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claims examiner iii

34 claims examiner iii jobs found

CRC Group
09/01/2026  
Claims Examiner III
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: The incumbent is responsible for investigating, evaluating, negotiating, and resolving personal lines property claims. Responsible for adjusting major and complex losses in their entirety, including high dollar claims. May also adjust standard losses. ESSENTIAL DUTIES AND RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be performed, both...
CRC Group AL Full Time
Markel
08/28/2026  
Claims Examiner III
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 high complexity and high exposure Workers Compensation 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 Confirms coverage of claims by reviewing policies and documents submitted in support of claims  Analyzes coverage and communicates coverage positions Conducts, coordinates, and directs...
Markel Cranston, RI Full Time
CRC Group
07/14/2026  
Claims Examiner III
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: The incumbent is responsible for investigating, evaluating, negotiating, and resolving personal lines property claims. Responsible for adjusting major and complex losses in their entirety, including high dollar claims. May also adjust standard losses. ESSENTIAL DUTIES AND RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be performed, both...
CRC Group Fort Worth, TX Full Time
Renaissance
08/29/2026  
Life & DI Claims Examiner II
Job Title: Life & DI Claims Examiner II Number of Positions: 1 Location: Indianapolis, IN Location Specifics: Fully Remote Job Summary: Renaissance Benefits is seeking an experienced Life and Disability Claims Examiner to join our growing team! At Renaissance, the Life & DI Claims Examiner II is responsible for evaluating and processing group insurance claims for payment or denial according to the terms and conditions of each policy. In addition, the Life & DI Claims Examiner II is responsible for handling more complex processing issues such as long-term disability claims, provide backup and processing support for team members and assist with department projects as needed. What will this role entail? Review submitted claims to ensure proper guidelines have been followed and eligibility requirements have been met. Contact group policyholders, beneficiaries or other third parties for missing information. Consult with other...
Renaissance Indianapolis, IN Full Time
AmTrust Financial
08/12/2026  
Senior Claim Examiner II
UNAVAILABLE
AmTrust Financial Oak Brook, IL Full Time
Markel
07/30/2026  
Claim Examiner II, Construction
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 Construction claims in multiple jurisdictions. The position will have increased responsibility for decision making within their authority and work under general direction from their manager. Responsibilities Analyzes coverage and communicates coverage positions Conducts, coordinates, and directs investigation into loss facts and extent of damages Confirms coverage of claims by reviewing policies...
Markel Richmond, VA Full Time
CRC Group
07/29/2026  
Claims Examiner II
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: The incumbent is responsible for investigating, evaluating, negotiating, and resolving personal lines property claims. Responsible for adjusting major and complex losses in their entirety, but may also adjust standard losses. 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.  Specific activities...
CRC Group Fort Worth, TX Full Time
Reliance Matrix
07/02/2026  
LTD Claims Examiner II
Job Responsibilities and Requirements Obtains and analyzes information to make claim decisions and payments on LTD, Voluntary disability and Waiver of Premium claims. The goal of the position/role is to consistently render appropriate claim determinations based on a review of all available information and the terms and provisions of the applicable policy.  Reviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim. Adjudicates claims accurately and fairly in accordance with the contract, appropriate claim policies and procedures, and state and federal regulations, meeting productivity and quality standards based on product line. Utilizes appropriate medical and risk resources, adhering to referral polices, and transferring claims to the appropriate risk level in a timely manner. Conducts in-depth...
Reliance Matrix South Portland, ME
AF Group
09/01/2026  
Renewal Specialist - Liaison
SUMMARY:   Primarily responsible for expediting agent issues by analyzing internal business factors to produce immediate solutions. Assists agents with inquiries related to underwriting rules, procedures, regulations, and Audit issues. Mentors Renewal Specialists with complex agency/insured questions and policy information. Reviews policy structures to determine if changes need to be made to stay in compliance with bureau rules and regulations. Trains new Renewal Specialists. Provides customer service to agencies and policyholders related to complex inquiries, policy, and audit information. Contacts include state rating bureaus, Business Development Consultants, Business Development Directors, Service Center Managers, Underwriting Technical Advisor,  Service Center staff, Finance Department, Claims Department, agents and policyholders.      PRIMARY RESPONSIBILITIES:  Demonstrated ability to analyze and examine agent issues to resolve them immediately through completing...
