82 complex claim director jobs found

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 Risk Control 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,...

Overview AmTrust Financial Services, a fast-growing commercial insurance company, has an opportunity for a Manager, RN Branch Manager of Telephonic Case Management for Workers Compensation where  your clinical talent and leadership abilities contribute to our competitive edge.  T his is an office-based position in our Salt Lake City, UT office.   PRIMARY PURPOSE: The RN Branch Manager for telephonic case management services will oversee operations as well as a team of experienced worker’s compensation nurse case managers. The ideal candidate will have a minimum of three (3) or more years’ experience overseeing a nursing claims management program as well as in-depth understanding of worker’s compensation injury claims and utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering quality telephonic case management...

Slide Insurance - Fun. Innovation Driven. Fueled by Passion, Purpose and Technology. At Slide, you will not only be part of a successful team, but you will also be a part of our Slide Vibe/award winning culture where collaboration and innovation are expected, recognized and awarded! As Director of Claims , you’ll provide strategic leadership and operational oversight for our homeowners claims organization. You’ll shape claims strategy, lead high‑performing teams, and ensure exceptional outcomes across complex, high‑exposure claims in a fast‑growing environment.   What You’ll Do Strategic & Operational Leadership Lead, support, and develop a multi‑layered team of managers and claims professionals Oversee overall claims inventory, including investigation, coverage, evaluation, resolution, and litigation management Set claim handling standards, performance expectations, and resolution strategies across the organization Direct handling...

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 Director, Claims Operations for Auto Claims Complex, you will manage and be accountable for auto, property, and other claims operations member service teams who are responsible for delivering business results. Responsible for leading execution change management, claims strategies, leader development and...

The Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals. Minimum Qualifications: A Bachelor’s degree or the equivalent education and/or experience. 5-10 years of relevant and progressive experience handling Commercial Auto  and General Liability claims. Adjuster licenses, as mandated by specific states, are required. Primary Job Functions: Handle claims originating out of the Specialty Claims unit and provide technical oversight of Third Party Administrators (TPAs). Direct oversight of commercial auto and specialty transport claims and coverage disputes. Provide coverage, liability, and damages...

Job Description: Title: Account Manager - Commercial Lines   Work Mode:  Remote/ Eastern and Central Times Zones Only   | Location/Supporting:   Kissimmee, FL   | Book Focus:   Agriculture, Construction   Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Additionally, our remote work policy includes having a dedicated, distraction-free workspace.   Remote work is not a substitute for childcare, elder care, or other personal responsibilities during working hours.   To view our branch locations, please visit: ioausa.com/locations     About the Role :  M a nage an assigned   book of business , ensuring account retention and supporting new business....

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description Responsible for investigating and confirming the facts of loss for complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors junior employees. We are seeking detail‑oriented professionals to join our team as PIP Claims Adjuster Associates, supporting our claims in the state of Florida. This role offers the opportunity to build technical expertise while contributing to a high‑performing, results‑driven claims organization. Key Responsibilities • Determines subrogation or fraud potential and how to handle for...

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 General Liability Adjuster Job Description Primary Purpose   The Commercial General Liability (CGL) Claims Adjuster is responsible for the end-to-end handling of complex third-party bodily injury and property damage claims arising under commercial general liability policies. This role requires advanced expertise in coverage analysis, liability determination, litigation management, and risk transfer, particularly across multi-jurisdictional and...

If you're passionate about being part of a diverse organization that enables a Fortune 100 company with nearly $70 billion in annual sales to deliver innovative business solutions with excellence, then Nationwide's Legal team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Preference would be for candidate to possess extensive experience handling defense civil litigation in FL counties with signficant file hanlding in FL; and have state and federal courts experience. Insurance defense experience preferred with concentration in larger commercial lines cases as a plus. Proven trial advocacy skills are required as well as the ability to proactively and independently manage individual caseload working on a team with paralegal.  Looking for a candidate with the following areas of practice, which would...

Job Description: Title: Key Accounts Program Manager – Commercial Lines   Work Mode:  Remote, Florida Residents Only  | Location/Supporting:  Longwood, FL  | Book Focus:  Key Accounts, Large/Complex Commercial Risks    Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Additionally, our remote work policy includes having a dedicated, distraction-free workspace. Remote work is not a substitute for childcare, elder care, or other personal responsibilities during working hours. To view our branch locations, please visit: ioausa.com/locations    About the Role:  The Key Accounts Program Manager (PM) is responsible for overseeing underwriting, service, and strategic management of complex commercial insurance...

