1079 claims administrator jobs found

Hi, we’re HUB Warranty! We are a dynamic and fast paced innovative construction insurance brokerage offering and developing products and services that meet the ever-changing needs in our home building clients and industry. We represent 3 New Home Warranty brands with over 400,000 home inspections completed and countless homes protected. We focus on delivering value to all our home builders and owners. At HUB Warranty we believe it is vital that we bring like-minded people on board to join us in this journey! We believe in our people – they are the best in the industry! We encourage and support each other and want to see our people grow. With this, we have implemented many leadership development programs and support career advancement! If you are a lifelong learner looking for an advancing and rewarding career, please read further to see what this job entails. The Opportunity! The Claims Administrator is an entry level claims position where you will be responsible for...

Company: Marsh Description: We are seeking a talented individual to join our JLT Public Sector Team at Marsh Australia . This role will be based in Hobart, TAS office . JLT act as the Fund Administration Agent (FAA) for the Tasmanian Risk Management Fund , we provide a comprehensive approach to managing the insurable liabilities of inner Budget agencies. Our team is dedicated to delivering exceptional services through effective claims management and executive account stewardship. Your role as Claims Administrator is to perform all administrative functions required in the claims process for all workers compensation claims, ensuring you deliver positive outcomes for the client and in line with the business objectives and agreed performance indicators. We will count on you to: Process claims payments and follow up on invoices to ensure timely resolution. Ensure accurate claims processing and administration, including file closures. Provide...

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: The opportunity: Do you enjoy organizing information and ensuring accuracy? As a Data Intake Associate for our Claims Services team, you’ll play a key role in supporting Stop Loss and Health Claims. You’ll be responsible for reviewing submitted reports and entering them into our system, ensuring...

The Claims Service Specialist will support the Claims Services Managers (CSM’s) to help ensure member claim service satisfaction and provide claims service management ensuring proper communication and follow through. ESSENTIAL EDUCATION AND EXPERIENCE: Bachelor’s Degree or equivalency in a related discipline and at least five (5) years of claim handling experience and claims customer service. Must have direct client service experience in commercial claims either through face-to-face or telephonic interactions. SKILLS/COMPETENCIES REQUIREMENTS: Strong customer service orientation Organization, planning, and prioritization expertise with strong skills in multi-tasking and follow-up Works well independently and in a team environment Excellent written and verbal communication skills Comfortable in a client facing role Strong analytical, problem solving, judgment, and communication skills Willingness and ability to travel domestically at a minimal amount as...

As a Medical Claim Lead Auditor, you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader and primary interface with administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims, resolve open issues, and draft the final report. You will contribute to the creation of new tools and approaches. The Responsibilities Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings Understand client’s plans and apprise team of unique provisions/issues prior to audit Adjust workloads as necessary to achieve successful completion of project Clearly communicate and professionally interact with vendor and audit team Review documentation of potential discrepancies for thoroughness and accuracy Resolve post-audit activities in an accurate and timely fashion Write quality value-added draft report in a timely manner...

The Claims Services Manager provides day to day claims administration assistance, customer service, dispute resolution, and general claims consultation services to all assigned captive clients. ESSENTIAL EDUCATION AND EXPERIENCE: Bachelor’s Degree or equivalency in a related discipline and at least seven (7) years of experience in Casualty claims handling and/or claims customer service. Construction claims experience preferred. SKILLS/COMPETENCIES REQUIREMENTS: Strong team attitude Works well independently and in a team environment Interpersonal skills Business acumen Excellent written and verbal communication skills Proficient in Microsoft Office, especially using Excel and Word, and other on-line computer systems Utilize PowerPoint to effectively communicate ideas Comfortable giving presentations to audiences of all sizes Organization, planning and prioritization skills Strong analytical, problem solving and judgment skills Strong customer service...

Cottingham & Butler is developing a new Programs division to leverage our more than $2 billion in premiums, our safety services and in-house claims administrator.  We are seeking an experienced programs leader to develop new insurance programs exclusive to C&B, build a programs team, and enhance our existing programs. This role is a unique opportunity to join one of the largest and fastest growing insurance brokers in the nation. We are searching for an entrepreneurial and talented individual capable of achieving the following: •    Build exclusive programs with underwriting authority and negotiate proprietary deals. •    Create specialized programs within identified niches. •    Recruit, retain, manage and develop a staff of underwriters and support team. •    Maintain strong relationships with carriers, reinsurers, and service providers. •    Deliver stable, profitable, and competitive programs. •    Drive a strong value proposition for C&B programs. •...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. This is a remote work from home opportunity. Summit Risk Services is seeking a Professional Liability Adjuster, Attorney and /or JD required, to join our growing team! The Professional Liability Adjuster is responsible for evaluating coverage, managing claims, and overseeing defense strategies to ensure fair and cost-effective resolutions. This role involves interpreting policy language, assigning and supervising defense counsel, attending mediations, and providing high-quality claims handling in collaboration with an experienced legal and claims professional. How You Will Contribute: Reviewing various insurance policies; determine whether the carrier has a duty to provide a defense and/or indemnification to the insured; prepare coverage correspondence, if there is a duty to defend, assign approved defense counsel....

