35 sr litigation adjuster jobs found

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 the most complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors and provides direction to junior employees. We are seeking an experienced Unrepresented Bodily Injury Consultant. The ideal candidate is located in the EST or CST time zones. Who is a self-motivated professional with strong time management skills, capable of working independently while effectively prioritizing tasks. Exceptional customer service, organizational abilities, and...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Arch Insurance Group Inc., AIGI, has an opening in the Claims Division is seeking a Senior Claims Examiner to join the Casualty Team.  In this role, the responsibilities include actively managing commercial accounts claims caseload throughout the United States.  Primary Responsibilities Specific duties include but not limited to the below: Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care Develop and...

The successful candidate will join our dynamic and inclusive team, bringing enthusiasm, innovation, and a commitment to excellence that aligns with our collaborative and high-energy culture. Handle claims nationwide reported under primary and excess Miscellaneous Professional E&O, including coverage analysis, investigation, liability and potential exposure analysis, and the development and implementation of resolution strategies. Effectively and promptly communicate with insureds, agents, brokers and underwriters regarding claim status and handling. Analyze coverage and prepare coverage letters on complex matters with the guidance of in-house coverage counsel. Manage claims in litigation, including strategizing with defense counsel and experts on defending such. Set timely and accurate indemnity and expense reserves and reevaluate/update reserves appropriately based upon claim development. Negotiate settlements and attend mediations, arbitrations and trials as...

Overview : The Workers’ Compensation Claims Adjuster must be knowledgeable of the California Labor Code and administration of claims. It is the responsibility of a Workers' Compensation Claims Adjuster to receive and organize all documents related to the employee and the injury to make a determination regarding the claim. The Claims Adjuster is responsible for the prompt and efficient examination and investigation of claims. Workers' Compensation Claims Adjusters abide by company guidelines when making claim determinations. This role requires excellent communication and customer service skills, strong motivation and organizational skills. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Responsibilities: • Assess coverage and review claims for purposes of investigations, action plans, evaluation, fraud, and claim resolution. • Complete quality investigations by gathering pertinent information....

Overview: The Workers’ Compensation Claims Adjuster must be knowledgeable of the California Labor Code and administration of claims. It is the responsibility of a Workers' Compensation Claims Adjuster to receive and organize all documents related to the employee and the injury to make a determination regarding the claim. The Claims Adjuster is responsible for the prompt and efficient examination and investigation of claims. Workers' Compensation Claims Adjusters abide by company guidelines when making claim determinations. This role requires excellent communication and customer service skills, strong motivation and organizational skills. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Responsibilities : • Assess coverage and review claims for purposes of investigations, action plans, evaluation, fraud, and claim resolution. • Complete quality investigations by gathering pertinent information....

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 the most complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors and provides direction to junior employees. We’re looking for a skilled Bodily Injury Litigation Adjuster with Homeowner Liability experience to join our team! In this role, you’ll manage complex injury claims, including fractures, bilateral fractures, fatalities etc., while applying your expertise to ensure accurate and fair outcomes. We’re open to candidates located in Eastern...

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 the most complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors and provides direction to junior employees. We are seeking a skilled Litigation Coverage Adjuster to join our team, preferably located in the Eastern or Central time zone states. This role involves evaluating and managing Homeowner and Auto insurance claims in litigation, with a focus on determining coverage under the policy. Candidates must have 3+ years of claims adjusting...

Essential Duties and Responsibilities include the following. Other duties may be assigned : Handles litigated and non-litigated claims, including Auto Physical Damage (APD) and Cargo claims, from start to finish. Manages a diverse caseload from across the U.S, ensuring timely and effective settlements while maintaining high professional standards. Caseload: 100-120 claims, with 30% involving litigated files Handle claims related to commercial auto incidents, including physical damage and liability claims. Investigate, evaluate, negotiate, and settle claims efficiently. Manage both litigated and non-litigated claims. Ensure compliance with relevant regulations and company policies. Maintain detailed documentation for each claim. Collaborate with internal and external stakeholders to drive successful claim outcomes. Additional Responsibilities: Mandatory one-week onsite training at US Admin HQ in Oakridge, TN (travel and accommodations fully covered)....

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority. This position will be an acknowledged technical expert and be responsible for the resolution of complex and high exposure Healthcare claims with an emphasis on the excess and reinsurance business, and higher limits primary/stacked limits. The position...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Individuals whose primary responsibility involves managing claim files on behalf of clients for claims service business operations, requiring independent decision making, and high level of judgment and knowledge regarding the claim handling function. Handling and supervision of complex and litigated claims with authority for settlement.  Responsible for the investigation of coverage, liability, and damages, negotiating with claimants, attorneys, and other insurance carriers, through the life of a claim. Essential Duties and Functions: include the following.  Other duties may be assigned. The Claims Adjuster Sr will make themselves familiar with the Litigation Guidelines and Claims Best Practices, enforce these guidelines, and report to leadership in Claims when they are not complied with. Review lawsuits and formulate a plan of...

CopperPoint Insurance Company has an exciting opportunity for a full-time remote Sr. Claims Adjuster, Worker's Compensation. The Sr. Claims Adjuster, Worker's Compensation will investigate, manage, and resolve claims in a timely, unbiased, and informed manner in compliance with policies, state laws, and regulatory performance standards.   Job responsibilities: Knowledge of policy documents for coverage verification. Provide account servicing support on claim issues to policyholders including travel as required. Investigate, determine compensability, and manage time loss claims consistent with jurisdictional requirements. When necessary, attend In-Person meetings with injured workers, employers, and medical providers When necessary, assign investigators, attorneys, medical consultants, and others to facilitate claim determinations and plans of action. Follow up with injured workers, policyholders, and medical providers to monitor progress. Consult with...

We are seeking a Sr. Claims Specialist for our Southern California Team. The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.  This position is remote. Candidates must hold a self-insured certificate. 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...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Excess Casualty Team as a Sr. Claims Examiner. In this role, the responsibilities include actively managing commercial claims for primary and supported Excess Casualty high severity, complex general liability, and auto accounts and providing oversight to underlying carrier(s) claims handlers for coverage, liability, and damages in jurisdictions throughout the United States. Responsibilities Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis Develop and...

We are seeking a Sr. Claims Specialist for our Southern California Team. The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.  This position is remote. Candidates must hold a self-insured certificate. 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...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Excess Casualty Team as a Sr. Claims Examiner. In this role, the responsibilities include actively managing commercial claims for unsupported Excess Casualty high severity, complex general liability, and auto accounts and providing oversight to underlying carrier(s) claims handlers for coverage, liability, and damages in jurisdictions throughout the United States.  **$20k Sign-on Eligible** **(Open to remote work location if home location outside designated Arch office) Responsibilities Specific duties include but not limited to the below: Identify and...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Pacific Region PRIMARY PURPOSE:  To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five (5) national/international accounts with total combined anticipated revenue of at least $500,000) against insurance or other companies for personal, casualty, or property loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Rocky Mountain Region PRIMARY PURPOSE:  To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five (5) national/international accounts with total combined anticipated revenue of at least $500,000) against insurance or other companies for personal, casualty, or property loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Southwest Region PRIMARY PURPOSE:  To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five (5) national/international accounts with total combined anticipated revenue of at least $500,000) against insurance or other companies for personal, casualty, or property loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority;...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Midwest Region PRIMARY PURPOSE :  To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and attempts to effect out-of-court settlement with claimants. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses...