9 technical claims specialist jobs found

A highly experienced adjuster managing a caseload of complex claims, including litigation, to resolution. This position will report to a Sentry office under our hybrid work model. As a Claims Representative Specialist on one of Sentry’s Commercial Liability teams, this highly experienced claims adjuster will provide prompt claim investigation, evaluation, and settlement or denial of highly complex claims including those in litigation. The claims involve, but are not limited to, general liability and commercial auto losses. In addition, you will… What You’ll Do: Verify coverages and perform coverage investigations including issuing reservation of rights and/or disclaimers Investigate losses and negotiate claims settlements with claimants and their legal representative within assigned authority limits Manage investigative process by taking recorded statements, obtaining investigative reports, evaluating damages or eligibility for benefits, and determining legal...

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...

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 complexity and moderate exposure first party property claims in multiple jurisdictions. The position will have increased responsibility for decision making within their authority and work under general direction from their manager. Job Responsibilities Typically handles low to moderate low exposure claims. Confirms coverage of claims by reviewing policies and documents submitted in support of claims.  Analyzes coverage and...

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 low to moderate complexity and exposure Personal Lines Marine physical damage claims in multiple jurisdictions. Job Responsibilities Typically handles low to moderate exposure personal lines marine claims. Confirms coverage of claims by reviewing policies and documents submitted in support of claims.  Analyzes coverage and communicates coverage positions. Ability to draft coverage position letters independently Utilizes acceptable...

Job Description: We are looking to add a Sr. Client Service Consultant to join our Property Casualty team in Madison, WI . Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: Take ownership and lead accounts by servicing the largest and most complex accounts; Client Service Specialist and Client Service Consultant support dependent upon account size. Demonstrates exceptional customer service and operates as an effective partner with clients to include, but not limited to: Market renewal policies and negotiate with insurance company underwriters; Reviews insurance in place and assesses future needs of client; Evaluates and recommends insurance options for clients; Maintains an awareness of complex or significant claims situations and assists in claims process management as requested, to ensure client claim issues are...

Join our Medical Bill Reviewing team and ensure accurate processing of wage loss/medical claims data by applying laws and regulations; handle routine bills and escalate complex issues What You'll Do   As a Medical Bill Reviewer I, you’ll perform a review of medical bills submitted into our Personal Injury Protection department to ensure correct billing and payment practices.  Additionally, you’ll: R eview, evaluate, and process Personal Injury Protection (PIP) medical bills U tilize knowledge of medical coding requirements; including CPT/HCPCS/Revenue codes, ICD-9/ICD-10 coding, and CMS-1500/UB-04 forms to process and pay PIP medical bills F ollow established state and federal medical bill review rules and regulations C ommunicate with medical providers regarding payment or denial of payment P erform well in a production-based environment regarding timely and accurate processing of PIP medical bills P rovide superior customer service while...

Responsible for ensuring SentryWorlds property and mechanical equipment is maintained in the best possible condition with the least amount of inconvenience to guests and associates. At SentryWorld, we’re focused on our guest experiences; this includes maintaining our upscale facility with authentic Wisconsin charm. You’ll help in ensuring The Inn’s property meets and exceeds our guests’ expectations. This includes performing guest room and public area maintenance and repairs on HVAC, plumbing, and/or electrical equipment, conducting maintenance checks, and completing general carpentry, tiling, painting, and surface repairs. Based on experience and qualification, the pay range for this position is $21.00 - $23.00/hour **Current hours for this role will fall between 8am to 11pm, with varying days depending on business needs** What You’ll Do As a Facilities Technician, you will: Conduct inspections of the property and mechanical equipment to identify any repair needs...

Lead efficient claim decisions by assessing losses, building estimates, and securing fair settlements while collaborating with repair teams and tracking the latest repair technology. This role will be staffed following the hybrid work model out of our Nashville, TN, Davenport, IA or Stevens Point, WI offices. This role is NOT available fore remote work. What You'll Do   The focus of this role is conducting inspections on auto damage to prepare and review repair estimates. Additionally, you’ll:  Virtually inspect damaged vehicles to assess the extent of structural, body, mechanical, and interior damage. Prepare detailed, accurate, and comprehensive damage reports and repair estimates using specialized software. Maintain detailed records of appraisals, photographs, and communications related to each claim.  Review and interpret insurance policies to determine coverage and liability. Negotiate settlements with repair facilities and clients, ensuring fairness and...

Responsible for assessing client’s risk exposure on personal and/or commercial property, making appropriate recommendations and placing coverage to address those risks. Job Duties and Responsibilities (Essential Job Functions) Market and sell personal lines insurance policies. Proactively contact all leads to recommend appropriate insurance, quote and place coverage. Identify and assess client risk exposures. (65‑75%) Foster referral relationships with all real estate personnel including agents, office managers and mortgage brokers to maximize sales opportunities. (20-25%) Provide work direction as appropriate to new business specialists to ensure all aspects of client on-boarding are completed properly and in a timely manner. (0-5%) Actively monitor and report to management any circumstances that may lead to a potential or actual insurance errors and omissions claim, DOI (department of insurance) or related complaints. (0-5%) Remain current on industry trends and...