12 complex claims specialist jobs found

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): Complex Claims Specialist Employment Type: Full-Time FLSA Status: Exempt Location: In Office - Any employee, in any Clearbrook office, can apply for this opportunity and stay in their current location.     Summary: We are looking for a highly capable Complex Claim Specialist to join our team and work from our Omaha office.  Alternatively, we can fill this position in our Albany, office. We work together in the office five days a week in order to strengthen our culture,...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): Complex Claims Specialist Employment Type: Full-Time FLSA Status: Exempt Location: In Office - Any employee, in any Clearbrook office, can apply for this opportunity and stay in their current location.     Summary: We are looking for a highly capable Complex Claim Specialist to join our team and work from our Omaha office.  Alternatively, we can fill this position in our Albany office. We work together in the office five days a week in order to strengthen our culture,...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): Senior Claims Specialist Employment Type: Full-Time FLSA Status: Exempt Location: In Office: Any employee, in any Clearbrook office, can apply for this opportunity and stay in their current location. Summary: We are looking for a highly capable Senior Claims Specialist to join our team and work from our Omaha office.  Alternatively, this position can be filled to work from our Albany office. We work together in the office five days a week in order to strengthen our...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): Senior Technical Litigation Claims Specialist Employment Type: Full-Time FLSA Status: Exempt Location: In Office - Any employee, in any Clearbrook office, can apply for this opportunity and stay in their current location.   Summary: We are looking for a highly capable Senior Technical Litigation Claims Specialist to join our team and work from our Omaha office. We work together in the office five days a week in order to strengthen our culture, build team connections,...

National Interstate is a member of Great American Insurance Group. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets. We are proud to be a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace in Northeast Ohio. It is because of our talented and dedicated team that we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you! At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences...

National Interstate is a member of Great American Insurance Group. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets. We are proud to be a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace in Northeast Ohio. It is because of our talented and dedicated team that we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you! At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences...

Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Utilization Review Specialist in Omaha to join its Medical Management team.  The individual ensures that medical treatment requests from providers are medically appropriate and reviewed in compliance with State laws and Company policies.    ESSENTIAL RESPONSIBILITIES Triages and manages intake coordination of requests for authorization and independent medical review requests.  Reviews authorization requests for approval in accordance with evidence-based medical treatment guidelines.  Researches claim files in relation to the requested medical treatment, interprets medical reports while utilizing critical thinking, and applies appropriate established guidelines to requested treatment.  Advocates for the injured worker and Claims department, ensuring proposed treatment requests are appropriate for the diagnosis.  Escalates treatment requests outside of authorization...

Job Description: Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate – pushing one another to transform not just Pacific Life, but the entire industry for the better. We’re actively seeking a talented Operations Claims professional to join our Operations Claims processing team within the Consumer Markets Division (CMD) in Omaha, NE or Charlotte, NC. This role follows a hybrid schedule of one day a week in office. As part of the Claims processing team, you’ll move Pacific Life, and your career, forward by ensuring accurate, timely, and compliant processing of insurance claims while delivering exceptional service to customers and internal partners. You will review and process contestable and non-contestable death and living claims on both...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Senior Triage Specialist (Senior Claims Intake / FNOL Specialist) Locations: Omaha, NE | Los Angeles, CA | Chicago, IL | Richmond, VA | Albany, NY | New York City, NY Work Schedule: 100% In-Office (Monday–Friday) About the Role We’re looking for an experienced Senior Triage Specialist to join our Commercial Claims team. This position combines First Notice of Loss (FNOL), claims intake, and fast-track claims handling while providing critical support to our claims adjusters. This is an excellent opportunity for someone who wants to build a long-term career in commercial insurance. Successful employees are...

Job Description: Pacific Life is seeking talented  Operations Quality Assurance Specialists  to join our Consumer Markets Division in Omaha, NE or Charlotte, NC. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of life insurance claims processing activities. You will conduct detailed transaction audits, identify trends and root causes, and provide actionable insights that improve operational performance, reduce risk, and strengthen service quality across the organization.  This is an excellent opportunity for individuals looking to grow their career in operations quality, risk, and process improvement within a leading financial services organization.  How You’ll Make an Impact:      Perform detailed quality audits of claims transactions across Pay QA, Set-Up QA, and Follow-Up QA, including claim payment accuracy, interest review and calculation, post-death interest, initial claim setup, documentation,...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s): Client Support Specialist II Employment Type: Full-Time FLSA Status: Non-Exempt Location: In Office Summary: The Client Support Specialist jobs are often the first contact with clients and are primarily responsible for providing effective customer service to clients in response to inquiries, concerns and requests about products and services that are received from a number of communication channels. By using active listening skills, Client Support...

Purpose of Job Responsible for assessing client’s risk exposure on personal and/or commercial property, making appropriate recommendations and placing coverage to address those risks. Job Duties and Responsibilities (Essential Job Functions) Market and sell personal lines insurance policies. Proactively contact all leads to recommend appropriate insurance, quote and place coverage. Identify and assess client risk exposures. (65‑75%) Foster referral relationships with all real estate personnel including agents, office managers and mortgage brokers to maximize sales opportunities. (20-25%) Provide work direction as appropriate to new business specialists to ensure all aspects of client on-boarding are completed properly and in a timely manner. (0-5%) Actively monitor and report to management any circumstances that may lead to a potential or actual insurance errors and omissions claim, DOI (department of insurance) or related complaints. (0-5%) Remain current on...