61 senior claims professional jobs found

The Liability Claims Specialist manages non-complex and non-problematic Liability claims under direct supervision of a senior claims professional. This role aims to achieve optimal outcomes for both CorVel and our clients. The Liability Claims Specialist handles litigated files and works with delegated limited authority, adhering to company best practices. This role is available for onsite, remote, and hybrid work arrangements.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Manages non-complex and non-problematic medical only claims and minor lost-time liability claims under close supervision Receives 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 Communicates claim status with the customer, claimant, and client Adheres to client and carrier guidelines and participates in claims review as needed Collaborates with...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Why Choose a Career with the AAA The Auto Club Group (ACG) Established brand that has been around for over 100 years.  Our members know and trust us! Branch Offices house travel, membership, insurance sales and support employees You will be challenged to drive new business with competitive products and help retain The Auto Club Group's 14+ million members. Excellent Opportunities to Build a Career Path: The Branch Customer Service Representative can be the start of a long-term career with The Auto Club Group.   Your position could lead to a rewarding career and opportunities to grow and pursue other ACG roles such as:  Other Branch positions – Field Insurance Sales Agent, Travel Agent or Other Departments such as: Call Centers (ERS, Sales and...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Why Choose a Career with the AAA The Auto Club Group (ACG) Established brand that has been around for over 100 years.  Our members know and trust us! Branch Offices house travel, membership, insurance sales and support employees You will be challenged to drive new business with competitive products and help retain The Auto Club Group's 14+ million members. Excellent Opportunities to Build a Career Path: The Branch Customer Service Representative can be the start of a long-term career with The Auto Club Group.   Your position could lead to a rewarding career and opportunities to grow and pursue other ACG roles such as:  Other Branch positions – Field Insurance Sales Agent, Travel Agent or Other Departments such as: Call Centers (ERS, Sales and Service,...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Why Choose a Career with the AAA The Auto Club Group (ACG) Established brand that has been around for over 100 years.  Our members know and trust us! Branch Offices house travel, membership, insurance sales and support employees You will be challenged to drive new business with competitive products and help retain The Auto Club Group's 14+ million members. Excellent Opportunities to Build a Career Path: The Branch Customer Service Representative can be the start of a long-term career with The Auto Club Group.   Your position could lead to a rewarding career and opportunities to grow and pursue other ACG roles such as:  Other Branch positions – Field Insurance Sales Agent, Travel Agent or Other Departments such as: Call Centers (ERS, Sales and...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a hybrid role.  ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the...

The Claims Manager is responsible for the overall operation of a designated office.  The Claims Manager participates in formulating and administering company best practices as well as developing long-term goals and objectives, analyzing costs, activities and operations, supporting the goals of the Claims Department and CorVel.  This role is available for onsite, remote and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Represents the company in a professional manner to both internal and external customers and clients Directs the performance and development of the employees in their department Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations Utilizes jurisdictional expertise and knowledge of regulatory rules, statutes and procedures governing these...

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.  You have a clear vision for where your career can go – and at CNA, we’re committed to helping you get there. We foster a culture where people know they matter, feel connected to meaningful work, and are supported in using their talents to their fullest potential. This individual contributor role operates under moderate direction and within defined authority limits to manage commercial claims of moderate to high complexity and exposure within the Commercial Auto line of business. The position is responsible for investigating, evaluating, and resolving claims in accordance with company protocols, while meeting quality, timeliness, and customer service standards. The role requires regular...

Med Bill Examiner III - CJ10AN 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 Medical Bill Examiner III is an experienced claims professional responsible for the accurate review, analysis, and adjudication of complex medical bills. This role applies advanced knowledge of medical billing practices, coding standards, fee schedules, and regulatory requirements to ensure compliance, accuracy, and cost containment. The Med Bill Examiner III functions with a high level of independence and may serve as a subject matter resource for lower‑level examiners. Key Responsibilities Review, audit, and adjudicate complex medical bills for accuracy, medical necessity, and compliance with applicable fee schedules, contracts, and...

Job Description: Title:   Senior A ccount Manager - Commercial Lines   Work Mode:   Remote (Florida and Eastern Time Zone Only)   | Location/Supporting:   Jupiter, FL   | Book Focus:   Condos, Construction, Contractors   Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Additionally, our remote work policy includes having a dedicated, distraction-free workspace. Remote work is not a substitute for childcare, elder care, or other personal responsibilities during working hours. To view our branch locations, please visit: ioausa.com/locations     About the Role:   Manage an assigned book of business, ensuring account retention and supporting new...

