7 senior claim specialist jobs found

Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines...

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 position. 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...

Description Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the West Region!   As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. You may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Depending on your overall skills and experience, you may be considered as a Claims Specialist II,...

About the role. PURE is seeking a Director, Data Science to help professionalize, scale, and lead our data science practice as a true engineering discipline. This is a foundational role at a pivotal moment: our VP, Applied Sciences has recently joined to grow our data science capability from a handful of models to a production-grade engine influencing decisions across Claims, Underwriting, Risk Management, Distribution, and more. This Director hire will be a critical partner in making that vision real. This is not a “manage the backlog and report upward” role. It’s a builder/path-maker position for someone who is energized by establishing the patterns, frameworks, and habits that make a team consistently excellent — and who can also roll up their sleeves and be one of the principal architects of that work. What you'll do. Architect and enforce a cohesive development standard across the data science team — from exploratory analysis through experimentation,...

About the role: We are seeking an analytically minded Python developer to help build an in-house rating engine at PURE. The ideal candidate has experience contributing to large-scale Python codebases, writes clean and maintainable code, and enjoys partnering closely with business stakeholders to solve complex operational and analytical problems. This role is well suited for someone who thrives at the intersection of software engineering and analytics, and who is comfortable navigating both independent and team-based development. We value developers who approach engineering as a problem-solving discipline and who enjoy the process of understanding complex business challenges and designing elegant technical solutions. What you'll do: - Write clean and maintainable Python code. - Collaborate with teammates to design and implement features in a shared, version-controlled Python codebase. - Design, develop, and maintain both back-end and front-end code for...

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 division of Genworth Financial, Inc, a Fortune 500 provider of products, services and solutions that help families address the financial challenges of aging.   POSITION TITLE Associate Claims Clinical Specialist POSITION LOCATION Remote, U.S.   YOUR ROLE The...

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...