Claim processor jobs in Ramapo, NY

The Auto Property Damage Claims Representative is responsible for managing Auto Property Damage claims within our “Auto PD Claim Unit.” This role demands a high level of customer service, patience, and professionalism while working in a fast-paced environment with significant phone interaction. Strong customer service, organizational, verbal, and written communication skills are essential. The ability to navigate adversarial situations with professionalism is critical. Comparative negligence claim handling experience is a plus but not required. RESPONSIBILITIES Policy Analysis: Investigate and interpret policy provisions, endorsements, and conditions to determine coverage for automobile property claims. Identify and investigate contested coverage claims that may require a roundtable discussion. Claim Investigation: Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties. Secure and analyze pertinent records, documentation, and loss scene information to determine proximate cause, negligence, and damages. Claims Management: Evaluate and adjust reserves as necessary. Prepare dispatch instructions for field personnel to inspect vehicles. Negotiate and settle claims within individual authority limits and seek supervisor approval for claims exceeding authority or requiring additional guidance. Maintain effective follow-up systems on pending files, advising insureds, claimants, and brokers on claim status. Act as an intermediary between the company, preferred vendors, and customers to resolve disputes. Ensure adherence to privacy guidelines, laws, and regulations in claims handling. Subrogation and Legal Handling: Investigate and initiate subrogation processes when applicable. Handle and respond to special civil part lawsuits or intercompany arbitrations related to auto property damage claims. Administrative Duties: Manage a customer-focused phone environment by answering calls, returning voicemails, and responding to emails and text correspondence promptly. Process incoming and outgoing mail timely and in accordance with state guidelines. Complete other duties as assigned. QUALIFICATIONS Bachelor's degree required. A minimum of 1 year of related PD claim experience is welcomed but not required. Proficiency in personal computer skills, including Microsoft Office Suite. Ability to prioritize and manage multiple tasks effectively. Excellent communication, organizational, and customer service skills. SALARY RANGE The pay range for this position is $47,000 to $55,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. PERKS & BENEFITS 4 weeks accrued paid time off + 9 paid national holidays per year Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision) Annual 401(k) Employer Contribution Resources to promote Professional Development (LinkedIn Learning and licensure assistance) Robust health and wellness program and fitness reimbursements Various Paid Family leave options including Paid Parental Leave Tuition Reimbursement ABOUT THE COMPANY The Plymouth Rock Company and its affiliated group of companies write and manage over $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 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”. #LDNI

Berkley Luxury is seeking a Senior Claims Specialist to join our growing team in our new Parsippany, NJ office. In this role, you'll manage a wide range of commercial lines casualty claims, including litigated matters, while delivering exceptional customer service and collaborating with a high-performing team. What you'll do: Conduct thorough investigations and analyze coverage, liability, and damages Manage litigated claims and work closely with defense counsel Negotiate resolutions through mediation and arbitration Prepare reports and ensure compliance with regulations What we're looking for: 5-7 years of experience handling commercial general liability claims Strong litigation management and negotiation skills Bachelor's degree (JD a plus) This is a fantastic opportunity to join a company that values accountability, collaboration, and continuous learning. If you're interested in learning more, let's connect!

