CrawlJobs Logo

Agency Insurance Claims Manager

aleragroup.com Logo

Alera Group

Location Icon

Location:
United States , Manasquan, New Jersey

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

50000.00 - 85000.00 USD / Year

Job Description:

Capstone, an Alera Group Company, is looking for an Agency Claims Manager. We are seeking highly motivated colleagues who bring experience and enthusiasm to our team – joining us may be the perfect fit for you! Alera Group was founded in 2017 and has grown to become the 14th largest broker of US business. We are passionate about our clients’ success in the areas of Employee Benefits, Property and Casualty Insurance, Retirement Plan Services, and Wealth Services. With a network of offices nationwide, our commitment to collaboration allows us to offer national resources combined with local service.

Job Responsibility:

  • Be a claims advocate for clients
  • take claim calls, assist clients with claims submission to carriers, aid with claims service issues and obtain / provide claim status updates
  • Form relationships with carriers and TPAs, working closely with adjusters and other claims personnel on claims handling, ensuring proper and efficient claims resolution
  • Analyze and interpret claims information from loss runs and other sources, drawing accurate conclusions
  • Prepare status and analytic reports for Capstone Management and customers as required
  • See claims issues through to resolution, while effectively communicating with client and internal team members on the status of the claims
  • Establishing and building out the Capstone’s agency claims management process
  • Partner with Carriers and TPA’s to assure accuracy of reserves, claim status, etc.

Requirements:

  • Multi-line claims experience is ideal
  • Experience working in an agency or brokerage environment is a plus
  • Ability to effectively communicate both verbally and in writing
  • Computer proficiency with agency management systems, web-based tools, and Microsoft (Outlook, Excel and Word)
  • Ability to establish priorities in a fast-paced work environment and to organize time efficiently to meet or exceed deadlines
  • Ability to build trust in the team that you will be able to execute on deliverables that were committed to without constant follow-up from other team members
  • Ability to remain calm under pressure and in difficult situations, all while delivering excellent customer service

Nice to have:

Experience working in an agency or brokerage environment is a plus

What we offer:

medical, dental, life and disability insurance, 401k, generous paid time off

Additional Information:

Job Posted:
January 04, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Agency Insurance Claims Manager

Major Claims Manager

To process claims and to ensure that the departmental strategic initiatives, con...
Location
Location
Malaysia , Kuala Lumpur
Salary
Salary:
Not provided
https://www.allianz.com Logo
Allianz
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's Degree in Insurance, Business, or a related field
  • At least 5 years of experience in claims assessment, preferably in the insurance industry, with a proven track record in handling Major Claims & PA claims
  • Experience in a leadership or supervisory role, particularly managing a team of junior assessors, is an advantage
  • Comprehensive understanding of the Insurance Act 1996, AMLA, Bank Negara Malaysia guidelines, and standard operating procedures
Job Responsibility
Job Responsibility
  • Assessment and approval of Major claims & PA claims within the defined approval authority limit set and committed service level
  • Review processes to propose new guidelines, rules & requirement, procedures and system enhancement for operational efficiency and effectiveness
  • Constantly monitor and review pending claims and appeal within the committed service level and make appropriate revised decision if it is within the authority limit
  • Handle enquiries and provide quality customer service to clients and agents including investigating into customer/agent’s complaints on delay in claims assessment
  • Conduct closed file and open file audit review of junior assessors
  • Liaison with Consultant Doctor and other Insurers to determine validity and liability of the Company
  • Support other section within the dept. to ensure efficiency
  • Assist Superior in the monitoring of Daily TAT, Penders’ File and work performance towards the objectives and goals of the dept
  • Assist to provide training for junior staff and contract staff
  • Clearing of Suspense Account and UMA reporting
  • Fulltime
Read More
Arrow Right

Surety Account Manager

Our client specializes in Commercial Insurance & Surety, providing comprehensive...
Location
Location
United States , Lake Oswego
Salary
Salary:
55000.00 - 95000.00 USD / Year
careerpathsnw.com Logo
CareerPaths NW
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 3+ years Surety experience with an independent agency
  • Currently licensed in OR or WA
  • Client-facing experience
Job Responsibility
Job Responsibility
  • Maintain successful client and underwriter relationships
  • Manage the renewal cycle and servicing of client accounts
  • Understand suretyship and counsel clients in its application
  • Analyze documents for surety requirements and risk exposures and obligations
  • Analyze and understand bond forms
  • Issue bid bonds, performance bonds, payment bonds, license bonds, and other surety bonds
  • Issue, review, and process bond riders
  • Report, open, manage, and close claims
  • Review and check audits
What we offer
What we offer
  • Full medical, dental, vision, and 401k benefits
  • Flexible hours
  • Hybrid work model
  • Fulltime
Read More
Arrow Right

Litigation Paralegal

Join an industry leader! Our manufacturing client is seeking a highly skilled Li...
Location
Location
United States , Bayport
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate degree with 2-7 years of experience as a paralegal or in claims management
  • Experience in claims management, litigation, or related roles such as insurance adjustor or customer service representative
  • Strong writing and communication skills with the ability to articulate complex information clearly
  • Excellent organizational and coordination abilities to manage multiple tasks effectively
  • Proven ability to build positive interpersonal relationships and work collaboratively
  • Demonstrated flexibility and adaptability to changing priorities
  • Customer-focused mindset to address claims and negotiate resolutions
  • Proficiency in case management software, Microsoft Office Suite, and other litigation tools such as Relativity and Legal Files
Job Responsibility
Job Responsibility
  • Manage claims and lawsuits related to specific business units or product lines
  • Collaborate with internal teams to gather necessary information and provide updates on litigation progress
  • Partner with insurance providers and adjustors to address claims effectively
  • Collect, analyze, and organize internal and external documents required for legal proceedings
  • Coordinate with outside counsel, witnesses, and experts while aligning with the Legal Manager and Assistant General Counsel
  • Negotiate settlements and prepare relevant documentation
  • Draft responses to inquiries from federal, state, and local agencies
  • Assist with various legal projects based on the department's needs
  • Maintain meticulous records and ensure compliance with legal standards
  • Support the litigation team in trial preparation and case management activities
What we offer
What we offer
  • Medical, vision, dental, and life and disability insurance
  • 401(k) plan
  • Free online training
  • Fulltime
Read More
Arrow Right

Social Media Manager - Insurance & Business Services Specialist

As a Social Media Manager - Insurance & Business Services Specialist at 321, you...
Location
Location
United States , Orlando
Salary
Salary:
60000.00 - 75000.00 USD / Year
321 Brand + Social House
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 5+ years of experience in social media management, preferably in an agency environment managing multiple client accounts simultaneously
  • 2+ years of direct experience managing social media for insurance brands (home insurance, auto insurance, personal lines) or financial services organizations required
  • Proven track record developing and executing successful social media strategies for insurance, business services, professional services, or B2B brands
  • Experience managing social media for insurance companies, insurance agencies, roofing companies, legal firms, real estate professionals, healthcare providers, or similar business services industries is highly valued
  • Deep understanding of insurance consumer behavior, purchase considerations, and content that drives trust and engagement in the insurance category
  • Knowledge of insurance industry regulations and advertising compliance requirements across multiple states/jurisdictions
  • Familiarity with insurance products, coverage types, claims processes, and industry terminology
  • Strong writing skills with ability to craft platform-appropriate content that resonates with insurance consumers and professional audiences while maintaining regulatory compliance
  • Expertise across major social media platforms including Facebook, Instagram, LinkedIn, TikTok, and YouTube, with deep understanding of platform-specific best practices
  • Proficiency with AI-powered content creation tools (ChatGPT, Claude, Jasper, Copy.ai, or similar) with demonstrated ability to produce high-quality, on-brand content efficiently
Job Responsibility
Job Responsibility
  • Develop comprehensive social media strategies for multiple insurance and business services client accounts that align with business objectives, target audiences, and brand positioning
  • Create insurance-specific content strategies that address the full customer lifecycle: awareness, quote consideration, policy purchase, claims experience, and renewal/retention
  • Understand and optimize for insurance consumer behavior including comparison shopping, life event triggers (home purchase, vehicle purchase, marriage, relocation), and seasonal patterns
  • Conduct competitive analysis, audience research, and platform audits to identify opportunities in insurance and business services verticals
  • Define content pillars, messaging frameworks, and brand voice guidelines tailored to insurance audiences and professional service consumers
  • Develop strategies that build trust and credibility for insurance brands while addressing common concerns (price transparency, claims reputation, coverage clarity, customer service quality)
  • Establish KPIs and success metrics for each client account, tracking performance against goals for reach, engagement, quote generation, and business impact
  • Leverage AI tools to analyze audience insights, predict content performance, and optimize strategy based on data-driven insights
  • Stay current on platform algorithm changes, emerging features, and social media trends in insurance marketing, adapting strategies to maximize organic reach
  • Monitor insurance industry trends, regulatory changes, and competitive landscape to inform content strategy
What we offer
What we offer
  • Health, dental, and vision insurance
  • 401K after one year of employment
  • 2 Weeks (80 Hrs) Paid Time Off [Additional 40Hrs at 3 Years]
  • 3 Sick/Mental Health Days
  • 8 Hours Volunteer Time
  • Additional PTO at holiday and management discretion
  • Paid parental leave
  • Professional development opportunities
  • Leadership training opportunities and career advancement pathways
  • A collaborative, creative, and ambitious team environment
  • Fulltime
Read More
Arrow Right

