WC Complex Med Only Adjuster -Charlotte, NC (Hybrid) Selective Insurance Group IncWC Complex Med Only Adjuster -Charlotte, NC (Hybrid)Charlotte, NC$55,000–$68,000 / yearSelective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. Processes claims which include the following activities: Making contacts, setting reserves, evaluating claims for exposure, establishing timely reserve adjustments during the life of the file, making timely payments, and resolution.
NewField Case Manager - Workers' Comp Adjuster Amerisafe IncField Case Manager - Workers' Comp AdjusterCharlotte, NCRemote$50,000–$95,000 / yearA 10-panel drug test includes amphetamine/methamphetamine, barbiturates, benzodiazepines, cocaine metabolite (BZE), marijuana metabolite (THCA), methadone, methaqualone, codeine/morphine, phencyclidine, propoxyphene. In this position, you will conduct on-site and in-person investigations, determine compensability, establish reserves, document decision making, issue benefit payments, and make notifications to the State administrative authority.
Medical Claims Specialist Foothills Billing Solutions LLCMedical Claims SpecialistLincolnton, NCFull timeWe are seeking a professional, detail-oriented Medical Claims Specialist who excels in phone communication, written correspondence, and insurance claim follow-up to join our in-house team. Answer inbound phone calls from patients and providers regarding billing questions, claim status, and account concerns with professionalism and clarity.
Experienced Catastrophe Claims Representative Auto-Owners Insurance CoExperienced Catastrophe Claims RepresentativeCharlotte, NCThe position requires the following, but is not limited to: Frequent travel up to 21 days at a time and is required upon short notice to location of catastrophe, which would most likely be out of state. Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.
Claims Operations Quality Assurance Specialist Pacific LifeClaims Operations Quality Assurance SpecialistCharlotte, North Carolina$32–$37 / hourPerform detailed quality audits of claims transactions across Pay QA, Set-Up QA, and Follow-Up QA, including claim payment accuracy, interest review and calculation, post-death interest, initial claim setup, documentation, beneficiary/payee information, follow-up requirements, and completion of required claim actions. How you’ll help move us forward: Consistently apply sound judgment and accountability when evaluating pay accuracy, interest review and calculation, post-death interest, claim setup completeness, follow-up activity, documentation quality, and adherence to claims procedures.
Sr Claims Specialist Sompo InternationalSr Claims SpecialistCharlotte, NC$125,000–$175,000 / yearOur business, your impact, our opportunity: What you'll be doing: Manage a casualty claims portfolio focused on Construction Defect, Job Site Bodily Injury, OCIP/CCIP, and New York Labor Law matters, including coverage analysis, exposure assessment, reserving, and claim resolution. This position primarily focuses on the execution of claim handling responsibilities for a complex primary and excess casualty portfolio with specific emphasis on Construction Defect, Job Site Bodily Injury, OCIP/CCIP and/or New York Labor Law matters.
Sr Claims Specialist Sompo International Holdings LimitedSr Claims SpecialistCharlotte, NC$125,000–$175,000 / yearOur business, your impact, our opportunity: What you'll be doing: Manage a casualty claims portfolio focused on Construction Defect, Job Site Bodily Injury, OCIP/CCIP, and New York Labor Law matters, including coverage analysis, exposure assessment, reserving, and claim resolution. This position primarily focuses on the execution of claim handling responsibilities for a complex primary and excess casualty portfolio with specific emphasis on Construction Defect, Job Site Bodily Injury, OCIP/CCIP and/or New York Labor Law matters.
Avp, Claims Account Manager Sompo InternationalAvp, Claims Account ManagerCharlotte, NC$130,000–$190,000 / yearOur business, your impact, our opportunity: What you'll be doing: Build and manage relationships between claim operations, clients, brokers, and business partners to support strong service delivery and collaboration. This position will also support Sompo's Broker Claims Advocacy Council initiative, working with brokers, clients, and internal stakeholders to enhance claims servicing and strengthen broker relationships.
AVP, Claims Account Manager Sompo International Holdings LimitedAVP, Claims Account ManagerCharlotte, NC$130,000–$190,000 / yearOur business, your impact, our opportunity: What you'll be doing: Build and manage relationships between claim operations, clients, brokers, and business partners to support strong service delivery and collaboration. This position will also support Sompo's Broker Claims Advocacy Council initiative, working with brokers, clients, and internal stakeholders to enhance claims servicing and strengthen broker relationships.
