26 workers compensation claims specialist jobs found

The Company    At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an “A” rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier. Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago. What you will do In this role, you'll use your customer service experience, investigative skills, and detail orientation to handle more serious and complex claims in primarily NY jurisdictions. Communicating with our insureds, attorneys, and other relevant parties will be required in this role. With technical claims knowledge, you'll also use your decision making skills to settle claims within your assigned authority. Key...

The Company    At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an “A” rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier. Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago. What you will do In this role, you'll use your customer service experience, investigative skills, and detail orientation to handle more serious and complex claims in jurisdictions including: CT, MA, RI, and NH. Communicating with our insureds, attorneys, and other relevant parties will be required in this role. With technical claims knowledge, you'll also use your decision making skills to settle claims within your assigned...

If you’re passionate about helping people protect what matters most to them, 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 are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. This role will work underwriting National Account new and renewal excess general casualty business including negotiating price, terms and conditions with retail broker partners while proactively managing capacity, risk appetite and profitability. Preferred risk profile targets customers with 250M or more in revenue, with emphasis on Fortune 500 companies. Our broker partners are extremely important to our underwriting model and success; we are seeking someone with the ability to develop as well as strengthen relationships and a strong...

Location New York Company MEMIC – Trusted Workers’ Compensation Insurance Provider About MEMIC At MEMIC, our mission is to make workers’ compensation insurance better—through compassionate service, trusted partnerships, and an unwavering focus on workplace safety. Our core values— Be Conscientious, Be an Expert, Be a Partner, Be Curious, and Be Transparent —guide everything we do. For over 30 years, MEMIC has helped businesses protect employees, reduce workplace injuries, and deliver exceptional claims services. Job Overview: Claim Specialist – New York Jurisdiction Are you an experienced insurance professional ready to take on a specialized role? MEMIC is seeking a Lost Time Claim Specialist with several years of experience handling workers’ compensation claims in New York. In this role, you will manage complex lost time claims , ensure compliance with state-specific regulations, and deliver exceptional service to injured workers, policyholders, and...

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 is a remote role.   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 Microsoft Office applications Technical...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is Seeking a Commercial Lines Claims Specialist to join our growing team in Somers, NY . Part-Time Claims position. Accept and oversee all types of Commercial Auto Claims for accounts assigned. Assist in servicing consulting contracts. Provide prompt, accurate and courteous claim service to the Agency’s customers, both internal and external. How You Will Contribute Acceptance of claims, making assignments to companies and/or independent services. Research coverage, leases and contracts and participate in discussions with Account Mangers and producers regarding same. Reading, analyzing, and processing of litigation paperwork. Reserve monitoring and communication with Companies regarding evaluation of same. Ongoing assistance in claims management of company claims. Maintain diary system relating to first...

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 role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Expectation that Senior Claims Specialist maintain independent NY adjuster license as a casualty or general adjuster.  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...

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 role.    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...

CorVel is hiring a No-Fault Adjuster (Claims Specialist) for our Client Site in Jamacia Queens, NY. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault 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 an on-site position for our client site in Jamaica, Queens, NY. Once fully trained, the employee will be able to work from home one day per week. ESSENTIAL FUNCTIONS AND 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 no-fault claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and...

CorVel is hiring a No-Fault Adjuster (Claims Specialist) for our Client Site in Brooklyn, NY. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault 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 an on-site position for our client site in Brooklyn, NY. Once fully trained, the employee will be able to work from home one day per week. ESSENTIAL FUNCTIONS AND 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 no-fault claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier...

Discover a Career That Empowers You — Join HUB International!   At HUB International, we’re more than just an insurance brokerage firm — we’re a thriving community of entrepreneurs driven by purpose and passion. Every day, we help individuals, families, and businesses protect what matters most by providing a broad array of insurance, retirement, and wealth management products and services. But we don’t stop there — we also invest deeply in our people.   Here, your career is in your hands. You’ll be empowered to learn, grow, and truly make an impact. Whether you're supporting a local business or helping a national client navigate complex risk, you’ll be backed by the strength of a global firm and the heart of a regional team.   As one of the world’s largest insurance brokers — and a proud Stevie Award-winning workplace — HUB offers a unique blend of big-company resources and entrepreneurial spirit. With over 20,000 professionals across 570+ offices in North...

If you’re passionate about helping people protect what matters most to them, 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 position involves the investigation, evaluation and negotiation of first-party and third-party cyber and data privacy claims. Job Description Summary JOB SUMMARY: Investigates, evaluates, and negotiates claims to a successful resolution in support of Freedom Specialty lines of business which include: Errors and Omissions, Directors and Officers, EPLI, and other specialty lines/risks. File inventory includes litigated and non-litigated claims of low to moderate complexity and severity in terms of exposure and/ or...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Previous experience managing frontline PIP Med/Pay claims in New York is strongly preferred. National General is seeking a PIP Med/Pay Claims Associate with prior New York PIP claims handling experience. The ideal candidate will have a strong understanding of NY PIP regulations and hands-on experience managing PIP and/or Med Pay claims. Key Responsibilities • Applies advanced...

Argo Group International Holdings, Inc .  and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. (“BWS”), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions. Job Description Business Title(s):   Senior Construction Defect Technical Claims Specialist   Employment Type:   Full-Time   FLSA Status:   Exempt   Location:   In-Office     Summary:    We are looking for a highly capable Senior Construction Defect Technical Claims Specialist to join our team and work from any of the following office locations: Albany, Chicago, Los Angeles, New York City, Omaha, Richmond (VA), Rockwood (PA), San Antonio, or...

If you’re passionate about helping people protect what matters most to them, 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 are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Work Environment: This position follows a hybrid work schedule, requiring a minimum of two days per week in our New York City (Battery Park Plaza) office, with the remaining days working from home.   An ideal candidate will have: Juris Doctorate (JD) is preferred. Prior claims file handling experience: Including Cyber, EPL, D&O liability, E&O, or professional negligence experience preferred . (Internal Use Only) Compensation Band: F4 #LI-BC1 Job Description Summary If you can put your...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description Responsible for investigating and confirming the facts of loss for the most complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors and provides direction to junior employees. We’re looking for a skilled Bodily Injury Litigation Adjuster with Homeowner Liability experience to join our team! In this role, you’ll manage complex injury claims, including fractures, bilateral fractures, fatalities etc., while applying your expertise to ensure accurate and fair outcomes. We’re open to candidates located in Eastern...

At AIG, we are reimagining the way we help customers to manage risk. Join us as an Executive Underwriter, AIG Risk Management (AIGRM) to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. AIG underwriting teams help to find insurance solutions in areas including Financial Lines, Property, Casualty, Specialty Lines, Cyber, Multinational Clients, and High Net Worth individuals. We are reimagining how we help customers to manage risk, transforming our operating model, and reshaping our role responsibilities and career pathways. The goal is to unlock the full potential in each colleague – empowering our people to grow as insurance professionals and add more value to our customers and AIG. How you will create an impact The Executive Underwriter will be responsible for underwriting the Workers’ Compensation, General Liability and Auto Liability primary Casualty product lines and typically manages...

This is your opportunity to join AXIS Capital – a trusted global provider of specialty lines insurance and reinsurance.  We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture.  As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.  All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil...

Overview Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett’s Berkshire Hathaway group – one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.   Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company’s success is grounded in our core values:  accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!...

Company: Oliver Wyman Description: MBA 2026 Summer Associate (Internship) Private Capital Practice About Us Oliver Wyman is a global leader in management consulting. With offices in 70+ cities across 30 countries, Oliver Wyman combines deep industry knowledge with specialized expertise in strategy, operations, risk management, and organization transformation. Our almost 7,000~ professionals help clients to optimize their business, improve their operations and risk profile, and accelerate their organizational performance to seize the most attractive opportunities.  Oliver Wyman is a wholly owned subsidiary of Marsh McLennan Companies [NYSE: MMC]. For more information, visit  www.oliverwyman.com Job Specifications Job Title: 2026 Summer Associate Practice Group: Private Capital Office/Regions: Boston, New York, Washington, D.C. The Practice Oliver Wyman’s Private Equity team in North America is looking to hire consultants to support its rapid growth....