Revenue Cycle Coordinator

This role is integral to our team, focusing on managing the revenue cycle for ou...
Location
Location
United States , Cleveland
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Experience working with insurance such as Medicare and Medicaid
  • Knowledge of Epaces for electronic medical billing and administration
  • Expertise in handling Accounts Receivable (AR) to ensure correct and timely payments
  • Skill in managing Appeals to resolve any disputes or discrepancies in billing
  • Understanding of Benefit Functions to accurately calculate and apply patient benefits
  • Experience in Billing Functions to ensure accurate and prompt invoicing
  • Proficiency in Claim Administration to manage and resolve insurance claims effectively
Job Responsibility
Job Responsibility
  • Follow-up on patient accounts per established procedures
  • Documents all follow-up on patient accounts in billing comments section in the electronic medical record
  • Prepares Billing Adjustments and Payment Adjustments according to established procedures
  • Maintains the Revenue Cycle Key Performance Indicators targets as established by the Chief Financial Officer
  • Interacts with patients/families regarding medical insurance benefits and reimbursement of services
  • Demonstrates effective Service Excellence skills according to agency standards
  • Works collaboratively with Revenue Cycle team members and other appropriate staff to ensure reimbursement of all services
  • Assists in the continued development of the verification, admission, and reimbursement processes
  • Performs identified back-up functions for the Insurance Verification Coordinator and other Patient Accounts Coordinators as identified
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • eligibility to enroll in company 401(k) plan
  • Fulltime
Read More
Arrow Right
New

Accounts Receivable Supervisor

We are seeking an experienced and detail-oriented Accounts Receivable Supervisor...
Location
Location
United States , Dallas
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree required
  • Bachelor’s degree in Accounting, Finance, Healthcare Administration, or related field preferred
  • 5+ years of Accounts Receivable experience, including full-cycle AR responsibilities
  • 2+ years of supervisory or leadership experience
  • Prior experience in healthcare or medical revenue cycle management required
  • Strong knowledge of medical billing, insurance claims processing, and denial management
  • Experience working with third-party collection agencies
  • Proven ability to manage large, complex AR portfolios
  • Strong analytical and problem-solving skills with attention to detail
  • Excellent communication and interpersonal skills
Job Responsibility
Job Responsibility
  • Supervise day-to-day Accounts Receivable operations, including billing, cash applications, credit management, and collections
  • Oversee and manage a high-volume AR portfolio exceeding $200M, ensuring accuracy and timeliness of receivables
  • Lead and develop a team responsible for AR functions, providing coaching, training, and performance management
  • Monitor and analyze AR aging, identify trends, and implement strategies to reduce DSO and improve cash flow
  • Manage the full medical billing lifecycle, including insurance claims submission, follow-up, and resolution of denials
  • Partner with internal teams to ensure accurate charge capture, coding, and billing processes
  • Work closely with insurance providers to resolve claim issues, underpayments, and disputes
  • Oversee relationships with third-party collection agencies, including performance monitoring and account placements
  • Ensure compliance with healthcare regulations, payer requirements, and internal policies
  • Develop, track, and report on key performance indicators (KPIs) related to AR performance
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
Read More
Arrow Right

