews complex and often unique claims to assess their validity and ensure accurate outcomes. In this role, you will investigate and verify the facts of loss for a range of automobile claims, from...

Job Posting End Date: May 24 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...

Why Openly Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly Difference We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. The Price Difference : Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. The Experience Difference: From tailored claims handling to highly responsive customer service, we are...

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 - Workers Compensation | Jurisdiction: WA | Licensing: Required Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?  Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise...

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 This job is responsible for investigating unrepresented homeowner liability bodily injury claims. The individual will handle moderate and/or complex CPL (Comprehensive Personal Liability) claims or specialized claims (e.g., business interruption, loss of income, E&O policies, etc.). The individual takes recorded statements, resolves loss of use claims, makes payments to appropriate parties, and negotiates and settles or refers bodily injury issues that cannot be resolved. Key Responsibilities • Assists in researching or...

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 This role is responsible for managing and motivating approximately 9 – 11 adjusters to achieve high levels of performance and execute required claim processes with expertise. This individual supports the implementation of operational initiatives that enable the achievement of Allstate’s business objectives. This individual develops strategies to achieve employee performance levels and the expert execution of claim processes. The individual monitors staffing levels and workloads, provides coaching and mentoring and participates in...

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 As a Represented Moderate Adjuster, your main focus will be investigating automobile accidents involving single or multiple vehicles, which result in property damage and/or bodily injury with an attorney involved. You will have the convenience of working remotely from your home while efficiently handling your responsibilities. You will assess coverage, liability, and damages while providing exceptional customer service throughout your day. Customer and attorney communication will take place through different channels, including voice...

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 The Architecture Compute, and Engineering organization provides a transformative platform ecosystem with a comprehensive set of capabilities that empowers end users and digital product teams to innovate seamlessly and drive growth for Allstate through the Consumer Connected Cloud mission. This ecosystem aims to provide an absolute frictionless experience for our user community. As a Digital Product Manager in the ACE organization, you'll be contributing towards defining, delivering, and managing the lifecycle of one or more products...

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 The Data Analytics Senior Consultant I will develop, maintain, and continuously improve predictive models and operational forecasts for Claims demand and capacity, ensuring accurate and consistent outputs. The analyst will ensure integrity by implementing systematic improvements that automate, streamline, and modernize the process, data visualization, and business intelligence to ease the communication of one source of truth for data across the Claims Workflow organization. Key Responsibilities :   Design, build,...

Description If you're a registered nurse looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to our competitive edge, Liberty Mutual Insurance has the opportunity for you. Under general technical direction, responsible for medically managing assigned caseload and by applying clinical expertise ensure individuals receive appropriate healthcare in order to return to work and normal activity in a timely and cost effective manner. Caseload may include catastrophic/complex medical/disability cases, lost time, and/or medical only claims. Also act as a clinical resource for field claim partners.   This is a remote position however, you will be required to report into the office twice a month per business requirements if you reside within 50 miles of the following offices: Chandler, AZ, Suwanee, GA, Indianapolis, IN, Plano, TX, and Westborough, MA, Lake Oswego,OR .  Please note this policy is subject to change....

Description 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.   Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines...

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 Technician - 100% in Office Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting A training program to learn how to help employees and customers from some of the world’s most reputable brands An assigned mentor and manager who will guide you on your career journey Career development and promotional growth opportunities...

Job Summary: As a Travel Claims & Customer Service Representative, you will serve as the first point of contact for reporting claims and initiating the claims process. This vital frontline role within our Travel department plays a key part in delivering on our commitment to providing exceptional, white-glove service to claimants and callers. Utilizing your independent judgment and strong communication skills, you will gather essential information, assess coverage eligibility, and effectively communicate findings to claimants, ensuring a seamless and professional experience. Your Impact: Independently process travel claims in accordance with associated policies Ability to read, analyze and interpret general business materials, technical procedures, benefit plans and regulations Handle incoming calls from and make outgoing calls to claimants and suppliers in a professional, positive, and proactive manner Consistently meet established performance standards,...

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 This job is responsible for investigating moderate/complex represented claims which typically will include claims in single or multi car accidents and represented moderate or major claims. The individual also may handle complex and highly complex specialized claims (e.g., business interruption, loss of income, Errors and Omissions (E&O) policies, etc.). The individual oversees liability and bodily injury investigations, takes recorded statements, resolves loss of use claims, makes payments to appropriate parties, and negotiates and...