27 senior claims professional jobs found

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 This role is primarily remote in the state of Oregon except for required appearances.   At Liberty Mutual, we’re committed to delivering exceptional legal services to our customers around the world, working to uphold and protect our policyholders’ rights and positively impacting our business. As an Attorney at Liberty Mutual, you’ll join a diverse team that values a healthy work/life balance and enjoy benefits that include eligible performance bonuses, 20 days of flexible time off each year, personal holidays, and a 401(k) plan with matching contributions. If you’re looking for a place to build a long-term career while making a positive difference, consider joining our legal team where you’ll represent Liberty Mutual and our policyholders in moderately complex civil litigation matters involving claims for monetary damages or compensation for personal injuries or property damage of moderate value.   Liberty Mutual is seeking a skilled and...

The Software QA Engineer supports the planning, coordination, automation, execution, and reporting of testing activities for proprietary software applications developed by our Engineering teams. This role performs functional, regression, integration, and post-release validation while leveraging AI-assisted tools to improve test design, coverage, and test execution. The QA Engineer partners closely with Engineering, business units, and subject matter experts to develop test cases, manage test data, validate expected results, and contribute to robust automated test suites. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Create, automate, execute and maintain test cases for new and modified functionality Utilize AI in all phases of the testing process  Develop complex SQL scripts from scratch Perform baseline, regression, functional/integration, and post-release testing on assigned application modules Quickly respond to and test fixed defects;...

Summary   The Senior Claims Adjuster manages all components of claim handling for the Management Liability line of business. Independently reviews submitted materials and policy documents, performs complete coverage analysis, and prepares coverage determination correspondence. Reviews and provides direction on reserve and settlement authority, where required, on complex, specialized claims including D&O, EPL, Fiduciary, Commercial Crime, Financial Institution E&O, Financial Institution bonds and Representations and Warranties/ transactional liability. Supports business partners through communication about specific claims, identification of claim trends, input on development, and marketing support. Monitors claim quality and customer feedback to ensure compliance with regulatory requirements, customer satisfaction and achievement of corporate objectives. Independently operates within company guidelines and authority levels in the settlement of claims. Makes appropriate...

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our  journey as we strive to transform the insurance  carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our  internal and external communities better everyday! Learn more...

We are seeking a highly motivated and results driven full-time Senior Account Manager to join our Temporary Staffing Workers Compensation team. This is an opportunity to join an experienced team that supports one of the largest wholesale temporary staffing programs in the country. The ideal candidate thrives in a fast paced, team oriented, and highly collaborative environment, with frequent communication and partnership among program leadership, senior account managers, and lead program producers. This role is responsible for managing and retaining a book of business, building, and maintaining strong relationships with agency partners and carrier underwriters and delivering exceptional service throughout the renewal process. The Account Manager will play a critical role in negotiating competitive renewal options, ensuring accuracy and efficiency in policy servicing, and contributing to best-in-class customer experience within the wholesale brokerage industry. Your Impact:...

Description Large Loss Property Adjuster The Large Loss Property Adjuster serves as a key expert in managing, investigating, and resolving complex, high‑exposure property claims with minimal supervision. In this role, you take ownership of significant losses, often involving non‑livable dwellings, and ensure policyholders receive exceptional support during some of their most challenging moments.   You will conduct thorough investigations, evaluate damage, determine coverage, and guide customers through the full claims process with professionalism and empathy. As a trusted resource, you may also partner with Claims Representatives by providing on‑site inspections or direct policyholder interaction when additional expertise is needed.   This position is ideal for someone who thrives in a highly autonomous environment, excels in navigating complex scenarios, and is committed to delivering best‑in‑class service on high‑profile claims.   Portland, OR and...

The  Customer Service Representative – Contact Cente r provides frontline support to policyholders, addressing inquiries and resolving issues related to coverage, claims, billing, and account information. The CSR handles both inbound and outbound customer interactions to ensure needs are met accurately, efficiently, and with empathy. This role contributes directly to customer satisfaction, retention, and the overall success of the Customer Service team. Collaboration, teamwork, and strong communication within the team are key to success.  This role has an anticipated start date of March 2026. Your Impact:   Respond to customer inquiries via phone, email, and chat in a professional, courteous and timely manner  Escalate complex issues to senior team members or management as needed  Research and resolve customer questions related to coverage, claims, billing, and policy details.  Maintain accurate records of customer interactions and transactions  Identify...

The Senior Auto Property Adjuster is responsible for handling complex and high exposure to auto property damage claims from initial assignment through final resolution. This role requires advanced technical expertise, strong investigation skills, and the ability to manage claims involving significant damages, liability disputes, or litigation. The Senior Adjuster serves as a subject matter expert, supports less experienced adjusters, and ensures claims are handled efficiently, accurately, and in compliance with policy provisions and regulatory standards. Your Impact: Investigate, evaluate, and resolve complex auto property damage claims, including total losses, multi vehicle accidents, and claims involving disputed liability. Review coverage, determine liability, and assess damages through thorough investigation, documentation review, and collaboration with appraisers, vendors, and legal counsel. Negotiate settlements with claimants, attorneys, and third parties to reach...

Description The selected candidate will underwrite construction-related insurance risks within assigned authority, applying independent, analytical, data-driven judgment to evaluate and price accounts. Works with limited guidance from leadership to accept, modify or decline business, focusing on construction contractors, subcontractors, developers, and related project risks.   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. Responsibilities Underwrite construction accounts (contractors, subcontractors, developers, OCIPs/CCIPs, builder’s risk) within delegated authority, making data-driven accept/decline and pricing decisions. Manage and grow a portfolio of brokers/agents and clients; build and maintain strong market relationships to source...

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,...

