68 experienced claims specialist jobs found

The 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 position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives 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 and non-problematic medical only claims and minor 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...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance Group, AIGI, is looking for an experienced claims professional to join its Major Case Unit as a Complex Claims and Coverage Specialist. This position will focus primarily on claims from our Programs, National Accounts, Alternative Markets, and Construction Business Units.  In this role you will deal with sophisticated litigation and complex coverage issues, including long-tail bodily injury exposures, claims arising under Coverage B of Primary/Excess CGL policies, as well as environmental and toxic tort claims.  You will handle claims involving Multi-District Litigation, Class Action lawsuits, complex coverage matters, claims against the company and...

The WC Disability Claims Specialist manages within company best practices workers’ compensation claims to best possible outcome, supporting the goals of claims department and of CorVel. This role manages the claims toward closure and looks for settlement opportunities throughout reviews. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgement of the claim Reviews for validity and compensability of the claim Reviews and revises reserve and authorizes payments within reserving authority limits Ensures timely and accurate payment of WC claim benefits, including indemnity and medical Initiates investigations, including alive and well checks as needed to confirm continued payment of benefits Manages workers’ compensation claims toward closure (targeted case load is 250–300 files) Develops strategies and pursues settlement and/or claim closures, whenever possible Communicates claim status...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote role. Vermont license is required. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early...

The 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 an onsite role. Once fully trained, the employee will be able to work from home one day per week. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives 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 and non-problematic medical only claims and minor 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...

At AIG, we are reimagining the way we help customers to manage risk. Join us as Wording Specialist to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team and to work with some of the industry’s top talent.   How you will create an impact   Drive coverage certainty by establishing policy wording guidelines and counseling underwriters on best practices. Provide counseling and technical guidance to underwriters on policy language. Review competitor forms and make recommendations to the Global Property Wording Manager on acceptability of those forms and required endorsements. Draft manuscript endorsements to AIG’s standard policy forms, and create bespoke endorsements for third party policy forms to address client-specific exposures and align with underwriting intent. Work with Underwriting, Claims and Legal in drafting new policy forms and endorsements. Support the Global Property Wording...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team 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. Location: The location of this position is flexible and open to virtual and/or remote based applicants. What to Expect: This role is an individual contributor role. Although it doesn't immediately involve leadership responsibilities, there is potential in the future for the role to grow and change. Ideal Candidates will have:  Surety Claims and/or strong Construction Litigation experience highly preferred. JD preferred. #LI-BC1 Job Description...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team 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. Successful candidates will bring a balance of hands-on technical configuration experience and strong business partnership skills. This role is focused on doing the work—configuring workflows, mapping processes, and translating requirements into scalable system solutions. Key qualifications include: Hands-on experience configuring business processes and workflows using automation platforms such as SS&C AWD (Chorus) or similar tools. Strong...

Job Type: Permanent Build a brilliant future with Hiscox   Insurance Product Implementation Manager Reports to: Group Product Manager Location: NYC, Atlanta, Boston, Chicago, Hartford, Los Angeles Travel: Up to 25% Build a Brilliant Future with Corix, a Hiscox Company: The Insurance Product Implementation Manager at Corix, a Hiscox Company, plays a pivotal role in bringing insurance products to life. You will lead the execution of new product launches and enhancements to existing offerings, ensuring they are delivered to market in a consistent, timely, and compliant manner. Acting as the single point of accountability for implementation, you will coordinate across actuarial, engineering, design, compliance, finance, and go-to-market teams to transform defined product strategies into fully operational, launch-ready solutions. In this role, you won’t just manage timelines — you will drive momentum. You will translate business requirements into...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team 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. We are looking for a motivated and talented individual to join our growing Healthcare/Senior Living claims team. As a Claims Specialist III, you will be handling complex and high exposure primary Healthcare/Senior Living claims from inception to conclusion. As an individual contributor,  your role will include overall investigation and management of complex claims in multiple jurisdictions.  An ideal candidate would have claim handling and/or prior litigation...

Associate Actuary - Professional Lines Pricing - Lexington At AIG, we are reimagining the way we help customers to manage risk. Join us as an Associate Actuary - Professional Lines Pricing - Lexington to take on key responsibilities within a world-class actuarial function. Make your mark on the Actuarial Team Our Actuaries are on the front lines, quantifying risk, pricing insurance and reserving losses for AIG’s major insurance operating companies, globally. We collaborate with Finance, Claims, Operations, Marketing and Risk Management, among other functions. As an AIG actuary, you will be challenged and encouraged to reach your greatest potential to help improve how we predict, manage and mitigate risk. AIG Lexington Insurance Company is a leading U.S.-based surplus lines insurer. For more than 50 years, Lexington has provided innovative and flexible solutions to companies and organizations of all sizes – from Fortune 100 corporations to small and middle market...

Primary Details Time Type: Full time Worker Type: Employee Senior Claims Specialist Construction Liability Location: USA –New York NY, Atlanta GA, Boston MA and Chicago, ILL Work Arrangement: Hybrid  The salary range for this role is:  $ 112,000--210,000 The Opportunity Manages the complete investigation, evaluation and resolution of assigned portfolio of claims emanating from Construction Auto Liability and General Liability claims, including high‑severity bodily injury, catastrophic loss, and multi‑party construction defect matters . Engages, directs and manages external advisors and vendors including legal service professionals, discovery vendors, data and security experts and consultants across highly complex portfolio of matters . Primary Responsibilities Manage a diverse portfolio exclusively of high severity claims which includes conducting fact, liability and loss investigations and interpreting insurance contracts in an...

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: The Internal Broker Support Specialist is our in-house expert delivering exceptional service to our brokers and customers.  They will perform various routine and defined support tasks in an office environment, up to 5 days per week.  KEY RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned...

Company: Guy Carpenter Description: We are seeking a talented individual to join our Client Support Services team at Guy Carpenter. This role will be based in New York . This is a hybrid role that has a requirement of working at least three days a week in the office. Guy Carpenter Client Support Services (CSS) is comprised of global service teams who are assigned to specific client accounts to handle contracts, claims, and accounting. We will count on you to: Advise individuals to assess and submit client and/or reinsurer presentation materials and communications to resolve difficult questions and secure reinsurer agreements and payments of claims and account balances. Authorize Key Performance Indicators (KPIs) and other system tools to manage sometimes complex transactional processes and ensure assigned tasks are managed effectively and in a timely manner, ensuring Client measurement Service Level Agreements (SLAs) are adhered to in order to provide services...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team 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. We are looking for a motivated and talented individual to join our growing cyber claims team. As a Senior Claims Consultant, you will be handling complex and high exposure primary and excess cyber and data privacy claims from inception to conclusion. Your role will include investigating, evaluating and negotiating first-party and third-party cyber and data privacy claims.  Job Description Summary If you can put your keen legal mind to work analyzing,...

Position Title Branch Bnkg-Market Specialist Location Roslyn, NY 11576 Job Summary The Branch Banking Market Specialist is responsible for supporting the administrative and clerical needs of assigned Branch Banking Division Executives and Market Leaders. Responsible for increasing the leader’s effectiveness by providing sales process, administrative and onboarding/learning management support. This position will interact with staff (at all levels) in a fast-paced environment, sometimes under pressure and must remaining flexible, proactive, resourceful and efficient, with a high level of professionalism and confidentiality. This position will be responsible for gathering information to prepare reports, assisting with the planning of events, managing and directing certain inquiries, managing and prioritizing meetings for the leader(s) and assisting with the creation of timely communications within the market. This position will also assist with needs of the branch as...

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 The   Coordinator   roles are designed to provide specialized support to a particular business area, function, or department. These jobs provide direct   assistance   to Analysts, Specialists, or other   high-level   positions to ensure all communication, documents, and processes related to the applicable business area   all   run as efficiently as possible. This level of work is a cross between processing, support work and specialized,   technical   or professional jobs; elevated...

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? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees...

Job Description About Acrisure: Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more. Acrisure employs over 17,000 entrepreneurial colleagues in 21 countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win. Job Summary: As a NY Workers Compensation Claim Specialist, you will be responsible for working with clients to review and process insurance claims.  The NY Workers Compensation Claim Specialist will need to demonstrate a working knowledge of NYS WC law and statutory requirements. Use this information to...