Claim Processor Jobs in Carteret, NJ

The Total Loss Unit within our Auto Claims Organization is responsible for identifying, negotiating and settling total losses with both insureds and claimants. The Total Loss Claims Representative processes payments and is responsible for the documentation of assigned claims as well as coordinating disposition of the total loss salvage vehicle. He or she is responsible for controlling total loss expenses and salvage recoveries on all total losses assigned. Perks: 4 weeks accrued paid time off + 9 paid national holidays per year Robust wellness & health and fitness reimbursement programs 401(k) bonus program Tuition reimbursement Auto and home insurance discounts Volunteer opportunities 2:1 donation matching program Company-paid life and disability insurance plans Optional medical, dental, vision, legal, pet insurance, FSA and identity theft protection plans Responsibilities: Negotiates and communicates all total loss and diminished value settlements per company and state guidelines. Multi jurisdictions, including MA, NH, CT, NY, and others as required Understands the total loss evaluation methodology processes with the ability to effectively communicate these to vehicle owners. Has a basic understanding of vehicle financing / leasing. Reviews damage estimates to confirm vehicles are total losses. Documents all settlements and actions in the claim file system. Works directly with salvage vendor to move vehicles and obtains salvage bids where necessary Negotiates and settles claims within his/her individual authority. Submits claims for approval to supervisor when over his/her authority or for guidance, review and/or referral when appropriate. Escalates claims to supervisor that are not moving in a positive direction. Maintains an effective diary system on pending files. Prioritize and handle multiple tasks simultaneously. Quickly adjusts to fluctuating workload and responsibilities. Keeps involved parties and agents updated on the status of the claim and emerging issues. Ensures that service, loss and expense control are maintained at all times. Adheres to privacy guidelines, law and regulations pertaining to claims handling. Prepares payments to vehicle owners, banks and lease companies. This role will report in person to our Boston office, located directly across from South Station. Knowledge/Skills: Property and casualty claims handling experience desired Ability to work independently and in a team environment Excellent oral and written communication skills Excellent organizational skills Solid problem solving skills Proficient in Word, Excel, MS Outlook Educational Requirements: Bachelor's degree from four-year college or university or commensurate work experience preferred Previous auto claims handling State Adjusting licenses or the ability to obtain them within 6 months of employment The Plymouth Rock Company and its affiliated group of companies write and manage over $2.2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 2,000 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.

Claim Specialist Job Description FLSA Status: Non-Exempt Reports to: ADR Case Manager Summary: We are seeking a Claim Specialist with 1-2 years of experience. Comfortability with technology and platforms required. Job Responsibilities Format documents and communications for clients; Liaise between third party vendor and Labaton Keller Sucharow; Review documents (release/document verification) for production to defense counsel for quality control; Calendaring and entry of case info into database; Perform intake and initial filtering of client inquiries; Preparation of submissions involving large volumes of individual claims; Run and analyze client data reports; Organize documents and communications with clients; Ensure that case documents accurately reflect a client's individual information; Keep track of communications or developments relating to client cases and deadlines that may be applicable to individual clients; Prepare and send client communications; Communicate with clients telephonically, on occasion; Work with attorneys to plan data gathering, and settlement update workflows; Analyze and summarize client inquiries to identify trends and patterns requiring further action; and Assist with the development of processes and technological systems for addressing large volumes of client interactions. Skills/Requirements Proficient in the use of Microsoft Word and Excel; Familiarity with Filesite preferred; Familiarity with client management systems or databases preferred; Strong technical skills and ability to quickly learn new litigation support software; Strong written and oral communication skills and strong interpersonal skills; Must possess great attention to detail; Must possess analytical and critical thinking skills; Strong organizational and time-management skills; Ability to work independently while understanding the importance of teamwork; Ability to manage workload consisting of multiple tasks; and The work shift for this position is 9:30 am-5:30 pm, five days a week, but applicant must be willing and available to work overtime, both evening and weekends, when necessary. We are looking to hire in the $50-55,000/year range. SEARCH FIRM/HEADHUNTERS: Please do not reach out to our partners regarding this search at this time. All correspondence should go to ******************* Thank you.

Property & Casualty Insurance Industry NYC Examine, adjust and defend, general liability claims and lawsuits filed against insureds towards an amicable resolution, where possible. This includes reviewing the terms, conditions and exclusions of the insurance policy to determine whether or not the claim presented is covered, conducting an investigation of the facts and circumstances of the claim presented, securing necessary medical and other documentation of alleged damages and negotiating settlements with claimants and attorneys. Review coverage under the policy of insurance that the claim or lawsuit was submitted under to determine whether or not coverage for the claim or lawsuit is in order. Conduct an initial investigation of the facts and circumstances of the claim presented by contacting both the insured and claimant (or attorney, if claimant is represented) to get more specifics. This includes securing copies of any applicable contracts, leases, and certificates of insurance from any 3rd party tortfeasors for potential risk transfer. Secure copies of medical records and other documentation of damages alleged from claimants or their attorney to assist in the evaluation of the claim presented. Review the claimants documented damages to ensure that a proper reserve has been placed on the file. Bachelor's degree required. Minimum of 2 years of experience handling premises liability claims is required. Experience handling liability claims in the state of New York is required. In-depth knowledge of tort/insurance law in the jurisdiction. Knowledge of how to properly investigate and prepare claims and lawsuits for trial required. One or more of the following Professional Designations - AIC, CPCU, SCLA is preferred. Well versed with Commercial General Liability (CGL) coverage forms. Knowledge of Microsoft Office 365 required. Experience with ImageRight and WINS a plus. Visit *********************** for more info!

