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claims examiner

445 claims examiner jobs found

Berkley
05/22/2025  
Senior Claims Examiner
Company Details   Berkley Specialty Excess provides excess and surplus lines coverages for mid-market companies with hard–to place, specialized risks including, environmental (excess and primary); excess energy and excess for other industry verticals to be developed with the possibility of including excess general casualty that involve moderate to high degrees of hazard and require highly negotiated terms to meet buyer's needs. The distribution of products is limited to specialized industry brokers, wholesale for all products and large retail brokers for environmental products.     Company URL:   https://www.berkleyse.com/   The company is an equal opportunity employer. Responsibilities The Senior Claims Examiner is responsible for reviewing, processing, investigating, evaluating, negotiating and settling assigned general liability claims with the appropriate authority level depending on experience. This position...
Berkley Glen Allen, VA, USA
Hiscox
05/21/2025  
Senior Claims Examiner - MPL
Job Type: Permanent Build a brilliant future with Hiscox   Individual contributor role responsible for the handling of Miscellaneous Professional Liability claims for the organization from inception through resolution. This involves the negotiation and settlement of Miscellaneous Professional Liability insurance claims. May be responsible for single or multi-country claims and will be responsible for all aspects of the claims, including liaise with external and internal business partners (e.g., outside experts and/or or legal counsel; underwriting) as required. The Team:       The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering...
Hiscox Chicago, IL, USA Full Time
Sedgwick
05/21/2025  
Claims Examiner - Workers Compensation (Need VA & Longshore Exp)
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 Claims Examiner - Workers Compensation (Need VA & Longshore Exp) Claims Examiner – Workers Compensation Primary Purpose : To analyze complex or technically difficult workers' compensation claims to determine benefits due under the Long Shore and Harbor Workers Compensation Act. To work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific...
Sedgwick Hampton, VA, USA Full Time
Core Specialty
05/21/2025  
Claims Examiner - Healthcare
- As the Healthcare Claims Examiner, you will directly handle Healthcare Claims. Key Accountabilities/Deliverables:   Ensure compliance with established claim handling guidelines regarding coverage, investigation, liability, damages, evaluation, and resolution.   Provide oversight on claims portfolios within the primary casualty book.  Maintain direct contact with insureds, agents, and brokers.  Provide oversight on claims portfolios handled by TPAs within the excess casualty book.  Engage in rigorous ALAE control and management, by competently selecting, instructing, and managing 3rd party vendors, as appropriate.  Gather and analyse information necessary to make an accurate evaluation of the claim by delivering effective resolution of claims, make decision within established authority levels and identifying settlement issues.  Establish reserves pursuant to established reserving protocols and reserve authority procedures.  Successfully and...
Core Specialty Atlanta, GA, USA Full Time
Reliance Matrix
05/21/2025  
LTD Claims Examiner II
Job Responsibilities and Requirements KEY RESPONSIBILITIES *other duties as assigned* 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...
Reliance Matrix Philadelphia, PA, USA Full Time
Hiscox
05/20/2025  
Senior Claims Examiner - General Liability (BI)
Job Type: Permanent Build a brilliant future with Hiscox   Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple insurance products and interact with business leaders across the organization.                       The Role: The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team. This person also: Adjusts and resolves moderate to complex claims that includes all phases of litigation Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities With minimal supervision, drafts coverage letters, including reservation of rights and denial letters Reviews and analyses claim documentation and legal filings to set timely and accurate a reserves and notify the manager if upward...
Hiscox Atlanta, GA, USA Full Time
Porch Group
05/20/2025  
Claims Examiner
Porch Group is a leading vertical software and insurance platform and is positioned to be the best partner to help homebuyers move, maintain, and fully protect their homes. We offer differentiated products and services, with homeowners insurance at the center of this relationship. We differentiate and look to win in the massive and growing homeowners insurance opportunity by 1) providing the best services for homebuyers, 2) led by advantaged underwriting in insurance, 3) to protect the whole home. As a leader in the home services software-as-a-service (“SaaS”) space, we’ve built deep relationships with approximately 30 thousand companies that are key to the...
Porch Group Seattle, WA, USA Full Time
Sedgwick
05/20/2025  
Workers Compensation Claims Examiner | Concord, CA
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 Workers Compensation Claims Examiner | Concord, CA 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 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, USA Full Time
Sedgwick
05/20/2025  
Claims Examiner - Workers Compensation (REMOTE w/NC, SC, AL exp)
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 Claims Examiner - Workers Compensation (REMOTE w/NC, SC, AL exp) PRIMARY PURPOSE : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL...
Sedgwick AR, USA Full Time
Reliance Matrix
05/19/2025  
LTD Claims Examiner II
Job Responsibilities and Requirements KEY RESPONSIBILITIES *other duties as assigned* 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...
Reliance Matrix Philadelphia, PA, USA Full Time
Arch
05/17/2025  
Senior Claims Examiner, EA
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 Overview The Claims Division is seeking a team member to join the Executive Assurance Team as Senior Claims Examiner.  In this role, the responsibilities include but not limited to actively manage and effectively oversee assigned caseload for a variety of claims, including Public D&O, Private Company D&O, Financial Lines, and Private Equity related claims. Primary Responsibilities Specific duties include but not limited to the below: Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis Develop and implement strategy relative to...
Arch New York, NY, USA Full Time
Sedgwick
05/17/2025  
New England Workers Compensation Claims Examiner | Dedicated Client | CT, MA, NH, RI, VT Jurisdictions
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 New England Workers Compensation Claims Examiner | Dedicated Client | CT, MA, NH, RI, VT Jurisdictions 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 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...
Sedgwick CT, USA
Sedgwick
05/17/2025  
Claims Examiner | Workers Compensation | Hybrid - Long Beach, CA
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 Claims Examiner | Workers Compensation | Hybrid - Long Beach, CA 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 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...
Sedgwick Long Beach, CA, USA Full Time
Sedgwick
05/17/2025  
Claims Examiner - Liability
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 Claims Examiner - Liability PRIMARY PURPOSE : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes...
Sedgwick NJ, USA Full Time
Sedgwick
05/17/2025  
Workers Compensation Claims Examiner | Dedicated Client | MD Jurisdiction | Hybrid Schedule
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 Workers Compensation Claims Examiner | Dedicated Client | MD Jurisdiction | Hybrid Schedule At least 3 years of prior claims handling experience Maryland jurisdiction only - no licensing required Dedicated Client Hybrid Schedule: 2 days in-office in either Hunt Valley, MD or Largo, MD 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?...
Sedgwick Cockeysville, MD, USA
Markel
05/16/2025  
Sr. Claims Examiner - General Liability
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 to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all...
Markel Richmond, VA, USA Full Time
AIG
05/16/2025  
Claims Examiner - Bilingual
Join us as a Claims Examiner - Bilingual to take on key responsibilities within a world-class Warranty function.   Make your mark in Warranty AIG Warranty delivers a full range of service solutions including warranty management administration, extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. With over 20+ years of experience, we are one of the warranty and service industry's leading providers, which is why many of the world's largest and most respected brands choose us. When retailers or manufacturers want flexible and innovative service solutions that will ensure the focus of building customer retention and customer satisfaction, they turn to us. How you will create an impact Reporting to a Claims Team Manager, the Claims Examiner - Bilingual works directly with the insured, service contractors, clients, and other internal and external stakeholders to support the...
AIG Atlanta, GA, USA Full Time
Sedgwick
05/16/2025  
Claims Examiner - Liability - Bodily Injury - Irving, TX - Hybrid
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 Claims Examiner - Liability - Bodily Injury - Irving, TX - Hybrid PRIMARY PURPOSE : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving auto and general liability injury claims; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements....
Sedgwick TX, USA Full Time
Sedgwick
05/15/2025  
Claims Examiner - General Liability
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 Claims Examiner - General Liability PRIMARY PURPOSE : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES...
Sedgwick Sun Prairie, WI, USA
Sedgwick
05/15/2025  
Claims Examiner - Liability - Troy, MI - Hybrid
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 Claims Examiner - Liability - Troy, MI - Hybrid PRIMARY PURPOSE : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and...
Sedgwick Troy, MI, USA

 

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