9 medical only claims specialist jobs found

Primary Details Time Type: Full time Worker Type: Employee Senior Claims Technical Specialist - Financial Lines Location: USA – NY – New York, TX- Plano, and IL-Chicago Work Arrangement: Hybrid   The salary range for this role is:  $126,0000 - $236,000 The Opportunity The purpose of this role is to oversee the examination, evaluation, and processing of complex Claims estimates and paid Claims values, ensuring adherence to policy terms and conditions in alignment with the QBE Claims Philosophy. The role also entails supporting the claims function in specific insurance classes to drive operational efficiency, efficient claims settlement, and fair resolution of claims disputes in line with company guidelines and philosophy. The selected candidate will manage the complete investigation, evaluation and resolution of assigned portfolio of complex claims emanating the lawyers professional and miscellaneous professional liability business...

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 Service Center Specialist PRIMARY PURPOSE:  To provide support to the claims staff and to perform other office tasks depending on the client program. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Sets up and enters new claims into claims management system. Inputs and reviews notes/diaries in claims management system as instructed. Processes payments. Processes mail; handles filing, faxing and photocopying. Reviews, prepares, creates, and/or sends letters,...

Primary Details Time Type: Full time Worker Type: Employee S enior Technical Claim Specialist (Financial Lines) Location: USA –New York, NY; Dallas, TX and Chicago, ILL Work Arrangement: Hybrid   The salary range for this role is:  $126,000-236,500 The Opportunity Manages the complete investigation, evaluation and resolution of assigned portfolio of complex claims emanating from our Public Company and Financial Institution portfolios. 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. Your new role: • Manage a diverse portfolio exclusively of high severity claims which includes conducting fact, liability and loss investigations and interpreting insurance contracts in an effective and efficient manner •Evaluate and negotiate the resolution of assigned claims in a timely manner, within...

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 role. 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...

Overview Company Overview AmTrust Warranty & Specialty Risk is a leading provider of Specialty Lines Insurance products, delivering innovative and tailored solutions to meet the unique needs of our clients. We specialize in niche markets, including warranty, credit, renters, travel and other specialty markets, offering exceptional risk management expertise and customer-focused service. We are seeking a dynamic and experienced Senior Underwriter to join our non-Warranty Specialty Lines underwriting team and drive profitable growth. Job Summary The Senior Underwriter – Specialty Lines will be responsible for the evaluation, analysis, pricing and servicing of various specialty offerings using accepted Company procedures, standards and guidelines that have been established for various industries and product categories.  This role will have a strong focus on travel protection products.  The Senior Underwriter will collaborate with actuarial, claims,...

Zenith is a team of Workers’ Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. To distinguish ourselves as the desired provider of Workers’ Compensation Insurance, values such as collaboration, work-life balance, and integrity are placed at the center of all our operations. In addition, Zenith supports career advancement through a dedication to ongoing learning and development. An individual coming to Zenith will not only receive competitive compensation and a comprehensive benefits package, but continuous opportunities to grow as a professional. A Brief Overview Under general supervision, performs diverse and complex clerical duties requiring thorough knowledge and understanding of all applicable procedures and policies. Tasks require judgment and initiative. What you will do Responsible for...

About Specialty Program Group (SPG): Specialty Program Group (SPG) is a leading specialty insurance MGA and MGU managing a portfolio of 30+ niche brands across North America. We provide strategic, creative, and digital marketing expertise to help our partner companies grow faster, operate smarter, and deliver best-in-class specialty insurance solutions. About the Role: The Digital Marketing Specialist plays a key role in SPG’s centralized Marketing Center of Excellence , leading the design and execution of multi-brand digital strategies that drive awareness, engagement, and lead generation. This role combines traditional digital marketing skills with emerging AI-driven marketing practices , focusing on performance optimization across search, content, and paid channels. The ideal candidate is both analytical and creative—someone who can harness data, technology, and AI tools to elevate SPG’s digital footprint and ensure visibility across evolving search ecosystems,...

Primary Details Time Type: Full time Worker Type: Employee Title: Claims Adjuster-Crop Intern (Summer 2026- IL) This role will be located in Central Illinois and may require travel throughout the state. The Opportunity As a Crop Claims Intern, you’ll participate in a ten-week observational program designed to introduce you to the core responsibilities of a crop claims adjuster. Through shadowing experienced adjusters, you’ll gain insight into how crop claims are investigated and processed, how field inspections are conducted, and how adjusters communicate with farmers and other stakeholders. You’ll also learn how compliance with insurance policies and regulatory guidelines is maintained throughout the claims process. Location: Work Remotely Central Illinois Work Arrangement: This role is fully remote for candidates located in Central Illinois ONLY {M-F 37.5 hours}   The Pay Rate for this...

The territory for this position is the greater Chicagoland area, the selected candidate must be located in the same general area. Zenith is a team of Workers’ Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. To distinguish ourselves as the desired provider of Workers’ Compensation Insurance, values such as collaboration, work-life balance, and integrity are placed at the center of all our operations. In addition, Zenith supports career advancement through a dedication to ongoing learning and development. An individual coming to Zenith will not only receive competitive compensation and a comprehensive benefits package, but continuous opportunities to grow as a professional. A Brief Overview Under general supervision and guidance within specific limits and authority on assignments of larger size and...