67 claims specialist jobs found in Dallas, TX

The Indemnity Claims Specialist manages within company standards and best practices WC Indemnity claims within delegated limited authority to determine benefits due; manage subrogation and ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel. Applicant must be able to work a hybrid schedule of on-site in Plano, TX three times and remote two days per week. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity 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 to reduce overall cost of the claim Manages subrogation and litigation of claim as it applies Manages potential claim...

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 hybrid position. 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...

Location: Hybrid Work Model – Irving, TX We are a team of employees who are passionate to deliver best in-class customer service and innovation in the industry. It’s because we put Integrity, Relationships and Excellence in all aspects of our work. Our employees have the opportunity to fully utilize their talents and bring their best self.  We believe that who you are is just as important as what you do! By joining our growing Claims team as a Liability Claims Specialist, you will ensure high quality claim handling while making coverage determinations, investigating losses, conducting independent assessment as to the company exposure and moving cases towards timely resolution. You will be an effective source for help and support because of your deep knowledge and liability claim expertise. How You’ll Make an Impact Manages assigned volume of casualty claims within Personal and Commercial underwriting verticals Investigates, evaluates, negotiates and...

Location: Hybrid Work Model – Irving, TX   We are a team of employees who are passionate to deliver best in class customer service and innovation in the industry. It’s because we put Integrity, Relationships and Excellence in all aspects of our work. Our employees have the opportunity to fully utilize their talents and bring their best self.  We believe that who you are is just as important as what you do! As a Prime Claims Specialist , you will ensure high quality claim handling while providing peace of mind to Central Insurance customers by handling their claim with compassion and commitment to restore what has been lost. In Auto Material Damage Claims, we strive to alleviate the stress of an unexpected situation by providing an exceptional level of attention to detail and customer service during this difficult time.     How You’ll Make an Impact   Manages assigned Claims with hospitality, optimal claim outcomes, and efficiency...

Primary Details Time Type: Full time Worker Type: Employee At QBE, we are always looking to connect with top talent – for current vacancies as well as for future opportunities. It is our aim to continuously build a strong candidate pipeline across all our businesses and key locations in North America. After submitting your interest to this specific hiring profile, our Recruitment Team will review your credentials and areas of expertise. Should there be a current or prospective opportunity that is commensurate with your career experience, we will contact you for an exploratory discussion. We appreciate your consideration of QBE as an employer of choice. The Opportunity This role will deliver prompt and accurate claims service to policyholders and agents for both multi-peril crop insurance (MPCI) and crop hail claims by completing field inspections, communicating with involved parties, performing investigations, determining appropriate adjustments and...

Overview AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a  Technical Claims Specialist in our Worker's Compensation Department.     Responsibilities Provide technical oversight to emerging high-risk and/or complex workers compensation claims. Assume co-ownership for the outcomes on claims under oversight. Serve as the primary point of contact and business owner for critical national initiatives, with ownership for how those programs are performing and their results. Manage or participate as a SME in complex projects and initiatives for the WC line of business. Participate with senior leadership with develop and implement claim strategy. Participate with senior leadership with develop, implementation, and training to new process, technology, and metrics. Responsible for LOB reserve adequacy, audits, reporting, etc. Development of WC guidelines, policies,...

Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Construction Defect Commercial Claims Specialist III. This position can be located in one of our claims offices, with the possibility of working remotely. The successful candidate will directly handle Construction related claims. The successful candidate will evaluate coverage issues and risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed. This position reports to a line of business executive. Responsibilities Recognizing exposures and ensuring reserving is appropriate and timely Evaluating coverage issues and risk transfer opportunities Ensuring appropriate investigation of the underlying facts and...

Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Construction Defect Commercial Claims Specialist II. This position can be located in one of our claims offices, with the possibility of working remotely. The successful candidate will directly handle Construction related claims. The successful candidate will evaluate coverage issues and risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed. This position reports to a line of business executive. Responsibilities Recognizing exposures and ensuring reserving is appropriate and timely Evaluating coverage issues and risk transfer opportunities Ensuring appropriate investigation of the underlying facts 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! 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...

