Make fair, accurate, and timely claims decisions on life insurance claims, analyzing beneficiary data and policy information.
Deliver a personalized, empathetic experience for beneficiaries by educating them on settlement options and communicating via phone, email, and letters.
Manage phone and transactional responsibilities while maintaining strict confidentiality and meeting production and quality standards.
Analytical ThinkingAttention To DetailCustomer Centricity
Accurately capture Auto and Property claims, ensuring complete First Notice of Loss documentation and triaging exposures.
Provide consultative policy guidance and effortless customer experiences to help customers understand coverage and next steps.
Collaborate with teams and vendors to drive timely claim resolution and maintain accuracy and compliance.
Liberty Mutual is a Fortune 100 insurance company that helps people navigate life's uncertainties with coverage and claims services. They are a large employer with a focus on inclusion and employee well-being, offering comprehensive benefits and professional development.
Responsible for timely and accurate submission of data calls and statistical data to regulatory bodies.
Review and interpret regulatory reporting requirements and analyze their impact.
Reconcile submissions to data sources and resolve variances to ensure accuracy.
Sutton National Group is a rapidly growing national property and casualty insurance carrier group. The company fosters a fast-paced, highly collaborative environment and seeks proactive, experienced problem solvers.
Serves as a subject matter expert for the entire ceded reinsurance process within Claims, reviewing all reinsurance claims completed by team members.
Manages reinsurance inquiries by triaging, assigning, and tracking responses to ensure timely resolution and communication with brokers.
Leads and monitors workload in the coding and closeout process, including reviewing claims with newly established reserves for accuracy and exposure alignment.
EMC Insurance provides insurance products and services with over 105 years of financial strength and stability. The company is a five-star insurance carrier with multiple locations recognized as Top Workplaces, fostering a culture that engages and empowers team members.
Supports the team by performing certificate of insurance reviews and reporting compliance to agents and clients.
Gains proficiency in key systems like Outlook, Teams, SharePoint, TrustLayer, and myCOI.
Develops time management skills to prioritize tasks and meet deadlines with a focus on quality.
IMA Financial Group is an insurance brokerage and consulting firm providing risk management, employee benefits, and wealth management solutions. With a strong focus on its associates, IMA has been recognized as a Best Place to Work and offers an entrepreneurial, employee-owned culture.
Responsible for accurately entering group and member enrollment data into Facets and eGEMS within specified time frames.
Responds to phone and written inquiries from internal and external customers regarding enrollment and billing.
Analyzes group payments, reconciles invoices, and ensures correct payment amounts.
Capital Blue Cross is a health insurance company and an independent licensee of the Blue Cross Blue Shield Association. They are consistently voted one of the 'Best Places to Work in PA' and prioritize employee well-being and community involvement.
Audits claims, customer service inquiries, member and group enrollment activities to validate Plan performance.
Supports internal audit and special investigations as needed.
Analyzes performance guarantee accounts and participates in external client audit requests.
Capital Blue Cross is a health insurance company providing coverage and services. They have been voted one of the 'Best Places to Work in PA' and foster a flexible, supportive culture with emphasis on employee well-being.
Analyze reported lower-level general liability claims to determine benefits due and ensure ongoing adjudication within company standards.
Support other claims representatives with larger or more complex claims, process payments, and maintain professional client relationships.
Ensure claim files are properly documented, monitor reserve accuracy, and file necessary documentation with state agencies.
Sedgwick is the world's leading risk and claims administration partner, helping clients navigate the unexpected with expertise and advanced technology. With over 33,000 colleagues across 80 countries, they offer a caring culture, career growth, and work-life balance, recognized as a Great Place to Work and Fortune Best Workplace.
Analyze, select, and classify life insurance applications of moderate complexity.
Evaluate medical and financial information to determine insurability and risk classification.
Collaborate with field partners and underwriting teams to deliver exceptional customer experience.
Nationwide is a Fortune 100 insurance and financial services company with nearly $70 billion in annual sales, dedicated to protecting people, businesses, and futures. They have a caring culture and have been named one of the Fortune 100 Best Companies To Work For.
Analyzes, investigates, and evaluates loss to determine coverage and claim disposition for complex financial lines claims.
Manages litigation process, sets reserves, and prepares comprehensive reports to communicate trends and issues.
Participates in mediations, arbitrations, and claims audits while maintaining adjuster licenses.
Liberty Mutual is an insurance company that provides property and casualty insurance products and services. With a large employee base, the company fosters an inclusive culture with comprehensive benefits and opportunities for professional development.
