32 complex claims specialist jobs found

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...

Overview We are a growing and flourishing Cyber/Tech Team with offices around the country. In this role, you will be the AmTrust Cyber Claims Team Lead responsible for: overseeing a group of first- and third-party cyber claims adjusters; managing relationships with outside counsel and vendors; and providing timely and meaning claim trend information to underwriters and actuaries. Our portfolio of business includes both admitted and surplus accounts and primary and excess accounts across a diverse range of industries and insureds that are SMEs through Fortune 500 companies. This position helps maintain profitable growth and account retention along with long-term company and client relationships.  Responsibilities Directly managing claims including the investigation, analysis and evaluation of coverage liability and damages Formulating claims and litigation strategies Assigning, directing, and managing outside counsel and...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   This field claims specialist will cover territories in the Bloomington, Champaign, and Peoria, Illinois area. Eligible candidates must live within a commutable distance to these locations and have a valid state driver's license for consideration. Bloomington Illinois Field Claim Specialist - The AAA Auto-Club Group Reports to: Claim Manager as appropriate                                     What you will do: Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.  Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in...

The Customer Service Product Specialist is responsible for supporting the development and promotion of an assigned association by providing in-depth knowledge and expertise. This role involves collaborating with cross-functional teams, member escalations , conducting research, and overseeing complex matters through to resolution. The Customer Service Product Specialist will also engage with customers to gather feedback and ensure service and product offering meets member needs. The position involves cross‑functional collaboration, ownership of escalations, in‑depth research, and oversight of complex issues through resolution. The Customer Service Product Specialist engages directly with members to provide clarity, gather feedback, identify trends, and ensure service and product offerings align with evolving member needs. This role is designed for individuals who excel in white‑glove service delivery and thrive in navigating nuanced situations not appropriate for a...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of low to moderate complexity and low to moderate exposure professional liability claims against lawyers and financial advisors. The position will have increased responsibility for decision making within their authority and work under general direction from their manager. Responsibilities: Investigate, negotiate and settle primary and excess policy professional liability claims against lawyers and financial advisors. Investigate and analyze...

Primary Details Time Type: Full time Worker Type: Employee Senior Claim Technical Specialist - Cyber Location: USA – Multi Office Locations Work Arrangement: Hybrid   The salary range for this role is:  $126,000-$236,500K The Opportunity The purpose of this role is to oversee the examination, evaluation, and processing of complex Claims estimates and paid Claims values, ensuring adherence to policy terms and conditions in alignment with the QBE Claims Philosophy. The role also entails supporting the claims function in specific insurance classes to drive operational efficiency, efficient claims settlement, and fair resolution of claims disputes in line with company guidelines and philosophy. Responsibilities: Support the implementation and communication of the Claims strategy to enable the delivery of overall business targets. Contribute to the development of appropriate strategies, processes, and procedures for the...

The salary range for this job posting is $55,132.00 - $110,642.00 annually + bonus + benefits. Pay Type: Salary The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process. For candidates residing in certain states such as Illinois, the salary range is $59,630 to $119,670 annually + bonus + benefits. Pay Type: Salary While we may prefer candidates who can work remote in Illinois, we will consider candidates who live in any of our listed payroll approved states that have the necessary jurisdictional experience. Lost Time Workers' Compensation claims handling experience in any of the following states Illinois, Wisconsin, Kentucky, Indiana, and Iowa is strongly preferred. The position reports...

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 Advocacy Coordination Team Specialist Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:      Dubuque, IA   : 4141 Westmark Drive, Dubuque, IA 52002  Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401  Coralville, IA:  3273 Ridgeway Drive Coralville IA 52241  Dublin, OH : 5500 Glendon Court Dublin OH 43016  New Albany, OH : 7795 Walton...

Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Training is a critical component of your success, and that success starts with reliable attendance. Attendance and active engagement during training are mandatory. Training will require 1 week in our Plano, TX office onsite in July 2026.   To be considered for this position, candidates must reside within 50 miles of Hoffman Estates, IL, or...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage inquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all...

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 common mission and purpose: One Ascot. Our greatest strength is a talented team who flourish in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find 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, Technology Centric. Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world class service — both pre- and post-claims. Ascot...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  A Surety Claims role, and under technical direction, investigates and maintains commercial surety bond claims. Works within specific limits of authority on assignments of significant technical complexity matters. Utilizing claims policies and guidelines, reviews bond coverages, determines liability and compensability, secures documentation and information, and negotiates and settles claims. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Interprets commercial surety bond coverages and determines if coverages apply to claims submitted, escalating issues as needed. Sets activities, reserves and...

Description Liberty Mutual has an immediate opening for an Excess and Coverage Senior Technical Claims Specialist as part of our Excess, Coverage and Specialized Claims Unit.   In this role, under moderate direction, you will handle a book of Commercial Casualty Excess/Umbrella and Specialized claims, throughout the entire claims life cycle. Excess claim types include, but are not limited to, premises liability, auto, products, mass torts, employers liability, environmental, and specialty claim across the United States for both Coverage A and Coverage B claims on admitted and non-admitted paper. Complex Excess claims experience needed to evaluate claims with significant financial exposure.   Additionally, you will be responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, assessing any risk transfer potential, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of cyber and privacy liability claims. The position will have increased responsibility for decision making within their authority and will work with minimal oversight. Responsibilities: Investigate, negotiate and settle primary and excess cyber, privacy liability and technology E&O claims. Investigate and analyze coverage under primary and excess cyber and errors and omissions policies; make coverage determinations; draft routine and complex...

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...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the...

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 As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes coverage, recognize liability exposure and negotiate equitable settlements in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling....

RT Specialty, a division of Ryan Specialty, is a leading wholesale distributor of specialty insurance products and services. Our experienced brokers are specialized in property, casualty, professional lines, transportation and workers’ compensation, providing creative solutions to retail brokerage firms. We define ourselves through our superior execution on behalf of our clients, which has established us as a leader in the industry. Position Summary The Sr. Claims Advocacy Specialist is responsible for developing and implementing claim analysis and advocacy strategies regarding professional executive claims. The role serves as a subject matter expert on complex issues and collaborates with internal stakeholders to innovate solutions for claims management. They represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! The primary purpose of this position is to underwrite new business and renewals for Healthcare Risk Solutions for the Central Region in a profitable manner and according to authority level and established guidelines, and drive projects having an impact on the business. Assigned larger, and more complex accounts. Use underwriting tools to determine accurate classifications, rates, and premium charges. Knowledgeable in coverage forms and policy language and appropriate use of forms and exclusions. Promotes the...