Zurich Insurance Company Ltd.NewRCIS Crop Claims Field Adjuster I (WI Virtual) Zurich Insurance Company Ltd.RCIS Crop Claims Field Adjuster I (WI Virtual)Racine, WI$22.40–$30.87With minimal supervision, completes field inspections and related responsibilities such as reading maps and aerial photos, measuring fields, storage bins, and discussing findings of crop loss with farmers on the most complex non-routine, problematic claims including controversial claims. RCIS Crop Adjuster Physical Requirements: walk in agricultural fields up to 3 miles, climb agricultural storage bins up to 25 feet, lift 25 lbs. to 50 lbs., work outdoors in varying temperatures/weather conditions .
Northwestern MutualNewLife Claim Intake & Support Rep Northwestern MutualLife Claim Intake & Support RepFranklin, WIRemoteAnalytical Thinking: Organizes and compares various aspects of a situation to comprehend and identify key or underlying complex issues through the use of quantitative data and analysis; leverages strong business acumen, problem solving, and interpersonal skills to think critically about situations from multiple perspectives and consistently seeks ways to improve processes. In consultation with higher-level staff, handle moderately complex calls, decide on the appropriate course of action, make referrals to the appropriate provider, identify the need for special handling as appropriate, and take responsibility for the efficient escalation of more complex calls.
Diedre Moire Corp.Claims Examiner Medical Malpractice Diedre Moire Corp.Claims Examiner Medical MalpracticeNew Berlin, WI$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
HCC Life Insurance CompanySenior Claims Adjuster - Casualty (Public Risk Group) HCC Life Insurance CompanySenior Claims Adjuster - Casualty (Public Risk Group)WIRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. Our package policy provides a variety of coverages to support our insureds needs, including Law Enforcement Liability, Public Officials liability, Employment Practices Liability, Commercial General Liability, Property, First and Third-Party Auto, Inland Marine, Equipment Breakdown and more.
Charles Taylor LtdLiability Claims Adjuster - Remote WI Charles Taylor LtdLiability Claims Adjuster - Remote WIWIRemoteCharles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers' compensation, and auto/liability. We offer complex loss adjusting, technical services, third-party administration, and managed care programs with specialization in catastrophic, aviation, energy, and marine claims.
Cottingham & ButlerWorkers Compensation Claims Adjuster (Midwest Experience Required) Cottingham & ButlerWorkers Compensation Claims Adjuster (Midwest Experience Required)Milwaukee, WIYou will be working from home so previous workers compensation adjusting experience is required (i.e. taking statements, paying lost wage benefits, filing state forms, denying claims, subrogation, litigation, etc.). Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.
Farmers Group, Inc.Field Property Claims Adjuster - Wisconsin Farmers Group, Inc.Field Property Claims Adjuster - WisconsinMilwaukee, WIPersonal contacts are a major part of activity and include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and all other persons incident to the investigation and processing of claims. Possesses adequate hearing, with or without correction, to communicate with co-workers, resp ond promptly to auditory signals or alarms, and discern sounds essential for maintaining safety and productivity in the workplace.
Allstate Insurance CompanyAuto Telephone Claims Adjuster Allstate Insurance CompanyAuto Telephone Claims AdjusterWI$47,500–$61,600 / yearThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, Detail-Oriented, Insurance Claims Investigations, Insurance Policies, Investigative Skills, Multitasking.
CBCSWorkers Compensation Claims Adjuster CBCSWorkers Compensation Claims AdjusterMilwaukee, WIYou will be working from home so previous workers compensation adjusting experience is required (i.e. taking statements, paying lost wage benefits, filing state forms, denying claims, subrogation, litigation, etc.). Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.
