Claim processor jobs in Elizabeth, NJ

Details Claims Examiner I - Commercial Auto Department: Property & Casualty Reports To: Claims Supervisor FLSA Status: Exempt in all state except California Job Grade: 9 Career Ladder: Next step in progression could include Claims Examiner II ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a “Best Place to Work.” Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property & Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today! POSITION SUMMARY Athens Administrators has an immediate need for a full-time Claims Examiner I to support our Property & Casualty department. Employees who live less than 26 miles from the San Antonio, TX, or Lake Mary, FL offices are required to work once a week in the office. The remaining days can be worked remotely if technical requirements are met, and the employee resides in a state Athens operates in (includes CA, CT, FL, GA, ID, IL, MA, NY, NC, NJ, OH, OK, OR, PA, SC, TN, TX, VA, and WV). Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. We are totally unique in that we focus only on commercial business specialization across multiple coverage lines. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday through Friday at 37.5 hours per week. The Claims Examiner I is responsible for the timely investigation, evaluation and determination of settlement or denial of minor to moderate multi-line auto property and casualty claims with a docus on trucking and property damage claims. They will be handling claims from inception to closure. PRIMARY RESPONSIBILITIES Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned: Knowledge in the following areas: 1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge, 2) functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated analytical, decision making and negotiation skills. Investigate coverage, including evaluate insurance coverage problems and/or disputes Investigate, evaluate and determine settlement value or denial of liability for all claims Develop a measure of damage for each loss, establish and maintain appropriate reserves Document and manage claims (i.e.: record statements, update diaries, write reports) from inception to closure Ensure appropriateness of all payments Negotiate settlement of claim within individual authority ($15,000 unless otherwise noted) Maintain and update action plans for each claim May assign and coordinate with vendors, legal counsel, appraisers or experts as necessary Facilitate between claimants, clients, brokers and attorneys in resolution of liability claims Exchange information with clients, claimants, insurance brokers, inspectors, producers and account managers Provide customer service and support to insureds and claimants Assist in training of new employees Attend meetings and educational seminars for professional development Maintain required licenses ESSENTIAL POSITION REQUIREMENTS The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations. High School Diploma or equivalent (GED) required for all positions AA/AS or BA/BS preferred but not required Must possess a license from your domiciled (state you live in or designated home state) state and a minimum of one license in any of the following states: NY, TX, or FL Additional State Adjuster License(s) may be required within 180 days Maintain licenses and continuing education requirements in all states Minimum of three years auto-claims handling experience, at least one-year commercial auto required Trucking experience preferred Knowledge of property and casualty insurance policies Knowledge of auto insurance laws, codes, procedures, and liability concepts Proficiency in investigation and resolution of minor to medium level auto physical damage casualty claims Strong negotiation skills and ability to achieve optimal settlement results for clients. Well-developed verbal and written communication skills with strong attention to detail Excellent organizational skills and ability to multi-task Ability to type quickly, accurately and for prolonged periods Proficient in Microsoft Office Suite Ability to learn additional computer programs Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization Seeks to include innovative strategies and methods to provide a high level of commitment to service and results Ability to be demonstrate care and concern for fellow team members and clients in a professional and friendly manner Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor. Athens' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company. Must be able to reliably commute to meetings and events as required by this position APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at *********************************************** Feel free to include a cover letter if you'd like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: ************************************************************************************************* This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training. Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. THANK YOU! We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don't forget to check out our website at ******************* as well as our LinkedIn, Glassdoor, and Facebook pages! Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at https://*******************/careers/why-work-here

For a description, see PDF at: ************ transre. com/wp-content/uploads/2025/10/FAIRCO-Complex-Claims-Examiner. pdf

