40 complex claims consultant jobs at 24 companies in United States

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Complex Claims Consultant - Private & NFP D&O
Chicago, Illinois, United States
$72k-$141k/yr HybridFull Time
CNA
CNANYSE: CNA: Provides commercial property and casualty insurance and risk management.
5+ YOE5-7 years in complex financial lines claims handling; strong investigation, negotiation, and leadership skills.
Microsoft Office, Claims management software
1mo
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Complex Denials Consultant (Complex Claims)
Georgia or United States
$90k-$113k/yr RemoteFull Time
R1 RCM
R1 RCM: Provides revenue cycle management and automation for healthcare providers.
Law degree and bar admission or bar-eligible; legal experience in healthcare law, insurance defense/personal injury, hospital legal affairs, or complex reimbursement/lien litigation; knowledge of MVA laws, lien statutes, and healthcare reimbursement compliance.
1w
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Complex Casualty Claims Consultant
United States
$112k-$177k/yr RemoteFull Time
EMC Insurance
EMC Insurance: National mutual carrier providing property, casualty, and life insurance.
10+ YOEBachelor's or equivalent experience, 10 years casualty claims experience, state licenses as required, insurance designations (AIC,CIC,AIM,CPCU) preferred, strong analytical, communication, and leadership skills; valid driver's license.
1w
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Senior Claims Consultant
Austin or United States
HybridFull Time
Amherst Group
Amherst Group: Vertically integrated real estate investment and development platform.
8+ YOEBachelor's or equivalent and minimum 8 years insurance claims experience handling complex property/casualty, TPA/vendor management, policy interpretation, negotiation, and process improvement.
1mo
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Principal Claims Consultant
Los Angeles, California, United States
$130k-$200k/yr OnsiteFull Time
Arcadis
ArcadisEuronext Amsterdam: ARCAD: Designing and engineering sustainable solutions for natural and built environments
15+ YOEPE required, BS in construction-related field, 15+ years construction/claims experience, expertise in project controls, CPM scheduling, delay and productivity analysis, dispute resolution, and experience on large complex projects.
CPM scheduling
3w
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Claims Consultant - Surety (Hybrid)
New York City or Blue Bell or Boston or Morristown or Chicago
$123k-$163k/yr HybridFull Time
Intact Insurance Specialty Solutions
Intact Insurance Specialty SolutionsToronto Stock Exchange: IFC: Provides specialized property and casualty insurance and risk services.
7+ YOEBachelor's or equivalent experience; 7+ years specialized claims experience (surety/payment performance bonds preferred); strong regulatory/legal knowledge and ability to investigate, evaluate, reserve, negotiate, and settle large/complex claims.
1mo
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Technical Consultant Casualty Claims
Worcester or Howell or Richmond or Itasca or Syracuse
$80k-$100k/yr HybridFull Time
The Hanover Insurance Group
The Hanover Insurance GroupNYSE: THG: Provides property and casualty insurance products and services.
5+ YOE5+ years insurance/claims experience preferred, bachelor’s degree preferred, expert in complex casualty claims, strong negotiation, analytical, and communication skills, must obtain/maintain state adjuster licenses and continuing education.
1mo
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Field Claims Consultant
Milwaukee or Franklin or New York City or Wisconsin or California
$81k-$122k/yr RemoteFull Time
Northwestern Mutual
Northwestern Mutual: Provides life insurance and financial planning services to individuals.
5+ YOEBachelor's degree or equivalent, 5+ years complex disability or life claims experience, strong written/oral skills, independent decision-making, proficiency with MS Office/Zoom/Slack/Dragon, ability to travel and work nights/weekends, satisfactory driving record and auto insurance.
MS Office, Word, Excel, Outlook, Zoom, Slack, Dragon Naturally Speaking, Dragon, LinkedIn, Facebook, Instagram, Carpe Data
2w
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Claims Technical Consultant
Meridian, Idaho, United States
OnsiteFull Time
W.R. Berkley Corporation
W.R. Berkley CorporationNYSE: WRB: Specialized commercial lines property and casualty insurance provider.
15+ YOEExpertise in complex commercial P&C claims, litigation management, coverage analysis, strong communication, analytical and negotiation skills; must obtain adjuster licenses.
Microsoft Office
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Senior Claims Consultant, National Accounts
United States
$92k-$154k/yr RemoteFull Time
Relation Insurance
Relation Insurance: Provides insurance brokerage and risk management services.
8+ YOEP&C license in state of domicile, 8+ years P&C claims experience (large/complex accounts preferred), B2B client communication, MS Word/Excel proficiency, strong claims administration and analytical skills.
Microsoft Word, Microsoft Excel
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Consultant, Claims - Indemnity Technical Specialty
Downers Grove or United States
$108k-$200k/yr RemoteFull Time
Nationwide
Nationwide: Provides insurance and financial services for individuals and businesses.
8+ YOE8+ years in asbestos, environmental, or complex claims; undergraduate degree required; state licensing where required; CPCU/CLU/IIA/AEI desirable; strong negotiation, litigation, and reserve analysis skills.
1mo
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Technical Consultant Casualty Claims- CGL
Howell or Worcester or Rocky Hill or Richmond or Itasca or Syracuse or Phoenix
$80k-$100k/yr HybridFull Time
The Hanover Insurance Group
The Hanover Insurance GroupNYSE: THG: Provides property and casualty insurance products to individuals and businesses.
5+ YOE5+ years industry experience preferred; expert in investigating, negotiating, and resolving complex CGL casualty claims; bachelor’s degree preferred; must possess or obtain appropriate state adjuster licenses and continuing education.
3w
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Stop Loss Claims Resolution Consultant
Kansas City or Hartford or Baltimore or Portland or Wellesley Hills or Milwaukee or Nashville
$54k-$81k/yr OnsiteFull Time
Sun Life
Sun LifeToronto Stock Exchange: SLF: Provides insurance, retirement, and asset management services globally.
3+ YOE3+ years medical claims/stop loss experience, expert knowledge of stop loss claims, strong written/verbal communication, organizational and analytical skills, ability to interpret contracts and manage complex inquiries.
1mo
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Claims Analyst
San Antonio, Texas, United States
$20-$31/hr OnsiteFull Time
University Health
University Health: Provides comprehensive public healthcare and specialized hospital services.
5+ YOEHigh school diploma/GED, 5 years HMO/PPO claims experience, Amisys experience preferred, knowledge of CFHP/Medicaid/HMO/PPO/ASO; analyze complex claim payment and eligibility issues and consult with claims staff.
Amisys claims processing system
1w
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Claim Consultant - Complex Liability Solutions
Hartford or Scottsdale or San Antonio or Lake Mary or Naperville or United States
$85k-$127k/yr HybridFull Time
The Hartford
The HartfordNYSE: HIG: Provides business and personal insurance, group benefits, and investments.
5+ YOEBachelor's preferred; 5+ years handling general liability litigated coverage; strong analytical, negotiation, writing, and communication skills; ability to manage litigation, set reserves, and oversee TPAs.
1mo
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Senior Claim Consultant
Oklahoma City, Oklahoma, United States
$95k-$110k/yr OnsiteFull Time
INSURICA
INSURICA: Provides specialized commercial insurance and comprehensive risk management solutions.
Senior-level claims professional with deep property/casualty and workers' compensation knowledge; ability to evaluate complex claims, mentor colleagues, and maintain regulatory licenses including an adjuster license.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Microsoft Teams, EPIC
1w
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Workers' Compensation Claim Consultant
Irvine or Las Vegas
$80k-$95k/yr RemoteFull Time
CCMSI
CCMSI: Independent third-party administrator for property and casualty programs.
5+ YOE5+ years California workers' compensation claims experience, proficiency with Microsoft Office and SIP, experience with litigated caseloads, ability to manage complex claims and reserves.
Microsoft Word, Microsoft Excel, Outlook, SIP
2w
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Inside Adjuster Consultant II- DSM Darrell Daniels
Texas, United States
$54k-$85k/yr RemoteFull Time
Allstate
AllstateNYSE: ALL: Provides insurance products for vehicles, homes, and businesses.
2+ YOEInvestigating complex represented claims (UM/UIM, CPL, specialized claims), taking statements, negotiating and settling claims, reviewing medical reports, setting/updating reserves, and documenting claim files.
2w
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Litigation Consultant | Auto | Remote
United States or Minnesota or California or Texas or Delaware or Mississippi or Florida or Maryland or North Carolina or South Dakota or District of Columbia or Illinois or Alabama or Iowa or Tennessee or Kansas or Colorado or Maine or Michigan or Washington or New York or Massachusetts or Arizona or Wyoming or Connecticut or Idaho or Arkansas or Nebraska or Rhode Island or Louisiana or Missouri or Indiana or Nevada or Kentucky or South Carolina or West Virginia or New Mexico or Oklahoma or Ohio or Utah or New Jersey or Pennsylvania or New Hampshire or Oregon or Virginia or Georgia or Montana or Vermont or North Dakota
$80k-$85k/yr RemoteFull Time
Sedgwick
Sedgwick: Provides global insurance claims management and risk services.
5+ YOE5+ years claims management experience with in-depth auto policy knowledge; ability to handle complex injury and coverage cases, legal pleadings, negotiation, and client coordination; state adjusting licenses required.
Microsoft Office
3w
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Manager, Health Plan Consulting
Arlington or Atlanta or Boston or Chicago or Irving or Minneapolis or San Diego or Washington
$150k-$188k/yr HybridFull Time
ECG Management Consultants
ECG Management Consultants: Provides strategic and operational management consulting to healthcare organizations.
6+ YOEMBA required,6+ years in health plan consulting or payer strategy,ability to lead complex projects,analyze claims and utilization data,and develop client-ready deliverables;comfortable with presentations to executives and travel as needed.
Microsoft PowerPoint, Microsoft Excel