Job Title: Certification Analyst Duration: 06+ Months Pay rate: $33.63/Hr. on W2 without benefits Client: New Jersey - Transit-procurement Job Description: The Certification Analyst will be responsible for reviewing DBE re-evaluation applications, which include but are not limited to Personal Narratives (PN), Personal Net Worth Statements (PNW), Declarations of Eligibility (DOE), or Gross Receipts submitted by firms seeking certification under the current DBE federal program. This position requires advanced analytical skills to determine whether applicant submissions meet regulatory standards, demonstrate eligibility, and align with program requirements. The Specialist ensures fairness, accuracy, and consistency in certification decisions while upholding compliance with governing regulations. In addition, this role supports contract compliance functions and contributes to OBD special projects and initiatives as assigned. Key Responsibilities Narrative Review & Analysis Read and critically evaluate Personal Narratives and Declaration of Eligibility (DOE) submitted with certification applications. Review Personal Net Worth, Gross Receipts, or any other applicable financial statement to make sure applicants meet the economic standards as required by program regulations. Identify gaps, inconsistencies, or insufficient evidence in applicant submissions. Compliance & Decision-Making Apply federal and state certification criteria (e.g., 49 CFR Part 26 for DBE programs). Ensure decisions align with current regulatory changes, including IFR updates requiring individualized showings of disadvantage. Document findings and provide clear recommendations for approval, denial, or request for additional information. Communication Communicate with applicants regarding deficiencies or clarifications needed in their narratives. Collaborate with certification officers, legal staff, and program managers to ensure consistent application of standards. Maintain accurate records of narrative reviews and decisions. Prepare summary reports highlighting trends, common deficiencies, and recommendations for process improvement. Qualifications Bachelor's degree in Public Administration, Law, Business, or related field. Demonstrated analytical and critical thinking skills. Strong knowledge of certification programs (DBE/ACDBE, MWBE, SBE) and regulatory frameworks. Excellent written communication skills for documenting findings and crafting clear, concise recommendations. Experience in compliance, investigations, or regulatory review preferred. Experience in Compliance Management System - (CMS - B2G)

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

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

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.

**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 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. **Key Responsibilities:** + 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. **Qualifications and Skills:** 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 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_

Worker's compensation insurance is a headache. We make it simple, smooth, and stress free. Join us in redefining workers' comp. Job Summary: The Workers' Compensation Claims Supervisor oversees a team of claims adjusters responsible for managing workers' compensation claims. This role ensures compliance with jurisdictional regulations, adherence to best practices, and attainment of performance targets. The Supervisor is responsible for technical guidance, training, quality assurance, and operational efficiency. Please note: This job description outlines general duties and expectations and is not intended to be exhaustive. Duties may change based on business needs. Essential Job Functions: Supervise daily activities of assigned workers' compensation claims adjusters. Triage new files to ensure assignments are appropriate. Review first diary within 7 days of assignment for coverage, compensability, damages, compliance, reserves, and plan of action. Monitor caseload distribution monthly and ensure appropriate workloads. Use appropriate metrics for Return to Work, New/Reopened claims, claim closures per month, penalties, and timely contact. Review claim files for quality assurance, reserve accuracy, and compliance. Conduct quality assurance audits (5-7 claims per adjuster monthly) and reserve accuracy audits per jurisdiction. Ensure all state forms are filed correctly and timely with zero penalties. Provide coaching, mentoring, and technical guidance to adjusters through monthly one-on-ones. Ensure timely and appropriate reserving and settlement authority adherence. Facilitate regular file audits and roundtables on complex or high-exposure claims. Coordinate training for new hires and continuing education for the team. Develop training modules and onboarding tasks for new adjusters. Serve as an escalation point for complex or litigated claims. Authority level: $50,000 for reserve and settlement; roundtable claims with managers for amounts ≥ $100,000; settlements ≥ $50,000. Communicate with insured and brokers on claims above $25,000 and work with the account manager to set up claim reviews. Collaborate with internal departments (Legal, Compliance, Risk Management). Generate reports for management including performance metrics and trends. Conduct monthly one-on-ones with the manager to review team metrics, audit scores, trends, and staffing. Identify process improvements to enhance claims efficiency and outcomes. Maintain knowledge of applicable jurisdictional regulations (e.g., NY, NJ, PA). Seek training opportunities with vendors and law firms to enhance knowledge and performance. Required Skills/Abilities: Excellent oral and written communication skills-able to convey complex information effectively. Detail-oriented with a high accuracy rate, ensuring precision in claim processing. Strong critical thinking and problem-solving skills to assess claims efficiently and make informed decisions. Flexible and tech-savvy, comfortable navigating various software tools and adapting to new processes. Highly adaptable, able to adjust to evolving laws and industry changes with ease. Thrives in a dynamic environment-willing to embrace change and contribute to continuous improvement. Self-motivated with excellent time management, capable of handling multiple priorities effectively. Education and Experience: Bachelor's degree preferred or equivalent work experience. Minimum 5 years of experience in workers' compensation claims handling. Prior leadership or supervisory experience 1-3 years preferred. Strong understanding of state-specific WC laws and regulations. Excellent communication, organization, and problem-solving skills. Proficient in claims management systems and Microsoft Office. Ability to use metrics as a tool to manage performance. Physical Requirements: Prolonged periods sitting at a desk and working on a computer. Prolonged periods of standing, walking, and/or sitting and reaching with hands and arms. Must be able to lift 10 pounds at a time. Additional Requirements: Due to the nature of our business, and urgency of our clients' needs, you may be required to participate in the company's on-call program and work on holidays/weekends according to the on-call schedule. Additional Details: This is a full-time in office position in Rockland County, NY. We offer a competitive salary ranging from $110-165k with generous PTO and Benefits. We are an Equal Opportunity Employer We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. We intend that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors. Powered by JazzHR ty IAeYh9zG

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

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.

We are seeking a Claims Analyst for a well-known insurance company in the White Plains area. The ideal candidate will have hands-on Disability and Paid Family Leave (PFL) claims experience and 1-2 years of billing, coding, or claims experience. This role focuses on reviewing, adjudicating, and processing health insurance claims with a strong emphasis on disability and PFL leaves, ensuring compliance with NYS regulations and company procedures. Key Responsibilities: Assist with incoming Disability, PFL, Critical Illness, and Accident claims, ensuring timely acknowledgment and processing. Determine the correct product and fund (DBL, self-funded, voluntary, PFL, Critical Illness, Accident) and verify eligibility. Apply knowledge of NYS DBL/PFL guidelines, self-funded plans, and voluntary policies to handle claims accurately. Make precise claim determinations, including disability/PFL periods, maximum periods, and other criteria for payment or denial. Requirements: Hands-on experience with Disability and Paid Family Leave claims is required. Basic proficiency in Microsoft Word and Excel. Overview of Role: This role involves reviewing and processing health insurance claims with a focus on Disability and PFL leaves. You will ensure claims meet all regulatory and company standards, investigate complex issues like coordination of benefits or pre-existing conditions, and communicate with claimants, employers, or healthcare providers as needed. Accurate record-keeping and clear member communications are key to success.

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 Are you a detail-oriented insurance professional with a strong background in Commercial General Liability (CGL) and litigation handling? Join our team as a Complex Liability Adjuster, where you'll play a crucial role in managing Commercial General Liability (CGL) and Business Owners Policy (BOP) claims with precision and expertise. Key Responsibilities: * Investigate, evaluate, and resolve CGL and BOP claims * Manage claims involving active litigation, working closely with legal counsel and external stakeholders. * Analyze policy coverage, determine liability, and negotiate settlements. * Maintain accurate documentation and ensure compliance with regulatory and company standards. * Communicate effectively with insureds, claimants, attorneys, and internal teams. Salary Range $70,000.00-$115,000.00 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 * Prior experience adjusting liability claims with a proven track record in litigation, specifically involving Commercial General Liability and Business Owners Policy. * Juris Doctor (JD) degree preferred or bachelor's degree with prior experience adjusting liability claims. * Licensing: Active TX All Lines License, or willingness to obtain one at company's expense. * Exceptional written and verbal communication skills. * Strong organizational and computer skills. * Excellent time management skills with the ability to prioritize tasks effectively.

Job Title: Remote Claims Specialist Hourly Pay: $22 -$27/hour We are looking for a skilled Claims Specialist to join our work-from-home team. In this role, you will assist in processing and reviewing insurance claims, ensuring all necessary information is gathered, and helping resolve claims efficiently. If you have strong attention to detail and enjoy supporting customers through the claims process, this is a great opportunity for you. Key Responsibilities: Assist in processing insurance claims, ensuring accuracy and timely resolution Review claims documentation, including reports, medical records, and other evidence Communicate with claimants, insurance adjusters, and third parties to gather information Help resolve disputes or issues with claims and escalate when necessary Maintain detailed records of claims progress and updates Ensure compliance with industry regulations and internal policies Provide excellent customer service and answer inquiries related to claims Qualifications: Experience in insurance, claims handling, or a related field Strong attention to detail and organizational skills Excellent communication and customer service abilities Ability to handle multiple claims and prioritize effectively in a remote environment Familiarity with insurance policies and claims procedures is a plus Must have reliable internet and a quiet, dedicated workspace Perks & Benefits: 100% remote work flexibility Competitive hourly pay: $22 - $27 Paid training and professional development opportunities Flexible work hours, including evening and weekend options Opportunities for career growth in the insurance industry A supportive and team-oriented work environment

Responsibilities include but are not limited to: Investigate customer claims related to unauthorized or erroneous electronic transactions (e.g., debit card, ACH, ATM) in accordance with Regulation E, EFTA, and NACHA guidelines. Ensure all claims are processed within regulatory timeframes, including provisional credit issuance and final resolution. Communicate clearly and professionally with customers regarding claim status, required documentation, and resolution outcomes. Collaborate with internal departments such as Fraud, Risk, Compliance, Customer Service, and Retail to gather supporting evidence and ensure accurate claim adjudication. Document all investigative steps, findings, and communications in the bank's case management system. Monitor claim trends and escalate suspicious activity or potential fraud to the appropriate teams. Stay current on changes to Reg E, NACHA rules, and other relevant banking regulations. Participate in audits and compliance reviews related to claims handling and Reg E adherence.

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.

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. 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

The Total Loss Unit within our Claims Organization is responsible for identifying, negotiating and settling total losses with both insureds and claimants. The Total Loss Claim Representative processes payments and is responsible for the documentation of assigned claims as well as coordinate disposition of the total loss salvage vehicle. The Total Loss Claims Representative is responsible for controlling total loss expenses and salvage recoveries on all total losses assigned. 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. Qualifications: * 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 Perks and Benefits: * 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 Salary Range: The pay range for this position is $48,000 to $73,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. The Plymouth Rock Company and its affiliated group of companies write and manage over $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 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent". #LI-DNI

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 hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves managing primary claims for AXIS U.S. Primary Casualty policies. How does this role contribute to our collective success? The individual will manage claims by investigating, analyzing, and evaluating coverage and for liability third-party primary casualty claims. What Will You Do In This Role? Assessing claims within a specialized area to determine coverage, liability, and settlement value. Evaluating coverage and claim exposure, determining appropriate actions, and pursuing claims until resolution. Settng accurate and timely claim reserves and make referrals to Claim Manager where necessary Managing the lifecycle of a claim from notification to closure, ensuring timely and accurate resolution. Reviewing relevant policies, validating coverage for claims by analyzing policy wordings, and escalating identified issues for further resolution. Drafting coverage positions to be reviewed and approved by Claim Manager Working closely with Insureds, Claimants, attorneys and brokers ensuring a premier and best practices claim service is maintained, escalating issues as appropriate 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 Be recognized as a subject matter expert in claims within their area of specialization. Possess the ability to interpret and apply policy provisions accurately in various claim scenarios. Be capable of coordinating with teams to review and enhance claims processes effectively. Have the skill to manage the complete lifecycle of a claim with attention to detail and accuracy. Be adept at collaborating with external parties to gather information and resolve claims. Show a commitment to continuous professional development in the field of claims management. Be able to implement strategies aimed at improving claims handling effciency and customer satisfaction. Demonstrate the ability to document claim activities and decisions comprehensively for audit support. Role Factors This role requires you to be in the offce 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 $75,000 to $130,000. 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.