1124 claims handler jobs found

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Service Center Associate-12 PRIMARY PURPOSE : To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as a customer liaison in assisting the customer with the correct contact person to resolve problems and/or questions. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Assigns new claims to the appropriate claims handler. Enters verbal and written application information that meets both the internal and external...

Claims Consultant FL - CV07GE 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 Hartford Global Financial Lines Directors and Officers (D&O) Claims Group currently has an open claim professional position. As a D&O claims professional, you will be responsible for handling a caseload of claims-made, Private and Non-Profit D&O Claims, from inception to final disposition. As these claims are often in litigation, experience handling litigated Management Liability Claims matters through resolution and managing defense counsel is required. Responsibilities include all aspects of claim file management from assignment to conclusion including: Conducting investigations and analyzing and evaluating the...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Service Center Representative - Bartlesville, OK ON-SITE Ready to make an impact? Join us at one of our vibrant Centers of Excellence! 📍Location: Bartlesville, OK – 117 W 5th St., 3rd Floor (corner of 5th and Keeler) Why you’ll love being part of our team: Join a respected, rapidly growing insurance organization Make a real difference by guiding people through life’s most important moments Build your expertise in insurance operations and customer...

SUMMARY:    The Nurse Case Manager (NCM) is responsible for applying medical knowledge in reviewing workers’ compensation claims to assess, evaluate, plan, implement and oversee the treatment appropriateness for occupational injuries based upon evidence based guidelines.  The NCM utilizes clinical knowledge to evaluate the medical and disability needs of an injured worker against relevant policies, facilitate coordination of the patient’s medical treatment and timely return to work. The NCM engages the claimant and physician(s) in providing proactive medical and disability management, working collaboratively with claim handlers in providing focused claim resolution and return to work driven outcomes.  The case management process requires a focus on customer service, skills, knowledge of setting appropriate goals and measuring outcomes to effectively ensure optimal outcomes.    RESPONSIBILITIES/TASKS:  The nurse case manager must be able to demonstrate and be accountable for...

At Coaction, we’re a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients. Overview:   The Manager of Workers Compensation Claims oversees two Third Party Administrators (TPAs) and plays a crucial role in ensuring effective management and oversight of claims handling processes. This position requires attention to detail, strong analytical skills, professional communication, and the ability to collaborate with various internal and external stakeholders. This job description outlines the essential responsibilities and qualifications for the role. Successful candidates will possess a complementary combination of technical expertise, leadership abilities, and a commitment to maintaining high standards of claims management excellence.   Responsibilities:   Oversee Third Party...

SUMMARY This position serves as technical expert in the subrogation claim representative career path. Under limited supervision, manages subrogation worker’s compensation claims with litigation, complex/catastrophic and/or coverage elements. Manages unique cases, where sometimes little precedence has been established. Serves as department leader by developing other employees and may function as acting manager in the absence of department management.  We are seeking an experienced workers’ compensation subrogation adjuster or bodily injury liability claims adjuster with a background in complex and litigated claims and negotiating settlements directly with personal injury attorneys and adverse carriers. Workers’ compensation subrogation experience is preferred; however, we will consider strong bodily injury candidates who have handled larger, litigated losses and are interested in transitioning those skills to subrogation. This role identifies, investigates, evaluates,...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Middle Market Casualty Team as a Senior Claims Examiner, Casualty. In this role, the responsibilities include actively managing commercial claims for high severity, complex general liability, and the associated excess and umbrella policies, in jurisdictions throughout the United States. Ideal candidates will bring strong negotiation skills, technical expertise, and a passion for delivering service-oriented solutions in a fast-paced, high-impact environment. **$5k Sign-on Eligible** Responsibilities Identify and assess coverage issues, draft coverage position letters, and retain...

Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. Feel empowered to learn and grow while being valued for who you are. At Intact, we commit to supporting you in reaching your goals with tools, opportunities, and flexibility. It’s our promise to you.  Who we are At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups. Intact’s Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe. The following...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Job Description Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Middle Market Casualty Team as a Claims Examiner, Casualty.  In this role, the responsibilities include actively managing commercial claims for medium severity, general liability, as well as the associated excess and umbrella policies, in jurisdictions throughout the United States. Responsibilities Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis Develop and implement strategy relative to coverage issues which correlate with the overall strategy of...

Specialist Claims - CH07DE 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.           This position can be filled at either the Consultant or Specialist level, based on the candidate’s experience and is determined by the Hiring Manager. The Claim Specialist and Claim Consultant roles are advanced claim handler positions within the ENVIRONMENTAL unit of The Hartford’s Complex Claims Unit (CCU), responsible for the management of various complex claims brought against The Hartford’s insureds.  Claims in CCU are often associated with complex fact patterns and coverage issues that may involve multiple years and types of insurance coverage. CCU claims also commonly involve litigation, require...

