Claim processor jobs in Camden, NJ - 90 jobs

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence. Responsibilities: Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution Review and analyze supporting damage documentation Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions Establish appropriate loss and expense reserves with documented rationale Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines Experience & Qualifications Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word Knowledge of ImageRight preferred Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines Ability to work well independently and in a team environment Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date. Education Bachelor's degree preferred 3-5 years' experience handling the process of commercial insurance claims #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $71,900 - $97,110/year Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. 14400 Arch Insurance Group Inc.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking Claims Specialist to join our P&C Claims Casualty team. This role will report to the AVP of Claims and is responsible for investigating and resolving commercial auto liability and physical damage claims, with a focus on trucking exposures. The ideal candidate will bring strong analytical skills, sound judgment, and a commitment to delivering high-quality claims service. Key Responsibilities Investigate and resolve commercial auto liability and physical damage claims involving trucking exposures. Review and interpret policy language to determine coverage and consult with coverage counsel when needed. Manage a caseload of moderate to high complexity and exposure, applying effective resolution strategies. Communicate with insureds, claimants, attorneys, body shops, and law enforcement to gather relevant information. Collaborate with defense counsel and vendors to support litigation strategy and recovery efforts. Ensure claims are handled accurately, efficiently, and in alignment with service and regulatory standards. Participate in file reviews, team meetings, and ongoing training to support continuous learning. Qualifications Minimum of 3 years of trucking industry experience. Experience with bodily injury and/or cargo exposures. Familiarity with trucking operations, FMCSA/DOT regulations, and multi-jurisdictional claims practices. Strong analytical and negotiation skills, with the ability to manage multiple priorities. Proven ability to manage sensitive and high-stakes situations with accuracy and professionalism. Possession of applicable state adjuster licenses. Juris Doctor (JD) preferred; alternatively, a bachelor's degree or equivalent experience in insurance, risk management, or a related field.

Claims Specialist - TPA Liability United States Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of continuous improvement. You create an environment that fosters collaboration, customer service and colleague development. You build a team of passionate and innovative claims experts who see success as a reason to roll up their sleeves and drive for improvement. You will work closely with your manager, TPA's, fellow Claims Specialists, CAM's, and outside vendors to drive files to resolution and will interact and collaborate frequently with Regional Claims Practice Leaders and the Underwriting team. Together, you will be tasked with achieving the best possible outcomes for AXA XL and its clients by resolving and settling claims proactively. What you'll be doing What will your essential responsibilities include? Managing assigned claims across multiple jurisdictions, as well as setting the case strategy for these claims in partnership with our TPAs, Regional Claims Practice Leaders, Claims Legal and Claims management, as warranted. Overflow Frequency Reviews. Proactively managing the TPAs, and external counsel and setting litigation strategies when counsel is engaged on a claim. Coordinating and managing communication with internal and external stakeholders (e. g. CAM's, underwriting, brokers, reinsurers, external vendors, etc. ) to ensure the highest level of customer service. Consulting with Regional Claims Practice Leaders and Claims management on Large Losses and ensuring all steps are taken to achieve the best outcomes for the client and AXA XL. Documenting, as necessary, claim activity in our claims system in accordance with our Global Claim Handling Principles, which includes the establishment and maintenance of appropriate reserves. The production of internal reports. Identifying, monitoring, and reporting on emerging liability and coverage trends. You will report to the Manager of TPA Liability Claims What you will BRING We're looking for someone who has these abilities and skills: General Liability and commercial auto claims experience: Beginner to Intermediate level experience managing TPA Oversight claims and reviewing Frequency claims. Experience assessing and managing coverage issues and managing TPA's. Demonstrated experience negotiating and settling claim files. Excellent Communication: Excellent verbal and written communication, presentation, and negotiation skills. Able to communicate and negotiate effectively with internal and external stakeholders at various levels of sophistication. Collaborative approach: Develop productive working relationships with insured, brokers, TPA claim handlers, CAM's, underwriters, and legal counsel. Seek input from others as needed to achieve the best result possible. Capable of working and collaborating with a virtual team. Ethics: Handle responsibilities with integrity and the highest standards of professionalism. Passion for results: Approach tasks proactively and anticipate needs. Think quickly and prioritize multiple work streams without sacrificing quality. Act with a sense of urgency. Intellectual curiosity: Willing to ask questions and explore new ideas. Eager to learn and focused on continuously improving technical skills. Who WE are AXA XL, the P&C and specialty risk division of AXA, is known for solving complex risks. For mid-sized companies, multinationals and even some inspirational individuals we don't just provide re/insurance, we reinvent it. How? By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business − property, casualty, professional, financial lines and specialty. With an innovative and flexible approach to risk solutions, we partner with those who move the world forward. Learn more at axaxl. com What we OFFER Inclusion AXA XL is committed to equal employment opportunity and will consider applicants regardless of gender, sexual orientation, age, ethnicity and origins, marital status, religion, disability, or any other protected characteristic. At AXA XL, we know that an inclusive culture and enables business growth and is critical to our success. That's why we have made a strategic commitment to attract, develop, advance and retain the most inclusive workforce possible, and create a culture where everyone can bring their full selves to work and reach their highest potential. It's about helping one another - and our business - to move forward and succeed. Five Business Resource Groups focused on gender, LGBTQ+, ethnicity and origins, disability and inclusion with 20 Chapters around the globe. Robust support for Flexible Working Arrangements Enhanced family-friendly leave benefits Named to the Diversity Best Practices Index Signatory to the UK Women in Finance Charter Learn more at Inclusion & Diversity at AXA XL | AXA XL. AXA XL is an Equal Opportunity Employer. Total Rewards AXA XL's Reward program is designed to take care of what matters most to you, covering the full picture of your health, wellbeing, lifestyle and financial security. It provides competitive compensation and personalized, inclusive benefits that evolve as you do. We're committed to rewarding your contribution for the long term, so you can be your best self today and look forward to the future with confidence. Sustainability At AXA XL, Sustainability is integral to our business strategy. In an ever-changing world, AXA XL protects what matters most for our clients and communities. We know that sustainability is at the root of a more resilient future. Our 2023-26 Sustainability strategy, called "Roots of resilience", focuses on protecting natural ecosystems, addressing climate change, and embedding sustainable practices across our operations. Our Pillars: Valuing nature: How we impact nature affects how nature impacts us. Resilient ecosystems - the foundation of a sustainable planet and society - are essential to our future. We're committed to protecting and restoring nature - from mangrove forests to the bees in our backyard - by increasing biodiversity awareness and inspiring clients and colleagues to put nature at the heart of their plans. Addressing climate change: The effects of a changing climate are far-reaching and significant. Unpredictable weather, increasing temperatures, and rising sea levels cause both social inequalities and environmental disruption. We're building a net zero strategy, developing insurance products and services, and mobilizing to advance thought leadership and investment in societal-led solutions. Integrating ESG: All companies have a role to play in building a more resilient future. Incorporating ESG considerations into our internal processes and practices builds resilience from the roots of our business. We're training our colleagues, engaging our external partners, and evolving our sustainability governance and reporting. AXA Hearts in Action: We have established volunteering and charitable giving programs to help colleagues support causes that matter most to them, known as AXA XL's "Hearts in Action" programs. These include our Matching Gifts program, Volunteering Leave, and our annual volunteering day - the Global Day of Giving. For more information, please see Sustainability at AXA XL. Applicants for this role must be legally authorized to work in the United States without sponsorship now or in the future. The U. S. base salary range for this position is USD $92,500- $182,000. Actual pay will be determined based upon the individual's skills, experience and location. We strive for market alignment and internal equity with our colleagues' pay. At AXA XL, we know how important physical, mental, and financial health are to our employees, which is why we are proud to offer benefits such as a competitive retirement savings plan, health and wellness programs, and many other benefits. We also believe in fostering our colleagues' development and offer a wide range of learning opportunities for colleagues to hone their professional skills and to position themselves for the next step of their careers. For more details about AXA XL's benefits offerings, please visit US Benefits at a Glance 2025. Applicants for this role must be legally authorized to work in the United States without sponsorship now or in the future. AXA XL is an Equal Opportunity Employer.

