1133 claims administrator jobs found

CBCS, a division of Cottingham & Butler, is growing — and we’re looking for driven individuals to join our Workers’ Compensation team as Claims Administrators. In this role, you’ll be trained to investigate, evaluate, and resolve medical-only claims while delivering the high‑quality service our clients expect. No insurance experience? No problem. We will teach you the technical side — what matters most is your ability to think critically, communicate clearly, and take ownership of your work. Responsibilities As a Claims Administrator, you will manage a caseload of medical-only Workers’ Compensation claims from start to finish. Your core responsibilities include: Reviewing and evaluating medical-only claims to understand what occurred Communicating with injured workers, medical providers, and clients Documenting claim activity accurately and consistently following CBCS Best Practices Making timely decisions within your assigned authority to resolve claims...

Company: 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 on a 12 months fixed term. 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....

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Claims Administrator to their  Cornell team in Edison, NJ. Job Summary: The Claims Administrator supports the VP of Risk Management by processing incoming claims, coordinating communication with clients and carriers, and assisting throughout the claims management cycle. Essential Functions: Review and determine policy coverage for incoming claims. Intake and document claims from email, fax, and other sources; update claim system accurately. Investigate and evaluate claims for denial, subrogation, or potential fraud. Prepare initial action plans and maintain required records, including workers’ compensation documentation. Complete four‑point contact with clients, adjusters, employees, and providers. Report claims to carriers and communicate updates to the VP of Risk Management. Manage correspondence, respond...

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...

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...

Overview The Site Reliability Engineer is a key force behind improving Origami’s time to resolution and advancing overall site reliability and scalability. This person participates in efforts to identify root causes during post-incident investigations, while also identifying preventative measures to minimize future disruptions. They also assist with identifying root causes in performance challenges in client implementations and implement methods for tracking key performance metrics across clients.   Starting base pay for this role is between $100,000 and $120,000. The actual base pay is dependent upon many factors, such as transferable skills, work experience, business needs, training, location, and market demands. The base pay range is subject to change and may be modified in the future. This role will be eligible for a bonus as well as competitive medical, dental, and vision benefits, wellness...

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 The Claims Division is seeking a Claims Account Manager (CAM) to join the Alternative Market’s Team.  In this role, the incumbent will have oversight responsibility for claims managed by our third party claims administrators.  Position will manage liability lines of business claims including, AL, GL, APD in our trucking, hetero and construction groups.  They will work closely with our Underwriting and Major Case Unit Teams, and will be assigned to specific captive business.  These captives involve insured retentions and different expense treatments which require the candidate to work closely with the captive members, captive board, producers, and WC Alt Market’s...

We’re seeking a Director of Operations to take ownership of the operational backbone of a growing insurance program manager with delegated underwriting authority. This role is at the center of the business, working across underwriting, carriers, regulators, vendors, and parent company support teams to manage operations efficiently while identifying opportunities for improvement. The right person is organized, driven, and comfortable stepping into complex projects and taking ownership. This is a hands-on leadership role with broad visibility and significant room to grow with the business. Your Impact: Lead and manage overseas outsourcing partners responsible for submission clearance, rating, endorsement processing, and other policy administration functions; set expectations, track performance, and improve workflows. Oversee and develop a small internal operations team handling policy servicing, agency appointments, and licensing. Serve as primary liaison to parent company...

Overview As the Sales Enablement Specialist, you will play a pivotal role in empowering our global sales teams (including AEs, AMs, and BDRs) with the knowledge, skills, tools, and processes they need to succeed across the entire customer journey. You will be responsible for designing and executing enablement programs that improve seller productivity, accelerate ramp times, increase pipeline generation, and improve win rates.   This is a strategic and execution-oriented role that requires a consultative approach with groups from across the business. You will serve as a key liaison between the field and corporate functions (product, marketing, ops, etc.).   The ideal candidate brings proven quota-carrying experience (with a preference for full-cycle sales), expertise in modern GTM tooling, and AI curiosity.   Starting base pay for this role is between $95,000 and $115,000. The actual base pay is dependent upon many factors, such as transferable...

