13 claims examiner jobs found

- As the Healthcare Claims Examiner, you will directly handle Commercial Healthcare Claims across the U.S. Key Accountabilities/Deliverables: Ensure compliance with established claim handling guidelines regarding coverage, investigation, liability, damages, evaluation, and resolution.   Provide oversight on claims portfolios within the primary casualty book.  Maintain direct contact with insureds, agents, and brokers.  Provide oversight on claims portfolios handled by TPAs within the excess casualty book.  Engage in rigorous ALAE control and management, by competently selecting, instructing, and managing 3rd party vendors, as appropriate.  Gather and analyse information necessary to make an accurate evaluation of the claim by delivering effective resolution of claims, make decision within established authority levels and identifying settlement issues.  Establish reserves pursuant to established reserving protocols and reserve authority procedures....

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 Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: FL or Home state required - Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?    Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.   Be a part...

Join us as a War Hazard Claims Examiner to grow your career at the forefront of Federal Workers Compensation insurance.   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   Review, investigate, and manage War Hazards Compensation Act (WHCA) claims in compliance with federal regulations, contractual obligations, and company policies. Evaluate claim documentation, including medical records, employment records, incident reports, and insurance policies, to determine eligibility for recovery under the War Hazards Compensation Act and pursue reimbursement...

About Acrisure    A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more.    In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.  Job Summary: Acrisure is seeking a Workers’ Compensation Claims Examiner. This role is responsible for managing lost time workers’ compensation claims from assignment through resolution while ensuring timely, accurate, and compliant claim handling. The adjuster will...

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...

About Us  We’re not like other insurance companies. From our specialty products to our business model, our culture to our results — we’re different. Different is who we are, and how we work, interact, deliver and succeed together. Creating a different and better insurance experience doesn’t just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us.  RLI is a Glassdoor Best Places to Work company with a strong, successful background. For decades, our financial track record has been stellar — a testament to our culture and validation of our reputation as an excellent underwriting company....

Job Type: Permanent Build a brilliant future with Hiscox   Join our dynamic and forward-thinking Claims team! Here, you’ll be part of an energetic and innovative group, with the chance to help shape insurance products and collaborate with business leaders throughout the organization. **Please Note: This position is primarily hybrid and requires in-office attendance at least two (2) days per week for candidates that are located near one of our office locations. However, qualified remote candidates will also be considered** The Position Can Be Based In: Atlanta, GA Boston, MA Chicago, IL Manhattan, NY West Hartford, CT Our Complex Claims Specialist-Miscellaneous Professional Liability role is an individual contributor responsible for the handling of mid to high-severity primary Miscellaneous Professional Liability claims for the organization from inception to resolution.  This includes, but is not limited to, insurance...

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...

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 Casualty Field Adjuster PRIMARY PURPOSE:  To investigate and adjust property and casualty claims, both residential and commercial, with little to no supervision.  ESSENTIAL FUNCTIONS and RESPONSIBILITIES Inspects claims and contacts involved parties in a timely manner. Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages/reserves. Examines insurance policies and other records to determine insurance...

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. Position Overview: The Assistant Vice President (AVP) – Primary Casualty Claims is responsible for leading and managing the organization’s primary casualty claims unit.  The AVP will oversee a team of six claims professionals, ensuring high-quality claims management, adherence to best practices, and the achievement of timely and equitable claims resolutions. The role is also responsible for driving process improvements, supporting strategic initiatives, 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℠. Position Summary: The Senior Underwriter will develop and maintain strong relationships with brokers and serve as a specialized technical expert for Middle Market P&C Accounts. This will be a hybrid position in Dallas, TX or Alpharetta, GA with a minimum of 20% travel for broker/production needs. Responsibilities and Accountabilities: Manage assigned broker portfolio of accounts to achieve efficient returns of profitability and growth. Underwrite new and renewal accounts to meet top and bottom line targets. Negotiate price and terms and conditions with producer. Specialist / Technical Expert in Product Line within Middle Market Business. Ensure placing 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℠. 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:...

Job Description SUMMARY OF JOB PURPOSE :  The General Adjuster effectively determines and communicates the extent of loss or damage associated with relatively complex and/or extensive commercial property claims in a variety of business classes. The incumbent in this role is typically assigned loss or damage assessments in a cost range that may exceed $500,000, depending on the adjuster’s experience and demonstrated ability for handling larger or more complex claims. *This is a commuting position and requires weekly travel throughout our Savannah, GA territory to support claims-related responsibilities. This is not a Desk adjusting role. PRIMARY JOB RESPONSIBILITIES : Investigates insurance claims in any of a variety of settings, including, but not limited to, retail establishments, private or public office buildings, commercial habilitation, hospitality, corporate facilities, transportation sites, manufacturing sites,...