16 complex claims specialist jobs found

Description Liberty Mutual has an immediate opening for an experienced claims professional to join our Complex Construction Claims Team within the Specialized Claims group.  This role handles high-exposure, complex and litigated Commercial Casualty claims $500,000 and up) involving construction-related Bodily Injury and specific -event Property Damage claims under Commercial General Liability (CGL) and Commercial Auto policies for our Construction Industry Accounts. The role does not handle Construction Defect claims. In this position, you will own claim strategy end-to-end - establishing coverage and liability positions, setting and adjusting reserves, directing investigation and expert resources, managing litigation and outside counsel, and driving timely resolution.  You will be expected to operate with strong technical judgment, influence, and collaboration across Legal, Underwriting, and other internal partners, and may serve as a technical...

Description 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. Demonstrates a high level of expertise and sound judgment in complex matters; may as a subject matter expert. The role is within the Construction Vertical, handling bodily injury and discreet property damage claims. The role does not handle Construction Defect losses.   There is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub offices (Boston, MA; Westborough, 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 remote candidate if you do not live within 50-miles of one of these offices.   The salary range...

Primary Details Time Type: Full time Worker Type: Employee Senior Claims Specialist - Accident & Health Location: USA – Countrywide Work Arrangement: If local to an office - Hybrid,    The salary range for this role is:  $88,000-165,000K Your New Role: The purpose of this role is to provide exceptional claims service to customers by managing complex claims effectively. This includes assessing policy coverage, investigating, evaluating, and negotiating intricate claims, collaborating with suppliers and stakeholders, and offering senior technical guidance and support. Responsibilities: Provide technical guidance and analysis for complex and high-value claims. Assist in implementing and maintaining claims management strategies. Maintain comprehensive knowledge of insurance guidelines and policies. Build and maintain relationships with stakeholders. Manage a portfolio of complex or high-value claims. Act as an escalation point...

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: What you will do: The Senior Client Relationship Executive (SCRE) is responsible for the overall relationship and financial management of our most complex clients including, but not limited to: Large clients or blocks of clients with complex benefit plans and administration requirements Clients...

Primary Details Time Type: Full time Worker Type: Employee Senior Claims Specialist- Accident & Health Location: USA – MA –Marblehead Work Arrangement: Hybrid   The salary range for this role is:  $88,000-145,000K The Opportunity The purpose of this role is to provide exceptional claims service to customers by managing complex claims effectively. This includes assessing policy coverage, investigating, evaluating, and negotiating intricate claims, collaborating with suppliers and stakeholders, and offering senior technical guidance and support. Your new Role: Provide technical guidance and analysis for complex and high-value claims. Assist in implementing and maintaining claims management strategies. Maintain comprehensive knowledge of insurance guidelines and policies. Build and maintain relationships with stakeholders. Manage a portfolio of complex or high-value claims. Act as an escalation point for customer...

The projected pay rate for this position is $28.85 per hour, with a 3% annual bonus target.  This is a good faith estimate of base pay for the primary location of this position.  The pay for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate.  In addition, this role may also be eligible for annual, sales, or other incentive compensation. Please note: This is a hybrid position location, with a three days per week in the office requirement (typically Tuesdays, Wednesdays, and Thursdays); Mondays and Fridays are generally considered remote work days. Disability Claims Specialist At Guardian, we live our Purpose every day. As champions of wellbeing for ourselves, our communities, and consumers, we focus as a team to turn what's possible into a reality. We create experiences for you to grow and enrich your career and future as a Disability Claims Specialist. We believe in your aspirations for...

Primary Details Time Type: Full time Worker Type: Employee Job Description Claims Specialist - Accident and Health Location: USA – MA, Marblehead and GA, Atlanta Work Arrangement: Hybrid   The salary range for this role is:  $76,000 - $125,500 The Opportunity The purpose of this role is to provide exceptional claims service to customers by managing complex medical stop loss claims effectively. This includes assessing policy coverage, investigating, evaluating, and negotiating claims, as well as collaborating with suppliers and stakeholders while offering technical support. Responsibilities: Support the implementation of the Claims strategy to enable the delivery of overall business targets. Maintain current knowledge of insurance guidelines, policy changes, and modifications. Maintain good client relationships with insured individuals, agents, service providers, and the general public. Provide claim management for...

Claims Analyst III As a Claim Analyst III, you will be responsible for handling all aspects of third-party EPL/Professional Liability/D&O claims from inception through conclusion brought against insureds. How you will create an impact Focused on Employment Practices Liability, this role is an ideal opportunity to develop your expertise in handling and investigating complex claims. The aim is deal with genuine claims through a proactive, best practice approach, in line with AIGs quality standards – you will actively promote and demonstrate the principles of ‘Treating Customers Fairly’ in claims handling.  You will also proactively identify and review suspect/fraudulent claims on a consistent basis – dealing with such claims in line with our clear guidelines. Your work will involve regular contact with internal stakeholders and brokers, (medical) experts, clients’ lawyers, victims or their legal representatives. We want you to build...

