381 complex claims consultant jobs found

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  CNA is the market leader in providing Lawyers liability coverage and provides best-in-class claim service. We are seeking a dynamic self-starter to join our team as a Complex Claims Consultant handling claims for law firms with less than 35 attorneys. At CNA, Claim Professionals use their specialized expertise to handle claims efficiently in a collaborative environment focused on continuous improvement. The Complex Claims Consultant plays a critical role in managing and resolving legal malpractice claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation. The Complex Claims Consultant will collaborate...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  CNA is one of the premier providers of professional liability insurance. We currently have an opening for a Complex Claims Consultant to handle Architect and Engineer liability claims. These claims can be highly complex in nature, and can be valued in the multi-million dollar range. Insurance litigation and coverage interpretation/analysis experience strongly desired. We seek an individual who has attended mediations and negotiated settlements involving insurance claims. This professional liability position will be dedicated exclusively to the handling of claims against design professionals including Architects, Engineers, Surveyors, Construction Managers, contractors and specialty...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  CNA is a market leader in insuring healthcare providers and facilities, including nurses, nurse practitioners, aging services, dentists, physical therapists, counselors, pharmacists, massage therapists, and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers. Our Healthcare Claims team is seeking Complex Claims Consultants to support varying segments such as Allied Healthcare Providers & Facilities, Aging Services and/or Dental Malpractice. As a Complex Claims Consultant, you will be responsible for the overall investigation, management and resolution of claims in multiple states within your assigned...

Specialist Claims - CH07DE Consultant Claims - CH08CE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.           This position can be filled at either the Consultant or Specialist level, based on the candidate’s experience and is determined by the Hiring Manager. The Claim Specialist and Claim Consultant roles are advanced claim handler positions within the ENVIRONMENTAL unit of The Hartford’s Complex Claims Unit (CCU), responsible for the management of various complex claims brought against The Hartford’s insureds.  Claims in CCU are often associated with complex fact patterns and coverage issues that may involve multiple years and types of insurance coverage. CCU claims also commonly involve litigation, require...

Overview At AmTrust Financial Services, we are expanding our internal strategic consulting capabilities to accelerate execution across enterprise strategic projects, AI, automation, and operations transformation priorities. The Strategic Consultant, AI & Operations Transformation will partner with business, Operations, Claims, Product, IT, Data, and executive stakeholders to define future-state “North Star” visions for priority workflows and strategic initiatives, benchmark AI and automation opportunities against those North Stars, and translate high-priority business objectives into executable plans with measurable outcomes.   This role is designed for a high-performing consultant with prior experience at a management consulting firm who can bring structured problem-solving, process redesign expertise, analytical rigor, and executive-ready communication to complex transformation efforts. The successful candidate will help AmTrust evaluate business...

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. Job Description Summary If you can put your keen legal mind to work analyzing, managing and resolving insurance coverage and claims, we want to know more about you! Working on our team offers the opportunity to be involved in settling litigated and non-litigated claims of high complexity and severity in terms of exposure and coverage. As a Claims Consultant, you'll investigate, evaluate and negotiate claims to successful resolution. This role supports the...

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 The Outside Property Consultant investigates and confirms the facts of loss for advanced homeowner claims. The role determines coverage, damages and otherwise adjusts and negotiates claims within limit of authority. The position creates or audits a comprehensive estimate of damages for first party homeowner claims leading to the proper disposition. We are seeking an experienced Property Field Adjuster to support the Illinois suburbs, primarily covering Kane and Cook Counties, with coverage extending into DuPage County as needed. This team supports our premier clients and is looking for a seasoned...

Position Summary Do you enjoy solving complex business problems through data, analytics, and strategic thinking? Are you energized by collaborating across functions to influence business decisions and drive measurable results? Guardian is seeking a Network Strategy & Delivery Consultant to join the Dental Network Strategy & Strategic Partnerships team within Group Benefits Product & Digital. In this role, you will help shape the future of Guardian's dental provider network by leveraging data-driven insights to develop and execute growth, retention, and profitability strategies. You will have the opportunity to work directly with senior leaders, lead strategic initiatives from concept through implementation, and influence decisions that impact one of Guardian's most important strategic assets.   You Are A strategic thinker who enjoys transforming complex data into actionable business recommendations. A highly analytical problem solver who can...

When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:  Award-winning culture  Inclusion and diversity as a priority  Performance Based Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability  Generous PTO (including paid time to volunteer!)  Up to 9.5% 401(k) employer contribution  Mental health support  Career advancement opportunities  Student loan repayment options  Tuition reimbursement Flexible work environments  *All the benefits listed above are subject to the terms of their individual Plans. And that’s just...

When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:  Award-winning culture  Inclusion and diversity as a priority  Performance Based Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability  Generous PTO (including paid time to volunteer!)  Up to 9.5% 401(k) employer contribution  Mental health support  Career advancement opportunities  Student loan repayment options  Tuition reimbursement Flexible work environments  *All the benefits listed above are subject to the terms of their individual Plans. And that’s just...

