139 senior claims examiner jobs found

Company: NICO National Indemnity Company Want to work for a company with unparalleled financial strength and stability that offers “large company” benefits with an exciting, friendly, and “small company” atmosphere?  Our companies, as members of the Berkshire Hathaway group of Insurance Companies, provides opportunities for professionals interested in just that.   A Brief Overview Investigate, evaluate, provide defense if appropriate, negotiate and resolve assigned property damage and bodily injury claims reported under affiliated Companies' insurance contracts, in accordance with those contracts and applicable law, within documented authority. What will you do? CLAIM INVESTIGATION: Investigate assigned claims reported under insurance contracts provided by affiliated Companies, including identification of information and documents needed to evaluate claims, assignment and direction of independent adjusters and review of public and other records and documents. Contact...

Company: NICO National Indemnity Company Want to work for a company with unparalleled financial strength and stability that offers “large company” benefits with an exciting, friendly, and “small company” atmosphere?  Our companies, as members of the Berkshire Hathaway group of Insurance Companies, provides opportunities for professionals interested in just that.   A Brief Overview Investigate, evaluate, provide defense if appropriate, negotiate and resolve assigned property damage and bodily injury claims reported under affiliated Companies' insurance contracts, in accordance with those contracts and applicable law, within documented authority. What will you do? CLAIM INVESTIGATION: Investigate assigned claims reported under insurance contracts provided by affiliated Companies, including identification of information and documents needed to evaluate claims, assignment and direction of independent adjusters and review of public and other records and documents. Contact...

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.    Please note 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 Scottsdale, AZ West Hartford, CT                 The Role: The Senior Claims Examiner-Miscellaneous Professional Liability adjudicates assigned claims within given authority and according to Hiscox Claims Best Practices. This person: Adjusts and resolves low to moderate professional liability claims that include litigated matters Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company...

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...

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 ocean marine bodily injury and property damage 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...

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...

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 Summary The Claims Division is seeking a highly experienced professional to join the Healthcare Claims Team as a Senior Claims Examiner. In this role, the examiner will be responsible for actively managing and effectively overseeing an assigned caseload of complex healthcare-related claims for hospitals, miscellaneous healthcare facilities and other healthcare providers. Responsibilities 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 coverage issues which correlate with the overall...

- Multi-state commercial insurance carrier is seeking a qualified Senior Claims Examiner for a position in their Vancouver, WA claims office. Key Accountabilities/Deliverables: Investigate commercial insurance automobile, property damage and general liability claims. Handle claims from the initial loss report through final disposition. Conduct investigation of policy coverage and liability with a detailed analysis of applicable state laws; damage determination for property, commodity and personal injury claims. Establish a course of action to conclude claims timely and in compliance with state regulatory requirements. Analyze exposures and ensure proper reserves established. Escalate high exposure claims to management for direction. Task assignments to outside vendors are required along with oversight and management of the vendor. Communicate with policyholders, agents and underwriting on key claim issues is required. Conduct open claim reviews and work...

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our  journey as we strive to transform the insurance  carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our  internal and external communities better everyday! Learn more...

About TMHCC Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world. Every policy we write is special, enabling our clients to do amazing things. From insuring the crops that feed us to the rock concerts that entertain us, to rescuing international travelers in trouble. Organic growth and over 60 successful acquisitions have grown our 2023 Gross Written Premium (GWP) to over $7.5 Billion. Our workforce has grown to 4,300 worldwide … big, but not so big that you cannot make a difference. Our Good Company values, including integrity, empowerment, and commitment to customer service, and a culture of innovation, communication, and collaboration make TMHCC a great place to work. What We Offer Competitive salary and employee benefit package Strong learning culture Growth perspectives 6% 401K match 20 days of PTO and 2 Floating Days Paid parental leave...

Job Type: Permanent Build a brilliant future with Hiscox   Bring your Passion and Enthusiasm to this add to staff position on our Team! We’re a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple design-related insurance products and interact with business leaders across the organization.    Please note 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                 The Role: The Senior Claims Examiner- Architects and Engineers adjudicates assigned claims within given authority and according to Hiscox Claims Best Practices. This person: Adjusts and resolves low to moderate professional liability claims that include litigated matters Accurately documents claim files with all relevant claim documentation, correspondence and notes in...

Company Details   Preferred Employers Insurance, A Berkley Company specializes in providing workers’ compensation insurance to California business owners. The company serves three major Product/Client Segments: Small Business, Mid-Larger Businesses and Group Association Members (Programs). The company’s distribution partners (agents & brokers) number just under 400 locations throughout the state. Preferred serves thousands of policyholders and provides medical claims handling and claims management as needed to care for injured workers. The company is rated A+ Superior by industry-rating organization, AM Best & Company.   Company URL:      https://www.peiwc.com   The company is an equal opportunity employer. Responsibilities We are seeking Workers’ Compensation Claims Examiners and Senior Claims Examiners to join our team. In these roles, you will be responsible for the analysis and...

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 Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Middle Market Casualty Team as a Senior Claims Examiner, Casualty.  In this role, the responsibilities include actively managing commercial claims for high severity, complex general liability, and auto accounts, as well as the associated excess and umbrella policies, in jurisdictions throughout the United States. Ideal candidates will bring strong negotiation skills, technical expertise, and a passion for delivering service-oriented solutions in a fast-paced, high-impact environment. **$5k Sign-on Eligible** Responsibilities Identify and assess coverage issues, draft coverage...

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.    Please note 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 Scottsdale, AZ West Hartford, CT                    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...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week. Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated claims professional to join our team. The position requires the following, but is not limited to: Review and monitor open claims files.  Provide assistance with coverage, liability and damage determinations.  Review closed files provide feedback to claim handlers. Review open and closed files to ensure adherence to claim handling guidelines and state’s Fair Claims Practices. Assist associates in identifying claims with subrogation potential. Manage the arbitration...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week. Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated claims professional to join our team. The position requires the following, but is not limited to: Review and monitor open claims files.  Provide assistance with coverage, liability and damage determinations.  Review closed files provide feedback to claim handlers. Review open and closed files to ensure adherence to claim handling guidelines and state’s Fair Claims Practices. Assist associates in identifying claims with subrogation potential. Manage the arbitration process...

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.    Please note 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 Scottsdale, AZ West Hartford, CT                    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...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week. Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated Claims professional to join our team. The position requires the following, but is not limited to: This position consists of providing feedback, training and educational material to claim associates throughout our operating states from a Home Office setting. Willingness to relocate after one or two years of training in the Home Office. Good interpersonal skills and accurate mathematical skills. Ability to effectively and tactfully deal with all types of people at all...

Company Details   Berkley Enterprise Risk Solutions, A Berkley Company specializes in working with large, motivated employers operating in a broad range of industries. We seek companies who are looking for customized risk management solutions to their workplace safety challenges, and who at the time of account submission, generate a minimum of $400,000 in annual workers compensation premium. In addition to basic Guaranteed Cost, BERS’ offers a variety of loss sensitive plans, including Retrospectively Rated and Large Deductible. BERS’ is an open brokerage market. The company is rated A+, XV by AM Best & Company.   The company is an equal employment opportunity employer. Responsibilities Under the supervision of the Vice President of Claims, the Senior Claims Examiner  is responsible for managing all aspects of workers’ compensation claims, including complex and litigated matters, from inception through...

Overview 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 Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives. Determining if claims are valid under applicable workers’ comp statutes. Communicating with medical providers to develop and authorize appropriate treatment plans. Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan. Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute Answer questions...