1195 medical claim analyst jobs found

Excellence In Everything We Touch Position Summary Under direct supervision, processes medical only claims within authority, processes other claims open only for the administration of medical benefits (i.e. maintenance claims without actuarial reserves); approves payments and claimant reimbursements on lost time disability claims, within authority, after compensability has been determined.     Responsibilities Processes "M" Case claims (medical only) within area of payment authority up to, but not exceeding $3,500. Processes claims, other than “M” cases, where all issues (indemnity, legal, etc.) have been settled and the claim is only open for payment of medical benefits (i.e. maintenance claims not requiring actuarial reserves). Contacts, by telephone, insureds, claimants, and medical providers for additional information or medical verifications to verify and report the status of...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description Under general supervision, the Analyst II is responsible for investigating, negotiating, and settling basic and occasionally moderately complex CAT personal property or liability insurance claims. The individual reviews the insurance policy, reviews reports and photos, evaluates damages, determines loss coverage, negotiates and settles claims and authorizes payments. The selected incumbent will be required to work within CST. Hours for this role will be Monday-Friday between 7-7pm CST, with possible weekends and CAT hours.  Key...

Overview Statutory Data Reporting Analyst   We are currently seeking a Statutory Data Reporting Analyst to work out of our Home Office Location in Wilkes-Barre, PA or our office in Parsippany, NJ.   Berkshire Hathaway GUARD offers a collaborative company culture with outstanding benefits and competitive compensation. Our organization is still hiring during the Pandemic and we’re looking for talented individuals to join our team and establish a rewarding career with us.   Our success is founded on our strong reputation, and we have received an A+ “Superior” grade by the leading independent insurance rating organization. Backed by our ultimate parent company, Berkshire Hathaway Inc., our brand is founded upon trust, service, and innovation. If you’re looking for an employer with integrity and flexibility, keep reading to learn about our benefits and job openings.   Benefits: Work life balance schedule Hybrid work schedule:...

Overview Statutory Data Reporting Analyst   We are currently seeking a Statutory Data Reporting Analyst to work out of our Home Office Location in Wilkes-Barre, PA or our office in Parsippany, NJ.   Berkshire Hathaway GUARD offers a collaborative company culture with outstanding benefits and competitive compensation. Our organization is still hiring during the Pandemic and we’re looking for talented individuals to join our team and establish a rewarding career with us.   Our success is founded on our strong reputation, and we have received an A+ “Superior” grade by the leading independent insurance rating organization. Backed by our ultimate parent company, Berkshire Hathaway Inc., our brand is founded upon trust, service, and innovation. If you’re looking for an employer with integrity and flexibility, keep reading to learn about our benefits and job openings.   Benefits: Work life balance schedule Hybrid work schedule:...

Sr Ability Analyst - C409AN We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              Do you pride yourself on finding solutions and solving problems, by being a good listener and critical thinker? This is your opportunity to give those passions and talents new purpose by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused initial and ongoing Long Term Disability benefit determinations using vocational, medical, and financial claim management. The Senior Ability Analyst supports our mission of helping our customers rebuild their lives after an unexpected event or illness happens while following corporate claim standards, policies, and...

Sr Ability Analyst - C409AN We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              Do you pride yourself on finding solutions and solving problems, by being a good listener and critical thinker? This is your opportunity to give those passions and talents new purpose by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused initial and ongoing Long Term Disability benefit determinations using vocational, medical, and financial claim management. The Senior Ability Analyst supports our mission of helping our customers rebuild their lives after an unexpected event or illness happens while following corporate claim standards, policies, and...

Ability Analyst - C410AN Sr Ability Analyst - C409AN We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.           The Leave Management Analyst primarily investigates claims to determine if the insured person qualifies for benefits and works with them on a plan to return to work as soon as responsibly possible.  The Leave Management Analyst supports our mission of helping our customers rebuild their lives after an unexpected event or illness happens while following corporate claim standards, policies and procedures, and statutory, regulatory and ethics requirements. Location: Hartford, CT Start Date:  November 11, 2024 Training Hours:  8:00 AM - 5:00 PM / Monday-Friday Eastern Time Zone Length of...

Ability Analyst - C410AN Sr Ability Analyst - C409AN We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.           The Leave Management Analyst primarily investigates claims to determine if the insured person qualifies for benefits and works with them on a plan to return to work as soon as responsibly possible.  The Leave Management Analyst supports our mission of helping our customers rebuild their lives after an unexpected event or illness happens while following corporate claim standards, policies and procedures, and statutory, regulatory and ethics requirements. Location: Lake Mary, FL Start Date:  November 11, 2024 Training Hours:  8:00 AM - 5:00 PM / Monday-Friday Eastern Time Zone Length of...

Ability Analyst - C410AN Sr Ability Analyst - C409AN We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.           The Leave Management Analyst primarily investigates claims to determine if the insured person qualifies for benefits and works with them on a plan to return to work as soon as responsibly possible.  The Leave Management Analyst supports our mission of helping our customers rebuild their lives after an unexpected event or illness happens while following corporate claim standards, policies and procedures, and statutory, regulatory and ethics requirements. Location: Sunrise, FL Start Date:  November 11, 2024 Training Hours:  8:00 AM - 5:00 PM / Monday-Friday Eastern Time Zone Length of Training:   4 Weeks...

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world. Job Description: Location : We support US flexible working arrangements in the contiguous 48 states.   At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by...

As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people . At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world.  Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions. Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for a Claims...

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world. Job Description: Location : We support US flexible working arrangements in the contiguous 48 states.   At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by...

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world. Job Description: At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best...

About Us  We’re not like other insurance companies. From our specialty products to our business model, our culture to our results — we’re different. Different is who we are, and how we work, interact, deliver and succeed together. Creating a different and better insurance experience doesn’t just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us.  RLI is a Glassdoor Best Places to Work company with a strong, successful background. For decades, our financial track record has been stellar — a testament to our culture and validation of our reputation as an excellent underwriting company. Our insurance...

Overview The Claims Predictive Analytics Specialist will examine claims and other data sources to detect potentially fraudulent activity. They will conduct extensive research from both internal and external sources, to identify patterns, trends and anomalies that require further investigation. The investigative analyst will develop investigations from the patterns, trends or anomalies identified and document all relevant activity/elements in accurate detail and in a timely manner within the investigative case management system. They will prepare reports regarding the conclusions and recommendations drawn from the data to present information to Investigative Services management, state insurance fraud bureaus and/or law enforcement. They will also make recommendations for future policies and procedures that will help detect, identify and/or prevent future fraud. The analyst must maintain a solid understanding of AmTrust’s mission, vision, and values and uphold...

Company Details   Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best managed property/casualty insurers in the United States.   The company is an equal employment opportunity employer.   Responsibilities We have an opportunity for a Stop Loss Claims Analyst to join our...

Company Details   Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best managed property/casualty insurers in the United States.   The company is an equal employment opportunity employer. Responsibilities We have an opportunity for a Stop Loss Claims Analyst to join our Berkley...