Claim processor jobs in Rochester, MN

This position is responsible for examining routine and non-routine claims for one or more products and multiple series of contracts by evaluating the extent of liability within established guidelines. This position is accountable for analyzing claims to determine benefit/contract eligibility and processing claim transactions within specified dollars limits in compliance with state and federal regulatory standards, and NAIC (National Association of Insurance Commissioners) guidelines. Additionally, this position is a member of a team, actively partners with peers on meeting established service and quality standards, provides coaching and training to other Examiners and identifies opportunities for process improvements. Job Duties and Responsibilities Determine extent of liability on routine and non-routine claims and make final claim decisions within specified dollar limits. Contribute to accurate fraud detection and reporting by referring suspected fraud to appropriate staff for review according to established procedures. Analyze claim transactions and process payments utilizing various work flow, administrative, and LOB (Line of Business) systems, accurately and cost effectively according to contract provisions and in compliance with internal service and state and federal regulatory standards. Ensure high level of customer satisfaction by partnering with members, financial associates, doctors, providers, attorneys, police, vendors and other internal and external customers regarding claims, settlements and interpretation of policy provisions, which may include highly confidential information or complaints, often educating the recipient on products/benefits and regulatory requirements. Handle sensitive written and verbal communications. May be called upon to influence behavior via these communications. Actively participate in the development and implementation of business processes, standard operating procedures, documentation and other support materials required for unit operation. May also analyze data and offer remediation in response to audit inquiries or compliance examinations as determined by the Claims Consultant. Provide consultation to Associate Claims Examiners in helping to answer questions and make decisions on claims with a moderate level of complexity. Required Job Qualifications High school required. College degree preferred. Minimum of 2 years relevant experience. Professional credentials preferred (e.g. LOMA, ICA). Intermediate knowledge of claim administration and operations as well as pertinent laws and regulations. Must possess strong interpersonal skills, as well as excellent verbal and written communication skills. Other Critical Factors As part of Thrivent Financial's hiring process, a verification of a candidate's background will be made to complete the hiring process. May represent the company at depositions and court appearances. Pay Transparency Thrivent's long-term growth depends on attracting, rewarding, and retaining people who are committed to helping others thrive with purpose. We accomplish this by offering a wide variety of market competitive compensation programs to attract, reward, and retain top talent. The applicable salary or hourly wage range for this full-time role is $24.06 - $32.56 per hour, which factors in various geographic regions. The base pay actually offered will be determined by a variety of factors including, but not limited to, location, relevant experience, skills, and knowledge, business needs, market demand, and other factors Thrivent deems important. Thrivent is unique in our commitment to helping people to be wise with money and live balanced and generous lives. That extends to our benefits. The following benefits may be offered: various bonuses (including, for example, annual or long-term incentives); medical, dental, and vision insurance; health savings account; flexible spending account; 401k; pension; life and accidental death and dismemberment insurance; disability insurance; supplemental protection insurance; 20 days of Paid Time Off each year; Sick and Safe Time; 10 paid company holidays; Volunteer Time Off; paid parental leave; EAP; well-being benefits, and other employee benefits. Eligibility for receipt of these benefits is subject to the applicable plan/policy documents. Thrivent's plans/policies are subject to change at any time at Thrivent's discretion. Thrivent provides Equal Employment Opportunity (EEO) without regard to race, religion, color, sex, gender identity, sexual orientation, pregnancy, national origin, age, disability, marital status, citizenship status, military or veteran status, genetic information, or any other status protected by applicable local, state, or federal law. This policy applies to all employees and job applicants. Thrivent is committed to providing reasonable accommodation to individuals with disabilities. If you need a reasonable accommodation, please let us know by sending an email to **************************** or call ************ and request Human Resources.

About Carrot: Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through many of life's most memorable moments. Trusted by many of the world's leading multinational employers, health plans, and health systems, Carrot's proven clinical program delivers exceptional outcomes and experiences for members and industry-leading cost-savings for employers. Its award-winning products serve all populations, from preconception care through pregnancy, IVF, male factor infertility, adoption, gestational carrier care, and menopause. Carrot offers localized support in over 170 countries and 25 languages. With a comprehensive program that prioritizes clinical excellence and human-centered care, Carrot supports members and their families through many of the most meaningful moments of their lives. Learn more at get-carrot.com. The Role: In this role, you will be responsible for reviewing incoming member out-of-pocket expenses, as well as expenses incurred using their Carrot Card. You will collaborate with members of the Care team, Customer Success and Finance team to ensure an exceptional member experience. This is an in office position in West Des Moines, Iowa. The needed shift is 8:00 am- 5:00 pm or 10:00 am- 7:00 pm CST, Monday through Friday. Training will take place for the first 4 weeks from 8:00 am- 5:00 pm CST. The Team: This role will coordinate activity between our Payments team and insurance payers to ensure that payment for applicable care is quickly and accurately facilitated. Minimum Qualifications: Bachelors Degree 1-3 years of relevant work experience including claims submission/processing experience Highly detail-oriented and organized Structured thinker and love to check things off your to-do list Excellent verbal and written communication skills Problem-solving skills to analyze, troubleshoot and resolve issues An innovative spirit to push the boundaries of claims operations Preferred Qualifications: Literacy in a language in addition to English (to support the translation of documents) Strong Interpersonal Skills Ability to thrive in a fast-paced, results-oriented environment Solve problems creatively and think on your feet Ability to lean in to changing priorities and processes Track claims and denials through the entire lifecycle Identify gaps in claims and reach out to providers for missing information Help members troubleshoot issues involving claims or eligibility Compensation: Carrot offers a holistic, total rewards package designed to support our employees in all aspects of their life inside and outside of work, including health and wellness benefits, retirement savings plans, short- and long-term incentives, paid time off, sick time, parental leave, family-forming assistance, and a competitive compensation package. This is a non-exempt position with a base pay of $56,000-$64,000 ($26.92/hr.- $30.77/hr.). In addition, this role may include variable compensation based on performance. Overtime pay will apply when required, and paid overtime may be necessary during peak periods. The actual rate of pay will be determined based on job-related skills and experience. Why Carrot? Carrot has received national and international recognition for its pioneering work, including Fast Company's Most Innovative Companies and World Changing Ideas, Inc. Power Partners, and Modern Healthcare's Innovators. Carrot's global workforce has been acknowledged with several accolades, including Fortune's Best Workplaces in Healthcare, Great Place to Work, and Age-Friendly Employer certifications. Carrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more. Learn more at carrotfertility.com.

Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients. This is an in-office position that will work out of our Owatonna, MN office. A work from home option is not available. Responsibilities Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. Explain policy coverage to policyholders and third parties. Complete thorough investigations and document facts relating to claims. Determine the value of damaged items or accurately pay medical and wage loss benefits. Negotiate settlements with policyholders and third parties. Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars. Minimum Qualifications Current pursuing, or have obtained a four-year degree Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields Ability to make confident decisions based on available information Strong analytical, computer, and time management skills Excellent written and verbal communication skills Leadership experience is a plus Salary Range: $63,800 - $78,000 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team. What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy.

What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority. Responsibilities: * High complexity coverage interpretation, liability investigation, multiple vehicles, potential extra-contractual, litigation or significant injuries. * Direct involvement in litigation claims management to reach desired outcomes and minimize expenses * Investigate, negotiate and settle complex liability cases. Maintain and make sure alignment to Markel's guidelines and procedures. * Ensure proper adherence to internal large loss reporting requirements. * Promptly communicate with Claims Manager on case developments and provide information on issues affecting the lines of business * Chip in and assist in the implementation of a range of initiatives, discussion and action plans brought forth by the Claims Manager * Connect with underwriting as needed to handle claims and to alert of any significant developments * Participate in agent related functions and meetings as required Requirements: * 7-10+ years of Liability claims handling experience with a commercial insurance company * Successful Liability claim handling experience is critical * College degree and/or professional designation preferred * Sound comprehension of personal and commercial liability coverages. * Excellent written and oral communication skills. * Experience in resolving contractual obligations, coverage analyses, and investigations. * Ability to run sophisticated large liability exposures, set loss and expense reserves and evaluate settlement values. * Ability to proactively self-manage an active caseload. * Ability to analyze and convey summations of complex issues; recognize alternative approaches and develop action plans, both orally and in written form. * Travel required as necessary (less than 15%). * Adjuster license in multiple states or across the US strongly preferred. 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 $97,520 - $134,000 with a 25% 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.

Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Claims Specialists within the Central Region! As a Workers Compensation Claims Specialist, the successful candidate will join a dedicated Claims Team, utilizing the latest technology to manage a caseload of routine to moderately complex claims. Responsibilities include investigating claims, assessing liability and compensability, evaluating losses, and negotiating settlements. The role involves interactions with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. Training is a critical component of your success, and that success starts with reliable attendance. Attendance and active engagement during training are mandatory. Training will require 1 week in our Plano, TX office onsite in February 2026. This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I, or a Workers Compensation Claims Specialist II. The salary range posted reflects the range for the varying pay scale across various locations. To be considered for this position, candidates must reside within 50 miles of Hoffman Estates, IL, or Indianapolis, IN, and will be required to work in the office twice a month. Candidates located in Ohio, Montana, and Virginia are eligible for 100% remote work, as we do not have claims offices in these states. Please note that this policy is subject to change. Responsibilities * Manages an inventory of claims to evaluate compensability/liability. * Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. * Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages. * Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. * Evaluates actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. * Performs other duties as assigned. Qualifications * Effective interpersonal, analytical and negotiation abilities required * Ability to provide information in a clear, concise manner with an appropriate level of detail * Demonstrated ability to build and maintain effective relationships * Demonstrated success in a professional environment; success in a customer service/retail environment preferred * Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent * Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory * Licensing may be required in some states About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco

Company Details We're a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers. Responsibilities Responsible for managing a caseload consisting of incoming and more complex workers' compensation cases including extended disability cases, litigation, employer's liability claims, and assigned claims. Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines. Investigate claims and make appropriate decisions regarding claim compensability and general claims management for assigned files. Document claim handling activities; create and document action plans. Establish appropriate case reserves. Actively manage medical treatment and disability while assisting the injured worker to return to work. Comply with all performance guidelines. Identify loss trends and communicate to supervisor and/or clients. Use automated diary system to issue indemnity payments and for claims management Investigate and manage claim subrogation and negotiate settlements. Manage coverage B or conflict of interest cases as assigned. Address customer complaints and inquiries in an exemplary and professional manner. Participate in client claim reviews when scheduled or requested May perform other functions as assigned Qualifications Demonstrated working knowledge of workers' compensation administration rules/laws in at least one of the following states: MN, IL or WI. Excellent communication and presentation skills. Must be able to interface with clients, legal counsel, health care professionals, etc. Good math and analytical ability. Excellent customer service skills. Basic PC skills and a working knowledge of Windows environment. Experience with a client/server based claims processing system. Education BA/BS degree with three years' experience. Experience must include litigation, subrogation and complex medical/legal issues or two years post-high school education and five years' experience in workers compensation claims management. Additional Company Details **************************** The Company is an equal employment opportunity employer. We do not accept unsolicited resumes from third party recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including: • Base Salary Range: $75k - $88k • Benefits include Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and profit-sharing plans 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. Sponsorship Details Sponsorship not Offered for this Role Not ready to apply? Connect with us for general consideration.

Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients. This is an in-office position that will work out of our Owatonna, MN office. A work from home option is not available. Responsibilities Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. Explain policy coverage to policyholders and third parties. Complete thorough investigations and document facts relating to claims. Determine the value of damaged items or accurately pay medical and wage loss benefits. Negotiate settlements with policyholders and third parties. Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars. Minimum Qualifications Current pursuing, or have obtained a four-year degree Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields Ability to make confident decisions based on available information Strong analytical, computer, and time management skills Excellent written and verbal communication skills Leadership experience is a plus Salary Range: $63,800 - $78,000 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team. What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy. We can recommend jobs specifically for you! Click here to get started.

We are looking to add a Liability Claims Specialist to join our Creative Risk Solutions team. This role will provide high quality claims handling and expertise for all CRS customers. This includes investigating, communicating, evaluating, and resolving auto and general liability claims utilizing the CRS Best Practice of Claim Handling. Essential Responsibilities: Articulate and assess coverage for commercial auto and commercial general liability claims. Adjudication of claims. Investigate bodily injury/liability claims and negotiate settlements when applicable, utilizing our “Best Practices for Claims.” Enter and maintain accurate loss information on a computer system during the claim process. Set and maintain accurate reserves within reserve authority. Negotiate and process interim and final settlements, within settlement authority. Research information for responding to questions and complaints posed by our insured's, claimants, agency partners and fronting carriers. Qualifications: Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. Experience: 2+ years of exposure in the liability claims field. Prior agency involvement preferred. Licensing: Active adjusters license required Skills: An ideal candidate should have a fundamental understanding of general and auto liability coverages, along with knowledge of claims processing procedures. Must be able to handle confidential matters with discretion and exercise independent judgment. Proficiency in typing and using various software packages, including Maverick, is also required. Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience. Here's a little bit about us: Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey! Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow. 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for. Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first. Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you. DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish! Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing. Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?! Holmes Murphy & Associates is an Equal Opportunity Employer.

* Top 100 Agency for 2025 * Best Agencies to Work for in 2024 by the Insurance Journal * Big "I" Best Practices Agency in 2023 * Annual bonus eligibility * No weekends required - great work/life balance * 3+ weeks of Paid Time Off * 8 Paid Company Holidays We are looking for someone who will * Manage the claims reporting process for agency clients. * Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures. * Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information. * Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed. * Prepare reports by collecting and summarizing information as requested by management. Why Join AAA Club Alliance and the Energy Insurance team? * A base rate of $20.00 to $25.00/hour, depending on experience and geographic location. * Annual bonus potential Do you have what it takes? * Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc. * Strong communication skills (both verbal and written) and attention to detail * Strong time management skills * Ability to obtain property and casualty license within 60 days of hire Full time Associates are offered a comprehensive benefits package that includes: * Medical, Dental, and Vision plan options * Up to 2 weeks Paid parental leave * 401k plan with company match up to 7% * 2+ weeks of PTO within your first year * Paid company holidays * Company provided volunteer opportunities + 1 volunteer day per year * Free AAA Membership * Continual learning reimbursement up to $5,250 per year * And MORE! Check out our Benefits Page for more information ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance. Job Category: Insurance

