18 complex claims consultant jobs found

Company: Marsh McLennan Agency Description: Marsh McLennan Agency’s East Region is a leader in the employee benefits marketplace. Our associates simplify employee health and welfare benefits and risk management for regional, national, Fortune 500 and Fortune 1000 companies. We value integrity, collaboration, passion, innovation, and accountability, and we are committed to making a difference in the moments that matter for our colleagues, clients, and communities. BRIEF DESCRIPTION The Stop Loss Consultant is tasked with supporting and promoting the growth of the Stop Loss Center of Excellence.  The primary responsibility is to work with the Account and Underwriting Teams, exercising discretion and independent judgment, providing financial analysis and utilizing modeling tools to evaluate benefit programs and their impact on overall business objectives, including the management and control of client risks and losses. ESSENTIAL DUTIES AND RESPONSIBILITIES...

Is the opportunity to join a culture where “We Do the Right Thing,” and “We Courageously Shape Our Future Together” important to you? If so, Guardian is seeking a resolute motivated individual to join our team as a Data Scientist/Senior Data Engineer – Finance Transformation. Guardian is seeking a technically skilled and business-savvy Technical Analyst / Data Engineer to design, develop, and support advanced actuarial and financial applications. This role will play a critical part in transforming our actuarial and finance functions by building scalable data pipelines, dashboards, and machine learning models that enhance decision-making and operational efficiency. You will work closely with Actuarial, Finance, Data Science, and Technology teams to deliver solutions used in reserving, pricing, predictive analytics, and financial reporting.    You will: Machine Learning, Engineering & Analytics Development Build and optimize large-scale data pipelines using PySpark,...

This is a hybrid opportunity and this role requires onsite in-office presence approximately 1 to 3 days per week at our Bala Cynwyd, PA office location. The Account Manager’s main responsibility is to manage daily client service needs for a designated book of business, which may be overseen by a Producer or Account Executive responsible for service, placement, and business development. This role involves extensive use of system tools and frequent client communication via email or phone. The Account Manager must strictly adhere to corporate procedures, including maintaining data integrity within the system of record. As a key part of the client team, the Account Manager also provides guidance to any third-party vendors managing aspects of the account                                                                                         Primary Duties & Responsibilities:  At the direction of the Producer or Account Executive (Prod/AE), participates in renewal strategy...

The Objective of the Large Market Underwriting Consultant will be to work with Sales, Underwriting and Products and Pricing to profitably grow Guardian's Large Market revenue and market share in the 1,000 lives and over market space. Key objectives will be to achieve targeted sales and earnings goals, train, and mentor less experienced underwriters, manage complex technical underwriting issues, train account management, handle projects and recommend policy and strategy changes. The Underwriting Consultant is responsible for to provide pricing and plan design for companies with 1,000 or more lives utilizing prior claim experience and manual rates. Products include Group Dental, Vision, FMLA, STD, LTD, Life, Accident, Critical Illness and Hospital Indemnity insurance. The underwriter will be an excellent negotiator who builds collaborative relationships with Sales and other areas of Guardian to solve business issues and win. The underwriter will be both a confident communicator...

We are seeking a self-assured, autonomous professional with outstanding consulting and negotiation skills to lead our underwriting team. In this role, you will blend detailed analysis with strategic understanding to make sound, case-by-case decisions that drive business objectives and deliver client-focused solutions. You will lead a group of underwriters and pre-sale coordinators. You will set underwriting guidelines and work with sales, product, actuarial, and operations to improve risk strategies. Your expertise in life and disability underwriting, risk assessment, and market trends will position you to shape innovative solutions and ensure compliance with regulatory standards. This is an opportunity to influence underwriting strategy, enhance processes, and champion growth initiatives in a dynamic, evolving market. You are A confident, independent professional with exceptional consulting and negotiation skills. You consistently demonstrate sound judgment and can...

An exciting opportunity exists to join the ProAssurance family of companies! Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance? At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm—and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States. This position supports our workers’ compensation line of business, Eastern...

Company: Marsh McLennan Agency Description: Marsh McLennan Agency's East Region is a leader in the employee benefits marketplace. Our associates simplify employee health and welfare benefits and risk management for regional, national, Fortune 500 and Fortune 1000 companies. We value integrity, collaboration, passion, innovation, and accountability, and we are committed to making a difference in the moments that matter for our colleagues, clients, and communities. BRIEF SUMMARY As a member of the Absence, Disability, & Life group, the Account Manager is responsible for providing day-to-day support to a Senior Consultant and provide consulting services for clients. As the Account Manager, he/she will serve as the guardian of the strategic customer relationship and orchestrates the deployment of corporate-wide resources to provide comprehensive products and services. This entails supporting the overall Absence, Disability, & Life consulting practice...

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, Legal 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,...

About Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more.  In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible. Job Summary:  The Employee Benefits Underwriter analyzes information to create and assist with delivery of financial deliverables for current and prospective clients with complex benefit programs. Financial deliverables include financial and contractual analysis, claims...

Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious Associate Account Manager to join our team. This position will report to our agency located in King of Prussia, PA. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is an in-office position.   Responsibilities: Review requests for certificates and issue the COI on the same day as requested If the certificate requires additional forms (NOC, specific A/I, etc.) Endorse the policy in AMS and attach your request to the underwriter Set a Suspense activity to follow up in 3 days If an insured does not comply with the insurance requirements Issue the COI with the current coverages and advise the insured and the Account...

POSITION SUMMARY: Our Product Enablement Specialist, who is part of the Product Strategy and Delivery department, is responsible for leading and coordinating large scale and strategically critical cross functional programs. These initiatives are in pursuit of Guardian Group Benefits delivering best in class product solutions for our customers and trade partners. This role will focus on initiatives that drive improvements to product economics, ensure compliance, or optimize satisfaction for Guardian’s customers. The Product Enablement Specialist must elicit, analyze, document, refine and communicate business needs with stakeholders so that the business and/or technical teams can deliver best in class solutions.  This role is multi-faceted and will require strong collaboration with our Group Product teams and functional business partners to deliver business solutions throughout the product value stream. This role will also serve as co-lead and point of escalation for...

Sentry Insurance, a Mutual Company, is excited to share this Risk Control Consultant opportunity. Our dedication to customer service is embodied by our best associates. At Sentry, our associates take care of our customers with a passion for service and delivering business results. We are currently seeking a risk control professional that is technically proficient, self-motivated and results driven to fill an open position within our East Shared Services division. You must be able to conduct comprehensive safety and risk management assessments, provide our Underwriting teams with a strong analytical opinion of risk to support our goal of profitable growth within variety of middle to large premium market segment for Dealerships, Construction, Manufacturing, Wholesale Trade, Retail, Commercial Real Estate and Service industries. In addition, the successful candidate will develop close relationships with our agents and policyholders, conducting selected safety seminars and training,...

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. Nationwide Insurance is the 8th largest commercial carrier.  Our Risk Management and Client Solutions organization has over 100 Risk Management associates and technical staff.  Our commercial portfolio of accounts consists of traditional, middle market and national accounts.  Business segments include: contractors, manufacturing, real estate management, service industries, retailers, etc. We are seeking a Specialist, Loss Control who will have responsibilities for Pennsylvania, New Jersey and occasional travel into NYC metro. The qualified...

About Global Atlantic  Global Atlantic is a leading provider of retirement security and investment solutions with operations in the U.S., Bermuda, and Japan. As a wholly-owned subsidiary of KKR (NYSE: KKR), a leading global investment firm, Global Atlantic combines deep insurance expertise with KKR’s powerful investment capabilities to deliver long-term financial security for millions of individuals worldwide. With a broad suite of annuity, preneed life insurance, reinsurance, and investment solutions, Global Atlantic, through its issuing companies, helps people achieve their financial goals with confidence. For more information, please visit www.globalatlantic.com .  POSITION SUMMARY:  The AVP, Head of Wholesaler Concierge will lead and oversee the strategy, execution, and continuous improvement of Global Atlantic’s wholesaler concierge function. This role is pivotal in driving connectivity between the field and The Consulting Group, enhancing the wholesaler...

Company: Marsh Description: We are seeking talented individuals to join our Rehabilitation team at Recovre. This role will be based in Western NSW (Bathurst, Orange or Dubbo) in a flexible hybrid working environment (post probation).  Recovre is a national rehabilitation provider delivering best-in-industry workplace rehabilitation, injury management and wellbeing services. We work with clients to support recovery after injury or illness across all personal injury schemes, including Workers Compensation, Life and CTP insurance.  As a Rehabilitation Consultant, you’ll be at the forefront of empowering injured clients to thrive, guiding them through their rehabilitation journey with innovative support and solutions that make a lasting difference.  We will count on you to:  Actively manage your client portfolio with commitment and care  Establish collaborative partnerships with clients and stakeholders so you can work through challenges and achieve safe and...

This is a hybrid opportunity and this role requires onsite in-office presence approximately 1 to 4 days per week at our Bala Cynwyd, PA office location. The Account Manager’s main responsibility is to manage daily client service needs for a designated book of business, which may be overseen by a Producer or Account Executive responsible for service, placement, and business development. This role involves extensive use of system tools and frequent client communication via email or phone. The Account Manager must strictly adhere to corporate procedures, including maintaining data integrity within the system of record. As a key part of the client team, the Account Manager also provides guidance to any third-party vendors managing aspects of the account                                                                                Your Impact At the direction of the Producer or Account Executive (Prod/AE), participates in renewal strategy including discussion of the markets to...

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,...

Primary Details Time Type: Full time Worker Type: Employee A Data and Reporting Analyst is responsible for collecting, transforming, and storing data from various sources, ensuring data quality and integrity, and creating meaningful reports and dashboards for stakeholders. They bridge the gap between data sources and end-users, enabling data-driven decision-making within QBE. . This role will also be responsible for producing complex reporting and analytics, automation, dashboard creation and reports consolidation across the function. This role will involve the design and development of reporting tools that are project driven and will be direct contact of onshore stakeholders on certain projects that will be assigned. Primary Responsibilities • Data Extraction and Transformation: •Gather data from diverse sources, such as databases, APIs, and flat files. •Clean, transform, and preprocess data to ensure accuracy and consistency. •Develop and maintain ETL (Extract,...