59 complex claims director jobs found

The Senior Claim Consultant provides complete claim loss services for policyholders.  Investigates, evaluates, and disposes of MPL and General Liability claims with varying degrees of complexity and severity.  Essential Duties & Responsibilities Interview insureds, claimants, witnesses, and other appropriate parties to obtain information used to assess liability exposure.  Document file regarding results of investigation and negotiations.  Prepare reports to file on established diary dates and other specific reports as needed to ensure timely file documentation and plan of action. Secure records for investigation and evaluation of cases. Determine and implement negotiation strategy and negotiates settlements within authority level. Adjust reserves within level of authority and make reserve recommendations to Manager/Director for amounts over position authority level. Evaluate cases for appropriate disposition and seek authority for settlement from...

Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. Feel empowered to learn and grow while being valued for who you are. At Intact, we commit to supporting you in reaching your goals with tools, opportunities, and flexibility. It’s our promise to you.  Who we are At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups. Intact’s Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe. The following...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a desk position. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. The candidate selected will have strong multi-line SIU Investigation experience. This role is remote eligible. However, you must live in the assigned territory which is ME, VT,...

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.   DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all....

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 Surety team is seeking an Underwriting Associate to join their growing team. This is a full time, non-exempt role. This is a hybrid opportunity to a Hanover office. *Qualified applicants outside of these locations will be considered and are encouraged to apply.* POSITION OVERVIEW: This position serves as an essential member of the Surety Underwriting Associate team by supporting various underwriting functions in partnership with assigned underwriters and/or territories. Underwriting Associates are responsible for supporting new business and renewal activities, policy servicing handling including processing transactions and partnering with other support areas like Billing, Premium...

Salem Five is a growing regional financial services organization with a rich history of over 160 years.  As an independent bank, we are deeply rooted in the communities we serve and offer our employees successful and rewarding careers. This position can be based in our Woburn, Danvers, Gloucester, Plymouth or Norwood office.  Salem Five has more than 30 retail banking branches throughout Essex, Middlesex, Norfolk and Suffolk counties, strong business banking capabilities, an Insurance division, a Wealth Management & Trust organization and a Mortgage Company that has provided homeownership to generations of families. Salem Five believes deeply in supporting the communities in which we reside. Donations through our Charitable Foundation or events at the branch or location-level are an important part of our DNA. We would not be the company we are without our commitment to businesses and organizations that help the region thrive and to our employees. Come...

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 2nd Shift Auto PD Adjuster – Service Claims. This role follows a 2nd shift schedule, working 12:00 PM – 8:00 PM EST. It is a full‑time, exempt position with a hybrid work arrangement, requiring two days per week in the office at one of our Hanover locations: Worcester, MA Richmond, VA Syracuse, NY  Itasca, IL Howell, MI  POSITION OVERVIEW: The Adjuster Service Claims is responsible for managing a caseload of moderately complex claims from initiation to resolution. This includes determining coverage, conducting thorough investigations, evaluating damages, and negotiating settlements in accordance with policy terms, best...

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 2nd Shift Auto PD Adjuster – Service Claims. This role follows a 2nd shift schedule, working 12:00 PM – 8:00 PM EST. It is a full‑time, exempt position with a hybrid work arrangement, requiring two days per week in the office at one of our Hanover locations: Worcester, MA Richmond, VA Syracuse, NY  Itasca, IL Howell, MI  POSITION OVERVIEW: The Adjuster Service Claims is responsible for managing a caseload of moderately complex claims from initiation to resolution. This includes determining coverage, conducting thorough investigations, evaluating damages, and negotiating settlements in accordance with policy terms, best...

The Vice President Chief Actuary is a strategic leadership role responsible for overseeing the development and execution of actuarial models and indication development, advanced analytics, innovation and data-driven strategies. This leader will guide teams in delivering actionable insights, risk evaluations, predictive modeling, and financial forecasting to support the company’s business objectives and regulatory compliance. This leader has the ability to challenge, develop and lead their staff in pursuit of the function’s business objectives. A hands-on style, a service oriented/collaborative approach and a deep passion for excellence to align with the culture of Arbella and its values. Lead and grow high-performing actuarial and data science teams. Drive the integration of actuarial science and advanced analytics to inform pricing, underwriting, risk management, risk selection and business strategies. Collaborate with senior executives on enterprise-wide decision-making , data...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are looking to hire a Sr. Field Auto Appraiser supporting the Boston Metro South, MA area. As a dedicated Sr. Auto Appraiser, you will within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in compliance with state laws and regulations. Accountable for delivering exceptional member service through setting appropriate expectations, proactive...

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 Risk Solutions team is currently seeking a Senior Risk Solutions Consultant in our Northeast territory. This is a full-time, exempt role. Position is eligible for a fully remote arrangement.   POSITION OVERVIEW: Conducts high level technical evaluations and loss analysis of more complex prospective or existing policyholders in a consultative manner.  Identifies and analyzes exposures and controls. Delivers consultative and technical services to policyholders. Develops and delivers service strategies in collaboration with underwriting and agency partners to insureds.  IN THIS ROLE, YOU WILL: Conduct field surveys on prospect and existing policyholders and writes...

