25 claim specialist pip jobs found

Location(s) Alpharetta, Georgia, Birmingham, Alabama, Dallas, Texas, Lake Mary, Florida, McAllen, Texas Details Kemper is one of the nation’s leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Kemper’s products and services are making a real difference to our customers, who have unique and evolving needs. By joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises. Responsible for the investigation, evaluation, negotiation and settlement of assigned physical damage, property damage and minor casualty claims. Ensures that all assigned claims are concluded promptly, equitably and economically within the provisions...

Why USAA? Let’s do something that really matters. At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation’s military, but we all share in the mission to give back to those who did. We’re working as one to build a great experience and make a real impact for our members. We believe in our core values of honesty, integrity, loyalty and service. They’re what guides everything we do – from how we treat our members to how we treat each other. Come be a part of what makes us so special! The Opportunity As a dedicated Subrogation Specialist, you will provide specialized Auto claims service in the recovery of payments made to USAA members by legally pursuing through arbitration a third party that caused an insurance loss to the insured. The Subrogation Specialist may also defend through arbitration claims by other insurance carriers against USAA. This hybrid...

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, ESG initiatives and IDE journey. Our special investigation unit is currently seeking a Medical Specialist to join our growing team. This position can by fully remote or hybrid in the following locations:  Itasca, IL, Worcester, Ma, Howell, MI, Richmond, VA.  This is a Full Time/Exempt role.   POSITION OVERVIEW: The medical specialist is responsible for investigating, analyzing and supervising medical investigations to ensure all investigations comply with established policies, practices and procedures.    IN THIS ROLE, YOU WILL: Supervise, coordinate and monitor activities of medical fraud investigations in order to obtain and ensure an accurate, quality product while maintaining high production and performance standards. Evaluate...

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, ESG initiatives and IDE journey. Our special investigation unit is currently seeking a Medical Specialist to join our growing team. This position can by fully remote or hybrid in the following locations:  Itasca, IL, Worcester, Ma, Howell, MI, Richmond, VA.  This is a Full Time/Exempt role.   POSITION OVERVIEW: The medical specialist is responsible for investigating, analyzing and supervising medical investigations to ensure all investigations comply with established policies, practices and procedures.    IN THIS ROLE, YOU WILL: Supervise, coordinate and monitor activities of medical fraud investigations in order to obtain and ensure an accurate, quality product while maintaining high production and performance standards. Evaluate...

Location(s) Birmingham, Alabama, Dallas, Texas, P&C-Corporate Circle-Henderson-NV Details Kemper is one of the nation’s leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Position Summary : Kemper is seeking a Subrogation Adjuster to report to one of our local Kemper's Claims offices.  As a Subrogation Adjuster, you will actively and aggressively pursue subrogation, loss refunds, and any other collections that involve the Claims Department. This consists of collecting from named insureds, at-fault third parties, other insurance carriers and any other debtor, on a timely and cost-effective basis. This position will be responsible for complex Auto/Prop...

Join a Best Place to Work Company! At Arbella, we’re focused on people. We work hard to attract and retain the best. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, competitive salaries and exceptional benefits packages. We invest in our employees and encourage them to grow so that we, too, can grow as a company. Other perks include: • On-site gym and fitness classes and one-on-one personal training • On-site nurse, nutritional counseling, and mental health resources • Full-service cafeterias • Free shuttle service to Quincy Adams T Station • Tuition assistance programs • Opportunities to get involved: Arbella Activities Committee, Diversity and Inclusion Council, and more • A company committed to community: volunteer opportunities, employee-led community efforts, and the Arbella Insurance Foundation • Robust training, mentorship, and professional/personal development programs • Colleagues...

Description About Reserv Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.     About the role We are seeking highly organized and customer-focused Resolution Specialists to join our team. The successful candidate will be responsible for communicating with customers on the phone, educating and...

Description   About Reserv   Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.  We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.   About the role   We are seeking a detail-oriented Personal Injury Protection Resolution Specialist to join our team. The PIP Resolution Specialist will be responsible for investigating and evaluating PIP / MP claims...

The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel. This is a remote position. Candidates must reside in California.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives 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...

An exciting opportunity exists to join the ProAssurance family of companies! We are a specialty writer of professional liability, products liability and workers' compensation insurance.  With approximately 1,000 team members operating in all 50 states, we are well-positioned to offer career opportunities to individuals interested in professional growth. This position supports the segment of our medical professional liability line of business specializing in dentists, podiatrists and chiropractors, and can by hybrid or remote depending upon location of the selected candidate. Preference is for this position to be based in the Central Time Zone in order to meet the business needs of the position. For candidates seeking a hybrid work arrangement, our CST offices are in Birmingham AL, Franklin TN and Okemos MI. The primary responsibility of the Claims Intake Specialist is to analyze whether coverage exists for newly reported claims and to identify potential...

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 Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities • Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department • Handles investigation regarding all aspects of advanced auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority • For claims involving...

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 Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. * *Florida PIP claims experience is highly desired. This is a fully remote opportunity and the ideal candidate will be seated in the S/E area of the US .** Key Responsibilities • Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department • Handles investigation regarding...

The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel. This is a remote position.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives 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...