Complex Claims Consultant
Jobtailor
Responsibilities Manages an inventory of highly complex commercial claims with large exposures Ensures exceptional customer service by managing all aspects of the claim Verifies coverage and establishes timely and adequate reserves Leads focused investigation to determine compensability, liability and covered damages Collaborates with internal and external business partners to develop, own and execute a claim resolution strategy Establishes and manages claim budgets Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences Achieves quality standards by appropriately managing each claim Keeps leadership informed of significant risks and losses Maintains subject matter expertise and ensures compliance with state/local regulatory requirements Mentors, guides, develops and delivers training to less experienced Claim Professionals Requirements Bachelor's Degree or equivalent experience Typically a minimum six years of relevant experience, preferably in claim handling Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire where applicable Prior negotiation experience Professional designations preferred (e.g. CPCU) Certifications & Qualifications Bachelor's Degree Insurance Adjuster License CPCU #J-18808-Ljbffr Jobtailor
$72k - $141k
...of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial... ...advisor, banking and insurance customers. These claims can be complex in nature and valued in the multimillion dollar range. Insurance...SuggestedWork experience placementWork at officeLocal areaShift work$132.8k - $219.1k
...and where you do it. Job Category Claim Compensation Overview The annual base... ...number of factors, including the scope, complexity and location of the role; the skills,... ...management, negotiating and resolution. Provides consulting and training and serves as an expert...SuggestedLocal area- CNA Insurance in Littleton, CO, is seeking an experienced individual contributor to manage highly complex commercial claims with large exposures. The role operates under general direction with broad authority, coordinating all claim resolution activities while maintaining...Suggested
$87k - $178k
01460 Continental Casualty Company is seeking an Underwriter to manage a complex book of Excess Casualty business. This role offers a hybrid office/remote schedule based in Littleton, Colorado, with travel up to 15%. You will underwrite complex risks, develop endorsement...SuggestedWork at officeRemote work- Network Adjusters, Inc. in Denver, CO seeks experienced Claims Examiners for a desk-based, on-site role focused on complex, high‑exposure claims and file reviews. You will interact with carriers, attorneys, and stakeholders to drive resolution while maintaining regulatory...Suggested
- First Insurance Company Of Hawaii is looking for an experienced claims adjuster to investigate, evaluate, and settle complex commercial insurance property claims. The role requires 10+ years of related experience, with a preference for candidates holding a Bachelor's degree...Remote jobWork at office
- Sedgwick is looking for a Complex Claims Advisor to manage complex claims and provide technical guidance. This role requires expertise in Auto and General Liability as well as understanding New York Labor Law. The ideal candidate will have at least 5 years of claims management...
- ...your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Complex Claims Advisor | General Liability & Auto Claims | License Required | NY Labor Law Knowledge Required Are you looking for an...Flexible hours
$97k - $189k
CNA Insurance in Littleton, Colorado is seeking an experienced Claims Manager to oversee complex commercial claims. The role involves managing claim resolution activities, ensuring compliance with protocols, and collaborating with teams to drive customer service excellence...$147k - $241.5k
...ensuring the abilities of all employees are used to their fullest potential. Leads a team of Claims Consultants and Consulting Directors that are responsible for the handling of complex, high exposure mass tort and environmental claims, including social media addiction,...Work experience placementWork at officeLocal area- Responsibilities Manages an inventory of the most complex commercial claims Ensures exceptional customer service Verifies coverage and sets reserves Leads investigations to determine compensability and liability Drives resolution of claims Establishes and manages...
- A specialty insurance provider is seeking a Workers' Compensation Claims Adjuster for a temporary assignment. This role involves adjudicating complex claims and requires a minimum of two years' experience in claims adjusting. The position offers flexible working options...Temporary workRemote workFlexible hours
- Jobtailor in Colorado is seeking a senior Claims Professional to manage the most complex commercial claims, lead investigations, and drive resolution. You will ensure exceptional customer service, verify coverage, set reserves, and influence outcomes with senior leadership...