Job Description SENIOR CLAIMS ANAYLYST (PM/CA)- New York, NY Keville Enterprises, Inc., an established Construction Management and Inspection firm, is seeking qualified candidates to serve as a full-time Senior Claims Analyst on several public agency projects in the New York City area. A conscientious individual, with a positive attitude, and great organizational skills is required. Candidates must have a B.S. degree in either Construction Management or Civil Engineering. All candidates must also have no less than 12 years of working on construction projects (infrastructure preferred but not required) - and no less than 7 years of experience with change orders and construction claims. Candidates must be able to work both remotely and on certain project job sites, in the New York City area, on typical weeks throughout the full year. RESPONSIBILITIES: The Senior Claims Analyst will be serving, as part of a Keville group, as an owner/agency representative on their capital construction program. The Senior Claims Analyst will be responsible for: reviewing, analyzing, reporting, and presenting construction claims (submitted by contractors to the owner). This primary function will include reviewing contractor claims/changes for completeness/compliance; providing independent assessments for costs, developing detailed cost estimates (comparative), and reviewing merit based on the contract language. Additional responsibilities may include recommending negotiation strategy; supporting the management and oversight of the construction contractor; helping to manage the impacts of changes in the construction budget; reviewing the contractor's schedule updates for accuracy; processing the contractor's requests for payment; reviewing reports for cost, schedule, budget, inspection, submittal status, change order status, and other reports; developing various project related reports; utilizing the owner/agency's project status software; helping to process change orders; coordinating with other field/office staff; and other duties as assigned. QUALIFICATIONS: Candidates must have a bachelor's degree in construction management, civil engineering or a related degree. All candidates must also have no less than 12 years working on construction projects, no less than 7 years of experience with change orders and construction claims, and no less than 5 years of construction field experience, preferably on infrastructure construction. Candidates must have excellent communication skills, demonstrated writing ability, demonstrated ability to get along with all personality types, and strong computer skills. Experience in construction/program management systems --- such as Sage, HCSS, e-Builder, Sharepoint, Procore, Bluebeam, On Screen Take-off, Excel and Power Point. OTHER: OSHA 10 certification is a condition of employment. This position is exempt under the FLSA. This employer participates in e-verify. More Information: **************************** WORK ENVIRONMENT: Candidates must be able to work both remotely and on certain project job sites, in the New York City area, on typical weeks throughout the full year. COMPANY OVERVIEW: Keville Enterprises, Inc. has been serving the Construction Management Industry since 1991. A WBE/DBE Certified Construction management and inspection firm, Keville specializes in providing a full spectrum of construction management and support services as an owner's representative on public and private projects. Today Keville is one of the largest and most successful woman-owned CM firms in the nation committed to 100% client satisfaction and continuous development and improvement of our employees, products, and services. Keville Enterprises, Inc. is an Affirmative Action/Equal Opportunity Employer Background checks required. Pre-employment (post-offer) Job Posted by ApplicantPro

The DSP (Delivery Service Partner) Offer & Expansion team is part of the Last Mile Product and Technology organization and is responsible for designing, launching, and managing the strategy of the Delivery Service Partner (DSP) program around the world across all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims professional to support our rapidly growing and evolving global auto program. You will lead strategy on complex bodily injury auto claims, handling pre-litigation disputes and resolving litigated claims with cross-functional partners. Further, you will help develop programs and tools that contain costs, and continue successful third party administrator (TPA) strategies and relationships. You will have a strong working knowledge of commercial auto insurance policies and experience with large transportation fleets. You will have experience adjudicating both litigated and non-litigated claims in a time-efficient and cost-effective manner. You will help build processes and strategies for handling new issues that arise in a business-centric way while addressing risk. Typical transactions will range from standard claims settlement to complex high dollar agreements. Essential Duties and Responsibilities Within the Last Mile Claims team, a successful candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change, enjoy working hard, and being continually challenged. Duties may include, but are not limited to, the following: · Claims management of moderate and complex bodiliy injury litigated claims. · Work with business units to implement strategies to limit complex high value claims and contain costs. · Develop strategy and action plans for claims in tandem with internal/external counsel, TPAs, and insurance companies. · Mediation and settlement strategy and attendance in conjunction with internal/external legal partners, insurance companies, and TPAs. · Field and address business partners on-going questions and issues through claims resolution as needed. · Partner with internal teams to proactively prevent claims through safety measures. · Ensure that the TPA manages the claims diligently, partners with Risk Management and Legal (internal and external), and employs best practices to control claim costs. · Lead logistic complex claims management, develop and refine claims processes, and provide training as needed. · Direct claim reviews and ensure alignment with KPIs and Performance Guarantee. · Report out on business metrics to internal business teams, including logistics and Amazon's captive insurance program. · Partner and direct external vendors and partners on innovative claims handling and initiatives that support simplicity and contain costs while enhancing the customer experience. · Effectively communicate recommended risk mitigation strategies to cross-functional and internal leadership teams. · Manage and advise on worldwide corporate auto exposures, delivery service provider projects, and other logistics operations. · Utilize and/or establish analytics, metrics, and bench marking through multiple sources to evaluate loss trends. · Provide guidance and support for loss prevention matters to ensure an open, proactive, and effective risk management culture. · Assist in developing business proposals and case studies for presentation to senior leaders. -Work across teams to share ideas, influence change, and deliver projects results. We are open to hiring candidates to work out of one of the following locations: Austin, TX, USA | Bellevue, WA, USA | Chicago, IL, USA | Dallas, TX, USA | Houston, TX, USA | Irvine, CA, USA | Nashville, TN, USA | San Diego, CA, USA | Seattle, WA, USA | Tempe, AZ, USA |New York, NY, USA | Santa Cruz, CA, USA Key job responsibilities - Claims management of complex high value bodily injury and litigated claims. - Work with business units to implement strategies to limit complex high value claims and contain costs. - Develop strategy and action plans for claims in tandem with internal / external counsel, TPAs and insurance companies. - Mediation and settlement strategy and attendance in conjunction with internal/external legal partners, insurance companies, and TPAs. - Field and address business partners on-going questions and issues through claims resolution as needed. Basic Qualifications - Bachelor's degree or equivalent Preferred Qualifications - 3+ years of program requirements definition and data and metrics leveraging to drive improvements experience - Professional auditing qualification, or similar risk or compliance credentials - Experience with SQL and Excel Amazon is committed to a diverse and inclusive workplace. Amazon is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. For individuals with disabilities who would like to request an accommodation, please visit ***************************************** Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $66,800/year in our lowest geographic market up to $142,800/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit ******************************************************** This position will remain posted until filled. Applicants should apply via our internal or external career site.

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℠. Primary Responsibilities Under technical direction, utilizing recovery guidelines and policies to interpret and determine if pursuit of recovery is viable for less complex or small dollar occurrences referred to the team; ensures proper documentation received, negotiates and settles recovery files Works within specific limits of authority on assignments requiring moderate to advanced technical complexity and coordination Coordinates and collaborates with claims staff to ensure complete investigation to support recovery pursuit or closure Ensures best business outcome for Arch in cases of competing interests to recovery Utilizes negotiation skills to develop and complete complex recovery settlement packages May work with attorneys, account representatives, Agents, risk managers, insured representatives, and other Arch associates regarding the handling and or disposition of recovery opportunities May provide assistance and guidance to other claims staff and functional areas Maintains a pending file count in accordance with subrogation unit guidelines Analyzes recovery activities and prepares reports for management Maintains current advanced knowledge of state / national trends in recovery and subrogation, negligence doctrines, types of liability, and limitations, if any, of recoverable damages for various jurisdictions Qualifications Bachelor's degree or equivalent work experience; proper & active adjuster licensing in all applicable states preferred Three to five (3-5) years of working experience with a primary and or excess carrier, broker, or law firm supporting commercial accounts with claims and subrogation processes; subrogation a plus Solid insurance claims knowledge base, theory and practices; desired business lines include auto, casualty, general liability, property, workers' compensation Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines Strong time management and organizational skills Ability to exercise independent judgment and make critical business decisions effectively Ability to work well independently and in a team environment Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word #LI-SW1 #LI-Remote For individuals assigned or hired to work in California, Colorado, Hawaii, Jersey City, NJ; New York State; and/or Washington State, the base salary range is listed below. This range is as of the time of posting. Position is incentive eligible. $61,900 - $83,623 (zone 1) $71,900 - $97,110 (zone 2) $79,900 - $107,900 (zone 3) 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 range may be modified in the future 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.