with the North America Accident & Health Claims Department. The North America Accident and Health Claims Department is seeking a Claim Adjuster to join our fast-paced, high energy, growing Company. We are proud of our tradition of success in the insurance industry of nearly 100 years. Come join our team of hard-working, talented professionals! The Claims Adjuster is responsible for contacting claimants and /or service providers to request information needed to process claims - includes written correspondence and phone calls. They will evaluate claims based on documentation received, including responses from claimants and providers. Will need to handle multiple priorities simultaneously, be self-directed and meet service level expectations. The Claims Adjuster must demonstrate customer centricity in all aspects of their job by performing actions with empathy and expertise. RESPONSIBILITIES: Efficiently and accurately adjudicate claims in accordance with the policy terms, established guidelines, and regulations. Conduct eligibility claim reviews by evaluating claim submissions and comparing to policy benefits. Request additional information from policyholders, providers, and others as necessary to finalize claims. Actively manage inventory and ongoing claim adjudication. Effectively communicate with customers using empathy and professionalism via phone and written correspondence. Interface with Policyholders and Agents answering a variety of questions through different service channels. Develop a broad understanding of our products and systems. Meet Department standards for time, service, and quality. Ability to confidently maneuver between system applications to find information and respond to customer needs in a timely manner. Collaborate with other team members and leadership to ensure effective customer service. Actively engage in continuous Improvement initiatives and identify process and efficiency enhancements. Participate in required training. Perform other duties as assigned. Qualifications COMPETENCIES: Problem Solving: Takes an organized and logical approach to thinking through problems and complex issues. Simplifies complexity by breaking down issues into manageable parts. Looks beyond the obvious to get at root causes. Develops insight into problems, issues, and situations. Continuous Learning: Demonstrates a desire and capacity to expand expertise, develop new skills, and grow professionally. Seeks and takes ownership of opportunities to learn, acquire new knowledge, and deepen technical expertise. Takes advantage of formal and informal developmental opportunities. Takes on challenging work assignments that lead to professional growth. Initiative: Willingly does more than is required or expected in the job. Meets objectives on time with minimal supervision. Eager and willing to go the extra mile in terms of time and effort. Is self-motivated and seizes opportunities to make a difference. Adaptability: Ability to re-direct personal efforts in response to changing circumstances. Is receptive to new ideas and new ways of doing things. Effectively prioritizes according to competing demands and shifting objectives. Can navigate through uncertainty and knows when to change course. Results Orientation: Effectively executes on plans, drives for results, and takes accountability for outcomes. Perseveres and does not give up easily in challenging situations. Recognizes and capitalizes on opportunities. Takes full accountability for achieving (or failing to achieve) desired results. Values Orientation: Upholds and models Chubb values and always does the right thing for the company, colleagues, and customers. Is direct, truthful, and trusted by others. Acts as a team player. Acts ethically and maintains a high level of professional integrity. Fosters high collaboration within own team and across the company; constantly acts and thinks “One Chubb.” SKILLS: Exceptional written and verbal communication skills. Quality and Customer Centric Orientation. Excellent organizational skills. Ability to multi-task in fast-paced environment, with attention to detail, and prioritize tasks. Analytical skills and good decision-making skills. Proficient in MS Office - Outlook, Word, and Excel. Navigation between systems and use of technology is important. Insurance/Claims Experience. Windows based PC Knowledge. EDUCATION AND EXPERIENCE: 2 or more years related claims experience required (medical and personal property desired). Experience in a customer interfacing position with progressive responsibility in role. Knowledge of medical terminology.

Join Our Team as a Senior Claims Resolution Specialist - MidAtlantic Region Are you ready to take your claims expertise to the next level? Personal Lines Casualty Complex is seeking a dedicated and experienced Senior Claims Resolution Specialist to lead the handling of challenging auto and homeowner's casualty claims across our MidAtlantic Region. In this pivotal role, you'll take ownership of complex, high-exposure cases, diving deep into investigations, evaluations, and strategic resolutions. This is your opportunity to make a real impact, handling severe and catastrophic injury claims that demand both skill and compassion. If you thrive in a fast-paced environment where your expertise drives meaningful outcomes, we want to hear from you! Preference for candidates who reside within Eastern or Central Time Zones. There is an in-office requirement twice a month if you live within 50 miles of one of our Hub locations. 10% travel may be required for mediations, arbitrations, trials and in-person events. Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory. Responsibilities: Manages, investigates, and resolves auto and homeowner's casualty claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority. Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status. Confers with trial counsel and prepares trial reports. Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports. Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority. Accountable for security of financial processing of claims, as well as security information contained in claims files. Responsible for managing the practices and billing activities of outside and in-house counsel. May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies. May be involved in special projects and/or mentoring at the direction of local management. Ideal experience includes: 5+ years of casualty and litigation experience Expert knowledge of handling personal lines complex claims with severe to catastrophic injuries and fatalities Qualifications Must have an advanced knowledge of coverage, liability, and complex claims handling procedures. Must be knowledgeable of state and federal laws in the adjuster's jurisdiction. A full working knowledge of claims operations and procedures is required. Strong written and oral communication skills required as well as strong interpersonal, analytical, investigative, and negotiation skills. The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 5-7 years of directly related experience. Ability to obtain proper licensing as required. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

