15 complex liability adjuster 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 Claims Adjuster - Liability | BI & GL | Licensing: TX required | Multi State Jurisdiction | Hybrid - Des Moines, IA Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?  Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  Deliver innovative customer-facing solutions to clients who...

At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together.    **This position is eligible to work from home anywhere in the United States** Summary: Initiates contact within 24-hour for both clients and claimants for general liability, and auto liability claims. Exercises independent judgment in the investigation, negotiation, and disposition of multiple line, multi-state claims and losses of moderate complexity within limitations of authority in the client contract; and according to claims handling instructions within the contract; and within applicable laws. Essential Functions: Analyzes coverage to ensure loss is covered by client policy Initiates contact within 24-hour for both clients...

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 Crop Division of Great American has been helping generations of farmers take control of their risks since 1915. The D​ivision is also one of a select few private companies authorized by the United States Department of Agriculture Risk Management Agency (USDA RMA) to write MPCI...

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 National General Adjuster PRIMARY PURPOSE :  To handle losses or claims nationally regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National Account. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Examines insurance policies, claims, and other records to determine insurance coverage. Administers and reconciles complex catastrophic claims for property. Interviews, telephones, or...

Company Details 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 have been listed on the New York Stock Exchange, seen our revenue soar well past $7 billion, and become a well-respected Fortune 500 Company.   Berkley Premium Audit Services (BPAS) is an innovative provider of premium audit operations to 21 Berkley companies. If you are looking to join a fast-paced, energetic and passionate team with room for professional growth and development – Berkley may be a great fit for you.   Responsibilities As a Sr. Premium Auditor II focused on Workers Compensation and General Liability, you'll audit each account assigned with optimum accuracy and efficiency. You'll complete each audit in a timely manner to avoid delinquency in relation to the expiration date of the policy....

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." ·...

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel. This is a remote position, but all candidates must reside in one of the following states: NE, IA, MO, KS. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the...

The Bilingual Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel. This is a remote position, but all candidates must reside in one of the following states: NE, IA, MO, KS. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer,...

Primary Details Time Type: Full time Worker Type: Employee Title: Claims Adjuster - Crop  The Opportunity: The purpose of this role is to investigate and process crop claims, conduct field inspections, communicate with stakeholders, and ensure compliance with insurance policies and regulations.  Location: Work Remotely Iowa USA Work Arrangement: This role is fully remote; approximately 20% home office work and 80% field work. The salary range for this role is between $56,000-$84,000   Your new role    Complete field inspections, reviews and adjustments accurately and efficiently to administer crop insurance policies.  Ensure compliance with insurance statutes and regulations to apply crop policies cost-effectively.  Build and maintain customer relationships through timely and accurate policy service.  Document and transmit loss information accurately to assess potential damages.  Support business...

UFG is currently hiring for a Workers' Compensation Claims Supervisor to be a team-oriented leader responsible for developing a high-performing team and coaching individuals to drive consistent, timely, and high-quality outcomes.  This role supports the best overall resolution of workers’ compensation claims through strong leadership, collaboration, and hands-on technical guidance across multiple jurisdictions.  This includes partnering with technical leadership/leadership peers to design and implement individualized development plans for claims specialists with varying experience and competency levels, identifying barriers to success, and creating strategies to maximize individual and team contributions.  The supervisor monitors performance trends, quality trends, and workload patterns, and provides coaching, feedback and reinforcement to support effective claims practices, proper file documentation, and ongoing skill development. The role maintains accountability for...

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." ·...

UFG is seeking an AVP of Product Management to join the team who will be responsible for the strategic leadership and direction of UFG’s product management function. This role is responsible for overseeing the development, enhancement, and lifecycle management of insurance products ensuring alignment with the company’s objectives and regulatory requirements.  The position collaborates with senior leadership to drive profitable growth and deliver innovative solutions that meet market needs Responsibilities: Strategy Lead the development and execution of product strategies that support business growth, profitability, and competitive positioning. Oversee the product lifecycle, including ideation, design, regulatory filings, launch and ongoing management. Conduct research on commercial products and markets to help make policy and practice decisions. Collaborate cross-functionally with Underwriting, Finance, Legal, Compliance, IT, Field Enablement, Underwriting Support...

UFG is currently seeking a Corporate Development & Investor Relations Manager to support the Head of Corporate Development and Investor Relations across the full range of departmental responsibilities.  This role will lead analysis and cross-functional execution of strategies across key disciplines including investor relations, corporate development, rating agency relationships, investment portfolio management, and capital management. Responsibilities:   Coordinate execution of key elements of quarterly earnings process, including coordination of business unit insights, developing peer analysis, updating disclosures, and leading ad-hoc analysis that support UFG senior leadership and external investors Lead execution of key aspects of UFG capital management strategy including collaborating with key partners in analysis of enterprise capital and return targets, development of granular business performance targets, and assessment of enterprise strategies to...

UFG is currently hiring Corporate Counsel to focus on contracts, insurance and reinsurance. In this role you will be responsible for drafting, reviewing and finalizing formal documentation memorializing terms and conditions applicable to commercial contracts, agency/broker agreements and reinsurance treaties. You will be challenged to learn and remain well informed of industry concepts and developments, as well as trends and regulations to remain competitive. Essential Duties and Responsibilities:   Draft, review and negotiate a broad range of contracts, including reinsurance treaties, agency/broker agreements, vendor/service agreements, software licenses/SaaS agreements, and commercial real estate leases Identify terms that vary from company standards and policies to ensure consistency, alignment with company strategies and appetite, compliance with laws and regulations, and recommend appropriate modifications Collaborate closely with the vendor...

The Medical Allocator creates a cost projection of a patient’s medical treatment needs by reviewing medical records and identifying a pattern of care. The medical cost projection, also knowns as a Medicare Set-Aside (MSA) report, is part of a workers’ compensation or liability claim settlement.  The Medical Allocator will rely on their medical knowledge and guidelines provided by the Centers for Medicare and Medicaid Services (CMS) to evaluate the patient’s treatment plan for future medical treatment needs.  Work from home possible.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Collaboration with the claim adjuster Review medical records to prepare a Medicare Set-Aside allocation (MSA) report Perform evidenced based medical research Utilize medical knowledge to outline the patient’s medical treatment. Assign pricing to medical treatment allocations Assign pricing to medication allocations Prepare submission of MSA report to CMS for review and approval...