25 complex claim director jobs found

Why Openly Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly Difference We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. The Price Difference : Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. The Experience Difference: From tailored claims handling to highly responsive customer service, we are...

Skyward Specialty is a rapidly growing specialty Property & Casualty insurance carrier headquartered in Houston, Texas. We deliver tailored solutions across nine specialized underwriting divisions, with a culture grounded in deep technical expertise, decisive underwriting, and long-term broker and client relationships. Our Global Agriculture division underwrites a worldwide portfolio of agriculture reinsurance, partnering with cedants and reinsurance brokers across multiple territories to support food and farm economies through thoughtfully structured treaty solutions. Position Summary The Analyst, Global Agriculture Reinsurance provides analytical and operational support to the Global Agriculture underwriting team, helping to evaluate, price, and manage Skyward's global portfolio of agriculture reinsurance. This is an excellent opportunity for an analytically strong, detail-oriented professional to build deep expertise in a specialized and globally significant line of...

The Assistant Vice President, Cost Containment is a strategic and operational leader responsible for driving cost-containment outcomes across Skyward’s employer stop-loss and captive business. This role owns the day-to-day execution of the cost-containment program — including savings delivery, vendor coordination, emerging-trend response, and ongoing program needs — while partnering with the VP on vendor selection decisions, and broader strategic direction. The AVP serves as a senior clinical and cost-containment resource for Underwriting, Claims, and external stakeholders (TPAs, producers, policyholders, and vendors). The role requires deep expertise in cost containment within a broker, stop-loss, or reinsurance environment, with a proven ability to build scalable processes, manage complex vendor relationships, and translate clinical and financial data into actionable strategies that protect the book of business. This position may assume direct oversight of Clinical...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking an Employee Benefits Small Group Account Manager to join our growing team in Portland, OR . The Employee Benefits Account Manager responsibility is to provide exceptional service to our customers by establishing realistic customer expectations, seeking customer input, and meeting service commitments in a professional and punctual manner. Account Managers are the main point of contact for customers regarding open enrollment, marketing, and the renewal process. Account Managers are given autonomy to make recommendations to customers and exercise independent and discretionary judgement daily. How You Will Contribute: Responsible for renewal process from start to finish including but not limited to pre-renewal analysis, renewal analysis, and renewal administration Lead open enrollment process...

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 This role is part of Allstate’s Health Solutions business and supports clinical decision-making across health insurance products and medical management programs. The Medical Director is a highly experienced medical professional responsible for providing clinical expertise, oversight, and strategic guidance across medical management functions within Allstate’s Health Solutions organization. This role supports complex clinical decision-making including appeals, rescissions, and grievance reviews, while also partnering with legal, product,...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description This role utilizes analytical skills to create a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. We are seeking a skilled Auto Supplement Estimate Writer to join our Claims team. If you reside in the EST or CST time zones and you have experience with supplemental estimating in an insurance carrier environment, we encourage you to apply. This is a fully virtual desk role with no fieldwork required. The ideal candidate is highly organized, effective at managing a claims diary, confident in negotiating with body shops, and motivated to...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description The Property Claims Manager leads a team of adjusters to drive performance, collaboration, and a strong customer-focused culture. This role is responsible for managing day-to-day operations, guiding complex claim decisions, and ensuring high-quality claim outcomes. This position includes a focus on property claims within the Farm & Agribusiness portfolio, supporting consistent results across a geographically distributed team. National General, an Allstate company, is seeking a   Property Claims Manager   to join our Claims team, supporting our   Farm & Agribusiness   portfolio. This...

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 Under limited supervision, this job is responsible for identifying and monitoring subrogation inputs and collections. This role identifies new subrogation opportunities, refers opportunities to the subrogation unit, implements procedures, and monitors subrogation reimbursements to other insurers. The individual provides work guidance and direction to less senior employees and provides mentoring and coaching to the team. This individual delivers compassionate service that is fast, fair and easy to ensure customer retention. The individual...

About the role: We are seeking an analytically minded Python developer to help build an in-house rating engine at PURE. The ideal candidate has experience contributing to large-scale Python codebases, writes clean and maintainable code, and enjoys partnering closely with business stakeholders to solve complex operational and analytical problems. This role is well suited for someone who thrives at the intersection of software engineering and analytics, and who is comfortable navigating both independent and team-based development. We value developers who approach engineering as a problem-solving discipline and who enjoy the process of understanding complex business challenges and designing elegant technical solutions. What you'll do: - Write clean and maintainable Python code. - Collaborate with teammates to design and implement features in a shared, version-controlled Python codebase. - Design, develop, and maintain both back-end and front-end code for...

The Customer Service Representative (CSR) provides exceptional service to insureds, carriers, and partners by responding to inquiries and resolving issues related to coverage, claims, billing, and account information. The CSR handles both inbound and outbound customer interactions to ensure needs are met accurately, efficiently, and with empathy. This role contributes directly to customer satisfaction, retention, and the overall success of the Affinity Customer Service team. Collaboration, teamwork, and strong communication within the team are key to success.  Your Impact:   Respond to inbound calls, emails, and other inquiries from customers and carriers in a professional, courteous, and timely manner.  Place outbound calls as needed to follow up on customer inquiries, resolve outstanding issues, or provide updates.  Maintain accurate and complete customer service notes and documentation in the CRM system.  Process client requests, policy changes, and updates...

Description Join us as a Field Property Claims Adjuster where you’ll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner’s property.  This is a role where people who love every day to be new, different and exciting, can thrive – you’ll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support .   The Field Property Claims Adjuster will be traveling locally to insured homes within West Linn, OR (97068) and surrounding areas. To be successful within the role, candidates should live within or near this area.   Sign-On Bonus Available!  We’re offering a sign-on bonus for experienced and actively licensed new hires.   What you’ll do Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include...

At Genworth, we empower families to navigate the aging journey with confidence. We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet families where they are. Further, we are the spouses, children, siblings, friends, and neighbors of those that need care—and we bring those experiences with us to work in serving our millions of policyholders each day.  We apply that same compassion and empathy as we work with each other and our local communities, Genworth values all perspectives, characteristics, and experiences so that employees can bring their full, authentic selves to work to help each other and our company succeed. We celebrate our diversity and understand that being intentional about inclusion is the only way to create a sense of belonging for all associates. We also invest in the vitality of our local communities through grants from the Genworth Foundation, event sponsorships, and employee volunteerism. Our four...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description This role is responsible for investigating and managing non-attorney represented bodily injury claims from initial report through resolution. You will evaluate coverage, determine liability, assess damages, and negotiate claims within your level of authority. In this role, you will work directly with customers to gather information, explain the claims process, and provide a clear and supportive experience. You will also identify potential subrogation or fraud and partner with internal teams to achieve the best outcome. We are seeking an Experienced Bodily Injury Adjuster to join our team supporting...

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 The Financial Analysis Senior Consultant serves as a strategic finance partner, translating complex financial data into clear, actionable insights that influence business strategy and operational decisions. This role develops compelling financial storylines, identifies key drivers of performance, and builds forward-looking projections to anticipate risk, unlock growth opportunities, and improve profitability. In this role, the consultant plays a critical advisory function to Sales leadership, leveraging deep analytics and business acumen...

Why Openly Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly Difference We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. The Price Difference : Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. The Experience Difference: From tailored claims handling to highly responsive customer service, we are...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking an Employee Benefits Account Manager to join our growing team in Portland, OR! The primary responsibility of an Account Manager is to provide exceptional service to our customers by establishing realistic customer expectations, seeking customer input, and meeting service commitments in a professional and punctual manner. Account Managers are the main point of contact for customers regarding open enrollment, marketing, and the renewal process. Account Managers are given autonomy to make recommendations to customers and exercise independent and discretionary judgement daily. How You Will Contribute:   Responsible for renewal process from start to finish including but not limited to: pre-renewal analysis, renewal analysis, and renewal administration Lead open enrollment process including but not...

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 The Mass Tort & Environmental Specialty Operations Senior Manager leads the Specialty Operations Direct claims function, overseeing complex environmental and latent injury exposures. This role is responsible for strategic leadership, operational excellence, financial oversight, and team development to ensure high-quality claim outcomes, regulatory compliance, and alignment with business objectives. Key Responsibilities: Leadership & Team Management Lead, manage, and develop a high-performing team, including hiring,...

Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines...

The Workers’ Compensation 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 Workers’ Compensation 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 lost-time workers’ compensation 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...

We are seeking a highly motivated and results driven full-time Senior Account Manager to join our Temporary Staffing Workers Compensation team. This is an opportunity to join an experienced team that supports one of the largest wholesale temporary staffing programs in the country. The ideal candidate thrives in a fast paced, team oriented, and highly collaborative environment, with frequent communication and partnership among program leadership, senior account managers, and lead program producers. This role is responsible for managing and retaining a book of business, building, and maintaining strong relationships with agency partners and carrier underwriters and delivering exceptional service throughout the renewal process. The Account Manager will play a critical role in negotiating competitive renewal options, ensuring accuracy and efficiency in policy servicing, and contributing to best-in-class customer experience within the wholesale brokerage industry. Your Impact:...