31 complex claims consultant jobs found in New York

The primary function of the Risk Consultant is to provide proactive, data-driven risk management consultative services, guidance, education, and expertise to physicians, practices, hospitals, and other clinicians insured by Coverys. This is an active rather than a passive approach. It requires experience in – and understanding of -- complex healthcare-delivery settings, strong familiarity with malpractice data (as well as other data sets), the ability to interpret the significance of the data, highly developed risk assessment skills, and broad knowledge of patient safety models, concepts, and practices that are highly responsive to the drivers of malpractice risk. To be successful in this role, the Risk Consultant must be able to: Related Duties & Responsibilities Be highly proficient in the use of data, not just in targeting priorities for risk mitigation but also in all aspects of client servicing and risk management resource development. Articulately present and...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Work Environment: This position follows a hybrid work schedule, requiring a minimum of two days per week in our New York City (Battery Park Plaza) office, with the remaining days working from home. For the right candidate, we may be able to consider individuals as fully remote. An ideal candidate will have: Juris Doctorate (JD) is preferred. Prior claims file handling experience: Including Cyber, EPL, D&O liability, E&O, or professional...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. This opening can be filled in a remote/work-from-home (WFH) capacity or in one of our offices. Ideally, work hours will align to Eastern or Central time zones. The Property Pricing Sophistication Consultant is responsible for facilitating the smooth implementation of rating enhancements and shaping the next generation of rating capabilities for Homeowners, Tenants, and Condominium products. This role leads the full segmentation lifecycle - research, analysis,...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. We are looking for a motivated and talented individual to join our growing cyber claims team. As a Senior Claims Consultant, you will be handling complex and high exposure primary and excess cyber and data privacy claims from inception to conclusion. Your role will include investigating, evaluating and negotiating first-party and third-party cyber and data privacy claims.  Job Description Summary If you can put your keen legal mind to work analyzing,...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Location: The location of this position is flexible and open to virtual and/or remote based applicants. What to Expect: This role is an individual contributor role. Although it doesn't immediately involve leadership responsibilities, there is potential in the future for the role to grow and change. Ideal Candidates will have:  Surety Claims and/or strong Construction Litigation experience highly preferred. JD preferred. #LI-BC1 Job Description...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Work Environment: The location of this position is flexible and open to virtual and/or remote based applicants.   Required Experience: Demonstrated experience handling toxic tort with emphasis on asbestos and/or silica bodily injury claims , including evaluation, negotiation, and resolution. Proven ability to manage toxic tort bodily injury litigated files , including collaboration with defense counsel, strategy development, and oversight of...

Sr Representative Claims - CH08BE Sr Representative Clms CA - CH08AN Consultant Claims CA - CH08BN Consultant Claims - CH08CE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.           The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering superior customer service and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and procedures and statutory, regulatory and ethics requirements.  The selected candidate will partner with Staff Legal and outside counsel to resolve General Liability cases including: Premise Liability, Operations Claims, Product Liability, Professional Claims,...

Sr Consultant Risk Engineering - KR08DE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              At The Hartford, our Risk Services organization exists to help people and businesses thrive by working directly with customers to assess risk, improve resilience, and deliver practical risk mitigation solutions that make a measurable difference. We partner with customers throughout their lifecycle to identify exposures, reduce losses, and strengthen operational performance—combining consultative expertise, technology enabled risk solutions, and data driven insights to improve outcomes before and after a loss. By integrating risk assessment, prevention, and recovery with the broader insurance experience, we help customers protect what...

Who is Cover Whale? Cover Whale is the nation’s leading commercial trucking insurtech. We improve road safety by combining the insurance products we sell with our telematics-based, data-driven driver coaching and safety program known as DriveSmart. Our program is proven to save lives while delivering better insurance for our drivers. For more information, please visit www.coverwhale.com .  Join us in the mission! The Role: We are seeking a highly analytical, technically strong Actuarial/Data Science professional to own and evolve our end-to-end reserving and predictive modeling capabilities. This role will maintain and enhance our Python-based reserving models while building predictive models using live telematics and claims data to drive pricing, cancellation strategy, and large loss detection. The position sits at the core of our underwriting and growth strategy, directly influencing dynamic pricing, loss ratio performance, and profitable expansion. This is a very...

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. Starr Insurance Companies is a global insurance and investment organization providing property and casualty insurance solutions to business and industry, and one of the fastest-growing insurance companies in the world.  Our talented  and experienced associates manage risk and ultimately support the profitable growth of organizations in a dynamic, competitive and ever-changing marketplace. Join us and become part of our talented and passionate workforce. Job...

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. That’s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. 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...

