56 senior claims professional jobs found

Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious Key Team Senior Benefits Analyst to join our team. This position will report to our agency located in Cranston, RI. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is an in-office position. Responsibilities: Lead development of Request for Proposals (RFPs), including gathering plan design information, rate history, enrollment and claims data, contribution details, and benefit change documentation. Define and manage timelines for RFP and renewal deliverables, ensuring early engagement and adherence to key deadlines. Draft cover materials including employer profiles, marketing objectives, and special conditions. Analyze and present...

About the role: The Vice President, Head of Actuarial Reserving is responsible for the design, governance, and execution of the company’s loss reserving framework. This role serves as the statutory Appointed Actuary, providing independent actuarial opinions on reserves and ensuring compliance with all regulatory requirements. The position partners closely with Finance, Claims, Product, and Risk to deliver high-quality reserve insights that inform financial reporting and strategic decision-making. What you'll do: Reserving & Financial Reporting Lead the quarterly and annual reserve review process across all lines of business. Develop and maintain actuarial methodologies appropriate to the company’s risk profile. Quantify reserve variability and establish ranges; communicate uncertainty and key drivers to senior leadership. Partner with Finance on monthly financial close. Appointed Actuary Responsibilities Serve as the Appointed Actuary, issuing...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. This Director is responsible for a team of Territory Managers (field-based senior production underwriters) spread throughout the East Coast and the respective book of business within our Commercial Middle Market Construction Services organization. This is a remote/WFH (work-from-home) role, requiring travel throughout the territory as well as conferences and leadership/team meetings - average travel is likely on a monthly basis, including overnight trips....

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Underwriter, North America Fronting to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. AIG underwriting teams help to find insurance solutions in areas including Financial Lines, Property, Casualty, Specialty Lines, Cyber, Multinational Clients, and High Net Worth individuals. We are reimagining how we help customers to manage risk, transforming our operating model, and reshaping our role responsibilities and career pathways. The goal is to unlock the full potential in each colleague – empowering our people to grow as insurance professionals and add more value to our customers and AIG. This position is a Senior Underwriter for North America Fronting. Main focus will be the support and servicing of complex fronting accounts. The position will require an individual to have general knowledge of multiple lines of...

Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for an AVP, Underwriter in our Inland Marine and Programs Insurance team. Location: This position is based out of our Boston, MA, Conshohocken, PA or Chicago, IL offices. We strive for collaboration, which is why we offer a work environment where our employees thrive and develop long-lasting careers. Our business, your impact, our opportunity: As an AVP, Underwriter, you will collaborate with assigned brokers in the Midwest or New England markets. You will manage submission workflow, allowing the team to run optimally to meet plan goals for premium and profitability, and specifically manage and grow in your assigned region. You will conduct a range of business analyses on risks and exposures, pricing structures, rates, terms and conditions; and making recommendations to the senior team, in accordance with corporate guidelines and within given authority...

Description Global Risk Solutions is on an ambitious journey known as Our Path to 2030. Through this we aim to fundamentally reshape how we operate, compete, and deliver value. This transformation spans the full breadth of GRS, from process reinvention and technology enablement to how we prioritize, govern, and execute our most critical work. At the center of that is the Value Capture team, GRS's source of truth for whether our transformational investments are translating into real, measurable results. We are building something new: a value realization capability that brings financial and operational rigor to every initiative across GRS, powered by data and analytics. This is an opportunity to help shape that capability and culture from the ground up.   The Assistant Director, Advanced Analytics will play a pivotal role on this team, reporting to the Value Capture Lead, GRS. You will partner directly with business and technology leaders across segments and...

Description   The Senior Underwriting (UW) Officer, Excess Casualty, will report to the Executive Underwriting Officer of Major Accounts Casualty.  Major Accounts works with large and complex commercial risks to deliver Primary and Excess Casualty programs to these highly valued customers.  You will focus on our Majors Excess Casualty portfolio, which services some of the largest companies in the U.S. The Senior Underwriting (UW) Officer, Excess Casualty, will work with the leadership team, deliver technical expertise, and serve as the point of contact for the frontline underwriting teams for all questions, key decisions, or referrals. The role will engage with various product sets in Umbrella, Excess, and Alternative Risk Transfer (ART).   Responsibilities: Provides expert technical underwriting assistance and formal referral approval for assigned lines of business (lead umbrella/excess) in Majors Excess Casualty. Interacts independently with field...

Join us as a Claims Analyst IV, A&E to take on key responsibilities within a world-class claims function. Make your mark in Claims The Claims Analyst IV, A&E position is responsible for handling a caseload of pending and incoming architects & engineers professional liability claims. The analyst will determine coverage, evaluate liability, assess damages, establish appropriate reserves and handle all aspects of claims tendered on architects & engineers professional liability policies. The analyst will communicate extensively with insureds, brokers, and counsel to resolve matters and provide appropriate information and updates to all stakeholders. The analyst will also collaborate with underwriters and senior claims management as necessary to support the business. How you will create an impact Focused on Architects and Engineers, Lawyers, Accountants, and Real Estate, you will be responsible for a portfolio of claims from coverage inquiry through legal...

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.  Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. The opportunity: In the Senior Clinical Risk...

Description The Planning & Portfolio Management team is seeking a Senior Actuarial Analyst-Pricing to own analytic assessment of book profitability and growth across GRS North America products. Join the team to play a central role in shaping GRS North America’s profitability and strategic direction: you’ll own high‑impact forecasting and portfolio work, collaborate daily with underwriting, pricing and finance leaders, and have visible influence on multi‑year targets like the 2030 strategy. The key responsibilities of this role include supporting development of robust Operational Plan (OVP) combined-ratio forecasts, developing and validating by-channel Loss Ratio forecasts for the financial plan, and supporting broader GRS North America portfolio-management initiatives. The role reports to the Portfolio Management Team Manager.   **Ideal candidate may be hired as a Grade 16 Sr. Actuarial Analyst, Actuarial or a Grade 16 Consultant, Advanced Analytics **...

Actuary, Reserving - North America Specialty At AIG, we are reimagining the way we help customers to manage risk. Join us as a Actuary, Reserving - North America Specialty, North America to take on key responsibilities within a world-class actuarial function. Make your mark on the Actuarial Team Our Actuaries are on the front lines, quantifying risk, pricing insurance and reserving losses for AIG’s major insurance operating companies, globally. We collaborate with Finance, Claims, Operations, Marketing and Risk Management, among other functions. As an AIG actuary, you will be challenged and encouraged to reach your greatest potential to help improve how we predict, manage and mitigate risk. How you will create an impact The North America Specialty Reserving Lead will be responsible for managing the day-to-day workflow of up to 4 analysts with the responsibility of coordinating and reviewing the reserving process and results for North America Specialty. This key role...

Primary Details Time Type: Full time Worker Type: Employee Senior Claims Specialist- Accident & Health (Medical Stop Loss) Location: USA – MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote   The salary range for this role is:  $88,000-145,000K The Opportunity The purpose of this role is to provide exceptional claims service to customers by managing complex claims effectively. This includes assessing policy coverage, investigating, evaluating, and negotiating intricate claims, collaborating with suppliers and stakeholders, and offering senior technical guidance and support. Your new Role: Provide technical guidance and analysis for complex and high-value claims. Assist in implementing and maintaining claims management strategies. Maintain comprehensive knowledge of insurance guidelines and policies. Build and maintain relationships with stakeholders. Manage a portfolio of complex or high-value claims. Act...

The Senior Claim Consultant provides complete claim loss services for policyholders.  Investigates, evaluates, and disposes of MPL and General Liability claims with varying degrees of complexity and severity.  Essential Duties & Responsibilities Interview insureds, claimants, witnesses, and other appropriate parties to obtain information used to assess liability exposure.  Document file regarding results of investigation and negotiations.  Prepare reports to file on established diary dates and other specific reports as needed to ensure timely file documentation and plan of action. Secure records for investigation and evaluation of cases. Determine and implement negotiation strategy and negotiates settlements within authority level. Adjust reserves within level of authority and make reserve recommendations to Manager/Director for amounts over position authority level. Evaluate cases for appropriate disposition and seek authority for settlement from...

