Claims jobs in Boston, Massachusetts - Page 4Create job alerts

Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function.As a Claim Analyst IV, you will be responsible for handling all aspects of lawyers professional liability claims from inception through conclusion brought against insureds.The responsibilities for thi

Starr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world.Cornelius Vander Starr established his fir

Our SaaS platform taps into one of the industry's largest data lakestens of millions of policies and claimsto deliver deep, actionable insights. In this role, you'll serve as the connective tissue between our engineering, data science, and client-facing teamsdriving the development of innovative cla

Massachusetts Property Insurance Underwriting Association is seeking a Property Claims Manager to join our Claims Department.

The ability to influence claims and non-claims stakeholders by effectively directing claims strategy. Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function. Focused on Professional Liability, including Architects and Engineers, Lawyers, Accountants, and

Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring cl

Youll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues and help our businesses develop products to address the rapidly evolving risk environment. Our Claims teams are the proven problem solvers of choice for clie

Applicants must have (A) at least three (3) years of full time, or equivalent part-time professional or paraprofessional experience in personnel interviewing, vocational counseling, employment counseling, rehabilitation counseling, educational counseling, credit collection, credit interviewing, cred

Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. Responsible for litigation process on litigated claims. Coordinates vendor management, including the use of independent adjusters to assist the inv

The Construction Claims Manager will be responsible for handling construction claims throughout the United States involving Starr insureds and oversight of third-party administrators. At least 7 years of experience handling Construction claims, including experience with NY Labor Law.

Competitive pay - As an Accounts Receivable Rep at nimble solutions, you will: Receive client inquiries and address them in a timely manner as they relate to unpaid insurance claims; Check payer portals for insurance claim statuses; Call payers to understand why insurance claims were denied or paid

The position requires a minimum of five (5) years of experience in health care claims analysis, insurance claims, payor-provider disputes, or litigation support with focus on managed care or regulatory compliance, or related field. Familiarity with health care insurance claims and strong working kno

Processes daily incoming Stop Loss claims including initial entry claims or subsequent claims as needed; provides counseling to clients and assists with client service programs. Determines whether to pend or adjudicate claims following organizational policies and procedures; finalizes and adjudicate

Responsible for overseeing a team that assesses healthcare (D-SNP/fully-integrated Medicare & MassHealth/Medicaid) claims for accuracy, compliance, and eligibility, ensuring that claims are processed efficiently and in accordance with industry standards, Medicare and MassHealth/Medicaid regulatory r

Massachusetts Property Insurance Underwriting Association is seeking a Claims Adjuster II to join our Claims Department. This position is responsible for the inspection and investigation of moderate-sized property claims, including the timely evaluation, negotiation and equitable settlement of those

Job Description Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU/Claims Investigators in the Boston or surrounding area. This is a part-time position to start with the ability to turn into a full-time position for the right individual. The owners are entrepreneurial, experienced, field investigators, each with over 25 years of experience. We understand the job and never forgot our roots in the field. We are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel. Requirements: You must reside in the Boston or surrounding area and have complex SIU/Claims investigation experience. If you do not have SIU/Claims experience, please do not apply because we can't hire you. Responsibilities: • Provide detailed accurate reports, • Obtain written and recorded statements, • Perform scene investigations, • Investigate property theft, vehicle theft, garaging issues and permissible use claims, • Experience conducting complex SIU/Claims cases is a must., • Being a notary is highly preferred, • Experience conducting surveillance as a Private Investigator is preferred., • Bi-lingual is a plus, • Associates/Bachelor, Degree in Criminal Justice or Related Field is a plus, • Ability and willingness to travel as necessary, • Flexibility to work varied/irregular hours and days, • Strong computer and Internet skills, • Must possess a valid state-issued driver's license, • Must possess a reliable vehicle, digital camera and computer with Windows Operating System, Microsoft Word and Internet connection, • Must have the personal pride to get your work product in on time, • Competitive starting pay, • Travel time compensation, • Report writing compensation, • FT positions are offered the following benefits: Medical, Dental, 401K, Paid Vacation and Paid Holidays

Serve as liaison between our clients and claims administrators, ensuring that our internal teams and clients are fully informed regarding pending claims and recoveries. As a member of our Claims Management team, you will use your well-honed organizational skills, keen eye for detail, and phenomenal

The handling to conclusion of insurance claims presented by RSC clients and/or as assigned by Claims Practice Leader. Role includes claims submission, review and monitoring of claims and consultative services. Claims Advocate will handle large & complex client Workers Compensation, Automobile, Gener

Make your mark in Excess Casualty ClaimsOur 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. How you will create an impact* This Se

At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Explore more about our commitment to innovation and community impact at https

Held is actively seeking a Senior Consultant to be a part of our team in the Construction Advisory Practice who is looking to continue to grow a career in engineering and construction focusing on claims and dispute resolution, delay analysis, project advisory services, construction cost analysis and

At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach optimizes both remote and in-person interactions, enabling you to connect and ideate with your team and deepen valuable relationships across the company, while still enjoying the f

The Claims Senior Medpay Adjuster handles moderate to high complexity of PIP and Medpay claims for our Eastern Expansion. An insurance/claims adjuster license may be required for claims administration in specific states. The primary functions include liability investigation, coverage evaluation, and

The Special Investigations Unit (SIU/Claims) Field Investigator conducts recorded statements/interviews, accident scene investigations, online research, and witness canvassing. Special Investigations Unit (SIU) - Field Investigator. Two years' experience in property loss investigations (or adjusting

Talent Strategy & Future Planning: Evolve hiring strategies to align with emerging client needs, such as claims analytics, commercial analytics, and AI/GenAI solutions. Putnam over the years has provided significant support to Pharma Data, Analytics and Insights Teams and is looking to grow our Data

You will resolve disagreements and negotiate with auto body shops, Independent Adjusters, claimants and policyholders and assist claims management in the resolution of complaints and evaluate claims for potential fraud or subrogation. You will complete moderate to higher complexity claims within ass

Auto insurers, automakers, commercial mobility companies, and the public sector use insights from CMT's platform to power risk assessment, safety, claims, and driver improvement programs. Principal Product Manager, Crash & Claims. Principal Product Manager, Crash & Claims.

Reporting to the Director of Victim Compensation , the Claims Manager provides management and oversight of MOVA's Claims Advocates. Responsible for the direct supervision of the Claims Advocates which includes participating in hiring; training; goal setting; delegation; accountability for team and i

Data Science Graduate Summer Internship Program. In this 11-week Data Science Graduate Summer Internship Program, you'll build robust models and use statistical software, such as R, Python, and SAS, to solve critical business problems in product management, claims, distribution, marketing, HR, legal

The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution.This includes making decisions about liability / compensability, evaluating losses, and negotiat

Job Description Location: Waltham, MA (hybrid) NEXT's mission is to help entrepreneurs thrive. We're doing that by building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire value chain and transforming the customer experience. Simply put, wherever you find small businesses, you'll find NEXT. Since 2016, we've helped hundreds of thousands of small business customers across the United States get fast, customized and affordable coverage. We're backed by industry leaders in insurance and tech, and we still have room to grow — that's where you come in. We're looking for an experienced and unstoppable Customer Operations Information System Manager to join the information systems group within our growing company. In this role, you will own the strategy, execution, and management of the applications that power NEXT's Service and Claims operations, including Zendesk, Talkdesk, Applied Epic, and supporting satellite systems. Your work will directly impact how our teams serve customers, resolve claims, and deliver world-class experiences while shaping the future of service with AI-powered capabilities. What You'll Do: • Lead and manage the Customer Operations Applications team, defining and delivering the vision and roadmap for service and claims technologies., • Own and optimize core platforms (Zendesk, Talkdesk, Applied Epic, and related tools), ensuring they scale with the business and meet evolving operational needs., • Partner closely with Service and Claims leadership to gather requirements, translate business needs into technical solutions, and enable efficient workflows., • Drive the introduction and adoption of AI and automation solutions to enhance customer and agent experiences, reduce manual work, and improve decision-making., • Oversee system design, configuration, customization, and integrations to deliver reliable, compliant, and high-quality solutions., • Align service and claims platforms with other enterprise systems, ensuring seamless data flow and visibility across the customer lifecycle., • Provide mentorship and technical leadership to your team, fostering a culture of accountability, innovation, and continuous improvement., • Stay on top of service technology trends — especially in AI, automation, and customer engagement — to keep NEXT on the leading edge. What We Need: • Bachelor's degree in Computer Science, Information Systems, Industrial Engineering, or a related field., • 7+ years of experience managing customer service / claims / insurance agency applications, with at least 2 years in a leadership/team lead capacity., • Proven expertise with Zendesk, Talkdesk, and Applied Epic, including configuration, customization, and integrations., • Demonstrated experience implementing AI-driven solutions (e.g., voicebots, chatbots, intelligent routing, AI-based knowledge, )., • A proactive problem solver with the ability to thrive in a fast-paced, global startup environment., • Customer-first mindset with a passion for enabling exceptional service and claims experiences. Unstoppable Qualities: • Experience in the insurance industry, particularly with claims and agency management systems., • Familiarity with customer service and claims technology ecosystems and best practices., • Hands-on experience with low-code automation, RPA and workflow platforms (e.g., Workato, UiPath). Don't meet every single requirement? Studies have shown that some underrepresented people are less likely to apply to jobs unless they meet every single qualification. At NEXT, we are dedicated to building a diverse, inclusive and respectful workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles. One of our core values is 'Play as a Team'; this means making sure everyone has an equal chance to participate and make a difference. We win by playing together. Next Insurance is an equal opportunity employer and prioritizes building a diverse and inclusive workplace. We provide equal employment opportunities to all employees and applicants of any type and do not discriminate based on race, color, religion, national origin, gender, age, sexual orientation, physical or mental disability, genetic information or characteristic, gender identity and expression, veteran status, or other non-job-related characteristics or other prohibited grounds specified in applicable federal, state, and local laws. Next's policy is to comply with all applicable laws related to nondiscrimination and equal opportunity and will not tolerate discrimination or harassment based on any of these characteristics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Tax compliance (including sales tax, fringe benefit tax) and governance in each territory we operate. You'll oversee tax strategy, lead R&D tax credit claims, and collaborate closely with teams across the business. We're looking for a Tax Director who can continue to shape our global tax function an

Massachusetts Property Insurance Underwriting Association is seeking a Claims Adjuster II to join our Claims Department. This position is responsible for the inspection and investigation of moderate-sized property claims, including the timely evaluation, negotiation and equitable settlement of those

Provides schedule oversight throughout the construction process of projects that have been awarded. Coach construction operations' staff and bring added value in support of their operations. Experience in supporting the development of construction claims.

The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. This position may be filled as a Claims Specialist II or Senior Claims Specialist I. Assesses p

Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring cl

Primary Purpose: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific clien

Manage challenging, high-exposure claims that directly shape organizational outcomes. Lead roundtable discussions and provide consultation on high-exposure claims. Sign in to set job alerts for Claims Adjuster roles.

Job DescriptionInsurance Company is looking for a strong litigation/claims professional. The position will handle Environmental claims directly that involve asbestos, and latent type claims to include the resolution of coverage issues and establishing reserves. Will need at least 4 years’ experience in commercial claims or 2 years preferred of handling environmental or large commercial general liability litigated claims. A JD is preferred but not required. Strong litigation and coverage analyst background is essential. Please call me for details.

Job Description Job Description: We are looking for an Account Manager to create long-term, trusting relationships with our customers. The Account Manager’s role is to oversee a portfolio of assigned customers, develop new business from existing clients, and provide outstanding service for the daily needs of our customers. Account Managers answer client queries and identify new business opportunities among existing customers. Our Account Managers provide total support for their accounts including claims and most processing. This position is in either our Braintree or Lexington, MA offices. Enjoy the benefits of working with the support of a knowledgeable personal lines team and extensive resources provided by our internal network and technology. Job Responsibilities: • Create and maintain relationships with existing clientele • Serve as the lead point of contact for all customer account management matters • Prepare renewals, endorsements, and confirmations to clients • Assist clients with reporting and settling claims • Investigate and answer billing questions • Research coverages and rates to provide choices for our clients • Welcome and foster opportunities to acquire new clients and round out existing clients by marketing, quoting, and delivering proposals • Create and maintain relationships with our insurance company partners • Deliver superior customer service while adhering to guidelines and workflows • Be eager to expand your skills and knowledge

An insurance/claims adjuster license may be required for claims administration in specific states. The primary functions include investigation, damages evaluation, negotiation strategies, and claims resolution of moderate to complex claims. Negotiate within settlement authority with insureds to reso

Business Development Director - Casualty Claims (Northeast Region). Ten (10) years of relationship building in the claims management or risk management area or equivalent combination of education and experience required. Must have industry specific knowledge of casualty claims (workers compensation,

In this role, with minimal supervision, the Senior Claims Specialist, Financial Lines Management Liability handles a book of Private Company and Not-For-Profit Directors & Officers Liability claims and Employment Practices liability claims throughout the entire claim's life cycle. Liberty Mutual has

May analyze the impact upon claims policies and procedures and advises Claims. Advanced knowledge of Commercial Casualty claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the insurance lega

Job Category: Claims Description The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex Commercial Casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. Advanced

The Senior Technical Claims Specialist determines coverage, investigates highly complex Commercial Casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. As the claim's owner, determines coverage, investigate

Job Summary: An entry level claims handler proactively managing low-value/low-complexity claims with support from a line manager to help achieve the Beazley vision of being the highest performing specialist insurer through the proactive management of claims. Work alongside and support Assistant Clai

Our entire claims team works in a collaborative nature to expeditiously resolve claims. Argo Group does not treat our claims or our claims professionals as a commodity. Reporting to senior management and underwriters on claims trends and developments.