644 complex claims specialist jobs found

Description Liberty Mutual has an immediate opening for a Complex Claims Specialist to join our Long-Term Care Claims Team and assist with other specialty lines claims including Miscellaneous Medical Facilities, Custom, and Group Practice . This is a high‑visibility, hands‑on role for an experienced professional‑liability claims handler. With minimal supervision, the Complex Claims Specialist will manage a book of specialty LTC Professional Liability Claims, MMF, Custom, and/or Group Practice through the entire lifecycle, applying advanced coverage interpretation, clinical issue spotting, complex litigation management and prudent reserving to resolve high‑exposure matters economically and defensibly.   Why this role matters Lead ownership of complex professional liability claims (nursing homes, assisted living, hospice, home health, ancillary providers, physician groups, and other facilities). Opportunity to shape claim strategy on...

Company Details   Carolina Casualty  is a member company of  W. R. Berkley Corporation , an insurance holding company that is among the largest commercial lines insurance writers in the United States. We specialize in liability, physical damage, cargo and other insurance solutions for the commercial auto markets including trucking, public transportation and others.    The company is an equal employment opportunity employer. Responsibilities The primary role of a Complex Claims Specialist is to promptly and professionally ensure high quality claim handling by analyzing liability of claim submissions while making coverage determinations, investigating losses, conducting independent assessment as to the insured’s exposure and moving cases towards timely resolution. You will be an effective source for help and support because of your deep knowledge and liability claim expertise. Key Functions   will...

Job Type: Permanent Build a brilliant future with Hiscox   Join our dynamic and forward-thinking Claims team! Here, you’ll be part of an energetic and innovative group, with the chance to help shape insurance products and collaborate with business leaders throughout the organization. Our Complex Claims Specialist-Miscellaneous Professional Liability role is an individual contributor responsible for the handling of mid to high-severity primary Miscellaneous Professional Liability claims for the organization from inception to resolution.  This includes, but is not limited to, insurance agents, property managers, tax preparers, and various consultants. This role is responsible for all aspects of the claims and litigation process, including liaising with external and internal business partners (e.g., outside experts and/or legal counsel; underwriting) as required.  The Role: Adjusts and resolves complex mid to severity claims that include all phases of...

Job Type: Permanent Build a brilliant future with Hiscox   Put your claims skills to the test and join one of the top Professional Liability Insurers in the Industry as a Complex Claims Specialist!   Position: Complex Claims Specialist A&E Location: Atlanta, Boston, Chicago, Hartford, Manhattan OR REMOTE About the Hiscox Claims team: The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox’s strong brand built on a long history of outstanding claims handling. The Role: The primary role of a Complex Claims Specialist is to analyze liability claim submissions for potential...

OBJECTIVE Complex Casualty Claims Specialist Objective To assure the consistent application of company procedures and practices in casualty claims handling and disposition of large complex casualty claims within the division. To ensure that claims are properly investigated, evaluated, and resolved within the company’s contractual and legal obligations. To provide appropriate and equitable resolution to claimants while protecting Farm Bureau insureds within the confines of the insurance policy and to aid in the retention and growth of business. RESPONSIBILITIES Complex Casualty Claims Specialist Responsibilities Investigate, control, and negotiate all casualty claims involving complex issues beyond the expertise of claim representative as such cases are discovered.   Understand and apply skills and awareness necessary to achieve effectual casualty claim settlements and remain current in the knowledge of the tools of...

Description Liberty Mutual has an immediate opening for an experienced Claims Professional to join our Commercial Casualty Complex Claims Team.   The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex Commercial Casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. The selected person will demonstrate a high level of expertise and sound judgment in complex matters and may act as a subject matter expert.   This role includes evaluating policies/manages claims for Liberty Mutual and Helmsman customers/accounts. There is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub offices: Boston, MA; Plano, TX; Suwanee, GA; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Las Vegas, NV, Chandler, AZ or Weatogue, CT.  This policy is subject to change.  We will consider a...

Description Lead With Expertise. Deliver Impact That Matters. Grow With a Company That Invests in You. At  Liberty Mutual , we show up for people in their toughest moments, and we show up for our employees with the same commitment. Our Complex Casualty Claims Team is expanding, and we’re seeking a  Senior Claims Resolution Specialist  who brings deep technical expertise, sharp critical thinking, and a passion for doing what’s right.   If you’re energized by the challenge of managing high‑exposure, complex, and catastrophic injury claims, and you want to work in an environment where professionalism, integrity, and empathy guide everything we do, this is the role for you. 🌟  What Makes This Role Special You Own the Complex Work You’ll be the point person on severe and catastrophic auto and homeowner’s casualty claims, navigating litigation, partnering with counsel, and driving strategy. Your Expertise Is Valued Your judgment plays a...

Specialist Claims - CH07DE Consultant Claims - CH08CE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.           CLAIM SPECIALIST / CLAIM CONSULTANT – BODILY INJURY The Claim Specialist / Claim Consultant are the most senior claim handling designations within the Complex Claims Unit – Bodily Injury (CCU BI). CCU BI is a highly specialized claim team responsible for the management of The Hartford's long-tail asbestos, sexual molestation/harassment, sports-related head injury, opioid, and toxic tort claims . Claims in CCU are often associated with complex fact patterns and coverage issues that may involve multiple years and types of insurance coverage. CCU claims also commonly involve litigation, require subject...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance Group, AIGI, is looking for an experienced claims professional to join its Major Case Unit as a Complex Claims and Coverage Specialist. This position will focus primarily on claims from our Programs, National Accounts, Alternative Markets, and Construction Business Units.  In this role you will deal with sophisticated litigation and complex coverage issues, including long-tail bodily injury exposures, claims arising under Coverage B of Primary/Excess CGL policies, as well as environmental and toxic tort claims.  You will handle claims involving Multi-District Litigation, Class Action lawsuits, complex coverage matters, claims against the company and...

Description Senior Claims Resolution Specialist – Environmental Claims   Make an Impact. Shape Outcomes. Build a Career with Purpose.   Liberty Mutual is seeking a skilled, motivated, and solutions‑driven Senior Claims Resolution Specialist to join our USRM Environmental Team . If you’re energized by complex problem‑solving, thrive in a role where every decision matters, and want to help customers navigate high‑stakes environmental liability issues, this is an opportunity to elevate your career.   As part of our Environmental Claims division, you’ll take the lead on intricate General Liability and Homeowners Liability claims involving environmental exposure, high‑value risks, and meaningful customer impact. Every case tells a story and you’ll be the one driving it toward the right outcome. This isn’t routine claims work. This is deep investigation, strategic negotiation, and high‑level coverage analysis that directly shapes financial...

The Company    At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. Utica National Insurance Group is an "A" rated $2.0B award-winning, nationally recognized property & casualty insurance carrier. Operating along the Eastern half of the United States, based in our Home Office in Central New York, with Regional Office locations including NYC, Dallas and Charlotte. This is a hybrid preferred role to our offices in Charlotte, NC; New Hartford, NY; Buffalo, NY; or Woodbury, Long Island, NY.  Depending on location, remote candidates may be considered. What you will do The Specialist will be responsible for the management and effective resolution of higher exposure and complex educational institution claims. The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and...

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...

Description The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex commercial casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. Demonstrates a high level of expertise and sound judgment in complex matters; may as a subject matter expert. The role is within the Construction Vertical, handling bodily injury and discreet property damage claims. The role does not handle Construction Defect losses.   There is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub offices (Boston, MA; Westborough, MA; Plano, TX; Suwanee, GA; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Las Vegas, NV, Chandler, AZ or Weatogue, CT).  This policy is subject to change.  We will consider a remote candidate if you do not live within 50-miles of one of these offices.   The salary range...

Description Liberty Mutual has an immediate opening for a Senior Technical Claims Specialist to join our Energy Complex Team. The Senior Technical Claims Specialist determines coverage, investigates highly complex Commercial Casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. Additionally, the Senior Technical Claims Specialist demonstrates a high level of expertise and sound judgment in complex matters and may act as a subject matter expert.   You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Westborough, MA; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; Indianapolis, IN; Hoffman Estates, IL; or Weatogue, CT.   Please note this policy is subject to change.   The salary range posted reflects the range for the varying pay scale that...

