9 complex claims consultant jobs found

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 This role is responsible for investigating potentially fraudulent insurance claims referred to the Special Investigations Unit (SIU). You will handle a range of moderately to highly complex claims, including both attorney-represented and non-represented cases. Responsibilities include conducting thorough investigations such as interviews, background research, scene inspections, and analysis of claim-related documentation. You will evaluate findings to determine whether suspicious activity can be substantiated and support next steps, including potential legal action. This role also provides guidance and...

Job Description: We are looking to add a Sr. Client Service Consultant to join our Property Casualty team in Kansas City, MO . Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: Take ownership and lead accounts by servicing the largest and most complex accounts; Client Service Specialist and Client Service Consultant support dependent upon account size. Demonstrates exceptional customer service and operates as an effective partner with clients to include, but not limited to: Market renewal policies and negotiate with insurance company underwriters; Reviews insurance in place and assesses future needs of client; Evaluates and recommends insurance options for clients; Maintains an awareness of complex or significant claims situations and assists in claims process management as requested, to ensure client claim issues are...

Are you passionate about safety and risk management? Do you thrive in dynamic environments and enjoy making a meaningful impact? MEM Insurance is seeking a mid-level Safety and Risk Services (SRS) Consultant to join our team.   This field-based role is ideal for professionals who are self-motivated, results-driven, and eager to foster positive change in workplace safety practices. As an SRS Consultant, you’ll work directly with policyholders of varying sizes and industries to deliver high-value risk reduction services, promote safety culture, and support MEM’s mission to protect people and empower businesses.     Essential Duties and Responsibilities Represent MEM’s vision, mission, and values in all interactions. Prioritize workload to ensure the business and ethical needs of both MEM and policyholders are met. This includes processing work generated by others, as well as, some self-generated activities. Regardless of a survey’s origin, the SRC...

The Baldwin Group Construction Practice is a team of experts focused on providing niche specialization, impeccable service and innovative risk management solutions to owners, developers, general contractors, designers and subcontractors. Position Summary: The Commercial Risk Client Executive is responsible for the management and service of complex commercial accounts and functions within our specialty Construction Practice at a strategic level to develop and retain consultative relationships with clients. The ideal candidate must also evaluate and educate clients on missing or newly available coverage options and have previous experience lending to the construction insurance space. Principal Responsibilities: Acquires and retains large, complex clients through a deep understanding of risk, risk mitigation, and construction insurance architecture and the ability to leverage and effectively communicate that knowledge in direct alignment with client operations. Develops...

Company Details Why MEC? At Midwest Employers Casualty (MEC), we combine the stability of a Fortune 500 company with the agility of an innovative team. We are passionate about improving the quality of life for employees severely injured on the job and helping companies understand and mitigate risk. Our culture values collaboration, curiosity, and continuous learning. If you want to make an impact, work on meaningful projects, and grow your career in a supportive environment, MEC is the place for you. The company is an equal opportunity employer. Company URL: https://www.mecasualty.com Responsibilities The Account Executive is an externally focused role responsible for driving growth, retention, and long-term value through ownership of key broker, prospect, and strategic account relationships. This role is accountable for clearly and compellingly articulating the MEC Difference—positioning MEC’s...

Greyling Insurance Brokerage & Risk Consulting, a division of EPIC, is a specialty insurance brokerage and risk consulting firm focused on construction and design professionals. What differentiates us is our construction industry expertise. Our leaders have prior experience as practicing construction lawyers (in-house and outside), engineers, consultants, and underwriters – giving us a unique and unmatched insight into how A/E firms operate, deliver projects, and manage risks. With respect to insurance, we place many of our largest clients who qualify in highly profitable group captive programs that have saved millions, and we do so for more A/E firms than all other insurance brokers combined. We’ve been so successful, that now we’re looking to grow our team!   JOB OVERVIEW: The Commercial Insurance Senior Account Manager will be the primary client contact and will be expected to actively cultivate, improve and cement positive client relationships and use...

Company Details Why MEC? At Midwest Employers Casualty (MEC), we combine the stability of a Fortune 500 company with the agility of an innovative team. We are passionate about improving the quality of life for employees severely injured on the job and helping companies understand and mitigate risk. Our culture values collaboration, curiosity, and continuous learning. If you want to make an impact, work on meaningful projects, and grow your career in a supportive environment, MEC is the place for you. Company URL: https://www.mecasualty.com Responsibilities The Claims Analyst II is responsible for managing high-exposure Workers Compensation claims. The primary job objectives are to proactively mitigate loss costs and settle claims by developing relationships and influencing MEC’s customers and claim administrators. The role also leverages Advanced Analytics and Assisted Intelligence (A.I.) tools to...

Are you a seasoned claims professional with a passion for navigating complex cases? MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal role, you’ll manage high-exposure workers’ compensation claims, lead investigations into coverage and fraud, and collaborate across departments to drive strategic outcomes. You’ll be a key decision-maker, a mentor to junior adjusters, and a champion of process improvement—all while ensuring exceptional service and regulatory compliance.   At MEM Insurance, we don’t just protect our customers—we empower our employees. We foster a culture of integrity, collaboration, and innovation. Our team thrives on solving challenges together, supporting one another, and making a meaningful impact in the lives of our policyholders and injured workers.       Essential Duties and Responsibilities: Claims Handling & Administration Manage highly complex claims involving...

Our Parent Company in Kansas City is growing and looking to add experienced professionals to our Commercial Lines team! This is an opportunity to step into a client-facing, strategic role where you’ll have ownership, influence, and the ability to make a meaningful impact on both clients and their employees. These roles are ideal for individuals with a strong background in servicing and managing client relationships who enjoy collaborating with internal teams to deliver exceptional service, support compliance, and drive new business opportunities. 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...