23 senior complex claims director jobs found

Description If you're a registered nurse looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to our competitive edge, Liberty Mutual Insurance has the opportunity for you. Under general technical direction, responsible for medically managing assigned caseload and by applying clinical expertise ensure individuals receive appropriate healthcare in order to return to work and normal activity in a timely and cost effective manner. Caseload may include catastrophic/complex medical/disability cases, lost time, and/or medical only claims. Also act as a clinical resource for field claim partners.   This is a remote position however, you will be required to report into the office twice a month per business requirements if you reside within 50 miles of the following offices: Chandler, AZ, Suwanee, GA, Indianapolis, IN, Plano, TX, and Westborough, MA, Lake Oswego,OR .  Please note this policy is subject to change....

Why Openly Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly Difference We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. The Price Difference : Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. The Experience Difference: From tailored claims handling to highly responsive customer service, we are...

The Workers’ Compensation Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The WC Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises WC claims staff in their day-to-day operations Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval) Provides technical and...

The Lead Claims Advocate in this role is directly responsible for providing the client with white glove claims service throughout the claims process, maintaining an active diary, transmittal of documentation, follow-up calls, and emails to the client and carrier. Your Impact: Receive new losses from clients and producers and provide guidance to ensure appropriate steps are taken to mitigate damages and comply with policy terms, preserving the insured's rights. Report and/or ensure that the claims are filed under the appropriate policy. Review claim circumstances and applicable coverage and communicate preliminary coverage opinions to clients. Acknowledge receipt of claim to client in writing and request all documents necessary to move forward and properly advocate on client's behalf. Maintain accurate claim files and documentation in accordance with department standards and procedures. Handle to conclusion insurance claims presented by clients and/or as assigned by...

The next part of your journey is right around the corner — with The Standard. A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we’ve been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference? Job Summary    In Life Absence and Disability   Underwriting   (LAD) , our mission is to is to help build the financial foundation for The Standard to deliver on our promise. We sell   a promise   every day. Responsible risk selection and management, pricing and growth helps ensure we can back that promise.      ​ The   VP of   LAD   Underwriting is...

Compensation Grade:‏‏‎ ‎33 Job Description At SAIF, actuaries are more than our numbers people. Their work is the thread that binds together our enterprise-wide projects, strategies, and mission. Heavily relied-upon for their creativity and expertise, this team has the autonomy to work directly with business partners to help establish rates, maintain adequate reserves, produce forecasts, and ensure long term stability.  As our new senior actuarial analyst, you'll play a vital role in SAIF's mission to serve Oregon's workers and employers by making workers' compensation coverage widely available and affordable, and by providing extraordinary service. We're looking for a highly motivated self-starter with actuarial experience, but just as importantly, we're seeking a collaborative teammate, strategic communicator, seeker of challenges and opportunities, and champion of analytics. Your work won't be done in isolation. You will work closely with a seasoned team of actuaries...

Why Openly Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly Difference We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. The Price Difference : Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. The Experience Difference: From tailored claims handling to highly responsive customer service, we are...

Skyward Specialty is a rapidly growing specialty Property & Casualty insurance carrier headquartered in Houston, Texas. We deliver tailored solutions across nine specialized underwriting divisions, with a culture grounded in deep technical expertise, decisive underwriting, and long-term broker and client relationships. Our Global Agriculture division underwrites a worldwide portfolio of agriculture reinsurance, partnering with cedants and reinsurance brokers across multiple territories to support food and farm economies through thoughtfully structured treaty solutions. Position Summary The Analyst, Global Agriculture Reinsurance provides analytical and operational support to the Global Agriculture underwriting team, helping to evaluate, price, and manage Skyward's global portfolio of agriculture reinsurance. This is an excellent opportunity for an analytically strong, detail-oriented professional to build deep expertise in a specialized and globally significant line of...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking an Employee Benefits Small Group Account Manager to join our growing team in Portland, OR . The Employee Benefits Account Manager responsibility is to provide exceptional service to our customers by establishing realistic customer expectations, seeking customer input, and meeting service commitments in a professional and punctual manner. Account Managers are the main point of contact for customers regarding open enrollment, marketing, and the renewal process. Account Managers are given autonomy to make recommendations to customers and exercise independent and discretionary judgement daily. How You Will Contribute: Responsible for renewal process from start to finish including but not limited to pre-renewal analysis, renewal analysis, and renewal administration Lead open enrollment process...

The Customer Service Representative (CSR) provides exceptional service to insureds, carriers, and partners by responding to inquiries and resolving issues related to coverage, claims, billing, and account information. The CSR handles both inbound and outbound customer interactions to ensure needs are met accurately, efficiently, and with empathy. This role contributes directly to customer satisfaction, retention, and the overall success of the Affinity Customer Service team. Collaboration, teamwork, and strong communication within the team are key to success.  Your Impact:   Respond to inbound calls, emails, and other inquiries from customers and carriers in a professional, courteous, and timely manner.  Place outbound calls as needed to follow up on customer inquiries, resolve outstanding issues, or provide updates.  Maintain accurate and complete customer service notes and documentation in the CRM system.  Process client requests, policy changes, and updates...

Description Join us as a Field Property Claims Adjuster where you’ll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner’s property.  This is a role where people who love every day to be new, different and exciting, can thrive – you’ll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support .   The Field Property Claims Adjuster will be traveling locally to insured homes within West Linn, OR (97068) and surrounding areas. To be successful within the role, candidates should live within or near this area.   Sign-On Bonus Available!  We’re offering a sign-on bonus for experienced and actively licensed new hires.   What you’ll do Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include...

At Genworth, we empower families to navigate the aging journey with confidence. We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet families where they are. Further, we are the spouses, children, siblings, friends, and neighbors of those that need care—and we bring those experiences with us to work in serving our millions of policyholders each day.  We apply that same compassion and empathy as we work with each other and our local communities, Genworth values all perspectives, characteristics, and experiences so that employees can bring their full, authentic selves to work to help each other and our company succeed. We celebrate our diversity and understand that being intentional about inclusion is the only way to create a sense of belonging for all associates. We also invest in the vitality of our local communities through grants from the Genworth Foundation, event sponsorships, and employee volunteerism. Our four...

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 The Financial Analysis Senior Consultant serves as a strategic finance partner, translating complex financial data into clear, actionable insights that influence business strategy and operational decisions. This role develops compelling financial storylines, identifies key drivers of performance, and builds forward-looking projections to anticipate risk, unlock growth opportunities, and improve profitability. In this role, the consultant plays a critical advisory function to Sales leadership, leveraging deep analytics and business acumen...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking an Employee Benefits Account Manager to join our growing team in Portland, OR! The primary responsibility of an Account Manager is to provide exceptional service to our customers by establishing realistic customer expectations, seeking customer input, and meeting service commitments in a professional and punctual manner. Account Managers are the main point of contact for customers regarding open enrollment, marketing, and the renewal process. Account Managers are given autonomy to make recommendations to customers and exercise independent and discretionary judgement daily. How You Will Contribute:   Responsible for renewal process from start to finish including but not limited to: pre-renewal analysis, renewal analysis, and renewal administration Lead open enrollment process including but not...

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 The Mass Tort & Environmental Specialty Operations Senior Manager leads the Specialty Operations Direct claims function, overseeing complex environmental and latent injury exposures. This role is responsible for strategic leadership, operational excellence, financial oversight, and team development to ensure high-quality claim outcomes, regulatory compliance, and alignment with business objectives. Key Responsibilities: Leadership & Team Management Lead, manage, and develop a high-performing team, including hiring,...

Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines...

The Workers’ Compensation 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 Workers’ Compensation 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 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...

The Cross Family of Agencies welcomes you. We need your talent and expertise. Director of Operations, Employee Benefits Position Summary The Director of Operations will build, lead, and optimize the operational foundation of the Cross Insurance Employee Benefits Division. This role is responsible for developing scalable processes, streamlining workflows, strengthening carrier and vendor partnerships, and driving operational excellence across all facets of the employee benefits business. The ideal candidate is a hands-on leader who translates strategy into execution , improves efficiency, and enables growth while delivering an exceptional client and employee experience. Key Responsibilities Build and lead the operational strategy for the Employee Benefits Division, aligning people, processes, and technology with business goals. Develop, implement, and refine standardized workflows that improve efficiency, accuracy, and scalability across new business,...

We are seeking a highly motivated and results driven full-time Senior Account Manager to join our Temporary Staffing Workers Compensation team. This is an opportunity to join an experienced team that supports one of the largest wholesale temporary staffing programs in the country. The ideal candidate thrives in a fast paced, team oriented, and highly collaborative environment, with frequent communication and partnership among program leadership, senior account managers, and lead program producers. This role is responsible for managing and retaining a book of business, building, and maintaining strong relationships with agency partners and carrier underwriters and delivering exceptional service throughout the renewal process. The Account Manager will play a critical role in negotiating competitive renewal options, ensuring accuracy and efficiency in policy servicing, and contributing to best-in-class customer experience within the wholesale brokerage industry. Your Impact:...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking a Senior Account Manager to join our Commercial Lines team in Portland, Oregon . The Senior Account Manager’s primary responsibility is to partner with an assigned producer with the ability to solve and handle account issues independently. The Senior Customer Account Manager is a coach and mentor for the team. Routine duties include monitoring retention, negotiation of costs for products and services, analyzing insurance contracts, insurance plan designs, coordination of claims, loss control, accounting and audit services, and research and analyze in various areas as needed. How You Will Contribute Consults on new business, prepares proposals and independently handles customer requests Works directly with customer to ensure proper coverage is secured Uses discretionary judgement to...