100 Claims Administration jobs in the United States

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.

Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers expectations while making a real impact for our company through our shared purpose.

When you join our company, we want you to feel valued, supported and proud to work here. Thats why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.

Claims Supervisor

Salary Range: $82,000-$115,825 - commensurate with experience

Training Schedule: Training will be 100% in office (5 days a week). Training will be Mon-Fri but may require flexibility based on the needs of the department.

Hybrid Schedule (after training): Work schedule is 4 days in-office/week

Work Schedule: May include a weekend day or evening depending on business need.

Exciting opportunity to join an industry leading Auto Claims team. We are looking for highly motivated Claims leaders!

This exciting opportunity will allow you to drive results by mentoring, coaching, and developing a team of Auto Claims Specialists. As a supervisor in the Claims Specialists unit, you will play a vital role in the company's success by leading your team in the investigation of coverage, determination of liability and damages, and processing and settling claims. The ideal candidate will have a proven track record of successfully driving results, helping others, and bringing energy and enthusiasm to the team.

GEICO offers a flexible work model. This position will have in-office requirements of 4 days a week. GEICO reserves the right to adjust in-office requirements as needed to support the needs of the business unit.

Key Responsibilities:

1. Team Management:

• Supervise, train, and mentor claims staff to ensure optimal performance.
• Conduct performance evaluations, set targets, and provide constructive feedback.
• Handle staff scheduling and workload distribution to maintain operational efficiency.

2. Claims Processing:

• Oversee the review, investigation, and settlement of claims within established guidelines.
• Ensure timely and accurate processing of claims in compliance with legal and regulatory requirements.
• Manage escalated or complex claims, providing resolution and support as needed.

3. Quality Control and Compliance

• Monitor claims processes to maintain high standards of accuracy and service.
• Implement and maintain compliance with applicable laws, regulations, and company policies.
• Conduct audits and ensure adherence to internal and external standards.

4. Customer Service:

• Serve as the primary point of contact for escalated customer inquiries or disputes.
• Work to improve customer experience by identifying process improvements and training opportunities.

5. Reporting and Analysis:

• Prepare and analyze reports on claims trends, team performance, and operational efficiency.
• Identify areas for improvement and recommend solutions to management.

6. Collaboration:

• Work closely with other departments to resolve issues and improve workflows.
• Participate in the development and implementation of policies, procedures, and training programs.

Qualifications:

• Preferred one of the following: AA, BA, BS, MBA, or CPCU.
• 12 months of experience successfully leading teams in insurance, financial services, call centers, retail, or similar industries.
• Excellent leadership, communication, and problem-solving skills.
• Ability to handle confidential information with discretion and integrity.
• Must be able to learn & apply large amounts of technical and procedural information.

Key Competencies:

• Leadership and team-building skills.
• Analytical thinking and attention to detail.
• Strong organizational and time management abilities.
• Commitment to delivering exceptional customer service.
• Must be able to communicate in a clear empathic and professional manner in all communication channels including verbally and digitally.
• Must be able to handle difficult conversations and perform well under pressure.
• Ability to follow complex instructions, resolve conflicts and facilitate resolution.

Why Join GEICO?

• Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction.

• Inclusive Culture: Join a company that values diversity, collaboration, and innovation.

• Workplace Flexibility: Benefit from a hybrid work model80% in-office, 20% remote after trainingand enjoy the GEICO Flex Program, allowing for additional flexibility throughout the year.

• Professional Growth: Access GEICOs industry-leading training programs and development opportunities.

• Licensing and continuing education at no cost to you.

• Leadership development programs and hundreds of eLearning courses to enhance your skills.

Additional Perks:

• Health & Wellness: Comprehensive healthcare and well-being support available on Day 1.

• 401(k) Match: From day one, youll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.

Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers expectations while making a real impact for our company through our shared purpose.

When you join our company, we want you to feel valued, supported and proud to work here. Thats why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.