Provide daily phone coverage for the Notice of Loss 800 number, following scripts and best practices for customer interactions.
Assist customers by setting up claim first notices and keeping accurate records of all interactions and transactions.
Provide accurate and timely answers to routine claim inquiries while serving as a customer advocate.
Travel Insured International is a leading travel insurance provider with over 30 years of experience, offering travel protection plans to help individuals travel confidently. As part of Crum & Forster's Specialty Business Unit, it values inclusivity, diversity, and employee development with a supportive culture.
Prepare rating, quotation, and binding documentation for new and renewal submissions.
Track pipelines, monitor aggregate exposure, and generate accurate policy documents.
Support accounting functions and maintain organized records for reporting and special projects.
Paragon is a managing general agent focused on specialty insurance, founded in 2014 with a commitment to diversity and agility. They are one of the fastest growing MGAs in the country, with a small, expert, and fast-moving team.
Investigates complex Workers Compensation claims to determine coverage, compensability, and exposure.
Manages litigated files and participates in settlement negotiations and strategy discussions.
Uses data analysis and medical management strategies to resolve high-severity cases effectively.
Liberty Mutual is a diversified insurer offering a range of insurance products and services. The company has a large workforce and fosters an inclusive culture with a focus on professional development and employee well-being.
Collect and analyze data from multiple sources to identify trends and insights.
Utilize statistical techniques to interpret large datasets and provide actionable recommendations.
Support planning initiatives with data-driven insights and scenario analysis.
Cotiviti provides data analytics and insights to improve healthcare payment accuracy. The company operates globally with a focus on technology and expertise, fostering a culture of collaboration and continuous improvement.
Investigate and resolve auto physical damage and property damage claims in a timely manner.
Serve as primary customer contact, handling high volume calls and providing exceptional service.
Collaborate with team members and document claims activities accurately.
Mercury Insurance is a midsize insurance company dedicated to helping people reduce risk and overcome unexpected events. They have been recognized as one of America's Best Midsize Employers for 2025 and foster a collaborative, growth-oriented culture.
Analyze insurance portfolio performance and competitor products to drive business decisions.
Develop recommendations for product, pricing, and underwriting improvements based on data insights.
Create reporting tools, dashboards, and ROI calculators to support stakeholder decision-making.
RealPage is a property management software company that provides solutions for rental housing. It is a large, data-driven organization with a culture focused on innovation and analytical insights.
Handle first notice of loss reports for non-complex auto and property claims while ensuring accurate information collection.
Provide exceptional customer service by guiding customers through their claim experience and explaining options clearly.
Work efficiently in a high-volume remote environment while maintaining accuracy and customer satisfaction.
The company provides insurance claims services and supports customers through the initial stages of their claims journey. The company culture emphasizes empathy, collaboration, and employee growth, with a focus on delivering high-quality customer service.
Process medical claims by reviewing, validating, and entering data accurately and in compliance with policies.
Identify discrepancies, flag unusual cases, and escalate issues while maintaining productivity and quality standards.
Collaborate with peers, participate in training, and uphold confidentiality and regulatory requirements like HIPAA.
Sidecar Health is redefining health insurance by making excellent healthcare affordable and accessible for everyone. The passionate team, with backgrounds as tech leaders, policy makers, and healthcare professionals, is driven to fix a broken system and create a more personalized, affordable, and transparent experience.
Manage a portfolio of moderate to complex claims including bodily injury, PIP, and general liability property damage.
Take ownership of claims from investigation through resolution, evaluating coverage, liability, and damages.
Negotiate fair settlements and maintain accurate reserves while ensuring quality and audit standards.
West Bend is an insurance company providing claims services and fostering a culture of appreciation and belonging. The company has been recognized as a top workplace for 14 consecutive years and values diversity and professional growth.
Answer inbound calls and provide accurate, clear, and timely responses to traveler and travel advisor inquiries.
Create cases in Salesforce to address customer needs such as documentation or policy changes.
Participate in weekly coaching sessions and meetings on camera in MS Teams.
Travel Insured International, a Crum & Forster company, is a leading travel insurance provider with more than 30 years in business. We offer travel protection plans to help individuals travel confidently, and we are committed to providing dependable coverage, great value, and customer satisfaction.
Manage document workflows, including processing, quality assurance, and adherence to internal procedures.
Conduct incoming claim reviews, assign statuses, organize data, ensure accuracy, and route files to auditors.
Collaborate with internal teams to maintain the import queue, reconcile balances, validate charges, correct errors, and manage claim routing.
Machinify is a leading healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, they foster a collaborative culture focused on innovation and results.