Coverage determination jobs

Senior Claim Representative - Auto Physical Damage

Intact Insurance Specialty Solutions · Posted Nov 9, 2026

Open

Alpharetta, Georgia, United States +9 more
Hybrid
Full-time · Senior
$69K–$102K per year

Senior Claim Representative - Auto Physical Damage

Intact Insurance Specialty Solutions · Posted Nov 9, 2026

Open

Alpharetta, Georgia, United States +9 more
Hybrid
Full-time · Senior
$69K–$102K per year

General Liability Senior Claims Adjuster

Arthur J. Gallagher & Co. (Gallagher) · Posted Nov 6, 2026

Open

Orlando, Florida, United States
Senior
Competitive compensation
5+ years

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Investigates, evaluates, disposes and settles complex claims and high exposures with minimal supervision.

Responsibilities

Investigate and evaluate coverage, liability and damages
Determine proper reserves
Settle claims up to $10,000 liability and/or $25,000 workers compensation
Communicate action plans to clients
Present case conclusions

Requirements

High school diploma
Bachelor's degree

Skills

claims investigation coverage determination liability assessment damage evaluation reserve setting carrier reporting excess insurance recovery computer experience with claims software claims software

Senior Claims Adjuster - Liability

Arthur J. Gallagher & Co. (Gallagher) · Posted Nov 6, 2026

Open

Orlando, Florida, United States
Full-time · Senior
Competitive compensation
5+ years

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Investigates, evaluates, disposes and settles complex claims and highest exposures with minimal supervision.

Responsibilities

Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision
Determines coverage, liability and damages and sets proper reserves
Interacts extensively with various parties involved in the claim process
Communicates concise action plans and presents plans for moving the case to conclusion
Processes claims consistent with clients' and corporate policies, procedures and best practices

Requirements

High school diploma
Bachelor's degree
Nice to have: Bachelor's degree

Skills

claims investigation claims evaluation claims disposal claims settlement coverage determination liability determination

Senior Claims Adjuster - Liability

Gallagher · Posted Nov 6, 2026

Open

Orlando, Florida, United States
Senior
Competitive compensation
5+ years

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Investigates, evaluates, disposes and settles complex claims and high exposures with minimal supervision.

Responsibilities

Investigate, determine and evaluate coverage, liability and damages
Set proper reserves
Analyze claims exposure and determine appropriate course of action
Present action plans to clients
Ensure compliance with carrier reporting and threshold requirements

Requirements

High school diploma
Bachelor's degree
Nice to have: Bachelor's degree

Skills

claims investigation claims evaluation claims settlement coverage determination liability assessment damage assessment reserve setting carrier reporting

Claim Director

Chubb · Posted Nov 6, 2026

Open

Chatsworth, California, United States
Full-time
$84K–$120K per year
7+ years

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Compensation

The pay range for the role is $83,600 to $119,900. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program.

Responsibilities

Manage an inventory of claims involving moderate severity exposures and coverage issues.
Conduct, coordinate, and direct investigation into loss facts, damages and risk transfer opportunities.
Evaluate coverage, liability, and damages to determine the exposure to the insured and the policy.
Analyze coverage and communicate coverage positions, as warranted, within assigned authority.
Demonstrate and implement effective defense, resolution and claim strategies.

Skills

claim handling investigation coverage determination reserving negotiation settlement trial strategies litigation management

Expert(e) en sinistres principal(e) / Sr. Adjuster

Sedgwick · Posted Nov 3, 2026

Open

Québec City, Quebec, Canada
2+ years

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Investigate, evaluate, and adjust property and casualty insurance claims, providing coverage determinations, recommendations, and settlement negotiations.

Responsibilities

Investigate claim circumstances
Determine coverage and validity
Interview claimants and witnesses
Inspect affected sites
Negotiate settlements

Requirements

Bachelor's degree

Skills

claim investigation coverage determination negotiation communication Microsoft Office Excel reporting customer service time management organizational skills

Auto Claims Adjuster - Temporary

AIG · Posted Nov 3, 2026

Open

Madrid, Madrid, Spain
On-site
Temporary

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Handle low complexity casualty auto claims from enquiry to resolution, ensuring compliance and customer service.

Responsibilities

Manage claims handling enquiry; coverage determination, quantum analysis and legal liability assessment within authority limits
Open new claims and manage shared mailboxes (FNOL)
Process borderaux payments and vendor invoice payments
Collaborate with Team Manager/Senior Adjuster for vendor and litigation management
Communicate with internal stakeholders as required

Skills

Claims handling Coverage determination Quantum analysis Legal liability assessment Vendor management Litigation management Internal stakeholder communication Quality assurance review Technical claims competence

Senior Claim Representative - Auto Physical Damage

Senior Claim Representative - Auto Physical Damage

Locations (10)

Compensation

Responsibilities

Requirements

Skills

Benefits

General Liability Senior Claims Adjuster

Responsibilities

Requirements

Skills

Senior Claims Adjuster - Liability

Responsibilities

Requirements

Skills

Senior Claims Adjuster - Liability

Responsibilities

Requirements

Skills

Claim Director

Compensation

Responsibilities

Skills

Expert(e) en sinistres principal(e) / Sr. Adjuster

Responsibilities

Requirements

Skills

Auto Claims Adjuster - Temporary

Responsibilities

Skills

Benefits

Benefits

Benefits

Benefits

Benefits