13 complex claims specialist jobs found

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 PRIMARY PURPOSE :   Actively researches, resolves, and administers escalated inquires for all lines of business, including but not limited to Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific leaves, accommodations, disability and statutory claims. Provides excellent customer service displaying care and empathy to callers regarding claims and executes technical and jurisdictional requirements...

Job Description: Join our growing team as a Sr. Liability Claims Specialist, Supervisor , at Creative Risk Solutions, where you’ll lead a high-performing group of adjusters and ensure exceptional claims handling from start to finish. This role offers the opportunity to drive operational excellence while supporting clients with complex liability exposures. 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: Adjudicate claims as needed, investigate, negotiate settlements, and maintain accurate documentation. Monitor claims, especially in litigation, ensuring timely responses and adherence to "Best Practices for Claims." Research and respond to...

Job Description: Join our growing team as a Sr. Liability Claims Specialist, Supervisor , at Creative Risk Solutions, where you’ll lead a high-performing group of adjusters and ensure exceptional claims handling from start to finish. This role offers the opportunity to drive operational excellence while supporting clients with complex liability exposures. 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: Adjudicate claims as needed, investigate, negotiate settlements, and maintain accurate documentation. Monitor claims, especially in litigation, ensuring timely responses and adherence to "Best Practices for Claims." Research and respond to...

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 PRIMARY PURPOSE :   Actively researches, resolves, and administers escalated inquires for all lines of business, including but not limited to Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific leaves, accommodations, disability and statutory claims. Provides excellent customer service displaying care and empathy to callers regarding claims and executes technical and jurisdictional...

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,...

Overview The Reinsurance Contract Specialist supports the reinsurance underwriting function by managing, organizing and maintaining all treaty reinsurance contracts across Grinnell’s Farm Mutual and Broker Assumed Reinsurance Underwriting departments. The role focuses on managing the Assumed Reinsurance contract lifecycle, including updating and customizing treaty wordings, drafting amendments, endorsements and revised versions for special scenarios, and tracking contract documentation.   Grinnell Mutual has been recognized 14 years in a row for being one of Iowa's Top Workplaces, four years running as a national Top Workplace USA winner, and three years as an international Gallup Exceptional Workplace. Since 1976 Grinnell Mutual has been rated A (Excellent) or higher by AM Best. This position qualifies for our flexible workplace options. Work at our Grinnell, Iowa, headquarters or from a home office in any of the following states: Alabama, Arizona, Florida,...

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,...

Job Description: Step into a role where your attention to detail and commitment to service truly make an impact—Creative Risk Solutions is looking for a driven Claims Assistant to join our team! In this dynamic position, you’ll be at the heart of the claims process, delivering exceptional customer service to internal teams, insureds, claimants, and partners alike. You’ll play a vital role in supporting adjusters by organizing and managing critical claim documentation, from bills and legal correspondence to photos and reports, while ensuring everything is accurately maintained in the system. If you thrive in a fast-paced environment and enjoy being the backbone of a team working toward the best possible claim outcomes, this is your opportunity to grow with us. Essential Responsibilities: Receive, gather, and accurately transmit claims information to the company from insured, claimants, and internal staff promptly. Maintain accurate data on the computer system throughout...

Job Description: Step into a role where your attention to detail and commitment to service truly make an impact—Creative Risk Solutions is looking for a driven Claims Assistant to join our team! In this dynamic position, you’ll be at the heart of the claims process, delivering exceptional customer service to internal teams, insureds, claimants, and partners alike. You’ll play a vital role in supporting adjusters by organizing and managing critical claim documentation, from bills and legal correspondence to photos and reports, while ensuring everything is accurately maintained in the system. If you thrive in a fast-paced environment and enjoy being the backbone of a team working toward the best possible claim outcomes, this is your opportunity to grow with us. Essential Responsibilities: Receive, gather, and accurately transmit claims information to the company from insured, claimants, and internal staff promptly. Maintain accurate data on the computer system throughout...

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 Dublin, OH : 5500 Glendon Court Dublin OH 43016 Irving, TX : 2201 W. Royal Lane Suite 125 Irving, TX 75063 Memphis, TN : 8125 Sedgwick Way, Memphis TN 38125 Southfield, MI : 300 Galleria Officentre Southfield...

Job Description: We are looking to add a Client Service Consultant to join our Property Casualty team in Waukee, IA . Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: Attend insurance carrier meetings and ability to independently lead client meetings, as required. Working accounts start to finish; may have some Client Service Specialist support and/or supporting Sr. Client Service Consultant, servicing larger, more complex accounts. Consult with the team for pre-renewal meetings on qualifying accounts and development of client opportunities. Market renewal policies and negotiate with insurance company underwriters. Review quotes on accounts for accuracy and prepare proposal documents for client. Be accountable for account and policy accuracy by ensuring that all customer information as well as items...