17 complex claims specialist jobs found

Company Details BerkleyNet is an innovative workers compensation insurance provider that does all of our business online. Our Goal? To make doing business “Ridiculously Fast. Amazingly Easy.” Responsibilities As a Sr. Claims Specialist, you will be responsible for handling some of our highest exposure and most complex workers’ compensation claims in your team’s assigned jurisdictions. You’ll serve as a Subject Matter Expert (SME) for all technical claims handling activities, including regulatory compliance, serve as the primary liaison for key internal and external business partnerships and programs, lead special projects and programs, and lead claims related account management activities for large clients.   Serves as claims technical Subject Matter Expert (SME) for other claims adjusting staff in assigned jurisdictions Assume full-responsibility of claims related account management activities for our large clients...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority. Responsibilities: Investigate, negotiate and settle complex primary and excess policy casualty claims including negligence, premise liability, commercial automobile, construction bodily injury, construction defect, product liability, and sexual...

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 Sr. Claims Specialist, Professional Liability | Medical Malpractice PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. ARE YOU...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! Meet Markel: At Markel, we believe that what we do really matters. And that every one of us has the power to make a difference. To us, insurance is more than a piece of paper. It’s a promise to help people get back on their feet. It’s a commitment that gives people the courage to take chances. And in uncertain times, it’s the fuel that moves the world forward. Since the very start, we’ve used our ingenuity to insure risks that others can’t. Finding smart solutions to complex problems, so people can live...

The   Claims Specialist manages within company best practices low to mid Auto and/or General Liability claims, including bodily injury and property damage within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives auto and general liability claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex auto and general liability claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary...

The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the goals of the Claims Department and of CorVel.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent customer service skills Excellent written and verbal communication skills Fast learner; develops knowledge and understanding of claims...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority. Responsibilities: ·   Investigate, negotiate and settle complex primary and excess policy casualty claims including negligence, premise liability, commercial automobile, construction bodily injury, construction defect, product liability, and...

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 Business Title(s):  Senior Shared Services Specialist Employment Type:  Full-Time  FLSA Status:  Exempt  Location: Office   Summary:    We are looking for a highly capable Senior Salvage Recovery Shared Services Specialist to join our Claims team and work from our Richmond office.  Alternatively, we can fill this role in Albany, Chicago, Los Angeles, New York City, or Omaha. The position reports to a manager based in Houston. In this role, the Salvage Recovery Shared Services Specialist will have primarily responsibility for optimizing salvage results and will also assist in other key Shared Services functions....

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! The Senior Director, Construction Casualty Claims is a senior leadership role at Markel responsible for shaping strategy and delivering best-in-class outcomes across a complex portfolio of construction claims. This leader oversees a team of claims managers and examiners, driving disciplined reserving, consistent claim quality, and proactive resolution strategies across bodily injury, property damage, and construction defect exposures. At Markel, this role goes beyond traditional claims oversight—serving as...

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...

The Liability Claims Specialist manages non-complex and non-problematic Heavy Auto and/or General Liability claims under direct supervision of a senior claims professional. This role aims to achieve optimal outcomes for both CorVel and our clients. The Liability Claims Specialist handles litigated files and works with delegated limited authority, adhering to company best practices. This is a remote role. Heavy Auto Liability experience is required. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity of the claim Establishes reserves and authorizes payments within reserving authority limits Communicates claim status with the customer, claimant, and client Adheres to client and carrier guidelines and participates in claims review as needed Collaborates with team members on more complex or problematic claims as necessary Additional duties as assigned   KNOWLEDGE...

The Workers’ Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! Senior Legal Counsel, Ceded Reinsurance partners closely with Markel’s Global Ceded Reinsurance and ILS teams to provide end-to-end legal support for complex outwards reinsurance and collateralized risk transfer transactions. The role has primary responsibility for structuring, drafting, negotiating, and closing reinsurance agreements, trust and collateral frameworks, commutations, and specialty product documentation, with particular focus on fronting arrangements, quota shares, ILWs, and ILS programs...

About CareScout Join us on a mission to simplify and dignify the aging experience. We are the children, siblings, neighbors, and friends of those navigating the fragmented and confusing system of long-term care. Our team is ferociously curious and relentless in our pursuit of a better system – and we are deeply committed to a sense of belonging for all, in all phases of life. We’re creating a new experience for care seekers and their families, bringing together long-term care options, non-healthcare resources, education, and human support into one place. We work hard, we have fun, we care about each other, and we share the mission. If this sounds like a place where you could thrive, join us! CareScout is a wholly owned subsidiary of Genworth Financial, Inc, a Fortune 500 provider of products, services and solutions that help families address the financial challenges of aging. Position: Associate Claims Clinical Specialist Location This position is...

Position Summary The Underwriting Operations Specialist is responsible for supporting policy processing and operations for complex underwriting transactions. This role requires working closely with underwriters and wholesalers, providing processing support through the policy lifecycle, including processing mid-term premium and non-premium bearing endorsements, and ensure compliance with underwriting policies and procedures. What will your job entail? Job Responsibilities: • Provides support to underwriters, wholesalers, and other stakeholders regarding policy-related inquiries, issues or requests. • Process and issue policy documents. • Process and issue mid-term premium and endorsement transactions. • Processes requests for policy cancellations or terminations, verifies cancellation reasons, calculates any applicable refunds or penalties, and updates policy records. • Ensures all state-specific insurance requirements are satisfied with special forms, advance notice...

FirstChoice is growing! We are seeking a Placement Specialist, Commercial to join FirstChoice, a MarshBerry Company. We have a people first, fast paced, collaborative culture with plenty of opportunity for growth. MarshBerry has been successful in achieving growth objectives because the trust our clients place in our talented team of professionals, and all MarshBerry colleagues play a critical role in directly or indirectly cultivating those trusted relationships. MarshBerry provides an environment where employees can learn, improve and realize their career goals. We offer competitive benefits, hybrid work schedules, new challenges, and learning experiences. Job Details Position Summary: FirstChoice is currently seeking a Placement Specialist, Commercial for our Richmond, Virginia office. The Placement Specialist is responsible to market, quote, and bind new business, build and maintain mutually beneficial relationships with members and carrier underwriters, serve...

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. Starr Boiler and Machinery Division is seeking a highly skilled and experienced Machinery Specialist to join our team. This full-time role is open to candidates based in VA and MD. As a Machinery Specialist, you will play a crucial role in conducting boiler and pressure vessel inspections and ensuring the safety and compliance of our clients' machinery and equipment. Risk Assessment capability is a plus. A successful candidate will have a valid VA, MD, or DE...