2375 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...

Senior Claims Management Analyst Join us as a Senior 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 Oversees claim specific TPA activities involving policy coverage and management of indemnity, medical and legal aspects of highest valued, complex claims.  Reviews and analyzes TPA claim financials to ensure payments are appropriate and accurately coded, deductibles/retentions are properly eroded, and excess reimbursements are processed timely and accurately. Completes an...

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...

Join us as a Claims Adjuster 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   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 standards – you will actively promote and demonstrate the principles of ‘Treating Customers Fairly’ in claims handling.    You will also proactively identify and review...

Company Details   "Our Company provides a state of predictability which allows brokers and agents to act with confidence." Founded in 1967, W. R. Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States.   Along the way, we’ve been listed on the New York Stock Exchange, become a Fortune 500 Company, joined the S&P 500, and seen our gross written premiums exceed $10 billion.   Today the Berkley brand comprises more than 60+ businesses worldwide and is divided into two segments: Insurance and Reinsurance and Monoline Excess. Led by our Executive Chairman, founder and largest shareholder, William. R. Berkley and our President and Chief Executive Officer, W. Robert Berkley, Jr., W.R. Berkley Corporation is well-positioned to respond to opportunities for future growth.   The Company is an equal employment opportunity employer....

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Law Firm 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.  Reporting directly to the NAM Head of Law Firm Management, the role will be responsible for supporting the contracting of claims Law Firms, engaging in the collection of Law Firm due diligence, issuing contract documentation, supporting commercial negotiations, and storing and uploading all...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Law Firm 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.  Reporting directly to the NAM Head of Law Firm Management, the role will be responsible for supporting the contracting of claims Law Firms, engaging in the collection of Law Firm due diligence, issuing contract documentation, supporting commercial negotiations, and storing and uploading all commercial...

REVOLUTIONIZE CYBER INSURANCE WITH ADVANCED ACTUARIAL METHODS At-Bay is the world’s first InsurSec provider designed from the ground up to help businesses tackle cyber risk head on. By combining industry-leading insurance with world-class cybersecurity technology, At-Bay offers end-to-end prevention and protection for the digital age. With 98% of cyber insurance claims in the past five years coming from small and mid-size businesses with revenue under $2B, providing an integrated solution to help manage risk is more critical than ever. At-Bay helps its 40,000+ customers close their security technology and skills gap — all through their cyber insurance policy — making them less likely to be hit with a ransomware attack. As a full-stack insurance company, At-Bay offers multiple lines of specialty insurance, including Cyber, Tech E&O, and Miscellaneous Professional Liability (MPL) policies. Why you should join our Risk Analytics team: The Risk Analytics team is...

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 across the nation, 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 This position will be responsible for researching health, disability and life insurance laws and regulations to comply with both Group and Individual insurance . Utilize insurance knowledge to provide product expertise to various business units within the company. Consultant will be responsible for preparation and submission of policy related...

Sentry is looking for an Information Security professional to join the Governance, Risk & Compliance team as a Governance, Risk & Compliance Analyst. As a Governance, Risk & Compliance analyst, you will participate in information security risk management by testing the effectiveness of security controls, assessing security controls and compliance for suppliers, systems, and processes against threats and industry best practices to confirm adherence to security and compliance requirements. What You'll Do As a Governance, Risk & Compliance Analyst, you will: Perform security testing using GRC platforms and other analysis tools to evaluate the design and effectiveness of key controls. Identify and report any security gaps as part of external facing audits, such as SOC1, PCI, and Financial Statement Audit. Participate in and/or conduct security risk assessments to identify concerns and ensure compliance with published policies, standards, and requirements is...

  The Policy and Payment Integrity Analyst II assists with the development, implementation, and maintenance of an effective compliance policy and payment integrity program for our multi-state healthcare organization. This individual is responsible for researching and identifying best practices in the development and implementation of payment policy, and/or policy initiatives; researching various healthcare policies; interpreting client, state, and CMS payment policies; assist in writing white papers and other documents that are used to assist in the review of claims for hospital bill audits.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Research and assist in executing and developing programs addressing healthcare payer policy changes and/or other topics identified as potential risk areas Maintain an awareness of current laws, statutes, regulations, etc. that impact healthcare operations, and design strategies and solutions to address Research, interpret and apply...