Associate Actuary - Risk Management At AIG, we are reimagining the way we help customers to manage risk. Join us as an Associate Actuary - Risk Management to take on key responsibilities within a world-class actuarial function. Make your mark in Actuarial Our Actuaries are on the front lines, quantifying risk, pricing insurance and reserving losses for AIG’s major insurance operating companies, globally. We collaborate with Finance, Claims, Operations, Marketing and Risk Management, among other functions. As an AIG actuary, you will be challenged and encouraged to reach your greatest potential to help improve how we predict, manage and mitigate risk. How you will create an impact This position will assist the Actuarial Independent Review team with the following responsibilities: Assist in the independent review of selected AIG policyholder liabilities.  This includes: Review claims and premium data quality for property and casualty insurance lines....

Actuary - Risk Management At AIG, we are reimagining the way we help customers to manage risk. Join us as a Actuary - Risk Management to take on key responsibilities within a world-class actuarial function. Make your mark in Actuarial Our Actuaries are on the front lines, quantifying risk, pricing insurance and reserving losses for AIG’s major insurance operating companies, globally. We collaborate with Finance, Claims, Operations, Marketing and Risk Management, among other functions. As an AIG actuary, you will be challenged and encouraged to reach your greatest potential to help improve how we predict, manage and mitigate risk. How you will create an impact This position will assist the Actuarial Independent Review team with the following responsibilities: Assist in the independent review of selected AIG policyholder liabilities.  This includes: Review claims and premium data quality for property and casualty insurance lines. Build benchmark reserving...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  As a member of CNA’s Actuarial organization, you will be part of a community that provides deep specialization and discipline as trusted advisors, unlocks data to enable business partners to advance our global market strategy, and drives business solutions through actionable analytics and insights. CNA Insurance is seeking a Senior Actuarial Consultant to join their pricing team to develop and recommend actuarial pricing and rating plans of a complex nature. In this role, you will collaborate with business partners at all levels and Actuarial senior leaders. You will act as a trusted advisor to provide actuarial analyses and insights to support across technical and non-technical audiences...

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. Starr’s growing Management Consulting & Transformation team is seeking a proactive, results-oriented  Senior Consulting Analyst with an AI and digital transformation mindset to drive enterprise change and deliver value across key strategic initiatives. This role reports into senior management and is instrumental in supporting the design, execution, and scaling of technology, AI, and business programs. You will partner with business leaders, program...

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. RESPONSIBILITIES Position oversees overall loss control service direction, coordination, and evaluation of new business and dedicated accounts in their respective regional office.   Helps to ensure quality accounts are added to the portfolio while also assessing individual account service needs once bound.  Monitors loss development on the book of business and readily perform and deploy loss control resources where needed to maintain profitability and...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. This opening can be filled in a remote/work-from-home (WFH) capacity or in one of our offices. Regular work hours should align to Eastern or Central time zones, regardless of location, with the ability to flex as needed. Limited/occasional travel is associated with this role. This role will have a primary focus on designing, delivering, and continuously improving internal training for our Personal Lines field sales organization. The Training Consultant will...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description Join Allstate’s in-house legal team and take on a senior role defending both the insured and the Company in complex Personal Injury Protection / No-Fault / Special Investigations matters. As a Senior PIP / No-Fault Attorney, you will independently manage a sophisticated litigation caseload while serving as a trusted legal partner to claims and business stakeholders. This role is ideal for an experienced attorney who thrives in a fast-paced environment, and brings strong judgment to high-exposure matters. This position is 100%...

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. The Chief of Staff will serve as a strategic partner and trusted advisor to the Global Chief Claims Officer (GCCO), supporting the execution of the company’s claims strategy, driving key business management initiatives, and overseeing cross-functional project management. This pivotal role acts as a liaison between the GCCO, senior leadership, and various stakeholders across the organization. The successful candidate is a seasoned insurance professional with...

Primary Details Time Type: Full time Worker Type: Employee S enior Technical Claim Specialist (Financial Lines) Location: USA –New York, NY and Chicago, ILL Work Arrangement: Hybrid   The salary range for this role is:  $139,500-236,500 The Opportunity Manages the complete investigation, evaluation and resolution of assigned portfolio of complex claims emanating from Management and Professional Lines (MLPL) business segments, specifically Directors and Officers and Employment Practices Liability for our Private Company portfolio. Engages, directs and manages external advisors and vendors including legal service professionals, discovery vendors, data and security experts and consultants across highly complex portfolio of matters. Your new role: • Manage a diverse portfolio exclusively of high severity claims which includes conducting fact, liability and loss investigations and interpreting insurance contracts in an effective...