Description In Global Risk Solutions (GRS) Technology, we build exceptional technology solutions that power One GRS–our employees, our customers, our industry, and our aspirations.   We are currently seeking an innovative, disciplined, and results-oriented VP & Senior Director, Technology – Engineering & Tech Operations. As a key member of the senior leadership team, this role is responsible for ensuring the delivery and efficient running of reliable, secure, flexible and efficient digital experiences for our stakeholders and partners, and driving the strategy, product development, and delivery of the enterprise digital content platforms.  This is accomplished by working across a broad set of business and technology stakeholders to formulate strategies to continuously improve GRS system resiliency with a deep focus on the assessment and remediation of the highest business impact issues, recovering our GRS systems from incidents to minimize...

The Account Executive is responsible for the placement and ongoing management of an assigned book of business. When managing house accounts, this role also includes responsibility for business development and client retention within that portfolio. This position manages a more complex book of business that may involve industry specialization, larger account revenue, and or complex coverage structures such as loss sensitive programs, large deductibles, captives, or shared and layered programs. The Account Executive develops and executes placement strategies while supporting the “Fewer and Stronger” market consolidation initiative by identifying and selecting the most appropriate markets to approach for coverage. Strong negotiation skills are essential to secure the best possible terms and conditions for clients. The Account Executive also provides clear direction to the assigned service team to ensure client needs and expected outcomes are achieved, while supporting RSC...

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 .   The Hanover  is  seeking  a  strategic, collaborative, and execution   driven  CL Performance Innovation -  Director of Business Operations  to help guide and advance our broad and diverse Specialty lines portfolio. In this highly visible role,  you will  partner closely with senior leaders to shape  technology investments , streamline operations, and support key initiatives that drive growth and performance.     At The Hanover,  we are  committed to building a workplace where everyone feels valued and empowered. We believe that diverse backgrounds, perspectives, and experiences strengthen our organization and fuel innovation—and  we actively welcome...

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 .   The Hanover  is  seeking  a  strategic, collaborative, and execution   driven  CL Performance Innovation -  Director of Business Operations  to help guide and advance our broad and diverse Specialty lines portfolio. In this highly visible role,  you will  partner closely with senior leaders to shape  technology investments , streamline operations, and support key initiatives that drive growth and performance.     At The Hanover,  we are  committed to building a workplace where everyone feels valued and empowered. We believe that diverse backgrounds, perspectives, and experiences strengthen our organization and fuel innovation—and  we actively welcome...

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 .   The Hanover  is  seeking  a  strategic, collaborative, and execution   driven  CL Performance Innovation -  Director of Business Operations  to help guide and advance our broad and diverse Specialty lines portfolio. In this highly visible role,  you will  partner closely with senior leaders to shape  technology investments , streamline operations, and support key initiatives that drive growth and performance.     At The Hanover,  we are  committed to building a workplace where everyone feels valued and empowered. We believe that diverse backgrounds, perspectives, and experiences strengthen our organization and fuel innovation—and  we actively welcome...

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 .   The Hanover  is  seeking  a  strategic, collaborative, and execution   driven  CL Performance Innovation -  Director of Business Operations  to help guide and advance our broad and diverse Specialty lines portfolio. In this highly visible role,  you will  partner closely with senior leaders to shape  technology investments , streamline operations, and support key initiatives that drive growth and performance.     At The Hanover,  we are  committed to building a workplace where everyone feels valued and empowered. We believe that diverse backgrounds, perspectives, and experiences strengthen our organization and fuel innovation—and  we actively welcome...

Description Liberty Mutual has an immediate opening for an experienced claims professional to join our Complex Construction Claims Team within the Specialized Claims group.  This role handles high-exposure, complex and litigated Commercial Casualty claims $500,000 and up) involving construction-related Bodily Injury and specific -event Property Damage claims under Commercial General Liability (CGL) and Commercial Auto policies for our Construction Industry Accounts. The role does not handle Construction Defect claims. In this position, you will own claim strategy end-to-end - establishing coverage and liability positions, setting and adjusting reserves, directing investigation and expert resources, managing litigation and outside counsel, and driving timely resolution.  You will be expected to operate with strong technical judgment, influence, and collaboration across Legal, Underwriting, and other internal partners, and may serve as a technical...

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: At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by working with dynamic colleagues...

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 an Auto PD Adjuster – Service Claims. This is a full-time, exempt role with a hybrid work schedule (two days in the office) at one of our Hanover offices:  Worcester, MA Richmond, VA Syracuse, NY  Itasca, IL Howell, MI  POSITION OVERVIEW: The Adjuster Service Claims is responsible for managing a caseload of moderately complex claims from initiation to resolution. This includes determining coverage, conducting thorough investigations, evaluating damages, and negotiating settlements in accordance with policy terms, best practices, and jurisdictional requirements. The role involves direct communication with insureds and third...