$97k - $189k
...contributor position works closely with senior level leaders and within the broadest authority limits, to manage the most complex, highest exposure commercial claims for a specialized line of business. Responsibilities include the management of all claim resolution activities in...Work experience placementWork at officeLocal areaShift work$101.18k - $119.78k
Argonaut Management Services, Inc is seeking a Senior Environmental Claims Adjuster to join their team in Colorado. This role involves adjudicating complex commercial environmental claims, with options for remote work. The ideal candidate will possess a bachelor's degree...Remote work$80.64k - $126.72k
Elevance Health is seeking a Senior Group Underwriter in Denver, Colorado. This role involves determining insurance risks and appropriate premium rates for large employer groups. Strong analytical and communication skills are essential for collaborating across departments...$72k - $141k
...This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specific line of business. Responsibilities include the coordination of all claim resolution...Work experience placementWork at office$68k - $80k
...Claims Adjuster – Workers Comp This role requires direct experience handling Washington (WA) State Workers’ Compensation claims . Candidates... ...are properly documented and claims coding is correct. Process complex lifetime medical and/or defined period medical claims,...Contract workFlexible hours- ...Responsibilities Investigate, evaluate and settle more complex first and third‑party commercial insurance property claims. Evaluates each claim in light of facts; affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair...
$85k - $125k
...Network Adjusters is seeking experienced Claims Examiners to join our third-party administrative insurance handling team in a file review... ...to executive management, ideal for professionals who thrive on complex claims, strategic problem-solving, and driving resolution. This...Temporary workRemote workFlexible hours$58.62k - $96.3k
...Guardian has an opportunity to grow your career within our Claims area. The Technical Consultant is responsible for day‑to‑day execution to drive... ...Claim Teams including Claim Auth reviews, serve as SME on complex issues Drive improvements in initial claim decision, Claim...Work at officeWork from home$95k - $105k
...member of Ward's Top 50 and rated A++ by A.M.Best. Job Summary Investigate, evaluate and settle more complex first and third‑party commercial insurance property claims. Job Responsibilities Evaluates each claim in light of facts; affirm or deny coverage; investigate to...Work at officeRemote work$66.5k - $71.8k
...strategically and proactively manage indemnity claims and claim-related issues to the most... ...at all times. Identify claims that need complex management and work with team members to... ..., Legal resources, Return‑to‑Work Consultant, Safety Consultant, Medical Case Manager...Permanent employmentWork at office$54k - $103k
...individual contributor role operates under moderate direction and within defined authority limits to manage commercial claims of moderate to high complexity and exposure within the General Liability line of business. The position is responsible for investigating,...Work experience placementWork at officeLocal areaFlexible hours$95k - $135k
...surety underwriting or related experience (banking or credit analysis is a plus). Strong analytical skills and the ability to interpret complex financial and legal documents. Excellent communication skills—both written and verbal. A self‑starter mindset with a customer‑first...Full timeContract workImmediate start- ...nonstandard data to understand premium, claim, exposure, and population. Works with team... ..., and data elements for increasingly complex accounts, as required. Completes case... ...negotiations with external parties (e.g., brokers, consultants, and customers); and, with some guidance...Full timeWork at officeRemote work
- ...Possible 1 indirect report. Moderate to high levels of independent judgment and discretion required; resolves escalated issues of high complexity. May provide guidance to less experienced teammates. Requirements Physical: Work is primarily sedentary; occasionally walks and/...Permanent employmentWork experience placementWork at officeLocal area
$72k - $141k
CNA Insurance is seeking a Complex Claims Consultant to handle Private and NFP D&O claims. This role demands strong investigative and analytical skills to manage complex claims effectively. The position is based in Colorado and offers a hybrid work environment. The ideal...$73k - $149k
...team. Key responsibilities include independently managing low‑complexity transactions or portfolios, completing and reviewing credit analysis... ...Credit Analysts Partners with client‑facing teammates to consult on sales opportunities and provide the product expertise and...Work at officeShift workDay shift$69.6k - $87k
...proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure... ...deadlines, and executing on deliverables. Ability to balance multiple complex projects simultaneously. Exceptional technical, analytical, and...Contract workWork experience placementLocal areaFlexible hoursShift work
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