Overview Collaborate with the executive management team to manage the financial obligations of the company, our Managing General Agents (MGAs) and Third Party Claims Administrators (TPAs). Supervises employees, monitors activities, and satisfies reporting requirements.  Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of the AmTrust organization. Responsibilities Manages a team with a diverse array of talents and responsibilities. Implements and manages changes and interventions to ensure contractual obligations are achieved. Report, remit, and collect, contractual obligations. Determine future financial trends. Report to management and stakeholders and provide advice on how the company and future business decisions might be impacted. Produce financial reports related to contracts, account payables, account receivables, expenses etc. Ensures goals are met in...

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 The Claims Division is seeking a Claims Account Manager (CAM/AVP) to join the Central Construction Team.  In this role, the incumbent will actively manage and effectively oversee Third-party Administrator(TPA) Team members handling Construction Worker's Compensation and construction liability claims (GL, AL, APD) for high-exposure commercial business accounts. Responsibilities Work with our TPA’s to ensure proper claims handling and service delivery, this includes: Performing claims oversight on claims with an expected value over $50,000 for guaranteed cost policies and at 50% of the retention for deductible and self-insured business Attend mediations and...

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 Client Engagement department The Client Engagement Department engages internally with our business stakeholders and externally with our brokers, policyholders and TPA clients. We work to drive strategic partnerships, enhance client relationships, and optimize account management strategies. This group is instrumental in expanding our market presence, strengthening client...

Who We Are Method Insurance is an MGA focused exclusively on Workers' Compensation. With a national footprint, we serve employers of all types by delivering the right coverage to protect their businesses and employees. Our vision is to drive industry-changing outcomes, provide exceptional service to our customers, and create a rewarding workplace for our employees. Guided by core values of respect, trust, excellence, and caring, we merge deep expertise with leading-edge technology to minimize workplace injuries, ensure superior outcomes, and expedite a safe return to work, ultimately reducing costs for employers and improving the well-being of their employees. Method Insurance is committed to being there every step of the way, delivering results that benefit everyone involved. What To Expect As part of the Insurance Services team, the primary responsibility of the Premium Audit Reviewer is to perform a thorough review of Workers Compensation insurance premium...

Job Description: 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. We are looking to add a Workers’ Compensation Claims Specialist to join our team. Experience handling Colorado claims is required. Essential Responsibilities: Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves lost time Workers’ Compensation claims, including litigated claims. Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage...

Job Description: 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. We are looking to add a Workers’ Compensation Claims Specialist to join our team. Experience handling Colorado claims is required. Essential Responsibilities: Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves lost time Workers’ Compensation claims, including litigated claims. Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage...

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure’s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. Amerisure is currently recruiting for a Specialty Adjuster – TPA that can do a hybrid approach onsite in one of our offices. The ideal candidate will possess the following skill set.  Summary Statement In collaboration with our Third Party Administrator (TPA), monitor claims of low to medium severity, including...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking a Commercial Lines Account Administrator to join our growing team in Las Vegas, NV! The Commercial Lines Account Administrator is responsible for the day-to-day functions of assisting the Account Managers with duties such as certificates, endorsements, etc. and other duties as assigned. How You Will Contribute:   Certificates of Insurance Process certificates from start to finish in AMS360 Review requirements to make sure certificate shows all coverages required Alert Account Managers if coverage does not meet certificate requirements Attach certificate request/copy of certificate in Paperwise/TAM Send certificate spreadsheet to insured 30 days prior to renewal and update AMS360 as necessary Process certificate renewals once Account Manager sets up templates, including sending...

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 U.S., 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...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking a Mechanical Warranty Administrator to join our growing team in Westminster, CO!   The Mechanical Technician provides technical support and excellent customer service by assisting consumers and repair shops with automotive repair, roadside, battery, and tire claims. This role requires a solid understanding of mechanical repair processes, accurate claim entry, clear communication of coverage details, and professional claim adjudication. The Technician ensures a positive customer experience through effective inbound and outbound calls, collaboration with repair facilities, and reliable handling of warranty benefits. How You Will Contribute:   Answer incoming phone calls on assigned programs Accurately enter claim information in electronic databases Effectively communicate and understand program...