41 technical claims specialist jobs found

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 Business Title(s):   Senior Technical New York Labor Law Claims Specialist   Employment Type:   Full-Time   FLSA Status:   Exempt   Location:   In-Office     Summary:    Due to continued growth, we are looking for a highly capable Senior Technical New York Labor Law Claims Specialist to join our team and work from our New York City or Albany office. We work together in the office five days a week   in order to   strengthen our culture, build team connections, and drive profitability. This role will be   adjudicating   claims of general liability, third party property...

Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for a Senior Technical Specialist, General Liability on our Casualty Claims team. As a Senior Technical Specialist, you will provide insight and analysis on a variety of General Liability Primary Casualty claims, as well as act as a liaison between underwriting, claims, and our Third-Party Administrators.   Location: This position can be based out of our New York, NY, Garden City, NY, Purchase, NY, Morristown, NJ, Miami, FL, Charlotte, NC, Alpharetta, GA or Conshohocken, PA office . We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers. Our business, your impact, our opportunity: What you’ll be doing: Handle Sompo Casualty claims (primary and/or excess) and related systems and processes Provide technical oversight and guidance to...

Primary Details Time Type: Full time Worker Type: Employee S enior Technical Claim Specialist (Financial Lines) Location: USA –New York, NY and Chicago, ILL Work Arrangement: Hybrid   The salary range for this role is:  $139,500-236,500 The Opportunity Manages the complete investigation, evaluation and resolution of assigned portfolio of complex claims emanating from Management and Professional Lines (MLPL) business segments, specifically Directors and Officers and Employment Practices Liability for our Private Company portfolio. Engages, directs and manages external advisors and vendors including legal service professionals, discovery vendors, data and security experts and consultants across highly complex portfolio of matters. Your new role: • Manage a diverse portfolio exclusively of high severity claims which includes conducting fact, liability and loss investigations and interpreting insurance contracts in an effective...

Who are we? Howden is a global insurance group with employee ownership at its heart. Together, we have pushed the boundaries of insurance. We are united by a shared passion and no-limits mindset, and our strength lies in our ability to collaborate as a powerful international team comprised of 24,000 employees spanning over 56 countries. People join Howden for many different reasons, but they stay for the same one: our culture. It’s what sets us apart, and the reason our employees have been turning down headhunters for years. Whatever your priorities – work / life balance, career progression, sustainability, volunteering – you’ll find like-minded people driving change at Howden. Financial Lines Group   Financial Lines is one of the most dynamic and fast-evolving areas of the insurance industry. It focuses on protecting organizations against complex risks, from cyber-attacks and professional liability claims to regulatory investigations, management...

Primary Details Time Type: Full time Worker Type: Employee Senior Specialist - Cyber Claims Location: USA – New York Work Arrangement: Hybrid   The salary range for this role is:  $124,000-$186,00K The Opportunity The purpose of this role is to provide exceptional claims service to customers by managing complex claims effectively. This includes assessing policy coverage, investigating, evaluating, and negotiating intricate claims, collaborating with suppliers and stakeholders, and offering senior technical guidance and support. Your New Role Responsibilities: Provide technical guidance and analysis for complex and high-value claims. Assist in implementing and maintaining claims management strategies. Maintain comprehensive knowledge of insurance guidelines and policies. Build and maintain relationships with stakeholders. Manage a portfolio of complex or high-value claims. Act as an escalation point for customer complaints. Provide...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned   KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in...

Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.   Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work ® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.   C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster,...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Position Summary The Senior Litigation Specialist is responsible for the end-to-end management of complex, high-exposure claims, primarily involving bodily injury under General Liability, Commercial Auto, and Personal Auto claims. Experience with New York Labor Law is a plus. This role requires advanced technical claim handling, strategic litigation oversight, and close partnership with defense counsel to drive optimal outcomes. The ideal candidate must have strong negotiation skills, and the ability...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Production Specialist, Lexington Healthcare to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Underwriting, Lexington Healthcare AIG Healthcare has an opportunity for a Senior Production Specialist, specializing in Medical Malpractice and General Liability. The Specialist will be required to underwrite Primary, Umbrella and Excess lines of business. Work effectively both independently and as part of a team to successfully manage their book of business along with contributing to the overall profitability of the malpractice business portfolio. A Senior Production Specialist must be able to illustrate sufficient technical analysis, have a strong underwriting acumen combined with the necessary sales and marketing skills to achieve profitable growth targets. Candidate must have the ability and...

