46 senior claims professional jobs found

The 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 role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: 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 Manages non-complex and non-problematic medical only claims and minor 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...

If you're passionate about being part of a diverse organization that enables a Fortune 100 company with nearly $70 billion in annual sales to deliver innovative business solutions with excellence, then Nationwide's Legal team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. The preferred candidate will handle all aspects of personal and commercial lines insurance defense cases from start to finish (pre-trial through trial). Caseload may include all or some of the following: large loss, commercial auto, bodily injury auto,  uninsured/underinsured auto, bodily injury commercial, property damage (commercial and personal), bodily injury/homeowners, wrongful death, complex commercial. Work's compensation   and subrogation experience a plus.   Experience in both state and federal courts.  Ability to provide...

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:  The Employee Benefits Account Executive is responsible for managing a book of business, policy quotes and carrier liaison for assigned clients/groups. Regularly interacts with new and existing clients while being responsible for devising creative solutions to meet...

Description Major Accounts Property is responsible for monoline property accounts with minimum account Total Insured Value is $300m with actual average inforce account Total Insured Value being more than $1b.  For an assigned book of the largest and most complex large single carrier commercial property accounts, analyzes the customer's property exposures, hazards, financial information, requested coverages, loss history, pricing targets and desired program structure to select business and determine appropriate terms and conditions. Will work closely with Risk Engineering to produce and manage a profitable book of business and manage producer/customer relationships. Maintains the highest level of skills/knowledge in the large property space with average account annual premium of more than $1m. Shares underwriting expertise with other underwriters and stakeholders across all levels.   Responsibilities Manages portfolio of brokers/agents & clients....

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 dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to...

If you're passionate about being part of a diverse organization that enables a Fortune 100 company with nearly $70 billion in annual sales to deliver innovative business solutions with excellence, then Nationwide's Legal team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. This position will be hired on a   SuccessFlex   basis.   The hired associate must   reside   within 35 miles of the following location:   Pennsylvania - Wexford, 2559A Brandt School Road Work schedule: 3 days in office, 2 days remote.   This role does not qualify for employer sponsored work authorization. Nationwide does not   participate   in the STEM OPT extension program.   #LI-AM1 Job Description Summary Would you thrive in an environment where you can deliver top-quality legal...

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. Under general direction manages a team of claims professionals for General Liability. Responsibilities include overseeing all claim resolution activities of the team to ensure accurate and timely disposition of claims in accordance with company protocols. This position works within broad authority limits and is accountable for implementing company initiatives and driving overall team results. his position offers a flexible, hybrid...

The Senior RN Clinical Consultant will work in partnership with Clinical and Vocational Leaders to provide ongoing coaching and oversight to Clinical Consultants and will serve as clinical subject matter expert in all lines of business (STD/LTD/Appeals) and products, action planning management, and Guardian systems. This incumbent will have a strong clinical and client focus to assist in ensuring the fair and accurate assessments of medically supported functional abilities. They will assist in cultivating talent and foster an environment of continuous learning. They will promote organizational excellence by demonstrating leadership, problem-solving behaviors, and viewing challenges as opportunities. This individual will work with the Clinical Team Manager to drive performance and ensure the team meets their goals. They will effectively communicate & explain departmental initiatives and changes as they relate to organizational goals & strategies. They will assist the...

Associate Actuary - North America Property At AIG, we are reimagining the way we help customers to manage risk. Join us as a Associate Actuary - North America Property to take on key responsibilities within a world-class actuarial function. Make your mark in Actuarial 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 We are seeking an actuarial professional to support North America Property, including Retail and Canada.   The individual will work to streamline processes across the different Property segments. They will also partner with other pricing actuaries in implementing best...

Job Responsibilities and Requirements The Sr. Middle Market Client Manager serves as the primary strategic advisor for assigned middle market clients, delivering expert guidance on benefit plans, contracts, and service issues. This role builds strong client relationships, drives client growth, and ensures operational excellence through proactive engagement, strategic problem-solving, and cross-functional collaboration on Disability, Life, FML, State Leaves, Company Leaves (Paid and Unpaid) and ADA cases. This senior role ensures operational excellence through proactive engagement, advanced problem-solving, and cross-functional leadership. Client Relationship Management Serve as the main contact for assigned clients, delivering consultative advice on contracts, plan structure, renewals, and escalated issues. Build and maintain strong, proactive relationships through regular face-to-face meetings and strategic communications. Navigate complex client challenges,...

