26 claims consultant jobs found

The Senior Claim Consultant provides complete claim loss services for policyholders.  Investigates, evaluates, and disposes of MPL and General Liability claims with varying degrees of complexity and severity.  Essential Duties & Responsibilities Interview insureds, claimants, witnesses, and other appropriate parties to obtain information used to assess liability exposure.  Document file regarding results of investigation and negotiations.  Prepare reports to file on established diary dates and other specific reports as needed to ensure timely file documentation and plan of action. Secure records for investigation and evaluation of cases. Determine and implement negotiation strategy and negotiates settlements within authority level. Adjust reserves within level of authority and make reserve recommendations to Manager/Director for amounts over position authority level. Evaluate cases for appropriate disposition and seek authority for settlement from...

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 opportunity: In the Senior Clinical Risk...

Description The Planning & Portfolio Management team is seeking a Senior Actuarial Analyst-Pricing to own analytic assessment of book profitability and growth across GRS North America products. Join the team to play a central role in shaping GRS North America’s profitability and strategic direction: you’ll own high‑impact forecasting and portfolio work, collaborate daily with underwriting, pricing and finance leaders, and have visible influence on multi‑year targets like the 2030 strategy. The key responsibilities of this role include supporting development of robust Operational Plan (OVP) combined-ratio forecasts, developing and validating by-channel Loss Ratio forecasts for the financial plan, and supporting broader GRS North America portfolio-management initiatives. The role reports to the Portfolio Management Team Manager.   **Ideal candidate may be hired as a Grade 16 Sr. Actuarial Analyst, Actuarial or a Grade 16 Consultant, Advanced Analytics **...

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 Opportunity As a Behavioral Health Consultant...

As a Healthcare Financial/Actuarial Associate you will contribute to a wide variety of complex analyses and projects involving the design, financing, and measurement and financial analysis of the full spectrum of employer health and group benefit programs including medical, dental, life, disability, voluntary benefits, etc. You will interface with vendors and client teams, help prepare client deliverables, and ensure quality standards are met. You will have the opportunity to significantly grow your health and benefits business acumen as well as your financial, project management and communication skills by working on cutting edge projects alongside leaders in the industry.   The Role Is an active member on multiple employer client teams providing financial analyses, outputs and client deliverables across a region. Supports benefit plan analysis, design, cost avoidance, risk and funding strategies. Contributes to vendor financial reviews for clients. Provides quality...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture .   Our Risk Solutions team is currently seeking a Technical Manager with expertise in construction / builder’s risk. Position is eligible for a fully remote arrangement. This is a full-time, exempt role.   POSITION OVERVIEW: This role reports to the Marine Technical Director and supports the Risk Solutions Field, the Technical Director Team, and both Core Commercial and Marine business units with a specific focus on construction industry exposures within the applicable lines of business. This includes but is not limited to; construction industry exposures within Property, Liability, Worker’s Compensation, Commercial Auto, Builder’s Risk, and Contractor’s Equipment coverages....

Description About Solaria Labs & Applied Science Solaria Labs is Liberty Mutual’s central innovation function, focused on supporting the business via rapid experimentation with cutting-edge technology. As a Fortune 100 company, Liberty invests meaningfully in incubation programs and research shaping mobility, climate resilience, energy transition, cybersecurity, and artificial intelligence. Within Solaria, the Applied Science team is our AI R&D lab. Our goal is to translate frontier research and emerging technologies into incubation prototypes and ultimately scaled enterprise impact. We partner with leading academic institutions, including MIT, and collaborate closely with internal business leaders to incubate and deploy high-impact AI programs. We are seeking a Director I, Product Research to operate at the intersection of academic partnership leadership and enterprise program execution. This is a hybrid role requiring strong relationship management...

Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious Key Team Senior Benefits Analyst to join our team. This position will report to our agency located in Cranston, RI. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is an in-office position. Responsibilities: Lead development of Request for Proposals (RFPs), including gathering plan design information, rate history, enrollment and claims data, contribution details, and benefit change documentation. Define and manage timelines for RFP and renewal deliverables, ensuring early engagement and adherence to key deadlines. Draft cover materials including employer profiles, marketing objectives, and special conditions. Analyze and present...

Description Apply Today – Training Classes Begin May and June 2026!   Are you ready to launch a rewarding career in insurance sales? We’re seeking motivated, people-focused individuals to join our Inside Sales Representative team. Secure your spot early for our upcoming 2026 training cohorts and take the first step toward a meaningful, growth‑oriented role.   Key Date: Unlicensed Class: June 29, 2026 Licensed Class: July 13, 2026   Start your journey with us and build a career where your talent and passion for helping others truly make an impact.   As an Inside Sales Representative at Liberty Mutual, you’ll have the tools, training and support you need to succeed from day one. Plus, you’ll enjoy: Generous earning potential Paid licensing and training opportunities Comprehensive benefits Flexible work arrangements Strong work-life balance And more!   Why Liberty Mutual?  Pay Details:...

The Baldwin Group is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take them throughout the U.S. and abroad. The Baldwin Group has award-winning industry expertise, colleagues, competencies, insurers, and most importantly, a highly differentiated culture that our clients consider an invaluable expansion of their business. The Baldwin Group (NASDAQ: BWIN), takes a holistic and tailored approach to insurance and risk management. The Relationship Manager serves as the primary contact for clients providing world-class client service, technical expertise and proactive risk management. Principal Responsibilities: Provides proactive day-to-day client service by anticipating and evaluating client...

