679 complex claims specialist jobs found

Location: Hybrid work model - Waltham, MA ; Irving, TX ; Van Wert, OH ; Dublin, OH    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!    Are you an individual who likes to be challenged in an environment where every day is not the same? Do you have the technical skills to handle an array of personal and general liability complex claims in litigation? Are you a person who thrives in a team environment but can also work independently? If you answer yes to...

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 Small Business & Professional Liability.    We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve. Responsibilities Under limited supervision, the Senior Complex Claim Professional is an individual contributor who investigates, evaluates, negotiates, and resolves the highest complexity litigated and non-litigated claims across multiple lines of business, including General Liability, Products Liability, and Professional Liability. The ideal candidate possesses expert-level coverage knowledge and embraces and advances Best Practices claims handling to industry and company standards, procedures, and objectives.    Welcome...

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. Position: Complex Claims Specialist – Media Professional Liability and Miscellaneous Professional Liability (Accountants and Tax Preparers, Property Managers, Real Estate Agents, Consultants, Actuaries, Insurance Agents, Trustees, etc.)            The Role: The Complex Claims Specialist is a high-level adjuster role that adjudicates assigned MPL and media claims within given authority and provides operational support to the claims team. This person also: Adjusts and resolves complex to severe claims that includes all phases of litigation With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters Reviews and analyzes claim...

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. Position: Complex Claims Specialist – MPL, Miscellaneous Professional Liability (Accountants and Tax Preparers, Property Managers, Real Estate Agents, Consultants, Actuaries, Insurance Agents, Trustees, etc.) Please note that this position is hybrid and requires two (2) days in office weekly. The Role: The Complex Claims Specialist is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. This person also: Adjusts and resolves complex to severe claims that includes all phases of litigation With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters...

Job Type: Permanent Build a brilliant future with Hiscox   Put your claims skills to the test and join one of the top Professional Liability Insurers in the Industry as a Complex Claims Specialist!   About the Hiscox Claims team: The US Claims team at Hiscox is a growing group of professionals with experience across private practice and in-house roles, working together to provide the ultimate product we offer to the market. Complex Claims Specialists are empowered to manage their claims with high levels of authority to provide fair and fast resolution of claims for our insured and broker partners. The Role: The primary role of Complex Claims Specialist is to independently analyze liability claim submissions for potential coverage, set adequate case reserves, promptly and professionally respond to inquiries from our clients and their brokers, and to proactively drive early resolution of claims arising from our Commercial General Liability products. This is a...

Job Type: Permanent Build a brilliant future with Hiscox   . The Complex Claims Specialist is the most senior technical role in the organization. This person adjudicates assigned claims within given authority and provides operational support to the claims team. This person also: Strategize and maximize early settlement opportunities for Construction Defect and 3rd Party Property Damage  Claims Demonstrates proficient knowledge regarding coverage triggers and time on risk allocation Draft and Review coverage analyses Manage/Partner with local defense counsel while monitoring litigation Drives litigation best practices to manage deployment and utilization of defense counsel Continually assess exposures and adequacy of claim reserves Demonstrates proficient knowledge regarding theories of liability and State specific negligence standards Accurately document claim files with all relevant correspondence, documentation, and file notes Demonstrates proficient...

Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. Description Liberty Mutual has an immediate opening for a Complex Claims Specialist as part of our  Long Term Care division.  With minimal supervision, the Complex Claims Specialist handles a book of specialty lines claims, throughout the entire claim's life cycle.  Additionally, the Complex Claims Specialist is responsible...

Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. Description Personal Lines Casualty Complex is currently hiring for a Senior Claims Resolution Specialist to handle our Northwest Region for auto and homeowner’s casualty claims.  This role is responsible for the investigation, evaluation and disposition of cases on assignment, which may include an established portion of the...

Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. Description Personal Lines Casualty Complex is currently hiring for a Senior Claims Resolution Specialist to handle our MidAtlantic Region for auto and homeowner’s casualty claims.  This role is responsible for the investigation, evaluation and disposition of cases on assignment, which may include an established portion of the...

Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. Description Personal Lines Casualty Complex is currently hiring for a Senior Claims Resolution Specialist to handle our Southwest Region for auto and homeowner’s casualty claims.  This role is responsible for the investigation, evaluation and disposition of cases on assignment, which may include an established portion of the...

Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. Description If you have an advanced amount of experience with Commercial Casualty claims, including Commercial Auto and/or General Liability, this might be the role for you!   The GRS North America Construction Complex team plays a pivotal role in driving and enabling the success across our Commercial Casualty...

Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We’re an innovative organization that’s small enough to be agile and big enough to make a difference in our industry.    Our collaborative workplace is continuously evolving to ensure all employees feel:   Comfortable bringing their whole selves to work.   Confident that they will be treated respectfully.   Recognized for their performance and provided with equal opportunities to succeed.   At Argo, skill meets opportunity. If you’re wired to raise your hand and ask, “Where can I help?”, you’ll thrive with us.   At Argo Group, you can make a direct impact while working in an organization small enough to be agile and big enough to make a difference. We ask you to bring a growth mindset and a desire to share your unique perspective with our dynamic teams. Argo Group, a global multiline underwriter of specialty insurance and...

Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. Description Liberty Mutual has an immediate opening for a Claims Officer, Long Term Care.  With minimal supervision, the Claims Officer  handles a book of specialty lines claims, throughout the entire claim's life cycle.  The Claims Officer will be responsible for conducting investigations, recommending adequate reserves,...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity...

Overview Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Complex Construction Defect Commercial Claims Adjuster. 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...

Hastings Insurance is currently looking for a Complex Claim Specialist to join its Complex (Litigated) Claims Unit! The individual in this role investigates, evaluates, and resolves claims of severe complexity within the Company’s contractual and legal obligations while providing quality service and ensuring appropriate payments to our customers and claimants. Position Location & Schedule Details Preference will be given to candidates who reside in Eastern Michigan / Metro Detroit or Northern Ohio. However, Hastings may consider candidates residing in the greater Hastings or Grand Michigan areas, or one of our five coverage states (Illinois, Michigan, Ohio, Indiana, or Wisconsin). Regardless of the location, the individual in this role will generally work within our standard office hours of Monday through Friday, 8:00 a.m. to 4:30 p.m. Given the nature of the role, some work may occur outside of these hours. Position Duties &...

Salary range is: $76,267.00 - $100,000.00 This position is bonus and/or commission eligible. CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-trillion-dollar insurance economy , creating intelligent experiences for insurers, repairers, automakers, part suppliers, and more. At CCC, we’re making life just work by empowering more than 35,000 businesses with industry-leading technology to get drivers back on the road and to health quickly and seamlessly. We’re pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its connections, CCC technologies empower the people and industry relied upon to keep lives moving forward when it matters most. Learn more about CCC at www.cccis.com .   The Role The primary objective of a Product Owner is to manage the product development lifecycle by addressing stakeholder needs, documenting requirements,...

Location(s) Alpharetta, Georgia, Birmingham, Alabama, Dallas, Texas, Doral, Florida Details Kemper is one of the nation’s leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Kemper’s products and services are making a real difference to our customers, who have unique and evolving needs. By joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises.  Position Summary: Our Commercial Casualty Litigation Adjuster will investigate, evaluate and handle to conclusion attorney represented injury claims, complex injury claims, and litigated claims. The Litigation Specialist will have advanced claim handling skills and...

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 remote 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...