Source Job

$85,040–$162,550/yr
US

  • Evaluate and conclude claims identified by SIU Investigators.
  • Investigate unusual, questionable, or suspicious claims or underwriting activity.
  • Serve as the adjuster of record on transferred claims.

Insurance Fraud Claims

20 jobs similar to SIU Case Manager

Jobs ranked by similarity.

US 3w PTO

  • Manages an inventory of claims to evaluate compensability/liability.
  • Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
  • Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.

At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive, building an environment that welcomes perspectives and experiences.

$29,608–$51,814/yr
Canada

  • Act as the first point of contact to customers who are reporting an insurance claim.
  • Gather and record all relevant information regarding the insurance claim and enter data into system.
  • Provide ad-hoc administrative support to the claims department.

As Canada’s most cutting-edge home insurance carrier, Max Insurance is entering a period of exciting growth.

US

Adjust complex or high exposure construction defect claims. Investigate facts of the loss by securing statements and supporting documentation. Exercise judgment in applying legal liability to assigned claims.

Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial insurance wholesaler leading innovation in the market.

US

  • Analyzes and processes complex veterinary claims, managing them to a timely resolution.
  • Negotiates claim settlements and calculates appropriate reserves.
  • Identifies fraud, subrogation, and recovery opportunities to reduce claim costs.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

$90,000–$130,000/yr
US

The Senior Insurance Forms Consultant leads Product Design as well as multi-disciplinary consulting projects for Perr&Knight clients. Access and review insurance related laws and regulations. Prepare support and compliance reviews, including forms checklists and transmittals for form filings, including drafting explanatory language. Keep informed on industry trends, changes in the marketplace, etc.

Perr&Knight provides insurance consulting and software solutions to the property & casualty and life, accident & health industries for over 30 years.

US

  • Handle complex professional liability claims with an emphasis on legal malpractice claims.
  • Evaluate coverage, assess risk transfer opportunities, analyze liability and damages.
  • Manage litigation, negotiate, and ensure all files are appropriately reserved.

Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Complex Claim Specialist.

US

  • Analyze Excess Casualty submissions to determine risk eligibility.
  • Determine appropriate limits, attachment points, pricing, and terms.
  • Provide customer service on policy transactions.

Core Specialty offers a diversified range of property and casualty insurance products for small to mid-sized businesses.

  • Perform auditing of claims, ensuring processing, payment, and financial accuracy.
  • Complete reporting of audits finalized with decision methodology for procedural and monetary errors.
  • Communicate corrections and adjustments to Examiners as identified on pre-payment audits.

Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their bills.

  • Assist clients in the initiation of auto insurance claims, providing guidance and support through the initial reporting process.
  • Follow up with insurance companies to check on status of claims and troubleshoot any hold ups / blockers in their processing.
  • Gather and review all necessary documentation related to insurance claims, including accident reports, policy details, and other relevant information.

Lendbuzz develops innovative technologies that provide underserved and overlooked borrowers with better access to credit.

Assist clients by providing product and service information and resolving complaints. Assess risks for automobile and property policies, applying proper underwriting standards. Attract potential clients by answering questions and providing information regarding products and services.

At the OTIP Group of Companies (OGC), they believe that something special happens when employees feel valued for the work they do.

$55,000–$65,000/yr
US

  • Enter new cases in the Agency Management System and monitor the New Business email inbox.
  • Review applications, submit offers, order medical exams, and track case progress.
  • Maintain relationships with agents and underwriters, and seek ways to improve processes.

Modern Life is a technology-enabled brokerage that uses digital tools and expert support to empower advisors with life insurance. They are backed by $35M from top-tier investors including Thrive Capital, New York Life, and Northwestern Mutual, and are experiencing high growth.

$45,000–$65,000/yr
US 3w PTO 14w maternity 8w paternity

Connect with customers via calling, email, and text, while understanding their insurance needs and presenting suitable solutions. Communicate the unique features and benefits of various insurance carrier’s products, addressing any inquiries or concerns. Work leads provided by the company to maximize your sales potential and conversion rate.

Kin is redesigning insurance to be smarter, faster, and centered on the customer.

US

  • Responsible for creating a positive 1st impression of SelectQuote and answering inbound calls.
  • Execute transfer of potential customers to a licensed insurance agent and educate consumers on SelectQuote's value proposition.
  • Meet and exceed specified monthly goals for transfer rates and other key performance indicators.

SelectQuote helps customers protect what they value most by offering various insurance options. They have over 2 million families trusting them with their insurance needs and provide unmatched career growth opportunities.

$50,000–$55,000/yr
US

  • Manage service tasks, process renewals, and respond to policy-related inquiries.
  • Maintain client satisfaction and ensure timely and accurate handling of insurance documents and communications.
  • Assist clients in filing and updating insurance claims.

Leavitt Group is one of the largest privately-held insurance brokerages in the nation, with over 275 locations across 27 states.

US

As a Commercial Casualty Litigation Adjuster, you'll manage claims involving catastrophic injuries and litigation from start to finish. Provide direction to defense counsel and negotiate settlements with limited oversight, managing defense costs and indemnity. Handle complex auto liability cases, conduct investigations, and make coverage determinations.

Mobilitas is a commercial insurance company created by CSAA Insurance, aiming to reinvent commercial insurance in the mobility space with advanced technological solutions.

$57,235–$62,991/hr
US

  • Manage a large inventory of claims ranging from minor to moderate complexity.
  • Investigate, evaluate, negotiate, and settle auto and property damage claims for commercial rideshare and commercial GIG economy.
  • Document claim files, send correspondence, and communicate with all parties involved.

Mobilitas is a commercial insurance company created by CSAA Insurance, aiming to reinvent commercial insurance in the mobility space by providing technologically advanced solutions. They foster a culture that encourages big thinking, fast action, and dedication to creating a company from the ground up.

US 4w PTO

  • Analyze performance data to identify portfolio trends and insights.
  • Communicate insights to diverse stakeholders.
  • Lead execution of prioritized initiatives, including cross-functional coordination and project management.

Liberty Mutual's goal is to create a workplace where everyone feels valued, supported, and can thrive and builds an environment that welcomes diverse perspectives.

Canada

  • Manage the team's volumes and headcount forecasting and identify areas of opportunity.
  • Supervise, manage, and guide a team of underwriters and underwriting assistants, fostering an environment of continuous learning.
  • Drive improvements to team performance by refining processes and consistently meeting SLAs and KPIs.

Zensurance is redefining commercial insurance for Canadian businesses by making getting the right coverage simple, fast, and accessible through a digital-first experience.

US

Conducts medium- to high-complexity investigations into alleged fraud, waste and abuse. Assists with the administration of Program Integrity activities. Supports the execution and oversight of moderate- to high-complexity privacy-related compliance activities.

Central California Alliance for Health is an award-winning regional Medi-Cal managed care plan providing health insurance to residents in multiple counties.