The Company    At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. Utica National Insurance Group is an "A" rated $2.0B award-winning, nationally recognized property & casualty insurance carrier. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations including NYC, Dallas, and Charlotte. What you will do You'll be responsible for adjusting auto bodily injury claims in primarily New York venues. You'll be communicating with all parties involved and completing investigations in a timely and thorough manner. This position will include contact with attorneys on serious claim matters, and you will consult with a supervisor on more complex coverage and technical matters. This position requires strong analytical skills, attention to detail, and the ability to negotiate and settle...

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. We're looking to fill two openings. Job Description Summary The Excess Surplus (E&S) Claims team handles some of the most unique and interesting insurance claims at Nationwide. Many have complicated risks and loss history, requiring us to be adaptable and resilient in our work to help customers. If you love a challenge and can apply outstanding organizational, investigative and communication skills to your work, we want to hear from you! As a Claims...

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...

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...

Description With minimal supervision, independently handles a book of specialty lines claims throughout the entire claim's life cycle. Responsible for conducting investigations, setting adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within the established authority limits for the line of business.   You will be required to go into the office twice a week if you reside within 50 miles of one of the following offices: Bala Cynwyd, PA; Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Syracuse, NY; Tampa, FL; or Weatogue, CT.  Please note this policy is subject to change.   Responsibilities Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition. Utilizes CMS to document claims and to diary future events or follow-up. Within prescribed settlement authority, establishes appropriate reserves for both...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates General Liability claims affecting primary and excess policies in a fast-paced E&S Claim environment. ESSENTIAL DUTIES AND RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below....

Join us as an Underwriting Manager, Ocean Cargo to make more of your specialist expertise and experience. Make your mark in Specialty Underwriting The Underwriting Manager will contribute to the growth of the business by underwriting Cargo products under general direction, performing highly technical complex assignments within area of expertise.  Responsible for large accounts, building, maintaining strategic client and broker relationships, and developing new business submissions. Managing a team of Underwriter’s across multiple geographies and taking ownership of the regions P&L performance. How will you create an impact: Providing technical direction to management, less senior underwriters, producers, and claims adjusting colleagues Accepting, declining or modifying new and renewal submissions: identifying exposures and analysis required to underwrite an account, as well as the coverage policies;  determining the exposures to loss assumed and restricted by...

About MS Reinsurance MS Reinsurance is a global reinsurer based in Switzerland, with underwriting offices in Zurich, Bermuda, Miami, and New York. We offer top-notch reinsurance products and services to clients around the globe. As part of the leading insurance group MS&AD, we strive to be a trusted partner, helping clients transform risks into opportunities through specialized reinsurance solutions and expert guidance. About the role Reporting to the Senior Claims Specialist, you will work closely with the Underwriting and Middle Office/Operations teams of MS Reinsurance. This role will be responsible for managing the US domestic claims portfolio for all classes of business underwritten by MS Reinsurance’s New York Office. Also assisting with the management of the Latin America claims portfolio.  The ideal candidate possesses advanced technical claim handling skills with experience in both property and casualty lines of business, along with knowledge of...

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! The primary purpose of this position is to underwrite new business and renewals in a profitable manner and according to authority level and established guidelines, and drive projects having an impact on the business. Assigned larger, more important and more complex accounts. Utilize underwriting tools to determine accurate classifications, rates, and premium charges. Understand state laws, including cancellation and non-renewal, within assigned territory to properly transact business within each state....

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! The primary purpose of this position is to underwrite new business, renewals, and drive projects having an impact on the business for Inland Marine for the Northeast Region. Underwriting will be accomplished in a profitable manner and according to authority level and established guidelines. As an Executive Underwriter you will be responsible for larger, and more complex accounts. You must be able to utilize underwriting tools to determine accurate classifications, rates, and premium charges. Expert Knowledge...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations. Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a common mission and purpose: One Ascot. Our greatest strength is a talented team who flourish in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find a better way, The Ascot Way. The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our unique Fusion Model: Client Centric, Risk Centric, Technology Centric. Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world class service — both pre- and post-claims....