49 complex claims adjuster jobs found

Company Details   Carolina Casualty  is a member company of  W. R. Berkley Corporation , an insurance holding company that is among the largest commercial lines insurance writers in the United States. We specialize in liability, physical damage, cargo and other insurance solutions for the commercial auto markets including trucking, public transportation and others.    The company is an equal employment opportunity employer. Responsibilities The primary role of a Complex Claims Specialist is to promptly and professionally ensure high quality claim handling by analyzing liability of claim submissions while making coverage determinations, investigating losses, conducting independent assessment as to the insured’s exposure and moving cases towards timely resolution. You will be an effective source for help and support because of your deep knowledge and liability claim expertise. Key Functions   will...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specialized line of business. Responsibilities include the coordination of all claim resolution activities in accordance with company protocols, while achieving quality and customer service standards. Position requires regular communication with customers and insureds and may have regional, industry segment or company-wide scope of responsibility. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of highly...

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 Our Team as a Field Auto Adjuster – Where Every Day Brings a New Challenge! Are you someone who enjoys being on the move, solving problems, and making a real impact for customers? As a Field Auto Adjuster, you'll be at the forefront of our claims process—meeting customers where they are, whether it's at their home, a repair shop, or a tow yard. You'll take the lead in writing estimates and guiding customers through the repair or total loss process, using a mix of in-person visits, virtual inspections, and written communication. No...

Company Details   Carolina Casualty  is a member company of  W. R. Berkley Corporation , an insurance holding company that is among the largest commercial lines insurance writers in the United States. We specialize in liability, physical damage, cargo and other insurance solutions for the commercial auto markets including trucking, public transportation and others.    We maintain some of the lowest claim adjuster pending claim counts in the industry. Our adjusters are part of a culture that emphasizes inclusion, collaboration, innovation, and team. Our culture is one where your work is recognized and appreciated. If you want to contribute to an organization where you matter and where you can make a difference, then search no further.    The company is an equal opportunity employer. Responsibilities Carolina Casualty is looking for a talented experienced BI Adjuster who will be responsible for the...

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! What you will be doing: Proactively conduct thorough and comprehensive investigations on potential questionable claims. Identify cases for potential insurance fraud prosecution and submit to the National Insurance Crime Bureau. Identify underwriting concerns within a claim and complete underwriting referrals as appropriate. Apply Local, State and Federal statutes to ensure investigations are carried out within the requirements of applicable law and local office expectations. Analyze, monitor, and convey highly technical information into actionable investigative strategies including the identification of complex case investigations. Use analytical tools and software to interpret...

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! What you will be doing: Proactively communicate and set accurate claims expectations with customers throughout the Claims process while providing high quality customer service. Research, analyze, and interpret policy language and state law as it applies to submitted claims. Examine and appropriately interpret policies, forms, and other records to determine coverage and extent of company's exposure or liability. Appropriately apply knowledge of multiple state statutes, including the insurance code of ethics, rules, regulations, and guidelines. Adjusts all levels of bodily injury claims, including significant demonstrable injuries (e.g. traumatic brain injury,...

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! What you will be doing: Maintain document procedures and job aids for all Claims Support tasks. Maintain team metrics, analyze, and report performance results to Claims leadership. Monitor the performance of the Claims Support Representatives to ensure all assigned tasks are completed within defined deadlines, provide guidance as needed. Monitor the processing of all incoming mail and e-mail to ensure proper scanning and/or indexing to the appropriate claim files. Ensure all claim file requests are processed by the Claims Support staff in an accurate and timely manner. Provide oversight of all claim reassignments, onboarding, offboarding, and/or team change requests. Ensure...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Florida Personal Injury Protection Claim Specialist – The Auto Club Group What you will do: The Auto Club Group is seeking prospective Claim Specialist who will work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims. In this position, you will have the opportunity to: Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system. Complete complex coverage analysis. Ensure all possible policyholder benefits are identified. Create additional sub-claims if needed. Complete an investigation...

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 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: June 15th Hours : 9:00am – 5:30pm ET As a dedicated Auto Adjuster you will manage file ownership including investigation, taking statements, reviewing policy and coverages, determination of liability, setting and managing services throughout...

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 Account Consultant PRIMARY PURPOSE :  To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along with financial implications and to mentor Account Representatives and Account Specialists.   ESSENTIAL FUNCTIONS and RESPONSIBILITIES Utilizes special account instructions to obtain individual customer information and adhere to instructions; identifies, initiates, and coordinates...

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 Rec Marine Adjuster PRIMARY PURPOSE:  To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement. Receives and reviews new claims and maintains data integrity in the claims system. Reviews survey reports and...

