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complex claims specialist

629 complex claims specialist jobs found

Hiscox
11/13/2025  
Senior Complex Claims Specialist - Professional Liability
Job Type: Permanent Build a brilliant future with Hiscox   Join our dynamic and forward-thinking Claims team! Here, you’ll be part of an energetic and innovative group, with the chance to help shape insurance products and collaborate with business leaders throughout the organization. Please note that this position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations: Atlanta, GA Boston, MA Chicago, IL Manhattan, NY West Hartford, CT Our Senior Complex Claims Specialist-Professional Liability role is an individual contributor responsible for the handling of high-severity primary Professional Lines including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims for the organization from inception to resolution. This role is responsible for all aspects of the claims and litigation process, including liaising with external and internal business partners (e.g.,...
Hiscox New York, NY, USA Full Time
Liberty Mutual
11/05/2025  
Complex Claims Specialist, Miscellaneous Medical Facilities Professional Liability
Description Liberty Mutual has an immediate opening for a Complex Claims Specialist to join our Miscellaneous Medical Facilities Unit. This is a high‑visibility, hands‑on role for an experienced professional‑liability claims handler with deep Miscellaneous Medical Facilities (MMF) and Long‑Term Care (LTC) facility PL expertise. With minimal supervision, the Complex Claims Specialist will manage a book of specialty MMF/LTC Professional Liability Claims through the entire lifecycle, applying advanced coverage interpretation, clinical issue spotting, complex litigation management and prudent reserving to resolve high‑exposure matters economically and defensibly.   Why this role matters Lead ownership of complex facility professional liability claims (nursing homes, assisted living, hospice, home health, ancillary providers). Opportunity to shape claim strategy on high‑severity matters, coordinate clinical/expert resources, and act as an internal...
Liberty Mutual USA Full Time
Liberty Mutual
11/05/2025  
Complex Claims Specialist, Managed Care, E&O, D&O
Description Liberty Mutual has an immediate opening for a Complex Claims Specialist with Managed Care, Errors & Omissions (E&O) and Directors & Officers (D&O) Professional Liability claims experience.  The Complex Claims Specialist, with minimal supervision, handles a book of specialty lines claims under E&O and D&O policies issued to health plans and other Managed Care Organizations throughout the entire claim's life cycle.  In this role, you will be responsible for conducting investigations, evaluating coverage, setting adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business.   *This position may have an in-office requirement and other travel needs depending on candidate location.  If you reside within 50 miles of one of the following offices, you will be required to go to the office twice a month: Boston, MA;...
Liberty Mutual USA Full Time
Hiscox
10/31/2025  
Senior Complex Claims Specialist- MPL
Job Type: Permanent Build a brilliant future with Hiscox   Job Description 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. Please note that this position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations: Atlanta, GA Chicago, IL Manhattan, NY West Hartford, CT Our Senior Complex Claims Specialist role is an individual contributor role responsible for the handling of Miscellaneous Professional Liability claims for the organization from inception to resolution. This involves the negotiation and settlement of mid to high severity 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...
Hiscox Chicago, IL, USA Full Time
Hiscox
10/29/2025  
Complex Claims Specialist-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 to 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. 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. Please note that this position is hybrid and requires two (2) days in office weekly. Position can be based in the following locations: Manhattan, NY West Hartford, CT Atlanta, GA...
Hiscox New York, NY, USA Full Time
Berkley
10/01/2025  
Senior Complex Claims Specialist (New York Labor Law)
Company Details   Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following four market segments: Construction, Specialty Casualty, Velocity Smal Business & Professional Liability.    We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.   Responsibilities Ideal Complex Claims Specialist  will have 8 or more years of commercial general liability claims experience, with significant experience in complex coverage and litigated claims.  Specific knowledge and expertise in New York Labor law and construction related claims are critical to this role.  New York Adjuster License a plus.     Candidates must be capable of working under limited supervision and working with a remote manager.     In this role, the claims professional investigates, evaluates, negotiates, and...
Berkley Morristown, NJ, USA
Liberty Mutual
09/29/2025  
Complex Claims Specialist, Environmental Complex
Description Liberty Mutual has an immediate opening for an Environmental Complex Claims Specialist - a role ideal for claims professionals with significant experience handling complex environmental/pollution matters and/or mass litigation/toxic tort claims.  The Environmental Complex Claims Specialist will handle a book of Commercial Specialty Lines Claims, throughout the entire claim's life cycle, and will be responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business.   There is a strong preference for the selected candidate to live within a 50-mile radius of one of the listed Hub Offices (Westborough, MA; Boston, MA; Suwanee, GA; Plano, TX; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Chandler, AZ or Weatogue, CT), and have the ability to come into the office two...