Agency Sales Managers are responsible for agency selection through identification of qualified agency partnerships for our non-standard auto and powersports Personal Lines Insurance. If you are in the greater Miami, FL area, are bilingual (English/Spanish), have the passion to unleash your talent, the drive to build new relationships, are a motivated self-starter and have strong organizational skills this is a great opportunity for you on our Agency Sales Team. Based on qualifications and experience, this position can be filled as an Agency Sales Manager I, Agency Sales Manager II, or Agency Sales Manager Senior. What You'll Do As the Agency Sales Manager you will be responsible for implementing plans to contribute to the achievement of agency produced sales, premium and loss ratio objectives.  In addition, you’ll: Oversee agency sales in South Florida Develop rapport to develop profitable business Provide comprehensive sales expertise to agents to...

Sr Representative Claims - CH08BE 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 Workers’ Compensation Senior Claim Representative is accountable for planning, recommending, and executing the investigation of workers’ compensation claims. Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies. Additionally, the representatives will work within established procedures in adherence to statutory, regulatory and ethical requirements. Work Arrangement : This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office locations...

Sr Representative Claims - CH08BE 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.              Claim Administrator certification with the Washington State Department of Labor & Industry required. The Workers’ Compensation Senior Claim Representative is accountable for planning, recommending, and executing the investigation of workers’ compensation claims. Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies. Additionally, the representatives will work within established procedures in adherence to statutory, regulatory and ethical requirements. Work Arrangement :...

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 the legal frontline and champion the defense for both the insured and the Company! As a Senior Trial Attorney, you’ll play a key role handling Bodily Injury (BI) focused litigation, through fast paced trials, arbitrations, and mediations. Beyond the courtroom, you’ll provide vital counsel to business clients and collaborate closely with legal and claims partners. Stay ahead of the game by monitoring new laws and regulations that impact BI litigation, ensuring our defense strategies remain sharp and effective. Embrace the excitement of...

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.  This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specialized line of business. Responsibilities include the coordination of all claim resolution activities in accordance with company protocols, while achieving quality and customer service standards. Position requires regular communication with customers and insureds and may have regional, industry segment or company-wide scope of responsibility. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of highly...

Job Description: Title:   Senior A ccount Manager - Commercial Lines   Work Mode:  Remote | Location/Supporting:   Ft Lauderdale, FL   | Book Focus:   International, Large Complex Accounts.   Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Additionally, our remote work policy includes having a dedicated, distraction-free workspace.   Remote work is not a substitute for childcare, elder care, or other personal responsibilities during working hours.   To view our branch locations, please visit: ioausa.com/locations     About the Role:   Manage an assigned book of business, ensuring account retention and supporting new business. Coordinate day-to-day...

Job Description: Title:   Operations   Supervisor – Commercial Lines   Work Mode:   Remote (Southeastern US only)   | Location/Supporting: Longwood, FL   | Book Focus:   General, Select Business   Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Additionally, our remote work policy includes having a dedicated, distraction-free workspace. Remote work is not a substitute for childcare, elder care, or other personal responsibilities during working hours. To view our branch locations, please visit: ioausa.com/locations     About the Role :   The Operations Supervisor – Commercial Lines   is responsible for   direct leadership and   day-to-day...

Job Description 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 Enterprise Account Executive for Complex Accounts at Acrisure, you play a crucial role in driving Total Client Growth, delivering exceptional client experience, and managing complex, enterprise-level insurance relationships. This...

Job Description: Title:   Operations   Supervisor – Commercial Lines   Work Mode:   Remote (Southeastern US only)   | Location/Supporting:   Longwood, FL   | Book Focus:  General   Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Additionally, our remote work policy includes having a dedicated, distraction-free workspace.   Remote work is not a substitute for childcare, elder care, or other personal responsibilities during working hours.   To view our branch locations, please visit: ioausa.com/locations     About the Role :   The Operations Supervisor – Commercial Lines   is responsible for   direct leadership and   day-to-day   oversight...

Join Our Team: Florida Licensed Auto and General Liability Claims Specialists Wanted! CorVel is actively seeking a Florida experienced Auto and General Liability Claims Specialists to join our growing team. In this role, you will manage low to mid-level complex claims — including bodily injury and property damage — with a focus on achieving optimal outcomes for both CorVel and our clients. Florida experience and Florida municipality experience is a plus. Commercial General Liability experience is required. This is a  remote position based on the East Coast , offering flexibility while working in a dynamic and collaborative environment. If you're a seasoned claims professional looking to make an impact, we’d love to hear from you! Preference will be given to Florida resident applicants. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Investigates auto and general liability claims....

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a Senior Auto Adjuster your work will focus on adjusting non-injury auto claims. You will investigate and determines coverage and liability, evaluate, negotiate, and settle highly complex auto claims such as comprehensive (i.e., theft and fire), collision (i.e., minimal policy limits, coverage determinations/issues, attorney representation, non-owned vehicles, mechanical breakdown, property damage lawsuits) property damage liability, and rental vehicle coverages for repairable vehicles and total losses. We...