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 Senior Auto Adjuster your work will focus on adjusting non-injury auto claims. You will investigate and determines coverage and liability, evaluate, negotiate, and settle highly complex auto claims such as comprehensive (i.e., theft and fire), collision (i.e., minimal policy limits, coverage determinations/issues, attorney representation, non-owned vehicles, mechanical breakdown, property damage lawsuits) property damage liability, and rental vehicle coverages for repairable vehicles and total losses. We...

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.  Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers’ expectations while making a real impact for our company through our shared purpose.  When you join our company, we want you to feel valued, supported and proud to work here. That’s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.  Join a team where your expertise truly matters! Our Casualty Claims department is seeking a highly motivated and experienced Claims Supervisor (Bodily Injury). As a key leader within our Casualty organization, you will be responsible for empowering a team that handles attorney-represented automotive liability claims. Your team will manage: complex investigations coverage determinations...

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! What you will do in this position: Oversee a pending inventory of catastrophe-related claims of varying degrees of complexity, while adhering to policies, procedures, and best practices. Evaluate, manage, and negotiate escalated, or disputed CAT claims to an acceptable resolution. Address and resolve complex or high-value claims by applying expert insights and guidance. Provide leadership to external resources during specified times of high-volume work to ensure operational efficiency and alignment with company objectives. Appropriately apply knowledge of multiple state statutes, including the insurance code of ethics, rules, regulations, and guidelines. Maintain exceptional...

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.  Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers’ expectations while making a real impact for our company through our shared purpose.  When you join our company, we want you to feel valued, supported and proud to work here. That’s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Position Description: Senior Examiner, Personal Umbrella Claims “Remote work environment may be considered” SUMMARY: This is an exciting opportunity to join our reimagined and growing Personal Umbrella Claims Team.  As a Senior Examiner, Personal Umbrella Claims , you will evaluate and manage excess personal liability (auto, premises, personal injury, and other personal liability) claims. We are looking...

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.  Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers’ expectations while making a real impact for our company through our shared purpose.  When you join our company, we want you to feel valued, supported and proud to work here. That’s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.  Experienced Auto Damage Ocala/Gainesville, FL Salary: $29.51 -$37.65 per hour/$59,000-$75,850 Sign on bonus: $1,500 for candidates who hold  an   adjusters license that is active and in good standing. We are looking for talented Auto Damage Adjusters to join our team in Ocala/Gainesville, FL. As an experienced Adjuster, you should have a minimum of 12 months of Auto...

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 Adjuster General National PRIMARY PURPOSE :  To handle losses or claims nationally regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National Account. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Examines insurance policies, claims, and other records to determine insurance coverage. Administers and reconciles complex catastrophic claims for property. Interviews, telephones, or...

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 Adjuster PRIMARY PURPOSE : Handles losses and claims valued up to $15,000 for property and casualty insurers through the thorough examination of documents, records, loss reports, and other relevant documentation.  Efficiently manages a case load using technology for efficient claim processing. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records to determine insurance...

Position Summary:   The Claims Executive is responsible for accurate reporting and filing of claim litigation to the respective Carrier, in addition to handling complex claims scenarios along with resolution of claims disputes. The Claims Executive functions as an insurance claims professional that provides guidance to the Customers and Producers on more complex claims issues. Claims Executive is responsible for monitoring the assigned inventory of accounts, answering phone calls, consulting on claims related issues. Duties include; handling customer service calls as needed, reviewing claims on an as needed basis. Essential Tasks: Reports to the Claims Operations Manager on workflow issues and the handling of assigned claims inventory Service and be the point of contact for assigned threshold accounts. Ability to review policy language and offer a professional opinion regarding coverage, settlements, reserve practices, etc. Handle and work with carrier and client on...

Position Summary:   This Claims Consultant is responsible for accurate reporting and filing of claim notices to the respective Carrier, in addition to reporting handling claim scenarios along with resolution of claims disputes. The Claims Consultant’s functions as a claims representative that provides needed updates to claims related matters to Customers and Producers. Claims Consult is responsible for monitoring the claims inventory, answering phone calls, consulting on claims related issues. Duties include; handling customer service calls as needed, reviewing claims on an as needed basis. Essential Tasks: Reports to the Claims Operations Manager and/or Team Lead on workflow issues and the handling of assigned claims inventory Understand Claims Handling guidelines and Workflows. Ability to train in Sagitta and ImageRight, including document uploads and complete tasks Ability to analyze insurance policies for coverage eligibility Reporting claims to assigned...