Employee Benefits Sales Executive

The Employee Benefits Producer is responsible for increasing sales volume by dev...
Location
Location
United States , Tacoma
Salary
Salary:
100000.00 - 200000.00 USD / Year
bbrown.com Logo
Brown & Brown UK
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Valid Producer license in good standing
  • Minimum of 3 years of experience in the insurance industry
  • College Degree in Business Administration, Insurance, Risk Management or related field or equivalent combination of education and experience (Preferred)
  • Strong technical knowledge of all lines of insurance coverage (Preferred)
  • Familiarity with agency management systems as well as other applications related to insurance sales (Preferred)
Job Responsibility
Job Responsibility
  • Build a network of professional relationships, identify new leads, and qualify opportunities that meet company standards as prospects
  • Establish, cultivate, and manage customer relations with clients, as well as professional relationships with carrier partners and internal resources throughout the organization
  • Conduct risk management surveys, determine insurance coverage needs, develop stewardship reporting and advise existing and prospective clients on insurance coverage options
  • Provide continuous professional advice for improving the insurance and risk management programs of existing and prospective clients
  • Secure and prepare documentation for the development of new business and renewal proposals and for the negotiation of quotes for placement of coverage by the marketing and service teams
  • Present and sell new business and renewal proposals, including educational materials for value-add services, to prospective and existing client decision-makers, respectively
  • Review and resolve client disputes regarding complex claims
  • Follow agency guidelines, policies, and procedures, including but not limited to the Insurance Coverage Review form
  • Actively participate in social, civic, trade organizations and industry associates which will assist in promoting Profit Center’s image
  • Promote teamwork within departments and profit centers through support, knowledge sharing, and a positive attitude
What we offer
What we offer
  • Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
  • ESPP
  • 401k
  • Student Loan Assistance
  • Tuition Reimbursement
  • Free Mental Health & Enhanced Advocacy Services
  • Paid Time Off, Holidays, Preferred Partner Discounts
  • Fulltime
Read More
Arrow Right

Employee Benefits Producer

The Employee Benefits Producer is responsible for increasing sales volume by dev...
Location
Location
United States , Minneapolis
Salary
Salary:
100000.00 - 200000.00 USD / Year
bbrown.com Logo
Brown & Brown UK
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Valid Producer license in good standing
  • Minimum of 3 years of experience in the insurance industry
  • College Degree in Business Administration, Insurance, Risk Management or related field or equivalent combination of education and experience (Preferred)
  • Strong technical knowledge of all lines of insurance coverage (Preferred)
  • Familiarity of agency management system and as well as other applications related to insurance sales (Preferred)
Job Responsibility
Job Responsibility
  • Build a network of professional relationships, identify new leads, and qualify opportunities that meet company standards as prospects
  • Establish, cultivate, and manage customer relations with clients, as well as professional relationships with carrier partners and internal resources throughout the organization
  • Conduct risk management surveys, determine insurance coverage needs, develop stewardship reporting and advise existing and prospective clients with insurance coverage options
  • Provide continuous professional advice for improving the insurance and risk management programs of existing and prospective clients
  • Secure and prepare documentation in the development of new business and renewal proposals and for the negotiation of quotes for placement of coverage by the marketing and service teams
  • Present and sell new business and renewal proposals, including educational materials for value-add services, to prospective and existing client decision-makers, respectively
  • Review and resolve client disputes regarding complex claims
  • Follow agency guidelines, policies, and procedures, including but not limited to the Insurance Coverage Review form
  • Actively participate in social, civic, trade organizations and industry associates which will assist in promoting Profit Center’s image
  • Promote teamwork within department and profit center through support, knowledge sharing and a positive attitude
What we offer
What we offer
  • Medical/Rx
  • Dental
  • Vision
  • Life Insurance
  • Disability Insurance
  • ESPP
  • 401k
  • Student Loan Assistance
  • Tuition Reimbursement
  • Free Mental Health & Enhanced Advocacy Services
  • Fulltime
Read More
Arrow Right