The Mid-Market Account Manager plays a vital role on our Commercial Lines Service team and is at the center of delivering exceptional client experiences. This position partners closely with Account Executives to help design, support, and execute tailored insurance solutions for a diverse portfolio of mid-market commercial clients. You will be actively involved in the service, placement, and growth of accounts, making a meaningful impact on both client success and the overall business. In this role, you will thrive by staying organized, managing and interpreting data, and ensuring accurate documentation within agency management systems. Strong attention to detail, the ability to follow established processes, and the skill to balance multiple priorities are essential. This is an excellent opportunity for someone who enjoys collaboration, problem solving, and contributing to a fast paced, client focused environment. This is a hybrid role requiring one to three days per week in...

Established in 2021,   Independence Pet Holdings   is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America.   We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands.  Clarus is a pioneering pet health technology company on a mission to transform the future of pet healthcare.   We are dynamic entrepreneurs improving pet health by providing trusted and transparent information across the entire pet health landscape. Join us in   shaping   a smarter, healthier future for...

Established in 2021,   Independence Pet Holdings   is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America.   We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands.  Clarus is a pioneering pet health technology company on a mission to transform the future of pet healthcare.   We are dynamic entrepreneurs improving pet health by providing trusted and transparent information across the entire pet health landscape. Join us in   shaping   a smarter, healthier future for...

Description The Company    Come build on our integrated platform with industry-leading talent, world-class partners, and freedom to innovate.   Liberty Mutual Investments (LMI) is the investment firm for Liberty Mutual Group (Liberty). With deep expertise in fixed income, equity, and alternative strategies, LMI invests more than $100B of long-term capital globally, and has a team of nearly 300 investment, finance, and operations professionals located in Boston, MA, and New York, NY. LMI has a clear purpose: drive economic growth, build enduring businesses side-by-side with our partners, and generate superior risk-adjusted returns that secure Liberty’s promises.   LMI offers the best of both worlds — the look and feel of a boutique investment firm with the reputation and financial strength of a global leader. As the investment firm of a mutual with long-term capital, LMI has a single client mandate. This gives us the freedom to focus on what...

Primary Details Time Type: Full time Worker Type: Employee The Opportunity The purpose of this role is to provide consultancy advice and training to enhance knowledge of the valuation industry and property market trends across Service Delivery and Risk business units, as well as to lead risk assessments for Accident and Health (A&H) by evaluating risks, monitoring regulatory changes, and driving continuous improvement to achieve A&H risk management objectives. Location: Marblehead, MA - Atlanta, GA - Plano, TX - Edina, MN Work Arrangement: This role is hybrid, where you will be expected to be in the office 2-3 days per week. The starting salary for this role is between $98,500.00 and $162,500.00 Your new role Perform new business and renewal large claims reviews and disclosure assessments through clinical and claims data evaluation to identify and quantify risks. Provide concise, detailed, and accurate reporting of data...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture .   Our Risk Solutions team is currently seeking an Associate Consultant in our Worcester, MA location. This is a full-time, exempt role. Position is eligible for a fully remote arrangement.   POSITION OVERVIEW: Conducts technical evaluations and loss analysis of prospective or existing policyholders.  Identifies and analyzes exposures and controls.  Will deliver consultative or technical support to policyholders.  Initially many of the insureds surveyed will be in the small commercial or lower hazard middle market space.    IN THIS ROLE, YOU WILL: Conduct field surveys on prospect and existing policyholders and writes reports for underwriting. Perform loss analysis....

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture .   Our Risk Solutions team is currently seeking an Associate Consultant in our Worcester, MA location. This is a full-time, exempt role. Position is eligible for a fully remote arrangement.   POSITION OVERVIEW: Conducts technical evaluations and loss analysis of prospective or existing policyholders.  Identifies and analyzes exposures and controls.  Will deliver consultative or technical support to policyholders.  Initially many of the insureds surveyed will be in the small commercial or lower hazard middle market space.    IN THIS ROLE, YOU WILL: Conduct field surveys on prospect and existing policyholders and writes reports for underwriting. Perform loss analysis....

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 Join the legal frontline and champion the defense for both the insured and the Company! As a Trial Attorney, you'll handle PIP/No Fault Arbitration Hearings, bodily injury, property damage lawsuits, and more, with opportunities to handle thrilling trials and mediations. Beyond the courtroom, you'll provide vital counsel to business clients and coordinate between legal teams. Stay ahead of the game by monitoring new laws and regulations, ensuring our strategies remain sharp. Embrace the excitement of constant challenges and victories in...

This position reports to the VP & CIO and leads the software engineering, software architecture, and application development efforts across all of Arbella’s business areas. The Head of Application Development is a senior level IT role and part of the senior leadership team. This role provides leadership, vision and direction for the Application Development organization. This position is responsible for recruiting, developing, and retaining talent, as well as ensuring the Application Development staff has the skills and capabilities to meet business needs. This leader oversees the implementation of large, strategic software engineering initiatives, ongoing maintenance, and enhancement of existing applications, and is responsible for championing best practices and ensuring initiatives achieve business outcomes. The Head of Application Development serves as a strategic leader and trusted advisor to business units across the company exhibiting a strength in building collaborative,...

The Account Manager Associate is responsible for overall account management, providing basic customer service, administering enrollment and perform reconciliations, working with the insurance company to prevent and solve problems, and managing webpages for each school. In addition, the Account Manager Associate will assist with UHP’s marketing and sales initiatives. Your Impact Manage client relationships and service client insurance needs Prepare communication material about the student health insurance plan Create and update student health insurance plan websites, including waiver and enrollment forms Manage data transfer process between UHP and the client Process enrollments, facilitate reconciliations, invoice clients, and coordinate the deposits of premium payments Prepares, processes, reviews and monitors various documents such as premiums, policies, claims, applications, changes, etc. Answer phone inquiries from medical providers, students, parents...