17 complex claims director excess jobs found

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 Outside Contents Evaluator Assistant PRIMARY PURPOSE :   To complete the physical onsite inventory process including: driving to and from the loss location, physical inventory of contents, and uploading data from field work to server.   ESSENTIAL FUNCTIONS and RESPONSIBILITIES   Assists in completing the physical onsite inventory of total loss contents items under the direction of Outside Contents Evaluator Associate. Tracks time and logs file notes for all of...

SUMMARY:   Primarily responsible for expediting agent issues by analyzing internal business factors to produce immediate solutions. Assists agents with inquiries related to underwriting rules, procedures, regulations, and Audit issues. 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. Trains new Renewal Specialists. Provides customer service to agencies and policyholders related to complex inquiries, policy, and audit information. Contacts include state rating bureaus, Business Development Consultants, Business Development Directors, Service Center Managers, Underwriting Technical Advisor,  Service Center staff, Finance Department, Claims Department, agents and policyholders.      PRIMARY RESPONSIBILITIES:  Demonstrated ability to analyze and examine agent issues to resolve them immediately through completing...

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 Account Managers perform more routine responsibilities and are primary points of contact for clients they oversee. Account Managers are individual contributors with occasional guidance or direct supervision. Account managers know and apply the principles of...

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 PIP 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:  The Consultant Casualty Claims is responsible for managing no-fault claims that typically involve minimal to moderate injury and disability severity. Duties include verifying coverage, evaluating medical bills and applicable no-fault benefits for payment, and maintaining clear communication with claimants, third parties and providers. Claims may also involve negotiating settlements, handling of basic disputes, and/or...

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 PIP 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:  The Consultant Casualty Claims is responsible for managing no-fault claims that typically involve minimal to moderate injury and disability severity. Duties include verifying coverage, evaluating medical bills and applicable no-fault benefits for payment, and maintaining clear communication with claimants, third parties and providers. Claims may also involve negotiating settlements, handling of basic disputes, and/or...

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 Farmington Hills, 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...

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 Farmington Hills, 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...

SUMMARY:  Provider Relations Specialist I Responsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality, consistent and accurate medical payment information to internal and external customers.  Provider Relations Specialist II Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software and reference library to determine appropriateness of codes and excessive charges. Responsible for making coding determinations according to state rules and regulations.  PRIMARY RESPONSIBILITIES:  PRIMARY RESPONSIBILITIES: Provider Relations Specialist I •    Utilizes ACD phone lines to manage incoming calls and inquiries. •    Provides high level of customer service for all internal or external customers thru telephonic, email and fax. •    Demonstrates dependable work ethic. •    Manages confidential client information with discretion and good...

Job Title: Vice President, Actuarial and Business Operations Location: Troy, Michigan – Hybrid; 3 days in-office and 2 days work-from-home Employment Type: Full-Time Requisition Begin Date: 09/08/2026 Requisition End Date: 11/08/2026 Posting may close earlier if filled or business needs change. Help us insure it Tokio Marine HCC – Public Risk Group, a member of the Tokio Marine Group of companies, is a market leader in providing specialized insurance products for municipal entities. We serve counties, cities, townships, villages, police departments, prisons, fire departments, and other governmental entities. Our business supports the insurance and risk management needs of medium and large public entities by providing property and casualty insurance coverages in multiple states. Role Overview Tokio Marine HCC Public Risk Group is seeking an accomplished Vice President, Actuarial and Business Operations to serve as a key member of the leadership team....

SUMMARY:  Provider Relations Specialist I Responsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality, consistent and accurate medical payment information to internal and external customers.  Provider Relations Specialist II Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software and reference library to determine appropriateness of codes and excessive charges. Responsible for making coding determinations according to state rules and regulations.  PRIMARY RESPONSIBILITIES:  PRIMARY RESPONSIBILITIES: Provider Relations Specialist I •    Utilizes ACD phone lines to manage incoming calls and inquiries. •    Provides high level of customer service for all internal or external customers thru telephonic, email and fax. •    Demonstrates dependable work ethic. •    Manages confidential client information with discretion and good...

Role Details Job Title: Property Claims Adjuster Location: Remote / Hybrid (dependent upon on proximity of office location) Reports To: Katie Toman Employment Type: Full-Time Requisition Begin Date: 08/10/2026 Requisition End Date 10/10/2026 (Posting may close earlier if filled or business needs change.) Help us insure it Tokio Marine HCC - Public Risk Group,  a member of the Tokio Marine group of companies, is a market leader in providing specialized insurance products for municipal entities. We cover counties, cities, townships, villages, police departments, prisons, fire departments and more. We serve the growing insurance and risk management needs of medium and large governmental entities and provide property and casualty insurance coverages in multiple states. Role Overview We are seeking a Property Claims Adjuster to handle low-to mid-level commercial first-party property claims from assignment through resolution. Working under 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 Outside Contents Evaluator Assistant PRIMARY PURPOSE:    To complete the physical onsite inventory process including: driving to and from the loss location, physical inventory of contents, and uploading data from field work to server. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Assists in completing the physical onsite inventory of total loss contents items under the direction of Outside Contents Evaluator Associate. • Tracks time and logs file notes for all of...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description Allstate’s sales organization is growing its virtual workforce, and we are looking for highly motivated individuals that thrive in a fast-paced sales environment and enjoy being rewarded for their efforts. At Allstate, we are committed to offering a reputable product suite that protects people from life’s uncertainties so they can realize their hopes and dreams. As a full-time Insurance Sales Representative, you will: Engage with active insurance shoppers via inbound/outbound calls, live chat, SMS, and more in a work from home call...

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 provide internal support to an account management team for an assigned book of business; collaborates with sales and service staff by account, interfaces with clients and carriers, maintains records, and performs other general administrative duties. ESSENTIAL DUTIES AND RESPONSIBILITIES Provides direct administrative support as required for assigned Client Managers and Practice Leaders; responds to requests for assistance in a timely and collaborative manner. Processes requests for Certificates of Insurance as specified by client or within 24 hours of receipt of request. Ensures client invoices are paid as scheduled; responds to a variety of client billing issues and works closely with the related carrier to resolve billing problems. Compiles...

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...

We’re thrilled that you are interested in joining us here at the Amynta Group! Provides exceptional customer service to internal and/or external customers. Responsibilities include but are not limited to: processing claims, providing standard information, completing forms, determining status of claims based on plan guidelines and meeting or exceeding department metrics for call handling, productivity and quality. ESSENTIAL JOB FUNCTIONS: Assists consumers by providing highest level of customer service; remains professional and polite at all times. Responds to standard questions and concerns from customers; follows-up with common questions to document nature and status of claim; communicates in a clear and educated manner. Processes routine or standard claims and a variety of forms based on documentation and categorization of claims; informs customer of results and closes out claim as appropriate; requests and reviews photos/receipts to complete processing if...