Claims Supervisor

Salary Range: $ $1,750- 101,475 - commensurate with experience

Training Schedule: Training will be 100% in office (5 days a week). Training will be Mon-Fri but may require flexibility based on the needs of the department.

Hybrid Schedule (after training): Work schedule is 4 days in-office/week

Work Schedule: May include a weekend day or evening depending on business need.

Exciting opportunity to join an industry leading Auto Claims team. We are looking for highly motivated Claims leaders!

This exciting opportunity will allow you to drive results by mentoring, coaching, and developing a team of Auto Claims Specialists. As a supervisor in the Claims Specialists unit, you will play a vital role in the company's success by leading your team in the investigation of coverage, determination of liability and damages, and processing and settling claims. The ideal candidate will have a proven track record of successfully driving results, helping others, and bringing energy and enthusiasm to the team.

GEICO offers a flexible work model. This position will have in-office requirements of 4 days a week. GEICO reserves the right to adjust in-office requirements as needed to support the needs of the business unit.

Key Responsibilities:

1. Team Management:

• Supervise, train, and mentor claims staff to ensure optimal performance.

• Conduct performance evaluations, set targets, and provide constructive feedback.

• Handle staff scheduling and workload distribution to maintain operational efficiency.

2. Claims Processing:

• Oversee the review, investigation, and settlement of claims within established guidelines.

• Ensure timely and accurate processing of claims in compliance with legal and regulatory requirements.

• Manage escalated or complex claims, providing resolution and support as needed.

3. Quality Control and Compliance

• Monitor claims processes to maintain high standards of accuracy and service.

• Implement and maintain compliance with applicable laws, regulations, and company policies.

• Conduct audits and ensure adherence to internal and external standards.

4. Customer Service:

• Serve as the primary point of contact for escalated customer inquiries or disputes.

• Work to improve customer experience by identifying process improvements and training opportunities.

5. Reporting and Analysis:

• Prepare and analyze reports on claims trends, team performance, and operational efficiency.

• Identify areas for improvement and recommend solutions to management.

6. Collaboration:

• Work closely with other departments to resolve issues and improve workflows.

• Participate in the development and implementation of policies, procedures, and training programs.

Qualifications:

• Preferred one of the following: AA, BA, BS, MBA, or CPCU.

• 12 months of experience successfully leading teams in insurance, financial services, call centers, retail, or similar industries.

• Excellent leadership, communication, and problem-solving skills.

• Ability to handle confidential information with discretion and integrity.

• Must be able to learn & apply large amounts of technical and procedural information.

Key Competencies:

• Leadership and team-building skills.

• Analytical thinking and attention to detail.

• Strong organizational and time management abilities.

• Commitment to delivering exceptional customer service.

• Must be able to communicate in a clear empathic and professional manner in all communication channels including verbally and digitally.

• Must be able to handle difficult conversations and perform well under pressure.

• Ability to follow complex instructions, resolve conflicts and facilitate resolution.

Why Join GEICO?

• Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction.

• Inclusive Culture: Join a company that values diversity, collaboration, and innovation.

• Workplace Flexibility: Benefit from a hybrid work model80% in-office, 20% remote after trainingand enjoy the GEICO Flex Program, allowing for additional flexibility throughout the year.

• Professional Growth: Access GEICOs industry-leading training programs and development opportunities.

• Licensing and continuing education at no cost to you.

• Leadership development programs and hundreds of eLearning courses to enhance your skills.

Additional Perks:

• Health & Wellness: Comprehensive healthcare and well-being support available on Day 1.

• 401(k) Match: From day one, youll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your

Job Description

The Claims Processing Coordinator handles the preparation of Hydradry's claims and is responsible for communication with insurance company and adjusters for status of claims and supplemental payments.