MindriftSenior Auto Claims Adjuster - Freelance AI Trainer MindriftSenior Auto Claims Adjuster - Freelance AI TrainerMilwaukee, WIcontributory) and assess likelihood of recovery; Develop supervisor-escalation scenarios that test whether the agent correctly recognizes authority-limit thresholds ($25,000) and stops short of auto-approving; Draft and evaluate reservation-of-rights letter scenarios, verifying language stays within the bad-faith line; Validate coverage-limits math when multiple endorsements (OEM, rideshare, extended rental) stack on a single claim; Document test cases clearly with correct answers, policy citations, and payout calculations. Ideally, contributors will have: Degree in Finance, Business, Insurance, or related field — or equivalent professional experience; no specific degree is required if AIC, CPCU, or comparable credentials are present, or if the candidate has 4+ years of hands-on claims adjusting experience; 3+ years of hands-on auto claims adjusting, examining, or supervisory experience at a U.S. carrier, independent adjusting firm, or SIU team; Ability to make coverage decisions (collision vs.
HCC Life Insurance CompanyMulti-line Senior Claims Adjuster - Water Districts Program HCC Life Insurance CompanyMulti-line Senior Claims Adjuster - Water Districts ProgramWIRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. This role involves handling complex, high-value liability, property, and automobile claims nationwide-engaging with attorneys, attending settlement conferences, and managing litigation from start to finish.
American Family Insurance GroupProperty Field Claims Adjuster (Milwaukee, WI) American Family Insurance GroupProperty Field Claims Adjuster (Milwaukee, WI)Milwaukee, WI$57,000–$94,000 / yearInvestigates origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc. This position may require employees to visit areas that have a higher hazard than a typical office such as customer homes, body shops, or other locations.
Country FinancialProperty Field Claims Adjuster Sr- Milwaukee, Wisconsin Country FinancialProperty Field Claims Adjuster Sr- Milwaukee, WisconsinMilwaukee, WIRemote$77,600–$106,700 / yearInitiates contact with insureds, claimants, and all relevant parties to gather basic information, obtain recorded statements (when necessary), and explain the overall claims process. - Completes physical and/or virtual inspections of damaged property (when necessary), evaluates damages, and prepares written estimates according to policy provisions and liability.
Sedgwick Claims Management Services, Inc.Claims Adjuster, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Adjuster, Auto | Property DamageTelecommuter, WIManages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. Skills & Knowledge: Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles as applicable to line-of-business.
Macpower Digital Assets Edge Private LimitedSenior Property Claims Representative-Field Job Macpower Digital Assets Edge Private LimitedSenior Property Claims Representative-Field JobBrookfield, WI$72,000–$90,000 / yearCompletes physical and/or virtual inspections of damaged property (when necessary), evaluates damages, and prepares written estimates according to policy provisions and liability. How does a Senior Property Claims Representative make an impact: Investigates claims by determining applicable policy coverage, evaluates, negotiates and settles assigned claims.
Markel Group IncClaims Examiner II Markel Group IncClaims Examiner IIMilwaukee, WIThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Markel Group IncClaims Examiner II - Marine Personal Lines Markel Group IncClaims Examiner II - Marine Personal LinesMilwaukee, WIThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
GallagherNewSenior Workers Compensation Claims Adjuster - WI GallagherSenior Workers Compensation Claims Adjuster - WIWaukesha, WisconsinRemote
GallagherSenior Workers Compensation Claims Adjuster GallagherSenior Workers Compensation Claims AdjusterWaukesha, WisconsinRemote
Solera Holdings LLCField Claims Representative Solera Holdings LLCField Claims RepresentativeWIOur 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff.
Hub International LtdProperty Claims Leader, South & Central Regions Hub International LtdProperty Claims Leader, South & Central RegionsWaukesha, WI$150,000–$160,000 / yearABOUT HUB INTERNATIONAL: HUB International Limited (HUB) is one of the largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. The expected salary range for this position is $150,000 to $160,000 and will be impacted by factors such as the successful candidates skills, experience and working location, as well as the specific positions business line, scope and level.
Allstate Insurance CompanyNewLarge Loss Claims Admin Allstate Insurance CompanyLarge Loss Claims AdminWI$18.61–$27.79 / hourBusiness Communications, Claims Processing, Clerical Skills, Data Entry, Detail-Oriented, Documentations, Insurance Claims, Investigative Thinking, Invoice Processing, Invoices, Large Loss Claims, Large Scale Data Processing, Microsoft Excel, Microsoft Office, Office Administration, Organizing, Outbound Calls, Police Reports, Timeliness. In this role, you will handle a variety of administrative tasks, including ordering police reports, submitting claims to other carriers, completing social media and trace report requests, and processing invoices.
Markel Group IncClaims Examiner, Inland Marine - Transportation Claims Markel Group IncClaims Examiner, Inland Marine - Transportation ClaimsMilwaukee, WI$62,400–$85,800 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
M3 Insurance Solutions IncClaims Support Specialist M3 Insurance Solutions IncClaims Support SpecialistWauwatosa, WIAs a Claims Support Specialist at M3 Insurance, youll play a vital role in supporting our P&C Risk Management team by managing claims activity, coordinating with clients and carriers, and ensuring seamless day-to-day operations. M3 is building a culture focused on learning and progression, where M3ers are empowered by education, inclusive conversations, and real action that supports the future we envision.
Markel Group IncSenior Claims Examiner, Inland Marine Markel Group IncSenior Claims Examiner, Inland MarineMilwaukee, WIThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Sun Life Financial IncSenior Manager, Insurance and Claims Advocacy Sun Life Financial IncSenior Manager, Insurance and Claims AdvocacyMilwaukee, WI$76,200–$114,300 / yearThrough 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. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Sedgwick Claims Management Services, Inc.Claims Examiner, Commercial Trucking | Bodily Injury | Remote Sedgwick Claims Management Services, Inc.Claims Examiner, Commercial Trucking | Bodily Injury | RemoteTelecommuter, WIRemote$80,000–$85,000 / yearSkills: in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws, knowledge of medical terminology for claim evaluation and Medicare compliance, knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs, strong oral and written communication, including presentation skills, and PC literate, including Microsoft Office products. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Sun Life Financial IncSenior Manager, Stop Loss & Health Claims Sun Life Financial IncSenior Manager, Stop Loss & Health ClaimsMilwaukee, WI$68,200–$102,300 / yearThrough 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. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerMilwaukee, WI$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, Sr. Associate PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, Sr. AssociateMilwaukee, WI$77,000–$202,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members.
CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - Remote CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - RemoteHome Teleworker, WIRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more}. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.
Diversified Benefit ServicesClaims Account Specialist Diversified Benefit ServicesClaims Account SpecialistHartland, WIFull timeIf you have experience in Accounts Payable, Accounts Receivable, Payroll Processing, Banking Operations, HR, Employee Benefits, or Insurance Claims, your background aligns exceptionally well with this opportunity. Diversified Benefits Services uses SMS in efforts to contact candidates in a timely manner in order to request more information or keep candidate informed regarding the status of their application.
West Bend Insurance CompanyNewClaims Representative III West Bend Insurance CompanyClaims Representative IIIWest Bend, WisconsinRemote$55,000–$77,000 / year
West Bend Insurance CompanyClaims Representative Investigations West Bend Insurance CompanyClaims Representative InvestigationsWest Bend, WIRemote$55,000–$77,000 / yearWest Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
West Bend Insurance CompanyClaims Representative I West Bend Insurance CompanyClaims Representative IWest Bend, WIRemote$24–$28 / hourWest Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
GallagherWorkers Compensation Claims Supervisor - WI/IA GallagherWorkers Compensation Claims Supervisor - WI/IAWaukesha, WisconsinRemote
OPERATING ENGINEERS LOCAL 139 HEALTH FUNDClaims Analyst OPERATING ENGINEERS LOCAL 139 HEALTH FUNDClaims AnalystPewaukee, WIHigh school diploma or equivalent required; additional education or certifications in claims processing, medical coding, dental assisting, dental hygiene, healthcare administration, or a related field helpful but not necessary. This role requires excellent communication skills and the ability to maintain a professional, business-like manner when interacting with co-workers, business agents, providers, and participants—by telephone, in person, and in writing.
Markel Group IncClaims Examiner II, Lawyers and Financial Advisors Markel Group IncClaims Examiner II, Lawyers and Financial AdvisorsMilwaukee, WIThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Burlington Stores IncSenior Manager, Inbound Logistics and Supply Chain Claims Burlington Stores IncSenior Manager, Inbound Logistics and Supply Chain ClaimsWauwatosa, WI$95,000–$125,000 / yearThe Senior Manager will play a vital role in advancing a strategic plan aimed at: driving cost savings opportunities through improved load utilization, improving speed-to-market through strategic mode conversion, and optimizing transportation service levels. The Senior Manager of Inbound Logistics and Freight Claims will be responsible for providing strategic leadership to both Domestic Inbound Logistics, as well as the Supply Chain Claims functions.
Sun Life Financial IncAssociate Director, Stop Loss Claims Support and Development Sun Life Financial IncAssociate Director, Stop Loss Claims Support and DevelopmentMilwaukee, WI$101,000–$151,500 / yearThrough 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. You will be accountable for all aspects of the Stop Loss Quality Program, ensuring superior customer service for internal and external clients while overseeing functional training programs within Stop Loss Operations.
Sun Life Financial IncSenior Manager, Claims Sun Life Financial IncSenior Manager, ClaimsMilwaukee, WI$72,500–$108,800 / yearThe Senior Manager, Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day-to-day operations of our Long Term Disability claims team, as well as fostering client relations and ensuring the accurate risk management of disability claims. What you will do: Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners.
Morgan DarFront Desk and Insurance Claims Associate Morgan DarFront Desk and Insurance Claims AssociateMenomonee Falls, WIDental Experience (Required): You’ve worked in a dental office before and understand the unique workflow and terminology of the industry. They are looking for a Front Desk Associate who is more than just a receptionist—they’re looking for the "Director of First Impressions" to help keep the day running smoothly.
OPERATING ENGINEERS LOCAL 139 HEALTH FUNDClaims Manager OPERATING ENGINEERS LOCAL 139 HEALTH FUNDClaims ManagerPewaukee, WIThe Claims Manager is responsible for supervising, coordinating, and implementing a wide range of departmental projects and programs, as well as overseeing the day-to-day operations of the Claims Department. • Develop individualized training plans to ensure employees have the expertise required for their roles; provide ongoing coaching and guidance.
Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Commercial Trucking Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Commercial TruckingTelecommuter, WISkills: familiarity with personal and commercial lines policies and endorsements, ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims, knowledge of total loss processing, state salvage forms and title requirements, excellent oral and written communication, including presentation skills, and PC literate, including Microsoft Office products. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.
Sedgwick Claims Management Services, Inc.Claims Representative - Commercial Trucking Sedgwick Claims Management Services, Inc.Claims Representative - Commercial TruckingTelecommuter, WISkills: familiarity with personal and commercial lines policies and endorsements, ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims, knowledge of total loss processing, state salvage forms and title requirements, excellent oral and written communication, including presentation skills, and PC literate, including Microsoft Office products. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.
West Bend Insurance CompanySr. Claims Representative West Bend Insurance CompanySr. Claims RepresentativeWest Bend, WIRemote$67,000–$110,000 / yearWest Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
West Bend Insurance CompanyWorkers Compensation Claims Representative West Bend Insurance CompanyWorkers Compensation Claims RepresentativeWest Bend, WIRemote$55,000–$86,000 / yearWest Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
Network Health LLCFamily Savings Plan Claims Analyst Network Health LLCFamily Savings Plan Claims AnalystBrookfield, WIA commitment to accuracy, productivity, accountability, and customer-focused service is essential in supporting organizational priorities and delivering high-quality claims management outcomes. Key responsibilities include high-volume data entry of medical and pharmacy claims, detailed claims review and adjudication, quality audits, and participation in training and continuous improvement initiatives.
Children's Hospital and Health SystemClaims Submission Rep Children's Hospital and Health SystemClaims Submission RepWest Allis, WisconsinWe provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. The ability to multi-task and function effectively in a team environment and maintain successful relationships with coworkers, patients, physicians, management, staff, and other customers.
CNA Financial CorpComplex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OWauwatosa, WI$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.