Everest Insurance Company, a member of Everest Re Group, Ltd., is seeking an experienced Claims Professional to join our Cyber Claims Department, located in our New York City office. The Everest Cyber Claims Department is part of Everest Financial & Specialty Lines Claims and is a rapidly growing and collaborative group. The ideal candidate should possess the ability to handle Cyber claims. More particularly, the ideal candidate will be able to analyze insurance coverage issues and resolve claims according to certain Best Practices and within stated authority limits. This position will report to the Director of Cyber Claims. Responsibilities include, but are not limited to: * intake, investigate, determine coverage, manage and resolve Cyber, Privacy, Media and Tech E&O claims * Review and analyze complex coverage issues and preparation of coverage position letters * Handle demanding and complex first party Cyber Claims, including Data Breaches, Business Interruption, Contingent Business Interruption, and Extortion claims * Handle third party privacy liability, PCI, Regulatory, Media and Tech E&O claims, resolving claimseffectively and efficiently * Assist with emergencies on a rotational on-call schedule * Management and review of budgets, restoration plans and Business Interruption Income Proofsof Loss * Investigation, analysis and evaluation of liability and damages * Management and direction of outside counsel as well as reviewing & approving legal budgets and bills * Preparation of case summary reports related to matters of significant reserve and trial activity * Timely and appropriate setting of case reserves * Development and execution of claim strategies as well as resolution strategies * Negotiation and resolution of cases * Attend mediations * Working with underwriters supporting policy construction and drafting, reporting claim trends,data analysis and risk assessment * Extensive communication with insureds, brokers, reinsurers and business unit contacts * Attend client meetings and industry functions to support retention and development of clientrelationships and business Skills * Relevant experiences: A broad Insurance experience, including understanding of policy language, coverages, ethics and claim practices. Legal experience, including litigation, class action,regulatory, breach response, coverage would also be helpful. Cyber experience or understanding, including computer security, forensics, and network restoration, would also be helpful. * Multi-tasking and prioritization skills * Persuasive and efficient writing * Legal and insurance claim resolution skills, including negotiations * Accounting * Data analysis * Quick learning * Collaboration * Independence * Problem solving * MS Office Suite and ability to learn constantly improving programs Work Experience & Qualifications: * The ideal candidate will have 3-5 years of professional liability claims experience. Strong oral andwritten communication skills * Strong analytical and organizational skills * Strong negotiation and investigation skills * Excellent interpersonal skills * Ability to evaluate coverage issues involving a wide variety of loss scenarios * Ability to think strategically * In-depth knowledge of the litigation, arbitration, and trial process * Currently holds or readily can obtain all required adjuster licenses * Knowledge of the insurance industry, claims and the insurance legal and regulatory environment * Knowledge of claims handling or insurance legal statutes and procedures * Ability to identify and use relevant data and metrics to best manage claims * Collaborative mind-set and willingness to work with people outside immediate reportinghierarchy to improve processes and generate optimal departmental efficiency Our Culture At Everest, our purpose is to provide the world with protection. We help clients and businesses thrive, fuel global economies, and create sustainable value for our colleagues, shareholders and the communities that we serve. We also pride ourselves on having a unique and inclusive culture which is driven by a unified set of values and behaviors. Click here to learn more about our culture. * Our Values are the guiding principles that inform our decisions, actions and behaviors. They are an expression of our culture and an integral part of how we work: Talent. Thoughtful assumption of risk. Execution. Efficiency. Humility. Leadership. Collaboration. Diversity, Equity and Inclusion. * Our Colleague Behaviors define how we operate and interact with each other no matter our location, level or function: Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together. All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues, and the global communities we serve. For NY Only: The base salary range for this position is $120,000 - $160,000 annually. The offered rate of compensation will be based on individual education, experience, qualifications and work location. Type: Regular Time Type: Full time Primary Location: Warren, NJ Additional Locations: New York, NY Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. As part of this commitment, Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Everest Benefits at *********************************. Everest U.S. Privacy Notice | Everest (everestglobal.com)

For a description, see PDF at: ************ transre. com/wp-content/uploads/2024/09/Property-Claims-Examiner. pdf

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℠. Primary Responsibilities Under technical direction, utilizing recovery guidelines and policies to interpret and determine if pursuit of recovery is viable for less complex or small dollar occurrences referred to the team; ensures proper documentation received, negotiates and settles recovery files Works within specific limits of authority on assignments requiring moderate to advanced technical complexity and coordination Coordinates and collaborates with claims staff to ensure complete investigation to support recovery pursuit or closure Ensures best business outcome for Arch in cases of competing interests to recovery Utilizes negotiation skills to develop and complete complex recovery settlement packages May work with attorneys, account representatives, Agents, risk managers, insured representatives, and other Arch associates regarding the handling and or disposition of recovery opportunities May provide assistance and guidance to other claims staff and functional areas Maintains a pending file count in accordance with subrogation unit guidelines Analyzes recovery activities and prepares reports for management Maintains current advanced knowledge of state / national trends in recovery and subrogation, negligence doctrines, types of liability, and limitations, if any, of recoverable damages for various jurisdictions Qualifications Bachelor's degree or equivalent work experience; proper & active adjuster licensing in all applicable states preferred Three to five (3-5) years of working experience with a primary and or excess carrier, broker, or law firm supporting commercial accounts with claims and subrogation processes; subrogation a plus Solid insurance claims knowledge base, theory and practices; desired business lines include auto, casualty, general liability, property, workers' compensation Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines Strong time management and organizational skills Ability to exercise independent judgment and make critical business decisions effectively Ability to work well independently and in a team environment Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word #LI-SW1 #LI-Remote For individuals assigned or hired to work in California, Colorado, Hawaii, Jersey City, NJ; New York State; and/or Washington State, the base salary range is listed below. This range is as of the time of posting. Position is incentive eligible. $61,900 - $83,623 (zone 1) $71,900 - $97,110 (zone 2) $79,900 - $107,900 (zone 3) 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 range may be modified in the future 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.

Job Type: Permanent Build a brilliant future with Hiscox Does researching and analyzing a complex book of claims light a fire inside you? If so, why don't you apply for the Claims Examiner position! About the Hiscox Claims team: The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox's strong brand built on a long history of outstanding claims handling. The role: Superior claims service is central to our corporate culture and brand. Claims Examiners are an integral part of our in-house claims servicing team. Claims Examiners are responsible for analyzing policy coverage, drafting coverage letters, managing, monitoring and resolving Professional Liability claims asserted against our customers. Superior claims service is central to our corporate culture and brand. What you'll be doing as the Complex Claims Specialist: Key Responsibilities: To perform all core aspects of in-house claims management, including but not limited to: Review and analyze Professional Liability submissions for coverage Draft coverage letters to insureds Strategize to drive favorable claim resolutions Analyze liability, risk, and exposure and accurately reserve claim files Evaluate and pay losses Evaluate and settle claims Meet Best Practices for claim handling and document claim file accordingly Our must-haves: Excellent written communication skills 2-5 years of experience direct handling of third party Professional Liability claims JD from an ABA accredited law school or litigation paralegal experience may be considered Desire to provide excellent customer service Ability to work autonomously and meet deadlines Active insurance adjuster's license B.A./B.S degree from an accredited College or University preferred In-house claims handling experience Please note that this position is hybrid and requires working two (2) days in office weekly. Position can be based in the following office locations: Atlanta, GA Chicago, IL Hartford, CT Manhattan, NY Salary range: $70k-$85k Hiscox Values At Hiscox our spirit is in Challenging Convention and everything we do is guided by our Values. Courage: Do the right thing however hard Quality: World class where it matters Integrity: True to our word Excellence in Execution: Consistent, timely, efficient delivery Human: Firm, fair and inclusive What Hiscox USA Offers 401(k) with competitive company matching Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care) Company paid group term life, short- term disability and long-term disability coverage 24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days Paid parental leave 4-week paid sabbatical after every 5 years of service Financial Adoption Assistance and Medical Travel Reimbursement Programs Annual reimbursement up to $600 for health club membership or fees associated with any fitness program Company paid subscription to Headspace to support employees' mental health and wellbeing 2023 Gold level recipient of Cigna's Healthy Workforce Designation for having a best-in-class health and wellness program Dynamic, creative and values-driven culture Modern and open office spaces, complimentary drinks Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation About Hiscox As an international specialist insurer we are far removed from the world of mass market insurance products. Instead we are selective and focus on our key areas of expertise and strength - all of which is underpinned by a culture that encourages us to challenge convention and always look for a better way of doing things. We insure the unique and the interesting. And we search for the same when it comes to talented people. Hiscox is full of smart, reliable human beings that look out for customers and each other. We believe in doing the right thing, making good and rebuilding when things go wrong. Everyone is encouraged to think creatively, challenge the status quo and look for solutions. Scratch beneath the surface and you will find a business that is solid, but slightly contrary. We like to do things differently and constantly seek to evolve. We might have been around for a long time (our roots go back to 1901), but we are young in many ways, ambitious and going places. Some people might say insurance is dull, but life at Hiscox is anything but. If that sounds good to you, get in touch. About Hiscox US Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group. Today, Hiscox USA has a talent force of about 420 employees mostly operating out of several major cities - New York, Atlanta, Chicago, Hartford and Scottsdale. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism. You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance) #LI-AJ1 Work with amazing people and be part of a unique culture

Liability Desk Examiner (remote) Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client's specific needs. As a claims organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry! As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and a "roll-up-your-sleeves, get it done" mentality. We are searching for experienced, energetic, creative, and self-reliant professionals for exciting career opportunities! Job Summary: The work of our inside desk examiners directly contributes to the success of our organization. You will have the ability to make a meaningful impact by leveraging your industry expertise, customer service skills, and ability to manage priorities in a fast-paced environment. We are currently growing and are looking for a TPA Transportation Claims Examiner with a minimum of three years of experience in this discipline of the insurance claims industry. The optimal candidate will be a team player with experience handling Motor Truck Cargo and Commercial Physical damage claims for commercial transportation clients. This position allows the right candidate to expand their career and grow with a forward-thinking organization. Responsibilities : + End-to-end management of transportation claims according to policy coverage and state requirements + Conduct thorough investigations to determine damages and assess liability exposure. + Interview related parties, including insured, witnesses, and others as appropriate. Take detailed notes of your interactions and enter them into our internal claims handling software. + Ability to evaluate commercial physical damage claims + Recognition of subrogation potential + Work well with internal and external customers to provide superior reports so that proper evaluations of claim values can be made. + Appropriately represent the company by executing a high level of service and maintaining professionalism at all times. Key requirements: + At least 3+ years of relevant experience + Must maintain current and valid adjuster license(es) + Must maintain a valid driver's license + Strong project management skills and ability to work independently + Strong working knowledge of insurance laws + Strong verbal and written communication skills + Excellent customer service skills + Experience at a Third-Party Administrator (TPA) company is a plus Benefits and Perks: We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance, and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company! Powered by JazzHR

