445 complex claims consultant jobs found

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.  CNA is a market leader in insuring healthcare providers and facilities, including nurses, nurse practitioners, aging services, dentists, physical therapists, counselors, pharmacists, massage therapists, and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers. Our Healthcare Claims team is seeking Complex Claims Consultants to support varying segments such as Allied Healthcare Providers & Facilities, Aging Services and/or Dental Malpractice. As a Complex Claims Consultant, you will be responsible for the overall investigation, management and resolution of claims in multiple states within your assigned...

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.  CNA is one of the premier providers of professional liability insurance. CNA offers excellent work/life balance opportunities and a strong benefits package. We are currently seeking a Complex Claims Consultant in our Financial Lines Claims team. The individual in this position will primarily focus on high severity D&O and E&O claims under policies issued to Public Companies as well as Financial Institutions such as large depository institutions, insurance companies and investment advisors. The Individual in this position will investigate and maintain complex professional liability claims and work within specific limits of authority on assignments requiring significant technical...

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.  CNA is the market leader in providing Lawyers liability coverage and provides best-in-class claim service. We are seeking a dynamic self-starter to join our team as a Complex Claims Consultant focused on Large Law claims ranging from mid-sized practices to multinational law firms across the globe. This Complex Claims Consultant will play a critical role in managing and resolving complex legal malpractice claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation. At CNA, Claims Professionals use their specialized expertise to handle claims efficiently and seamlessly in a collaborative environment focused...

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.  CNA is one of the premier providers of professional liability insurance. CNA Financial Lines has an opening for a Complex Claims Consultant handling Employment Practice Liability, Private and NFP D&O claims. This individual will work with insureds, attorneys and brokers regarding the handling and/or disposition of mid to high severity claims. This individual will investigate claims, coordinate discovery, and team with defense counsel on litigation strategy. This individual will be able to utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims, and present claims to leadership, as...

Company Details   Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted.   As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions.  W. R. Berkley Corporation , and all member insurance companies, are rated A+ (Superior) by A.M. Best Company, and carry Standard & Poor’s Financial Rating of A+ (Strong).     This role is based in one of our locations listed below where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so.   Urbandale, IA Lincoln, NE The Company is an equal employment...

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 Litigation Consultant | Commercial Bodily Injury PRIMARY PURPOSE OF THE ROLE: To address and handle high end cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. Handles high end...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking an experienced Property & Casualty Risk Consultant/ Producer to drive profitable growth through new business development, strategic relationship management, and customized risk advisory solutions. This role is ideal for a proven commercial insurance sales professional who can identify opportunities, advise clients on complex risk needs, and leverage Brown & Brown’s market access, service teams, and national platform to deliver exceptional client outcomes. What You'll Do Generate new business opportunities through prospecting, networking, referrals, centers of influence, and targeted market outreach. Build and maintain trusted relationships with business owners, executives, risk managers, carrier partners, and key decision-makers. Identify client exposures and develop customized insurance and...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking an experienced Employee Benefits Consultant/ Producer to drive profitable growth through new business development, strategic relationship management, and customized risk advisory solutions. This role is ideal for a proven benefits insurance sales professional who can identify opportunities, advise clients on complex risk needs, and leverage Brown & Brown’s market access, service teams, and national platform to deliver exceptional client outcomes.   What You'll Do Generate new business opportunities through prospecting, networking, referrals, centers of influence, and targeted market outreach. Build and maintain trusted relationships with business owners, executives, risk managers, carrier partners, and key decision-makers. Identify client exposures and develop customized insurance and risk...

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 Claims team is seeking a  Senior Litigation Claims Consultant to manage a portfolio of complex, high-severity Commercial General Liability (CGL) claims , including litigated matters involving significant financial exposure and legal complexity.    This is a full-time, exempt position that can be fully remote or hybrid flex.   POSITION OVERVIEW: This role owns claims end-to-end, partners with top-tier legal counsel, and plays a critical role in driving claim strategy, financial outcomes, and customer experience.   Make an Impact with our Complex Casualty Claims team where we don’t just manage claims, we solve problems that protect our customers, our reputation, and...

