331 senior complex claims specialist jobs found

Company Details     Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following market segments: Construction, Specialty Casualty, & Professional Liability.    We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.   The company is an equal opportunity employer.       Responsibilities The Senior Complex Claims Specialist investigates, evaluates, negotiates, and resolves complex and high-exposure litigated and non-litigated claims across bodily injury, property damage, personal and advertising injury, and professional liability lines.   • Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval • Investigate and evaluate liability • Investigate and evaluate damages • Manage litigation by assigning counsel from the...

Description Lead With Expertise. Deliver Impact That Matters. Grow With a Company That Invests in You. At  Liberty Mutual , we show up for people in their toughest moments, and we show up for our employees with the same commitment. Our Complex Casualty Claims Team is expanding, and we’re seeking a  Senior Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a passion for doing what’s right.  We are currently hiring for the Central and Southwest Regions due to this growth.   If you’re energized by the challenge of managing high‑exposure, complex, and catastrophic injury claims, and you want to work in an environment where professionalism, integrity, and empathy guide everything we do, this is the role for you. 🌟  What Makes This Role Special You Own the Complex Work You’ll be the point person on severe and catastrophic auto and homeowner’s casualty claims, navigating litigation, partnering with...

Description Lead With Expertise. Deliver Impact That Matters. Grow With a Company That Invests in You. At Liberty Mutual , we show up for people in their toughest moments, and we show up for our employees with the same commitment. Our Complex Casualty Claims Team is expanding, and we’re seeking a  Senior Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a passion for doing what’s right.  We are currently hiring for the Northwest Regions   due to this growth.   If you’re energized by the challenge of managing high‑exposure, complex, and catastrophic injury claims, and you want to work in an environment where professionalism, integrity, and empathy guide everything we do, this is the role for you. 🌟 What Makes This Role Special   You Own the Complex Work You’ll be the point person on severe and catastrophic auto and homeowner’s casualty claims, navigating litigation, partnering with counsel, and...

Description Liberty Mutual has an immediate opening for an experienced claims professional to join our Complex Energy Team as a Senior Technical Claims Specialist!   The Senior Technical Claims Specialist manages commercial third-party bodily injury and property damage claims for energy accounts across all 50 states, and includes litigated and high-dollar exposures!   Why this role is compelling Take ownership of technically complex, high-exposure Energy claims from first notice through resolution. You’ll be the trusted subject matter expert on matters that demand advanced coverage analysis, strategy, and litigation management. Influence outcomes on high‑profile matters (operators, contractors, utilities, midstream/downstream, power generation, pipelines, offshore/onshore exposures) and work cross-functionally with underwriting, reinsurance, in-house counsel, and outside defense teams. Use your deep technical knowledge — energy operations,...

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...

MSIG USA continues to grow!  Company Overview: MSIG USA is the US-based subsidiary of  MS&AD Insurance Group Holdings, Inc. , one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. MSIG USA is seeking a highly experienced Senior Environmental Claims Specialist to manage complex environmental, toxic tort, and long-tail liability claims. This role is responsible for handling claims end-to-end—from initial intake and coverage assessment through investigation, strategy development, negotiation, and final resolution. The ideal candidate brings deep expertise in environmental law, coverage interpretation, and litigation management, with the ability to develop and execute thoughtful resolution...

Crum & Forster Company Overview Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. A true underwriting company, we have a 200-year history of helping our customers manage risk with laser-focused expertise, integrity and discipline. Our people are empowered to make decisions and   problem-solve with you smartly and swiftly. Our annual gross written premium is 6.2 billion. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best.   Our most valuable asset is our people. We have 3000 employees, and locations throughout the United States and India. With our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote position but does require travel. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability 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 with the case manager and outcomes manager to reduce overall cost of the claim...

The   Claims Specialist manages within company best practices low to mid Auto and/or General Liability claims, including bodily injury and property damage 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 role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives auto and general liability 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 auto and general liability 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 necessary...

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: Hybrid Position Schedule / Shift: Monday-Friday 8am-5:30pm ET Position Summary: Join AAA – The Auto Club Group as a Senior Michigan PIP Claim Specialist , where you'll play a critical role in helping members navigate some of life's most challenging events. In this highly autonomous position, you'll leverage your investigative expertise, analytical thinking, and negotiation skills to manage complex Michigan Personal Injury Protection (PIP) claims from inception through resolution. Key Responsibilities: In this position, you will have the opportunity to: Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system. Complete complex coverage...

