31 claims consultant jobs found

Company Details   Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted.   As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions.  W. R. Berkley Corporation , and all member insurance companies, are rated A+ (Superior) by A.M. Best Company, and carry Standard & Poor’s Financial Rating of A+ (Strong).     This role is based in one of our locations listed below where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so.   Urbandale, IA Lincoln, NE The Company is an equal employment...

Job Description: Are you passionate about risk management and eager to make a significant impact in the field of captive insurance? We are looking for a dynamic Risk Management Consultant to join our Innovative Captives Strategies team. In this pivotal role, you will lead risk control events, provide expert risk management advice, and develop solutions to ensure exceptional service delivery to captive members. If you have a strong background in risk management, excellent organizational skills, and a dedication to continuous improvement, we invite you to apply and be part of our mission to mitigate risks and drive success for our clients. Responsibilities: Organize and manage high-quality risk control events, including workshops, committee meetings, and webinars. Collaborate with Risk Management leadership to plan agendas, prepare materials, and facilitate events. Coordinate event logistics with the ICS Event Management Team, including accommodations and...

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.   DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all....

Job Description: Are you passionate about risk management and eager to make a significant impact in the field of captive insurance? We are looking for a dynamic Risk Management Consultant to join our Innovative Captives Strategies team. In this pivotal role, you will lead risk control events, provide expert risk management advice, and develop solutions to ensure exceptional service delivery to captive members. If you have a strong background in risk management, excellent organizational skills, and a dedication to continuous improvement, we invite you to apply and be part of our mission to mitigate risks and drive success for our clients. Responsibilities: Organize and manage high-quality risk control events, including workshops, committee meetings, and webinars. Collaborate with Risk Management leadership to plan agendas, prepare materials, and facilitate events. Coordinate event logistics with the ICS Event Management Team, including accommodations and...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Senior Loss Control Consultant – IA/NE When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? Never? Our employees at Strategic Comp make a difference and feel appreciated for it. In fact, we received 98% rating for...

We are seeking a knowledgeable and strategic Insurance Captive Consultant specializing in Property & Casualty (P&C) to advise clients and work with producers on the formation, management, and optimization of captive insurance solutions. This role involves working closely with businesses to assess risk profiles, design tailored captive structures and ensure regulatory compliance while maximizing financial and operational benefits. Key Responsibilities: Consult with clients to evaluate risk exposures and determine the feasibility of captive insurance solutions for P&C coverage. Conduct financial modeling, cost-benefit analysis, and risk retention studies to support captive formation and ongoing growth. Collaborate with legal, actuarial, and tax professionals to ensure compliance with regulatory and jurisdictional requirements. Monitor captive performance, analyze claims data, and recommend adjustments to optimize risk financing strategies. Provide ongoing...

The Medical Allocator creates a cost projection of a patient’s medical treatment needs by reviewing medical records and identifying a pattern of care. The medical cost projection, also knowns as a Medicare Set-Aside (MSA) report, is part of a workers’ compensation or liability claim settlement.  The Medical Allocator will rely on their medical knowledge and guidelines provided by the Centers for Medicare and Medicaid Services (CMS) to evaluate the patient’s treatment plan for future medical treatment needs.  Work from home possible.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Collaboration with the claim adjuster Review medical records to prepare a Medicare Set-Aside allocation (MSA) report Perform evidenced based medical research Utilize medical knowledge to outline the patient’s medical treatment. Assign pricing to medical treatment allocations Assign pricing to medication allocations Prepare submission of MSA report to CMS for review and approval...

Job Description: We are looking to add a Subrogation Specialist to join our Creative Risk Solutions team in West Des Moines, IA . In this role, you’ll dig into the details, uncover liability, and drive meaningful financial impact for our clients—all while growing your career with a forward‑thinking claims team. Creative Risk Solutions, a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. Essential Responsibilities: Identify subrogation and salvage opportunities on automobile, work comp, and general liability claims. Coordinate subrogation efforts against at-fault parties and their insurance carriers. Submit arbitration applications for collections and respond to arbitrations defending...