Daily Advise sales, parts, and service managers on warranty-related matters to ensure our customers receive fair value while recovering maximum dollars. Assure that our Service Departments follow procedures and complete warranty requirements on warranty service calls and other service documents. Assure all Caterpillar and other product lines' warranty requirements are met daily, and warranty issues are resolved immediately. Communicate with Factory Warranty Analysts and Service Operations Rep. when necessary to ensure fair claims settlement. Advises Corporate Warranty Manager without delay any discrepancies and problems associated with claim recovery, maintenance, processing, and procedures. (i.e., Excessive Labor, partial settlements, zero settlements) Assist the Service Departments in all divisions with warranty service calls and claims processing when necessary. Analyze and process on a timely basis suspected warranty failures to determine responsibility and fair settlement of claims to all parties concerned. Weekly Analyze settlement maintenance (i.e., Status: pending, held) and process to maintain the accuracy of accounting reports. Assure, when presented, that warranty service calls are finished and invoiced without delay. Respond to inquiries and provide warranty-related data on all product lines when requested by customers, co-workers, TEPS dealers, and the credit department promptly. RECOMMENDED QUALIFICATIONS: High School Diploma or equivalent required; Associate degree preferred. Minimum 5 years experience in the heavy equipment or automotive industries and equivalent combination of training and experience, which provides the required knowledge, skills, and abilities. Excellent communication and interpersonal skills, both verbal and written. Experience with Microsoft Office, Excel, and Word. Equal Opportunity Employer Foley, Incorporated does not discriminate against any person applying for employment based on race, color, sex, age, religion, national origin or citizenship status, physical or mental disability, marital status, sexual orientation, gender identity, status as a covered Veteran, or any other legally protected status. This contractor and subcontractor shall abide by the requirements of 41 CFR 60.300.5(a) and 41 CFR 60.741.5(a). These regulations prohibit discrimination against qualified individuals on the basis of disability and protected veteran status, and require affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities and protected veterans.

As a Claims Specialist, you will facilitate communications between contract carriers, insurance, and customers. You'll also review property damage claims and resolve the claims. On our team, you'll have the support to excel at work and the resources to build a career you can be proud of. RESPONSIBILITIES * Facilitate Claims Communications between multiple stakeholders. * Ability to manage conflict scenarios effectively and professionally. * Review claims within prescribed limits of authority. * Examine claims forms and other records to confirm coverage for loss or damage * Issue payments in a timely manner, in accordance with policy conditions * Effectively negotiate settlements with contractors QUALIFICATIONS At a minimum, you'll need: * 1 year experience in Customer Service/Data Entry or other similar roles It'd be great if you also have: * Basic knowledge of Microsoft Office and Windows applications * Knowledge of transportation industry * Ability to confidently resolve issues. * Solid written communication skills with excellent attention to detail and accuracy Category Code: JN003 #LI-AD1 #zr

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking Claims Specialist to join our P&C Claims Casualty team. This role will report to the AVP of Claims and is responsible for investigating and resolving commercial auto liability and physical damage claims, with a focus on trucking exposures. The ideal candidate will bring strong analytical skills, sound judgment, and a commitment to delivering high-quality claims service. Key Responsibilities Investigate and resolve commercial auto liability and physical damage claims involving trucking exposures. Review and interpret policy language to determine coverage and consult with coverage counsel when needed. Manage a caseload of moderate to high complexity and exposure, applying effective resolution strategies. Communicate with insureds, claimants, attorneys, body shops, and law enforcement to gather relevant information. Collaborate with defense counsel and vendors to support litigation strategy and recovery efforts. Ensure claims are handled accurately, efficiently, and in alignment with service and regulatory standards. Participate in file reviews, team meetings, and ongoing training to support continuous learning. Qualifications Minimum of 3 years of trucking claims experience. Experience with bodily injury and/or cargo exposures. Familiarity with trucking operations, FMCSA/DOT regulations, and multi-jurisdictional claims practices. Strong analytical and negotiation skills, with the ability to manage multiple priorities. Proven ability to manage sensitive and high-stakes situations with accuracy and professionalism. Possession of applicable state adjuster licenses. Juris Doctor (JD) preferred; alternatively, a bachelor's degree or equivalent experience in insurance, risk management, or a related field.

This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various departments across the enterprise, including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims, and Medical Policy. The person in this position must fully understand all product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. **ESSENTIAL RESPONSIBILITIES** + Coordinate, analyze, and interpret the benefits and claims processes for the department. + Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special handling claims. Communicate benefit explanations clearly and concisely to all pertinent parties. + Investigate benefit/claim information and provide technical guidance to clinical and claims staff regarding the final adjudication of complex claims. Research and investigate conflicting benefit structures in multi-payor situations. + Provide prompt, thorough and courteous replies to written, electronic and telephonic inquiries from internal/external customers (e.g., clinical, sales/marketing, providers, vendors, etc.) Follow-up on all inquiries in accordance with corporate and regulatory standards and timeframes. + Must have the ability to apply knowledge about the business operations of the area within the defined scope of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim processing inaccuracies. Bring trends to the attention of management. + Assist with handling inbound calls and strive to resolve customer concerns received via telephone or written communication. + Work independently of support, frequently utilizing resources to resolve customer inquiries. + Collaborate with Clinical Strategy, Sales/Client Management and other areas across the enterprise to respond to client questions and concerns about care/case management and high-cost claimants. + Gather information and develop presentation/training materials for support and education. + Other duties as assigned or requested. **EDUCATION** **Required** + High School or GED **Substitutions** + None **Preferred** + Associate's degree in or equivalent training in Business or a related field **EXPERIENCE** **Required** + 3 years of customer service, health insurance benefits and claims experience. + Working knowledge of Highmark products, systems (e.g., customer service and clinical platforms, knowledge resources, etc.), operations and medical policies + PC Proficiency including Microsoft Office Products + Ability to communicate effectively in both verbal and written form with all levels of employees **Preferred** + Working knowledge of medical procedures and terminology. + Complex claim workflow analysis and adjudication. + ICD9, CPT, HPCPS coding knowledge/experience. + Knowledge of Medicare and Medicaid policies **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services + Knowledge of administrative and clerical procedures and systems such as managing files and records, designing forms and other office procedures + The ability to take direction, to navigate through multiple systems simultaneously + The ability to interact well with peers, supervisors and customers + Understanding the implications of new information for both current and future problem-solving and decision-making + Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate and not interrupting at inappropriate times + Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems + Ability to solve complex issues on multiple levels. + Ability to solve problems independently and creatively. + Ability to handle many tasks simultaneously and respond to customers and their issues promptly. **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $21.53 **Pay Range Maximum:** $32.30 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273827

The Epic Tapestry Claims Analyst serves as the primary support for configuration around the AP claims, benefits, contracts, and vendor modules in an Epic environment. They are expected to possess extensive knowledge of the organization's policies, procedures, and business operations. This role involves coordinating all issues that may occur during installation, maintenance, troubleshooting, and upgrades within their area of application responsibility. The Analyst is responsible for implementing, configuring, and maintaining the application modules to support payer workflows. This role requires a deep understanding of healthcare interoperability, heath plan operations, Epic applications, and data structures. Key Responsibilities Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson Implements and configures Epic Payer Platform modules to JHP requirements Develops content and documentation tools for implementing systems changes and other tasks and provides input for training materials Performs in‐depth analysis of workflows, data collection, report details, and other technical issues associated with application Works closely with stakeholders to gather requirements, design solutions, and configure the system Provides support and troubleshooting for issues, working closely with end users, Jefferson IS&T teams, and external partners Maintains system and process documentation Promotes adoption of best practices Configures and maintain interfaces for heath data exchange to meet requirements Ensures compliance with all regulatory agencies Required Qualifications Bachelor's degree (or equivalent work experience) Epic Certification(s) Minimum 3 years of experience in a relevant field or role(s) Understanding of IT security principles, HIPAA compliance, and healthcare systems support Excellent troubleshooting, documentation, and communication skills Proficiency in Microsoft Office Suite Preferred Qualifications Experience working in a large health system, academic medical center, or health plan Epic Payer Platform Certification Epic Tapestry, Cheers, Healthy Planet, or MyChart Certification(s) Experience supporting interoperability workflows Work Shift Workday Day (United States of America) Worker Sub Type Regular Employee Entity Primary Location Address 1101 Market, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educa tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance. For more benefits information, please click here

This position is eligible for Mid Atlantic Retina's $1,000 Hiring Incentive! The hired candidate will receive $500 after successful completion of 90 days of employment and $500 after successful completion of 1 year of employment! Available to new hires only- not available to agency hires, internal transfers, or re-hires. Sign On Bonus Eligible: Yes Job Type: Full Time Qualifications * 3-5 years medical billing experience in a physician practice or third-party billing company preferred * Previous experience with claims processing and working with a clearinghouse. * Experience with CPT, ICD10 and Microsoft Office Suite required. Job Description The Claims Representative is responsible for submitting both electronic and paper claims to insurance companies. This position ensures that all accounts are billed appropriately and meet all regulatory and compliance requirements. The Claims Representative is also responsible for reviewing daily claim edit reports and working with other departments to resolve the claim edits. Essential Functions 1. Pulls daily Claim Edit report from Nextgen to review red edits for errors. 2. Collaborates with Front Desk and Clinic to correct errors. 3. Submits corrected report through clearinghouse via EDI file or uploading. 4. Complete paper claims by reviewing account, attaching needed information, and mailing out to responsible payer. 5. Ensures correct processing of all accounts. 6. Acts as customer service representative in person and by telephone. Promptly responds to patient and corresponding payor questions regarding accounts. 7. Maintains up to date billing knowledge of insurance carriers to act as a resource for other departments within MAR. 8. Attends regular staff meetings. 9. Works overtime as needed. 10. Travels to other MAR locations as needed. 11. Performs other duties as assigned. Benefits * Health Insurance * Dental Insurance * Vision Insurance * Paid Sick Time * Paid Vacation Time * Company Bonuses twice a year (after 1 year of employment) * 7 Paid Company Holidays * 401K * Profit Sharing * Company Paid Life Insurance Physical and Cognitive Demands The physical and cognitive demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. * This is largely a sedentary role; however, some filing may be required. This would require the ability to occasionally lift files, bend, stoop, crouch, reach, and stand on a stool as necessary. * Ability to lift or move up to 15 pounds at times. * Work with data by calculating and manipulating numbers, processing data on a computer, classify, record, store and retrieve information. * Use words to communicate ideas, read with comprehension and explain abstract or complex ideas in more basic terms. * The employee will use hands to operate equipment such as a computer mouse, show manual or finger dexterity, handle things with precision or speed, use muscular coordination and physical stamina. * While performing the duties of this job, the employee is regularly required to talk, communicate verbally one to one, in front of groups, over the telephone or with a headset and in email. * This position requires listening to verbal communication using a telephone or with a headset and processing the information while entering the data into a computer system, processing auditory information, and responding verbally back in an appropriate manner. * Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus with or without corrective lenses. * Ability to follow through on plans or instructions.

About PHMC PHMC has been dedicated to creating and sustaining healthier communities since its founding in 1972. With a workforce of more than 1,500 employees, a network of subsidiaries, and more than 70 programs operating across multiple service lines, PHMC delivers essential services to hundreds of thousands of individuals each year. Our work spans a broad swatch of public health and includes physical health, behavioral health, early childhood education, housing and homelessness, specialized schools, community health initiatives and more. PHMC serves as both a direct service provider to individuals, families and communities across the region and as an intermediary agent - managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment. Position Summary Public Health Management Corporation (PHMC) is committed to creating safe, supportive environments for our employees, clients, and communities. The Senior Safety and Claims Analyst supports this commitment by helping track and analyze incidents, support follow-up activities, and partner with programs to strengthen safety practices across the organization. Reporting to the Director of Safety and Claims, the Senior Safety and Claims Analyst provides advanced analytical, operational, and coordination support to PHMC's Risk function. The Analyst helps manage incident data, supports claims and legal processes, and assists with safety communications and training. This position plays a key role in identifying trends, improving prevention strategies, and strengthening a culture of safety across the organization. The Senior Safety and Claims Analyst works collaboratively with Programs, Legal, Human Resources, Operations, and other partners to support timely issue resolution and shared accountability for safety and risk management. Key Responsibilities Incident & Claims Data Support Track and analyze incident, safety, and claims data across programs and sites. Identify trends and patterns and help inform strategies to reduce risk and improve outcomes. Prepare reports and dashboards to support leadership review and decision-making. Incident Investigation Support Assist with incident investigations in partnership with program and site leadership. Ensure documentation is complete, accurate, and submitted on time. Support follow-up actions and track corrective plans through resolution. Program Partnership & Risk Support Serve as a point of contact for assigned programs on safety and risk-related matters. Support claim reviews, audits, and continuous improvement efforts. Help programs understand expectations, policies, and best practices related to safety and risk. Legal Document Coordination Receive, log, and route legal documents (such as summonses and subpoenas) under supervision. Track deadlines and maintain organized, auditable records. Safety Communications & Training Help draft and share safety alerts, bulletins, and other communications. Support safety training initiatives and targeted awareness campaigns. Other Duties Perform additional responsibilities as assigned in support of organizational goals. Qualifications Education Bachelor's degree in public health, safety, occupational health, business, or a related field highly preferred but not required Equivalent combination of education, training, and experience may be considered Experience At least five (5) years of experience in public health, healthcare, human services, safety, risk management, or a related environment At least three (3) years of experience supporting incident investigations, claims, data analysis, or safety initiatives preferred Skills & Competencies Strong analytical skills with the ability to understand and explain data clearly Experience working with data, reports, incident tracking, audits, or process improvement Proficiency in Microsoft Office, especially Excel and data tracking tools Ability to collaborate effectively with diverse teams and stakeholders Strong attention to detail and ability to manage sensitive information with discretion Strong written and verbal communication skills Ability to work independently and effectively with diverse teams and stakeholders Physical & Travel Requirements Ability to travel locally as needed Ability to operate a motor vehicle Ability to perform site visits, including climbing stairs and lifting up to twenty-five pounds FLSA Classification Statement This position is classified as Exempt under the Fair Labor Standards Act (FLSA) and is not eligible for overtime compensation. The role meets the executive and administrative exemption criteria based on its level of responsibility, independent judgment, and authority. Equal Employment Opportunity Statement PHMC is an Equal Opportunity and E-Verify employer and is committed to creating a diverse and inclusive workplace free from discrimination and harassment.