Who are we? A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. As part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character. We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty and specialty lines insurance company in the world? Learn more about our unique culture and history. Job Opportunity: Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a Commercial Property Claims Examiner to join our dynamic Claims team. The Examiner will be responsible for coordinating the adjustment of commercial property claims, regularly collaborating with underwriters, internal and external customers, and marketing BHSI Claim Service to customers and brokers. We are seeking candidates with a high level of technical skill, as well as excellent communication and interpersonal skills. The position will be based in either our Boston, New York or Atlanta office. Duties & Responsibilities: Overseeing the adjustment of commercial property claims (primary/excess/quota share); Overseeing assignments to independent adjusters and other subject matter experts; Providing outstanding customer service; Engaging and collaborating with internal and external customers including, but not limited to, brokers, independent adjusters, Third-Party Administrators, Claims Department teammates, underwriters, actuaries, loss prevention engineers; Analyzing coverage and drafting coverage position letters; Working closely with coverage and / or litigation counsel; Evaluating loss information and providing loss exposure assessments; Setting file reserves within financial authority; Making claim file reserve recommendations to next level management; Documenting claim files with timely and comprehensive file notes; Preparing Large Loss or other claim related reports for management; Traveling to conferences, mediations, depositions, claims specific meetings, trials and other industry events; Providing assistance and support to our Marine Claims team as circumstances require; Qualifications, Skills and Experience: Experience and technical competence in all aspects of first party Commercial Property claims preferred (not a requirement); College degree preferred (not a requirement); Ability to work independently; Excellent communication skills (spoken and written); Ability to work respectfully and collaboratively in a team environment; Ability to execute all aspects of job with a specific emphasis on customer service; Marine claims handling experience (Inland and Ocean) seen as a “plus” (not a requirement); Active adjuster licenses in multiple / key states seen as a plus (not a requirement); BHSI Offers: • A competitive package and exciting growth opportunities for career-oriented teammates • A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates and our other stakeholders • A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework NOTE: Compensation will be commensurate with experience. This job description is not intended to be all-inclusive. Team Member may perform other related duties as negotiated to meet the ongoing needs of the organization. The base salary range for this position in New York is from $75,000 – $95,000 along with annual bonus eligibility; a candidate’s actual salary is determined by their relevant skills and experience. We value our teammates – both their capabilities and character – as demonstrated by our amazing culture.

About Us Since 1977 we have delivered first class solutions to insurers worldwide, by combining global reach with local decision making. We have built customer & broker relationships on years of trust, experience and execution. Through our people, our products and our partnerships, we deliver the capacity and expertise necessary to contribute to the sustainable growth of prosperous communities worldwide. To do so, our colleagues work with: Integrity Work honestly, to enhance TransRe's reputation Respect Value all colleagues. Collaborate actively. Performance We reward excellence. Be accountable, manage risk and deliver TransRe's strengths Entrepreneurship Seize opportunities. Innovate for and with customers. Customer Focus Anticipate their priorities. Exceed their expectations. We have the following job opportunity in our New York City office: Description The Fast Track Claims Examiner will review and handle claim documents including mail and financial transactions that come through our fast track division. The high claim volume will provide you with great exposure and allow you to show your acumen of maintaining speed and accuracy while handling claims. Responsibilities include, but are not limited to: Reviewing and handling fast track claim documents including mail and financial transactions within the unit's authority. Completing appropriate running notes to track actions taken on claims, including appropriate calculations for financial transactions. Completing supplemental tab with a synopsis of claim file updates. Processing all fast track mail within unit's time parameters. Returning all miss-coded fast track DMS documents and files to claims staff that don't adhere to fast track guidelines. Updating all claims fields as needed in Claim Detail 1, 2 & 3. Updating and completing closing information on Claim Detail 2 for all fast track closings. Securing all DMS documents that contain personal and private information. Requirements 2-5 years of insurance claims handling experience Reinsurance experience is a plus Fluency in Spanish is a plus Ability to handle a fast paced work environment while maintaining timely and accurate deliverables Work Schedule TransRe is supportive of an agile work schedule, which may differ based on individual roles, your local office's practices and preferences marketplace trends, and TransRe's business objectives. This position is eligible for a hybrid work schedule with 3 days in the office per week, and 2 days remote. Compensation In addition to base salary, for this position, TransRe offers a comprehensive benefits package, paid time off, and incentive pay opportunity. The anticipated annual base salary range in New York for this position, exclusive of benefits, paid time off, and incentive pay opportunity is $70,000 - $100,000 This range is an estimate and the actual base salary offered for this position will be determined based on certain factors, including the applicant's specific skill set and level of experience. We are an Equal Opportunity Employer (EOE) and we support diversity in the workforce.