Job Description: We are looking to add a Subrogation Specialist to join our Creative Risk Solutions team in West Des Moines, IA . In this role, you’ll dig into the details, uncover liability, and drive meaningful financial impact for our clients—all while growing your career with a forward‑thinking claims team. Creative Risk Solutions, a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. Essential Responsibilities: Identify subrogation and salvage opportunities on automobile, work comp, and general liability claims. Coordinate subrogation efforts against at-fault parties and their insurance carriers. Submit arbitration applications for collections and respond to arbitrations defending...

Job Description: We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states . This team member will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. This includes assisting staff supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling. Assisting claim staff with goals, career pathing, and ensuring engagement. Essential Responsibilities: Claims Management: Adjudicate claims during staffing shortages, investigate, and negotiate settlements per “Best Practices for Claims.” Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed. Research and respond to questions and complaints...

Job Description: We are looking to add a Placement Specialist to join our Property Casualty team in Waukee, IA . 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: Independently perform the daily tasks required to efficiently manage prospects which includes placement of insurance for assigned Prospects. Schedule Opportunity Calls, Dictate Notes and Post. Create Service Team document in preferred format and place in ImageRight.  Develop applications from raw data, such as current policies or specifications and information available on the internet. Prepare Broker of Record letters, NCCI requests, Loss Run request letters. Provide Placement Consultants required list of information, after comparing it to the information provided by the sales team. Set up new prospects in the agency management system (AMS) and other...

Job Description: Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers’ Compensation Claims Specialist to join our team. Experience handling Colorado claims is required. Essential Responsibilities: Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves lost time Workers’ Compensation claims, including litigated claims. Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage...

Job Description: Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers’ Compensation Claims Specialist to join our team. Experience handling Colorado claims is required. Essential Responsibilities: Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves lost time Workers’ Compensation claims, including litigated claims. Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage...

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, Legal 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,...

Job Description: We are looking to add a Client Service Consultant to join our Employee Benefits team in Waukee, IA . 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: Manage client accounts and support internal service team and external partners. Interact with client contacts and vendors independently. Collaborate with client team to set the benefit strategy for clients and coordinate the implementation of new health and welfare benefit plans. Evaluate of the client’s current benefits and provide future recommendations to the client. Draft complex Request for Proposals (RFPs) for review by appropriate sales or service team member, make requested edits to RFPs, distribute RFPs to insurance carrier market, ensure timely response by insurance carriers, negotiate with vendors as needed and summarize and analyze...

Job Description: We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states . This team member will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. This includes assisting staff supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling. Assisting claim staff with goals, career pathing, and ensuring engagement. Essential Responsibilities: Claims Management: Adjudicate claims during staffing shortages, investigate, and negotiate settlements per “Best Practices for Claims.” Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed. Research and respond to questions and complaints...

Job Description: We are looking to add a Workers’ Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in Iowa, Minnesota, Nebraska, and Wisconsin . 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: ·    Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. ·    Investigates, evaluates, and resolves lost time Workers’ Compensation claims, including litigated claims. ·    Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues. ·   Enters and maintains accurate information on a computer...

Job Description: We are looking to add a Workers’ Compensation Claims Specialist to join our Creative Risk Solutions team. 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: ·   Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. ·  I nvestigates, evaluates, and resolves lost time Workers’ Compensation claims, including litigated claims. ·   Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues. ·   Enters and maintains accurate information on a computer system during the claim process, to include final settlement information. ·   Generates checks for...

Job Description: Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers’ Compensation Claims Specialist to join our team. Experience handling claims in Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa is preferred. Essential Responsibilities: Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves Workers’ Compensation claims. Mediates situations as they arise between the insured and the insurance company, with some support from leader as needed, to include researching...

Company: Marsh Description: We are seeking a talented individual to join our Account Management team at Marsh. This role will be based in Urbandale, Iowa. This is a hybrid role that has a requirement of working at least three days a week in the office.  This position is for a professional individual contributor focused on building strong customer relationships to maintain retention and provide a best-in-class customer experience. The role involves consulting customers on supported products, resolving issues, and collaborating with internal and external contacts to improve service and coverage offerings. We will count on you to:  Provide proactive daily client support by anticipating their needs and promptly addressing inquiries and concerns through phone and email communication. Review client loss experience and current coverage, recommending appropriate products and services.  Create and present renewal proposals to existing clients and conduct annual reviews to...