Job Description: Step into a role where your client service expertise makes a meaningful impact. We are looking to add a Client Service Consultant to join our Creative Risk Solutions team in West Des Moines. Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. Essential Responsibilities: Investigate, resolve and identify appropriate resources to resolve complex individual claim issues ensuring client satisfaction. Work with managers and supervisors to communicate with clients and agencies when changes with adjusters assigned to claim files take place. Review TPA customer satisfaction survey results and follow-up with clients and agencies as needed.  Organize and facilitate...

Job Description: Join our growing team as a Sr. Liability Claims Specialist, Supervisor , at Creative Risk Solutions, where you’ll lead a high-performing group of adjusters and ensure exceptional claims handling from start to finish. This role offers the opportunity to drive operational excellence while supporting clients with complex liability exposures. Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients.   Essential Responsibilities: ·   Adjudicate claims as needed, investigate, negotiate settlements, and maintain accurate documentation. ·   Monitor claims, especially in litigation, ensuring timely responses and adherence to "Best Practices for Claims." ·...

We are seeking a Director of Engineering (ServiceNow Claims Platform Lead) to own and evolve a mission-critical specialty claims platform built on top of ServiceNow. This role is designed for an engineering leader with deep platform, integration, and data experience, not a traditional ServiceNow administrator. The claims platform is heavily customized and supports high-volume transactional processing, complex workflows, and deep integrations across policy administration, financial systems, and enterprise data platforms. ServiceNow CSM, App Engine, and Integration Hub are used as development and orchestration tools, not out-of-the-box solutions. This is a player/coach role. The Director sets architectural direction, owns technical standards and production outcomes, and remains hands-on with design and code when needed. The role partners closely with product management and business leaders on roadmap and backlog, and leads delivery through a combination of internal engineers and a...

About Us: HUB is a 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 20,000 employees in 600+ offices throughout North America, HUB has grown substantially, in part due to our industry leading success in mergers and acquisitions. Primary Role: The Employee Benefits Account Manager works collaboratively with the Team Leads, Producer, and Account Executive to manage a book of business . Coordinates and provides day-to-day service for employee benefits clients by maintaining client relationships, supporting client retention, maintaining strong carrier relationships, and understanding client needs. Serves as day-to-day contact and provides resolution for client questions and issues. Duties and Responsibilities: Maintains client relationships, supports client retention, maintains strong carrier...

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our  journey as we strive to transform the insurance  carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our  internal and external communities better everyday! Learn more...

SISCO, a Cottingham & Butler company, is a leading third-party benefit administration firm dedicated to maximizing the value of employee benefits for our clients. We pride ourselves on delivering an effective, yet human, experience by hiring the best employees and equipping them with the best technology. We’re looking for a people‑focused, results‑driven Service Supervisor to join our growing team. In this role, you’ll develop motivated, high‑performing employees and ensure our clients receive accurate, timely, and exceptional service. Your leadership will directly shape the experience of both our team and our customers. Essential Functions: Ensure direct reports meet performance and accuracy goals. Lead, coach, and develop team members through training, feedback, and recognition. Oversee hiring, supervision, and retention of service staff; conduct performance reviews and support professional growth. Share daily/weekly feedback with Quality Assurance and...

Title: Participant Services Representative Department: Associated Administrators FLSA: Non-exempt Hours per week: 40 Position Summary The Participant Services Representative provides customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status. "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 knowledge in all job functions. Provides written, verbal, or face-to-face customer service by responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits. Updates files, including documenting system notes of conversations or action taken. Performs tasks associated with the administration of retirement and health and welfare benefits such as; Processing...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. This is a remote work from home opportunity. Summit Risk Services is seeking a Professional Liability Adjuster, Attorney and /or JD required, to join our growing team! The Professional Liability Adjuster is responsible for evaluating coverage, managing claims, and overseeing defense strategies to ensure fair and cost-effective resolutions. This role involves interpreting policy language, assigning and supervising defense counsel, attending mediations, and providing high-quality claims handling in collaboration with an experienced legal and claims professional. How You Will Contribute: Reviewing various insurance policies; determine whether the carrier has a duty to provide a defense and/or indemnification to the insured; prepare coverage correspondence, if there is a duty to defend, assign approved defense counsel....

At Safety National, we don’t just offer jobs – we build careers with purpose! Since 1942, we’ve been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success—both personally and professionally. Ready to grow with us? Apply today! Follow this link to view all of our available careers and apply: https://www.safetynational.com/careers-page/ This opportunity is in the Claims department. Our Claims Department oversees both high-exposure workers’ compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess carrier, the catastrophic claims we handle keep our group challenged, but the...

At Safety National, we don’t just offer jobs – we build careers with purpose! Since 1942, we’ve been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success—both personally and professionally. Ready to grow with us? Apply today! Follow this link to view all of our available careers and apply: https://www.safetynational.com/careers-page/ This opportunity is in the Claims department. Our Claims department oversees both high-exposure workers’ compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess and large deductible carrier, the high exposure claims we handle keep our group...

As a Medical Claim Field Auditor, you will apply your medical claims audit, project management and claim processing and auditing experience to perform self-insured client audits. You will serve as a team member on audits, evaluate claims for accuracy and identify potential errors and issues. The Responsibilities Understand self-insured client’s plan designs  Audit claims using the administrators claims system to determine if claims were adjudicated in error Submit error inquiries and perform research on administrators’ claim systems during the audits Clearly communicate and professionally interact with administrator and audit team Understand administrators’ processes, operating environment, and specific challenges and take them into account with daily work Develop working relationship with vendor counterparts Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings Efficiently utilize audit-specific analytic...