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complex claims and coverage technical specialist

276 complex claims and coverage technical specialist jobs found

11/23/2025  
Loss Control Construction Specialist Featured
Location: Ohio, Indiana, Michigan Work Model: Remote Position type: Full time - salary We ’ re a team of employees who are passionate about delivering best - in - class customer service and innovation in the industry. W e prioritize i ntegrity, r elationships , and e xcellence in all aspects of our work. Our employees can fully utilize their talents and bring their best sel ves to work .  We believe who you are is just as important as what you do!   By joining the team as a Loss Control Construction Specialist , you’ll work with policyholders , agents, and company personnel through survey consultations and educational guidance.     How You’ll Make an Impact     Provide training, onboarding, coaching, and quality oversight for any additional l oss c ontrol c onstruction c onsultants (new or existing) within your region Develop, update, and maintain...
Central Insurance MI
10/17/2025  
Loss Control Construction Specialist Featured
Location: Texas, Colorado, Oklahoma, New Mexico  Work Model: Remote Position type: Full time - salary We ’ re a team of employees who are passionate about delivering best - in - class customer service and innovation in the industry. W e prioritize i ntegrity, r elationships , and e xcellence in all aspects of our work. Our employees can fully utilize their talents and bring their best sel ves to work .  We believe who you are is just as important as what you do!   By joining the team as a Loss Control Construction Specialist , you’ll work with policyholders , agents, and company personnel through survey consultations and educational guidance.     How You’ll Make an Impact     Provide training, onboarding, coaching, and quality oversight for any additional l oss c ontrol c onstruction c onsultants (new or existing) within your region Develop,...
Central Insurance TX
08/29/2025  
Director of Inland Marine Underwriting Featured
Location: Remote Work Model We ’ re a team of employees who are passionate about delivering best - in - class customer service and innovation in the industry. W e prioritize i ntegrity, r elationships , and e xcellence in all aspects of our work.   Our employees can fully utilize their talents and bring their best sel ves to work .  We believe who you are is just as important as what you do!   Join us as the Inland Marine Underwriting Lead , where you’ll build inland marine specialization and drive profitable growth. In this pivotal role, you’ll collaborate across teams, sharpen underwriting strategy and expertise, and build high-impact agency relationships to position Central as a market leader in inland marine.   How You’ll Make an Impact   Lead inland marine underwriting specialization and coordinate expertise in loss control and claims  Develop short and long-range...
Central Insurance Waltham, MA, USA
08/21/2025  
Claims Specialist - Bodily Injury Featured
National Interstate is a member of Great American Insurance Group. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets. We are proud to be a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace in Northeast Ohio. It is because of our talented and dedicated team that we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you! At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences...
National Interstate Insurance OH, USA Full Time
12/15/2025  
Senior Claims Specialist - Connecticut
The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the...
CorVel East Hartford, CT, USA Full Time
12/15/2025  
Senior Claims Specialist
The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the appropriate parties...
CorVel Downers Grove, IL, USA Full Time
12/15/2025  
Executive Claims Examiner
What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority. Responsibilities: High complexity coverage interpretation, liability investigation, multiple vehicles, potential extra-contractual, litigation or significant injuries.  Direct involvement in litigation claims management to reach...
Markel Richmond, VA, USA Full Time
12/15/2025  
Sr. Tech Specialist, General Liability
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 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, employees...
Travelers Indianapolis, IN, USA Full Time
12/14/2025  
CA WC Senior Claims Specialist
The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the...
CorVel Rancho Cucamonga, CA, USA Full Time
12/14/2025  
Sr. Litigation Specialist
Company Details   As an elite Excess and Surplus Lines market, Nautilus Insurance Group offers commercial property and casualty insurance solutions to appointed wholesale surplus lines producers countrywide. We have specialized in providing these solutions for more than 35 years.   We have more flexible policy terms and premium rates on a non-admitted basis. Our focus is small to medium Property and Casualty risks on both an admitted and a non-admitted basis.   Our offerings are distributed through partnerships with appointed wholesale surplus lines producers. Our relationships are defined by mutual success, speed to market, customer-centric focus and an expanded appetite.   Coverage placed by Nautilus Insurance Group is provided by Nautilus Insurance Company and Great Divide Insurance Company, both W. R. Berkley Corporation members with A.M. Best (Superior) A+ XV ratings.   Benefit Highlights :  Paid Parental Leave! At...
