95 senior claims professional jobs found

The Indemnity 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...

Job Type: Permanent Build a brilliant future with Hiscox   Controls Analyst – Financial Reporting & Controls Location: Atlanta, Boston, NYC Manhattan, West Hartford, CT Reports To: Senior Financial Reporting Manager About the Role: The Controls Analyst is a key role within Hiscox USA Finance organization, responsible for the execution, maintenance, and continuous improvement of the Hiscox control environment. The Controls Analyst will lead core control operations, including attestation review, Shield control maintenance, and annual control framework execution, ensuring controls are appropriately designed, executed, and evidenced across both retained and outsourced (Genpact) operating models. This is a highly cross-functional role requiring strong partnership with business stakeholders to ensure controls are embedded into core processes and aligned to regulatory expectations, including Model Audit Rule (MAR). Key Responsibilities: Control...

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...

About the role The Complaints Regulatory Reporting Lead is a key analytical role that globally sits at the intersection of complaints operations, business insights, regulatory compliance, and data strategy. This role owns the design and delivery of complaint metric reporting across countries and products – translating complaints data into actionable intelligence that drives operational improvement, regulatory adherence, and management decision making. This is an exciting role that collaborates closely with Complaints, Operations, Claims, Compliance, Technology and senior leadership teams to ensure the organization understands not just what is happening – but why and what to do about it. Key responsibilities: Design and maintain complaint metric frameworks that go beyond volume tracking to surface root causes, emerging themes, and systemic process failures. Produce thematic analysis reports that translate complaint patterns into clear, actionable narratives for...

Description We are seeking an experienced Middle Market Senior Underwriter to underwrite commercial property & casualty risks in the middle market segment. As an individual contributor, you will make analytical, data-driven underwriting decisions within delegated authority, with limited guidance from leadership. You will evaluate and price moderately complex to complex accounts (including high individual line sizes and unusual exposures in parts of North America), manage broker and client relationships, and help shape product and portfolio strategy for your line of business. To be considered for this role, candidates must reside within the specified geographic location. This position requires regular in-person visits with local brokers and agents, so remote hires outside the designated territory cannot be accommodated. Key Responsibilities Underwrite middle market commercial accounts within assigned authority by assessing submissions, reviewing...

This Executive Underwriter, Corporate Accounts role will be an ideal opportunity to develop your experience and expertise with AIG's Primary Accounts Casualty Group . Make your mark in Underwriting AIG underwriting teams help to find insurance solutions in areas including Financial Lines, Property, Casualty, Specialty Lines, Cyber, Multinational Clients, and High Net Worth individuals. We are reimagining how we help customers to manage risk, transforming our operating model, and reshaping our role responsibilities and career pathways. The goal is to unlock the full potential in each colleague – empowering our people to grow as insurance professionals and add more value to our customers and AIG. How you will create an impact This role will focus on underwriting new and renewal business in the Region to help drive the profitable growth of our Primary Casualty group. You will be responsible for assessing/analyzing the desirability of risk by identifying hazards and...

Primary Role: As a Senior Stop Loss Consultant, you will play a critical role in managing and negotiating stop loss insurance deals from inception to completion with an annual target of 125 cases. You will leverage your expertise in stop-loss products and your strong communication and negotiation skills to provide exceptional service for our clients. This role requires a seasoned professional with a proven track record in the industry and the ability to manage multiple tasks efficiently. Job Functions: Serve as the primary point of contact for clients, providing expert advice and support on stop loss insurance products Oversee the entire deal process, from initial consultation to final agreement, ensuring all client needs are met Utilize strong negotiation skills to secure favorable terms for clients and the company Prepare and deliver compelling presentations to clients, showcasing the benefits and features of stop-loss products...

About the role The Complaints and Disputes Officer role offers the successful candidate the opportunity to step into or further their complaints management career. You will have the opportunity to operate within a complex and diverse complaint environment and learn about AIG’s global business operations, particularly as it relates to our Claims and Underwriting processes.   You will be responsible for managing the dispute resolution processes across multiple countries, as well as drawing insights from the cases to identify lessons learned and to make sure we continue to listen, act and learn.   Key accountabilities will include but not limited to: Review, manage and resolve simple to complex disputes from start to finish in accordance with all applicable in country laws and regulations, including referrals from the relevant arbitration services. Utilize your strong technical skills to evaluate disputes, determine whether to maintain or overturn...

Position Summary The Director of Clinical & Cost Containment is a senior strategic role within Strategic Benefit Resources (SBR) responsible for leading the clinical consulting and cost containment program capabilities that differentiate SBR's self-funded solutions in the wholesale distribution market. This individual serves as the primary clinical subject matter expert across SBR's book of business, partnering with sales, distribution, and stop-loss consulting teams to evaluate, implement, and communicate clinical cost containment strategies that drive measurable financial outcomes for employer clients. This role bridges clinical expertise and consultative sales support — working directly with broker/consultant partners, TPAs, stop-loss carriers, and employer plan sponsors to identify high-cost claim drivers, optimize vendor program selection, and develop clinical frameworks that reduce plan cost and improve member outcomes. Why This Role Exists As the...

Job Type: Permanent Build a brilliant future with Hiscox   Job Title: Senior Business Analyst Location: Atlanta, GA, Boston, MA, Hartford, CT, Manhattan NYC Reports To: Business Analysis Director Summary: The Senior Business Analyst is a detailed oriented individual who plays a key role in shaping solutions that support underwriting, rating, quoting, binding, and claims management processes across the Hiscox insurance portfolio. This role is ideal for someone who thrives in a fast-paced environment, brings strong insurance domain knowledge—especially in small commercial or specialty lines—and has a proven track record of driving business and technology alignment. You’ll work cross-functionally with underwriting, claims, operations, and technology teams to deliver practical, scalable solutions that support business goals and improve the end-to-end customer and agent experience. Key Responsibilities: Hands-On Analysis & Delivery: Serve...

Description As a Senior Production Underwriter specializing in Wholesale Excess & Surplus (E&S) Casualty , you will underwrite policies within delegated authority, exercising sound judgment and analytical rigor to assess and price complex risks. This role requires making data-driven decisions based on available information, ensuring alignment with underwriting standards and profitability goals. In certain North American markets, you will frequently handle complex or unusual risks , including high-value policies and accounts requiring nuanced analysis.   Key Responsibilities Portfolio Management: Oversees a portfolio of brokers, agents, and clients, leveraging market insights to develop and maintain profitable business. Acts as a trusted representative of Liberty Mutual in all interactions. Market Presence & Relationship Building: Maintains strong relationships with agents and brokers, actively seeking opportunities to deepen...

Job Type: Permanent Build a brilliant future with Hiscox   Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple insurance products and interact with business leaders across the organization.    Please note this position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations: Atlanta, GA Boston, MA Chicago, IL Manhattan, NY Scottsdale, AZ West Hartford, CT                    The Role: The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team. This person also: Adjusts and resolves moderate to complex claims that includes all phases of litigation Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory...

Description Underwrites general liability/pollution and excess policies within underwriting authority, with   guidance from leadership as needed. Makes decisions on whether to underwrite business by making analytical, data-driven decisions based on data and information provided, including pricing the risk. In parts of North America more likely to underwrite complex/unusual policies - or those of high individual line size - policies assessed will include those of some complexity.     Responsibilities   Manages portfolio of brokers/agents and clients across the Southeaster n  U.S.. Leverages Liberty market presence and knowledge to develop and underwrite profitable business, acting as a representative for Liberty. Maintains a strong market presence, including established relationships with agents and brokers. Looks to strengthen these relationships and develop new ones. Contributes ideas for product development and participates in development...

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...

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: The Senior Underwriter is responsible for underwriting profitable new and renewal business targeting the P&C Private Equity industry segment. This includes taking ownership of large accounts and clients, overseeing negotiation of participation, pricing, and terms and conditions. The Senior Underwriter will develop and maintain strong relationships with both brokers and clients, and serve as a specialized technical expert or lead for at least one industry or product line, such as General Liability, Umbrella, Commercial Auto, Commercial Property, or Workers Compensation. This will be a hybrid role in Alpharetta, GA. Responsibilities and Accountabilities:...

Company Details     Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following market segments: Construction, Specialty Casualty, & Professional Liability.    We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.   The company is an equal opportunity employer.       Responsibilities The Senior Complex Claims Specialist investigates, evaluates, negotiates, and resolves complex and high-exposure litigated and non-litigated claims across bodily injury, property damage, personal and advertising injury, and professional liability lines.   • Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval • Investigate and evaluate liability • Investigate and evaluate damages • Manage litigation by assigning counsel from the...

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.   Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.   Our field team members are located in every state in which we operate.   Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best. Essential Job Functions and Responsibilities Manages an inventory of claims to evaluate compensability/liability. Plans and conducts claim investigations to confirm coverage and to determine...

Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.   Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.   Our field team members are located in every state in which we operate.   Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best. Essential Job Functions and Responsibilities Manages an inventory of claims to evaluate compensability/liability. Plans and conducts claim investigations to confirm coverage and to determine...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Why Choose a Career with the AAA The Auto Club Group (ACG)    Established brand that has been around for over 100 years .  Our members know and trust us!   Branch Offices house travel, membership, insurance sales and support employees   You will be challenged to drive new business with competitive products and help retain The Auto Club Group's 14+ million members.     Excellent Opportunities to Build a Career Path:     The Branch Customer Service Representative can be the start of a long-term career with The Auto Club Group .   Your position could lead to a rewarding career and opportunities to grow and pursue other ACG roles such as:      Other Branch positions – Field Insurance...

LOCATION : Atlanta, GA Come join our team! There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day, EPIC is always looking for people who have “the right stuff” – people who know what they want and aren’t afraid to make it happen. Headquartered in New York City and founded in 2007, our company has over 3,000 employees nationwide. With locations spread out across the U.S., our local market knowledge and industry expertise helps support our clients' regional and global needs. We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees.  Our core values are: Owner mindset, Inspire trust, Think big, and Drive results. If these values and growth align with what you're looking for in your next career? Then...