at MABSTOA Claim Examiner / Senior Claim ExaminerFirst date of Posting: 03/18/2025 Last date of filing: Until Completed Authority: TA/OA Department: Law Division/Unit: Torts Work Location: 130 LivingstonHours of Work: As required Compensation Claim Examiner: Min: $50,468 - Max: $71,659 (New Hire Rate: $43,866) Senior Claim Examiner: Min: $56,971 - Max: $86,426 (New Hire Rate: $49,543) Supervising Claim Examiner: Min: $77,342 - Max: $95,975 (New Hire Rate: $67,257) SummaryThis position involves all aspects of investigation, assessment, and resolution of personal injury and/or property damage claims. The incumbent must manage a high-volume caseload and timely and accurately assess liability and damages, prepare written reports, be ready and able to investigate and document emergency situations, and may conduct statutory hearings. Strong computer skills and excellent problem-solving abilities are required. The incumbent must also demonstrate independent initiative and sound judgment, settle claims and suits directly with claimants or their counsel, prioritize assignments, prepare files for independent investigators, and may appear in court to aid defense counsel.Responsibilities• Investigate accidents with an eye toward developing effective litigation strategies and liability theories to defeat suits brought against MTA and its agencies and prepare files for trial, coordinating with staff attorneys and outside counsel for any litigation preparation or investigation required.• Review pending cases and prepare reports summarizing the case, liability and damages exposures, reserve recommendations, settlement value, potential subrogation opportunities and identify allegations or information that warrant further investigation.• Prepare to settle claims and suits with claimants and/or their counsel within approved settlement authority limits.• Consult with management on outstanding discovery for heavy-exposure cases and will assist staff attorneys and outside counsel in obtaining documents.• Communicate with outside counsel, preparing files for assignment to them and may conduct statutory hearings, may conduct up investigation on "Quick Response" accidents and may appear in court to assist staff attorneys and outside counsel with trial.Education and ExperienceClaim ExaminerA baccalaureate degree from an accredited college; orA four-year high school diploma or its equivalent and four years of full-time experience investigating and settling liability claims; or Senior Claim ExaminerOne (1) year of permanent service in the title of Claim Examiner.A baccalaureate degree from an accredited college and four years of paid experience in claims adjusting work from a common carrier or other transportation company, insurance company, governmental agency or law office, at least one (1) year of which shall have been in a responsible supervisory capacity; or A four-year high school diploma and seven (7) years of satisfactory, full-time paid experience as described in above, at least two (2) years of which shall have been in a responsible supervisory capacity; or a satisfactory equivalent.Desired Skills Proven ability to assess and prioritize a large volume of work. General computer proficiency. Computer research proficiency using internet and other computer resources. Microsoft Office Suite, including Word and Outlook. Excellent interpersonal communication. Excellent oral and written communication. Prior claims handling experience required strongly desired. Other InformationPursuant to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the “Commission”).Equal Employment OpportunityMTA and its subsidiary and affiliated agencies are Equal Opportunity Employers, including with respect to veteran status and individuals with disabilities. The MTA encourages qualified applicants from diverse backgrounds, experiences, and abilities, including military service members, to apply.

At Coaction, we're a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients. If you are looking for a career in the insurance industry this could be the right role for you! Coaction is looking for talented and driven candidates who combine strategic thinking, creativity, and pragmatic execution to drive business results. This is an exciting opportunity to join our organization as a Senior Claims Examiner. We are looking for motivated individuals who will contribute to our team and perform under strict timelines. Responsibilities: Provide expert claim handling in areas of coverage, investigation, evaluation, and resolution of complex third-party bodily injury and property damage claims. Ability to comport with best practices in claims handling by timely investigating and evaluating on liability and damages. Ability to analyze policies and review relevant contracts to explore risk transfer strategies and priority of coverage. Draft appropriate coverage position letters. Set timely indemnity reserves after conducting thorough investigation and evaluation on liability and damages. Proactive approach towards negotiating claims towards resolution. Manage expense reserves and engage in resolution strategies to obtain cost effective results. Provide excellent customer service to insureds and brokers and timely advise underwriting of various losses. May be called upon to perform other tasks and duties within the claims department as dictated by business needs. Qualifications Solid planning & organizational skills including time-management and prioritization. 2+ years of claims handling experience primarily handling general liability claims. Must be willing to obtain adjuster's license in all states requiring licensure. Must be willing to occasionally travel. **This is not a fully remote position. Applicants must sit in our Morristown, NJ office on our hybrid work schedule.** Salary range specific to for this role : $60,000-$97,000 + discretionary incentive bonus + benefits depends on various factors including, without limitation, individual and organizational performance. The offered rate of compensation will be based on individual education, experience, and qualifications. In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement. Equal Opportunity Employer Coaction is an Equal Employment Opportunity employer. Coaction's policy is not to discriminate against any applicant or employee based on race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, and genetic information, or any other basis protected by applicable law. Coaction also prohibits harassment of applicants or employees based on any of these protected categories. If your application is selected, you will receive an email directly from the Coaction Recruiting Team at ********************** asking you to contact a member of the Coaction Recruiting Team. Any other method of contact may be fraudulent.

**Pay Rate:** Various based on experience, which may be below your state's minimum wage. Please take this into consideration when applying. **Remote Role** **Hours:** 8:30 AM - 5:00 PM EST Mon to Fri Do you love helping people solve complex problems and delivering solutions? Enjoy Excellent Training, Career Opportunities, a Great Culture, and Great Benefits Join our team as a Claims Processor. As a Claims Processor at Conduent, you'll have an opportunity to work in claims services. You will be surrounded by a culture that recognizes each person's contributions. Each day, you'll feel challenged and know you are making a difference in the lives of millions. **About the Role** + Review images of paperwork from benefits plan participants, utilizing all resources, procedures, and critical-thinking skills to determine eligibility for request and submit electronic transactions according to client and client/plan specific rules and IRS regulations and guidelines. + Must be able to work in a fast-paced environment with multiple transactions daily + Activities include: + Electronic document preparation and indexing into case management system. + Review and research document images of returned mail to determine validity of address. Notate and flag participant's account if determination is made that address is no longer valid. + Determine if requested transaction meets plan eligibility rules, as well as IRS regulations and guidelines. + Understand "gray areas" of IRS guidelines, effectively applying these guidelines to each case processed. + Review legal guardianship, conservatorship and power of attorney records if transaction is requested by a party other than the participant to determine if that party is authorized to request the specific transaction. + Review paperwork for completeness and accuracy, including completion of all required fields and notarization, if required, and inclusion of legal documents such as birth certificate copies. Paperwork can be 30 pages or more, especially pension packages. + Calculate eligible reimbursement based on available funds, requested amount, requested reimbursement, previous reimbursements and substantiated documentation. + Review history of requests, transactions, and call notes to determine if prior transactions disqualify the request, if previously incomplete paperwork is now complete, or if other exceptional conditions exist + Maintain and update case management system notes. + Follow-up on open items daily and close cases upon completion. Cases can remain open for days, weeks or months if initial paperwork is incomplete, or requires an exception determination or future event is pending. + Collaborate with other internal departments and third-party vendors to obtain exception processing information and address participant or client escalations. + May be tasked with peer review on work completed by other peers. + Associate will be measured on accuracy and speed + Must be able to navigate multiple computer tools simultaneously + Request assistance if special exception conditions are not covered well enough in knowledgebase applications and IRS regulations and guidelines. **Requirements:** To be successful in this role you will: + High School Diploma required + An Associate's Degree in Business, Healthcare or related field preferred + 2+ years of experience in an analytical/claims role strongly preferred + Successful candidates may have experience in + Health & Welfare Claims Service Representative + Enrollment Data Analyst + Documentation Specialist in the field of Health Care, Eligibility Determination, or a similar field. + Experience in Health & Welfare Preferred (but not required) + Strong critical thinking and attention to detail skills required + Must pass an internet speed test (download equal to or greater than 25, upload equal to or greater than 5, Ping ms equal to or less than 175) + Must have the ability to connect with an ethernet cable to a modem/router + Live in one of the following states AL, AR, AZ, CO, CT, DE, FL, GA, ID, IN, IA, KS, KY, LA, ME, MI, MS, MO, NE, NV, NH, NJ, NM, NC, ND, OH, OK, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY **Working with us** Join a rapidly growing organization that can support your career goals. What you get: + Paid Training + Career Growth Opportunities + Full Benefit Options + Great Work Environment Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $33,600 - $42,000. _We are currently NOT hiring in the following geographies,_ including but not limited to: _States: AK, CA, HI, MA, IL, MT & NY_ _Metro Areas: MN - Minneapolis, IL - Chicago, NY - New York City, OR - Portland, MD - Montgomery County, WA - Seattle, Washington, DC_

Claims Processor - Entry Level Duration : 6 Months Total Hours/week : 40.00 1st Shift Client: Medical Device Company Job Category: Customer Service Level Of Experience: Entry Level Employment Type: Contract on W2 (Need US Citizens or GC Holders Only) Remote role for now. Local candidates apply . So, anyone that is applying will be working from their home - they will need internet access. Job Description: Heavy telephone contact with end user consumer customers. Must be highly skilled communicator. Data entry required for all contacts in database requires proficiency in timely data entry. Some interaction with other business functions, as needed. Associates degree (diploma) is required for entry to position. Responsibilities: Excellent telephone and verbal communications skills highly preferred. Strong administrative and organizational skills, highly desired. Ability to work cooperatively with co-workers; must be a team player. Computer proficiency: ability to adapt quickly to new software programs Willingly accepts direction.

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℠. This position is intended for a candidate seeking growth opportunity in a dynamic organization. The Associate Claims Examiner will join a specific business unit, as assigned, and will receive ongoing on-the-job training in their line of business. The Associate also will be part of the company's Early Career Program. The Early Career Program Claims Track is a one-year training program geared toward ambitious college graduates looking to launch a high-performing career in claims with a world-wide insurance leader. During the one-year program, associates receive specialized training that can position them for career advancement and valuable industry certifications. About This Role As the Associate develops skill and gains experience, on-the-job responsibilities will include but are not limited to: Manage Claims on behalf of Arch Customers. Receive exposure to other areas within the Administration and Operations of Claim handling, including but not limited to Special Investigations Unit, Analytics, Subrogation. Perform claim handling responsibilities included but not limited to: Coverage analysis, Exposure analysis, Resolution strategies, Claims review, and Customer Service. Desired Skills Actively completing or recently completed an area of study in Insurance & Risk Management, Business, Liberal Arts, Communications, Psychology, Linguistics, or relevant degree. Minimum 3.0 GPA or higher. Highly proficient with Microsoft Office tools including Word, Excel, and Outlook. Exemplary oral and written communication skills. Analytical, with keen ability to evaluate complex issues. Proactive; able to organize and prioritize to meet multiple demands and commitments. Demonstrates a strong work ethic, collaborative mindset, and potential for leadership. Location & Work Arrangement The Early Careers Program (ECP) begins July 2026. A new hire for this role would start between January - June 2026. This position is classified as a hybrid position. You will work 2 days onsite and 3 days from home. This position can be located in Morristown, NJ, Jersey City, NJ, New York City, NY, or Philadelphia, PA. Relocation and housing assistance is not provided for this role. #LI-AM2 #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. $60,000 - $65,000/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.