Berkley Scottsdale, AZ, USA
12/14/2025  
Senior Claims Litigation Specialist - Construction Defect
Company Details   At Verus Specialty Insurance, a proud member of the esteemed W.R. Berkley Corporation (NYSE: WRB), we stand as a leading Excess and Surplus Lines provider delivering comprehensive solutions across the United States. Backed by the formidable strength of a Fortune 500 titan and operating with the agility of a nimble startup, we blend the best of both worlds to foster innovation and excellence in everything we do.   Our nationwide operations are supported by a robust network of select wholesale producers, ensuring that our reach and capabilities are always close at hand. We are driven by a forward-thinking leadership that champions a dynamic culture where questioning the norm is not just welcomed but expected. This ethos empowers our team to consistently surpass customer expectations and drive the industry forward.   At Verus, we are more than just a company; we are a community that thrives on collaboration, growth, and taking ownership...
Berkley Glen Allen, VA, USA
12/14/2025  
Specialist Underwriter, Specialty Brokerage - Excess Casualty
If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty 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. This role will work underwriting National Account new and renewal excess general casualty business including negotiating price, terms and conditions with retail broker partners while proactively managing capacity, risk appetite and profitability. Preferred risk profile targets customers with 250M or more in revenue, with emphasis on Fortune 500 companies. Our broker partners are extremely important to our underwriting model and success; we are seeking someone with the ability to develop as well as strengthen relationships and a strong...
Nationwide New York, NY, USA Full Time
12/14/2025  
Claims Consultant, E&S Casualty (Brokerage General Liability)
If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty 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. Work Space : The location of this position is flexible and open to virtual and/or remote based applicants. Individuals located within 35 miles of one of our major offices, will need to adhere to our 3-day hybrid schedule. Position requires previous experience in Energy casualty losses, specifically Oil and Gas. Position requires previous experience in claim program management. Job Description Summary The Excess Surplus (E&S) Claims team handles some of the most unique and interesting insurance claims at Nationwide....
Nationwide USA Full Time
12/12/2025  
Hanover Specialty Industrial - Specialty UW Specialist (Remote/Hybrid)
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 .   Hanover Specialty Insurance is seeking a motivated, results-driven Specialty Underwriting Specialist to join our dynamic and growing team. This role offers the chance to make a meaningful impact while advancing your career in a supportive, high-growth environment. At The Hanover , we are committed to fostering an inclusive workplace where every voice is heard and valued. We actively recruit top talent from all backgrounds and encourage qualified professionals to apply. We believe that diversity strengthens our organization and creates a more vibrant community. Recognizing the evolving nature of work, we proudly support flexible arrangements. This position can be hybrid or...
The Hanover Insurance Group
12/12/2025  
Hanover Specialty Industrial - Specialty UW Specialist (Remote/Hybrid)
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 .   Hanover Specialty Insurance is seeking a motivated, results-driven Specialty Underwriting Specialist to join our dynamic and growing team. This role offers the chance to make a meaningful impact while advancing your career in a supportive, high-growth environment. At The Hanover , we are committed to fostering an inclusive workplace where every voice is heard and valued. We actively recruit top talent from all backgrounds and encourage qualified professionals to apply. We believe that diversity strengthens our organization and creates a more vibrant community. Recognizing the evolving nature of work, we proudly support flexible arrangements. This position can be hybrid or...
The Hanover Insurance Group
12/12/2025  
Senior Claims Specialist - Rideshare Commercial Claims Litigation Adjuster
Description At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth. This approach optimizes both remote and in-person interactions, enabling you to connect and ideate with your team and deepen valuable relationships across the company, while still enjoying the flexibility of remote work for focused tasks and projects.   The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical directions, and...
Liberty Mutual Hoffman Estates, IL, USA Full Time
12/12/2025  
Executive Claims Specialist - Gig Economy
Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.   Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work ® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.   C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster,...
Crum & Forster Morristown, NJ, USA Full Time
12/12/2025  
CA Senior WC Claims Specialist
The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the...
CorVel Folsom, CA, USA Full Time
12/12/2025  
WC Medical Only Claims Specialist
The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of the Claims Department and of CorVel.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent customer service skills Excellent written and verbal communication skills Fast learner; develops knowledge and understanding of...
CorVel Folsom, CA, USA Full Time
12/12/2025  
Senior Claims Specialist - Connecticut
The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the...
CorVel East Hartford, CT, USA Full Time