Liberty Mutual USA Full Time
Liberty Mutual
11/12/2025  
Senior Technical Claims Specialist, Commercial General Liability and Auto Complex
Description We are seeking a seasoned Commercial General Liability claims professional to serve as a Senior Technical Claims specialist and enterprise subject-matter expert on complex and highly complex casualty matters. This is a high-visibility, high-autonomy role for a candidate who thrives on deep coverage analysis, strategic litigation and defense management, and handling high-exposure, multi-party claims across jurisdictions. The ideal candidate combines advanced CGL experience with sharp coverage-interpretation skills, strong judgment, and a proven track record of resolving difficult liability and coverage issues.   Why this role is compelling Lead ownership of complex/high-exposure CGL and Commercial Auto Bodily Injury claims and the chance to shape litigation and coverage strategy. Regular collaboration with coverage counsel, defense counsel, underwriting, reinsurance and senior management — be the go-to SME. Opportunity to influence...
Liberty Mutual Oregon City, OR, USA Full Time
Liberty Mutual
10/15/2025  
Senior Technical Claims Specialist, Construction Complex
Description Liberty Mutual has an immediate opening for an experienced claims professional with complex and litigated experience with Construction Liability claims.  The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex commercial casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim.   In this role, you will demonstrate a high level of expertise and sound judgment in complex matters; may as a subject matter expert.   The role is within the Construction vertical, handling Bodily Injury and discreet Property Damage claims.  This role does not handle Construction Defect losses. You will be required to go to the office twice a month If you live within 50-mile radius of one of the listed hub offices (Boston, MA; Westborough, MA; Plano, TX; Suwanee, GA; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Las Vegas, NV,...
Liberty Mutual Boston, MA, USA Full Time
The Hartford
10/05/2025  
Claim Specialist - Complex Claims Unit
Specialist Claims - CH07DE Specialist Claims CA - CH07DN 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 is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, bodily injury, and construction related bodily injury claims from inception to final disposition.  These claims will involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties to determine indemnity and contribution obligations and risk transfer opportunities.  As these claims are often in litigation,...
The Hartford Hartford, CT, USA Full Time
Liberty Mutual
10/02/2025  
Senior Technical Claims Specialist, Construction Complex
Description The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex commercial casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. Demonstrates a high level of expertise and sound judgment in complex matters; may as a subject matter expert. The role is within the Contruction Vertical, handling bodily injury and discreet property damage claims. The role does not handle Construction Defect losses.   There is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub offices (Boston, MA; Westborough, MA; Plano, TX; Suwanee, GA; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Las Vegas, NV, Chandler, AZ or Weatogue, CT).  This policy is subject to change.  We will consider a remote candidate if you do not live within 50-miles of one of these offices.   Responsibilities:...
Liberty Mutual Boston, MA, USA Full Time
Liberty Mutual
09/08/2025  
Senior Technical Claims Specialist, Energy Complex
Description Liberty Mutual has an immediate opening for a Senior Technical Claims Specialist to join our Energy Complex Team. The Senior Technical Claims Specialist determines coverage, investigates highly complex Commercial Casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. Additionally, the Senior Technical Claims Specialist demonstrates a high level of expertise and sound judgment in complex matters and may act as a subject matter expert.   You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Westborough, MA; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; Hoffman Estates, IL; or Weatogue, CT.   Please note this policy is subject to change.   The salary range posted reflects the range for the varying pay scale that encompasses each of the...
Liberty Mutual Plano, TX, USA Full Time
CNA
11/13/2025  
Complex Claims Consultant - Aging Services/Medical Malpractice
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 skilled nursing, assisted living and independent living facilities and this role will support the business and interact closely with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions. Our Healthcare Claims team is seeking a Complex Claims Consultant to support our Aging Services segment. This individual contributor role is responsible for the overall investigation and management of Aging Services claims in multiple states. Recognized as a technical expert in the interpretation of complex or unusual policy coverages in area of expertise. Under general management direction, works within assigned...
CNA Irvine, CA, USA Full Time
Westfield
10/02/2025  
Field Senior Claims Representative - Michigan
Job Summary The Claims Senior Representative-Property Field serves as a technical expert on claims adjusting. The role determines coverage and investigates, analyzes, negotiates, and settles claims not requiring outside investigation. The role delivers quality customer service in a high volume, moderate complexity work environment and mentors less experienced Adjusters on the team. Westfield Property Claims resolves first party personal, commercial, and agriculture property claims, including structural damage, business and personal property, and business income losses. This role is not eligible for visa sponsorship.   Job Responsibilities Determines whether proper coverage exists for the type of claim assigned.  Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, legal climate, potential exposure, and damages, and makes decisions on claim resolution.  Meets established goals & objectives, arranges for salvage...