Sr. Claims Counsel, Environmental And Design Professional Liability Sompo InternationalSr. Claims Counsel, Environmental And Design Professional LiabilityCharlotte, NC$125,000–$175,000 / yearThe successful candidate will be able to provide insight and analysis on complex high profile/high exposure Architects & Engineers (Design Professional Liability) and Environmental (Contractors Pollution and Professional Liability, Site Environmental Liability and Excess Environmental Liability) claims. Our business, your impact, our opportunity: What you'll be doing: Provide coverage, liability, and damages analysis for complex environmental and professional liability claims, including Architects & Engineers, Construction Professional, and Pollution.
Sr. Claims Counsel, Environmental and Design Professional Liability Sompo International Holdings LimitedSr. Claims Counsel, Environmental and Design Professional LiabilityCharlotte, NC$125,000–$175,000 / yearThe successful candidate will be able to provide insight and analysis on complex high profile/high exposure Architects & Engineers (Design Professional Liability) and Environmental (Contractors Pollution and Professional Liability, Site Environmental Liability and Excess Environmental Liability) claims. Our business, your impact, our opportunity: What you'll be doing: Provide coverage, liability, and damages analysis for complex environmental and professional liability claims, including Architects & Engineers, Construction Professional, and Pollution.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerCharlotte, NC$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
1099 Field Adjuster - Charlotte, NC CCMS & Associates1099 Field Adjuster - Charlotte, NCCharlotte, North CarolinaInvestigate claims by obtaining recorded statements from insureds, claimants, or witnesses and by interviewing fire, police, or other governmental officials as well as inspecting claimed damages. · Review applicable coverage forms and endorsements, provide a thorough analysis of coverage and any coverage issues in a well-documented initial captioned report to the client.
NewAnnuity Claims Specialist -Remote Synergistic Systems IncAnnuity Claims Specialist -RemoteCharlotte, NCRemoteFull timeAnnuity Claims Specialist responsibilities include the following: - Contestable claims review will require an evaluation of the cause of death and validating that there was no material misrepresentation with the original health history that was used at the time of the policy issue, or that was provided during a reinstatement that required medical underwriting. - Policy reinstatement requests will include evaluating client responses to medical questions, medical examinations, lab work, or review of physician’s records to complete the underwriting risk evaluation to determine whether a lapsed policy should be placed back in force.
Test Automation Lead with P&C Insurance Claims Applications experience Cognizant Technology Solutions CorpTest Automation Lead with P&C Insurance Claims Applications experienceCharlotte, NCBy clicking "Accept All", you agree to the storing of cookies on your device to give you the most optimal experience using our website. We may also use cookies to enhance performance, analyse site usage and to personalise your experience.
Operations Claims Specialist Pacific LifeOperations Claims SpecialistCharlotte, North Carolina$24–$26 / hourAs part of the Claims processing team, you’ll move Pacific Life, and your career, forward by ensuring accurate, timely, and compliant processing of insurance claims while delivering exceptional service to customers and internal partners. We’re actively seeking a talented Operations Claims professional to join our Operations Claims processing team within the Consumer Markets Division (CMD) in Omaha, NE or Charlotte, NC.
NewField Auto Adjuster Allstate Insurance CompanyField Auto AdjusterStatesville, NC$28.03–$42.99 / hourThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Responsible for creating or auditing a comprehensive estimate of damages for 1st and 3rd party material damage claims in either the auto or specialty lines leading to the proper disposition.
Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote)Charlotte, NCRemoteMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claim Specialist - WCCS Deployed State FarmClaim Specialist - WCCS DeployedCharlotte, NC$59,059.65–$82,000 / yearPhysical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Claim Operations Analyst The Travelers Companies IncClaim Operations AnalystCharlotte, NC$57,900–$95,600 / yearPerforms and analyzes compliance reviews to validate the effectiveness of financial controls, identifies trends and communicates findings to business partners (finance, product, field leadership). ACCOUNTABILITY: Takes ownership and responsibility for actions and outcomes, performance and results; ANALYTICAL THINKING: Ability to analyze, synthesize and compare information to understand issues and explore alternative solutions.