27 complex claims specialist jobs found

Job Summary The Claims Specialist works on highly complex claim assignments requiring specialized knowledge. The role handles activities including, but not limited to, coverage analysis, liability and damage investigation, litigation, and expense management. The role also evaluates claims for reserve and settlement, executes settlement strategy, negotiates settlements proactively, attends arbitrations and ensures appropriate file documentation. Westfield Casualty Claims resolves third party liability claims involving injury, property damage, construction defect, personal & advertising injury, and environmental cleanup - both pre-suit and in litigation.   Job Responsibilities Determines whether proper coverage exists for the type of claim assigned, investigates thoroughly to obtain relevant facts concerning coverage, liability, legal climate, potential exposure, and damages, and makes decisions on claim resolution. Determines the value of damage through physical...

Job Summary Westfield Property Claims resolves first party personal, commercial, and agriculture property claims, which include structural damage. The Inside Claims Senior Representative serves as a technical estimating expert on first party property claims damages. This role leverages technical estimating software, industry repair standards, and analytical skills to produce accurate, timely, and defensible estimates.  The role may also determine applicability of coverage, investigate, establish damages, negotiate, and settle claims. The role delivers quality customer service in a high volume, moderate complex work environment, and mentors less experienced Inside Estimators on the team.     Job Responsibilities Review photos, reports, and other documentation from the inspection, to assess damage and prepare accurate estimates. Utilize industry-standard estimating platform Xactimate, to produce detailed repair scopes. Determine appropriate repair vs. replacement decisions...

Job Summary The Claims Senior Representative serves as a technical expert on claims adjusting and handles injury, material damage, negligence, compensability, damage, and coverage issues. The role determines coverage and investigates, analyzes, negotiates, and settles claims not requiring outside investigation. The role delivers quality customer service in a high volume, moderate complexity work environment and mentors less experienced Adjusters on the team. Westfield Casualty Claims resolves third party liability claims involving injury, property damage, construction defect, personal & advertising injury, and environmental cleanup - both pre-suit and in litigation.  This role is not eligible for visa sponsorship.   Job Responsibilities Determines whether proper coverage exists for the type of claim assigned.  Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. As part of the Corporate Claims Division, the Asbestos and Environmental Claims Unit handles complex pollution, toxic tort and asbestos claims and litigation.   The Asbestos and Environmental Claims Unit is currently searching for a Senior Claim Specialist or Claim Technical...

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...

Are you passionate about being part of a team at a Fortune 100 company with nearly $70 billion in annual sales that delivers extraordinary care to help individuals and businesses prepare for and protect their future? If so, then Nationwide Financial 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. Medical Director, Life Underwriting Location: Remote (U.S.) Job Type: Full-time, Exempt About the Role We are seeking a Medical Director to join our Life Underwriting team, applying your clinical expertise to improve mortality and morbidity risk assessment. In this role, you will support life underwriting through medical case consultation, guideline development, and education, while partnering with underwriting leadership, claims, product, actuarial, and other stakeholders to deliver...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Great American's Corporate Claims Resolution Services (CRS) team receives a variety of claims from numerous Great American Insurance Company divisions involving property, general liability, professional liability, ocean marine, commercial auto, employer’s liability, aviation, and...

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...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Alternative Markets specialized in mono-line and/or multi-line primary programs on either a traditional guaranteed cost (Specialty Programs) or risk-sharing basis (Agency, Association or Group Captives). Alternative Markets focuses on niche programs....

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes coverage, recognize liability exposure and negotiate equitable settlements in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling....

