34 claims adjuster tpa oversight jobs found

The Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals. Minimum Qualifications: A Bachelor’s degree or the equivalent education and/or experience. 5-10 years of relevant and progressive experience handling Commercial Auto  and General Liability claims. Adjuster licenses, as mandated by specific states, are required. Primary Job Functions: Handle claims originating out of the Specialty Claims unit and provide technical oversight of Third Party Administrators (TPAs). Direct oversight of commercial auto and specialty transport claims and coverage disputes. Provide coverage, liability, and damages...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Commercial Liability Claims Adjuster, TPA Oversight 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 TPA Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact Analyze and process first party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Commercial Liability Claims Adjuster, TPA Oversight 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 TPA Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact Analyze and process first party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through...

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 Claims Account Manager Employment Type:  Full-Time  FLSA Status:  Exempt  Location:  In-Office  Summary:    We are looking for a highly capable Senior Claims Account Manager to join our team and work from our Albany, Chicago, Los Angeles, New York City, Omaha, or Richmond office. We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability.  This position reports into the VP of Program Claims who works from our San Antonio, TX office. This individual oversees a third-party claim administrator handling a discontinued workers’...

Provide oversight of Specialty Claims Third Party Administrators (TPAs) managing casualty, property, inland marine, excess/umbrella, and professional liability claims. Responsibilities include the leadership of TPA oversight adjusters, high-exposure case management, participation in TPA selection, audits and reviews, and assistance with onboarding and setup of new TPAs. The ideal candidate will possess experience in claims management, TPA contract negotiation, and compliance. Minimum Qualifications: A Bachelor’s degree or the equivalent education and/or experience. Candidate should have 8+ years of progressive claims management and TPA oversight experience. Adjuster licenses, as mandated by specific states, are required. Experience managing a team. Primary Job Functions: Oversee the performance of TPA operations to ensure adherence to service level agreements and claim handling guidelines. Assist with the negotiation of services, contracts and service...

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.   Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by  core values and operating principles  that guide every decision we make. The Claims Adjuster will play a vital role in delivering quality claim file management and an industry-leading customer claims experience. This will be completed by adhering to Pie’s Claims Best Practices and complying with regulatory and statutory requirements. This role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie’s customers.  How You’ll Do It Claims Technical Management: Independently handle all aspects of the workers’...

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 Senior Inland Marine Technical Claims Specialist 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, League City, 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....

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture .   Position Overview: We are expanding our Specialized Claims organization and are seeking an experienced leader to join our Major Case Unit. This Fully Remote position offers a competitive salary range of $140,000 to $195,000, depending on experience, technical expertise, and demonstrated ability to manage teams that work on high ‑ exposure, highly complex claims. This role is responsible for leading a team of experienced claims adjusters handling the company’s highest exposure and most complex claims. This role oversees daily operations, drives strategic initiatives, and ensures effective claims handling aligned with organizational goals. This role sets clear objectives, leads...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture .   Position Overview: We are expanding our Specialized Claims organization and are seeking an experienced leader to join our Major Case Unit. This Fully Remote position offers a competitive salary range of $140,000 to $195,000, depending on experience, technical expertise, and demonstrated ability to manage teams that work on high ‑ exposure, highly complex claims. This role is responsible for leading a team of experienced claims adjusters handling the company’s highest exposure and most complex claims. This role oversees daily operations, drives strategic initiatives, and ensures effective claims handling aligned with organizational goals. This role sets clear objectives, leads...

MSIG USA continues to grow!  Company Overview: MSIG USA is the US-based subsidiary of  MS&AD Insurance Group Holdings, Inc. , one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. Position Summary   The Workers’ Compensation Delegated Claims Audit Specialist conducts comprehensive audits of workers’ compensation claims administered under delegated authority by third-party administrators (TPAs) on behalf of the company and its insureds/clients. The role evaluates the quality, accuracy, compliance, and financial integrity of delegated claim handling, ensuring adherence to company guidelines, client-specific service instructions, jurisdictional statutes, and industry best practices....

This position is for our subsidiary: Allcat Claims Service, LLC To know more, visit us at http://www.allcatclaims.com Director, Claim Operations – Desk Services Position Summary The Director of Claim Operations provides strategic leadership and operational oversight for desk-based claim operations, including Auto, Property, and other lines of business. This role is responsible for driving operational excellence, client satisfaction, compliance, quality outcomes, and scalable growth while supporting the organization's strategic objectives. Duties and Responsibilities Leads desk claim operations including (but not limited to): Auto, Property, and other claim programs. Executes operational strategies that support company growth, client retention, and service excellence. Ensures that teams meet and exceed performance standards, KPIs and SLAs, and drives continuous improvement initiatives. Ensures compliance with client requirements, carrier guidelines,...

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.   Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by  core values and operating principles  that guide every decision we make. The Claims Adjuster will play a vital role in delivering quality claim file management and an industry-leading customer claims experience. This will be completed by adhering to Pie’s Claims Best Practices and complying with regulatory and statutory requirements. This role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie’s customers.  How You’ll Do It Claims Technical Management: Independently handle all aspects of the workers’...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Job Description Position Summary The Claims Division is seeking a team member to join the National Accounts Casualty (NAC) Team as a Claims Account Manager (CAM). In this role, the responsibilities include but not limited to actively manage and effectively oversee assigned NAC business accounts for Worker's Compensation claims written on a guaranteed cost basis, high deductible, and self-insured retention basis handled by third party administrators.  Responsibilities Work with our TPA’s to ensure proper claims handling and service delivery, which includes: Performing claims oversight on claims with an expected value over $50,000 for guaranteed cost...

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...

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.   PRIMARY PURPOSE:  To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer.  Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim.  These responsibilities may include utilization review, pharmacy oversight and care coordination.    This position is remote in Pennsylvania ! Responsibilities Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively, concurrently or...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Responsibilities include, actively managing and effectively overseeing large exposure and complex general/auto liability and trucking claims (primary, umbrella and excess) direct handled by Third-party Administrators (“TPA’s”) and supporting Arch business stakeholders. Please note this role does require managing any direct reports but is responsible for managing the claims & TPA process. Responsibilities Deliver industry leading technical claim handling/oversight, claim outcomes, business support and customer service. Make claim services an Arch competitive advantage Collaborate with TPA team members, Arch Claim Account Managers (“CAM’s”) and other claim...

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. Territory: This role covers the Philadelphia, PA and surrounding areas. Ideal Candidate Locations: The ideal candidate will live in Philadelphia or surrounding area.   This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual inspection. Depending on claim volume, this role may also support...

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 is a work-from-home position with day travel   to policy locations in Western PA   via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual inspection. Travel is estimated to be 50% for this role. Candidate Location: Pittsburgh, PA (preferred) Qualifications: ·         3-5 years of insurance field/property claims handling or adjusting experience ·         Solid experience with XactContents ·...

Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for a VP, Claims Technical Lead, Workers Comp in our North America Insurance Claims team. Reporting to VP, IPG Workers Comp and General Liability Claims, this position will manage the day-to-day operations of the Workers’ Compensation claims team for Sompo. The successful candidate will supervise the internal Sompo TPA oversight claims team, manage TPAs who handle claims on Sompo’s behalf, and work closely with internal and external business partners.   Location: This position will be based out of our Irvine, CA, Los Angeles, CA or Charlotte, NC 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: Provide day to day management of the Worker’s Compensation claims team and related systems and processes. Develop,...

The Workers’ Compensation Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The WC Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This role is available for both remote and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises WC claims staff in their day-to-day operations Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial...