12 complex claims specialist jobs found

Spec Legal Admin - LL09AN 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.              The Hartford is seeking a highly analytical, detail-driven Legal Practices Customer Support & Data Specialist to join our Legal Practices team. This is a high-impact role where you will partner with Audit Attorneys and Outside Counsel nationwide to drive accuracy, efficiency, and oversight of legal spend. You will play a key role in ensuring billing accuracy, data integrity, and operational excellence across claims and payment systems, directly contributing to cost management and business outcomes. This team leads the strategic oversight of claims legal expenses, ensuring financial discipline, compliance, and continuous improvement. The ideal...

AD Product Development - ED07AE 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.              Reporting to the E&S Director of Liability Product Development, the E&S Liability Product Specialist will assist with the management of the Liability Line of Business (LOB) product suite (General Liability and Excess Liability) for our E&S Binding unit. This critical business role supports the overall growth and profitability of the Liability LOBs via product development, forms maintenance, underwriting guidelines, and product pricing. Responsibilities: Support of Liability product suite offering (General Liability & Excess Liability) , which includes terms & conditions; underwriting guidelines; form development &...

Sr Product Specialist - EM07JE 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.           At The Hartford, we do not just process applications—we push boundaries. We believe underwriting is not about saying “no,” it is about uncovering smart, data-driven “yeses” that serve both our customers and our business. And you? You are the visionary who will take us there. Ready to make waves in the AI-powered future of commercial insurance? Join us and lead the charge in shaping next-level underwriting solutions. Apply now and help us redefine what is possible. The Senior Product Specialist serves as a senior technical expert and product development leader responsible for the design, development, and maintenance of complex insurance products. This...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations. Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a joint mission and purpose: One Ascot. Our greatest strength is a talented team flourishing in a collaborative, inclusive, entrepreneurial culture steeped in underwriting excellence, integrity, and a passion for finding a better way, The Ascot Way . The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our unique Fusion Model: client-centric, risk-centric, and technology-centric. Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world-class service —pre- and...

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...

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...

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...

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...

Staff Attorney - LM07EE 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.              The Hartford is seeking to hire a Senior Litigation Analyst to join our Legal team.  We are looking for motivated attorneys to join this team responsible for reviewing outside counsel legal bill invoices and to conduct in office Legal Bill Review audits.  As a Senior Litigation Analyst you will be expected to provide a breadth and depth understanding around the billing process in specific practice areas.  You will be responsible for identifying deficiencies in our panel counsel billing at an increased volume over current levels.  As well as provide your legal practice experience and expertise to communicate directly with panel firms/attorneys to...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided.  This is a hybrid role. Training is onsite Full Time, then Hybrid once trained . ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned   KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines...

Responsible for assessing client’s risk exposure on personal and/or commercial property, making appropriate recommendations and placing coverage to address those risks.   Job Duties and Responsibilities (Essential Job Functions) Market and sell personal lines insurance policies. Proactively contact all leads to recommend appropriate insurance, quote and place coverage. Identify and assess client risk exposures. (65‑75%) Foster referral relationships with all real estate personnel including agents, office managers and mortgage brokers to maximize sales opportunities. (20-25%) Provide work direction as appropriate to new business specialists to ensure all aspects of client on-boarding are completed properly and in a timely manner. (0-5%) Actively monitor and report to management any circumstances that may lead to a potential or actual insurance errors and omissions claim, DOI (department of insurance) or related complaints. (0-5%) Remain current on industry...

Crum & Forster Company Overview Travel Insured International , a Crum & Forster company, is hiring for a Product Management Specialist.   Travel Insured International is a leading travel insurance provider with more than 30 years in business. As a key component of our Specialty Business Unit, within the Accident & Health division, TII provides travel protection plans to help each individual travel confidently. Travel Insured International is proud to offer products to consumers and to agency partners of all sizes. We're committed to providing dependable coverage, great value, and end-to-end satisfaction for all customers. Job Description The Product Management Specialist will be a detail oriented and self-driven professional who will be responsible for system set up and document creation, product maintenance and editing, compliance review and submission, and administrative case research and review. The position...