11 complex claims specialist jobs found

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 Specialist, Underwriting Middle Market - Commercial Lines (Agribusiness) can work in a hybrid environment in the Des Moines IA office or remotely if outside that area. Agribusiness, farm and/or middle market commercial lines underwriting experience is needed for this position. #LI-TH1 Job Description Summary Success on our team requires a blend of customer service skill and analytical prowess. There’s no shying away from challenges here. Each account...

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 Specialist PRIMARY PURPOSE :  To enhance the ADA process for claimants requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation requests; and to approve and/or negotiate restrictions as required under the ADAAA, state and/or client requirements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reviews medical information for ADAAA temporary and permanent accommodation requests. Approves...

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 and...

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 and...

About Global Atlantic  Global Atlantic is a leading provider of retirement security and investment solutions with operations in the U.S., Bermuda, and Japan. As a wholly-owned subsidiary of KKR (NYSE: KKR), a leading global investment firm, Global Atlantic combines deep insurance expertise with KKR’s powerful investment capabilities to deliver long-term financial security for millions of individuals worldwide. With a broad suite of annuity, preneed life insurance, reinsurance, and investment solutions, Global Atlantic, through its issuing companies, helps people achieve their financial goals with confidence. For more information, please visit www.globalatlantic.com .  Position Summary: The Specialist 4 will serve as a subject matter expert for complex preneed claim and transactional adjustment processes. This role is responsible for accurately reviewing, reworking, and resolving specialized claim transactions while ensuring compliance with company policies, regulatory...

UFG's Construction Business Unit is expanding and we are looking for an AVP-Construction Underwriting  to join the team!  In this role you will be responsible for driving the underwriting strategy for the Construction Business Unit through referral support and consultation, training, and development of strategies for applicable Regions. This role operates under the leadership and guidance of the Construction Business Unit Leader and in collaboration with Line of Business Leaders, Middle Market AVPs and Regional underwriting teams. This role may also direct a team of technical experts in support of Construction strategy execution.  Responsibilities: Review referrals based on technical complexity, market segmentation strategy, market appetite and collaborating with business leaders in analytics, product development, risk management, claims groups and region leadership to ensure alignment. Responsible for adhering to the overall BU strategic direction. Provide guidance...

The Learning & Knowledge Specialist will support the Learning & Knowledge vision, strategy, and overall efforts by partnering with the Learning & Knowledge team as well as their respective business unit(s) to implement solutions that solve business and performance needs. This position will own the design, delivery, and other aspects of new hire and/or employee trainings. This role will consult with relevant business units to develop and implement onboarding, upskilling and technical learning programs in addition to other projects or duties as assigned. This role will work with their designated department(s) as needed to best support UFG’s evolving business needs. While this role is posted as a Learning and Knowledge Specialist I we are open to hiring in at Learning and Knowledge Specialist II based on experience and technical expertise.  Essential Duties and Responsibilities Stays current with and adopts evolving practices, trends, and tools in the learning...

UFG is currently seeking an  AVP, Major Claims Leader who is responsible for the strategic direction, operational leadership, and technical excellence of the organization’s most complex and high-exposure claims. This role oversees a diverse portfolio including complex products liability, class actions, coverage litigation, complex construction defect claims, excess and surplus lines, general liability and commercial auto litigation. Reporting directly to the VP of Corporate Technical Claims, this role serves as a key technical and leadership authority within the claim’s organization, providing executive-level guidance on claim strategy, reserving, litigation management, risk transfer, and resolution of high-severity matters. The role operates in a highly collaborative environment, partnering with the VP of Corporate Technical Claims on enterprise-level initiatives involving: Legal, Underwriting, Actuarial, Reinsurance, and external counsel to drive consistent, predictable,...

Job Description Pricing Specialist Build the future with us Are you eager to contribute to the purpose of a company that aims to help its clients feel confident and secure about their future? As a Pricing Specialist you will play a key role in ensuring revenue protection and sales execution by delivering accurate, compliant, and install‑ready pricing that enables a smooth transition from deal approval to system implementation. This position is a great opportunity to showcase your skills and fully realize your potential within a caring and trustworthy company. Here, people and their development are at the heart of our priorities, fostering an environment that encourages collaboration and innovation. What you’ll accomplish with us As a Pricing Specialist, you’ll be at the core of our mission. Here are the main responsibilities: Prepare deal- and producer-specific pricing using approved schemas, templates, and inputs from cross-functional...

Job Description: 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. We are looking to add a Workers’ Compensation Claims Specialist to join our team. Experience handling claims in Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa is preferred. Essential Responsibilities: Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves Workers’ Compensation claims. Mediates situations as they arise between the insured and the insurance company, with some support from leader as needed, to include researching...

Job Description: 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. We are looking to add a Workers’ Compensation Claims Specialist to join our team. Experience handling claims in Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa is preferred. Essential Responsibilities: Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves Workers’ Compensation claims. Mediates situations as they arise between the insured and the insurance company, with some support from leader as needed, to include researching...