We are looking for a Claim Specialist II (CS2) here at INSHUR. You’ll be working on re-inventing insurance in exciting markets across multiple territories, including the US, UK, and the Netherlands, and new European countries and US states as we expand.  Supported by (and reporting to) the Claims Manager you'll be joining a friendly team of 30 specialists who believe in delivering great customer service at scale. We value high performance and care deeply about making INSHUR feel like a place where everyone is building something really special, that we can all be proud of, and doing it with friends.  What you'll do As our Claim Specialist II (CS2) you will be responsible for handling and resolving commercial auto claims across the United States.  Initially, the claims that are assigned to you will involve coverage investigations, liability negotiations, vehicle repairs, and total losses, where you are responsible for identifying exposures, setting reserves, issuing...

Overview The Claims Data Reporting Specialist is responsible for supporting the Claims organization by identifying opportunities to improve efficiency and effectiveness within specialized claims lines. The right candidate will bring a balance of reporting, data strategy, execution, and communication skills to the table.  Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of the AmTrust and Claims organization. Responsibilities Collaborates with Claims and Actuarial leadership teams to coordinate complex reporting of claims trends and patterns. Drives the creation of a robust data foundation for the specialized Claims lines, including partnering with outside data sources Learns business processes and understand relevant data. Adept at evaluating and pivoting large and ambiguous data sets with an ability to spot trends and present business insights. Prepares deliverables...

Overview The Claims Predictive Analytics Specialist will examine claims and other data sources to detect potentially fraudulent activity. They will conduct extensive research from both internal and external sources, to identify patterns, trends and anomalies that require further investigation. The investigative analyst will develop investigations from the patterns, trends or anomalies identified and document all relevant activity/elements in accurate detail and in a timely manner within the investigative case management system. They will prepare reports regarding the conclusions and recommendations drawn from the data to present information to Investigative Services management, state insurance fraud bureaus and/or law enforcement. They will also make recommendations for future policies and procedures that will help detect, identify and/or prevent future fraud. The analyst must maintain a solid understanding of AmTrust’s mission, vision, and values and uphold...

Overview Come and join the AmTrustCyber Team!  We are a growing and flourishing Cyber/Tech Team with offices around the country. In this role, you will be responsible for responding to cyber security events experienced by insureds of AmTrustCyber. Our portfolio of business includes both admitted and surplus accounts and primary and excess accounts across a diverse range of industries and insureds that are SMEs through Fortune 500 companies.  The ideal candidate has an appreciation for time sensitivity, customer service and collaboration – both with internal and external partners.  This role also is responsible for working with AmTrustCyber insureds and third-party vendors to coordinate cyber risk service offerings. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of the AmTrust organization. Responsibilities Actively participate in incident response management for insureds of...

Overview The Amtrust Claims Workers’ Compensation and Managed Care Analytics team is looking for a Claims Data & Analytics Specialist who will be responsible for supporting the Claims organization by providing analytics and identifying opportunities to improve efficiency and effectiveness, as well as communicating insights derived from claims data to the actuarial and underwriting organizations to enhance risk selection and pricing. The right candidate will bring a balance of analytical, data strategy, execution, and communication skills to the table. Responsibilities Collaborates with Claims and Actuarial leadership teams to coordinate complex analysis of claims trends and patterns. Learns the Workers’ Compensation Claims process and the data that it generates. Drives the creation of a robust data foundation for Workers’ Compensation and Managed Care, by becoming an expert in both internal and external data sources....

Overview Amtrust Financial Services, is a fast growing commercial insurance company, seeking a highly technical, inquisitive, and driven Claims Specialist (Adjuster) with expertise in handling Commercial General Liability Bodily Injury (GLBI) claims. The successful candidate will exclusively handle GLBI claims. The successful candidate will evaluate coverage issues and risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is prompt, while proper experts are retained and utilized where necessary.  You are comfortable with litigation management which includes the selection and utilization of counsel as well as excellent negotiation skills and strategy setting.   Most importantly, you bring leadership qualities, a team-centric mindset, and a desire to be part of the AmTrust community. If you have the knowledge, requisite skills, and passion, join us!   This position will ideally report on a hybrid...