21 complex claims consultant jobs found

The Claim Consultant provides complete claim loss services for policyholders. This role will investigate, evaluate and dispose of MPL and General Liability claims with varying degrees of complexity and severity. The Claim Consultant works independently to provide claim-loss service for Coverys policyholders. This role will investigate and adjust claims with high levels of complexity and severity. Essential Duties & Responsibilities Interviews insureds, claimants, witnesses and other appropriate parties to obtain information used to assess liability exposure.  Documents related files regarding results of investigation and negotiations.  Prepares reports to file on established diary dates and other specific reports as needed to ensure timely file documentation and plan of action. Secures records for investigation and evaluation of cases. Determines and implements negotiation strategy and negotiates settlements within authority level. Timely adjusts reserves...

Description Join our team to fill the explosive demand for AI in the legal industry. The Global Legal & Compliance department at Liberty Mutual needs your help to meet these opportunities by applying data science tools including deep learning and generative AI to legal problems such as document analysis, billing audit, and outcome simulations.   We are looking for an experienced data scientist to build AI and decision-support tools that help the Legal Department work more efficiently and deliver better outcomes to our clients and policyholders on legal related issues. This will include end-to-end development from ideation to deployment and working directly with senior legal leaders to understand their business needs and demonstrate model results.   In this role, you will collaborate closely with a team of data scientists, legal professionals, analysts, and IT developers. You will independently work with stakeholders to drive project outcomes by applying...

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: Senior Client Relationship Executive What you will do: The Senior Client Relationship Executive (SCRE) is responsible for the overall relationship and financial management of our most complex clients including, but not limited to: Large clients or blocks of clients with complex benefit plans...

Why Arbella? At Arbella, we’re focused on people. We work hard to attract and retain the best. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, and competitive salaries and benefits packages. We invest in our employees and encourage them to grow so that we, too, can grow as a company. Other perks include: • Company nurse, nutritional counseling, and mental health resources • Tuition assistance programs • Opportunities to get involved: Arbella Activities Committee, Diversity and Inclusion Council, and more • A company committed to community: volunteer opportunities, employee- led community efforts, and the Arbella Insurance Foundation • Robust training, mentorship, and professional/personal development programs • Colleagues who genuinely care about each other Arbella is committed to building a workplace that’s diverse, inclusive, and equitable for everyone. We’ve created a culture...

Company Details   Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best managed property/casualty insurers in the United States. #LI-AV1  #LI-hybrid This role will be based in one of our offices: Hamilton Square, NJ Marlborough, MA  Harleysville, PA West Hartford, CT...

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 Compliance & Ethics team is currently seeking a Compliance Analyst in our Worcester, MA location in a hybrid work arrangement. This is a full time, exempt role. POSITION OVERVIEW: This position will be responsible for designing, implementing and enforcing compliance strategy and programs that are effective in preventing and identifying misconduct or violations of government regulations or company policy. In addition, the role will involve compliance and ethics consulting, implementation, training, monitoring, investigation, remediation, and/or reporting.  This role will routinely interact with internal management as well as external state regulators and examiners.     IN THIS...

The Account Executive is primarily responsible for the placement and management of an assigned book of business. When overseeing house accounts, they also assume responsibility for business development and retention within that book. The Account Executive is responsible for a more complex book of business, based on industry specialty, account revenue size and/or coverage complexity, such as loss sensitive programs, large deductibles, captives or shared and layered programs. Responsible for placement strategy, they will be implementing the "Fewer & Stronger" market consolidation initiative as they make decisions on behalf of the client for which markets to approach and place coverage. The ability to negotiate the best terms and conditions for the client is imperative. The AE must be active in client specific direction to the assigned team to ensure we meet the needed outcome for the client, for RSC E&O mitigation and sustainability of the service model. This role...

Description This is a range posting. Level offered will be based on candidate experience at manager discretion. This position may have in-office requirements depending on candidate location.   The US Retail Markets Personal Lines Auto Product Delivery and Development team is hiring for a Senior Analyst/Consultant on the Auto Product Frontier Team. OneAuto is a key component of the Frontier strategy; a multi-year business and technology transformation effort that aims to radically simplify and accelerate how US Retail Market goes to market, powered by a modern, future-ready unified insurance platform. This position will be responsible for evaluating our legacy book migration strategy. The work is investigative and strategic: you will research legacy books, document coverage and rating logic, evaluate compatibility with OneAuto, and recommend whether and how each book should be migrated.   Key responsibilities of the role include: Assess technical and...

