UNKNOWN

ADAPTED_NOW

This person will be responsible for identifying, tracking, reviewing, and processing stop-loss reimbursements claims on behalf of carriers within an MGU stop-loss operation. Needs to have 3+ years of experience in medical claims processing, stop-loss administration, aggregate claim review and processing, large claim review, or a related self-funded environment.

Allied National, Inc

Stop Loss Claims Specialist

jobtargetdirectftpin

The Manager plays a critical role in determining risk tolerance and appropriate rates for small groups as well as driving operational excellence through effective workflow management, staff development, quality assurance, and continuous process improvement. The ideal candidate is a hands-on leader with strong underwriting expertise, excellent communication skills, and a proven ability to manage teams in a fast-paced environment.

Medical Underwriting Manager

OTHER

FEED

This critical role will be responsible for managing employment and liability claims litigation and workers’ compensation by working with inside and outside counsel to resolve complex cases efficiently, control costs, and minimize risk while ensuring compliance with policies and regulations. Liaison & Communication: Act as a key contact for employees while working with claim team, attorneys, management and vendors, ensuring clear communication on case status and developments.

National Beef

Claims and Litigation Manager

[AW]-iCims

The role ensures complete and sound claim settlements, legal reviews, and investigations in accordance with company policies and procedures, and directly manages workers' compensation claims, including return-to-work documentation and modified duty job offers. This is an individual-contributor role with no direct reports — the Risk Claims Manager will manage claims for physical property damage, auto vehicle damage, and other verifiable damage, rather than overseeing a claims staff.

YEAR

CrossCountry Freight Solutions

Risk Claims Manager

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You'll work closely with insurance carriers, legal teams, drivers, and operational leadership to ensure claims are investigated thoroughly, documented accurately, and resolved efficiently. We're seeking a detail-oriented and experienced Risk & Claims Manager to oversee vehicle accident claims, insurance matters, incident investigations, and risk management processes across our operation.

zTrip Worldwide

Risk & Claims Manager

HiringThing

Review of new loss notices and carrier coverage position letters prior to issuance, provide insurance coverage verification, consult with client on large/severe losses and adjusters on large reserves/settlements or lawsuits. Prepare quarterly premium and loss reports for specified programs, which may include getting loss reports out of carriers' system and reviewing notes in carrier system.

Lockton Inc

Claims Manager

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As a Transformation Manager, you will lead cross-functional teams to reimagine how work gets done, combining deep insurance expertise with advanced analytics and agentic AI and technology solutions to improve client outcomes. Lead end-to-end business process reinvention across Claims and Underwriting, redesigning workflows, roles, governance, decision rights, and performance management.

Accenture Plc

P&C Claims Agentic AI & Solution Architect Manager

Claims Specialist LeadDays - Full TimeSouthlake Campus Position Summary / Career Interest: The Claims Specialist Lead is responsible for assisting the Claims Manager and Claims Staff with claim issues. The positions assist the Claims Manager with workload assignments as needed, filling in for staff as needed, and troubleshooting questions in the absence of the Claims Manager.

The University of Kansas Health System

Claims Specialist Lead

Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. #insurancecareers #insurancejobs #claimsexaminer #WorkersCompClaims #WorkersCompensationClaims #paralegalcareers.

AIG and its member companies form one of the world’s leading insurance organizations. We provide insurance for businesses and individuals, helping individual customers plan for their futures by offering life insurance, travel insurance, product warranty, auto insurance and retirement products. Our commercial clients have come to rely upon our risk expertise and financial strength to help them address some of their most complex challenges – from huge construction projects to protecting themselves from the emerging threats to data security. We offer our people the chance to grow in a dynamic company that values teamwork, fresh perspectives, and a commitment to helping their clients.

American International Group

Senior Workers' Compensation Claims Examiner - Federal Claims

Primary responsibilities also include supporting legal department functions with TUKHS''s Office of the General Counsel, including assisting with development/coordination of clinical risk management programs; providing guidance on potential sources of loss/risk and mitigation strategies; counseling and advising on potential liability and regulatory exposures; and collaborating with TUKHS, The University of Kansas Physicians (UKP) and Kansas University Medical Center (KUMC) compliance, risk, and regulatory departments, as well as governmental and regulatory agencies. Ability to manage and direct claims from start to finish (potentially compensable events, claims, suits), confirming coverage, timely reporting, assessing liability, negotiating settlements, attending mediations, and working towards informed, prompt, and fair resolution in line with TUKHS's Communication and Resolution Program (CRP), with best reserve setting practices and respectful people-centered communication with patients, patient representatives, and visitors in accordance with claims and litigation management guidelines.

