2780 claims analyst jobs found

About the role. The Claim Analyst is a key member of the claims team reporting to the Casualty Manager of the associated zone. The primary goal of this position is to deliver flawless service to our members and independent agency partners. This person will handle first and third party claims in a quality manner and meet our high standards of accuracy, efficiency, quality customer service and regulatory compliance. What you’ll do. Resolve claims and respond to inquiries involving members, agents, vendors (independent adjusters/appraisers, salvage rental car agencies), defense and plaintiff attorneys. First notice of loss and claim assignment. Handle complex bodily injury and coverage claims. Handle litigated files as well as files that involve arbitration and mediation   Handle subrogation on closed files. Make appropriate coverage determinations, reserve and resolve claims within prescribed authority levels, handle status updates with agents and members, all with a...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated Claims Analyst to join our Special Investigation Unit (SIU). SIU is a specialized team dedicated to protecting the integrity of the claims process. We focus on identifying, investigating, and preventing insurance fraud through detailed analysis, collaboration, and fact-based decision-making. Our work helps ensure honest policyholders are treated fairly while safeguarding the company from financial and reputational risk. SIU professionals combine investigative expertise,...

We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims responsibilities such as supporting the effective management, analysis, and resolution of claims, ensuring accurate processing and timely communication between clients, reinsurers, and external providers (adjusters, engineers, surveyors, attorneys, etc.) The role involves detailed data analysis, documentation review, and coordination across departments to maintain the integrity and efficiency of the claims process across multiple lines of business. The Role Claims Administration & Reporting Receive, register, and review incoming claim notifications. Prepare claim summaries, bordereaux, and loss advices for reinsurers and internal use. Monitor the progress of claims, coordinate settlements, follow up on recoveries, and reconcile balances with Accounts and Settlements team.  Ensure accurate and timely entry of claims...

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 basic automobile accidents. Applies analytical thinking to determine coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. National General is seeking a PIP Med/Pay Analyst to join our Claims team! This fully remote role is ideal for candidates who can work Central Time Zone (CST) business hours and bring strong customer service experience. Key Responsibilities • Applies basic understanding of insurance policies written by the company, the industry, and organizational relationships...

Crum & Forster Company Overview Travel Insured International (TII), a Crum & Forster company, is hiring for a Claims Analyst.   Travel Insured International is a leading travel insurance provider with more than 25 years in business. As a key component of our Small Business Unit, within the Accident & Health division, TII provides travel protection plans to help each individual travel confidently. Travel Insured International is proud to offer products to consumers and to agency partners of all sizes. We're committed to providing dependable coverage, great value, and end-to-end satisfaction for all customers.   This is an entry to mid-level position designed to allow the appropriate candidate to grow and develop skills and expertise and transition to more complex claim handling responsibilities. Works under general supervision and reports to a Team Leader and/or Manager. Achieve superior customer service and claim handling at the most reasonable...

Job Description SBMA,  a third-party administrator, is an affordable ACA-compliant benefits provider to thousands of employers. Their goal is to simplify the complexity of providing employee benefits. SBMA is different because of its personal service, speed of implementation, and innovative approach to benefits coverage. SBMA has a current need for a full-time Senior Claims Analyst.  The Senior Claims Analyst is a critical member of SBMA’s Claims Department, responsible for overseeing the most complex claims adjudication tasks and ensuring operational excellence across all claims functions. This role provides advanced support, guidance, and informal mentorship to Claims Analyst I and II team members, acting as a subject matter expert (SME) for HealthPac and SBMA’s internal processes. The Senior Claims Analyst helps streamline workflows, improve accuracy and turnaround times, and support continuous improvement efforts across the department. This position plays a key role in...

Senior Claims Analyst , Mass Tort and Complex Coverage At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Analyst 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 Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact As an experienced professional, in this role you’ll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of...

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 Personal Injury Protection (PIP) Claims Analyst that can do a 2-day hybrid approach onsite in our Farmington Hills office. The ideal candidate will also possess the following skill set.  Summary Statement Provides quality investigation and analysis to adjust commercial MI...

Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst III, you will be responsible for handling all aspects of multi-line, financial lines claims from inception through conclusion brought against insureds.   The responsibilities for this role include making coverage determinations, investigating losses, evaluating, and projecting potential exposures, setting judgmental reserves, developing and implementing resolution strategies, managing outside law firms, working with underwriting on policy renewals and promoting client relationships. How you will create an impact You will be responsible for a portfolio of claims from coverage inquiry through legal liability assessment and quantum analysis, to timely and accurate resolution. Your goal will be timely, accurate and customer-focused claim resolution, minimizing...

Reinsurance Claims Analyst Responsibilities : Review and approve Major Loss Reports for domestic and international losses Review reinsurance treaty contracts to ensure an understanding of their impact on various lines of business and apply treaties to loss analysis accordingly Identify large losses and high-profile matters Create and maintain Excel workbooks for data analysis Respond to non-MLR reinsurance verification requests and other reinsurance related queries Investigate and flag discrepancies and account issues Monitor and analyze financial impact of changes in reinsurance coverage Prioritize and collaborate with colleagues on various projects and initiatives Support AIG Next and reinsurance governance initiatives, including SOX controls Provide recommendations for process improvements Key Deliverables (including reports): MLRs (Major Loss Reports) Non-MLR reinsurance verifications as requested by internal customers...