Position Summary The Senior Scrum Lead at Coverys plays a key role in advancing the organization’s Agile delivery model across insurance, risk analytics, and enterprise technology platforms. This role partners closely with business and IT leaders to deliver initiatives that modernize policy, billing, claims, and underwriting systems, enhance digital experiences, and support Coverys’ mission of protecting the healthcare community through innovative insurance and risk management solutions. Essential Duties & Responsibilities Agile Delivery & Execution Serve as Scrum Lead for two or more Agile teams within Coverys’ product and technology portfolio (e.g., core systems modernization, analytics, or digital experience). Plan and facilitate all Scrum ceremonies sprint planning, daily stand-ups, sprint reviews, and retrospectives. Partner with Product Owners and Business Analysts to maintain healthy, prioritized backlogs aligned with strategic business...

The Cross Family of Agencies welcomes you. We need your talent and expertise. Job Title: Senior Claim Representative Summary The Senior Claim Representative is a high-impact leadership role responsible for the end-to-end strategic execution of the agency’s claims handling process. This position serves as a critical client advocate, providing technical oversight for large and complex P&C claims (Property, Liability, Workers’ Comp, Automobile, and Professional Lines). You will be part of a dedicated two-person claim team to ensure prompt, fair resolutions while acting as the primary technical liaison between clients, account managers, and insurance carriers to minimize total cost of risk. Essential Duties and Responsibilities Strategic Advocacy & Settlement:  Coordinate the settlement process for complex claims, advocating for clients on coverage denials, Reservation of Rights letters, and high-exposure settlements. Operational Excellence:...

The Senior Advisor sources and sells new accounts and renews existing accounts in keeping with firm and individual goals. Advisors build and maintain relationships with clients, prospects, service teams, insurance company partners and centers of influence, while identifying and soliciting sales prospects. Responsible for driving success on the market business sales plan and be an advocate for change if market conditions change. In addition, serves as the primary contact for both internal and external clients in their geographic area and escalates or mitigates risk to the firm as necessary. Creates and maintains a cohesive team environment that gives colleagues a sense of belonging and mattering through articulating the firm’s vision. PRIMARY RESPONSIBILITIES: Gathers information and develops recommendations for prospective clients, presents proposals in a professional manner by reviewing coverages in detail to ensure understanding. Communicates with clients, prospects, insurance...

Description The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex commercial casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. Demonstrates a high level of expertise and sound judgment in complex matters; may as a subject matter expert. The role is within the Construction Vertical, handling bodily injury and discreet property damage claims. The role does not handle Construction Defect losses.   There is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub offices (Boston, MA; Westborough, MA; Plano, TX; Suwanee, GA; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Las Vegas, NV, Chandler, AZ or Weatogue, CT).  This policy is subject to change.  We will consider a remote candidate if you do not live within 50-miles of one of these offices.   The salary range...

Company Details   Acadia Insurance is a regional property casualty insurer with offices throughout the Northeast.  As a member of W.R. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us.  Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor’s.    At Acadia, we value our employees, our customers and our communities.  Employees at Acadia are part of a progressive company where everyone can make a difference.  We promote an inclusive environment which encourages continuous learning and the chance to grow and develop.    Company URL:  https://www.acadiainsurance.com/ Responsibilities Ideal candidates will have 5 or more years of experience in adjusting commercial liability claims, with...

A career at Concord Insurance Group is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description Our role as a Senior Field Claims Representative will be responsible for the investigation, evaluation and settlement of assigned claims involving 1st Party Homeowner and Commercial Property claims. This role is a field-based position and will require travel to loss sites to evaluate the damages. This also includes s pecial investigation activities with an emphasis on investigating possible fraudulent activity.  This is a field based position, travel will be required within Central/Eastern Massachusetts, with occasional travel to other areas as required. Responsibilities Field appraise losses of all types for both personal lines and commercial lines claims Take loss reports directly from insureds and/or claimants and/or their representatives....

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees...