Complex Claims Specialist (Remote)

Other Jobs To Apply

No other job posts for this day.

About Us

At Selective, we don't just insure uniquely, we employ uniqueness.

Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective'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.

Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.


Overview

Selective Insurance is seeking an E&S Complex Claims Specialist to handle the company's most complex and challenging claims. This is a fully remote position.

Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. Candidate must possess strong litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. The individual in this position will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority with exceptional standards of performance. This individual should possess strategic though process skills to effectively and efficiently manage loss exposures. Job duties will include communication and collaboration with key stakeholders, training, development and providing thought leadership where requested. In addition, position may require travel to mediations, arbitrations, settlement conferences, trials or other proceedings which may account for up to 20% of the specialist time. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.


Responsibilities

  • Effectively evaluate and resolve coverage issues for all lines of business and all liability claim types.
  • Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information.
  • Effectively and efficiently manage vendors and expenses.
  • Timely analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary.
  • Effectively evaluate, negotiate and resolve claims within delegated authority (ranging from $100,000 to $400,000) utilizing the appropriate denials or releases.
  • Provide required reports to claims, underwriting, reinsurance and actuarial on significant exposure cases.
  • Report on all cases going to trial on a timely basis and attend portions of trials when warranted or where requested by management.
  • Ensure proper referrals and timely updates to appropriate Reinsurer(s).
  • Must be able to drive an automobile to travel within territory. Car travel represents approximately 10-25% of employee's time and a valid driver's license.

Qualifications

Knowledge and Requirements

  • Experience in complex coverage analysis and significant large loss evaluations.
  • Experience with E&S claim preferred but not required.
  • Superior communication and strategic negotiation and claim disposition skills along with proven problem-solving skills.
  • Excellent presentation skills and moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint).
  • Sufficient keyboarding proficiency to enter data accurately and efficiently.
  • Multi-State licensing with strong understanding of Medicare reporting & compliance preferred.
  • Must have valid state-issued driver's license in good standing and be able to drive an automobile.


Education and Experience

  • College degree preferred.
  • 8+ Casualty claims handling experience
  • A minimum of 5 years handling cases of a complex nature with a primary P&C carrier.
  • New York Labor Law experience preferred.
  • Habitability, assault and battery and Coverage B experience preferred.
  • Carrier experience preferred.
  • Ability to write coverage letters is required.

Total Rewards

Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our .

The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.


Pay Range

USD $124,000.00 - USD $160,000.00 /Yr.
Additional Information

Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.

For Massachusetts Applicants

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

About Us

At Selective, we don't just insure uniquely, we employ uniqueness.

Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective'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.

Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.


Overview

Selective Insurance is seeking an E&S Complex Claims Specialist to handle the company's most complex and challenging claims. This is a fully remote position.

Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. Candidate must possess strong litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. The individual in this position will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority with exceptional standards of performance. This individual should possess strategic though process skills to effectively and efficiently manage loss exposures. Job duties will include communication and collaboration with key stakeholders, training, development and providing thought leadership where requested. In addition, position may require travel to mediations, arbitrations, settlement conferences, trials or other proceedings which may account for up to 20% of the specialist time. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.


Responsibilities

  • Effectively evaluate and resolve coverage issues for all lines of business and all liability claim types.
  • Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information.
  • Effectively and efficiently manage vendors and expenses.
  • Timely analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary.
  • Effectively evaluate, negotiate and resolve claims within delegated authority (ranging from $100,000 to $400,000) utilizing the appropriate denials or releases.
  • Provide required reports to claims, underwriting, reinsurance and actuarial on significant exposure cases.
  • Report on all cases going to trial on a timely basis and attend portions of trials when warranted or where requested by management.
  • Ensure proper referrals and timely updates to appropriate Reinsurer(s).
  • Must be able to drive an automobile to travel within territory. Car travel represents approximately 10-25% of employee's time and a valid driver's license.

Qualifications

Knowledge and Requirements

  • Experience in complex coverage analysis and significant large loss evaluations.
  • Experience with E&S claim preferred but not required.
  • Superior communication and strategic negotiation and claim disposition skills along with proven problem-solving skills.
  • Excellent presentation skills and moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint).
  • Sufficient keyboarding proficiency to enter data accurately and efficiently.
  • Multi-State licensing with strong understanding of Medicare reporting & compliance preferred.
  • Must have valid state-issued driver's license in good standing and be able to drive an automobile.


Education and Experience

  • College degree preferred.
  • 8+ Casualty claims handling experience
  • A minimum of 5 years handling cases of a complex nature with a primary P&C carrier.
  • New York Labor Law experience preferred.
  • Habitability, assault and battery and Coverage B experience preferred.
  • Carrier experience preferred.
  • Ability to write coverage letters is required.

Total Rewards

Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our .

The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.


Pay Range

USD $124,000.00 - USD $160,000.00 /Yr.
Additional Information

Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.

For Massachusetts Applicants

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Back to blog

Other Jobs To Apply

Data Entry Jobs For Beginners

Remote Data Entry – Typist Part-Time – Work Online – Remote Job ID- 2124

Comment Moderator

Medical Science Liaison, Neuroimmunology - Great Plains

Airport Bartender — Full-Time, $25/hr + Benefits

Activation Bonus PM, Capital One Shopping (Remote-Eligible)

Courier (Bicycle)

Inpatient Coder (CCS Certified) – Remote

Part-Time Guitar Teacher

Licensed Mental Health Therapist – Remote

Content Writer - Full Time Remote Entry Level

American Express Jobs Work From Home @ Get Dream Job

Remote Travel Advisor | Independent Contractor

Data Entry Clerk Work From Home - Part Time Focus Group Panelists

Remote Work – Product Assessments - $25-$45 per hour (No Experience)

Remote Cantonese Interpreter — Flexible Freelance Work

Social Media & Communications Intern — Employer Brand

Senior Account Executive, Roundel - Sports and Electronics(Remote Or Hybrid)

Delta Airlines Remote Customer Support - Work From Your Own Home

Apply Disney World Remote WFH Jobs $35/Hour Job ID- 1258 Job ID- 3526

Online Data Entry Assistant for 17‑Year‑Old Teens – Join reputed company’s Dynamic Remote Team

Aetna Remote Data Entry Jobs ? Entry Level/No Experience

Email and Chat Jobs from Home – No Phone, No Degree Needed | $25–$35/hr

Chat Support Agent Jobs Hiring Immediately – Remote, No Phone Calls | $25–$35/hr

Part-Time Educator | Greenwich, CT

Entry-Level Live Chat Customer Support Associate – Remote, No Experience Required, Full Training & Growth Opportunities

Chat Customer Service Jobs from Home – No Degree, No Experience, Weekly Pay | $25–$35/hr

Certified Pharmacy Technician (100% Remote)

Sr Manager, Airport Performance Management

Remote Data Entry Specialist – Health Insurance Focus – Temp‑to‑Perm Opportunity with Competitive Pay and Career Advancement

Remote Night Shift Chat Support Specialist – Earn $25–$35/hr, No Phone, Full Online, Entry‑Level Friendly – Join reputed company

American Airline Online Jobs $26/Hour

Remote Mobile Data Entry Specialist – Flexible Part‑Time Typing Role for Students, Homemakers, and Beginners (No Experience Required)

Entry-Level Data Entry Clerk (Remote)$45 per Hour

Remote Night Shift Chat Support Specialist – Earn $25–$35/hr, No Phone, Full Online, Entry‑Level Friendly – Join reputed company

Executive Assistant (US, UK, Serbia)

Remote Mobile Data Entry Specialist – Flexible Part‑Time Typing Role for Students, Homemakers, and Beginners (No Experience Required)

Teen Jobs: Part-Time Retail Associate Opportunity

Live Chat Support Agent (Customer Support, Remote)

Disney Remote Jobs (Work At Home) Job ID- 1332 Job ID- 3605

Customer Service Rep (100% Work From Home)

[Remote] Procurement Sourcing Associate (Remote)

(UPS Remote) – Data Entry Operator Part-Time Job

Remote Data Entry – Typist Part-Time – Work Online – Remote Job ID- 2124

Netflix Job At Remote

Remote Prior Authorization Pro

🔥 OnlyFans Chatters Wanted | Remote Opportunity | Europe, NA & Asia

Amazon Night Shift Jobs (Remote, Entry Level)

Delta Airlines Remote Customer Support - Work From Your Own Home

( Accountant II ) Starbucks Careers Work From Home, Starbucks Wfh Jobs @ Get Dream Job

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...