If you're passionate about being part of a diverse organization that enables a Fortune 100 company with nearly $70 billion in annual sales to deliver innovative business solutions with excellence, then Nationwide's Legal team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. The Counsel role serves as a strategic legal advisor and thought partner to the business, supporting complex, project‑specific initiatives within the auto physical damage and repair ecosystem. The position requires a unique and highly technical skillset and is primarily responsible for coordinating legal support on a wide range of challenging physical damage issues, practices, and programs that have a direct and meaningful impact on P&C Claims’ overall performance. Examples include total loss, labor rate determinations, rental car...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. The Specialty Human Services Division (SHS) is proud to serve the Human and Social Services sector for more than 40 years. Since 1980, we’ve been Protecting Those Who Improve Your Community® and were one of the first carriers to offer niche coverage solutions to nonprofit and service...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. As the insurance industry undergoes digital transformation, the AI Innovation Lab serves as Great American's proving ground for emerging AI capabilities. Team members evaluate, prototype, and validate AI technologies against real business needs, determining what's ready for...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Great American’s Trucking Division is a leading provider of insurance products for the long-haul trucking industry and specializes in service to Owner-Operators. Our focus on trucking started in the early 1990s with the development of a trucking Physical Damage policy....

Location: Van Wert, OH; Dublin, OH; Alpharetta, GA, Irving, TX Work Model: Remote  Position type: Full time - salary    We’re a team of employees passionate about delivering best-in-class customer service and driving innovation in IT support. Integrity, relationships, and excellence are at the heart of everything we do. Our employees fully utilize their talents and bring their best selves to work. We believe who you are is just as important as what you do! By joining the team as a Construction Claims Liaison, you’ll be the primary contact for construction claims - delivering trusted expertise, clear communication, and proactive support to insureds, agents, and internal partners. Key Responsibilities of the Role    Leadership and Culture Supports both operational teams and senior management by providing technical claims expertise, transparent communication, and proactive risk management Serves as the primary...

This role requires residency in Ohio or Indiana. The Casualty Claims Specialist manages high-exposure, multifaceted insurance claims requiring advanced skills in coverage analysis, litigation management, legal and medical document review, and negotiation to achieve economical, defensible resolutions. These roles involve working with minimal supervision, potentially mentoring others, and demands significant experience in complex claims handling and litigation. Salary Grade (13) 77,432 -98,727 -120,022 This role is responsible for determining coverage, assessing liability, establishing and adjusting reserves, evaluating claims, managing litigation, and negotiating settlements within assigned authority limits across multiple lines of business, including Homeowners, Personal Auto, Commercial Auto, Commercial Liability, Businessowners and Farm Liability. The Claims Specialist conducts thorough investigations to determine liability for all involved parties while delivering...

Overview As a Data Engineer (Analytics Specialist), you will build robust data warehouse/marts/sets which will enable business users to make informed decisions. You will use advanced SQL tools to move large amounts of data and build complex algorithms. Responsibilities   Collaborates with stakeholders, data engineers, and data scientists to ensure analytics data needs align with organizational goals and priorities and elevate our business processes. Develops ETL processes to extract data from various sources, transform it into a format suitable for analysis across AmTrust. Create moderately complex data models that describe the relationship between different data entities. Develop database schemas that are optimized for querying and analysis. Design advanced validation and cleansing processing to identify and fix data quality issues for quality and accuracy of the data throughout Medium-to-Advanced level...

If you’re passionate about being part of a dynamic organization that enables a Fortune 100 company with nearly $70 billion in annual sales to drive innovation and adopt new technologies that deliver business results, then Nationwide’s Technology team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Are you a highly skilled Electrician? Join Nationwide today! Job Description Summary Providing a safe, comfortable and reliable work environment to cultivate innovation and growth is our priority. It takes a diverse set of skills, talents and abilities to operate and maintain Nationwide facilities with integrity and excellence. If you love providing outstanding customer service and take pride in contributing to an exceptional associate experience, we want to know more about you! As a Technical Specialist,...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Great American is one of the few carriers with a dedicated Property & Inland Marine Division and, in the industry segments it covers, with expertise second to none. From the underwriters to claims representatives, the focus is strictly on property and inland marine coverages....

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: This role provides comprehensive sales, underwriting, and operational support for Large Group (51+) quoting and new business opportunities. Responsibilities include evaluating underwriting requirements, preparing accurate proposal documents, supporting brokers and carrier partners, and maintaining data integrity throughout the RFP and onboarding process. The position requires strong attention to...