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 We are seeking a bright and motivated Claims Analyst to join our team in Morristown, NJ. Under the direction and supervision of the Treaty Claims Director, the Claims Analyst will be responsible for handling the day-to-day excess claims activity and assisting the Claims Team as required. With training and experience, our goal is to increase processing responsibilities and further develop the Claims Analyst. Responsibilities and Accountabilities Process initial claim setup by analyzing preliminary claim notifications including coverage verification and associated checks Provide updates to Regis and Laserfiche files with notices on existing claims in...

The Claims Analyst, Senior Claims Analyst independently adjudicates multi-state workers’ compensation indemnity, EL and subrogation claim files that are generally non-catastrophic in nature.   ESSENTIAL FUNCTIONS 1. Receives lost time assignments. Verifies and determines applicability of coverage. Completes 24  hour contact with employer, employee and attending physician inclusive of telephonic contact,  recorded statements and/or in person interviews with insured, employee, physician, and witnesses. 2. Reviews all coverage issues and determines compensability within Midwest standards.  3. Aggressively manages all aspects of the workers’ compensation claims management process inclusive  of litigation, and providing direction to defense counsel. 4. Responsible for customer relations management, consistently establishing and maintaining high levels of trust and confidence with clients, through constant contacts, prompt response and resolving client’s questions and claim...

Join us as a Claims Analyst IV to grow your experience in Claims. Make your mark in AL/GL Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact The Casualty Claims Analyst IV is responsible for investigating, evaluating, and negotiating general and auto liability claims while maintaining a high standard of customer service.  This includes prompt contact with insureds and follow up to complete timely and accurate reserves and claim resolution.  Prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in...

Job Description The Claims Analyst, Senior Claims Analyst independently adjudicates multi-state workers’ compensation indemnity, EL and subrogation claim files that are generally non-catastrophic in nature. ESSENTIAL FUNCTIONS Receives lost time assignments. Verifies and determines applicability of coverage.  Completes 24 hour contact with employer, employee and attending physician inclusive of telephonic contact, recorded statements and/or in person interviews with insured, employee, physician, and witnesses. Reviews all coverage issues and determines compensability within Midwest standards.   Aggressively manages all aspects of the workers’ compensation claims management process inclusive of litigation, and providing direction to defense counsel. Responsible for customer relations management, consistently establishing and maintaining high levels of trust and confidence with clients, through constant contacts, prompt response and resolving client’s questions...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst III – EPL and D&O 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 Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact As a Claims Analyst III, you will be responsible for identifying, investigating, and resolving multiple coverage issues at the earliest appropriate time and providing clear and concise written and verbal communication of policy coverage issues to insureds, brokers,...

Claims Analyst II Who we are? American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets and manage risks. We’re also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Get to know the business General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world’s most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel...

Claims Analyst I Who we are American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets and manage risks. We’re also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Get to know the business General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world’s most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel...

We’re thrilled that you are interested in joining us here at the Amynta Group! The Gap Analyst is responsible for reviewing, analyzing, and processing claims to ensure that all required documentation is compliant with contract terms. This role involves evaluating claim files, identifying discrepancies or missing information, and coordinating with dealerships, lenders, and customers to facilitate accurate and timely claim resolution. The Gap Analyst ensures that all claims are managed in accordance with company policies, contractual obligations, and regulatory guidelines. Strong attention to detail, analytical skills, and familiarity with financial and insurance documentation are essential for success in this role. Responsible for providing efficient and courteous service to internal business partners and external customers for resolution of gap benefit. Responsible for sending correspondence, managing, and ensuring appropriate follow up. Responsible for maintaining accuracy...

- Adjust and manage claims brought against security companies, private investigators and alarm installation and monitoring companies, from receipt of claim or suit through resolution or trial/appeal. Key Accountabilities/Deliverables:   Provide early contact with insured to identify witnesses, employees, contracts, other relevant documents and to obtain insured’s knowledge of the allegations in the claim/suit. Analyze coverage for application to claim and prepare coverage position letters including reservation of rights, disclaimers, tender to other parties and acceptance of tenders to insured where appropriate. Confer with internal and external coverage counsel where necessary to clarify coverage position and coverage litigation. Communicate with underwriting as to insured’s risk potential and for clarification of policy language intent. Maintain diaries for file tasks, settlement conferences, mediations, and trial. Oversee defense counsel from...

Claims Management Analyst Join us as a Claims Analyst to grow your experience in handling complex claims. Make your mark in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.  How you will create an impact Analyzing the scope and extent of coverage of primary policies with deductibles. Clear and concise written and verbal communication with insureds, TPAs, brokers and underwriters. Make regular and appropriate contact with internal and external customers including leading national Fortune 500 companies. Give guidance to insureds and/or brokers to manage expectations. Effectively strategize and...