2501 claims management analyst jobs found

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...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Worker's Compensation Claims Adjuster 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   Focused on Workers' Compensation, this role is an ideal opportunity to develop your expertise in handling and investigating complex claims. The aim is deal with genuine claims through a proactive, best practice approach, in line with AIGs quality...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Worker's Compensation Claims Adjuster 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   Focused on Workers' Compensation, this role is an ideal opportunity to develop your expertise in handling and investigating complex claims. The aim is deal with genuine claims through a proactive, best practice approach, in line with AIGs quality...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst IV – Management Liability 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 IV, you will be responsible for handling Employment Practices Liability with opportunity to handle Director & Officers and Fiduciary Liability Claims, identifying, investigating, and resolving multiple coverage issues at the earliest...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Property Claims Adjuster, TPA Oversight 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 TPA 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 Analyze and process first party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through...

The next part of your journey is right around the corner — with The Standard. A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we’ve been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference? Job Summary As an IDI disability claims analyst you will secure and analyze claim information to make disability claim decisions, including complex and high liability claims while also delivering excellent and timely customer service. Investigate, secure, and analyze information pertaining to claimants' medical condition, occupational demands, work earnings, business...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Great American Financial Institution Services specializes in providing risk management and product enhancement programs to vehicle lenders and lessors, commercial equipment lenders, auto dealers and mortgage lenders throughout the U.S. and Canada. Target clients include commercial...

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,  Sustainability  initiatives and  inclusive corporate culture .   Our Corporate Actuarial department is seeking a Actuarial Analyst to join our growing team in Worcester, MA Corporate Headquarters or remote work location.  POSITION SUMMARY:  This role within the Corporate Actuarial department will be responsible for helping to ensure the strength of Hanover’s balance sheet and providing management with critical insights through the Reserving analysis process.  Various forms of analysis include a formal quarterly review of the loss and DCCE reserves by accident and/or report year, appropriate business unit segmentation of carried reserves, an annual ULAE reserve review, a forecast of the ex-cat loss and ALAE ratios for the corporate financial plan, and...

As a Health and Benefits Senior Analyst  you will contribute to a wide variety of projects involving the design, financing and ongoing management of the full spectrum of health and benefit programs.  You will support the  project manager on select projects, interface with vendors and key clients internally and externally, create client deliverables, and ensure quality standards are met.  You will have the opportunity to significantly grow your health and benefits business acumen as well as your financial, project management and client relationship skills by working on cutting edge projects alongside leaders in the industry. The Role Materially contribute to core health and benefits projects supporting the design and management of group medical, dental, wellbeing, life, disability and absence management benefits for clients. Responsibilities include: Partnering with client service team leader to deliver superior project management Providing superior client service in response...

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 P&C Programs Business Analyst is responsible for the execution of operational support for P&C Programs. Providing operational and technical support to the P&C Programs team and our MGU/Program Administrator Partners. As the business analyst lead, ensure that all programs have the technical expertise and resources to support MGA and program needs around all aspects of program management outside of underwriting. This includes working with the Program Management and CUO teams, leading due diligence for the onboarding of new programs, maintaining underwriting and operational excellence for assigned P&C Programs and assisting with P&C Programs not...

The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication Use clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits Utilize applicable tools and resources to complete internal audits and/or appeals Timely completion of internal audits and/or appeals Attends clinical team meetings, company meetings, educational opportunities/trainings, and other meetings Additional duties as assigned   KNOWLEDGE & SKILLS: Ability to use clinical judgment and...

Location: Van Wert, OH; Dublin, OH Work Model: Hybrid  Position type: Full time - salary       We’re a team of employees passionate about delivering best-in-class customer service and driving innovation in claims management. Integrity, relationships, and excellence are at the heart of everything we do. Our employees fully utilize their talents and bring their best selves to work. We believe who you are is just as important as what you do! Join Central Insurance as a Data Analyst where you will play a pivotal role in transforming data into meaningful insights that drive business decisions and regulatory reporting. In this role, you will partner closely across IT, Finance, Actuarial, and Analytics teams to ensure data accuracy, integrity, and reliability while helping the organization meet critical reporting requirements and strategic goals. This is an opportunity for a curious, detail‑oriented professional who...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Business Rules Analyst Lead, you will lead in facilitating business requirements by means of design, workflow analyses and facilitated discussions with end users. Detailed understanding of supported technology to both manage and facilitate business needs when required. Translates users' business requirements for...

The Employee Benefits Analyst plays a critical role in delivering data‑driven insights and financial analysis to support employer clients with complex employee benefits programs. This position is responsible for analyzing renewal and proposal data, monitoring claims and utilization trends, and developing clear, actionable reporting that informs benefits strategy and decision‑making. Under the direction of the Senior Manager, Analytical Services, the Analyst serves as a primary analytical resource for a dedicated book of clients, supporting benefit programs across group medical, dental, vision, pharmacy, life, disability, and related offerings. The Analyst collaborates closely with Benefit Consultants, Account Management, carriers, and vendors to develop competitive RFPs, evaluate proposals, support negotiations, and deliver structured financial reporting. Success in this role requires strong analytical capability, attention to detail, the ability to manage multiple...

The salary range for this job posting is $69,152.00 - $123,921.00 annually + bonus + benefits. Pay Type: Salary The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process. Encova Insurance has an immediate opening for a Claims Business Analyst for our Columbus, Ohio corporate location. In this role, you will work a hybrid schedule and as such, the expectation is that you reside within a reasonable commute to our office. We can hire at multiple seniority levels depending on candidate qualifications and the posted compensation range is inclusive of all levels. As a Claims Business Analyst II, this role requires a minimum of two years of experience working with Guidewire ClaimCenter. Preferred...

SUMMARY:  Primarily responsible for supporting the document management including media by analyzing, processing, indexing, re-indexing and assigning a document type and/or sub-doc type to all documents received by all departments within the Enterprise. Documents are received via OnBase and/or paper, fax, media and email. The incumbent must distinguish what department a document belongs to, apply proper criteria to electronically route the document into an electronic database, and initiate workflow of these documents to appropriate core business units in an accurate and timely manner. Primary contacts include other departmental personnel, as well as external vendor contacts. This role is also responsible for processing of incoming documents for the Subrogation, Legal, Commercial Auto, Fronting Agreements, Assigned Risk, Regulatory, Investigations and Medicare/Medicaid teams. Subject matter expert for Document Specialists and Claims Document Analysts.   PRIMARY RESPONSIBILITIES:...

Job Description: Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate – pushing one another to transform not just Pacific Life, but the entire industry for the better. We’re actively seeking a talented Operations Claims professional to join our Operations Claims processing team within the Consumer Markets Division (CMD) in Omaha, NE or Charlotte, NC. This role follows a hybrid schedule of one day a week in office. As part of the Claims processing team, you’ll move Pacific Life, and your career, forward by ensuring accurate, timely, and compliant processing of insurance claims while delivering exceptional service to customers and internal partners. You will review and process contestable and non-contestable death and living claims on both annuity...

Join AIG's Forensic Accounting Unit as a Senior Forensic Accounting Analyst to play a crucial frontline role that will make the most of your technical expertise.  Make your mark as a Forensic Analyst As a claims professional, you are respected for your deep accounting expertise. You balance the needs of multiple stakeholders, making sound decisions using data, analysis, experience, and judgment, along with a risk mindset. Ultimately, you take ownership for key outcomes. We are recruiting for a highly motivated individual to join our AIG Forensic Accounting Unit. This is a great opportunity to join a team that is striving to be the best forensic unit in the industry. How you will create an impact: Utilize accounting principles and techniques to obtain, interpret, record, and analyze a variety of data from all business types to assist in the quantification and the measurement of commercial business insurance claims. Work with a team and supervisors and be mentored...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! The primary purpose of this Actuary position is to provide a range of decisions based on actuarial analysis and forecasting. This role is a key actuarial partner to Markel’s Bermuda professional lines underwriting team, supporting large, complex risks where sound actuarial judgment is essential. The position focuses on pricing, reserving, and portfolio insights, working directly with experienced underwriters to inform high impact decisions. The successful candidate will influence pricing, reserving, and...

About the Role   We are   seeking   a Senior Data Architect to join our Team   Innovation,   reporting to our SVP Learning & Technology.   The Senior Data Architect  is responsible for  designing, building, and  maintaining  scalable, secure, and reliable data infrastructure that powers American  Global’s  (AG) analytics, automation, and innovation initiatives.     This role will  lead  the development of cloud-based data pipelines, system integrations, and data models that support both internal operations and external client-facing analytics and portals. The role works in close partnership with external delivery vendors during active platform build phases, serving as AG’s primary technical counterpart, architecture reviewer, and knowledge transfer owner.   The Senior Data Architect serves as the technical bridge between system data sources and AG’s data platforms. The position also mentors junior team members, drives best...