Location: Remote Work Model We ’ re a team of employees who are passionate about delivering best - in - class customer service and innovation in the industry. W e prioritize i ntegrity, r elationships , and e xcellence in all aspects of our work.   Our employees can fully utilize their talents and bring their best sel ves to work .  We believe who you are is just as important as what you do!   Join us as the Inland Marine Underwriting Lead , where you’ll build inland marine specialization and drive profitable growth. In this pivotal role, you’ll collaborate across teams, sharpen underwriting strategy and expertise, and build high-impact agency relationships to position Central as a market leader in inland marine.   How You’ll Make an Impact   Lead inland marine underwriting specialization and coordinate expertise in loss control and claims  Develop short and long-range...

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work.  Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. The opportunity: In the Senior Clinical Risk...

Why Arbella? At Arbella, we’re focused on people. We work hard to attract and retain the best. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, and competitive salaries and benefits packages. We invest in our employees and encourage them to grow so that we, too, can grow as a company. Other perks include: • Company nurse, nutritional counseling, and mental health resources • Tuition assistance programs • Opportunities to get involved: Arbella Activities Committee, Diversity and Inclusion Council, and more • A company committed to community: volunteer opportunities, employee- led community efforts, and the Arbella Insurance Foundation • Robust training, mentorship, and professional/personal development programs • Colleagues who genuinely care about each other Arbella is committed to building a workplace that’s diverse, inclusive, and equitable for everyone. We’ve created a culture...

Discover a Career That Empowers You — Join HUB International! At HUB International, we’re more than just an insurance brokerage firm — we’re a thriving community of entrepreneurs driven by purpose and passion. Every day, we help individuals, families, and businesses protect what matters most by providing a broad array of insurance, retirement, and wealth management products and services. But we don’t stop there — we also invest deeply in our people. Here, your career is in your hands. You’ll be empowered to learn, grow, and truly make an impact. Whether you're supporting a local business or helping a national client navigate complex risk, you’ll be backed by the strength of a global firm and the heart of a regional team. As one of the world’s largest insurance brokers — and a proud Stevie Award-winning workplace — HUB offers a unique blend of big-company resources and entrepreneurial spirit. With over 20,000 professionals across 570+ offices in North America, we bring...

Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. Feel empowered to learn and grow while being valued for who you are. At Intact, we commit to supporting you in reaching your goals with tools, opportunities, and flexibility. It’s our promise to you.  Who we are At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups. Intact’s Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe. The following...

Who are we? Howden is a global insurance group with employee ownership at its heart. Together, we have pushed the boundaries of insurance. We are united by a shared passion and no-limits mindset, and our strength lies in our ability to collaborate as a powerful international team comprised of 23,000 employees spanning over 56 countries. People join Howden for many different reasons, but they stay for the same one: our culture. It’s what sets us apart, and the reason our employees have been turning down headhunters for years. Whatever your priorities – work / life balance, career progression, sustainability, volunteering – you’ll find like-minded people driving change at Howden. Location: Massachusetts or New Hampshire Why Join Howden Middle Market? At Howden, we’re redefining what it means to be a global insurance broker. Our Middle Market team is at the heart of our U.S. retail platform, serving clients who need both the scale of a global leader and the...

Description Do you thrive in a high-volume, fast-paced environment? Do you enjoy the challenge of a role where no two days are alike? We are looking for positive, high-energy, passionate auto damage appraisal professionals. As a Field Auto Damage Appraiser, you will be completing quality appraisals of damaged vehicles, in the field, to restore vehicles to their pre-damage condition. You will complete moderate to higher complexity claims within assigned authority limits. Daily expectations include originals, total loss opinions, auto body shop, independent adjuster appraisal re-inspections, and supplemental appraisals. You will provide Best-In-Class service to our internal and external customers. There are many moving pieces you will manage. You need to have strong analytical, organizational and multi-tasking skills, and be a time management expert. We look for people who are creative, love problem solving, and have a passion for helping others. Your job...

Description The Company    Come build on our integrated platform with industry-leading talent, world-class partners, and freedom to innovate.   Liberty Mutual Investments (LMI) is the investment firm for Liberty Mutual Group (Liberty). With deep expertise in fixed income, equity, and alternative strategies, LMI invests more than $100B of long-term capital globally, and has a team of nearly 300 investment, finance, and operations professionals located in Boston, MA, and New York, NY. LMI has a clear purpose: drive economic growth, build enduring businesses side-by-side with our partners, and generate superior risk-adjusted returns that secure Liberty’s promises.   LMI offers the best of both worlds — the look and feel of a boutique investment firm with the reputation and financial strength of a global leader. As the investment firm of a mutual with long-term capital, LMI has a single client mandate. This gives us the freedom to focus on...