Job Description RG/2 is seeking a Claims Analyst who will be responsible for handling data entry of claimant information, claim review, report processing and reconciliation, updating and maintaining the firm's database and document management systems, electronic and telephonic communication with claimants, claim payment distribution activities, and assisting in the preparation of periodic reports to courts and counsel. Successful candidate should be highly detail-oriented and have a demonstrated ability to work independently in a fast paced and high-volume environment. Strong sense of responsibility and cooperative attitude are critical attributes, as well as excellent interpersonal and communication (oral and written) skills. Candidate will perform a variety of assignments and must be motivated and willing to learn and apply new concepts. We believe balanced judgment, common sense, initiative and the capacity to confront a variety of situations are essential traits of a successful employee. Requirements Post-secondary education or 3 years of direct experience working in a claims administration firm or legal support services. Proficient with MS Office Strong analytical skills Benefits RG/2 is passionate about creating an inclusive workplace that promotes and values diversity. More importantly, creating an environment where everyone, from any background, can do their best work. Our competitive salary commensurate with experience. Performance based bonus and a wide range of employee benefits and support programs that include: Business Casual Dress Code 401(k)/Employee's Pension Plan Employee Assistance Program Employee Resource Groups Global Fit / Walk My Mind Flexible Spending & Commuter Benefits Life/AD&D Insurance Long-term Disability Insurance Short-term Disability Insurance Generous PTO Medical / Dental / Vision Insurance Back-Up Advantage Program Telemed (MeMd) Pet Insurance We encourage you to apply if you are interested in contributing to the success of RG/2 while developing your career in a challenging and professional environment. When applying include a cover letter when uploading your resume. RG/2 is an Equal Opportunity Employer.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! * Competitive compensation * Healthcare benefits package that begins on first day of employment * 401K retirement plan with company match * Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays * Up to 6 weeks of parental and bonding leave * Hybrid work schedule (3 days in the office, 2 days from home) * Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) * Tuition reimbursement after 6 months of employment * Numerous opportunities for continued training and career advancement * And much more! Responsibilities Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking Claims Specialist to join our P&C Claims Casualty team. This role will report to the AVP of Claims and is responsible for investigating and resolving commercial auto liability and physical damage claims, with a focus on trucking exposures. The ideal candidate will bring strong analytical skills, sound judgment, and a commitment to delivering high-quality claims service. Key Responsibilities * Investigate and resolve commercial auto liability and physical damage claims involving trucking exposures. * Review and interpret policy language to determine coverage and consult with coverage counsel when needed. * Manage a caseload of moderate to high complexity and exposure, applying effective resolution strategies. * Communicate with insureds, claimants, attorneys, body shops, and law enforcement to gather relevant information. * Collaborate with defense counsel and vendors to support litigation strategy and recovery efforts. * Ensure claims are handled accurately, efficiently, and in alignment with service and regulatory standards. * Participate in file reviews, team meetings, and ongoing training to support continuous learning. Qualifications * Minimum of 3 years of trucking claims experience. * Experience with bodily injury and/or cargo exposures. * Familiarity with trucking operations, FMCSA/DOT regulations, and multi-jurisdictional claims practices. * Strong analytical and negotiation skills, with the ability to manage multiple priorities. * Proven ability to manage sensitive and high-stakes situations with accuracy and professionalism. * Possession of applicable state adjuster licenses. * Juris Doctor (JD) preferred; alternatively, a bachelor's degree or equivalent experience in insurance, risk management, or a related field.

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity General Liability claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence. Responsibilities: Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution Review and analyze supporting damage documentation Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions Establish appropriate loss and expense reserves with documented rationale Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines Experience & Qualifications Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word Knowledge of ImageRight preferred Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines Ability to work well independently and in a team environment Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date. Education Bachelor's degree preferred 3-5 years' experience handling the process of commercial insurance claims #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $71,900 - $97,110/year Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. For Colorado Applicants - The deadline to submit your application is: May 17, 202614400 Arch Insurance Group Inc.

