47 senior complex claims director jobs found

Vice President I, Digital Delivery Lead About AIG American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets and manage risks. We’re also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Digital Team at AIG At AIG, technology is at the heart of everything we do, from underwriting risks to processing claims. The Digital Delivery team equips our colleagues with the latest tools to complete their work efficiently and with the highest standards of excellence. The team is responsible for creating...

Vice President I, Digital Delivery Lead About AIG American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets and manage risks. We’re also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Digital Team at AIG At AIG, technology is at the heart of everything we do, from underwriting risks to processing claims. The Digital Delivery team equips our colleagues with the latest tools to complete their work efficiently and with the highest standards of excellence. The team is responsible for creating...

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 Senior Audit Manager , you will manage audit engagements, varying in complexity, and often participates in complex, cross-functional risk-based assurance and advisory engagements driving quality of audit work. May lead engagements as Auditor-In-Charge (AIC). This role maintains knowledge of financial services regulations and effectively responds and interacts with regulators. Provides oversight to multiple audit engagements and participates in review of engagement planning, fieldwork and reporting....

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: We are looking for a Senior Zscaler & Palo Alto Firewall Engineer to drive the design, deployment, and ongoing optimization of our enterprise-grade Zero Trust security fabric. This is a hands-on, senior-level technical role on a small but high-impact network security team. You will be a go-to expert for Zscaler (ZIA + ZPA), Palo Alto firewalls, Terraform-driven infrastructure-as-code, and complex...

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 position. 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...

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 We are seeking a dedicated Bank Agile Product Owner to champion member value, with a specific focus on optimizing the join and eligibility experiences within the banking sector. This role requires a strategic individual who can integrate member value initiatives into the bank's planning and backlog, ensuring the bank's risk, opportunities, and perspectives are accounted for in product roadmaps. You will also be responsible for the governance and risk assessment processes related to these member experiences. We...

The Company    At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. Utica National Insurance Group is an "A" rated $2.0B award-winning, nationally recognized property & casualty insurance carrier. Operating along the Eastern half of the United States, based in our Home Office in Central New York, with Regional Office locations including NYC, Dallas and Charlotte. What you will do This role will focus primarily on resolving litigated commercial and homeowner property claims. The ability to also manage complex and high exposure files with sound judgment and organization will be critical in this role. Skills in coverage analysis, investigation, negotiation, and customer service will be needed to settle claims for proper amounts and within authorization. Key Responsibilities: Investigate, evaluate, negotiate and resolve litigated property...

American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets and manage risks. We’re also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Get to know the business At AIG, technology is at the heart of everything we do, from underwriting risks to processing claims. The Information Technology team equips our colleagues with the latest tools to complete their work efficiently and with the highest standards of excellence. The team is responsible for shielding the company’s systems from security risks, while...

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 Responsible for investigating and confirming the facts of loss for complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors junior employees. We are seeking a Bodily Injury Adjuster with at least two years of experience handling attorney-represented claims. The ideal candidate brings a positive, team-oriented attitude. Experience managing fracture-related injuries is preferred but not required. Litigation experience is not necessary. Candidates located in NC, SC, or VA are encouraged to apply, as the role...

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 The USAA AML Modeling & Analytical Team is actively seeking a seasoned Senior Quantitative Risk Analyst to spearhead the development, refinement, and deployment of a comprehensive suite of Financial Crimes Models. This pivotal role will leverage expert analytical acumen and extensive technical proficiency to architect and optimize model performance for Transaction Monitoring (Actimize), Lexis Bridger Screening Systems, and Customer Risk Scoring. The successful candidate will collaborate with key stakeholders to...

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 The Financial Crimes Audit Executive directs and oversees independent audit coverage for USAA Federal Savings Bank’s Financial Crimes risk portfolio, including fraud, anti-money laundering (AML)/Bank Secrecy Act (BSA), and sanctions (OFAC) compliance. This role designs, administers, and executes a risk-based, comprehensive audit program that provides independent and objective assurance over the effectiveness of governance, risk management, and control processes across first- and second-line functions. The...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: Oversee and take charge of growing and maturing a practice that is focused equally on enablement as well as assurance, who will apply a technology first approach to providing seamless secure authentication and the platform necessary to enable humans and machines to operate securely at scale. CRC's evolving technology environment requires an individual who is well versed in both traditional systems as...

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure’s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. Amerisure is currently recruiting for a Senior Commercial Auto & General Liability Adjuster with experience with handling claims that deal with risk transfer, subcontractors, and general contractors. This role will be hybrid onsite for anyone sitting close to an office but remote for anyone else. The ideal...

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...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: We are building the foundation of the machine learning function at a market-leading insurance company. As one of the first data science hires, you will play a pivotal role in shaping our ML strategy, frameworks, and operating model. This is a unique opportunity to be hands-on, developing and maintaining production-grade solutions while influencing the long-term vision and scaling of our ML...

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure’s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. Amerisure is currently recruiting for a Senior Commercial Auto & General Liability Adjuster with experience with handling claims that deal with risk transfer, subcontractors, and general contractors. This role can sit remotely for us. The ideal candidate will also possess the following skill set.  Summary...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: The Director, Meetings & Events is responsible for leading the strategic planning, development, and execution of the organization’s internal and external meetings, conferences, and corporate events. This senior leadership role oversees a team of meeting and event professionals and ensures all programs align with corporate objectives, brand standards, financial targets, and stakeholder...

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure’s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. Amerisure is currently recruiting for a Senior Claims Specialist that can do a hybrid approach onsite in one of our offices. The ideal candidate will also possess the following skill set.  Summary Statement Manage a portfolio of claims presenting moderate complexity and exposure to ensure Industry Leading Customer...

As a Healthcare Financial/Actuarial Senior Associate you will be a key member of the Financial Actuarial & Analytics (FAA) Community of Expertise. You will substantially contribute to a wide variety of complex analyses and projects involving the design, financing, and measurement and financial analysis of the full spectrum of employer health and group benefit programs including medical, dental, life, disability, voluntary benefits, etc. You will interface with vendors and client service teams, prepare and communicate complex analyses to clients, and ensure quality standards are met. You will have the opportunity to position yourself to lead financial project with small-to-midsized clients, and work on cutting edge projects alongside leaders in the industry.   The Role With clear guidance and direction, play an active support role in multiple client teams developing financial analyses, outputs and client deliverables across a regional team. Develop working proficiency of...

We’re thrilled that you are interested in joining us here at the Amynta Group! A Claims Advocate III is an experienced worker's compensation technician who can work independently with minor supervision. This position is assigned special projects, serves as a mentor to less experienced associates, assists with training and development, may present educational topics, may serve as a Team Lead if needed, may do agency visit, claims reviews etc. Complexity of Duties: Works on problems of diverse scope where analysis of data requires evaluation of identifiable factors. Demonstrates good judgment in selecting methods and techniques for obtaining solutions.  Duties include Handling all various aspects of moderate to complex workers’ compensation claims. The Claims Advocate III has a reserve and settlement authority based on Leadership recommendations. Leadership Received : Needs minimal direction. Works from policies and general objectives with functional guidance; seeks...