Responsibilities:

• Review insurance breakdowns, send supplements and communicate with insurance companies.
• Communicate with other departments when insurance clarifications are needed.
• Work with accounting to facilitate collections.
• Keep detailed daily notes.
• Prepare invoices using Xactimate estimating software.
• Analyze customer balance statements to determine amounts owed.
• Send information to insurance company and adjusters.
• Prepare final paperwork, and collections.
• Answer phones and assist with all departmental tasks.
• Communicate with homeowners regarding insurance and collections.

Requirements:

• High School Diploma or Equivalent
• At least 1-2yrs of Customer Service and Computer Experience
• Prior Experience with Insurance Policies
• Prior Insurance Collections Experience
• Ability to communicate effectively with homeowners and insurance adjusters both in person and over the phone.
• Roofing knowledge, Florida Building Code knowledge, and understanding of insurance is a plus.
• Xactimate, Mica, Housecall Pro, Contents Track

**This Company Participates in E-Verify**

Our Company Culture is one that strives "to provide an exceptional employee experience which leads the way to delighted customers. We encourage our employees to achieve their personal and professional goals. Our continuous success is the result of our inclusive, collaborative, and positive environment .

We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall,

Job Description

The Claims Processing Coordinator handles the preparation of Hydradry's claims and is responsible for communication with insurance company and adjusters for status of claims and supplemental payments.

Responsibilities:

• Review insurance breakdowns, send supplements and communicate with insurance companies.
• Communicate with other departments when insurance clarifications are needed.
• Work with accounting to facilitate collections.
• Keep detailed daily notes.
• Prepare invoices using Xactimate estimating software.
• Analyze customer balance statements to determine amounts owed.
• Send information to insurance company and adjusters.
• Prepare final paperwork, and collections.
• Answer phones and assist with all departmental tasks.
• Communicate with homeowners regarding insurance and collections.

Requirements:

• High School Diploma or Equivalent
• At least 1-2yrs of Customer Service and Computer Experience
• Prior Experience with Insurance Policies
• Prior Insurance Collections Experience
• Ability to communicate effectively with homeowners and insurance adjusters both in person and over the phone.
• Roofing knowledge, Florida Building Code knowledge, and understanding of insurance is a plus.
• Xactimate, Mica, Housecall Pro, Contents Track

**This Company Participates in E-Verify**

Our Company Culture is one that strives "to provide an exceptional employee experience which leads the way to delighted customers. We encourage our employees to achieve their personal and professional goals. Our continuous success is the result of our inclusive, collaborative, and positive environment .

We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall,

Job Description

Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. Maven's award-winning digital programs provide clinical, emotional, and financial support all in one platform, spanning fertility & family building, maternity & newborn care, parenting & pediatrics, and menopause & midlife. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs. Recognized for innovation and industry leadership, Maven has been named to the Time 100 Most Influential Companies, CNBC Disruptor 50, Fast Company Most Innovative Companies, and FORTUNE Best Places to Work. Founded in 2014 by CEO Kate Ryder, Maven has raised more than $425 million in funding from top healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital. To learn more about Maven, visit us at mavenclinic.com.

An award-winning culture working towards an important mission – Maven Clinic is a recipient of over 30 workplace and innovation awards, including:

• Fortune Change the World (2024)
• CNBC Disruptor 50 List (2022, 2023, 2024)
• Fortune Best Workplaces for Millennials (2024)
• Fortune Best Workplaces in Health Care (2024)
• TIME 100 Most Influential Companies (2023)
• Fast Company Most Innovative Companies (2020, 2023)
• Built In Best Places to Work (2023)
• Fortune Best Workplaces NY (2020, 2021, 2022, 2023, 2024)
• Great Place to Work certified (2020, 2021, 2022, 2023, 2024)
• Fast Company Best Workplaces for Innovators (2022)
• Built In LGBTQIA+ Advocacy Award (2022)

Maven is seeking a Manager, Member Benefit Services with deep, hands-on experience in fertility benefits to lead a team of 10+ Member Services Representatives. This role is ideal for someone who has worked directly with fertility patients and has a thorough understanding of the complexities of insurance coverage, billing, and reimbursement in the fertility space.

