The Complex Claims Adjuster will deliver quality claim file management and an industry-leading customer claims experience, by providing hands-on adjudication of catastrophic and large loss claims. This role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie’s customers.
This position has overall executive management responsibility for the claims function. The VP of Claims affects our company top to bottom; leading on best practices, outcomes, innovation, data analysis, and people will allow us to create best outcomes for our clients and offer a great customer experience. This role is responsible for the overall direction of claims management and practices of the company.
As a Senior Actuarial Analyst at Imagine Pediatrics, you will leverage your actuarial expertise to conduct and present analytics on several fronts. Key projects will include evaluating prospective business development opportunities, conducting forecasting analyses, supporting review of patient attribution algorithms, and assessing the financial and clinical value that Imagine Pediatrics delivers to its current and potential members and payor partners.
Help lead Openly’s state management efforts on the Insurance Product team. Reporting to the Senior Director of Insurance Product Management, this individual will lead a team of product managers to drive critical aspects of our state insurance product management function. Drive the profitable management of Openly’s insurance products, including coordination of product development, pricing, forms, compliance, underwriting, risk selection, and regulatory approval.
Drive our companywide product efforts and bring Openly insurance products to independent agents across the country. This role offers the opportunity to lead key insurance product management initiatives like establishing an strategy for promoting multi-line growth, generating a strategy for determining appetite for catastrophe risk, building and launching new products, and determining KPI’s and thresholds for decision-making. This role will also interact with business leaders across Technology and Operations Teams.
This role is pivotal in advancing product strategy, managing risk, and ensuring our offerings remain competitive in the market. Driving execution of pricing strategies for variable annuities and RILA products. Collaborate with business leadership to craft innovative product designs and concepts.
As a member of the risk engineering team, you will be responsible for the production of premium through proper risk analysis and effective distribution of our product. You will leverage your industry knowledge and broker relationships to develop management liability and professional liability insurance products that brokers are eager to promote to their clients.
Work in a fast-paced and rewarding remote position as a General Liability Claims Adjuster with a construction defect focus. Deepen your expertise in general liability and enjoy the flexibility of working from home. The company provides necessary computer equipment, IT support, and comprehensive training from the home office.
Determine covered failures by reviewing vehicle service agreements, the need for inspection, policy coverage, and researching all facts. Interact with customers and repair facilities with occasional contact directly with the client. Mostly inbound calls, but may also include outbound calls, email, fax, and chat. Adjust and document all claims within departmental standards.
This role is ideal for a collaborative and forward-thinking actuary who thrives in a dynamic environment focused on modernizing life insurance offerings for profitable growth. You’ll work closely with product management, implementation, and competitive intelligence teams to lead pricing initiatives, financial modeling, and governance communications. Also, you will support Protective’s mission to offer affordable protection to millions of families.