7 senior technical claims specialist jobs found

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 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 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,...

CorVel leverages proprietary software to deliver claims management, bill review, and case management services. The Product Support Specialist II provides advanced application support for CorVel’s proprietary systems. This role focuses on diagnosing, troubleshooting, and resolving complex application issues while adhering to established policies and procedures.          The Product Support Specialist II works under general supervision, demonstrates strong problem-solving skills, and takes initiative to expand technical knowledge as systems and technologies evolve.   This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Troubleshoot and resolve application issues submitted through ServiceNow by field offices and business users, ensuring timely resolution and high user satisfaction Provide professional, effective support via ServiceNow, email, and phone Serve as a subject-matter expert for CorVel proprietary applications and ServiceNow ITSM processes...

CorVel leverages proprietary software to deliver claims management, bill review, and case management services. The User Configuration Specialist ensures accurate user set-up and access, supporting both internal and external stakeholders.   Multiple roles and permissions define user access levels, making accurate configuration critical to operational success.   The User Configuration Specialist must have a strong desire to learn and be able to follow policies and procedures.   The User Configuration Specialist will work under general supervision and demonstrate the initiative to expand their knowledge base as technologies change. The User Configuration Specialist will become a subject matter expert (SME) in user setup and application access controls. This role combines operational responsibilities focusing on user operations and configuration. This is a remote position. Qualified Candidates Must Have: Proven experience in setting up and maintaining users...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of the Claims Department and of CorVel.  This is a position is open to remote or hybrid. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives 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...

About PURE Insurance PURE Insurance is actively investing in our data, analytics, data science, machine learning (ML), and artificial intelligence (AI) capabilities. We are building a centralized Data & AI department that brings together specialists across data architecture, engineering, analytics, governance, and advanced modeling. This structure provides extraordinary opportunities for growth, collaboration, and innovation across every function of the insurance ecosystem, from Claims and Underwriting to Actuarial, Product, Distribution, Finance, and more. We work with a modern data technology stack that includes Databricks, dbt, GitHub, Hex, and Arize, while also developing in-house production-grade software in Python and other languages when it provides a competitive edge. At PURE, we embrace curiosity, craftsmanship, and a relentless pursuit of improvement. Our culture values growth, mentorship, transparency, and ownership, and we know that building a strong foundation...

The Regional Placement Specialist – Real Estate is responsible for independently managing the marketing and placement of new and renewal account opportunities (Small and Middle Market) with partner insurance carriers, specifically for clients in the real estate sector. This includes portfolios of habitational, commercial office, retail, industrial, and mixed-use properties. The role requires a deep understanding of real estate asset classes, ownership structures (e.g., REITs, LLCs, TICs), and the unique risk exposures associated with property management, development, and investment. The Regional Placement Specialist serves as a strategic resource to producers, guiding placement strategy and negotiating carrier coverages and terms that address real estate-specific concerns such as ordinance or law, equipment breakdown, builder’s risk, CAT exposures, and environmental liability. In alignment with the “Fewer and Stronger” market consolidation initiative, the Regional Placement...