This role goes beyond people management — we're seeking a true fertility benefits expert who can take ownership of complex financial and insurance escalations. You will serve as a key subject matter expert on fertility-related billing issues, out-of-network claims, insurance coordination, and member financial tracking, driving timely and equitable solutions for our members, employers, and payer partners.

You'll play a pivotal role in shaping team culture and building scalable processes that ensure we continue delivering high-quality, empathetic care to members on their family-building journeys. We're looking for someone who is ready to roll up their sleeves, solve problems alongside their team, and inspire high performance through compassionate leadership.

For this role, we are seeking someone with flexibility to work a variety of shifts during business hours, primarily Monday through Friday, within Eastern U.S. time.

As a Manager, Member Benefit Services at Maven, you will:

• Be the ultimate people manager. Conduct regular one-on-ones, performance reviews, and development planning to promote employee growth and high-impact performance across a team of Member Services Associates and Senior Associates.
• Act as the primary escalation point for member issues and complex fertility-related financial and billing issues, driving problems to resolution while managing communication with key stakeholders.
• Learn the ins and outs of Maven's business and the day-to-day Member Benefit Services team responsibilities, diving in to directly master our various communication channels and reimbursement processes.
• Lead by example to ensure a culture focused on empathetic care, ensuring that the needs of our members are met in an exceptional manner.
• Directly answer member inquiries on inbound/outbound calls and Zendesk messages in times of high volume or during staffing gaps.
• Use your continuous improvement mindset to define and iterate on processes, making positive enhancements to drive efficiency, value, and accountability toward KPIs.
• Ensure team performance metrics are met; including but not limited to: productivity, response time, NPS, and CSAT.
• Report on MBS team metrics, KPIs, OKRs, to the director of MBS as well as cross functionally.
• Facilitate the team's alignment with broader organizational objectives and effectively lead through change.
• Review, maintain, and create MBS team SOPs, workflows, and communications to the team to ensure understanding and alignment on MBS team processes.
• Collaborate cross-functionally with our Care Delivery/Advocacy, Support, Operations, Product, Data, Provider Operations,

Job Description

Job Overview:

A Healthcare Claims Processing Specialist plays a crucial role in the insurance industry, ensuring that claims are handled efficiently and accurately. Here’s a detailed description of the role:

Claims Processing Specialist Responsibilities:

• Review and Evaluate Claims : Assess all types of healthcare insurance claims for accuracy and completeness.
• Investigate Claims : Analyze details to determine the level of liability, often involving communication with policyholders, claimants, and healthcare providers.
• Adjudicate Based on Plan Documentation : Work with plan documentation to adjudicate based on plan summary of coverages.
• Documentation : Maintain detailed records of all claim activities for review and auditing purposes.
• Compliance : Ensure all actions comply with company policies and legal requirements.
• Customer Service : Provide high levels of customer service by answering questions and providing information to all parties involved in the claims process.
• Fraud Detection : Identify and investigate potential fraudulent claims.
• Continuous Learning : Stay updated with changes in regulations, best practices, and industry trends.

Qualifications:

• Experience : Proven experience in a similar role within the healthcare insurance industry.
• Skills : Strong analytical, problem-solving, and negotiation skills. Detail-orientation a must. Excellent communication and customer service abilities.
• Technical Proficiency : Familiarity with insurance software and digital claim processing tools.

Job Description

Project Manager (“PM”) reports to the Directors of Claims Administration and serves as the liaison between the client and the professional staff. PM is responsible for managing multiple cases and related projects and client engagements simultaneously as well as scheduling, staffing, coordinating case workflow, and performing administrative tasks such as data entry and claim review in order to ensure timely completion of all case deliverables. PM possesses a strong work ethic, as well as strong computer skills, project management, analytical, interpersonal and organizational skills. PM is also expected to participate in and supervise a wide variety of ongoing projects. PM is required to make decisions in all but the most unusual matters with minimal assistance and learn independently to meet deadlines.

ESSENTIAL FUNCTIONS:

1. Performs diversified project management at all levels under the direction of the Directors.
2. Maintains contact with clients throughout the year regarding open matters and possess a thorough knowledge of the client and client activity.
3. Demonstrates competency in technical skills, work quality, and application of professional and departmental/firm standards.
4. Keeps Directors informed of important developments on each engagements, analyzes problems and recommends solutions.
5. Meets time constraints and client deadlines and works to develop responsible and trained staff.
6. Anticipates potential problems, risk areas and any questions that could arise for each engagement.
7. Directs and instructs administration staff in work to be performed and documentation management, where applicable.
8. Assists in the evaluation process of the professional staff assigned to their engagement team.
9. Plans, schedules and staffs engagements using departmental policies and procedures.
10. Possesses a complete knowledge of department’s philosophy and opinions.
11. Responsible for court filings, reports to counsel, and related materials.
12. Suggests client engagement planning ideas to the Directors.
13. Assists in the evaluation process of the professional staff assigned to their engagement team.
14. Works to develop responsible, trained staff by assisting in recruiting, developing training aids, etc.
15. Participates in practice development efforts.
16. Represents firm/department in community/professional associations.

When applying include a cover letter when uploading your resume.

RG/2 is an Equal Opportunity Employer.

Requirements

• Bachelor's degree
• 5+ years of direct experience in a claims administration firm.

Benefits

RG/2 is passionate about creating an inclusive workplace that promotes and values diversity. More importantly, creating an environment where everyone, from any background, can do their best work.

Our competitive salary commensurate with experience. Performance based bonus and a wide range of employee benefits and support programs that include:

• Business Casual Dress Code
• 401(k)/Employee’s Pension Plan
• Domestic Partner Benefits
• Employee Assistance Program
• Employee Resource Groups
• Global Fit / Walk My Mind
• Family/Dependent Care Leave
• Flexible Spending & Commuter Benefits
• Life/AD&D Insurance
• Long-term Disability Insurance
• Short-term Disability Insurance
• Sick Leave
• Vacation (20 days per year)
• Medical / Dental / Vision Insurance
• Back-Up Advantage Program
• Telemed (MeMd)
• Pet Insurance

We encourage you to apply if you are interested in contributing to the success of RG/2 while developing your career in a challenging and professional environment.

Job Description

RG/2 is seeking a Claims Analyst who will be responsible for handling data entry of claimant information, claim review, report processing and reconciliation, updating and maintaining the firm’s database and document management systems, electronic and telephonic communication with claimants, claim

Job Description

Adecco is currently assisting a local insurance company recruit for a Claims Associate in Honolulu, HI.  These Claims Associate jobs are temporary to possible hire opportunities, with a pay of $19.00 to $0.00 per hour, plus overtime!  For instant consideration for this Claims Associate job, Apply Now!

Claims Associate job requires candidates to:

· Handle inbound claims related calls (new claim intake, inquiry calls from insureds/ claimants/medical providers/agents/ and others).

· Handle inbound operator calls for client and route calls to appropriate department or associate.

· Monitor shared Outlook mailbox and route incoming faxes/emails to claim associates.

· Prep/scan incoming claims mail and inter-office documents, perform quality checks and document validation.

Candidates must meet the following requirements to be considered for an Claims Associate job:

· Able to keyboard 40 – 45 wpm

· Basic proficiency of MS Office applications (Outlook, Word, Excel)

· Excellent verbal and written communication skills to interact effectively with customers, providers, and internal teams

· Customer-oriented attitude with a friendly and professional demeanor

· Ability to work well with others and maintain a positive work environment

· Strong attention to detail, time management and organizational skills

· Proficiency with data entry

· Ability to work in a fast-paced, high-volume environment, and adapt to changes

Click on apply now for instant consideration for this Claims Associate job in Honolulu, HI!

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