127 special investigations unit assistant jobs found

- Core Specialty is seeking a Senior Azure Cyber Security Engineer to serve as a hands-on technical leader and subject matter expert within the Cyber Security Engineering function. This is a senior individual contributor role with no direct reports, focused on designing, implementing, and operating security controls across Azure, identity, endpoint, cloud application, and network security domains. This role operates in a fast-paced, high-volume environment with a broad and evolving security landscape. The ideal candidate is comfortable balancing strategic security initiatives with day-to-day operational engineering work, operates with minimal direction, and proactively identifies gaps, proposes solutions, and executes with a strong sense of ownership. The selected candidate will be required to work a hybrid schedule (3 days in office/2 remote) out of our Dallas, TX, or Cincinnati, OH office. No relocation assistance is being offered with this role. Key...

- Multi-state commercial insurance carrier is seeking a Special Investigations Unit (SIU) Triage Analyst to identify, assess, and prioritize suspicious insurance claims or financial transactions to detect fraud, waste, and abuse. They will review referrals from the claims staff, analyze initial loss reports for red flags, assign cases to investigators, and maintain regulatory compliance. Candidates who can work on a hybrid basis out of Dallas, TX are preferred. Key Accountabilities/Deliverables: Case Triaging: Review and analyze incoming referrals to determine if they meet criteria for further investigation, accepting or rejecting them within strict timelines. Assignment & Support: Set up new cases in the SIU case management system and assign cases that meet the threshold to investigators while providing necessary background documentation. Fraud Detection: Analyze claim data and utilize database tools to identify fraud indicators and suspicious patterns. Conduct...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. The Crop Division of Great American has been helping generations of farmers take control of their risks since 1915. The D​ivision is also one of a select few private companies authorized by the United States Department of Agriculture Risk Management Agency (USDA RMA) to write MPCI...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Sr. Claim Specialist - Michigan PIP & Litigation – The Auto Club Group ****$5,000 Sign-On Bonus for qualified candidates. This Michigan-based position requires residency within the State of Michigan due to in-person court appearances. What you will do: The Auto Club Group is seeking prospective  Senior   Claim Specialist who can work under less supervision with a high-level of authority to handle highly complex technical issues and the most complex claims.  In this position, you will have the opportunity to: Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.   Complete coverage analysis on the most complex...

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 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 role is an individual contributor role responsible for the handling of Miscellaneous Professional Liability claims 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 with external and...

Description 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.   Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. Recognizes and empathizes with members’ life events, as appropriate. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes coverage, recognize liability exposure and negotiate equitable settlements in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling....

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   ***This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. *** Claim Specialist – Bodily Injury – The Auto Club Group Reports to: Casualty Claim Manager II What you will do: (Primary Duties & Responsibilities) ACG is seeking a prospective Claim Specialist to work under minimal supervision.  In this position, you will: Handle highly complex new and reassigned auto and homeowner bodily injury liability claims. Adhere to ACG claim handling procedures, processes and guidelines. Complete...

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. Territory: This role covers Northern San Antonio, TX and surrounding areas. Ideal Candidate Locations: The ideal candidate will live in Northern San Antonio, TX or surrounding area.   This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual inspection. Depending on claim volume, this role may also...

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! We are expanding our actuarial team that supports Markel’s Programs and Solutions Division. This new opportunity will deliver actuarial insights and analyses to our MGA Programs Business Unit. This role will have a range of responsibilities, from reserving to loss ratio projections to assessing the profitability of new business opportunities. This is a key hire that will be able to influence management towards courses of actions that have a positive impact on underwriting, portfolio management, and...

Job Type: Permanent Build a brilliant future with Hiscox   Position: Senior Claims Examiner- 1st Party Property Team: 1st Party Property Band: II                         The Role: The Senior Claims Adjuster 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 1st Party commercial claims for our  Property Team Accurately reviews and assesses coverage for all losses Completes full in depth investigations to confirm how coverage is relevant and applies it to the loss Manager business income losses and period of restoration Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities Accurately assesses reserves for indemnity and expense payments With minimal supervision, drafts coverage...

Job Type: Permanent Build a brilliant future with Hiscox   Position: Claims Examiner- 1st Party Property Team: 1st Party Property Band: I                         The Role: The Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team. This person also: Adjusts and resolves moderate claims that includes all phases 1st Party commercial claims for our Property Team Accurately reviews and assesses coverage for all losses Completes full in depth investigations to confirm how coverage is relevant and applies it to the loss Manages smaller business income losses and the period of restoration Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities Accurately assesses reserves for indemnity and expense payments With minimal supervision, drafts coverage letters, including...

Company Details "Our Company provides a state of predictability which allows brokers and agents to act with confidence."   Founded in 1967, W. R. Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States.   Along the way, we’ve been listed on the New York Stock Exchange, become a Fortune 500 Company, joined the S&P 500, and seen our gross written premiums exceed $10 billion.   Today the Berkley brand comprises more than 60+ businesses worldwide and is divided into two segments:  Insurance and Reinsurance and Monoline Excess.  Led by our Executive Chairman, founder and largest shareholder, William. R. Berkley and our President and Chief Executive Officer, W. Robert Berkley, Jr., W.R. Berkley Corporation is well-positioned to respond to opportunities for future growth.   The Company is an equal employment opportunity employer....

Are you a seasoned claims professional with a passion for navigating complex cases? MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal role, you’ll manage high-exposure workers’ compensation claims, lead investigations into coverage and fraud, and collaborate across departments to drive strategic outcomes. You’ll be a key decision-maker, a mentor to junior adjusters, and a champion of process improvement—all while ensuring exceptional service and regulatory compliance.   At MEM Insurance, we don’t just protect our customers—we empower our employees. We foster a culture of integrity, collaboration, and innovation. Our team thrives on solving challenges together, supporting one another, and making a meaningful impact in the lives of our policyholders and injured workers.       Essential Duties and Responsibilities: Claims Handling & Administration Manage highly complex claims involving...

Are you an experienced claims professional ready to take on complex cases and make a meaningful impact? MEM Insurance is seeking a seasoned Claims Representative  to join our dynamic Claims team. In this role, you will manage a caseload of high-exposure workers’ compensation claims, oversee advanced medical case management, and develop tailored Return-to-Work plans. You’ll collaborate with vocational consultants, legal counsel, and internal teams to ensure compliance, negotiate settlements, and deliver exceptional service to our policyholders. This position offers the opportunity to work independently while providing leadership on complex claims and contributing to workflow improvements.     Essential Duties and Responsibilities Manage complex workers’ compensation claims involving high financial exposure, sensitive issues, or extended life cycles. Investigate coverage and compensability, ensuring thorough documentation and compliance with state statutes....

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to...

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...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Sr. Claim Specialist (Medical Management Unit) – The Auto Club Group What you will do: The Auto Club Group is seeking prospective Senior Claim Specialist who can work under less supervision with a high-level of authority to handle highly complex technical issues and the most complex claims. 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 coverage analysis on the most complex claims Ensure all possible policyholder benefits are identified. Create additional sub-claims if needed....

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Eligible candidates for this role must reside within a commutable distance of the Oakland County Detroit, Michigan area for consideration and have a valid state driver's license. Metro Detroit Field Property Claim Specialist -AAA The Auto Club Group Reports to: Claim Manager as appropriate What you will do: Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.  Review assigned claims, Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.   Complete complex coverage analysis. Ensure all possible policyholder benefits are identified.  Create additional sub-claims if...