257 senior complex claims technical specialist jobs found

Description Senior Complex Construction Claims Specialist — Complex CGL & Construction Liability (Litigated, $500K+)   Overview Liberty Mutual’s Specialized Claims group has an immediate opening on our Complex Construction Claims Team. We’re seeking an experienced claims professional who thrives on challenging, high-exposure commercial casualty matters arising from construction operations — including complex Commercial General Liability (CGL) and Construction Injury/Liability claims (all litigated or high-exposure losses $500,000+). You will own matters end-to-end, managing coverage and liability strategy, directing investigations and experts, coordinating litigation and outside counsel, and driving timely, defensible resolutions for our Construction Industry accounts. (Note: this role does not handle construction defect claims.)   Th ere is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub...

Description Liberty Mutual has an immediate opening for an experienced claims professional to join our Complex Energy Team as a Senior Technical Claims Specialist!   The Senior Technical Claims Specialist manages commercial third-party bodily injury and property damage claims for energy accounts across all 50 states, and includes litigated and high-dollar exposures!   Why this role is compelling Take ownership of technically complex, high-exposure Energy claims from first notice through resolution. You’ll be the trusted subject matter expert on matters that demand advanced coverage analysis, strategy, and litigation management. Influence outcomes on high‑profile matters (operators, contractors, utilities, midstream/downstream, power generation, pipelines, offshore/onshore exposures) and work cross-functionally with underwriting, reinsurance, in-house counsel, and outside defense teams. Use your deep technical knowledge — energy operations,...

Description Liberty Mutual has an immediate opening for an experienced Claims Professional to join our Commercial Casualty Complex Claims Team.   The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex Commercial Casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. The selected person will demonstrate a high level of expertise and sound judgment in complex matters and may act as a subject matter expert.   This role includes evaluating policies/manages claims for Liberty Mutual and Helmsman customers/accounts. There is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub offices: Boston, MA; Plano, TX; Suwanee, GA; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Las Vegas, NV, Chandler, AZ or Weatogue, CT.  This policy is subject to change.  We will consider a...

Job Type: Permanent Build a brilliant future with Hiscox   US Claims Vendor Manager Employment Type: Permanent Remote Type: Hybrid Location: Chicago; West Hartford; New York (Manhattan); Atlanta     Supervisory Organization: Group Claims (London) Hiring Manager: Group Head of Claims Vendor Management Join Hiscox’s Claims Vendor Management team. A designated Group “Centre of Excellence”—an international team of professionals spanning five countries, empowered to build and run the vendor network that underpins the global claims community at Hiscox. The Role: The US Claims Vendor Manager is responsible for the strategic sourcing; oversight, performance management and continuous improvement of external claims vendors supporting the US claims operation. The role ensures vendors deliver high-quality, cost-effective and compliant services aligned to business strategy, regulatory requirements and customer outcomes. About the Vendor...

Job Type: Permanent Build a brilliant future with Hiscox   Join our dynamic and forward-thinking Claims team! Here, you’ll be part of an energetic and innovative group, with the chance to help shape insurance products and collaborate with business leaders throughout the organization. Please note that 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 West Hartford, CT Our Senior Complex Claims Specialist-Professional Liability role is an individual contributor responsible for the handling of high-severity primary Professional Lines including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims for the organization from inception to resolution. This role is responsible for all aspects of the claims and litigation process, including liaising with external and internal business...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage inquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all...

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:   Salary Job Description:   *** This position requires you to reside in the State of Michigan, preferably within the Metro-Detroit Area. In this position you are currently able to work remotely from your home; for day-to-day operations, with occasional "TRAVEL" for meetings (mediation, depositions & more), collaborative activities, or team building activities specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. *** Senior Casualty Litigation Specialist (Michigan) – The Auto Club Group Reports to: Claim Manager II What you will do: (Primary Duties & Responsibilities) The Auto Club Group is seeking a prospective  Senior   Claim Specialist  to work under less supervision with a high-level of...

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. This Specialist, Risk Management will support Agribusiness. The territory is Indiana and Illinois. Qualified candidates will reside in Central or Southwest Illinois, Metro St Louis or Indianapolis. We are seeking an individual with multi-line commercial and/or agribusiness insurance industry experience to complete risk management surveys and provide ongoing consulting service to agribusiness accounts.  #LI-TH1 Job Description Summary Do you have a...

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 position. 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 return-to-work efforts with the...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. The Specialty Human Services Division (SHS) is proud to serve the Human and Social Services sector for more than 40 years. Since 1980, we’ve been Protecting Those Who Improve Your Community® and were one of the first carriers to offer niche coverage solutions to nonprofit and service...

