Source Job

  • Manage a portfolio of claims presenting moderate to high complexity and exposure.
  • Conduct investigation and evaluation on coverage, liability, and damages throughout the life of the claim.
  • Positively influence claims outcomes through developing and executing action plans.

Claims Negotiation Investigation Communication

13 jobs similar to Senior Complex Claims Specialist

Jobs ranked by similarity.

US

  • Evaluating coverage issues and risk transfer opportunities.
  • Ensuring appropriate investigation of the underlying facts and circumstances is carried out.
  • Formulating proper resolution strategy to ensure best total outcome.

Amtrust Financial Services is a fast-growing commercial insurance company. They strive to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected, valuing excellence and embracing diverse backgrounds and skills.

$83,776–$151,100/yr
US

  • Investigate complex Homeowners/Commercial claims to confirm facts and determine coverage.
  • Assess damages, document findings, and establish reserve amounts within authority limits.
  • Ensure exceptional customer service through timely communication and adherence to regulations.

Mercury Insurance has been helping people reduce risk and overcome unexpected events for more than 60 years. The company has a diverse and inclusive culture where team members are encouraged to grow and work together.

US 3w PTO

  • Manage moderate to complex commercial claims involving bodily injury and property damage.
  • Independently investigate, evaluate, negotiate, and resolve third-party General Liability claims.
  • Develop thoughtful strategies that balance fairness, efficiency, and business outcomes.

West Bend believes that their associates are their greatest asset. They hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. The company has been recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years.

$75,000–$140,000/yr
US 3w PTO

  • Investigates claims to determine coverage, analyze policy provisions and draft coverage position letters.
  • Establishes liability, verifies damages, and resolves claims within authority, recommending case value and resolution strategy.
  • Works with defense counsel, manages litigated files, and identifies/handles suspicious claims and claims with subrogation potential.

Liberty Mutual strives to create a workplace where everyone feels valued and supported. They welcome diverse perspectives, embedding inclusion in their culture to foster an environment where individuals can thrive and make a meaningful impact.

$120,000–$225,000/yr
US 4w PTO

  • Responsible for performance, development, and coaching of staff.
  • Work with claims team and external attorneys to review coverages and resolve claims.
  • Partner with underwriting managers to provide excellent customer service.

Liberty Mutual is committed to delivering exceptional service and making a meaningful difference for customers. They strive to be the most trusted global brand and the best place to work, focusing on profitability and scale.

US

  • Analyze Auto Bodily Injury and Property Damage claims on behalf of clients to determine benefits due.
  • Ensure ongoing adjudication of claims within service expectations and industry best practices.
  • Negotiate settlement of claims within designated authority and communicate claim activity with the claimant and the client.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

US

  • Report, oversee, monitor, and investigate insurance claims across all jurisdictions.
  • Partner with insurance carriers to mitigate loss by evaluating and implementing tools.
  • Develop, implement, and improve scalable processes and training to build a best-in-class claims function.

Instawork's AI-powered labor marketplace helps local businesses scale and enables global technology companies to push the frontiers of robotics and AI. They connect more than 7M skilled workers with local restaurants, hotels, warehouses, stadiums, and more.

$46,000–$84,000/yr
US 3w PTO

  • Investigates claims using internal and external resources, analyzing reports and researching past claim activity to make damage and loss assessments.
  • Determines policy coverage through analysis of investigation data and policy terms, establishes claim reserves, and negotiates settlements within authority limits.
  • Maintains accurate claim file documentation throughout the life cycle of cases and alerts leadership to potential fraud or subrogation issues.

Liberty Mutual is a diversified global insurer and the third-largest property and casualty insurer in the United States. The company fosters an inclusive culture where everyone feels valued and can thrive, supported by comprehensive benefits and a commitment to professional development within a large corporate environment.

US 4w PTO

  • Determines coverage, investigates the claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and pays the claim; may deny claims.
  • Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establish actions to be taken to resolve lawsuit.
  • Accountable for security of financial processing of claims, as well as security information contained in claims files.

Liberty Mutual is an insurance company that values hard work, integrity and commitment to make things better. They offer benefits that support your life and well-being and strive to create a workplace where everyone feels valued, supported, and can thrive.

US

  • Minimum of 1 year experience as an auto/liability claims adjuster.
  • Demonstrated knowledge of claims laws and regulations.
  • Strong analytical and problem-solving skills.

Cottingham & Butler sells a promise to help clients through life’s toughest moments. Their culture is guided by the theme of “better every day,” constantly pushing themselves to improve, with high expectations for their people and performance.

US

  • Identifying construction defect claim exposures and ensuring timely and accurate reserves.
  • Assessing insurance coverage issues and opportunities for risk transfer.
  • Proficiently communicate claim exposures both internally and externally.

AmTrust Financial Services is a fast-growing commercial insurance company. They strive to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected.

US Unlimited PTO

  • Handling of all aspects of first and third party Property Damage claims stemming from accidents involving tractor-trailers.
  • Handling of all aspects of Cargo claims.
  • Adaptable to various business demands and assist with special claims projects and other duties assigned.

High Definition Vehicle Insurance (HDVI) brings telematics, software and data together with commercial trucking insurance, taking transportation insurance and fleet risk management to the next level. HDVI is values-driven, data-driven, ambitious, and collaboratively minded.

US

  • Lead case strategy and handle files independently including pleadings, discovery, depositions, and court appearances.
  • Draft and review legal documents including pleadings, motions, and other court filings with attention to detail and accuracy.
  • Maintain strong communication with clients and claims professionals.

They are described as a minority-owned insurance defense firm that values diversity. With a team of fearless trial attorneys, they are committed to achieving the best possible outcomes in a cost-effective manner.