10 complex claims specialist jobs found

At TruStage, we’re on a mission to make a brighter financial future accessible to everyone.  We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what’s possible. We need you to help us shape what’s next. You’ll be encouraged to share your experiences, ideas and skills to help others take control of their financial future. Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition Job Purpose:  This position is a specialist service provider for incoming/outgoing providing guidance to other team members and educating individuals and setting expectations on the claim process.  This role will also make claim determinations and settlement of express claims, identify claims for follow up or complex claim handling.  This role is also responsible for educating...

Job Description: Step into a role where your client service expertise makes a meaningful impact. We are looking to add a Liability Claims Specialist to join our Creative Risk Solutions team. Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. Essential Responsibilities: Review coverage for commercial auto and general liability claims. Adjudicate claims, investigate bodily injury/liability claims, and negotiate settlements using "Best Practices for Claims." Maintain accurate loss information and establish/maintain reserves within authority. Research and respond to questions and complaints from insureds, claimants, agency partners, and carriers. Monitor and control...

Job Description: Step into a role where your client service expertise makes a meaningful impact. We are looking to add a Liability Claims Specialist to join our Creative Risk Solutions team. Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. Essential Responsibilities: Review coverage for commercial auto and general liability claims. Adjudicate claims, investigate bodily injury/liability claims, and negotiate settlements using "Best Practices for Claims." Maintain accurate loss information and establish/maintain reserves within authority. Research and respond to questions and complaints from insureds, claimants, agency partners, and carriers. Monitor and control...

Job Description: We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states . This team member will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. This includes assisting staff supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling. Assisting claim staff with goals, career pathing, and ensuring engagement.   Essential Responsibilities: Claims Management: Adjudicate claims during staffing shortages, investigate, and negotiate settlements per “Best Practices for Claims.” Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed. Research and respond to questions...

Job Description: We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states . This team member will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. This includes assisting staff supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling. Assisting claim staff with goals, career pathing, and ensuring engagement.   Essential Responsibilities: Claims Management: Adjudicate claims during staffing shortages, investigate, and negotiate settlements per “Best Practices for Claims.” Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed. Research and respond to questions...

Company Details   "Our Company provides a state of predictability which allows brokers and agents to act with confidence." Founded in 1967, W. R. Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States. Along the way, we’ve been listed on the New York Stock Exchange, become a Fortune 500 Company, joined the S&P 500, and seen our gross written premiums exceed $10 billion. Today the Berkley brand comprises more than 50 businesses worldwide and is divided into two segments:  Insurance and Reinsurance and Monoline Excess.     The Company is an equal employment opportunity employer. Responsibilities The SIU Manager is responsible for assisting with leading our anti-fraud efforts to include both commercial and personal lines of business. This role is critical in safeguarding the integrity of our claims process,...

Company Details   Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted.   As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions.  W. R. Berkley Corporation , and all member insurance companies, are rated A+ (Superior) by A.M. Best Company and carry Standard & Poor’s Financial Rating of A+ (Strong).    This role would ideally be based in one of our two offices where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so.   Urbandale, IA Lincoln, NE Alternatively,...

UFG is currently hiring for an Accounts Payable/Accounts Receivable Specialist who will be responsible for payment of invoices for all companies, issuing and printing daily checks, daily disbursement balancing and performing month-end balancing procedures for disbursement by company.  This role will assist with the company credit card program, including the approval of employee travel and expense reports for reimbursement through the Concur platform. This position will also perform accounts receivable responsibilities, support payment-related requests from Auditors and other Corporate Finance team members and assist with projects as requested. ** This role will require 3-4 days on site in Cedar Rapids, Iowa** Essential Duties & Responsibilities: Accounts Payable & Receivable Process invoices for payment via check, EFT, or credit card. Verify purchase orders, vendor invoices for proper approval and accurate coding by general ledger account, branch...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Travel will encompass their immediate location and surrounding states. Claims inspections will include onsite and virtual inspection.    Candidate Locations: Midwest: IA, IL, MI / Southeast: SC, NC / Northeast: PA / West: CA, AZ   Qualifications: ·         3-5 years of insurance field/property...

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 ADA Accommodation Coordinator 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...