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Casualty Coverage and Mass Tort Claims Adjuster to play your part in that transformation. You'll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address the rapidly evolving risk environment. Grow your career at the forefront of Casualty insurance. In Casualty Coverage and Mass Tort Claims, we strive to live AIG's corporate values: Take Ownership, Set the Standard, Win Together, Be an Ally, Do What's Right. At AIG, we are committed to creating a culture that truly respects and celebrates each other's talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through our flexible work arrangements, diversity and inclusion learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The diversity of our people is one of AIG's greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations. Make your mark in Casualty Claims In this entry level role, you'll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, construction defect, as well as environmental and toxic tort claims. You'll handle emerging risks; this team has been at the forefront of managing exposures from PFAS, opioids, and other cutting-edge issues. You'll also be a coverage resource for Casualty adjusters, managers and underwriters. You'll be supported by a management team that's deeply invested in achieving the right outcomes for claims and that's also invested in your success: You will: * Evaluate coverage on sophisticated insurance products * Hire and manage counsel to help evaluate coverage and to defend our insureds. * Assess damages with support of outside experts * Evaluate financial impact to AIG and to our insureds * Formulate and execute strategies for favorable claim resolution; negotiate with insureds and third parties. * Advise business partners concerning exposures and concerning potential product changes and enhancements. * Advise claims and business leaders on emerging risks. What you'll need to succeed * 1+ years of Legal, Insurance, Construction Defect or Environmental experience preferred. * The ability to handle complex claims involving diverse coverage issues related to GL and Environmental policies. * Strong analytical and organizational skills, along with excellent communication, negotiation and investigation skills. * Veterans encouraged to apply. Ready to take your career to the next level? We would love to hear from you. For positions based in New Jersey, the base salary range is $78,000-$98,000. For positions based in Chicago, the base salary range is $62,000-$82,500. In addition, the position is eligible for a bonus in accordance with the terms of the applicable incentive plan. In addition, we're proud to offer a range of competitive benefits, a summary of which can be viewed here : US Benefits Overview #LI-NH1 At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike. Enjoy benefits that take care of what matters At AIG, our people are our greatest asset. We know how important it is to protect and invest in what's most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world's most far-reaching property casualty networks. It is an exciting time to join us - across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become. Welcome to a culture of inclusion We're committed to creating a culture that truly respects and celebrates each other's talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG's greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations. AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to *********************. AIG reserves the right to conduct a criminal background check, tailored to the requirements of a job, after a conditional employment offer is made. Unless otherwise required by law, AIG does not automatically exclude any applicant with a criminal conviction for a job or class or jobs. For more information about Philadelphia law specifically, copy and paste the following link within your browser: *********************************************************************** Functional Area: CL - Claims AIG Claims, Inc.

Job DescriptionRisk Intermediary located in New Jersey seeks a VP of Claims for a Municipal Insurance fund. Claims handled are Workers Comp, Property and Liability and Professional Liability. Fund has 28 members submitting New Jersey based Public Entity based claims. This position will lead operational and administrative claims functions including reserving. Will also manage TPA relationships and direct TPA's Workers Comp activities. Will also manage staff Liability Litigation Managers and lead claims reporting. Require JD with 20 years experience in an Insurance Claims Department, TPA or Risk Management Department. Knowledge of New Jersey Civil Tort and Workers Comp claims systems. Advanced skills in Coverage Analysis, Litigation Management and Negotiation. Auto Liability, General Liability and Employer Liability claims. Knowledge needed in MS Office Products (Word, Excel and Powerpoint). Will work remote but must be within driving distance of office. Will manage 9-12 people. Minimal travel. Salary $150-200k no bonus opportunity.

* Responsible for accurate and timely handling of claim issues for all lines of business, including bi-directional sharing, FEP, Local and Commercial PA and AHNJ, BlueCard and Government market. Applies and maintains knowledge of claims processing and support systems. * Research inquiries received from all areas, inclusive of internal and external sources (e.g. other plans, providers, legal, Sales); as required, perform member or provider payable claim payment adjustments when appropriate following the correct processing guidelines. * Meet departmental quality and production requirements * Respond professionally to internal and external inquiries, as appropriate, while maintaining corporate and departmental standards. * Research claims that are paid incorrectly; recover overpaid and underpaid claim dollars from multiple sources and ensure all necessary transactional steps are taken to accurately process claim adjustments. * Provide response to general questions within expected departmental standards of initial inquiry; provide daily feedback, status updates and targeted resolution dates for more complex issues. * Complete special projects and participate in work groups as assigned. * Perform other duties as necessary * High School graduate or equivalent work experience. Experience * 1 - 3 years proven work experience in a production environment. Knowledge, Skills, Abilities * Demonstrated math and comprehension skills required. * Good interpersonal skills for handling internal and external customers. * Well-developed listening, verbal and written communication skills. * Proficiency with Microsoft Office, specifically Excel and Word is required. * Ability to research and investigate information using multiple sources, operating systems and documented guidelines. * Must have strong organizational skills and problem solving ability. * Must be detail-oriented IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

Job Description The Float Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties as assigned KNOWLEDGE & SKILLS: Excellent written and verbal communication skills Ability to learn rapidly to develop knowledge and understanding of claims practice Ability to identify, analyze and solve problems Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to meet or exceed performance competencies Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: Bachelor's degree or a combination of education and related experience Minimum of 1 year of industry experience and claims management preferred State Certification as an Experienced Examiner PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $24.91 - $40.17 per hour A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote