268 claims research associate jobs found

Sentry Insurance At Sentry, we are looking for an analytical and results driven individual to join our Corporate Underwriting team as a Specialty Insurance Underwriting & Products Practice Leader. In this role you will be a technical resource for specialty products, evaluate financial results, develop strategic initiatives, and implement them through the business units to ensure attainment of premium and loss goals for the assigned line of business. You'll research and evaluate possible new specialty commercial lines opportunities to drive growth while staying informed on current and future markets and competitive forces. This position would ideally be located at our Home Office in Stevens Point, WI, however, a remote option would be considered for the right candidate based on qualifications and experience. What You'll Do As a Specialty Insurance Underwriting & Products Practice Leader you'll plan, organize, and control insurance products from conceptual stages...

Sentry Insurance At Sentry, we are looking for an analytical and results driven individual to join our Corporate Underwriting team as a Specialty Insurance Underwriting & Products Practice Leader. In this role you will be a technical resource for specialty products, evaluate financial results, develop strategic initiatives, and implement them through the business units to ensure attainment of premium and loss goals for the assigned line of business. You'll research and evaluate possible new specialty commercial lines opportunities to drive growth while staying informed on current and future markets and competitive forces. This position would ideally be located at our Home Office in Stevens Point, WI, however, a remote option would be considered for the right candidate based on qualifications and experience. What You'll Do As a Specialty Insurance Underwriting & Products Practice Leader you'll plan, organize, and control insurance products from conceptual stages...

Sentry Insurance At Sentry, we are looking for an analytical and results driven individual to join our Corporate Underwriting team as a Specialty Insurance Underwriting & Products Practice Leader. In this role you will be a technical resource for specialty products, evaluate financial results, develop strategic initiatives, and implement them through the business units to ensure attainment of premium and loss goals for the assigned line of business. You'll research and evaluate possible new specialty commercial lines opportunities to drive growth while staying informed on current and future markets and competitive forces. This position would ideally be located at our Home Office in Stevens Point, WI, however, a remote option would be considered for the right candidate based on qualifications and experience. What You'll Do As a Specialty Insurance Underwriting & Products Practice Leader you'll plan, organize, and control insurance products from conceptual stages...

New York Life Insurance Company Location Designation: Hybrid - 3 days per week Our New York Life culture has laid the foundation for over 180 years of commitment to our employees, agents, policy owners, and the communities where we live and work. Here you become a valued part of a welcoming, inclusive, and caring organization with a long-standing legacy in stability and growth. The strength revolves around our diversified, multi-dimensional business portfolio that goes beyond life insurance. As a Fortune 100 company and industry leader, we provide an environment where you can explore your career ambitions, offering opportunities to tackle meaningful challenges and stretch your skills while balancing work and life priorities. You willbe part ofan inclusive teamguided by our belief to always be there for each other-providing the support and flexibilityto grow and reach new heights while making an impact in the lives of others. You are our future, and we commit to...

Sentry Insurance Manages a team of medical bill review representatives who are tasked with ensuring accurate interpretation of the governing laws and regulations surrounding the processing and transmission of disability and medical payment data related to workers' compensation claims. Manages and assigns the medical bill inventory to ensure timely processing. Assists with the implementation of systems, workflows and processes that support and comply with laws and regulations pertaining to timely and accurate processing, payment, and reporting of Workers' Compensation medical bills. Accurately interprets state fee schedules and other medical bill regulations as well as medical bill coding data including ICD9/10, CPT and HCPCS codes. What You'll Do: As a Medical Bill Review Supervisor, you will manage a team of medical bill review representatives who are tasked with ensuring accurate interpretation of the governing laws and regulations surround the processing and transmission...

Sentry Insurance The Senior Event & Meeting Planner manages the entire event planning process for complex events. This includes, but is not limited to internal meetings and events, incentive trips, board meetings, and sports sponsorships. Meets with Sentry executives to understand specific event and/or meeting needs. Serves as the main point of contact for any corporate events and/or meetings. Provides effective project management of meetings and events, maintains ongoing vendor relationships, and provides high quality internal and external client support. What You'll Do Leads and implements all aspects of event and meeting strategies and planning requirements for large complex events, ensuring the timely and effective implementation of all operational aspects. Responsibilities include but are not limited to travel arrangements, ground transportation, facilities and equipment, food and banquet requirements, entertainment, participant activities, amenities, gifts, etc....

Sentry Insurance Provides prompt subrogation investigation, evaluation and communication to the claims departments on open claim files and handles subrogation recovery efforts on closed claim files where third party responsibility has been identified. Authorizes expense recovery payments in accordance with assigned authority limit to enhance collection efforts. May handle, monitor and/or assign collection efforts to outside vendors as appropriate. Documents claim files with all pertinent information. Handles subrogation files of the lowest complexity. May have minimal exposure to subrogation files of moderate complexity. This position may be used for employees who are new to claims or who have limited claims experience and knowledge. T his role will be filled following our hybrid work model at our Davenport, IA office. What You'll Do As a Claims Rep I - Subrogation Adjuster, you will: Participates in claims educational courses to learn about claim subrogation...

Sentry Insurance A Customer Service Professional position requiring creativity, empathy, interpersonal skills and a strong desire to assist customers. Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empathy and understanding and explains policy coverages and claims processes to customers. Authorizes payments in accordance with assigned authority limit. Documents claim files with all pertinent information and disposition. Responsible for handling claims having moderately complex negligence, compensability, damage and coverage issues, such as bodily injury. May include handling low complexity litigation in some claims niches. Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empathy and understanding and explains policy coverages and claims processes to customers. Authorizes payments in accordance with assigned authority limit....

Manatt, Phelps & Phillips, LLP Brief Description Manatt, Phelps & Phillips, LLP, is seeking an associate with three to four years of employment defense experience to join our nationally prominent, Chambers and Legal 500ranked Employment and Labor practice. We are looking for candidates who are excited about taking on more responsibility. Ideally, candidates will have experience in a wide variety of employment matters, including litigation defense of wage and hour class actions, discrimination and retaliation matters; drafting motions for summary judgment and other dispositive motions; and advising clients on company policies and procedures and on key legal risks involving client employment practices. Experience drafting employment agreements and developing and implementing training programs and auditing programs for employers is a plus. Excellent legal writing and research skills are required. Employment works collaboratively across offices and industry sectors. It...

Manatt, Phelps & Phillips, LLP Brief Description Manatt, Phelps & Phillips, LLP, is seeking an associate with three to four years of employment defense experience to join our nationally prominent, Chambers and Legal 500ranked Employment and Labor practice. We are looking for candidates who are excited about taking on more responsibility. Ideally, candidates will have experience in a wide variety of employment matters, including litigation defense of wage and hour class actions, discrimination and retaliation matters; drafting motions for summary judgment and other dispositive motions; and advising clients on company policies and procedures and on key legal risks involving client employment practices. Experience drafting employment agreements and developing and implementing training programs and auditing programs for employers is a plus. Excellent legal writing and research skills are required. Employment works collaboratively across offices and industry sectors. It...

CCC Intelligent Solutions Pay Rate/Hourly Range: The hourly range is $20.00 - $43.00 per hour. Pay is based on factors including school year, program of study, role responsibilities, etc. CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-trillion-dollar insurance economy , creating intelligent experiences for insurers, repairers, automakers, part suppliers, and more. At CCC, we're making life just work by empowering more than 35,000 businesses with industry-leading technology to get drivers back on the road and to health quickly and seamlessly. We're pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its connections, CCC technologies empower the people and industry relied upon to keep lives moving forward when it matters most. Learn more about CCC at www.cccis.com . The Role As a member of AI Enablement team in CCC, you will be...

City of Greenville Job Summary Under limited direction and in compliance with technical, administrative, regulatory, or professional standards and guidelines, manages the City of Greenville's comprehensive Risk Management program. Identifies, evaluates, prioritizes, and manages the key risk of loss issues and liability of the City through the implementation of risk management methods and loss control techniques to protect the employees and assets of the City; minimize the effects of risks and losses; provide cost efficient utilization of self-insurance and insured programs, and implement policies, procedures, and programs to make Greenville a safe and accessible City. Maintains the Risk Management internal service fund and claims accounts. Develops and administers the annual Risk budget and cost allocations. Directs claims management activities and provides coordination between the City and external parties related to losses, claims, and litigation. Serves as...

Sentry Insurance Sentry is seeking an analytical and results driven individual to expand our actuarial capabilities in Claims. This position will be responsible for developing new analytical tools and capabilities to evaluate trends and performance in Claims; monitoring results, identifying issues and trends, and communicating throughout the organization. This is a high-profile position with frequent interaction with executive leadership throughout Sentry. This position will be part of the Reserving team, but will partner closely with our Claims teams. If this opportunity resonates with what you're looking for, we want to hear from you. We're looking for an eager self-starter to join our team. The level that the selected individual will be hired at will be determined by the related skills and qualifications of the candidate hired. This position will be located at our Office in Stevens Point, WI in a hybrid work model and is not a fully remote opportunity. For this...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk adjustment. This person will support the Director of Risk Adjustment by monitoring and reporting on risk adjustment KPIs, delivering insights for prospective and retrospective risk adjustment operational decisions, and working independently to improve process and data integrity. In addition, this person will work directly with vendors that supply additional data and reporting. Note: We are looking for an experienced professional to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. ESSENTIAL FUNCTIONS: Engages in data exploration using various programming languages (reading and writing code), requiring...

Sentry Insurance Sentry is seeking a skilled attorney to join our team as Associate Counsel. This position will be responsible for providing legal advice and counsel to management, including direct interaction with senior executives, in areas of legal specialization and in general legal matters to assist in addressing a wide range of legal and business issues. What You'll Do: Provide legal advice and counsel to management regarding corporate employment-related matters (including compliance with and adherence to federal, state and local employment laws, employee benefits, safety and security, attendance and leave issues and other employment law matters affecting the employees of the Company) Ensure efficient and quality legal advice and counsel is provided through written and verbal communication Interact with human resources, management, employees, vendors, and other business contacts as necessary Represent the Company, or select and supervise outside counsel in the...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their domain of responsibility utilizing in-depth knowledge and expert skills to advance domain strategies. Translates business needs for the domain into architectural solutions that meet performance, reliability and security expectations. Applies enterprise roadmaps, principles, standards, and practices to drive their domain strategies and execution. ESSENTIAL FUNCTIONS: Primary for preparing domain architecture viewpoints and models depicting current, target, and interim states. Use current state viewpoints to identify and analyze pain points and opportunities (PPOs). Perform advanced modeling and analysis to meet the strategic needs of the organization with respect to system, information, functional/non-functional needs, performance and security/regulatory requirements. Create and utilize architecture...

Redwood Credit Union ABOUT REDWOOD CREDIT UNION (RCU): At Redwood Credit Union, our mission is to passionately serve the best interests of our Members and communities. Since 1950, we have been dedicated to supporting the financial well-being of our Members through better rates, low or no fees, and best-in-class customer service. Our purpose is to inspire hope and elevate the financial well-being of our communities one person at a time, through good times and bad. As a not-for-profit financial institution, we are committed to a people-first approach, which is reflected not only in how we serve our Members, but also in how we treat our employees. Our leadership team is deeply focused on fostering a culture of heart and empathy, integrity, passion, inclusion, meaningful relationships, excellence, and ensuring financial well-being for all. Why work for Redwood Credit Union? * 37th largest credit union in the U.S. and the largest financial institution based in the North Bay...

McGuireWoods Job Description: The Chicago office of McGuireWoods seeks an Associate to join its Antitrust group. Businesses should be able to use all available tools and strategies to compete. At McGuireWoods LLP, we look for creative, practical ways for clients to compete effectively with maximum flexibility and acceptable risk. We serve clients as business counselors, trial lawyers and agency professionals throughout the world in virtually every significant area of antitrust and competition law, including: Antitrust Audits and Compliance Programs Antitrust Counseling Antitrust Litigation and Government Investigations Business Antitrust Counseling Class Action Litigation Debarment Proceedings European Competition, International Trade and EU Regulatory Grand Jury Investigations and Criminal Prosecutions International Cartel Investigations Mergers and Acquisitions Private Treble Damage Litigation State Aid within the EU McGuireWoods, one of the...

New York Life Insurance Company Job Requisition ID:91839 Location Designation: Fully Onsite Location : 44 South Broadway, White Plains, New York 10601 (fully in-office) Offered Wage : $175,000.02/year Duties : Partner with foundational business leaders and enterprise stakeholders to deliver analytical solutions and insights to aid in the decision-making process and drive innovation. Improve internal processes across client, agent, and product value streams to enhance operational efficiency. Work on a wide variety of compelling high-impact projects, including client segmentation, agent productivity trends, client purchasing behavior, and various attribution analyses. Own the development of high-advanced data pipelines to enrich client, product, and agent datasets for high-profile analyses. Formulate strategic solutions utilizing data programming languages, predictive artificial intelligence (AI), generative artificial intelligence (GenAI), pipeline, and...

New York Life Insurance Company Location Designation: Hybrid - 3 days per week Our New York Life culture has laid the foundation for over 180 years of commitment to our employees, agents, policy owners, and the communities where we live and work. Here you become a valued part of a welcoming, inclusive, and caring organization with a long-standing legacy in stability and growth. The strength revolves around our diversified, multi-dimensional business portfolio that goes beyond life insurance. As a Fortune 100 company and industry leader, we provide an environment where you can explore your career ambitions, offering opportunities to tackle meaningful challenges and stretch your skills while balancing work and life priorities. You willbe part ofan inclusive teamguided by our belief to always be there for each other-providing the support and flexibilityto grow and reach new heights while making an impact in the lives of others. You are our future, and we commit to...