AF Group Lansing, MI Full Time
USAA
08/28/2026  
Audit Manager (Senior)- Audit Methodology
Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a Audit Manager you will serve on the Methodology team within the Audit Services Professional Practices Group. Supports the development and maintenance of internal audit methodology, policies, processes, and tools. Participates in the development and delivery of department training on audit methodology. Provides support...
USAA Charlotte, NC Full Time
Arbella Insurance
08/26/2026  
Claims Service Specialist III - PIP - Hybrid -Wakefield/Bridgewater/Springfield
Why Arbella? At Arbella, we’re focused on people. We work hard to attract and retain the best. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, and competitive, industry-leading salaries and benefits packages. We invest in our employees and encourage them to grow so that we, too, can grow as a company. Other perks include: • On-site gym and fitness classes and one-on-one personal training • On-site nurse, nutritional counseling, and mental health resources • Full-service cafeterias • Free shuttle service to Quincy Adams T Station • Tuition assistance programs • Opportunities to get involved: Arbella Activities Committee, Diversity and Inclusion Council, and more • A company committed to community: volunteer opportunities, employee-led community efforts, and the Arbella Insurance Foundation • Robust training, mentorship, and professional/personal development programs • Colleagues who...
Arbella Insurance Wakefield, MA Full Time
Western Reserve Group
08/26/2026  
Casualty/Liability Claim Specialist
This role requires residency in Ohio or Indiana. The Casualty Claims Specialist manages high-exposure, multifaceted insurance claims requiring advanced skills in coverage analysis, litigation management, legal and medical document review, and negotiation to achieve economical, defensible resolutions. These roles involve working with minimal supervision, potentially mentoring others, and demands significant experience in complex claims handling and litigation. Salary Grade (13) 77,432 -98,727 -120,022 This role is responsible for determining coverage, assessing liability, establishing and adjusting reserves, evaluating claims, managing litigation, and negotiating settlements within assigned authority limits across multiple lines of business, including Homeowners, Personal Auto, Commercial Auto, Commercial Liability, Businessowners and Farm Liability. The Claims Specialist conducts thorough investigations to determine liability for all involved parties while delivering...
Western Reserve Group Wooster, OH Full Time
Sedgwick
08/22/2026  
General Adjuster
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance General Adjuster PRIMARY PURPOSE:  To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock) Examines claim form and other records to...
Sedgwick NJ
Sedgwick
08/22/2026  
Contents Adjuster
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Contents Adjuster PRIMARY PURPOSE :   To handle losses and claims for property and casualty insurers. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Examines insurance policies and other records to determine insurance coverage. Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim. Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according...
Sedgwick MN Full Time
Sedgwick
08/22/2026  
General Adjuster
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance General Adjuster PRIMARY PURPOSE:  To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock) Examines claim form and other...
Sedgwick Roseville, CA
Sedgwick
08/22/2026  
Sr Adjuster
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr Adjuster PRIMARY PURPOSE:  To investigate and adjust property and casualty claims, both residential and commercial, with little to no supervision.  ESSENTIAL FUNCTIONS and RESPONSIBILITIES Inspects claims and contacts involved parties in a timely manner. Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages/reserves. Examines insurance policies and other records to determine insurance coverage. Prepares...
Sedgwick Seattle, WA
Liberty Mutual
08/17/2026  
Senior Claims Specialist I, Workers Compensation - West Region
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 Senior Workers Compensation Claims Specialist within the West Region!   The Senior Claims Specialist works 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. The Senior Claims Specialist 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 Senior Claims...
Liberty Mutual Rocklin, CA Full Time
Sedgwick
08/16/2026  
General Adjuster - Property
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance General Adjuster - Property Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?   Apply your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most...
Sedgwick Concord, CA Full Time
Sedgwick
08/16/2026  
Executive General Adjuster
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Executive General Adjuster PRIMARY PURPOSE :  To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and attempts to effect out-of-court settlement with claimants. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption...
Sedgwick Miami, FL Full Time
Sedgwick
08/16/2026  
General Adjuster
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance General Adjuster PRIMARY PURPOSE:  To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock) Examines claim form and other records to...
Sedgwick New Haven, CT

 

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