330 Claims jobs

The Branch Claims Representative (PD Adjuster) investigates, evaluates, and determines the appropriate disposition of all types of claims arising out of the Company’s business. This job also provides service to agents, insureds, and others in the course of handling those claims to their conclusion. Work is performed under general supervision. Responsibilities Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge of Company insurance products. Learn and comply with claim handling procedures. Develop skills in claim negotiations and settlements. Effectively service needs of agents, insureds, and others. Meet with people involved with claims, sometimes outside of our office environment. Use technology-based information for reference, enter information into computer systems and develop specialized skills, including but not limited to property estimating, auto...

The Branch Claims Representative (PD Adjuster) investigates, evaluates, and determines the appropriate disposition of all types of claims arising out of the Company’s business. This job also provides service to agents, insureds, and others in the course of handling those claims to their conclusion. Work is performed under general supervision. Responsibilities Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge of Company insurance products. Learn and comply with claim handling procedures. Develop skills in claim negotiations and settlements. Effectively service needs of agents, insureds, and others. Meet with people involved with claims, sometimes outside of our office environment. Use technology-based information for reference, enter information into computer systems and develop specialized skills, including but not limited to property estimating, auto...

If you are a seasoned claims professional with a passion for delivering exceptional results and have a proven track record in homeowner liability claims, we invite you to apply and join our dynamic team at Plymouth Rock Home Assurance. Together, let's make a difference in the lives of our policyholders and uphold our commitment to excellence. Here is what you will do: Initiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations. These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims. Ability to read medical records and properly evaluate values in multiple jurisdictions to ensure proper reserve practices. Ability to recognize potential subrogation opportunities. Review insurance policies to determine coverage and assess the applicability of policy terms and...

If you are a seasoned claims professional with a passion for delivering exceptional results and have a proven track record in homeowner liability claims, we invite you to apply and join our dynamic team at Plymouth Rock Home Assurance. Together, let's make a difference in the lives of our policyholders and uphold our commitment to excellence. Here is what you will do: Initiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations. These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims. Ability to read medical records and properly evaluate values in multiple jurisdictions to ensure proper reserve practices. Ability to recognize potential subrogation opportunities. Review insurance policies to determine coverage and assess the applicability of policy terms and...

If you are a seasoned claims professional with a passion for delivering exceptional results and have a proven track record in homeowner liability claims, we invite you to apply and join our dynamic team at Plymouth Rock Home Assurance. Together, let's make a difference in the lives of our policyholders and uphold our commitment to excellence. Here is what you will do: Initiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations. These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims. Ability to read medical records and properly evaluate values in multiple jurisdictions to ensure proper reserve practices. Ability to recognize potential subrogation opportunities. Review insurance policies to determine coverage and assess the applicability of policy terms and...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional projects and duties as assigned KNOWLEDGE & SKILLS: Excellent Customer Service Skills Excellent written and verbal communication skills Ability to learn rapidly to develop knowledge and...

The Branch Claims Representative (PD Adjuster) investigates, evaluates, and determines the appropriate disposition of all types of claims arising out of the Company’s business. This job also provides service to agents, insureds, and others in the course of handling those claims to their conclusion. Work is performed under general supervision. Responsibilities Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge of Company insurance products. Learn and comply with claim handling procedures. Develop skills in claim negotiations and settlements. Effectively service needs of agents, insureds, and others. Meet with people involved with claims, sometimes outside of our office environment. Use technology-based information for reference, enter information into computer systems and develop specialized skills, including but not limited to property estimating, auto...

The Branch Claims Representative (PD Adjuster) investigates, evaluates, and determines the appropriate disposition of all types of claims arising out of the Company’s business. This job also provides service to agents, insureds, and others in the course of handling those claims to their conclusion. Work is performed under general supervision. Responsibilities Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge of Company insurance products. Learn and comply with claim handling procedures. Develop skills in claim negotiations and settlements. Effectively service needs of agents, insureds, and others. Meet with people involved with claims, sometimes outside of our office environment. Use technology-based information for reference, enter information into computer systems and develop specialized skills, including but not limited to property estimating, auto...

OBJECTIVE Commercial Property Claims Specialist Objective To help our insured recover after a commercial property loss of varied size and complexity. To effectively investigate, evaluate, and resolve commercial property claims for our valued client within the company’s contractual and legal obligations. To deliver an exceptional customer and agent experience to aid in the retention of business while consistently adhering to established claims handling guidelines and best practices.   To ensure proactive and timely service, while providing an appropriate and equitable resolution to insureds and the company. RESPONSIBILITIES Commercial Property Claims Specialist Responsibilities Deliver exceptional customer service to the insureds and agents. Investigate, evaluate, manage, and resolve claims under minimal supervision in compliance with best practices, claim handling guidelines and state regulations. Evaluate complex commercial...

Overview Carbon Stop Loss Solutions is a leading managing general underwriter (MGU) in the field of employer stop loss and managed care insurance.   Carbon’s team of experts are known as the industry leader in delivering best-in-class risk solutions to effectively lower healthcare costs. Carbon’s offerings support clients and brokers in a rapidly changing healthcare market with best-in-class service, underwriting, claims support and effective cost containment strategies.   Carbon Stop Loss Solutions is part of NSM Insurance Group, a global specialty insurance provider with more than $1.85 billion in premium across 25+ specialty insurance programs and brands around the world. Named a Philadelphia Inquirer Top Workplace based on employee feedback, the company has been exclusively focused on building successful insurance programs since 1990 and continually seeks new opportunities to grow and expand through strategic mergers and acquisitions....

