Manage end-to-end drug prior authorization and claims cases, assessing requests against clinical guidelines and plan provisions.
Communicate authorization outcomes clearly to members, providers, and internal stakeholders while resolving escalated and complex scenarios.
Serve as a subject matter expert to support teams, training, and continuous improvement initiatives.
The hiring company operates in the insurance and benefits sector, managing complex drug prior authorization and claims cases. It is a global organization with a collaborative culture that values flexibility, continuous improvement, and employee well-being.
Leads enterprise portfolio risk management and performance oversight across multiple products, channels, and geographies.
Directs underwriting strategy, governance, and pricing frameworks in partnership with Product, Actuarial, and Sales leadership.
Uses advanced analytics and modeling to translate complex data into actionable business strategies that balance growth and risk.
Protective Asset Protection provides finance and insurance (F&I) solutions for the automotive industry, offering vehicle protection products, GAP coverage, and warranties to dealerships nationwide. Part of Protective Life Corporation, the company has served the industry for over 60 years and values employee wellbeing, inclusion, and professional growth.
Guide customers through the claims process, investigating and processing claims for vehicle/property damage and moderate bodily injury.
Review coverage, set reserves, arrange inspections and rentals, and address customer inquiries to ensure satisfaction and retention.
Analyze medical records, negotiate settlements, and collaborate across departments and team members for a smooth claims experience.
Mercury Insurance helps people reduce risk and overcome unexpected events with auto and property insurance. As one of America's Best Midsize Employers for 2026, the company fosters a culture of growth, fun, and teamwork.
Educate prospective customers on Home & Auto insurance options using PolicyMe's digital platform and consultative advice.
Manage a high-volume inbound pipeline of leads, converting qualified opportunities into closed policies via phone, SMS, and email.
Track all touchpoints in HubSpot and refine sales scripts, workflows, and follow-up sequences to improve conversion.
PolicyMe is Canada's leading digital insurance solution, offering straightforward and affordable life, health, and auto insurance. This remote-first Toronto startup has grown exponentially since 2018, selling over $10 billion in coverage, with a low-ego, high-performing team.
Provide consultative support and policy management for commercial insurance clients across accounts, new business, or renewals.
Drive growth by identifying upsell opportunities, negotiating with underwriters, and converting inbound leads.
Collaborate with team members and partners to deliver tailored coverage solutions while maintaining accurate records.
Zensurance is an InsurTech platform redefining commercial insurance for Canadian businesses through a digital-first experience. The company has been recognized by Deloitte's Technology Fast 50 and Fast 500 for its rapid growth and values ownership, collaboration, and innovation.
Analyze complex liability claims to determine benefits and ensure timely resolution.
Negotiate settlements within authority and identify subrogation opportunities.
Communicate claim activity with claimants, clients, and excess carriers.
Sedgwick is a global risk and claims administration partner helping clients navigate the unexpected. With over 33,000 colleagues worldwide, we foster a caring, inclusive culture.
Develop and maintain personal lines insurance contracts, forms, and endorsements across multiple states.
Test product output against state filings to confirm accuracy in function and formatting.
Partner with product, underwriting, pricing, actuarial, claims, and technology teams to deliver changes end-to-end.
Branch is an insurance company on a mission to make insurance more accessible by using data, technology, and automation. It is a remote-first company with a collaborative culture, offering flexible time off and an equitable, transparent pay philosophy.
Manage accident-related accounts from intake to resolution, coordinating no-fault and liability benefits.
Submit claims to carriers, maintain accurate records in AcciClaim, and monitor insurance portals.
Work independently, set priorities, and communicate professionally with patients and adjusters.
Revecore helps hospitals recover revenue they've earned so they can continue serving patients and communities. Trusted by more than 1,300 hospitals across 48 states, the company combines specialized expertise with proprietary technology and fosters a supportive, innovative workplace.
Investigate, evaluate, negotiate, and resolve complex property claims, including litigated and environmental losses.
Conduct coverage analysis and collaborate with legal, engineering, and restoration experts on complex files.
Provide technical guidance, mentoring, and strong customer service in a fully remote environment.
The hiring company is an insurance organization specializing in complex property claims management and customer support. It operates as a fully remote Canadian team and emphasizes flexibility, professional development, and community involvement.