14 claim operations specialist jobs found in Atlanta

Position Summary The Director of Clinical & Cost Containment is a senior strategic role within Strategic Benefit Resources (SBR) responsible for leading the clinical consulting and cost containment program capabilities that differentiate SBR's self-funded solutions in the wholesale distribution market. This individual serves as the primary clinical subject matter expert across SBR's book of business, partnering with sales, distribution, and stop-loss consulting teams to evaluate, implement, and communicate clinical cost containment strategies that drive measurable financial outcomes for employer clients. This role bridges clinical expertise and consultative sales support — working directly with broker/consultant partners, TPAs, stop-loss carriers, and employer plan sponsors to identify high-cost claim drivers, optimize vendor program selection, and develop clinical frameworks that reduce plan cost and improve member outcomes. Why This Role Exists As the...

The Recovery Specialist is responsible for the end- to- end recovery process to include; investigation, identification, and pursuit of recovery/subrogation opportunities to maximize amounts received from third parties who are wholly responsible or share liability for damages paid to claimants by AIG, while ensuring recovery expenses are minimized.  A Recovery Specialist will be responsible for the most complex, highest value claim recovery cases covering multiple commercial insurance lines of business within the North American region.  This role regularly requires the exercise of discretion and professional judgment in evaluating whether to pursue recovery and in negotiating settlements.  Key responsibilities: •    Reviews assigned claim files to determine if recovery is feasible, investigates and evaluates liability issues, coordinates investigations by expert witnesses, proactively follows up with relevant parties, handles arbitrations, and refers cases to approved...

Make your mark in Claims Our 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. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact The Specialist will handle and analyze general liability claims under general supervision and moderate exposure claims involving litigation. The position also ensures ongoing adjudication of claims within the Company standards, industry best practices and specific client service requirements. Analyze and process general liability property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective...

At AIG, we protect our clients against uncertainty and risk and provide the confidence for tomorrow’s opportunities. Join us as a director of a Workers Compensation claims team to grow your skills and experience as a valued member of the team. Make your mark in Federal Workers Compensation Claims Our 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. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact This position is responsible for leading a team of Claims Examiners on the Federal WC Claims team and for directing activities consistent with the mission statement of AIG Claims, Inc. by achieving stated goals through best practices and...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Technical Specialist – Workers’ Compensation Claims Major Case Unit (MCU) to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Claims Our 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. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. The AIG Workers’ Compensation (WC) Major Case Unit (MCU) is a group of well trained and highly dedicated claim professionals with an average of 26 years of WC claim handling experience. We take a collaborative approach in handling large,...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Our 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. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. Make your mark in Federal Workers Compensation Claims. Focused on Workers Compensation within the Federal jurisdiction, this role is an ideal opportunity to develop your expertise in handling and investigating Defense Base Act claims. The aim is deal with claims through a proactive, best practice approach, in line...

Job Type: Permanent Build a brilliant future with Hiscox   The Complex Claims Specialist is a senior level individual contributor position. This person adjudicates assigned claims within given authority and provides operational support to the claims team. This Person Will Also: Strategize and maximize early settlement opportunities for Construction Defect and 3rd Party Property Damage Claims Demonstrate proficient knowledge regarding coverage triggers and time on risk allocation Draft and Review coverage analyses Manage/Partner with local defense counsel while monitoring litigation Drive litigation best practices to manage deployment and utilization of defense counsel Continually assess exposures and adequacy of claim reserves Demonstrate proficient knowledge regarding theories of liability and state specific negligence standards Accurately document claim files with all relevant correspondence, documentation, and file notes Demonstrate...

Job Type: Permanent Build a brilliant future with Hiscox   Controls Analyst – Financial Reporting & Controls Location: Atlanta, Boston, NYC Manhattan, West Hartford, CT Reports To: Senior Financial Reporting Manager About the Role: The Controls Analyst is a key role within Hiscox USA Finance organization, responsible for the execution, maintenance, and continuous improvement of the Hiscox control environment. The Controls Analyst will lead core control operations, including attestation review, Shield control maintenance, and annual control framework execution, ensuring controls are appropriately designed, executed, and evidenced across both retained and outsourced (Genpact) operating models. This is a highly cross-functional role requiring strong partnership with business stakeholders to ensure controls are embedded into core processes and aligned to regulatory expectations, including Model Audit Rule (MAR). Key Responsibilities: Control...

Overview The RMIS Sales Solution Architect is a deep domain expert in risk management information systems who applies that expertise across the RMIS opportunity portfolio to shape what Origami sells and how we win. The role owns solution definition, architecture, delivery feasibility, and technical qualification, and contributes to competitive strategy, deal economics, and commercial decision-making. Engagement depth scales with deal complexity, with the most rigorous process discipline applied on strategic and enterprise deals. The SSA operates within a defined deal governance process, applies a structured deal health score that captures competitive, commercial, and delivery risk, and produces the artifacts required to align sales, solutions, and services leadership on how we win. Responsibilities Solution Definition . Define the solution Origami should propose for each opportunity, including capabilities,...

Job Type: Permanent Build a brilliant future with Hiscox   Job Title: Senior Business Analyst Location: Atlanta, GA, Boston, MA, Hartford, CT, Manhattan NYC Reports To: Business Analysis Director Summary: The Senior Business Analyst is a detailed oriented individual who plays a key role in shaping solutions that support underwriting, rating, quoting, binding, and claims management processes across the Hiscox insurance portfolio. This role is ideal for someone who thrives in a fast-paced environment, brings strong insurance domain knowledge—especially in small commercial or specialty lines—and has a proven track record of driving business and technology alignment. You’ll work cross-functionally with underwriting, claims, operations, and technology teams to deliver practical, scalable solutions that support business goals and improve the end-to-end customer and agent experience. Key Responsibilities: Hands-On Analysis & Delivery: Serve...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Marine Claims Major Loss Adjuster to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Claims Our 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. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.  How you will create an impact As a Major Loss Adjuster, you will be focused on handling all aspects of Motor Truck Cargo, Vehicle Physical Damage, Car Hauler Liability, Commercial Property, Contractors Equipment, and Warehouse legal Liability claims. This role is an ideal opportunity to develop...

At AIG, we are reimagining the way we help customers to manage risk. Join us as an Underwriter to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Underwriting, Retail Casualty AIG is seeking a motivated Underwriter to contribute to our industry leading Environmental Casualty team. AIG’s strong brand in the market has provided for strong growth and thus the need for underwriting resources. We consistently provide clients with innovative products, use of technology, and a world-class platform. Our underwriters constantly deliver in an ever-changing marketplace and world.  In this role, you will be responsible for underwriting and servicing an existing renewal book with assistance to other team members who will solicit new business opportunities. This role includes constant interaction with top nationwide, regional, local and wholesale brokers and insureds. Through this role,...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations. Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a common mission and purpose: One Ascot. Our greatest strength is a talented team who flourish in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find a better way, The Ascot Way. The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our unique Fusion Model: Client Centric, Risk Centric, Technology Centric. Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world-class service — both pre- and post-claims....

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Underwriter to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Lexington Underwriting Lexington Insurance Company, the leading U.S. based Excess and Surplus Lines company, is strengthening leadership position in the E&S market. We aspire to make Lexington the best in the industry for all of our product and services; driving an end-to-end business that delivers exceptional outcomes for our brokers and clients. Lexington is the home of specialized underwriters, addressing the most challenging risks in the market, providing thought leadership and innovative solutions, supported by Claims and Operational expertise, all working together to solve our client’s needs as quickly as possible How you will make an impact Market and underwrite for acceptable business in accordance with...