Overview ANV Global Services, Inc. (ANV), a fast-growing MGA specialized in financial lines insurance, requires a professional with extensive experience with requirements gathering, data, analytics, and management information delivery.  The role includes maintenance and enhancement of pricing engines for ANV´s various lines of business, improved efficiency through data mapping and integration as well as enhanced decision making through the development of automated management information and data analysis.  Role is based out of ANV´s Morristown office but will service both our US and International operations.  Responsibilities Partner closely with underwriting, claims and operations departments to improve risk selection, drive efficiency and management reporting Maintain and enhance ANV´s pricing engines to improve the data quality and ensure data integrity Gather data from various sources and clean raw datasets, evaluate...

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.   DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all....

Casualty Coverage and Mass Tort Senior Claims Adjuster At AIG, we are reimagining the way we help customers to manage risk. Join us as a Casualty Coverage and Mass Tort Senior Claims Adjuster to play your part in that transformation. You’ll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address the rapidly evolving risk environment. Grow your career at the forefront of Casualty insurance. In Casualty Coverage and Mass Tort Claims, we strive to live AIG’s corporate values: Take Ownership, Set the Standard, Win Together, Be an Ally, Do What’s Right. At AIG, we are committed to creating a culture that truly respects and celebrates each other’s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through our flexible work arrangements, diversity and inclusion learning, cultural awareness activities...

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 Benefits Analyst to join our growing team in Plano, TX. ​ The Benefits Analyst collaborates with internal teams and external partners to ensure timely resolution of client needs, including benefit plan updates, reporting requests, and vendor coordination. Reviews and interprets utilization trends and plan performance to support client discussions and renewal preparation. Assists in developing plan design recommendations and ensures smooth implementation of benefit changes, always prioritizing client satisfaction and operational excellence. How You Will Contribute: Meeting preparation and takeaways Account and action log management Client folder organization and management OE meeting prep and presentation OE documents review and completion Escalated claims issue resolution...

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 across the nation, 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 Secure and analyze claim information to make and approve disability decisions and payments on disability claims.  Develop, apply and approve appropriate claim and disability management strategies to ensure prompt and accurate payment and liability management of disability claims.  Provide responsive and caring customer service to claimants,...

Overview As a Senior Technical Sales Consultant (Claims) you will seek to understand detailed customer needs and define how Origami Risk solutions can meet those needs both in RFPs and in person. Technical Sales Consultants are responsible for configuring and presenting complex solution demonstrations and leading technical discussions.    Starting base pay for this role is between $122,000 and $150,000. 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 reimbursement, life insurance, and a 401(k) with company match. We offer vacation and sick leave benefits (under a flexible time off policy in most states).   Responsibilities Collaborates...

Description We are excited to announce that we are building our dedicated Life Sciences Underwriting team to launch Liberty Mutual's specialized Life Sciences Industry Practice within the Middle Market.  Under the leadership of Tory Agnich, Chief Underwriting Officer, Middle Market Life Sciences, our vertical is committed to delivering comprehensive, integrated multi-line Property and Liability insurance solutions tailored to mid-sized companies (R&D stage through $2B insured product/service revenue) spanning biotechnology, pharmaceuticals, medical devices, dietary supplements, analytical laboratories, digital health innovators, cellular and tissue-based products, and the broader ecosystem that supports these companies.  This is a unique opportunity for professionals with a genuine passion for the Life Sciences sector to join an innovative, forward-thinking practice, supported by the full breadth of Liberty Mutual's product and service capabilities. ...

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. The Opportunity We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, Chesapeake, VA or Tampa, FL . Relocation assistance is not available for this position. The candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be responsible for delivering...

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. The Opportunity We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, or Tampa, FL . Relocation assistance is not available for this position. Provide decision support for business areas across the enterprise. Staff in this area will be responsible for applying mathematical and statistical techniques and/or innovative /quantitative analytical approaches to...