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 Legal 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...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): Director, Claims Triage Employment Type: Full-Time FLSA Status: Exempt Location: In-Office   Summary: We are looking for a highly capable Claims Triage Director to join our Claims team and work from either our Richmond, VA or Omaha, NE offices.  Alternatively, we can also fill this role in our offices in Albany, NY, Chicago, IL, Los Angeles, CA, Houston, TX, or New York, NY. The Director, Claims Triage leads a nationwide triage operation, managing a fast-paced team responsible for the time sensitive intake and accurate routing of workers’ compensation, liability, and property claims. This role drives a...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s):  Senior Workers’ Compensation Claims Adjuster  Employment Type:  Full-Time  FLSA Status:  Exempt  Location:  In-Office    Summary:    We are looking for a highly capable Senior Workers’ Compensation Claims Adjuster to join our Claims team and work from either our Rockwood, PA or Omaha, NE offices.  Alternatively, we can also fill this role in our offices in Albany, NY, Chicago, IL, Los Angeles, CA, New York, NY, or Springfield, MO. The position reports to a manager based in Rockwood, PA. This role will be adjudicating workers’ compensation claims in the jurisdictions of CO, KS, KY, MD, MI, MO, MT, PA, UT,...

Senior Claims Analyst , Mass Tort and Complex Coverage At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Analyst to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact As an experienced professional, in this role you’ll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess...

Job Description At WSFS Bank, we empower our Associates to grow their careers, guide our customers to secure their financial futures, and actively support our Communities so they can fully thrive. Careers with WSFS Bank offer an inclusive and supportive culture, competitive salaries, advancement opportunities, and more. We are the region's locally headquartered bank and wealth management company. We are honored to consistently be named a Top Workplace by our Associates, who make a difference every day for the people, businesses, and Communities we serve. We Stand For Service® is more than part of our name, it’s our mission and our purpose. The Senior Human Resources Generalist performs a variety of complex Human Resources duties on a professional level, partnering closely with Associates and leadership across the organization, in addition to Human Resources Business Partners and HR functional areas, including payroll, benefits, talent acquisition, talent development,...

An exciting opportunity exists to join the ProAssurance family of companies! Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance? At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm—and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States. This position supports our workers' compensation line of business, Eastern...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s):   Medical Only Claims Adjuster   Employment Type:   Full-Time   FLSA Status:   Non-Exempt   Location:   In-Office     Summary:     We are looking for a highly capable Medical Only Claims   Adjuster to   join our Claims team and work from either our Rockwood, PA , Richmond, VA,   or Omaha, NE offices .    Alternatively, we can also fill this role in our Springfield, MO office.     The position reports to a manager based in Rockwood, PA. The Medical Only Claims Adjuster   is responsible for   managing medical-only claims for...

Job Responsibilities and Requirements The Manager of Data Engineering is responsible for leading a high-performing and inclusive team of data engineers within the Information Services department. This role oversees the technical vision, execution, and optimization of enterprise data solutions, ensuring robust, auditable, and compliant data pipelines and models. The manager collaborates across business units and IT stakeholders to drive impactful data initiatives, optimize processes, and support the organization’s financial and operational objectives.   Key Responsibilities: Lead, coach, and develop a team of data engineers, fostering technical and professional growth. Implement and execute a strategic technical vision for enterprise-wide data integration, modeling, and processing, encompassing all business subject areas such as policies, claims, billing, ratings, general ledger, and annuities. Design, build, and scale robust and compliant data pipelines and models,...

The Customer Service Representative plays a vital role in supporting the Workers’ Compensation department by managing inbound and outbound calls and providing exceptional service to claimants and internal teams. This entry-level position is ideal for individuals looking to start a career in insurance, claims management, or customer service within a professional environment. You will assist claim adjusters by addressing inquiries, clarifying information, and ensuring accurate communication between all parties. Training will be provided to help you succeed and grow in this role. This role is available for remote or hybrid work arrangements.  ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Answer and return inbound and outbound phone calls promptly and professionally. Review claim history in the system and provide accurate information to callers. Collaborate with claim adjusters to clarify details and resolve inquiries. Document interactions and maintain accurate records...

An exciting opportunity exists to join the ProAssurance family of companies! Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance? At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm—and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States. This position supports our workers' compensation line of business, Eastern...