Claim Representative II:  This is the intermediate level of the claim handler career path. Handles moderate difficult claims. Exercises progressively more discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority.    RESPONSIBILITIES/TASKS: Verifies workers’ compensation coverage of employers and injured employees.  Determines compensability under workers’ compensation by thorough investigation of the claim. Determines causal relationship between the reported injury and the incident to ensure appropriate payment of benefits. Facilitate return to work for the injured employee. Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure. Documents specifics of claims with potential for subrogation recovery, including amount of potential recovery monies....

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Overview   The Claims Division is seeking a team member to join the Executive Assurance Team as Senior Claims Examiner. In this role, the responsibilities include but are not limited to actively manage and effectively oversee assigned caseload for a variety of claims, including Public D&O, Private Company D&O, Financial Lines, Private Equity, Transaction Risk and Commercial Crime related claims.    Primary Responsibilities    Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis  Develop and implement strategy relative to coverage...

SUMMARY     This is the advanced level of the claim handler career path. Investigates claims and exercises significant discretion in the determination of compensability of claims. May handle large, more complex customers requiring high touch, labor intensive claim service. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority. Mentors lower-level claim handlers. Coordinates special projects and provides guidance to others. Must have California experience.   ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned. Verifies workers’ compensation coverage of employers and injured employees.   Determines compensability under workers’ compensation by thorough investigation of the claim.   Determines causal relationship between the reported injury and the incident to ensure appropriate payment of benefits. Facilitates return to work for the injured employee. Establishes timely...

Specialist Claims - CH07DE 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.              COMPLEX CLAIMS UNIT ENVIRONMENTAL – CLAIM SPECIALIST The Claim Specialist role is the most advanced claim handler position within the ENVIRONMENTAL unit of The Hartford’s Complex Claims Unit (CCU), responsible for the management of various complex claims brought against The Hartford’s insureds.  Claims in CCU are often associated with complex fact patterns and coverage issues that may involve multiple years and types of insurance coverage. CCU claims also commonly involve litigation, require subject matter expertise and can involve higher exposures.  The Environmental Claim Specialist role within CCU offers a high-impact opportunity for...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Middle Market Casualty Team as a Senior Claims Examiner, Casualty. In this role, the responsibilities include actively managing commercial claims for high severity, complex general liability, and the associated excess and umbrella policies, in jurisdictions throughout the United States. Ideal candidates will bring strong negotiation skills, technical expertise, and a passion for delivering service-oriented solutions in a fast-paced, high-impact environment. **$5k Sign-on Eligible** Responsibilities Identify and assess coverage issues, draft coverage position letters, and retain...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner, Casualty.  In this role, the responsibilities include actively managing commercial general liability claims for medium severity, and general liability, as well as the associated excess and umbrella policies, in jurisdictions throughout the United States. Responsibilities Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis Develop and implement strategy relative to coverage issues which correlate...

SUMMARY:     This is the entry level professional claim handler. Handles medical only and indemnity benefits.  Exercises some discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority.    RESPONSIBILITIES/TASKS: Verifies workers’ compensation coverage of employers and injured employees.   Determines compensability under workers’ compensation by thorough investigation of the claim.   Determines causal relationship between the reported injury and the incident to ensure appropriate payment of benefits. Facilitates return to work for the injured employee. Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure. Documents specifics of claims with potential for subrogation recovery, including amount of potential recovery monies. Manages medical bills for...

SUMMARY:     Claim Representative I:  This is the entry level professional claim handler.  Handles medical only and indemnity benefits.  Exercises some discretion in the determination of compensability of claims.  Considers many factors in the determination claim reserves.  Negotiates and settles claims within given authority.    Claim Representative II:  This is the intermediate level of the claim handler career path.  Handles moderate to difficult claims.  Exercises progressively more discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves.  Negotiates and settles claims within given authority.    Claim Representative III:  This is the advanced level of the claim handler career path.  Investigates claims and exercises significant discretion in the determination of compensability of claims.  May handle large, more complex customers requiring high touch, labor intensive claim service.  Considers many factors...

SUMMARY:       Claim Representative II:  This is the intermediate level of the claim handler career path.  Handles moderate to difficult claims.  Exercises progressively more discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves.  Negotiates and settles claims within given authority. Works remotely with occasional travel to on-site visits with insured municipalities.  Is a resident in the State of Michigan     RESPONSIBILITIES/TASKS: Verifies coverage of claimed property and casualty damage.   Determines liability for covered claims by thorough investigation of the claim and applicable exclusions.   Analyzes liability for claims pursuant to Michigan municipal liability statutes and caselaw. Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure. Documents specifics of claims with potential for...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance Group Inc., AIGI, has an opening with our Claims Division on the Professional Liability Team with a focus on Lawyers Professional Liability.  In this role, the responsibilities include actively managing Professional Liability claims in jurisdictions throughout the United States. Responsibilities Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposure Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care Identify and assess coverage issues, draft coverage position letters, and retain coverage...