If you are a seasoned claims professional with a passion for delivering exceptional results and have a proven track record in homeowner liability claims, we invite you to apply and join our dynamic team at Plymouth Rock Home Assurance. Together, let's make a difference in the lives of our policyholders and uphold our commitment to excellence. Here is what you will do: Initiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations. These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims. Ability to read medical records and properly evaluate values in multiple jurisdictions to ensure proper reserve practices. Ability to recognize potential subrogation opportunities. Review insurance policies to determine coverage and assess the applicability of policy terms and...

Litigation Claims Adjuster – Construction Specialist Hybrid Work Schedule Melville, New York   Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for a Litigation Claims Adjuster – Construction Specialist to join our growing Claims Legal Team. Our office is currently located in Hauppauge, New York and will be moving our location to Melville, New York in April 2025. The Litigation Claims Adjuster – Construction Specialist will become part of a dedicated team focusing on New York Labor Law, construction defect and/or third-party property damage claims. This position interacts extensively with internal colleagues as well as policyholders, agents, attorneys and a multitude of claim-related service providers.   Merchants Insurance Group is proud to be one of Buffalo Business First’s Best Places to Work in Western New York (2023, 2024), a Fast Track company (2019-2024), and a Top Private Company (2019-2024). Merchants...

The Liability Claims Specialist manages within company best practices lower-level, non-complex and non-problematic liability claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time liability claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary...

CorVel is seeking a full time Sr. Claims Specialist. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote position.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the appropriate parties Manages...

The Claims Manager is responsible for the overall operation of a designated office.  The Claims Manager participates in formulating and administering company best practices as well as developing long-range goals and objectives, analyzing costs, activities and operations, supporting the goals of claims department and of CorVel.    This is a remote opportunity.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Represents the company in a professional manner to both internal and external customers and clients Directs the performance and development of the employees in their department Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations Utilizes Jurisdictional Expertise and knowledge of regulatory rules, statutes and procedures governing the jurisdictions assigned to ensure compliance...

CorVel is seeking a Automobile and General Liability Claims Specialist.  The Liability Claims Specialist manages within company best practices Commercial Auto PD and BI Claims and General Liability Claims.  Additionally, the Specialist will work within delegated authority to best possible outcomes for CorVel and our clients. This is a remote position.     ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Receives new claims, confirms coverage and meets 24 hour contact requirements.  Renders a Liability determination on each claim in accordance with statutory requirements and Service Handling Instructions. Investigates simple to mid-level Auto BI and PD and GL BI and PD. Establishes timely reserves and authorizes payments within authority limits. Communicates claim status with the client, excess carriers, and defense counsel (as applicable).  Adheres to client and carrier guidelines and participates in claims review as needed. Prepares for and participates in file...

Company Details   What makes Admiral Insurance Group ADMIRABLE .   Since 1974, Admiral Insurance Group has been supporting business innovation and market growth through our wholesale-dedicated excess and surplus (E&S) lines of commercial insurance.  We specialize in underwriting difficult-to-place moderate to high-risk commercial businesses that require creative solutions, outside of the box thinking, entrepreneurial spirit and astute business knowledge.  As a member of the W. R. Berkley Corporation, a Fortune 500® Company and one of the nation’s premier commercial lines property casualty insurance providers, we have the resources, support and industry data to provide exceptional service and exciting solutions for our clients and partners.    Unlock your insure -ability.   The Company is an equal employment opportunity employer.   https://www.admiralins.com/ Responsibilities The Claims Superintendent -...

Company Details   As an elite Excess and Surplus Lines market, Nautilus Insurance Group offers commercial property and casualty insurance solutions to appointed wholesale surplus lines producers countrywide.  We have specialized in providing these solutions for more than 35 years.   We have more flexible policy terms and premium rates on a non-admitted basis. Our focus is small to medium Property and Casualty risks on both an admitted and a non-admitted basis. Our offerings are distributed through partnerships with appointed wholesale surplus lines producers. Our relationships are defined by mutual success, speed to market, customer-centric focus and an expanded appetite.    Coverage placed by Nautilus Insurance Group is provided by Nautilus Insurance Company and Great Divide Insurance Company, both W. R. Berkley Corporation members with A.M. Best (Superior) A+ XV ratings.   Benefit Highlights: Paid Parental Leave! At Nautilus, we...

Company Details   Verus Specialty Insurance is an Excess and Surplus Lines provider writing business countrywide, a member of W.R. Berkley Corporate (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States.  The resources and strength of a Fortune 500 company back us and we operate with the flexibility and closeness of a small underwriting company.  As such, Verus Specialty Insurance operates through a group of wholesale producers nationwide.     Our leadership encourages a culture that empowers employees to question the status quo and seek innovative ways to continue to exceed the expectations of our customers. We believe our strength comes from building an exceptional team that embraces collaboration, growth and ownership. If you share our vision and want to work for an organization that values your contributions, we want to hear from you!   The Company is an equal employment opportunity employer....

At Selective, we don't just insure uniquely, we employ uniqueness. Our Business Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2024 and certification as a Great Place to Work® in 2024 for the fifth consecutive year. Working at Selective At Selective, we don't just insure uniquely – we employ uniqueness. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an...