is responsible for the preparation and processing of Conventional Claims. Primary Responsibilities: Monitor daily reports outlining workflow and processing needed. Understand the workflow and upstream processing as well as the difference between the claim types: Short Sales, Foreclosure Claims, Third Party Claims, Charge Off, Security Claims, Loss Mitigation Claims, and Deed in Lieu Claims. Process/File claims according to investor/insurer/statutory & regulatory guidelines within assigned service level agreements. Communicate/interact with attorneys, tax collectors, homeowners associations, prior servicers and utility companies regarding coverage periods of disbursements. Obtain, prepare and approve invoices for claim filing. Contact outside entities for back up invoices; including but not limited to water/sewer companies, attorney offices, prior servicers. Assess invoices to minimize losses and financial exposure to the Bank. Communicate with attorney's regarding bills, HOA fees due, taxes due and items needed to file Conventional claim. Research loan history for advances and deposits. Contact various internal departments for clarification on advances. Review and consult with the Mortgage Insurance department regarding refunds. Review and consult with the Hazard department on the disbursement of hazard insurance proceeds. Determine if refunds are needed. Respond to attorney loan level requests. Ensure system is updated accurately before moving the loan to the next phase of the Claim process. Research/determine curtailments/losses and what department the curtailment/loss should be booked to. Upload required documentation into investor systems concerning advances or credits to accounts. Monitor loans for incoming Claim Funds. Process investor/security claims. Follow up with Foreclosure, Loss Mitigation, Bankruptcy, Evictions, Property Preservation regarding losses. Review and process repurchased/redeemed loans. Review HOA & Utility billings, obtain unpaid bills, pay bills, follow-up for bills due. Adhere to applicable compliance/operational risk controls in accordance with Company or regulatory standards and policies. Promote an environment that supports diversity and reflects the M&T Bank brand. Maintain M&T internal control standards, including timely implementation of internal and external audit points together with any issues raised by external regulators as applicable. Complete other related duties as assigned. Scope of Responsibilities: This position interacts with internal M&T Bank departments and external third-parties. Education and Experience Required: A combined 3 years' higher education and/or work experience, including a minimum of 1 year relevant work experience. Organized and detail oriented. Strong verbal and written communication skills. Strong customer service skills. Working PC skills including word processing and spreadsheet software. Education and Experience Preferred: Knowledge of M&T Bank systems. M&T Bank is committed to fair, competitive, and market-informed pay for our employees. The pay range for this position is $18.57 - $30.95 Hourly (USD). The successful candidate's particular combination of knowledge, skills, and experience will inform their specific compensation.LocationGetzville, New York, United States of America

The REH TPA-Oversight Claim Examiner is responsible for investigating and settling claims while ensuring a high level of customer service and claim file quality while providing oversight and guidance to our TPA partners. This is a hybrid opportunity, 3 days in the office and 2 days remote in one the following locations: Whitehouse Station, NJ, Jersey City, NJ, Philadelphia, PA, Wilmington, DE or Chatsworth, CA. Duties include, but are not limited to: * Provides outstanding customer service and works well with the insured, broker and TPA in the adjustment of casualty and auto risks. * Analyzes coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit. * Conducts, coordinates, and directs investigation into loss facts and extent of third-party damages. * Directs and closely monitors assignments to experts and defense counsel. * Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company. * Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor. * Reports to reinsurers and facilitates the prompt collection of reinsurance on those matters where they are accountable. * Travels to conferences, mediations, and trials as necessary.

What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work under general direction from the Director, PL Bermuda Claims. Markel will provide relocation assistance as this position requires the hire to physically reside in Bermuda. Job Responsibilities Handle a pending claim count of complex and non-complex claims involving underlying litigations/investigations/claims predominantly pending in the US Analyze coverage and draft coverage positions and correspondence Evaluate liability, and damages to determine potential exposure Timely prepare large loss reports, post reserves, and escalate complex coverage issues to Senior Director, as appropriate Actively participate in negotiation and settlement of both underlying claims and claims for coverage Support underwriting by drafting or advising on policy wordings or renewal requests and attending renewal meetings with brokers and clients, as required Serve as technical resource for internal stakeholders and other claims examiners Foster collaborative relationships with internal stakeholders and timely respond to internal inquiries Participate in special projects and reports and assist other team members, as requested Travel to mediations, trials, and conferences, as required Promote inclusion within team and department Education Law degree (US preferred) Work Experience Experience managing, mentoring, and/or training more junior employees Minimum of 8 years of experience handling, or providing legal advice with respect to, a spectrum of professional liability claims involving various risk classes and types of liabilities Significant experience handling or advising on complex coverage issues Significant experience with at least two or more of the following types of US claims preferred: EPL, D&O, E&O, FI, and TL Experience arbitrating, mediating, and/or negotiating underlying claims and/or claims for coverage without assistance from outside counsel Skill Sets Knowledge of coverage law (US preferred) and various types of professional liability policies Knowledge of the US legal system and the nuances between different states Strong written and oral communication skills Strong analytical and problem-solving skills Strong organization and time management skills Ability to deliver outstanding customer service Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word) Ability to work in a team environment Strong desire for continuous improvement US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The base range for Bermuda location is $140-$160K with 35% bonus potential. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Markel offers hybrid working schedules of 3 days in the office and 2 days remote. Are you ready to play your part? Choose ‘Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.

Job Description Liability Desk Examiner (remote) Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client’s specific needs. As a claims organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry! As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and a “roll-up-your-sleeves, get it done” mentality. We are searching for experienced, energetic, creative, and self-reliant professionals for exciting career opportunities! Job Summary: The work of our inside desk examiners directly contributes to the success of our organization. You will have the ability to make a meaningful impact by leveraging your industry expertise, customer service skills, and ability to manage priorities in a fast-paced environment. We are currently growing and are looking for a TPA Transportation Claims Examiner with a minimum of three years of experience in this discipline of the insurance claims industry. The optimal candidate will be a team player with experience handling Motor Truck Cargo and Commercial Physical damage claims for commercial transportation clients. This position allows the right candidate to expand their career and grow with a forward-thinking organization. Responsibilities: End-to-end management of transportation claims according to policy coverage and state requirements Conduct thorough investigations to determine damages and assess liability exposure. Interview related parties, including insured, witnesses, and others as appropriate. Take detailed notes of your interactions and enter them into our internal claims handling software. Ability to evaluate commercial physical damage claims Recognition of subrogation potential Work well with internal and external customers to provide superior reports so that proper evaluations of claim values can be made. Appropriately represent the company by executing a high level of service and maintaining professionalism at all times. Key requirements: At least 3+ years of relevant experience Must maintain current and valid adjuster license(es) Must maintain a valid driver’s license Strong project management skills and ability to work independently Strong working knowledge of insurance laws Strong verbal and written communication skills Excellent customer service skills Experience at a Third-Party Administrator (TPA) company is a plus Benefits and Perks: We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance, and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company! Powered by JazzHR ee0P9mmJVW