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 Commercial Risk Client Executive is responsible for the management and service of complex commercial accounts and functions at a strategic level to develop and retain consultative relationships with clients. He/she must also evaluate and educate clients on missing or...

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 We offer a flexible work environment that requires an individual to be in the office 3 days per week, after completing 6 months in office. This position is based in our Tampa, FL locations only . Relocation assistance is not available for this position . Start Date: August 17th Hours : Monday through Friday, 9:00am –...

FCCI Insurance Group is a trusted provider of comprehensive property & casualty coverage in 20 states. We are a successful and growing organization built on the strength of our guiding principles. Doing the right thing and putting people first is the foundation for how we do business. FCCI has a reputation for excellence in products, services and employees – and it’s a great place to work! The Surety Claim Specialist will independently conduct due diligence, evaluate exposure, and represent Surety's interests with adverse parties and proactively respond to the most complex demands against contract and commercial surety bonds.   Key responsibilities include: Investigates the most complex claims including initial investigation, analysis, settlement, and when applicable, denial of a claim submission from a multi-state jurisdiction within authority limits, time standards and company best practices. Actively solicits facts from all stakeholders, analyze bond forms and...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s):  TEMP - Workers’ Compensation Claims Adjuster  Employment Type:  Contingent Worker  FLSA Status:  Non-Exempt  Location:  In-Office or Remote    Summary:    We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporary assignment with an estimated end date of 9 October 2026, and can work from anywhere in the United States. If this role is filled so the individual can work five days a week in any of the following offices, we can consider this a temp-to-hire assignment:  Albany (NY), Chicago (IL), Los Angeles (CA), New York City (NY), Omaha (NE), or Richmond (VA).  This...

Job Description: Title:   Key Accounts   Program   Manager   – Commercial Lines   Work Mode:   Hybrid, 1-2 Days In-Office   | Location/Supporting:   Longwood, FL   | Book Focus:   Key Accounts, Large/Complex Commercial Risks     Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Additionally, our remote work policy includes having a dedicated, distraction-free workspace.   Remote work is not a substitute for childcare, elder care, or other personal responsibilities during working hours.   To view our branch locations, please visit: ioausa.com/locations     About the Role :   The   Key Accounts Program Manager (PM)   is responsible for...

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers’ comp, we strive to provide an atmosphere of constant growth and development for our employees.   Summit provides workers’ compensation programs and services to thousands of employers throughout the Southeast.   Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise. 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...

The Client Relationship Manager (CRM), Employee Benefits, is the primary liaison between insurance carriers and clients, managing employee benefit programs, renewals, and day to day service inquiries. They ensure plan compliance, analyze benefit trends, and provide advice and guidance on coverage, with the goal of driving client relationships, satisfaction, and retention. The CRM applies practical benefits knowledge to ensure timely, accurate deliverables and supports the delivery of a consistent “Peace of Mind” client experience. This role collaborates closely with the Client Success Specialist, Advisor, carriers, and internal Baldwin support colleagues to ensure excellent service delivery. Position Summary The Client Relationship Manager (CRM), Employee Benefits, is the primary liaison between insurance carriers and clients, managing employee benefit programs, renewals, and day‑to‑day service inquiries. They ensure plan compliance, analyze benefit trends, and provide advice...

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 Client Home Specialist  sells new accounts in keeping with firm and individual goals. Home Specialists build relationships with prospects, service team, insurance company partners and centers of influence, while soliciting sales prospects specializing in home...

ABOUT HUB INTERNATIONAL:   HUB International Limited (“HUB”) is one of the largest global insurance and employee benefits brokers,   providing   a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. With over   21,000 employees   in 600+ offices throughout North America, HUB has   grown substantially, in   part due to our industry   leading   success in Mergers and Acquisitions.   WHAT WE OFFER YOU:   At HUB we believe in investing in the future of our employees. Our entrepreneurial culture fosters an environment of open feedback and improvement that empowers our people to make the best decisions for our customers and   organization . We offer:   Competitive salaries and benefits offerings   Medical/dental/vision insurance and voluntary insurance options   Health Savings Account funding   401k...

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source Provide assessment, planning, implementation, and evaluation of...