25 claim operations specialist jobs found

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. 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...

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes coverage, recognize liability exposure and negotiate equitable settlements...

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 is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual inspection.  Ideal Candidate Locations: The ideal candidate will live in the Atlanta, GA area. Territory: This role will cover Georgia, Florida, Alabama, and South Carolina   (up to 25% travel). Occasional travel outside of the territory may...

Position Summary The Director of Clinical & Cost Containment is a senior strategic role within Strategic Benefit Resources (SBR) responsible for leading the clinical consulting and cost containment program capabilities that differentiate SBR's self-funded solutions in the wholesale distribution market. This individual serves as the primary clinical subject matter expert across SBR's book of business, partnering with sales, distribution, and stop-loss consulting teams to evaluate, implement, and communicate clinical cost containment strategies that drive measurable financial outcomes for employer clients. This role bridges clinical expertise and consultative sales support — working directly with broker/consultant partners, TPAs, stop-loss carriers, and employer plan sponsors to identify high-cost claim drivers, optimize vendor program selection, and develop clinical frameworks that reduce plan cost and improve member outcomes. Why This Role Exists As the...

The Recovery Specialist is responsible for the end- to- end recovery process to include; investigation, identification, and pursuit of recovery/subrogation opportunities to maximize amounts received from third parties who are wholly responsible or share liability for damages paid to claimants by AIG, while ensuring recovery expenses are minimized.  A Recovery Specialist will be responsible for the most complex, highest value claim recovery cases covering multiple commercial insurance lines of business within the North American region.  This role regularly requires the exercise of discretion and professional judgment in evaluating whether to pursue recovery and in negotiating settlements.  Key responsibilities: •    Reviews assigned claim files to determine if recovery is feasible, investigates and evaluates liability issues, coordinates investigations by expert witnesses, proactively follows up with relevant parties, handles arbitrations, and refers cases to approved...

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 The Specialist will handle and analyze general liability claims under general supervision and moderate exposure claims involving litigation. The position also ensures ongoing adjudication of claims within the Company standards, industry best practices and specific client service requirements. Analyze and process general liability property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations.   Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a common mission and purpose. Our greatest strength is a talented team who flourish in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find a better way, The Ascot Way .   The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our Client Centric, Risk Centric and Technology Centric strategies   Built to be resilient, Ascot offers clients leading financial security while delivering bespoke products and world class service — both pre- and post-claims. Ascot...

At AIG, we protect our clients against uncertainty and risk and provide the confidence for tomorrow’s opportunities. Join us as a director of a Workers Compensation claims team to grow your skills and experience as a valued member of the team. Make your mark in Federal Workers Compensation 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 This position is responsible for leading a team of Claims Examiners on the Federal WC Claims team and for directing activities consistent with the mission statement of AIG Claims, Inc. by achieving stated goals through best practices and...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Technical Specialist – Workers’ Compensation Claims Major Case Unit (MCU) 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. The AIG Workers’ Compensation (WC) Major Case Unit (MCU) is a group of well trained and highly dedicated claim professionals with an average of 26 years of WC claim handling experience. We take a collaborative approach in handling large,...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. 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. Make your mark in Federal Workers Compensation Claims. Focused on Workers Compensation within the Federal jurisdiction, this role is an ideal opportunity to develop your expertise in handling and investigating Defense Base Act claims. The aim is deal with claims through a proactive, best practice approach, in line...

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 Housing Support Specialist SCHEDULE: Mon - Fri 11:00 PM-8:00 PM EST (Subject to change based off of business needs) PRIMARY PURPOSE :  To coordinate and manage lease extensions and ongoing housing support needs for displaced policyholders in a fast-paced, service-driven environment. This role is responsible for ensuring continuity of housing by proactively managing extensions, resolving in-stay service issues, and maintaining strong communication between insureds,...

Job Type: Permanent Build a brilliant future with Hiscox   Controls Analyst – Financial Reporting & Controls Location: Atlanta, Boston, NYC Manhattan, West Hartford, CT Reports To: Senior Financial Reporting Manager About the Role: The Controls Analyst is a key role within Hiscox USA Finance organization, responsible for the execution, maintenance, and continuous improvement of the Hiscox control environment. The Controls Analyst will lead core control operations, including attestation review, Shield control maintenance, and annual control framework execution, ensuring controls are appropriately designed, executed, and evidenced across both retained and outsourced (Genpact) operating models. This is a highly cross-functional role requiring strong partnership with business stakeholders to ensure controls are embedded into core processes and aligned to regulatory expectations, including Model Audit Rule (MAR). Key Responsibilities: Control...

Overview The RMIS Sales Solution Architect is a deep domain expert in risk management information systems who applies that expertise across the RMIS opportunity portfolio to shape what Origami sells and how we win. The role owns solution definition, architecture, delivery feasibility, and technical qualification, and contributes to competitive strategy, deal economics, and commercial decision-making. Engagement depth scales with deal complexity, with the most rigorous process discipline applied on strategic and enterprise deals. The SSA operates within a defined deal governance process, applies a structured deal health score that captures competitive, commercial, and delivery risk, and produces the artifacts required to align sales, solutions, and services leadership on how we win. Responsibilities Solution Definition . Define the solution Origami should propose for each opportunity, including capabilities,...

Job Type: Permanent Build a brilliant future with Hiscox   Job Title: Senior Business Analyst Location: Atlanta, GA, Boston, MA, Hartford, CT, Manhattan NYC Reports To: Business Analysis Director Summary: The Senior Business Analyst is a detailed oriented individual who plays a key role in shaping solutions that support underwriting, rating, quoting, binding, and claims management processes across the Hiscox insurance portfolio. This role is ideal for someone who thrives in a fast-paced environment, brings strong insurance domain knowledge—especially in small commercial or specialty lines—and has a proven track record of driving business and technology alignment. You’ll work cross-functionally with underwriting, claims, operations, and technology teams to deliver practical, scalable solutions that support business goals and improve the end-to-end customer and agent experience. Key Responsibilities: Hands-On Analysis & Delivery: Serve...

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: The Senior Underwriter is responsible for underwriting profitable new and renewal business targeting the P&C Private Equity industry segment. This includes taking ownership of large accounts and clients, overseeing negotiation of participation, pricing, and terms and conditions. The Senior Underwriter will develop and maintain strong relationships with both brokers and clients, and serve as a specialized technical expert or lead for at least one industry or product line, such as General Liability, Umbrella, Commercial Auto, Commercial Property, or Workers Compensation. This will be a hybrid role in Alpharetta, GA. Responsibilities and Accountabilities:...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Marine Claims Major Loss Adjuster 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 a Major Loss Adjuster, you will be focused on handling all aspects of Motor Truck Cargo, Vehicle Physical Damage, Car Hauler Liability, Commercial Property, Contractors Equipment, and Warehouse legal Liability claims. This role is an ideal opportunity to develop...

Help us insure it Tokio Marine HCC is a global industry-leading specialty insurance group, backed by the strength and stability of the Tokio Marine Group. Offering over 100 classes of specialty insurance, we empower clients to pursue opportunities confidently through our “Mind Over Risk” philosophy. More than an insurance company, we are an organization built on innovation, unity, and trust. At our core, we are Always Advancing, driven by innovation and an entrepreneurial spirit that keeps us moving forward. Our people are Experts in Tomorrow, using curiosity and smart working to anticipate what’s next. With a culture rooted in Reaching Out, we foster genuine collaboration and support, ensuring every individual has the opportunity to succeed and make a difference. Role Overview Under supervision, makes underwriting recommendations and decisions to protect the financial assets of the company and the carrier. Reviews proposal requests to evaluate, classify, and rate each risk...

At AIG, we are reimagining the way we help customers to manage risk. Join us as an Underwriter 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 Underwriting, Retail Casualty AIG is seeking a motivated Underwriter to contribute to our industry leading Environmental Casualty team. AIG’s strong brand in the market has provided for strong growth and thus the need for underwriting resources. We consistently provide clients with innovative products, use of technology, and a world-class platform. Our underwriters constantly deliver in an ever-changing marketplace and world.  In this role, you will be responsible for underwriting and servicing an existing renewal book with assistance to other team members who will solicit new business opportunities. This role includes constant interaction with top nationwide, regional, local and wholesale brokers and insureds. Through this role,...

Help us insure it Tokio Marine HCC is a global industry-leading specialty insurance group, backed by the strength and stability of the Tokio Marine Group. Offering over 100 classes of specialty insurance, we empower clients to pursue opportunities confidently through our “Mind Over Risk” philosophy. More than an insurance company, we are an organization built on innovation, unity, and trust. At our core, we are Always Advancing, driven by innovation and an entrepreneurial spirit that keeps us moving forward. Our people are Experts in Tomorrow, using curiosity and smart working to anticipate what’s next. With a culture rooted in Reaching Out, we foster genuine collaboration and support, ensuring every individual has the opportunity to succeed and make a difference. Role Overview Under supervision, makes underwriting recommendations and decisions to protect the financial assets of the company and the carrier. Reviews proposal requests to evaluate, classify, and rate each risk...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations. Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a common mission and purpose: One Ascot. Our greatest strength is a talented team who flourish in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find a better way, The Ascot Way. The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our unique Fusion Model: Client Centric, Risk Centric, Technology Centric. Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world-class service — both pre- and post-claims....