Description Liberty Mutual has an immediate opening for a Senior Technical Claims Specialist on a team primarily dedicated to handling Construction Defect claims. The Senior Technical Claims Specialist determines coverage, investigates highly complex commercial casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, manages the litigation, negotiates a settlement, authorizes and pays or denies the claim, in whole or in part. The Senior Technical Claims Specialist also demonstrates the highest level of expertise and sound judgment in complex matters; often serves as a subject matter expert. In this position, you may handle primary, umbrella and excess claims, directly or as a Third-Party Administrator (TPA), including Wrap-up/Controlled Insurance Programs (CIP, OCIP, CCIP, etc.). Policy Holders retention programs may include Deductibles, Self-Insured Amounts and/or Self-Insured Retentions that can range from Zero ($0.00) to very...

Overview Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Senior Complex Claim Specialist. This position can be located in one of our claims offices with the possibility of working remotely. The successful candidate will directly handle complex professional liability claims with an emphasis on legal malpractice claims. The successful candidate will evaluate coverage, assess risk transfer opportunities, analyze liability and damages, manage litigation, negotiate and ensure all files are appropriately reserved.  This position reports to a line of business executive.  Responsibilities Recognize exposures and ensure reserving is appropriate and timely Evaluate coverage issues and risk transfer opportunities Complete a thorough, independent investigation with an understanding and utilization of available resources to fill in any gaps in understanding, i.e. internet, PACER, experts, etc....

Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Senior Complex Claims Adjuster handling professional liability claims. This position can be hybrid in one of our offices, with the possibility of working remotely. The successful candidate will evaluate coverage issues and risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed. Responsibilities Recognizing exposures and ensuring reserving is appropriate and timely Evaluating coverage issues and risk transfer opportunities Composing coverage letters and Large Loss Reports Ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and...

The   Claims Specialist manages within company best practices low to mid Auto and/or General Liability claims, including bodily injury and property damage 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 hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives auto and general liability 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 auto and general liability 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 necessary...

The Liability Claims Specialist manages non-complex and non-problematic Liability claims under direct supervision of a senior claims professional. This role aims to achieve optimal outcomes for both CorVel and our clients. The Liability Claims Specialist handles litigated files and works with delegated limited authority, adhering to company best practices. This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Manages non-complex and non-problematic medical only claims and minor lost-time liability claims under close supervision 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 Communicates claim status with the customer, claimant, and client Adheres to client and carrier guidelines and participates in claims review as needed Collaborates with team members on more complex or problematic...

The WC 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. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation 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 Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the goals of the Claims Department and of CorVel.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits 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 necessary Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent customer service skills Excellent written and verbal communication skills Fast learner; develops knowledge and understanding of claims...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Summary: We are seeking a highly skilled Senior Inland Marine Technical Claims Specialist to join our team in one of our Argo offices: Albany, Chicago, Houston, Los Angeles, Omaha, or Richmond (VA). This is a fully in-office role, with employees working on-site five days per week to foster collaboration, strengthen team relationships, and support business performance. In this role, you will handle the company’s most complex inland marine claims, including Builder’s Risk, Contractor’s Equipment, and Motor Truck Cargo, ensuring accurate, timely, and cost-effective resolution. Work Environment This is a 100% in-office...

The Senior Liability Claims Specialist manages mid to complex Auto and/or General Liability claims, including bodily injury and property damage. This role aims to achieve optimal outcomes for both CorVel and our clients. The Senior Liability Claims Specialist handles litigated files and works with delegated authority, adhering to company best practices. 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 Investigates claims and handles Auto and/or General Liability claims Establishes reserves and authorizes payments within reserving authority limits Communicates claim status with the customer, claimant, and client Adheres to client and carrier guidelines and participates in claims review as needed Collaborates with team members on more complex or problematic claims as necessary Additional duties as assigned...

The Senior Loss Control Specialist provides expert risk management solutions and loss control services to current and prospective policyholders, identifying potential hazards and risks within the workplace, assessing the insured's safety protocols and procedures, and implementing effective strategies to minimize accidents or injuries and mitigate subsequent workers' compensation claims. This professional provides valuable insights to Underwriting as to workplace findings, assisting them in properly pricing risk, and works closely with our larger policyholders to enhance the overall safety culture within the organization, resulting in fewer incidents and improved operational efficiency.   Extensive travel utilizing various forms of transportation, including but not limited to car, plane or train, required.    ESSENTIAL RESPONSIBILITIES Manages assigned book of business within a given territory, ensuring service plans are in place, surveys and resurveys are competed,...