10 claim service specialist jobs found

The Claims Specialist plays a key role in delivering an exceptional customer experience by thoroughly investigating, evaluating, and processing insurance claims within established authority levels. This individual collaborates closely with policyholders, providers, and internal partners to drive timely, accurate, and compliant claim resolutions. Your Impact: Evaluate and process claims by reviewing documentation for accuracy, completeness, and adherence to policy and regulatory requirements. Analyze claim trends and data to identify discrepancies, patterns, and opportunities for improvement. Prepare clear, actionable reports that summarize findings, insights, and recommendations for leadership. Partner with cross-functional teams to resolve complex claim issues, streamline workflows, and enhance the customer experience. Stay current on industry regulations, guidelines, and best practices to ensure ongoing compliance and operational excellence. Successful...

Job Description: We are looking to add a Sr. Client Service Consultant to join our Property Casualty team in Kansas City, MO . Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: Take ownership and lead accounts by servicing the largest and most complex accounts; Client Service Specialist and Client Service Consultant support dependent upon account size. Demonstrates exceptional customer service and operates as an effective partner with clients to include, but not limited to: Market renewal policies and negotiate with insurance company underwriters; Reviews insurance in place and assesses future needs of client; Evaluates and recommends insurance options for clients; Maintains an awareness of complex or significant claims situations and assists in claims process management as requested, to ensure client claim issues are...

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. Territory: This is a field-based position requiring travel to Commercial-Ag and Farm owners loss sites. This role will involve travel in Missouri and Arkansas and the surrounding area. Candidates must reside within this territory.   What you can Expect: This position will specialize in farm property and/or agribusiness property field claims. This position will involve travel in the respective territory. This individual will handle complex commercial...

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 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 in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims...

Complex Marine Analyst III Who we are 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 General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world’s most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified,...

Claims Analyst I Who we are 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 General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world’s most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel...

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 Claims Team Lead, Professional Liability | Missouri PRIMARY PURPOSE:  To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims....

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking motivated nursing professional to join our team. The position requires the person to: Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the claimant’s health across the care continuum. Coordinate care delivery and support among claimant support systems, including providers, community-based agencies, and family. Collaborate with claims associates to provide medical expertise in the investigation, evaluation, and appropriate resolution of...

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. The Front and Back-End Specialists are responsible for a...

Purpose of the Role: To manage a team of on field and Desktop inspectors.   To drive best practice claims handling performance both in terms of optimal claims outcomes and customer service, and the technical and professional development of their team. Duties and Responsibilities 1. Functional Responsibilities: Manage the allocation of claims within their on field and desktop inspectors Provide a technical referral point for team members and manage performance, Keep the ( LoB ) Senior Manager advised of key Complex loss developments and wider Complex trends.   Execute strategic initiatives within their Inspectors team. Ensure Appraisals ‘Best Practices’ is maintained within their inspector team. Drive performance through required criteria Ensure claims are accurately assessments and proactively look for compliment within agreed service levels Embed use of balance scorecard/KPIs within team Develop and implement initiatives with...