36 complex claims director jobs found

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Internal candidates are not required to relocate near an office. The opportunity: As the Director, Stop Loss Claims Strategy and Innovation , you will lead an organization focused on...

About Us  We’re not like other insurance companies. From our specialty products to our business model, our culture to our results — we’re different. Different is who we are, and how we work, interact, deliver and succeed together. Creating a different and better insurance experience doesn’t just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us.  RLI is a Glassdoor Best Places to Work company with a strong, successful background. For decades, our financial track record has been stellar — a testament to our culture and validation of our reputation as an excellent underwriting company....

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Internal candidates are not required to relocate near an office. The opportunity: The Senior Manager, Stop Loss and Health Claims leads our dynamic claims unit. In this critical role,...

The Baldwin Group Construction Practice is a team of experts focused on providing niche specialization, impeccable service and innovative risk management solutions to owners, developers, general contractors, designers and subcontractors. Position Summary: The Commercial Risk Client Executive is responsible for the management and service of complex commercial accounts and functions within our specialty Construction Practice at a strategic level to develop and retain consultative relationships with clients. The ideal candidate must also evaluate and educate clients on missing or newly available coverage options and have previous experience lending to the construction insurance space. Principal Responsibilities: Acquires and retains large, complex clients through a deep understanding of risk, risk mitigation, and construction insurance architecture and the ability to leverage and effectively communicate that knowledge in direct alignment with client operations. Develops...

The HUB West Region Casualty Leader is responsible for coordinating and delivering HUB’s resources for Casualty accounts across the super-region, including: Lost sensitive casualty programs Global accounts Review of letters of credit/collateral Data & analytics Alternative structures Multiline structures Captives Risk services Complex casualty claims Industry/Account Makeup includes but is not limited to: Real Estate Hospitality Healthcare Food/Agribusiness Industrial Manufacturing Technology Public Entity Education Energy Job Responsibilities Track and provide oversight and direct placement expertise to larger segment of Casualty Risks within the West Region. Collaborate with HUB Industry Practice Leaders and provide assistance as requested/needed Participating in Critical Path and Deal Desk calls/meetings Assist with the recruitment of outside talent to strengthen the region Develop a...

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 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 general liability claims for high severity, complex general liability, and auto accounts, as well as 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. Responsibilities Identify and assess coverage issues, draft coverage position letters,...

Responsible for assessing client’s risk exposure on personal and/or commercial property, making appropriate recommendations and placing coverage to address those risks. Job Duties and Responsibilities (Essential Job Functions) Market and sell personal lines insurance policies. Proactively contact all leads to recommend appropriate insurance, quote and place coverage. Identify and assess client risk exposures. (65‑75%) Foster referral relationships with all real estate personnel including agents, office managers and mortgage brokers to maximize sales opportunities. (20-25%) Provide work direction as appropriate to new business specialists to ensure all aspects of client on-boarding are completed properly and in a timely manner. (0-5%) Actively monitor and report to management any circumstances that may lead to a potential or actual insurance errors and omissions claim, DOI (department of insurance) or related complaints. (0-5%) Remain current on industry trends and...

We recognize that you have been a critical contributor to Safety National’s shared success and continued growth, and your leadership team strives to provide those same opportunities for your own development. Ready to take the next step in your career? Apply internally. This position reports to Lisa Haug, Assistant Vice President, Medical Management. If you have any questions regarding this opportunity, please contact a member of the recruiting team or email SNRecruiting@SafetyNational.com . This opportunity is in the Claims department Our Claims Department oversees both high-exposure workers’ compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess carrier, the catastrophic claims we handle keep our group challenged, but the uniqueness provides plenty of growth opportunities. Role Description: As a Senior Cost...

Licensed in both KS and MO   SUMMARY:      Workers Compensation Defense Attorney needed for in-house litigation position, working under the direction of the General Counsel.  This position will work defending litigated Workers’ Compensation claims before hearing locations, primarily in and surrounding the Kansas City area . This attorney will conduct research where necessary, examine records, conducts investigations, attends depositions, consult with witnesses, insured(s), legal assistants, and/or personnel.  Participate in negotiations on behalf of the Company including settlements.  In addition, this position will provide leadership and expertise on major company projects as necessary. Claims Focus:  This position will provide  state specific legal representation before courts, arbitration panels and/or administrative bodies.  Serve in an advisory capacity to company and employees.  Prepare legal pleadings, motions, memorandums, trial briefs, etc. Conduct research...

Description The Huntington Community Impact Capital (CIC) Project Manager (underwriter) will lead tax credit equity and debt underwriting and project management of affordable housing LIHTC projects and manage the internal relationships with the closing teams and external developer relationships.  The project manager will report to a Project Manager Team Lead. They will be primarily responsible for: Lead underwriting and closing for debt facilities and equity investments, and coordinating successful, timely closings with all internal and external groups (e.g., closers, loan administrators, RETS, third-party reports, counsel, other lenders, etc.).  Ensure proposed tax credit financed project complies with all tax provisions required to maximize investment value, including 704(b) capital account analysis.  Work with counsel to negotiate partnership agreement terms that protect the Banks’ ownership interest in LIHTC...

Primary Role: This position is responsible for supporting the Education Division by providing administration, account management, clerical and customer support. Duties and Responsibilities: The following is a brief summary of the duties and responsibilities of this position. This is not meant to be all encompassing of the responsibilities of the position: Preparation of RFPs (requests for proposals) and associated marketing and sales materials Preparation of renewals for staff Enrollments and invoicing Direct engagement with clients to manage accounts Formation/review of file uploads to carrier sites Update client contacts and other information as needed within Benefit Point and EPIC Communicate with clients regarding claims issues/questions regarding primary insurance (domestic and international) Maintain client filing system Creation of PowerPoint presentations Assist in answering client questions Other duties as assigned Key Competencies: To perform the job...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. The Crop Division of Great American has been helping generations of farmers take control of their risks since 1915. The D​ivision is also one of a select few private companies authorized by the United States Department of Agriculture Risk Management Agency (USDA RMA) to write MPCI...

As one of the leading writers of Federal Crop Insurance, AgriSompo North America combines industry experience, resources, capital and talent to deliver both traditional and innovative crop insurance and productivity tools to farmers, ranchers, insurers and agribusinesses in the United States. Our organization operates within a culture rooted in ethics, integrity and a belief that accountability, collaboration and agility are crucial to long-term success.  AgriSompo North America is a part of AgriSompo, Sompo International’s global agriculture platform. This platform is an integrated underwriting, technology and distribution platform delivering innovate insurance and reinsurance solutions to agriculture partners worldwide.  Sompo International, AgriSompo’s parent company, is a global organization driven by its core values, a carrier that holds promise, trust and the commitment to protect.  Through operating subsidiaries, Sompo International writes agriculture, casualty and...

At Safety National, we don’t just offer jobs – we build careers with purpose! Since 1942, we’ve been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success—both personally and professionally. Ready to grow with us? Apply today! Follow this link to view all of our available careers and apply: https://www.safetynational.com/careers-page/ This opportunity is in the Advanced Analytics department Curious about data analytics, artificial intelligence, and analytics engineering? Our Advanced Analytics department seeks students who are passionate about using data to solve meaningful business problems in a real-world enterprise setting. If you are interested in applying programming, machine learning, and AI techniques to complex structured...

MSIG USA continues to grow!  Company Overview: MSIG USA is the US-based subsidiary of  MS&AD Insurance Group Holdings, Inc. , one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks.   Summary/Job Purpose:     This position is responsible to   adjust   assigned   claims within delegated limits of authority, conduct timely and thorough investigations, handle subrogation claims, and complete fair and equitable claim settlements in accordance with MSMM Claim Handling Guidelines   to ensure   services are provided in a fa ir, equitable and timely manner.     Essential   Functions :   Receives new claim assignments , a nalyzes the nature of...

At Safety National, we don’t just offer jobs – we build careers with purpose! Since 1942, we’ve been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success—both personally and professionally. Ready to grow with us? Apply today! Follow this link to view all of our available careers and apply: https://www.safetynational.com/careers-page/ This opportunity is in the Accounting & Finance Department Our Accounting & Finance Department is dynamic and collaborative. Providing best-in-class service to our internal and external customers within the expected timeframes, we actively support our co-workers, clients, and community. Many of our managers have a public accounting background or tenure within the industry and are eager to share...

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 in its Claims Division on the Middle Market Casualty Team for a Claims Examiner, Entertainment. In this role, the individual will be responsible for actively managing commercial entertainment claims involving low- to medium-severity general liability and auto accounts across jurisdictions throughout the United States. Entertainment claims may include Motion Picture Film and Television, Commercial Productions, Touring, Motorsports, Live Events, and Theater. The ideal candidate will possess strong negotiation skills, solid technical expertise, and a passion for delivering service-focused solutions in a fast-paced,...

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 Claims Team Lead, Professional Liability | Missouri PRIMARY PURPOSE:  To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims....

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 in its Claims Division on the Middle Market Casualty Team for a Senior Claims Examiner, Entertainment. In this role, the successful candidate will be responsible for actively managing Commercial Entertainment claims involving high-severity and complex general liability and auto accounts, along with related excess and umbrella policies, across jurisdictions throughout the United States. Entertainment claims include Motion Picture Film and Television, Commercial Productions, Touring, Motorsports, Live Events, and Theater. Ideal candidates will bring strong negotiation skills, technical expertise, and a passion for...

Acuity is seeking a Field Premium Auditor to review and complete field premium audits to accurately summarize exposures for workers' compensation, general liability, and commercial auto policies. The Field Premium Auditor will answer premium audit related questions from underwriters, agents, and customers, as well as review and resolve premium audit disputes. Internal deadline to apply: March 25th  ESSENTIAL FUNCTIONS: Schedule and complete in-person, virtual, and telephone premium audit appointments with the insured to discuss operations, determine the proper classification(s), and develop the correct exposure. Manage workload by utilizing the audit types available to plan workdays in an efficient, productive manner while keeping current with assignments. Review and resolve premium audit disputes. Complete and approve audit revisions within authority limits. Timely updates for all itineraries and progress reports and weekly submission of expense reports per...