15 complex claims consultant jobs found

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firm in the US, is adding a Commercial Lines Account Manager to their KMRD Partners  team in Warrington, PA.   Job Summary: As an Account Manager, you’ll manage client relationships, oversee policy renewals, and ensure coverage meets evolving business needs. This position is ideal for someone who thrives in a fast-paced environment, values client service, and enjoys collaborating with a team to provide tailored risk management strategies. Essential Functions: Serve as the primary liaison between clients, carriers, and producers for billing, policy changes, cancellations, claims, and general inquiries. Address and resolve client questions, service issues, and coverage or accounting concerns. Prepare marketing submissions and market accounts approximately 90 days prior to renewal. Negotiate pricing, terms, and coverage details with underwriters. Prepare proposals...

The Underwriter of Employer Stop Loss is responsible for evaluating and analyzing risk. This role involves reviewing submissions, assessing medical and financial risk factors, and determining appropriate pricing and terms in alignment with company underwriting guidelines. The Underwriter works closely with sales, brokers, consultants, and underwriting team to ensure profitability and growth within the stop loss product line. This is a hybrid position based out of our office in Newtown Square, PA. Your Impact: Review and analyze employer stop loss data, including claims experience, demographics, and plan design. Assess medical conditions and financial risks to determine appropriate coverage terms and pricing. Apply underwriting guidelines and company policies to maintain a balance between risk acceptance and profitability. Work collaboratively with sales teams, brokers, and consultants to gather necessary information and provide competitive quotes. Ensure underwriting...

Job Description 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...

Description Property Adjusters investigate commercial property claims, evaluate damages, determine coverage, set accurate loss cost estimates, control the insured's exposures and losses, manage consultants, and achieve a prompt, fair and equitable settlement according to fair claims handling requirements. Negotiate settlement of claims with varying complexity and perils. Training is a critical component to your success and that success starts with reliable attendance.  Attendance and active engagement during training is mandatory Responsibilities:    Conducts a prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin, and extent of loss. Reviews and utilizes financial statements to adjust moderately sized business interruption losses. Conduct on-site appraisal or direct independent adjuster to determine facts relevant causation, damages and exposure. Engages and manages consultants and independent...

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...

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 primary role of the Stop Loss Claims Analyst role is to manage the stop loss claims process for the MMA Stop Loss Center of Excellence including establishing the claims submission process in accordance with vendor processes, overall tracking and auditing to assure timely payment of eligible stop loss claims managed by the Center of Excellence.  ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited, to the following: Partner with carriers and internal teams to...

Company: NERA Description: Since 1961, NERA ( https://www.nera.com ) has provided unparalleled guidance on the most important market, legal, and regulatory questions of the day. Our work has shaped industries and policy around the world. Our field-leading experts and deep experience allow us to provide rigorous analysis, reliable expert testimony, and data-powered policy recommendations for the world’s leading law firms and corporations as well as regulators and governments. Our experience, integrity, and economic ingenuity mean clients can depend on us in the face of their biggest economic and financial challenges. Job Description NERA has an opening for a Business Development and Marketing Coordinator, who will be based out of our Washington, DC, office. The Coordinator supports and executes the business development and marketing initiatives for NERA’s experts and consultants. Reporting to a senior member of the Business Development and Marketing team, the...

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 Senior Adjuster - Construction Defect PRIMARY PURPOSE:  To act as a department subject matter expert by providing guidance to the complex claims team to ensure consistency resolving matters optimally while creating a culture of continual quality improvement destined to elevate the overall claim handling to benefit our stakeholders; to ensure the consistency in the developed targeted solutions, and technical guidance and oversight provided to claims team. ESSENTIAL...

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...

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firm in the US, is adding a Commercial Lines Account Manager to their KMRD Partners  team in Warrington, PA.   Job Summary: As an Account Manager, you’ll manage client relationships, oversee policy renewals, and ensure coverage meets evolving business needs. This position is ideal for someone who thrives in a fast-paced environment, values client service, and enjoys collaborating with a team to provide tailored risk management strategies. Essential Functions: Serve as the primary liaison between clients, carriers, and producers for billing, policy changes, cancellations, claims, and general inquiries. Address and resolve client questions, service issues, and coverage or accounting concerns. Prepare marketing submissions and market accounts approximately 90 days prior to renewal. Negotiate pricing, terms, and coverage details with underwriters. Prepare proposals...

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...

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 As part of our Consulting Client Service Team, the Senior Benefit Specialist plays a vital role in ensuring a high degree of client satisfaction and retention, working collaboratively with a cross-functional team that includes Producers, Strategic Account Executives, and Financial Consultants. The primary responsibility of this role is to take proactive ownership of the daily client support for all services and products provided, ensuring alignment with the strategic vision of our...

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...

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...

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,...