15 claims specialist jobs found

NJM’s WC Claims Department is seeking an experienced Claims Specialist, Sr. who lives in Western or Central PA to provide on-site service to our policyholders and agents in that area.   This is a 100% remote position which includes virtual claims handling for customers in any area of PA and possibly MD, DE or CT as needed.   At NJM, our WC Claims Department empowers our employees to focus on delivering guidance and empathy to our customers.  As a department driven by service and customer advocacy, we are committed to providing transparent, empathetic support and collaborative engagement during the life of a claim. The WC Claims Department takes pride in being a key component in the growth and success of our policyholders’ business operations. To meet these expectations, WC Claims Specialists are supported by a dedicated call center who can field calls for them and other specialized units who are responsible for setting reserves, making permanency payments, and following...

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. This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship. Who We Are   Strategic Comp is a leading provider of workers' compensation insurance for large employers...

Overview Good Things Start Here. Good things are happening at Berkshire Hathaway GUARD Insurance Companies—an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers.   Good Things You Can Count On. Hybrid schedule: 2 days remote / 3 in‑office Predictable hours (no nights, weekends, or holidays) Competitive pay + generous PTO Medical, dental & vision starting day one 401(k), tuition reimbursement & longevity bonuses Responsibilities What You Will Do: Manage a caseload of post-settlement California workers' compensation claims. Process medical bills, legal updates, and claim-related workflow within established deadlines. Resolve EDI, ISO, reserve, and other claim alerts. Coordinate coverage for lien...

Job Description – Clinical Specialist     Position Summary As a Clinical Specialist, you will use your practical or vocational nursing experience and knowledge of medical and behavioral health conditions to support timely disability claim decisions. You will identify and obtain certification dates, treatment plans, functional limitations, and other pertinent medical information from claimants and treating providers. You will partner with Claims Case Managers, claimants, providers, and vendors to facilitate efficient medical outreach and collection of information. You may also coordinate vendor utilization and help assess overall function as business needs require. You are You are a licensed Practical or Vocational Nurse who applies sound clinical judgment, communicates clearly, and works independently in a fast-paced environment. You are organized, adaptable, and comfortable managing changing priorities while collaborating with claim professionals, claimants,...

Position Summary The Captive Insurance Accounting and Reporting Specialist is an integral part of the financial team, specializing in the unique accounting and reporting needs of captive insurance entities. This role involves a blend of complex accounting tasks, regulatory compliance, and strategic financial analysis. The specialist ensures the financial integrity of the captive insurance operations, providing valuable insights that drive business decisions. What will your job entail? Job Responsibilities: • Manage the administration of insurance policies, ensuring all policy documents are accurate and up-to-date. • Oversee the processing of insurance claims, ensuring they are handled efficiently and accurately. • Analyze financial data to identify trends, make forecasts, and provide recommendations for financial planning. • Prepare and file tax returns for the captive insurance entities, ensuring compliance with tax laws and regulations. • Monitor the performance of the...

Come join our team! There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry Fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day, EPIC is always looking for people who have “the right stuff” – people who know what they want and aren’t afraid to make it happen. Headquartered in San Francisco and founded in 2007, our company has over 3,000 employees nationwide With locations spread out across the US, our local market knowledge and industry expertise helps support our clients' regional and global needs We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees. Our core values are: Owner mindset, Inspire trust, Think big, and Drive results If these values and growth align with what you're looking for in your next career? Then consider joining our amazing team!...

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 As a dedicated Physical Damage Specialist , you will be, within defined guidelines and framework, responsible for building relationships and providing oversight of our third-party vendors through virtual or in person interactions with members, claimants, and third-party personnel. Drives USAA's financial strength by ensuring...

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. Position Overview: The Cash Specialist II is responsible for identifying daily cash receipts by policy number for application in the receivable system. This role will also be responsible for resolving unapplied cash transactions by following up both internally and externally as needed. Key Responsibilities: Identify cash receipts at the policy and company level. Prepare daily cash log of payments used for posting and applying payments. Document...

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. Position Overview: The Collections Specialist II is responsible for monitoring outstanding premium receivable balances. This role will communicate with brokers and underwriters to ensure premium is paid timely. The Collections Specialist II will report on their outstanding receivables and follow company procedures in pursuing past due balances. Key Responsibilities: Monitor and pursue outstanding accounts receivable Document unapplied cash transactions...

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.   Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.   Our field team members are located in every state in which we operate.   Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best. Essential Job Functions and Responsibilities This position is a field role in Pennsylvania. Conducts thorough audits of insureds financial records to verify the accuracy of reported premiums,...

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.   Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.   Our field team members are located in every state in which we operate.   Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best. Essential Job Functions and Responsibilities This position is a field role in Pennsylvania. Conducts thorough audits of insureds financial records to verify the accuracy of reported premiums,...

Come join our team! There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry Fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day, EPIC is always looking for people who have “the right stuff” – people who know what they want and aren’t afraid to make it happen. Headquartered in San Francisco and founded in 2007, our company has over 3,000 employees nationwide With locations spread out across the US, our local market knowledge and industry expertise helps support our clients' regional and global needs We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees. Our core values are: Owner mindset, Inspire trust, Think big, and Drive results If these values and growth align with what you're looking for in your next career? Then consider joining our amazing team!...

Product Line Officer, Commercial Insurance - AIG Programs & Glatfelter Insurance At AIG, we are reimagining the way we help customers to manage risk. Join us as a Product Line Officer, Commercial Insurance 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 Underwriting Glatfelter Insurance Group is an all lines, full-service insurance broker that markets property, casualty, life, accident and health insurance products and risk management services on both a retail and wholesale / specialty basis throughout the country.  Glatfelter Insurance Group offers specialty programs for emergency service organizations, home healthcare agencies, senior living organizations, religious organizations, car wash businesses, municipalities, K-12 public and private schools, independent school bus contractors and water-related entities. American International Group, Inc.  completed its...

Position Summary Do you want to be part of a collaborative Long Term Disability Claims Team?  Are you a problem solver who enjoys working in a past paced environment, wants to help people during difficult times, and has a passion to learn and grow?   Is a culture where “People Count,” “We Do the Right Thing,” and “We Hold Ourselves to Very High Standards” important to you?  If so, Guardian is seeking a LTD Claims Case Manager 1 role responsible for making accurate decisions on assigned claims. You are Utilize problem solving, analytical, written and verbal communication skills to deliver timely and appropriate disability claim decisions while providing superior customer service to all internal and external customers Partner with coworkers to broaden and enhance their knowledge of complex claim handling. The LTD Claims Case Manager administers claims within a variety of group sizes ranging from small (2+ lives) to large market (1000+ lives) Determine...

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. Position Overview: We are seeking an experienced ISO Team Lead with a strong background in Property & Casualty ISO reporting to oversee and coordinate our ISO compliance reporting efforts. This role will serve as the subject matter expert for ISO regulatory requirements and will ensure the timely and accurate submission of data to ISO and other regulatory bodies. The ISO Team Lead will also mentor a team of reporting specialists and support process...