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claims

4772 claims jobs found

Fulcrum Risk Solutions
01/30/2023  
Account Manager Featured
$50,000 - $60,000 yearly
Essential Duties and Responsibilities include the following- ·         Provide client services for designated prospects and clients, managing the submission (RFP) process, securing information to effectively market to all carrier partners, preparing all new and renewal submissions for marketing, analyzing data, reviewing proposals, and implementing communication strategies with the client and/or producer. ·         Stay abreast of markets, products, and carrier competitiveness to provide a comprehensive product portfolio to the client. ·         Knowledge of Agency Management System, keeping data current and staying up to date on system requirements, updates etc. ·         Act as a liaison between the client and insurance companies in order to resolve all normal service issues regarding billing, claims, eligibility and other customer service issues. ·         Dive into the technical details of plan design and cost analysis when preparing to...
Fulcrum Risk Solutions Columbia, SC, USA Full Time
The Murphius Group
01/19/2023  
Product & Pricing Manager (Personal Lines) Featured
Research and roadmap long-term product development strategies for multiple lines of business (Personal Lines). Assemble and analyze internal data, review market comparisons, and coordinate with underwriting and claims to review product pricing.   Prepare and submit filings to the Department of Insurance, defend an applicable filing objections and coordinate change specifications with IT and Marketing/Sales. Develop methods and organize data for rate change indication exhibits based on regulatory requirements.  Organize and communicate specifications for the programming and quality testing of a newly implemented policy admin system. Coordinate implementation and validate the accuracy of newly implemented comparative rating software. Collect, analyze, and organize data required by regulators through the course of rate filings or DIFS Director's Orders via SERF or direct channels.
The Murphius Group Remote (MI, USA) Full Time
The Murphius Group
01/19/2023  
Commercial Lines Account Manager/CSR - St. Joseph, Michigan Featured
Job Summary: A n ambitious and entrepreneurial insurance agency growing rapidly in Michigan looking for a highly motivated individual to join our team as a Commercial Lines CSR – Account Manager. Attention to detail and superior customer service is a must. Agency represents a premier group of insurance companies which enables you to provide multiple quotes for your clients to meet their insurance needs at a competitive price. Retain current clients by proactively recognizing client needs and providing advanced solutions. We believe that we operate best as a team. ESSENTIAL FUNCTIONS Manage renewal and new business quoting Develop and maintain strong carrier and client relationships Assist clients in reporting claims Perform insurance policy, coverage, and exposure reviews Identify and assist in developing cross selling opportunities Pursue a program for personal and professional development Perform projects and tasks as assigned...
The Murphius Group St. Joseph, MI, USA Full Time
The Murphius Group
01/19/2023  
Commercial Lines Customer Service Representative (Hybrid to Fully Remote Available) - Grand Rapids, MI Featured
Job Duties: Work with producers on commercial accounts to service current customers as well as establish relationships with new customers.  Serve as the main point of contact on non-producer size accounts. Essential Duties and Functions: Servicing of commercial accounts Market and the renew existing accounts. Assist Producer in marketing new and renewal of larger accounts Monitoring and working reports: Follow ups, Expiration, Backward Expiration and Aged Receivables Assisting in the formulation of Department procedures Back up to other CSRs Assist in training staff Claims Other duties as assigned   Competencies: Planning/organizing—the individual prioritizes and plans work activities and uses time efficiently. Interpersonal skills—the individual maintains confidentiality, remains open to others' ideas and exhibits willingness to try new...
The Murphius Group Hybrid (Grand Rapids, MI, USA) Full Time
The Murphius Group
01/19/2023  
Benefit Analyst (Hybrid to fully remote available) - Grand Rapids, MI Featured
JOB DUTIES: Track all renewals, schedule potential marketing activity, and coordinate with Account Manager and Producer Prepare analyses in accordance with client service calendar financial meetings (e.g., post renewal, mid-year review, pre-renewal, renewal). Analyses may include but are not limited to: Market review analysis Renewal rate and funding projections and modeling Analysis of claims utilization Rate and contribution analysis Benchmarking Financial funding analysis (e.g., fully insured vs self-funded) IBNR and claims lag analysis Review and interpret data to develop alternative strategies, plan modeling and cost reduction opportunities. Technical analysis of group insurance contracts and financial arrangements. Request applicable claims reports. Consult with Account Manager and Producer on a quoting or negotiation strategy.  If quoting is...