Westfield Westfield Center, OH, USA Full Time
Westfield
09/15/2025  
General Liability Claims Specialist
Job Summary The Claims Specialist works on highly complex claim assignments requiring specialized knowledge. The role handles activities including, but not limited to, coverage analysis, liability and damage investigation, litigation, and expense management. The role also evaluates claims for reserve and settlement, executes settlement strategy, negotiates settlements proactively, attends arbitrations and ensures appropriate file documentation. Westfield Casualty Claims resolves third party liability claims involving injury, property damage, construction defect, personal & advertising injury, and environmental cleanup - both pre-suit and in litigation.   Job Responsibilities Determines whether proper coverage exists for the type of claim assigned, investigates thoroughly to obtain relevant facts concerning coverage, liability, legal climate, potential exposure, and damages, and makes decisions on claim resolution. Determines the value of damage through physical...
Westfield Westfield Center, OH, USA Full Time
Westfield
09/08/2025  
Field Senior Claims Representative - Indiana
Job Summary The Claims Senior Representative-Property Field serves as a technical expert on claims adjusting. The role determines coverage and investigates, analyzes, negotiates, and settles claims not requiring outside investigation. The role delivers quality customer service in a high volume, moderate complexity work environment and mentors less experienced Adjusters on the team. Westfield Property Claims resolves first party personal, commercial, and agriculture property claims, including structural damage, business and personal property, and business income losses. This role is not eligible for visa sponsorship.   Job Responsibilities Determines whether proper coverage exists for the type of claim assigned.  Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, legal climate, potential exposure, and damages, and makes decisions on claim resolution.  Meets established goals & objectives, arranges for salvage...
Westfield Westfield Center, OH, USA Full Time
AmTrust Financial
10/20/2025  
Complex Claim Specialist, General Liability
Overview Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Complex General Liability Claims Specialist. 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 Identifying potential risks and managing timely reserves effectively Evaluating coverage issues and risk transfer opportunities 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, proper negotiation strategy is employed....
AmTrust Financial USA Full Time
Hastings Insurance
10/17/2025  
Senior Complex Claim Specialist
Champion fair, strategic resolutions for Hastings most complex and litigated claims. Location: Onsite/Hybrid/Remote  Schedule: Monday - Friday, 8:00 AM - 4:30 PM About the Role: The Senior Claim Specialist manages a personal caseload of large, complex coverage and high-exposure claims, both litigated and non-litigated, while supporting the Complex Claims Unit with technical guidance. This position ensures compliance with best practices and legal obligations, serves as a resource on coverage and strategy, and collaborates with internal and external partners to resolve claims efficiently and equitably. What You’ll Do: Manage a portfolio of large and complex coverage and litigated claims from investigation through resolution. Evaluate liability, damages, and coverage issues to determine appropriate claim outcomes. Exercise sound judgment on reserve and settlement decisions within authority levels. Provide technical guidance and mentorship to Complex Claims Unit...
Hastings Insurance Hastings, MI, USA Full Time
AmTrust Financial
10/16/2025  
Complex Claim Specialist, Trucking
Overview The Commercial Trucking Claims Adjuster is responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claimants, ensuring that company resources are utilized in a cost effective manner in the process. Responsibilities Maintains appropriate financial accountabilities (reserving) and controls loss adjustment expenses Responsible for handling moderate-to-high complexity commercial trucking liability losses, including litigated claims. Makes timely and appropriate contacts with interested parties, including, but not limited to the insured, claimant/attorney, witnesses and producers.  Determines, reviews and analyzes coverages that may or may not apply to the claim; Plans, executes and reviews investigations-coverage, liability and/or damages – including the securing of a signed or...
AmTrust Financial USA Full Time
Central Insurance
11/07/2025  
Loss Control Construction Specialist Featured
Location: Ohio, Indiana, Michigan Work Model: Remote Position type: Full time - salary We ’ re a team of employees who are passionate about delivering best - in - class customer service and innovation in the industry. W e prioritize i ntegrity, r elationships , and e xcellence in all aspects of our work. Our employees can fully utilize their talents and bring their best sel ves to work .  We believe who you are is just as important as what you do!   By joining the team as a Loss Control Construction Specialist , you’ll work with policyholders , agents, and company personnel through survey consultations and educational guidance.     How You’ll Make an Impact     Provide training, onboarding, coaching, and quality oversight for any additional l oss c ontrol c onstruction c onsultants (new or existing) within your region Develop, update, and maintain...
Central Insurance MI

 

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