15 complex claims consultant jobs found

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 Senior Consultant II is responsible for granting settlement authority on highly complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, providing recommendations on requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. The individual may also provide discretionary referrals on coverage issues, opinions and research. In addition, the Sr Cons II may provide approval on Closed Without Payment (CWP) requests where liability is disputed, and the value is in...

Location: Atlanta, GA Schedule: Hybrid after 6 months About Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more.  In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible. Job Summary: As an Employee Benefits Consultant, you will play a pivotal role in managing client relationships and providing strategic guidance in the realm of health and benefits. Success in this position requires a...

Overview As a Technical Sales Consultant on our P&C Insurance team, you will seek to understand detailed customer needs and define how Origami Risk solutions can meet those needs both in RFPs and in person. Technical Sales Consultants are responsible for configuring and presenting complex solution demonstrations and leading technical discussions.      Responsibilities Presents customized demonstrations tailored to customer requirements. Delivers business-oriented presentations to all levels of the customer organization including board level. Engages in business consulting activities and conducts detailed prospect discussions. Designs and configures solutions to address customer’s business requirements. Stages scenarios and creates demo data as needed. Collaborates with the sales executive on opportunity strategy and approach. Partners with client business and technical teams to understand business...

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 National General Insurance is seeking an experienced Property Claims leader to manage a remote team of adjusters handling homeowners property claims across Georgia and neighboring territories. This role is ideal for a leader with a strong background in residential property claims, coverage investigations, estimating, and team development who thrives in a fast-paced, customer-focused environment. The Associate Manager will provide daily leadership, coaching, and technical guidance to a team of adjusters managing a variety of claim types, including complex wind, hail, water, roof, and total loss claims....

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.   Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.   Our field team members are located in every state in which we operate.   Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best. Essential Job Functions and Responsibilities Manages a large inventory of complex claims to evaluate compensability/liability. Plans and conducts complex claims investigations to confirm coverage...

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.   Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.   Our field team members are located in every state in which we operate.   Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best. Essential Job Functions and Responsibilities Manages a large inventory of complex claims to evaluate compensability/liability. Plans and conducts complex claims investigations to confirm coverage...

Come build with us. Backed by a 100-year legacy, CopperPoint is a specialty insurance company with deep expertise in Workers' Compensation and a growing Property and Casualty offering. Now we are expanding into the Southeast with a brand-new presence in Alpharetta, Georgia, and this is your chance to help shape it from the ground up. At our core is a simple belief that has guided us for a century: people taking care of people. We have an exciting opportunity for a Sr. Loss Control Specialist. In this role, you will leverage your expertise to evaluate complex and high-severity risks while providing advanced technical guidance to underwriting and leadership. You’ll partner closely with underwriting and distribution to support thoughtful risk selection, pre-bind evaluations, and strategic growth opportunities within an emerging territory. This position also offers the opportunity to influence the development of a new and evolving book of business while strengthening enterprise...

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.   Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.   Our field team members are located in every state in which we operate.   Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best. Essential Job Functions and Responsibilities Manages an inventory of claims to evaluate compensability/liability. Plans and conducts claim investigations to confirm coverage and to determine...

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.   Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.   Our field team members are located in every state in which we operate.   Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best. Essential Job Functions and Responsibilities Manages an inventory of claims to evaluate compensability/liability. Plans and conducts claim investigations to confirm coverage and to determine...

The Baldwin Group is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take them throughout the U.S. and abroad. The Baldwin Group has award-winning industry expertise, colleagues, competencies, insurers, and most importantly, a highly differentiated culture that our clients consider an invaluable expansion of their business. The Baldwin Group (NASDAQ: BWIN), takes a holistic and tailored approach to insurance and risk management. The Sr Claims Consultant is considered an expert in managing insurance claims on an individual and portfolio level for our clients, and is utilized as a trainer, mentor with their technical expertise. The Sr Claims Consultant must be able to work with minimal oversight,...

Together we fight for everyone’s opportunity for a better financial future. We will do this together — with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone’s access to opportunities. The status quo is not good enough … we believe every individual and every community deserves access to financial opportunities. We are determined to support both individuals and communities in reaching a better financial future.  We know that reaching this future depends on our actions today. Like our Purpose Statement, Voya believes in being bold and committed to action.  We are committed to a work environment where the differences that we are born with — and those we acquire throughout our lives — are understood, valued and intentionally pursued. We believe that our employees own our culture and have a responsibility to foster an environment where we all feel comfortable bringing our whole selves to work. Purposefully...

Job Type: Permanent Build a brilliant future with Hiscox   Join our dynamic and forward-thinking Claims team! Here, you’ll be part of an energetic and innovative group, with the chance to help shape insurance products and collaborate with business leaders throughout the organization. **Please Note: This position is primarily hybrid and requires in-office attendance at least two (2) days per week for candidates that are located near one of our office locations. However, qualified remote candidates will also be considered** The Position Can Be Based In: Atlanta, GA Boston, MA Chicago, IL Manhattan, NY West Hartford, CT Our Complex Claims Specialist-Miscellaneous Professional Liability role is an individual contributor responsible for the handling of mid to high-severity primary Miscellaneous Professional Liability claims for the organization from inception to resolution.  This includes, but is not limited to, insurance...

Position Summary:   The Claims Executive is responsible for accurate reporting and filing of claim litigation to the respective Carrier, in addition to handling complex claims scenarios along with resolution of claims disputes. The Claims Executive functions as an insurance claims professional that provides guidance to the Customers and Producers on more complex claims issues. Claims Executive is responsible for monitoring the assigned inventory of accounts, answering phone calls, consulting on claims related issues. Duties include; handling customer service calls as needed, reviewing claims on an as needed basis. Essential Tasks: Reports to the Claims Operations Manager on workflow issues and the handling of assigned claims inventory Service and be the point of contact for assigned threshold accounts. Ability to review policy language and offer a professional opinion regarding coverage, settlements, reserve practices, etc. Handle and work with carrier and client on...

Position Summary:   This Claims Consultant is responsible for accurate reporting and filing of claim notices to the respective Carrier, in addition to reporting handling claim scenarios along with resolution of claims disputes. The Claims Consultant’s functions as a claims representative that provides needed updates to claims related matters to Customers and Producers. Claims Consult is responsible for monitoring the claims inventory, answering phone calls, consulting on claims related issues. Duties include; handling customer service calls as needed, reviewing claims on an as needed basis. Essential Tasks: Reports to the Claims Operations Manager and/or Team Lead on workflow issues and the handling of assigned claims inventory Understand Claims Handling guidelines and Workflows. Ability to train in Sagitta and ImageRight, including document uploads and complete tasks Ability to analyze insurance policies for coverage eligibility Reporting claims to assigned...

Job Description SUMMARY OF JOB PURPOSE :  The General Adjuster effectively determines and communicates the extent of loss or damage associated with relatively complex and/or extensive commercial property claims in a variety of business classes. The incumbent in this role is typically assigned loss or damage assessments in a cost range that may exceed $500,000, depending on the adjuster’s experience and demonstrated ability for handling larger or more complex claims. *This is a commuting position and requires weekly travel throughout our Savannah, GA territory to support claims-related responsibilities. This is not a Desk adjusting role. PRIMARY JOB RESPONSIBILITIES : Investigates insurance claims in any of a variety of settings, including, but not limited to, retail establishments, private or public office buildings, commercial habilitation, hospitality, corporate facilities, transportation sites, manufacturing sites,...