About Us Since 1977 we have delivered first class solutions to insurers worldwide, by combining global reach with local decision making. We have built customer & broker relationships on years of trust, experience and execution. Through our people, our products and our partnerships, we deliver the capacity and expertise necessary to contribute to the sustainable growth of prosperous communities worldwide. To do so, our colleagues work with: Integrity Work honestly, to enhance TransRe's reputation Respect Value all colleagues. Collaborate actively. Performance We reward excellence. Be accountable, manage risk and deliver TransRe's strengths Entrepreneurship Seize opportunities. Innovate for and with customers. Customer Focus Anticipate their priorities. Exceed their expectations. We have the following job opportunity in our New York City office: Description We are seeking an experienced reinsurance claims examiner to manage a portfolio of property claims in our New York City office. The team also handles surety, marine, and aviation claims. This position is a great opportunity for experienced claims examiner to assume responsibility for a growing book of business. Responsibilities will include, but not be limited to: Making coverage determinations on 1st party property and reinsurance claims. Ensuring accurate claim payments and reserves. Performing claim audits and writing comprehensive audit reports. Interfacing with underwriters, brokers, and clients. Ensuring proactive claims handling throughout the life of claims. Requirements 5+ years of (re)insurance property claims handling experience, treaty and facultative. JD degree is strongly preferred. Litigation experience is a plus. Surety, marine, or aviation claims experience is a plus. Strong analytical and writing skills. Ability to work well independently and within a team. Work Schedule TransRe is supportive of an agile work schedule, which may differ based on individual roles, your local office's practices and preferences marketplace trends, and TransRe's business objectives. This position is eligible for a hybrid work schedule with 3 days in the office per week, and 2 days remote. Compensation In addition to base salary, for this position, TransRe offers a comprehensive benefits package, paid time off, and incentive pay opportunity. The anticipated annual base salary range in New York for this position, exclusive of benefits, paid time off, and incentive pay opportunity is $145,000 - $175,000 This range is an estimate and the actual base salary offered for this position will be determined based on certain factors, including the applicant's specific skill set and level of experience. We are an Equal Opportunity Employer (EOE) and we support diversity in the workforce.

Chubb is currently seeking a Workers' Compensation Lost Time Claims Examiner for our Northeast, New York, and New Jersey Region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey. The position will report and reside in our New Haven, Connecticut office. * Handles all aspects of workers' compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process. * Reviews claim and policy information to provide background for investigation. * Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured, claimant and medical providers. * Evaluates the facts gathered through the investigation to determine compensability of the claim. * Informs insureds, claimants, and attorneys of claim denials when applicable. * Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties, etc. * Timely administration of statutory medical and indemnity benefits throughout the life of the claim. * Sets reserves within authority limits for medical, indemnity and expenses and recommends reserve changes to Team Leader throughout the life of the claim. * Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them. * Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered. * Works with attorneys to manage hearings and litigation * Controls and directs vendors, nurse case managers, telephonic cases managers and rehabilitation managers on medical management and return to work initiatives. * Complies with customer service requests including Special Claims Handling procedures, file status notes and claim reviews. * Files workers' compensation forms and electronic data with states to ensure compliance with statutory regulations. * Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized. * Works with in-house Technical Assistants, Special Investigators, Nurse Consultants, Telephonic Case Managers as well as Team Supervisors to exceed customer's expectations for exceptional claims handling service. **Technical Skills & Competencies:** * Lost Time Claim Examiner position with prior experience in workers' compensation as a lost time examiner, or similar examiner experience in short-term / long-term disability, auto personal injury protection / medical injury, or general liability claims. * Requires basic knowledge of workers' compensation statutes, regulations, and compliance. * Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues. * Exceptional customer service and focus. * Ability to openly collaborate with leadership and peers to accomplish goals. * Demonstrates a commitment to a career in claims. * Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines. * Use analytical skills to find mutually beneficial solutions to claim and customer issues. * Ability to prepare and make exceptional presentations to internal and external customers. * Conscientious about the quality and professionalism of work product and relationships with co-workers and clients. * Willing to take ownership and tackle obstacles to meet Chubb's quality standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation. * Superior verbal and written communication skills. **Experience, Education & Requirements:** * Experience working in a customer focused, fast-paced, fluid environment * Experience utilizing strong communication and telephonic skills * Prior experience requiring a high level of organization, follow-up, and accountability * Prior workers' compensation claim handling experience or other similar type of claim handling experience is required (healthcare, short-term / long-term disability, auto personal injury protection / medical injury, or general liability). * Prior insurance, legal or corporate business experience is a plus but not required * AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required * Proficiency with Microsoft Office Products * Knowledge of medical terminology is required * Knowledge of bill processing is required * If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure. Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.