LOCATION: Hybrid, Needham, MA  Come join our team! There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day, EPIC is always looking for people who have “the right stuff” – people who know what they want and aren’t afraid to make it happen. Headquartered in San Francisco and founded in 2007, our company has over 3,000 employees nationwide. With locations spread out across the U.S., our local market knowledge and industry expertise helps support our clients' regional and global needs. We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees.  Our core values are: Owner mindset, Inspire trust, Think big, and Drive results. If these values and growth align with what you're looking for in your next...

We are seeking a detail-oriented and proactive individual to join our Accounts Receivable team as an Accounts Receivable Analyst. In this role, you will be responsible for a variety of tasks related to financial transactions, payment processing, discrepancy resolution, and supporting Account Managers. Your meticulous attention to detail, strong customer service and problem-solving skills will be required to complete this role. Note that this role is hybrid with offices in the following locations: Miami, FL, Palm Beach Gardens, FL, Sunrise, FL Chicago, IL Southfield, MI Kansas City, MO Glastonbury, CT Guilford, CT Boston, MA Berkeley Heights, NJ New York, NY Uniondale, NY Glendale, CA Irvine, CA Santa Rosa, CA Your Impact: Discrepancy Resolution: Identify and resolve any discrepancies in financial transactions before applying funds to ensure accuracy; strong customer service skills: work effectively and collaboratively with multiple team members within the...

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 Casualty Claims team is currently seeking early in career talent to join our Claims Development Program in our Worcester, MA location.  This is a full-time non-exempt role. POSITION OVERVIEW: The Casualty Associate Adjuster is responsible for the investigation, evaluation, negotiation, and resolution of casualty claims in alignment with policy provisions, industry best practices, and applicable jurisdictional regulations. This role involves accurate input and management of claim data, as well as providing clear guidance to insureds and claimants throughout the claims process and available options. IN THIS ROLE, YOU WILL:  Mentoring & Learning Structure: •    Engages...

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 Casualty Claims team is currently seeking early in career talent to join our Claims Development Program in our Worcester, MA location.  This is a full-time non-exempt role. POSITION OVERVIEW: The Casualty Associate Adjuster is responsible for the investigation, evaluation, negotiation, and resolution of casualty claims in alignment with policy provisions, industry best practices, and applicable jurisdictional regulations. This role involves accurate input and management of claim data, as well as providing clear guidance to insureds and claimants throughout the claims process and available options. IN THIS ROLE, YOU WILL:  Mentoring & Learning Structure: •    Engages...

Company: Oliver Wyman Description: United States – Boston, New York, Toronto, Hybrid Possible Lead DevSecOps Engineer ____ WHO WE ARE Oliver Wyman Digital is a ground-breaking division within Oliver Wyman delivering world-class solutions to give our clients a competitive edge. We work across the full technology stack from databases and analytics to APIs and web and mobile applications. With a mixture of over 700 consultants, specialists, and support professionals in 16 major cities across the world, we are committed to growth that retains our start-up agility while expanding our opportunities for world-class work. Oliver Wyman is a global leader in management consulting. With a staff of over 4000 across 30 countries, Oliver Wyman combines deep industry knowledge with specialized expertise in strategy, operations, risk management, and organization transformation. ____ THE ROLE AND RESPONSIBILITIES No two OW Digital projects are the same. You’ll...

Company: Oliver Wyman Description: Locations: Boston, New York, Chicago, Washington DC, Toronto, Montreal Principal Engineer ____ WHO WE ARE Oliver Wyman Performance Transformation is a ground-breaking division within Oliver Wyman delivering world-class solutions to give our clients a competitive edge. We work across the full technology stack from databases and analytics to APIs and web and mobile applications. With a mixture of over 700 consultants, specialists and support professionals in 16 major cities across the world, we’re committed to growth that retains our start-up agility while expanding our opportunities for world-class work. Oliver Wyman is a global leader in management consulting. With a staff of over 4000 across 30 countries, Oliver Wyman combines deep industry knowledge with specialized expertise in strategy, operations, risk management, and organization transformation. ____ THE ROLE AND RESPONSIBILITIES No two OW Performance...