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 seek an experienced claims professional to join our growing FAIRCO team in our New York City office. FAIRCO is a subsidiary of TransRe Holdings, a Berkshire Hathaway company. As a member of FAIRCO, the Complex Claims Examiner will be responsible for adjusting Professional & Management Liability claims, with opportunities for experiences with other FAIRCO programs. Responsibilities will include but not be limited to: Managing and adjusting primary and excess Professional & Management Liability claims, including private and public company, Directors and Officers, lawyers liability, accountants liability, financial institutions, cyber, employment practices and miscellaneous professional liability. Proactively handling claims throughout the entire claim lifecycle from inception to resolution. Analyzing policy coverage and drafting coverage analyses based on contract terms and claim details. Evaluating liability and damages to determine the level of exposure to the insured and the policy. Directing and closely monitoring assignments to defense counsel and experts in accordance with relevant guidelines. Collaborating with underwriters, brokers, program partners, and insureds to ensure seamless claims resolution. Traveling to and attending claims mediations, as required. Developing and implementing claims handling strategies to mitigate risk and reduce claim expenses. Requirements The ideal candidate will possess the following knowledge, skills and abilities: Extensive experience litigating or handling issues pertaining to complex Professional & Management Liability issues, with a focus on Directors and Officers coverage. Experience leading mediations for Professional & Management Liability claims. Experience evaluating coverage under various types of policies, drafting coverage correspondence, and participating in claims investigations. Track record of effectively managing defense counsel and legal spend, assessing liability and financial exposure, and effectively negotiating cost effective, good faith claims resolutions. Juris Doctorate preferred. Willingness to travel up to 25% of the time for mediations, industry conferences, and client meetings. Possession of, or willingness to obtain, a New York and other state adjuster's licenses. 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 $140,000 - $180,000. 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.

Investigate, evaluate, and resolve claims asserted against the Company's environmental policies. Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations, and technology. Provide superior service to all customers, whether internal or external. Job Responsibilities: * Efficiently manage a vigorous load of claims involving a broad spectrum of accounts and coverages. Promptly analyze coverage, draft accurate and timely coverage positions, and manage litigation by effectively interacting with insureds, brokers, defense counsel, underwriters and other parties as required. Establish timely and appropriate reserves and regularly report claim developments and trends to claims and underwriting management. Represent Company in the resolution of claims and participate in legal proceedings, including mediations. * Work with other areas of the Company including underwriting, finance and accounting, actuarial, operations and technology on projects as requested. Prepare claim summaries and other reports as necessary for management. Prepare Executive Claim reports and present on a quarterly basis to senior executives. * Meet with existing or prospective clients and brokers. Attend relevant industry conferences/meetings. Compensation The below annualized base pay range is a broad range based on analysis of similar positions in the market. The actual base pay for the position may be above or below he listed range and determined by a number of considerations, including but now limited to complexity, location, and scope of the role, along with experience, skills, education, training, and other conditions of employment. Base salary represents one compensation of Allied World comprehensive total reward package, which may also include annual incentive compensation rewards. The salary range is flexible and will be determined according to the candidate's experience. $105,000 - $113,000 Qualifications: * Minimum of 2 years' experience handling claims. * Four-year college degree is required. * Knowledge of claims, legal and coverage issues in all U.S. jurisdictions. Excellent negotiation and communication skills. Strong technical skills and writing experience. Proficient with Microsoft Office products, internet research. * Ability to accurately and timely analyze coverage, draft coverage position letters and interact and collaborate with counsel regarding litigation and coverage strategies, negotiate and resolve claims and otherwise act within the scope of delegated authority. * Compliance with multi-state adjuster licensing requirements. * Some travel required. About Fairfax Fairfax is a holding company which, through its subsidiaries, is engaged in property and casualty insurance and reinsurance and investment management. About Allied World Allied World Assurance Company Holdings, Ltd, through its subsidiaries, is a global provider of insurance and reinsurance solutions. We operate under the brand Allied World and have supported clients, cedents and trading partners with thoughtful service and meaningful coverages since 2001. We are a subsidiary of Fairfax Financial Holdings, Limited and benefit from a strong capital base and a worldwide network of affiliated entities that allow us to think and respond in non-traditional ways. Our generous benefits package includes Health, Dental and Disability Insurance, a company match 401k plan, and Group Term Life Insurance. Allied World is an Equal Opportunity Employer. All qualified applicants will be considered for employment without consideration of any disability, veteran status or any other characteristic protected by law. To learn more, visit awac.com, or follow us on Facebook at facebook.com/alliedworld and LinkedIn at linkedin.com/company/allied-world.

JOB PURPOSE: The Claims and Encounter Analyst enhances the efficiency and effectiveness of the claims department by analyzing data, refining processes, and ensuring compliance with State, CMS, and contractual guidelines. This role requires knowledge of Government Programs medical claims and authorization data analytics, encounter process, risk adjustment, and a strong focus on data-driven process improvement. JOB RESPONSIBILITIES: Medical Economics/ Claims Analysis: Conduct in-depth claims analysis, root cause investigations, and identify process improvement opportunities. Review and investigate claims to be adjudicated by the Third-Party Administrator (TPA), applying contractual provisions in accordance with provider contracts and authorizations. Work with vendors to identify sources of opportunities to improve claims process for providers. Evaluate and revise SLAs with the claims TPA to improve operational efficiency; track and monitor open tickets and configuration updates. Leverage multiple data sources to develop scheduled and ad-hoc reports to enable process and trend analysis. Encounter and Riks Adjustment Analysis: Assist the Director with analytics to support Medicare risk adjustment process through advanced medical records review to identify and code all relevant diagnoses, including chronic conditions utilizing ICD-10 coding guidelines. Assists improve the risk adjustment surveillance process. Validate DRG grouping and pricing outcomes; possess basic knowledge of HCC and ICD-10. Analyze claims data to identify risk-adjustable conditions and uncover opportunities to improve risk capture processes through data-driven insights and recommendations. Review, validate, and reconcile claim and encounter data submissions for completeness, timeliness, and compliance. Analyze trends in encounter rejections and denials; develop improvement plans. Maintain the integrity of encounter data submission workflows and documentation to support audits. Statutory and Regulatory Reporting, including support to Quality and Clinical Services departments: Work with department heads and business owners, collect and prepare data for state, federal, and internal inquiries (e.g., HPMS, IPRO), ensuring accuracy and regulatory compliance. Analyze and understand data from various source systems to validate data quality and ensure that business reporting needs are fulfilled through a formal, documented process. Prepare quarterly utilization metrics to support the timely and accurate submission of miscellaneous state reporting, i.e. PACEOR, VBPTR, MLR. Assist department heads and business owners in identifying and performing appropriate analyses to enable sound decision-making. Work with business users, report writers, Data Warehouse team, and enterprise data architect to refine/adapt/maintain ETL mappings as business users needs change or the data environment changes. Provider Scorecard Reporting: Develop monthly provider scorecards to assess network provider performance and identify improvement areas. Perform in-depth analytics on provider performance against the Quality Incentive Program to ensure adherence and accurate incentive payments based on contracts. Coordinate with Finance on check runs, provider payments, and resolution of over/underpayments. Develop and deliver business intelligence solutions and associated reporting using various Enterprise Data Warehouse (EDW) applications and BI tools (specifically using SQL Server, Tableau Server, Power BI, etc.); revise reporting dashboards as needed. Other duties as assigned. Schedule: 8:30AM - 5:30PM Weekly Hours: 40 QUALIFICATIONS: Education: Bachelor's degree is required; quantitative discipline is strongly preferred. Master's degree is preferred. Experience: Three to five (3-5) years of managed care (Medicaid and Medicare) data analytics is required. Proficiency in data analytics, i.e. SAS, SQL, one or the other is required. Claims adjudication and understanding of claims PPS is strongly preferred. Knowledge of Medicaid and Medicare benefits, enrollment and billing, and provider contracting is strongly preferred. Knowledge of CPTs, ICD 9/ICD 10, HCPC, DRG, Revenue, RBRVS is preferred. Proficiency in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software is required. Effective oral, written, and interpersonal communication skills are required. Able to multitask efficiently, effectively, and timely. Strong organizational skills and work ethic. Detail-oriented, professional and collaborative, a great team player. Physical Requirements Individuals must be able to sustain certain physical requirements essential to the job. This includes, but is not limited to: Standing - Duration of up to 6 hours a day. Sitting/Stationary Positions - Sedentary position in duration of up to 6-8 hours a day for consecutive hours/periods. Lifting/Push/Pull - Up to 50 pounds of equipment, baggage, supplies, and other items used in the scope of the job using OSHA guidelines, etc. Bending/Squatting - Have to be able to safely bend or squat to perform the essential functions under the scope of the job. Stairs/Steps/Walking/Climbing - Must be able to safely maneuver stairs, climb up/down, and walk to access work areas. Agility/Fine Motor Skills - Must demonstrate agility and fine motor skills to operate and activate equipment, devices, instruments, and tools to complete essential job functions (ie. typing, use of supplies, equipment, etc.) Sight/Visual Requirements - Must be able to visually read documentation, papers, orders, signs, etc., and type/write documentation, etc. with accuracy. Audio Hearing and Motor Skills (Language) Requirements - Must be able to listen attentively and document information from patients, community members, co-workers, clients, providers, etc., and intake information through audio processing with accuracy. In addition, they must be able to speak comfortably and clearly with language motor skills for customers to understand the individual. Cognitive Ability - Must be able to demonstrate good decision-making, reasonableness, cognitive ability, rational processing, and analysis to satisfy essential functions of the job. Disclaimer: Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company. We are an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Salary Range (Min-Max):$105,000.00 - $110,000.00

Job Type: Permanent Build a brilliant future with Hiscox Please note that this position is hybrid and requires work in office a minimum of two (2) days per week. Position can be based at our following hub office locations: Atlanta, GA Boston, MA Chicago, IL Manhattan, NY Scottsdale, AZ West Hartford, CT The US Claims Compliance and Quality Assurance team at Hiscox is a growing group of professionals with operational and technical experience. The team serves as a claims technical resource, as well as provides assistance and expertise across Hiscox by identifying and promoting claims best practices and facilitating required improvements. We foster consistency, calibration, and continuous improvement in the handling of Hiscox claims. Our team is quite diverse, and you will be able to demonstrate that you can flex your work and delivery style to accommodate different stakeholders. You'll play a critical role in safeguarding our organization from regulatory risk. This is a high-impact role suited for an experienced insurance claims compliance professional or attorney, with deep knowledge of insurance claims regulations, processes, and technology. This role is ideal for someone who can translate risk into actionable strategy and build sustainable compliance practices as Hiscox USA grows. Key Responsibilities Manage and maintain 50-state claims database Monitor legislation, DOI bulletins, court reporters/decisions, and statutory changes; manage backlog and implement targeted compliance training Develop and own controls related to Medicare, OFAC, Child Support Lien Network, and other federal protocols Partner with Claims Technical, US Legal, and IT to design controls and workflows aligned with regulatory requirements Lead US Claims response to regulatory inquiries and complaints Deliver training and legal support to internal teams and vendors Develop audit programs and dashboards to monitor compliance effectiveness Oversee/support technology-related compliance integrations Provide executive reporting, trends analysis, and regulatory insights Qualifications 10+ years of experience in claims compliance, insurance regulation, or legal operations J.D. highly desired Degree in law, risk management, or a related field; required Advanced insurance compliance certifications a plus (CPCU, CIPP, CAMS, CRCM, or similar) Scrum/PMP a plus but not required Deep understanding of claims handling regulations, Medicare protocols, and market conduct standards Experience with multiple lines of business in a 50-state claims environment Knowledge of Medicare Secondary Payer requirements and Section 111 reporting Strong research and policy writing skills Excellent collaboration, project management, and problem-solving skills Experience with regulatory audit preparation and response Compensation: $90,000-$140,000 based on experience The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. About Hiscox USA 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, West 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. What We Offer: 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 2024 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 You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance). #LI-AJ1 Work with amazing people and be part of a unique culture

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. Salary Range $95,000.00-$145,000.00 USD The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. 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.

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 We are seeking a bright and motivated Claims Analyst to join our team in Morristown, NJ. Under the direction and supervision of the Treaty Claims Director, the Claims Analyst will be responsible for handling the day-to-day excess claims activity and assisting the Claims Team as required. With training and experience, our goal is to increase processing responsibilities and further develop the Claims Analyst. Responsibilities and Accountabilities Process initial claim setup by analyzing preliminary claim notifications including coverage verification and associated checks Provide updates to Regis and Laserfiche files with notices on existing claims in accordance with policies and procedures Maintain and handle claim diaries, electronic files and Letters of Credit Communicate with Underwriters, Brokers and Ceding Companies to identify and collect additional information and documentation that may be required in support of claim Process claims payments including providing supporting information Review & verify broker statements Participate in the Quarterly review of claims balances in aged receivable reports Required Skills and Abilities Minimum of 3 years relevant reinsurance property and casualty claims experience Desired Skills and Abilities Experience conducting detailed analysis of claims and coverage issues Ability to analyze and provide clear written reports Strong organizational skills with the drive to take initiative and work with minimal supervision Proven ability to communicate effectively with individuals at all levels and in all areas of the organization, as well as with outside contacts Education and Experience Bachelor's Degree #LI-Hybrid #LI-JD1 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. $100,000 - $140,000/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. 13100 Arch Reinsurance Company

Sr. Claims Analyst, Environmental Casualty - (25000048) Description Location: New York, NY, New Jersey, Farmington, CT, or other Allied World office locations. Job Summary:Investigate, evaluate, and resolve claims asserted against the Company's environmental policies. Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations, and technology. Provide superior service to all customers, whether internal or external. Job Responsibilities:· Efficiently manage a vigorous load of claims involving a broad spectrum of accounts and coverages. Promptly analyze coverage, draft accurate and timely coverage positions, and manage litigation by effectively interacting with insureds, brokers, defense counsel, underwriters and other parties as required. Establish timely and appropriate reserves and regularly report claim developments and trends to claims and underwriting management. Represent Company in the resolution of claims and participate in legal proceedings, including mediations. · Work with other areas of the Company including underwriting, finance and accounting, actuarial, operations and technology on projects as requested. Prepare claim summaries and other reports as necessary for management. Prepare Executive Claim reports and present on a quarterly basis to senior executives. · Meet with existing or prospective clients and brokers. Attend relevant industry conferences/meetings. Qualifications CompensationThe below annualized base pay range is a broad range based on analysis of similar positions in the market. The actual base pay for the position may be above or below he listed range and determined by a number of considerations, including but now limited to complexity, location, and scope of the role, along with experience, skills, education, training, and other conditions of employment. Base salary represents one compensation of Allied World comprehensive total reward package, which may also include annual incentive compensation rewards. The salary range is flexible and will be determined according to the candidate's experience. $105,000 - $113,000Qualifications:· Minimum of 2 years' experience handling claims. · Four-year college degree is required. Knowledge of claims, legal and coverage issues in all U. S. jurisdictions. Excellent negotiation and communication skills. Strong technical skills and writing experience. Proficient with Microsoft Office products, internet research. Ability to accurately and timely analyze coverage, draft coverage position letters and interact and collaborate with counsel regarding litigation and coverage strategies, negotiate and resolve claims and otherwise act within the scope of delegated authority. Compliance with multi-state adjuster licensing requirements. Some travel required. About FairfaxFairfax is a holding company which, through its subsidiaries, is engaged in property and casualty insurance and reinsurance and investment management. About Allied WorldAllied World Assurance Company Holdings, Ltd, through its subsidiaries, is a global provider of insurance and reinsurance solutions. We operate under the brand Allied World and have supported clients, cedents and trading partners with thoughtful service and meaningful coverages since 2001. We are a subsidiary of Fairfax Financial Holdings, Limited and benefit from a strong capital base and a worldwide network of affiliated entities that allow us to think and respond in non-traditional ways. Our generous benefits package includes Health, Dental and Disability Insurance, a company match 401k plan, and Group Term Life Insurance. Allied World is an Equal Opportunity Employer. All qualified applicants will be considered for employment without consideration of any disability, veteran status or any other characteristic protected by law. To learn more, visit awac. com, or follow us on Facebook at facebook. com/alliedworld and LinkedIn at linkedin. com/company/allied-world. Primary Location: US-NY-New YorkOther Locations: US-CT-Farmington, US-NJ-IselinWork Locations: New York 199 Water Street New York 10038Job: ClaimsEmployee Status:RegularJob Type:StandardJob Posting: Oct 31, 2025, 1:02:59 PMMaximum Salary113,000. 00Pay BasisYearly

This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process. About the Team AXIS is a leading provider of specialty insurance and global reinsurance. The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength of our team is grounded in our people and culture, encouraging collaboration, growth, and diversity. How does this role contribute to our collective success? The selected individual will collaborate with a team to investigate, analyze, and evaluate Third Party Liability claims, ensuring proper coverage determinations. Expertise will be developed in Directors & Officers or Financial Institutions units while engaging with complex insureds on significant and dynamic disputes. This role offers meaningful opportunities to contribute to impactful case resolutions within specialized insurance sectors. What Will You Do In This Role? * Serving as a Claims Specialist focused on Management Liability Claims within AXIS' North America Claim team. * Managing a diverse range of liability claims, including Public D&O, Private D&O, and Private Equity, and Insurance Company Professional Liability. * Determining the appropriate valuation of complex claims, recommending settlement strategies, adhering to company policies, and collaborating with insureds, brokers, and partners effectively. * Traveling to distinctive destinations to participate in mediations, observe trials, and strengthen relationships with vital AXIS partners. * Escalating coverage concerns to internal teams and collaborating with external coverage attorneys when specific assignments necessitate their involvement. * Developing claims and litigation strategies, delegating tasks, and overseeing the work of external legal advisors effectively. * Assisting with underwriting inquiries while analyzing claim trends, conducting data analysis, and performing comprehensive risk assessments to support decision-making processes. * Keeping precise records of claim activities and promptly updating systems with all relevant details ensuring accuracy and efficiency. About You We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals. What We're Looking For * Seek candidates who bring unique perspectives and diverse skills to the team. * Contribute actively to the success of a growing and dynamic team by bringing energy and a positive attitude. * Hold a Juris Doctorate. * Operate efficiently in settings with high visibility, shifting deadlines, and evolving expectations while staying focused and achieving outcomes. * Demonstrate organizational abilities and solve problems effectively. * Exhibit outstanding skill in verbal communication and written expression. * Showcase skill as a litigator or litigation manager, well-versed in dispute resolution. * Write coverage letters independently with precision and attention to detail, ensuring accuracy in all aspects of the work. Role Factors Travel is associated with this role. The role requires you to be in office 3 days per week and adhere to AXIS licensing requirements. What We Offer For this position, we currently expect to offer a base salary in the range of $73,000 - $146,000. Your salary offer will be based on an assessment of a variety of factors including your specific experience and work location. In addition, you will be offered competitive target incentive compensation, with awards based on overall corporate and individual performance. On top of this, you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more. Where this role is based in the United States of America, this role is Exempt for FLSA purposes. About Axis This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process. AXIS Persona AXIS Capital seeks professionals who thrive in a dynamic, high-performing environment grounded in humility and mutual respect. We employ those who exemplify our core values of People, Excellence, Decisiveness, and Stronger Together. We are a team characterized by integrity and self-discipline, striving for continuous improvement and driven to achieve ambitious results. Our focus is on hiring, developing, retaining, and rewarding individuals who excel in: Purposeful Action: Delivering top-tier work with a data-driven approach and operating at AXIS speed. Collaborative Decision-Making: Valuing input from all relevant groups and being open to debate. Able to leave their ego at the door and be committed to achieving results through teamwork, fully supporting decisions once made. Measuring Outcomes: Consistently evaluating performance against established expectations. The AXIS employee will cultivate a collaborative workplace atmosphere, fostering trust within the team. We believe in respectful challenges, presuming best intent, and building meaningful relationships with colleagues, customers, and the communities we serve. Joining our team means becoming part of a workplace where every individual's contributions are valued, and excellence is pursued with purpose and passion. Together, we elevate our standards, achieve ambitious results, and make a lasting impact on each other and those we serve.

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 responsible for the resolution of low complexity and low exposure claims and provide support to other team members as directed. This position will work closely with their manager to train and develop fundamental claims handling skills. Associate Claims Examiner will be responsible for the resolution of claims with the Prompt Resolution Team (PRT) of lower complexity and exposure. This position will have decision-making authority in the amount of $25,000 and work under the general direction of their manager. The ACE position supports all product lines in Casualty with particular emphasis on Binding and Commercial Wholesale Primary and Small Commercial Programs. Job Responsibilities * Confirms coverage of claims by reviewing policies and documents submitted in support of claims. * Conducts, coordinates and directs investigation into loss facts and extent of damages. * Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure. * Strong emphasis on customer service to both internal and external customers is a major focus for the ACE as this role will handle small commercial claims that require excellent customer service to insureds and agents. * Set reserves within authority (up to $25,000) and resolve claims within a prompt timeframe avoiding expense relating to independent adjusting. Required Qualifications * Must have or be eligible to receive claims adjuster license. * Successful completion of basic insurance courses or achievement of industry designations. * Ability to be trained in insurance adjusting up to two years of claims experience. * 2-4 years of experience in general liability, construction defect, or related liability lines preferred. * Bachelor's degree preferred * Excellent written and oral communication skills. * Strong organizational and time management skills. #LI-Hybrid 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 salary for the position is $25 - $38.25 with a 10% 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. 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.

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. Salary Range $95,000.00-$145,000.00 USD The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. 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.

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. Salary Range $95,000.00-$145,000.00 USD The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. 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.

Job DescriptionWe are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on the initial setup of claims, ensuring all information is accurately entered into the claims management system. You will play a key role in preparing claims for further processing by entering data, verifying policy details, and assigning claims to the appropriate adjusters. This position is a full-time, in-office position located at our Rutherford, NJ, headquarters. Key Responsibilities: Initial Claims Setup: Review FNOL (First Notice of Loss) and ensure all necessary information is included (claimant info, loss date, incident description). Enter claim details into the system, including policy info, loss type, incident description, and the claimant's description of the event. Policy Verification: Cross-check claim details against the policy to verify effective dates of coverage. Confirm policy and coverage details are accurately entered into the system. Confirm appropriate client contact is attached to the policy Assign Adjuster & Set Diary Notifications: Assign the claim to the appropriate adjuster and supervisor. Set adjuster diaries with new claim notifications and necessary actions. Claims Acknowledgement Letters: Generate and send acknowledgement letters as per client instructions. Skills and Qualifications: High attention to detail for accurate data entry and policy verification. Ability to assign claims and set appropriate reminders. Familiarity with claims management systems (or willingness to learn). Basic insurance knowledge is a plus but not required. Strong organizational and time management skills. Company Overview: 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 claim's 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! 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 kl XCwA6fky