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 Claims team is seeking a  Senior Litigation Claims Consultant to manage a portfolio of complex, high-severity Commercial General Liability (CGL) claims , including litigated matters involving significant financial exposure and legal complexity.    This is a full-time, exempt position that can be fully remote or hybrid flex.   POSITION OVERVIEW: This role owns claims end-to-end, partners with top-tier legal counsel, and plays a critical role in driving claim strategy, financial outcomes, and customer experience.   Make an Impact with our Complex Casualty Claims team where we don’t just manage claims, we solve problems that protect our customers, our reputation, and...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking a Senior Benefits Specialist to join our growing team in Plano, TX.    Assists the Senior Benefit Consultant, VP or SVP in servicing the consulting needs of the employee benefit clients.  The Senior Benefits Specialist role is instrumental in supporting the strategic and day‑to‑day servicing needs of clients by managing core account operations, coordinating client deliverables, and ensuring consistent execution of service expectations. How You Will Contribute:    Fee/Commission Submission - Manage and submit fees and commissions upon receipt of signed agreement from the account lead. Internal IO Audit Preparation - Prepare necessary documents and information for audits to ensure compliance and accuracy.  Assist Consultants with Client Deliverables - Prepare content and data...

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.  CNA’s Long-Term Care (LTC) business unit is not your typical slow-moving insurance company. We have the resources of a large company behind us and operate with a start-up mindset. With a team of over 50 across multiple insurance disciplines, including Operations, Claim, Anti-Fraud, Finance, Actuarial and Data Analytics, we move quickly and have clear insight into how we make an impact. With approximately $14 billion in reserves serving 300,000 policyholders, CNA’s LTC business is an important strategic priority for CNA. This is an exciting opportunity to drive strategy and execution as a member of CNA’s LTC Reserving and Finance team. Come work in a highly collaborative environment with key...

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact . We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.   Join us in improving health care outcomes for all!  We promise to do what’s right, always.   Position Summary:   The Client Manager serves as the primary day-to-day operational contact for assigned employer and health plan clients, ensuring a high level of service and support. Working within a cross-functional account team, this role collaborates closely with internal partners to deliver a seamless client experience. The position manages the operational aspects of client accounts, including...

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 The Senior Consultant II is responsible for granting settlement authority on highly complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, providing recommendations on requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. The individual may also provide discretionary referrals on coverage issues, opinions and research. In addition, the Sr Cons II may provide approval on Closed Without Payment (CWP) requests where liability is disputed, and the value is in...

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 The Lead Consultant is responsible for management and oversight of Home Office Claim Department referrals. The individual grants settlement authority on the most complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, approving requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. We are seeking an experienced Large Loss Adjuster to join our team. This position handles high-severity claims involving policy limits of 250/500 and above. The ideal...

Exec Consultant Risk Eng - KR07HE Sr Consultant Risk Engineering - KR08DE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.           At The Hartford, our Risk Services organization exists to help people and businesses thrive by working directly with customers to assess risk, improve resilience, and deliver practical risk mitigation solutions that make a measurable difference. We partner with customers throughout their lifecycle to identify exposures, reduce losses, and strengthen operational performance—combining consultative expertise, technology enabled risk solutions, and data driven insights to improve outcomes before and after a loss. By integrating risk assessment, prevention, and recovery with the broader insurance...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, 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 and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. This is a remote role. The ideal candidate will have: Demonstrated personal lines underwriting leadership experience, with a strong understanding of underwriting operations, risk selection, portfolio management, agency relationships, and profit-driven decision making. Proven ability to translate strategy into execution, leading teams through organizational change while driving accountability, engagement, and measurable business results. Strong...

Sr Consultant Risk Engineering - KR08DE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              At The Hartford, our Risk Services organization exists to help people and businesses thrive by working directly with customers to assess risk, improve resilience, and deliver practical risk mitigation solutions that make a measurable difference. We partner with customers throughout their lifecycle to identify exposures, reduce losses, and strengthen operational performance — combining consultative expertise, technology enabled risk solutions, and data driven insights to improve outcomes before and after a loss. By integrating risk assessment, prevention, and recovery with the broader insurance experience, we help customers protect...

Consultant Claims - CH08CE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              The Claim Consultant is responsible for managing First Party Commercial Property and Inland Marine claims ranging from moderate to highly complex exposures, including claims with six-figure loss potential. This role requires expertise in investigating, evaluating, negotiating, and resolving claims, while coordinating independent adjusters, field resources, and subject matter experts as needed. The Claim Consultant will interpret and apply policy coverage, including Primary, Excess, and Quota Share coverages, and draft clear, comprehensive coverage correspondence. Success in this role requires strong technical claim handling skills, sound judgment, and...

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 The Senior Consultant II is responsible for granting settlement authority on highly complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, providing recommendations on requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. The individual may also provide discretionary referrals on coverage issues, opinions and research. In addition, the Sr Cons II may provide approval on Closed Without Payment (CWP) requests where liability is disputed, and the value is in...