Description The Company  Come build on our integrated platform with industry-leading talent, world-class partners, and freedom to innovate.   Liberty Mutual Investments (LMI) is the investment firm for Liberty Mutual Group (Liberty). With deep expertise in fixed income, equity, and alternative strategies, LMI invests more than $100B of long-term capital globally, and has a team of nearly 300 investment, finance, and operations professionals located in Boston, MA, and New York, NY. LMI has a clear purpose: drive economic growth, build enduring businesses side-by-side with our partners, and generate superior risk-adjusted returns that secure Liberty’s promises.   LMI offers the best of both worlds — the look and feel of a boutique investment firm with the reputation and financial strength of a global leader. As the investment firm of a mutual with long-term capital, LMI has a single client mandate. This gives us the freedom to focus on what we do...

The Account Manager serves as the primary contact for day-to-day client service needs within an assigned book of business. Working closely with a Producer or Account Executive, this role supports service delivery, placement, and business development efforts. Success in the position requires consistent use of internal systems, proactive communication with clients via phone and email, and strict adherence to corporate standards, including accurate data management within the system of record. As a core member of the client team, the Account Manager also collaborates with and provides direction to third-party vendors to ensure seamless account management. This role is hybrid and will require 3-4 days in our Boston, MA, Guilford, CT or Glastonbury, CT office. Your Impact: Partner with Producers/Account Executives on renewal strategy, including market selection, claims review, and exposure gathering. Manage the renewal process by preparing submissions, proposals, and binding...

Note: This role is hybrid with offices in Boston MA or Guilford CT. The Select Specialist Commercial Account Manager will serve as a trusted advisor to small business clients, providing consultative guidance and best in class service. The role will require working directly with our specialty practices as well as producers in a high-volume environment. The role will serve as a mentor to Assistant Select Specialists.     Your Impact: Building and maintaining constructive and effective relationships with internal and external customers by meeting and exceeding expectations Leveraging commercial P&C insurance knowledge and expertise to actively service existing accounts and develop new business opportunities for a high volume, fast-paced book of business, consisting of small, commercial clients Fostering an environment of personal accountability by managing appropriate system records of service, marketing, and policy communications with clients and carriers...

Description The Company    Come build on our integrated platform with industry-leading talent, world-class partners, and freedom to innovate.   Liberty Mutual Investments (LMI) is the investment firm for Liberty Mutual Group (Liberty). With deep expertise in fixed income, equity, and alternative strategies, LMI invests more than $100B of long-term capital globally, and has a team of nearly 300 investment, finance, and operations professionals located in Boston, MA, and New York, NY. LMI has a clear purpose: drive economic growth, build enduring businesses side-by-side with our partners, and generate superior risk-adjusted returns that secure Liberty’s promises.   LMI offers the best of both worlds — the look and feel of a boutique investment firm with the reputation and financial strength of a global leader. As the investment firm of a mutual with long-term capital, LMI has a single client mandate. This gives us the freedom to focus on what...

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 160 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,...

Company: Oliver Wyman Description: Boston, Chicago, New York, Dallas, Toronto, Montreal Lead Data Scientist ____ WHO WE ARE Oliver Wyman is a global leader in management consulting. With offices in 50+ cities across 30 countries, Oliver Wyman combines deep industry knowledge with specialized expertise in strategy, finance, operations, technology, risk management, and organizational transformation. Our 4000+ professionals help clients optimize their business, improve their IT, operations, and risk profile, and accelerate their organizational performance to seize the most attractive opportunities. Our professionals see what others don't, challenge conventional thinking, and consistently deliver innovative, customized solutions.  As a result, we have a tangible impact on clients’ top and bottom lines.  Our clients are the CEOs and executive teams of the top Global 1000 companies. ____ PRACTICE OVERVIEW At Oliver Wyman Digital we partner with...