The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This role is available for both remote and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability 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 with the case manager and outcomes manager to reduce overall...

The Revenue Cycle Specialist is responsible for analysis and monitoring of claims audit data across multiple platforms. Performs various follow-up activities to ensure the accuracy and appropriateness of reimbursement made to healthcare providers. Responsibilities include identifying payment variances and working internally and externally to resolve such issues. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Analyze and adjust/reprice claims to ensure accurate reimbursement rates in accordance with contractual agreements and payer guidelines Establishing and maintaining accurate pricing structures and rules to ensure competitive and profitable pricing strategies across various claims  Identify errors in reconciliation files across multiple work streams and business units for multiple sites and with external partners Perform contract and reimbursement variance analysis Analyze claims data to identify contractual overpayments and billing...

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Senior Inland Marine Technical Claims Specialist We are seeking a highly skilled Senior Inland Marine Technical Claims Specialist to join our team in one of our Argo offices: Albany, Chicago, Houston, Los Angeles, Omaha, League City, or Richmond (VA). This is a fully in-office role, with employees working on-site five days per week to foster collaboration, strengthen team relationships, and support business performance. In this role, you will handle the company’s most complex inland marine claims, including Builder’s Risk, Contractor’s Equipment, and Motor Truck Cargo, ensuring accurate, timely, and cost-effective resolution....

The salary range for this job posting is $55,132.00 - $110,642.00 annually + bonus + benefits. Pay Type: Salary The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process. The actual salary range for candidates who reside in Pennsylvania is $59,630 - 119,670 annually + bonus + benefits. Pay Type: Salary We strongly prefer candidates who reside in Pennsylvania however, will consider those who reside in any of our listed payroll approved states with the related experience. This role will manage Workers' Compensation Lost Time and Medical Only claims within multiple jurisdictions. However, experience managing Workers' Compensation claims in Pennsylvania is required. Experience with Delaware and...

CopperPoint has an exciting opportunity for a Loss Control Specialist to join our team. This advanced individual contributor serves as a trusted technical expert, partnering with underwriting and business leaders to evaluate complex risks, deliver industry-specific guidance, and help drive profitable growth. Managing a sophisticated book of business, this role plays a critical part in identifying opportunities for risk improvement while influencing best practices across the organization. The ideal candidate is a collaborative problem solver who enjoys mentoring others, sharing expertise, and making a meaningful impact on both customers and colleagues.   Job Responsibilities: Acts as a senior risk and safety consultative resource for underwriters, producers, and policyholders by delivering expert-level Loss Control services. Performs expert-level risk assessments of complex and unusual operations, applying technical knowledge and advanced judgment to evaluate...

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! The primary purpose of this position is to underwrite new business and renewals in a profitable manner and according to authority level and established guidelines, and drive projects having an impact on the business. Assigned larger, more important and more complex accounts. Utilize underwriting tools to determine accurate classifications, rates, and premium charges. Understand state laws, including cancellation and non-renewal, within assigned territory to properly transact business within each state....

This role markets Commercial Lines products, builds agency partnerships, leads underwriting for new/complex business, manages growth and profitability, and maintains market visibility. The preferred candidate for this position will reside in the Jackson, MS - Mobile, AL - Birmingham, AL triangle with travel required in and around that territory. What You'll Do The Territory Underwriter Specialist will be responsible for agent and broker relationships. In addition, you’ll: Solicit accounts through select agents and brokers Evaluate, underwrite, and price prospective accounts to select independent agents Serve as the primary contact with assigned agents and brokers Provide comprehensive sales expertise to increase production through agency channels Work with assigned agents and brokers on the coordinating of resolutions What it Takes Bachelor’s degree or equivalent work experience Minimum of 5 years related work experience, with multi-line middle...

Description Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the West Region!   As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. You may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Depending on your overall skills and experience, you may be considered as a Claims Specialist II,...

Description Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Senior Workers Compensation Claims Specialist within the West Region!   The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Depending on your overall skills and experience, you may be considered as a Senior Claims...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Summary:    The Quality Improvement job family serves the claims operation in a variety of capacities, most of which are carried out through specialized, technical   expertise . The primary functions of this job family are   comprised   of quality claim audits and quality assurance to   maintain   claims guidelines, consistent processes, level of quality, etc., of internal staff and external vendors. These jobs may also perform estimate reviews and/or do full reinspection. In other...