The Assistant Vice President, Healthcare Solutions Underwriting is a leadership role responsible for driving the profitable growth and influencing the strategic direction of a healthcare underwriting portfolio encompassing Medical Malpractice, Healthcare Professional Liability, and General Liability for miscellaneous medical facilities (primary and excess), physicians, and physician groups as well as stand-alone Sexual Misconduct & Physical Abuse for healthcare providers and facilities. This individual will maintain strong producer and client relationships across an assigned territory. The AVP will serve as a key voice in shaping underwriting strategy, mentoring talent, and representing the Healthcare Solutions brand in the marketplace. Essential Duties and Responsibilities Drive the profitable growth of a complex book of new and renewal healthcare business, setting clear portfolio objectives and monitoring performance against targets. Exercise senior underwriting...

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,...

We are seeking a dynamic and experienced actuarial professional to assist with the continued development of our actuarial team and enhance RSC’s support for our client’s healthcare initiatives and innovations. The ideal candidate will offer an extensive understanding of the healthcare landscape, including medical, pharmacy, stop loss, contracting and payor operations. This role demands a motivated self-starter with proven leadership skills, capable of thriving in a fast-paced, dynamic environment. The ideal candidate will excel in a matrixed environment, demonstrate creative actuarial and analytical capabilities, exceptional communication, interpersonal and organizational skills, and possess a proactive and resourceful approach to problem-solving. This role will be critical to delivering the RSC value proposition for our clients through innovation, technical expertise and highly effective and efficient execution which will directly impact the clients’ financial strategies and...

At Genworth, we empower families to navigate the aging journey with confidence. We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet families where they are. Further, we are the spouses, children, siblings, friends, and neighbors of those that need care—and we bring those experiences with us to work in serving our millions of policyholders each day.  We apply that same compassion and empathy as we work with each other and our local communities, Genworth values all perspectives, characteristics, and experiences so that employees can bring their full, authentic selves to work to help each other and our company succeed. We celebrate our diversity and understand that being intentional about inclusion is the only way to create a sense of belonging for all associates. We also invest in the vitality of our local communities through grants from the Genworth Foundation, event sponsorships, and employee volunteerism. Our...

An Implementation/Technical Project Coordinator is an integral team member, serving as the primary point of contact for CorVel’s Enterprise Comp Solution implementations. They oversee all onboarding details for new customers and are responsible for driving action items critical to timely and accurate account setups. This is a highly visible role that requires a great deal of communication and coordination between different groups. The Implementation Coordinator works with all offices of the organization including Account Management, Customer Configurations, Software Development, Business Operations, and Executive Management, communicating requirements and deliverables with an exceptional level of customer service and professionalism.  This role will have a major impact on the success of our software development team as it strives to deliver applications that are vital to the services that CorVel provides. In addition to project management skills and some knowledge of the software...

About Ethos Ethos is a leading life insurance technology company on a mission to protect families by democratizing access to life insurance and empowering agents at scale. With its robust three-sided technology platform, Ethos is transforming the life insurance experience for consumers, agents, and carriers alike. Ethos offers instant, accessible products and a seamless online process that requires no medical exams and just a few health questions; it eliminates traditional barriers, making it easier than ever for everyone to protect their families. Ethos is redefining how life insurance is bought, sold, and underwritten. Update JD with format found  here  and add the Job Description to the Library  here ! About the role Ethos is on a mission to make financial security simple and accessible for every family. Building on our success in life insurance, we are launching a best-in-class annuities platform designed to provide families with reliable retirement income...

The Senior Claim Associate plays a critical role in the operational effectiveness of the Claim Department by providing advanced administrative, technical and coordination support, ensuring accurate documentation, timely processing, and effective coordination of claim activities. This role is critical in maintaining organized workflows, supporting claim handlers, and facilitating communication with internal teams, external partners, and insureds.  Primary Responsibilities: Serve as primary point of contact for administrative and operational claim inquiries, resolving issues independently when appropriate. Monitor Oxford’s claim mailboxes, prioritizing, handling, and distributing mail as appropriate. Enter, review, and maintain data within the claim management system, ensuring accuracy, completeness, and adherence to internal standards and service level expectations. Prepare, review, and distribute written acknowledgements and routine claim correspondence to...

Compensation Grade:‏‏‎ ‎35 Job Description At SAIF, actuaries are more than our numbers people. Their work is the thread that binds together our enterprise-wide projects, strategies, and mission. Heavily relied-upon for their creativity and expertise, this team has the autonomy to work directly with business partners to help establish rates, maintain adequate reserves, produce forecasts, and ensure long term stability.  As our new associate actuary, you'll play a vital role in SAIF's mission to serve Oregon's workers and employers by making workers' compensation coverage widely available and affordable, and by providing extraordinary service. We're looking for a highly motivated self-starter with actuarial experience, but just as importantly, we're seeking a collaborative teammate, strategic communicator, seeker of challenges and opportunities, and champion of analytics. Your work won't be done in isolation. You will work closely with a seasoned team of actuaries and...

The Senior Claim Data Analyst plays a strategic leadership role in the Claims department, transforming complex data into actionable insights. This role is responsible for overseeing data analytics initiatives, leading junior analysts, and driving strategic decision-making across Commercial Auto, General Liability (GL), Workers’ Compensation (WC), and Enterprise Risk Management (ERM) lines. The analyst will collaborate with internal stakeholders and Third-Party Administrators (TPAs) to ensure data integrity, regulatory compliance, and optimal claim outcomes.                                          Your Impact: Lead data strategy initiatives and junior analysts. Analyze claim data across multiple lines of business to identify trends, anomalies, and opportunities for improvement. Develop and maintain dashboards and reports to monitor claim performance metrics (e.g., loss ratios, severity, frequency, etc.). Support TPA oversight by providing data-driven evaluations...