13 complex claims consulting director jobs found

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 staff counsel team is currently seeking a Lead Attorney for its Michigan office.   As an insurance defense attorney in our Michigan office, you will be part of a team providing legal representation to Hanover/Citizens’ insureds and/or Hanover/Citizens Insurance before courts and arbitration panels in all aspects of litigation. This is hybrid/full time/exempt role. Fully remote candidates may be considered.   Position Overview: Investigates and manages and tries the most complex cases in the region. This attorney’s inventory will possess the largest and most complex matters referred from claims. Other attorney’s may be assigned to work under this attorney’s direction on case-by-case basis...

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 staff counsel team is currently seeking a Lead Attorney for its Michigan office.   As an insurance defense attorney in our Michigan office, you will be part of a team providing legal representation to Hanover/Citizens’ insureds and/or Hanover/Citizens Insurance before courts and arbitration panels in all aspects of litigation. This is hybrid/full time/exempt role. Fully remote candidates may be considered.   Position Overview: Investigates and manages and tries the most complex cases in the region. This attorney’s inventory will possess the largest and most complex matters referred from claims. Other attorney’s may be assigned to work under this attorney’s direction on case-by-case basis...

Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Location Details: Hybrid Position Schedule / Shift: Position is primarily remote and reports to an onsite office location approximately once every 4–6 weeks. Monday – Friday, 8am – 5pm Position Summary: Are you a detail-oriented Legal Assistant who enjoys solving problems, managing complex information, and supporting meaningful business outcomes? Join our team as a Legal Assistant, where you'll play a vital role in supporting attorneys, managing personal injury litigation matters, and serving as a trusted resource across the organization. This position offers the opportunity to work independently, collaborate with diverse stakeholders, and contribute to the successful resolution of legal and regulatory matters. Employ knowledge of company and legal procedures as well as principles of insurance, banking or corporate law.  Work independently while assisting attorneys in...

SUMMARY:  Primarily responsible for approval, completion, and processing mail audits; processing adjustments and reviewing phone and physical audits as determined by the Senior Premium Analyst or staff field auditor in a multi-functional business unit.  Provides direct customer service via phone, fax, and e-mail to internal and external customers including, but not limited to; Business Development Consultants and Service Center representatives, Finance, and other Premium Audit staff, as well as agents, attorneys, NCCI / regulatory bureaus, and policyholders.  PRIMARY RESPONSIBILITIES:  •    Analyze, research, approve, complete and process mail audits. •    Review phone and physical audits for audit findings which need to be communicated to relevant internal staff, including but not limited to Business Development, Work safe Consulting Services, and Claims to amend the policy accordingly. •    Analyze, research, approve, complete, and process the following audit adjustment types:...

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: Hybrid – Fremont, Michigan Position Schedule / Shift: Monday-Friday 8am-5pm ET Position Summary: As an Auto Liability Michigan Claim Representative II , you will play a pivotal role in delivering exceptional claim outcomes while making a meaningful difference in customers' lives during challenging situations. In this dynamic and fast-paced role, you will investigate, evaluate, negotiate, and resolve automobile liability claims with confidence and expertise, ensuring compliance with Michigan insurance laws, company guidelines, and regulatory requirements. Leveraging strong analytical, problem-solving, and negotiation skills, you will assess liability, gather critical facts, and drive fair, timely claim resolutions. Key Responsibilities: Claim handling responsibilities will include the following: Reviewing assigned claims Contacting...

SUMMARY:  In addition to fulfilling the primary responsibilities of a Renewal Specialist, this role will also focus on serving as a lead worker in the Renewal Specialist department by assisting with quality, compliance and customer facing measures. Assisting staff with technical questions and provide mentoring to current and new staff. This role will also serve as a Subject Matter Expert, as well as participating in enterprise projects. Primarily responsible for assisting Business Development Consultants (BDCs) in growing and maintaining a profitable book of business and assists agents with inquiries related to underwriting rules, procedures, and regulations. Manages renewal book in accordance with the needs of the region they are aligned with. Mentors Renewal Specialists with complex agency/insured questions and policy information. Reviews policy structures to determine if changes need to be made to stay in compliance with bureau rules and regulations. Provides customer...

Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Location Details: Hybrid Position Schedule / Shift: Position is primarily remote and reports to an onsite office location approximately once every 4–6 weeks. Monday – Friday, 8am – 5pm Position Summary: Are you a detail-oriented Legal Assistant who enjoys solving problems, managing complex information, and supporting meaningful business outcomes? Join our team as a Legal Assistant, where you'll play a vital role in supporting attorneys, managing personal injury litigation matters, and serving as a trusted resource across the organization. This position offers the opportunity to work independently, collaborate with diverse stakeholders, and contribute to the successful resolution of legal and regulatory matters. Employ knowledge of company and legal procedures as well as principles of insurance, banking or corporate law.  Work independently while assisting attorneys in...

Department Summary Most transformation programs redesign the process and retrofit the experience. This role exists to make sure that never happens at BCBSM. This role is the experience discipline embedded inside our operational and AI transformation — ensuring that when we redesign how we work, we design it around the people it serves. This is the role for a leader who has spent their career bridging how organizations operate and how stakeholders actually experience that operation. This role has enterprise-wide accountability for experience quality across Claims, Enrollment, Billing, Prior Authorization, Appeals, and Service — the full operational lifecycle of the member relationship. This role influences work owned by multiple functions, including Business Efficiency and Continuous Improvement, Digital Strategy and Automation, Operations, IT, Analytics, AI governance and stakeholder experience teams. Serve as the embedded experience partner for enterprise process...

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 currently seeking a Consultant Casualty Claims. This is a full-time, exempt role with a hybrid work schedule (two days in the office) in one of our Hanover offices: Howell, MI Southfield, MI Grand Rapids, MI   POSITION OVERVIEW: Michigan Assigned Claims Plan The Consultant Casualty Claims is responsible for managing a caseload of moderate complexity claims from start to finish.  This includes conducting thorough investigations, assessing liability, negotiating settlements within defined authority limits, and maintaining clear communication with claimants, third parties, and legal representatives. The role requires strong analytical skills,...

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 currently seeking a Consultant Casualty Claims. This is a full-time, exempt role with a hybrid work schedule (two days in the office) in one of our Hanover offices: Howell, MI Southfield, MI Grand Rapids, MI   POSITION OVERVIEW: Michigan Assigned Claims Plan The Consultant Casualty Claims is responsible for managing a caseload of moderate complexity claims from start to finish.  This includes conducting thorough investigations, assessing liability, negotiating settlements within defined authority limits, and maintaining clear communication with claimants, third parties, and legal representatives. The role requires strong analytical skills,...

Would you like to take ownership in a dynamic, high-growth business that truly walks the talk? Oswald Companies seeks goal-driven professionals ready to take their career to the next level. JOB PURPOSE Responsible to generate sales opportunities with new clients in a defined market; coordinates personal sales efforts with department team members and other internal staff.  Also collaborates with the team to cross-sell products and services; develops and implements a personal sales plan with direct accountability for annual production goals. ESSENTIAL DUTIES AND RESPONSIBILITIES Establishes a sales development plan to originate business with new clients; builds and maintains a book of business and incrementally grows the book at plan each year.  Capitalizes on opportunities to cross-sell multiple lines of coverage to existing clients; collaborates with department peers and service staff managing the company's various practices to maximize the sale of services...

Would you like to take ownership in a dynamic, high-growth business that truly walks the talk? Oswald Companies seeks goal-driven professionals ready to take their career to the next level. Job Summary : Responsible to generate sales opportunities with new clients in a defined market; coordinates personal sales efforts with department team members and other internal staff.  Also collaborates with the team to cross-sell products and services; develops and implements a personal sales plan with direct accountability for annual production goals.  A Day in The Life : Establishes a sales development plan to originate business with new clients; builds and maintains a book of business and incrementally grows the book at plan each year.    Capitalizes on opportunities to cross-sell multiple lines of coverage to existing clients; collaborates with department peers and service staff managing the company's various practices to maximize the sale of services provided.  Maintains a...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Our Culture Culture is meaningful to us. It's in the way we interact with one another and with our clients. We believe in being our authentic selves with one another and have cultivated an approach that is "we" not "I". We honor the commitments that we make to our clients and one another. This is our culture. We actively engage in the communities where we live and encourage our teammates to use Volunteer Time Off and to engage with our Spotlight Charities and causes meaningful to teammates.   About the role: The National Accounts - Account Executive is responsible for maintaining persistency on an assigned book of business and oversees all aspects of Strategic Non-Medical Solutions (SNS)’ consulting services provided to our clients on the absence and disability programs. Core Responsibilities: include the following. Other duties...