Description Candidates who live within 50 miles of Boston, MA; Portsmouth, NH; Seattle, WA; Indianapolis, IN; Columbus, OH; or Plano, TX will follow a hybrid schedule, coming into the office two days per week. Otherwise, this role is remote. Position Summary Liberty Mutual’s Total Rewards Benefits team is seeking a Sr. Retirement Consultant to provide operational oversight of the company’s retirement programs, with primary responsibility for U.S. defined contribution and defined benefit plans and additional responsibility for Puerto Rico and Canadian retirement plans. This senior individual contributor partners with vendors and team members to plan, develop, and administer employee retirement and health and welfare programs, ensuring accurate, efficient, and compliant plan administration in accordance with plan provisions and regulatory requirements. Reporting to the Director, Retirement Strategies, the Sr. Retirement Consultant serves as a...

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 Put your investigative skills to work uncovering the facts behind complex insurance claims. As an SIU Field Investigator, you’ll conduct detailed investigations, analyze claim information, identify potential fraud indicators, and gather the information needed to reach well-supported conclusions. You’ll use critical thinking, effective interviewing, research, and analytical skills to connect details and resolve questions that may not have an obvious answer. Whether analyzing information or conducting investigative work in the field, you’ll play an important role in helping ensure claims are handled...

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 .   Our Claims team is currently seeking a Technical  Consultant Casualty Claims .    This is a full-time, exempt  role  with a hybrid work schedule (two days in the office) in one of our Hanover offices:   Howell, MI / Farmington Hills, MI Southfield, MI   POSITION OVERVIEW:    The Technical Consultant, Casualty Claims, manages   high-complexity no-fault claims involving moderate to high injury and disability severity. Duties include thorough coverage analysis, evaluating medical bills and other no-fault benefits for payment consideration, coordination and contact with claimants,  third-parties  and medical providers,...

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 .   Our Claims team is currently seeking a Technical  Consultant Casualty Claims .    This is a full-time, exempt  role  with a hybrid work schedule (two days in the office) in one of our Hanover offices:   Howell, MI / Farmington Hills, MI Southfield, MI   POSITION OVERVIEW:    The Technical Consultant, Casualty Claims, manages   high-complexity no-fault claims involving moderate to high injury and disability severity. Duties include thorough coverage analysis, evaluating medical bills and other no-fault benefits for payment consideration, coordination and contact with claimants,  third-parties  and medical providers,...

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 Put your investigative skills to work uncovering the facts behind complex insurance claims. As an SIU Field Investigator, you’ll conduct detailed investigations, analyze claim information, identify potential fraud indicators, and gather the information needed to reach well-supported conclusions. You’ll use critical thinking, effective interviewing, research, and analytical skills to connect details and resolve questions that may not have an obvious answer. Whether analyzing information or conducting investigative work in the field, you’ll play an important role in helping ensure claims are handled...

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 Put your investigative skills to work uncovering the facts behind complex insurance claims. As an SIU Desk Investigator, you’ll conduct detailed investigations, analyze claim information, identify potential fraud indicators, and gather the information needed to reach well-supported conclusions. You’ll use critical thinking, effective interviewing, research, and analytical skills to connect details and resolve questions that may not have an obvious answer. Whether analyzing information or conducting investigative work in the field, you’ll play an important role in helping ensure claims are handled...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description The Special Investigative Unit Consultant II is responsible for investigating and analyzing complex, multi-discipline coverage and claims that have been referred to the Special Investigative Unit (SIU) for potential fraud. The role typically handles a combination of complex attorney represented and unrepresented claims and moderate to complex losses, in which suspicious activity has been identified. The individual performs a thorough investigation including (1) conducting background searches, scene investigations, and clinic inspections;...

Job Posting End Date: November 17 When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:  Award-winning culture  Inclusion and diversity as a priority  Performance Based Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability  Generous PTO (including paid time to volunteer!)  Up to 9.5% 401(k) employer contribution  Mental health support  Career advancement opportunities  Student loan repayment options  Tuition reimbursement Flexible work environments  *All the benefits listed above are subject to the terms of their...

SUMMARY   The Senior Nurse Case Manager (SNCM) role within the Claims Department is to assist management and the claims team in supporting strategic initiatives and achieving annual claims goals. This position is responsible for applying medical knowledge in reviewing complex workers’ compensation claims to determine causal nature of patient’s symptoms, medical necessity/reasonableness of treatment, facilitate claimants’ return to work (RTW) and propose alternative care arrangements.  SNCM assists in development of new medical cost containment programs and projects as well as taking a leadership role in the implementation and ongoing support of these initiatives. The SNCM utilizes competence, positive communication skills, problem solving and conflict resolution techniques. The SNCM demonstrates strong organization and time management skills with the ability to affect change when necessary. This role may execute their essential functions telephonically or as a Field NCM...

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 .   Our Management Liability Claims Team is currently seeking a Senior D&O Consultant Specialized Claims to join our growing team. This position can be fully remote or hybrid at one of The Hanover’s Claims office locations. This is a Full Time/Exempt role.   Position Overview:  The Hanover Management Liability Claims Team currently has an open claim professional position, specifically involving Directors & Officers Liability (D&O) claims. The Senior Consultant Specialized Claims is expected to be a senior claims expert responsible for managing the most complex and high-exposure D&O claims across the country. As a D&O claims professional, you will be responsible for...