The Murphius Group Hybrid (Grand Rapids, MI, USA) Full Time
PMA Companies
01/27/2023  
Account Claims Adjuster I - General Liability, Commercial Auto & Property - Remote
Investigates, evaluates, reserves and resolves Automobile, General Liability and Property claims for self-insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, company and regulatory guidelines. Responsibilities: Promptly investigates all assigned claims for coverage, liability, damages, subrogation and contribution. Ensures timely disposition of all claims in accordance with client, regulatory and statutory requirements. Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claims management and clients when exposure exceeds authority. Negotiates claims resolution within granted authority. Establishes and executes appropriate action plans for...
PMA Companies Mount Laurel Township, NJ, USA
PMA Companies
01/27/2023  
Account Claims Rep- Casualty
Investigates, evaluates, reserves and resolves Automobile claims for self-insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, company and regulatory guidelines.   Responsibilities: Promptly investigates all assigned claims for coverage, liability, damages, subrogation and contribution. Ensures timely disposition of all claims in accordance with client, regulatory and statutory requirements. Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claims management and clients when exposure exceeds authority. Negotiates claims resolution within granted authority. Establishes and executes appropriate action plans for claim resolution including loss...
PMA Companies DeWitt, NY, USA
National General Insurance
01/26/2023  
MD Field Claims Representative II, Sr.
*** This is an Auto Field position and the ideal candidate would reside in the Charleston, SC area and work that territory** Job Summary: Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical expertise. Key Responsibilities: Exhibits mastery estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses of all severities Applies mastered content in interpretations of all policy types written by the company and assists leadership in formal and ad hoc training Negotiates settlements, makes settlement payments and documents all activities in the most complex of files Interprets regulatory compliance and fair claims practices Builds mastered relationships with both internal and external customers Supervisory Responsibilities: This job does not...
National General Insurance Charleston, SC, USA
National General Insurance
01/26/2023  
MD Field Claims Representative I, II, Sr.
*Ideal Candidates will be seated in the Southern Seattle areas, Sea Tac, Kent or Federal Way* Job Summary: Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical expertise. Key Responsibilities: Exhibits mastery estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses of all severities Applies mastered content in interpretations of all policy types written by the company and assists leadership in formal and ad hoc training Negotiates settlements, makes settlement payments and documents all activities in the most complex of files Interprets regulatory compliance and fair claims practices Builds mastered relationships with both internal and external customers Supervisory Responsibilities: This job does not have supervisory duties...
National General Insurance Olympia, WA, USA
National General Insurance
01/26/2023  
MD Field Claims Representative Trainee, I, II, Sr
Ideal candidates will be seated in Philadelphia, PA Job Summary: Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical expertise. Key Responsibilities: Exhibits mastery estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses of all severities Applies mastered content in interpretations of all policy types written by the company and assists leadership in formal and ad hoc training Negotiates settlements, makes settlement payments and documents all activities in the most complex of files Interprets regulatory compliance and fair claims practices Builds mastered relationships with both internal and external customers Supervisory Responsibilities: This job does not have supervisory duties Preferred Qualifications: Education and...
National General Insurance Philadelphia, PA, USA
PMA Companies
01/26/2023  
Account Claims Associate II
As a member of our Claims team, you will proactively manage medical only and limited lost time claims in order to minimize losses, manage permanent total claims in order to minimize losses, and provide superior customer service. Responsibilities: Contact accounts on First Notices of Loss to obtain missing information pertinent to file set-up Process payments, answer phone calls, authorize treatment associated with Medical Only claims Complete appropriate contacts within 24 hours of assignment, and establish and maintain appropriate diary for follow-up Determine whether treatment is appropriate and causally related to the compensable injury Redirect treatment to network physicians as appropriate Refer subrogation potential claims or potential permanency claims to Supervisor Work to ensure compliance with all appropriate jurisdictional requirements on Medical Only claims, including timely form filing if applicable Maintain a working knowledge of...
PMA Companies DeWitt, NY, USA
PMA Companies
01/26/2023  
Account Claims Assoc II
As a member of our Claims team, you will proactively manage medical only and limited lost time claims in order to minimize losses, manage permanent total claims in order to minimize losses, and provide superior customer service.   Responsibilities: Contact accounts on First Notices of Loss to obtain missing information pertinent to file set-up Process payments, answer phone calls, authorize treatment associated with Medical Only claims Complete appropriate contacts within 24 hours of assignment, and establish and maintain appropriate diary for follow-up Determine whether treatment is appropriate and causally related to the compensable injury Redirect treatment to network physicians as appropriate Refer subrogation potential claims or potential permanency claims to Supervisor Work to ensure compliance with all appropriate jurisdictional requirements on Medical Only claims, including timely form filing if applicable Maintain a working knowledge of...
PMA Companies Schaumburg, IL, USA
National General Insurance
01/26/2023  
MD Field Claims Rep I, II, Sr.
This is a remote Auto Field Appraiser position. The ideal candidate will be located in the Fort Smith/Fayetteville/Rogers area. Job Summary: This role utilizes analytical skills to create a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. Key Responsibilities: Exhibits proficient estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses Processes a deep understanding of the content of all policy types written by the company Negotiates settlements, makes settlement payments and documents all activities in the file within escalated authority limits Applies thorough understanding of regulatory compliance and fair claims practices Builds established relationships with both internal and external customers Supervisory Responsibilities: This job does not have supervisory duties Preferred Qualifications: Education and Experience Bachelor's degree...
National General Insurance Springdale, AR, USA
National General Insurance
01/26/2023  
Auto Field Claims Estimator in Orlando, FL
National General is seeking an Auto Field Claims Estimator in the metro- Orlando, FL area ASAP! We will provide a company vehicle, and all of the equipment necessary to be successful here at National General! We offer a true work/life balance, along with a great team environment. Also, be sure to check out comprehensive benefit package below: Benefits: Medical, Dental, Vision 401(k) with 4% match Pension FSA/HSA PTO Buy Back Option No nights/weekend shifts, and no on-call duty $80/month stipend towards Internet Manager support, and a great team environment All equipment provided by company to ensure efficient work from home setup Company Car provided Up to 6 Weeks Paid Parental Leave Perks & Discounts Job Summary: Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our...
National General Insurance Orlando, FL, USA
PMA Companies
01/26/2023  
Account Claims Assoc II
As a member of our Claims team, you will proactively manage medical only and limited lost time claims in order to minimize losses, manage permanent total claims in order to minimize losses, and provide superior customer service. Responsibilities: Contact accounts on First Notices of Loss to obtain missing information pertinent to file set-up Process payments, answer phone calls, authorize treatment associated with Medical Only claims Complete appropriate contacts within 24 hours of assignment, and establish and maintain appropriate diary for follow-up Determine whether treatment is appropriate and causally related to the compensable injury Redirect treatment to network physicians as appropriate Refer subrogation potential claims or potential permanency claims to Supervisor Work to ensure compliance with all appropriate jurisdictional requirements on Medical Only claims, including timely form filing if applicable Maintain a working knowledge of...
PMA Companies Charlotte, NC, USA
Chubb
01/26/2023  
ESIS Claims Specialist, AGL
ESIS®, Inc., a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS’ innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients’ unique risk management needs. With more than 60 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry’s broadest selections of risk management solutions covering both pre and post-loss services. The AGL Claims Specialist:  Under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. This position will handle auto and general liability claims on high exposure losses. There could be coverage issues, contractual indemnity and litigation involved in each claim. This is for bodily injury claims, with significant exposures and/or complex coverage issues. Nearly all claims will be in...
Chubb Dallas, TX, USA
National General Insurance
01/26/2023  
Litigation Claims Adjuster
Job Summary: 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. Key Responsibilities: Handles investigation regarding most aspects of auto claims (coverage, liability and damages) with the exercise of limited discretion (limited independence) Applies basic understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understands other potential property damage For claims involving injuries (if handled), learns how to review, evaluate, and negotiate basic injury claims Supervisory Responsibilities:...
National General Insurance Philadelphia, PA, USA
PMA Companies
01/26/2023  
Senior Lost Time Claims Adjuster - Workers Compensation
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.   Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate claims...
PMA Companies Nashville, TN, USA
PMA Companies
01/26/2023  
Senior Lost Time Claims Adjuster - Workers Compensation
PMA, an Old Republic Company, has a unique, fully remote opportunity for an experienced Multi-state Workers Compensation Claims Adjuster on our exclusive full-time permanent Regional Technical Support Team! Bring your expertise to our group of highly regarded claims professionals who play a critical role in our organization's success. Enjoy work/life balance filling in for our adjusters who are on vacation or leave to keep their desks moving forward and our clients satisfied. If you like variety, are solution oriented and team focused but no longer want the responsibility of handling claim reviews and an ongoing pending this is the role for you! Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure...
PMA Companies Blue Bell, PA, USA
PMA Companies
01/26/2023  
Senior Lost Time Claims Adjuster - Workers Compensation - Remote
PMA, an Old Republic Company, has a unique, fully remote opportunity for an experienced Multi-state Workers Compensation Claims Adjuster on our exclusive full-time permanent Regional Technical Support Team! Bring your expertise to our group of highly regarded claims professionals who play a critical role in our organization's success. Enjoy work/life balance filling in for our adjusters who are on vacation or leave to keep their desks moving forward and our clients satisfied. If you like variety, are solution oriented and team focused but no longer want the responsibility of handling claim reviews and an ongoing pending this is the role for you! Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims...
PMA Companies Glen Allen, VA, USA
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