1315 senior claims account manager jobs found

- The Accounts Payable Manager is responsible for supervising the day to day work of four AP Analysts to ensure that all technical payments(claims, reinsurance and return premiums) and non-technical payments (all administrative expenses, staff expenses, credit card payments) are paid promptly, accurately and in accordance with the weekly Accounts Payable work schedule. Key Accountabilities/Deliverables: Daily supervision of four Accounts Payable Analysts to ensure workload is being prioritized and addressed in the most effective manner and that all business-critical payments are being made on a timely basis.   Manage discreet parts of the payment process (approvals in Accounts Payable system, creation of payment proposals, etc.)   Provide supervision of the established business as usual processes, including prioritization of the workload of each team member.   Perform hands on work with specific parts of the Accounts Payable process...

Description Under limited supervision and established practices, the Technical Claims Specialist is responsible for the investigation, evaluation, and disposition of environmental and emerging risk general liability and business auto claims of moderate to high exposure.    Responsibilities: Investigates claims to determine whether coverage is provided; includes analysis of potentially applicable policy provisions and drafting comprehensive coverage position letters, sometimes in conjunction with Home Office Legal coverage counsel. Establish liability and verify damages.  Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Unit Manager on cases which exceed authority. Works closely with defense counsel in managing litigated files according to established litigation management protocols. Identifies and appropriately handles suspicious claims. Identifies and appropriately handles...

Established in 2021,   Independence Pet Holdings   is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America.   We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands.  Pets Best, a subsidiary of IPH, offers pet insurance and wellness plans for dogs and cats in every state. Founded in 2005 with a mission to provide access to comprehensive animal healthcare at an affordable price, Pets Best delivers flexible coverage, an easy claims process, and excellent customer service....

Established in 2021,   Independence Pet Holdings   is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America.   We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands.  Pets Best, a subsidiary of IPH, offers pet insurance and wellness plans for dogs and cats in every state. Founded in 2005 with a mission to provide access to comprehensive animal healthcare at an affordable price, Pets Best delivers flexible coverage, an easy claims process, and excellent customer service....

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. #LI-SJ1 Job Description Summary You will serve as the strategic leader for the Professional and Healthcare Programs Portfolio, driving growth, innovation, and disciplined execution across a diverse set of program businesses. You will be responsible for shaping the portfolio’s direction by identifying and cultivating new program opportunities that align with the company’s long-term objectives and market positioning. In this role, you will oversee the...

The Workers’ Compensation Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The WC Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises WC claims staff in their day-to-day operations Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval) Provides technical and jurisdictional...

Job Responsibilities and Requirements The Manager of Data Engineering is responsible for leading a high-performing and inclusive team of data engineers within the Information Services department. This role oversees the technical vision, execution, and optimization of enterprise data solutions, ensuring robust, auditable, and compliant data pipelines and models. The manager collaborates across business units and IT stakeholders to drive impactful data initiatives, optimize processes, and support the organization’s financial and operational objectives.   Key Responsibilities: Lead, coach, and develop a team of data engineers, fostering technical and professional growth. Implement and execute a strategic technical vision for enterprise-wide data integration, modeling, and processing, encompassing all business subject areas such as policies, claims, billing, ratings, general ledger, and annuities. Design, build, and scale robust and compliant data pipelines and models,...

Description We are seeking a results-driven Senior Territory Manager to own and lead a defined geographic territory, driving profitable premium growth and strong agency performance across a broad commercial product portfolio. In this highly visible role, you will serve as a trusted advisor to independent agents and brokers, balancing day-to-day small commercial flow with strategic pursuit of targeted larger accounts. You’ll leverage deep relationship management, data-driven strategy, and cross-functional collaboration to optimize territory performance and achieve financial and operational objectives.   This is an excellent opportunity for a seasoned insurance professional who thrives in the field, enjoys building long-term partnerships, and wants to make a meaningful impact within a dynamic commercial insurance organization.   Key Responsibilities:   Territory & Agency Ownership Own and manage an assigned geographic territory, driving profitable...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Your Role You will provide actuarial support to the Entertainment Business Unit. This division highly values actuarial support, in both quantitative & qualitative capacities. The AVP Actuary will lead a team of actuaries to partner with business to deliver actuarial insights, develop actionable strategies, monitor executions and leading indicators to assess business health. Profitability Reviews: Review products including Auto, GL, Property, Inland Marine, Workers Comp, Umbrella by applying actuarial techniques to determine portfolio profitability; analyzing and digging into detailed segmentations. Large Account Pricing: Provide actuarial premium recommendation on large...

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel. This is a remote position, but all candidates must reside in one of the following states: NE, IA, MO, KS. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the...

ABOUT HUB INTERNATIONAL: HUB International Limited (“HUB”) is one of the largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. With over 21,000 employees in 600+ offices throughout North America, HUB has grown substantially, in part due to our industry leading success in Mergers and Acquisitions. WHAT WE OFFER YOU: At HUB we believe in investing in the future of our employees.  Our entrepreneurial culture fosters an environment of open feedback and improvement that empowers our people to make the best decisions for our customers and organization.  We offer: Competitive salaries and benefits offerings Medical/dental/vision   insurance and voluntary insurance options Health Savings Account funding 401k matching program Company paid Life and Short-Term Disability Plans...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Actuarial, Data Analytics Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits...

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 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....

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary You will provide actuarial support to the P&C Programs Insurance Business Unit. This division highly values actuarial support, in both quantitative & qualitative capacities. The Director Actuary will lead a team of actuaries to partner with business to deliver actuarial insights, develop actionable strategies, monitor executions and leading indicators to assess business health. Responsibilities and Accountabilities: Profitability Reviews/New Submission Analyses: Review products by applying actuarial concepts and techniques to determine portfolio profitability; analyzing and digging into detailed segmentations Monitor and Reporting: Monitor...

The Procurement Analyst plays a critical role in supporting Enhanced Bill Review Programs by securing essential medical documentation, including itemizations and medical records needed to process claims accurately and efficiently. This position involves proactive outreach to providers, managing inbound inquiries, and ensuring all documentation meets quality and compliance standards, including HIPAA regulations. The Procurement Analyst is detail-oriented, organized, and thrives in a fast-paced environment where meeting production goals and collaborating with team members are key to success. This is an onsite position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Spend approximately 80-85% of the shift making outbound calls to providers to obtain required information; may also send email or fax requests Respond to inbound calls regarding claim status and related inquiries Maintain accurate records of all communications between the company, providers, and...

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK. The opportunity: The Senior Manager, Insurance and Claims Advocacy is a pivotal leader within the Clinical Solutions team at PinnacleCare, Sun Life...

Department: Commercial Lines, Construction and Condo Location: Miami, FL (Hybrid) 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 a bilingual (English/Spanish) Senior Account Manager to join our growing Florida team. The Senior Account...

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 State Manager Senior Manager supports the achievement of profit and growth targets for an assigned region, state(s) or line(s) of business. This role leads the State Team in developing integrated strategies and makes decisions related to product, pricing and risk management to achieve overall growth and profit goals. • Contributes to annual and long-term personal line(s) profit and loss goals for assigned region or state(s) • Ensures product/pricing/risk management changes are delivered to AORs for implementation and engagement • Participates in the professional development for Go to Market...

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel. This is a remote position. Candidates are required to have CA RN License and Compact License. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral...

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel. This is a remote part-time position. Candidates are required to have CA RN License and Compact License. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the...