Director of Claims & Senior Counsel

Primary responsibilities also include supporting legal department functions with TUKHS's Office of the General Counsel, including assisting with development/coordination of clinical risk management programs; providing guidance on potential sources of loss/risk and mitigation strategies; counseling and advising on potential liability and regulatory exposures; and collaborating with TUKHS, The University of Kansas Physicians (UKP) and Kansas University Medical Center (KUMC) compliance, risk, and regulatory departments, as well as governmental and regulatory agencies. Knowledge Requirements Ability to manage and direct claims from start to finish (potentially compensable events, claims, suits), confirming coverage, timely reporting, assessing liability, negotiating settlements, attending mediations, and working towards informed, prompt, and fair resolution in line with TUKHS’s Communication and Resolution Program (CRP), with best reserve setting practices and respectful people-centered communication with patients, patient representatives, and visitors in accordance with claims and litigation management guidelines.

Director of Claims & Senior Counsel - Hybrid

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As a Claims Representative, you'll be a vital part of ensuring claims are processed efficiently and accurately, supporting the overall success of our team. Join a dedicated team in Grandview, MO, as a Claims Representative and help streamline the claims operations for our organization.

Stivers

Claims Representative 840977

HaleyMarketing

Analyze and consult with clients on complex or technically difficult design and construction professional liability and general liability claims; to help clients navigate complex insurance programs; to coordinate claims management within industry best practices and specific client service requirements; and to providing high levels of customer service. ROLE: The Senior Claims Consultant will have the following skills sets and be able to: Perform in depth coverage analysis, investigation, liability and potential exposure analysis.

Construction Claims Consultant

Contact, interview, and obtain statements from insureds, claimants, witnesses, physicians, attorneys, police officers, and other relevant parties to secure necessary claim information. You’ll work closely with a Team Leader in a fast-paced, professional environment with exposure to the full claims lifecycle—from intake and investigation through resolution and settlement.

HOUR

Avenica

Claims Associate

Crelate

Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

Chubb is the world&rsquo;s largest publicly traded property and casualty insurance company and the largest commercial insurer in the U.S.
With operations in 54 countries and territories, we are a major personal lines writer, as well as a leading middle market, small commercial and large industrial commercial insurer, providing a wide range of traditional and specialty coverages.
As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. And we combine the precision of craftsmanship with deep experience to conceive, craft and deliver the very best insurance coverage and service to individuals and families and to businesses of all sizes.
Our products and services are distributed through brokers, independent agents, exclusive agents and various forms of direct marketing.
What we deliver:
<ul>
<li>Extensive product and service offerings</li>
<li>Broad distribution capabilities</li>
<li>Service excellence</li>
<li>Risk expertise</li>
<li>Underwriting discipline</li>
<li>Exceptional financial strength</li>
<li>Local operations globally</li>
</ul>

Chubb Ltd

ESIS Senior Claims Representative, AGL

In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. Minimum Requirements: Minimum three-years life and/or disability claim administration experience: solid investigation, analytical and organizational skills along with attention to detail; or the equivalent combination of relevant experience.

Health Care Service Corp

Sr Claims Analyst - LHB

HCSC

With the strength and stability that comes from being a member of the Tokio Marine Group, and more than fifty years of growth, profitability, and stability, we offer important insurance products that most people don’t even know exist. Access to our award-winning wellness program, including mental health services, fitness network membership, and a complimentary Headspace subscription.

ProAg

Claims Processing Auditor

PART_TIME

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.

CorVel Enterprise Claims, Inc.

Senior Indemnity Claims Specialist

Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. Job Description: The opportunity: The Process Consultant, Stop Loss Claims is accountable for process governance, end-to-end documentation strategy, and continuous improvement that strengthens quality, compliance, scalability, and risk management within Stop Loss Claims Operations.

Claims Manager Jobs in Shawnee, KS

Stop Loss Claims Specialist Allied National, Inc

Medical Underwriting Manager Allied National, Inc

Claims and Litigation Manager National Beef

Risk Claims Manager CrossCountry Freight Solutions

Risk & Claims Manager zTrip Worldwide

Claims Manager Lockton Inc

P&C Claims Agentic AI & Solution Architect Manager Accenture Plc

Claims Specialist Lead The University of Kansas Health System

Senior Workers' Compensation Claims Examiner - Federal Claims American International Group

Director of Claims & Senior Counsel The University of Kansas Health System

Director of Claims & Senior Counsel - Hybrid The University of Kansas Health System

Claims Representative 840977 Stivers

Construction Claims Consultant Lockton Inc

Claims Associate Avenica

ESIS Senior Claims Representative, AGL Chubb Ltd

Sr Claims Analyst - LHB Health Care Service Corp

Sr Claims Analyst - LHB HCSC

Claims Processing Auditor ProAg

Senior Indemnity Claims Specialist CorVel Enterprise Claims, Inc.

Process Consultant, Stop Loss Claims Sun Life Financial

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