Job Summary The Claims Specialist works on highly complex claim assignments requiring specialized knowledge. The role handles activities including, but not limited to, coverage analysis, liability and damage investigation, litigation, and expense management. The role also evaluates claims for reserve and settlement, executes settlement strategy, negotiates settlements proactively, attends arbitrations and ensures appropriate file documentation. Westfield Casualty Claims resolves third party liability claims involving injury, property damage, construction defect, personal & advertising injury, and environmental cleanup - both pre-suit and in litigation.   Job Responsibilities Determines whether proper coverage exists for the type of claim assigned, investigates thoroughly to obtain relevant facts concerning coverage, liability, legal climate, potential exposure, and damages, and makes decisions on claim resolution. Determines the value of damage through physical...

Job Summary Westfield Property Claims resolves first party personal, commercial, and agriculture property claims, which include structural damage. The Inside Claims Senior Representative serves as a technical estimating expert on first party property claims damages. This role leverages technical estimating software, industry repair standards, and analytical skills to produce accurate, timely, and defensible estimates.  The role may also determine applicability of coverage, investigate, establish damages, negotiate, and settle claims. The role delivers quality customer service in a high volume, moderate complex work environment, and mentors less experienced Inside Estimators on the team.     Job Responsibilities Review photos, reports, and other documentation from the inspection, to assess damage and prepare accurate estimates. Utilize industry-standard estimating platform Xactimate, to produce detailed repair scopes. Determine appropriate repair vs. replacement decisions...

Job Summary The Claims Senior Representative serves as a technical expert on claims adjusting and handles injury, material damage, negligence, compensability, damage, and coverage issues. The role determines coverage and investigates, analyzes, negotiates, and settles claims not requiring outside investigation. The role delivers quality customer service in a high volume, moderate complexity work environment and mentors less experienced Adjusters on the team. Westfield Casualty Claims resolves third party liability claims involving injury, property damage, construction defect, personal & advertising injury, and environmental cleanup - both pre-suit and in litigation.  This role is not eligible for visa sponsorship.   Job Responsibilities Determines whether proper coverage exists for the type of claim assigned.  Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and...

Overview Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Complex Claim Specialist. This position can be located in one of our claims offices with the possibility of working remotely. The successful candidate will directly handle complex professional liability claims with an emphasis on legal malpractice claims. The successful candidate will evaluate coverage, assess risk transfer opportunities, analyze liability and damages, manage litigation, negotiate and ensure all files are appropriately reserved.  This position reports to a line of business executive.  Responsibilities Recognize exposures and ensure reserving is appropriate and timely Evaluate coverage issues and risk transfer opportunities Complete a thorough, independent investigation with an understanding and utilization of available resources to fill in any gaps in understanding, i.e. internet, PACER, experts, etc. Manage...

Overview Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Complex General Liability Claims Specialist. The successful candidate will evaluate coverage issues and risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed.    This position will ideally require hybrid attendance in an AmTrust location and is posted remotely for nationwide visibility. Responsibilities Identifying potential risks and managing timely reserves effectively Evaluating coverage issues and risk transfer opportunities Ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and...

Overview AmTrust Financial Services, a fast-growing commercial insurance company, is seeking an experienced Complex Commercial Claims Adjuster who will directly handle general liability and professional liability claims in its nonprofit group.    The successful candidate should have a proven ability to investigate, evaluate and negotiate the resolution of complex risks across a broad spectrum of claim types. This role requires the ability to effectively negotiate the resolution of claims while attending to liability and coverage issues, as well as identifying and pursuing risk transfer opportunities.   This position will ideally require hybrid attendance in one of our locations and is posted remotely for nationwide visibility.  Responsibilities Conduct proactive investigation of the underlying facts and circumstances; retain and utilize proper experts where necessary; select and utilize counsel where appropriate...