At TruStage, we're on a mission to make a brighter financial future accessible to everyone. We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what's possible. We need you to help us shape what's next. You'll be encouraged to share your experiences, ideas and skills to help others take control of their financial future. Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition This position is responsible for oversight of assigned Program Third Party Administrators (TPA's) and handling new and existing litigation claims. Ensure timely and effective application of policies and processes. Accountable for team goals related to customer service and compliance with best practices. Provide claim file direction and assistance with complex claim issue resolution. Maintain effective communication with internal and external business partners. Participate in quality assurance reviews and work on special projects to best meet the needs of the department. Contribute to the development of functional/team strategy. The position will also oversee complex professional and general liability litigated claims. Job Responsibilities: Serve as the primary point of contact and relationship manager for program claims. Oversee proactive litigation management on assigned claims including investigating, evaluating, and negotiating to resolution. Coordinate operational and leadership responsibilities to ensure consistent claim results, quality, and customer service. Develop protocols to aid in the establishment and maintenance of claim strategies and appropriate claim handling authority providing education and training as required. Collaborate with business partners vetting and onboarding new Programs and TPA's. Develop/maintain tools to monitor and improve the communication of essential claim information to ensure that monthly data collection and information sharing practices support TruStage Corporate standards. Work in close collaboration with cross-functional teams including Underwriting, Actuarial, Product, Finance, and Treasury to analyze and structure existing and new Program Business. Conduct in-person or remote claim file reviews and audits on multiple TPA claim systems. Identifies emerging claim trends as warranted. Monitor and document claim processes/guidelines for effectiveness and efficiency, identifying and implementing process improvements. Participate in Claim organization strategy initiatives and projects in collaboration with the Claim Operations team. Collaborate with Claim Operations leaders regarding the selection and ongoing management of TPA's and other outside vendors. The above statement of duties is not intended to be all inclusive and other duties will be assigned from time to time. Job Requirements: Bachelor's Degree in Business Administration, Insurance, Finance, Economics, or related field of study is strongly preferred. 7+ years of P&C Insurance claims experience. CPCU, AIC, ASLI, or other industry designations or certifications are highly desirable. Adjuster license and continuing education as needed. Proven ability to clearly and effectively communicate information to internal/external clients remotely or in person. Strong critical thinking and analytical skills. Demonstrated experience in progressively senior claim roles with strong technical skills. Experience in a range of Property and Casualty lines of business and products including Property, General Liability, Automobile Liability and Physical Damage Liability, and Professional Liability. Strong interpersonal and consultative skills. Creativity, flexibility, emotional intelligence, adaptability, and problem-solving skills. Ability to manage and develop existing and new industry relationships with Program Managers, Brokers, and Reinsurance partners. Ability to travel ~10%. If you're ready to help make a difference, apply today. A resume is required to apply. TruStage may process applicant information using an Artificial Intelligence (AI) tool. This tool automatically generates a screening score based on how well applicant information matches the requirements and qualifications for the position. TruStage recruiters use the screening score as a guide to further evaluate candidates; the score is one component of an application review and does not automatically determine whether a candidate moves forward. Candidates may choose to opt out of this process. Compensation may vary based on the job level, your geographic work location, position incentive plan and exemption status. Base Salary Range: $91,300.00 - $136,900.00 At TruStage, we believe a sound, inclusive benefits program is of vital importance, along with a flexible workplace that allows for work-life balance, career growth and retirement assistance. In addition to your base pay, your position may be eligible for an annual incentive (bonus) plan. Additional benefits available to eligible employees include medical, dental, vision, employee assistance program, life insurance, disability plans, parental leave, paid time off, 401k, and tuition reimbursement, just to name a few. Beyond pay and benefits, we also recognize that flexibility, including working in a place you prefer, is essential to caring for our employees. We will continue to strive to offer flexibility and invest in technology and other tools that will make hybrid working normal rather than an exception, so that when “life happens,” you can focus on what's most important. Accommodation request TruStage is a place where everyone can bring their best self and thrive. If you need application or interview process accommodations, please contact the accessibility department.

Process Specialist Claims Examiner In the role of Process Specialist, you will serve as a subject matter expert for the claim team in answering team member questions regarding case specifics and assisting with complicated cases. You will respond to phone and email inquiries related to claims and follow up on any outstanding requirements within a specified timeframe. You will maintain detailed, compliant, and accurate documentation of all claim activity and collaborate with the team to update procedures and develop new procedures as appropriate. Responsibilities: Serve as an SME for claim team in answering team member questions regarding case specifics and assisting with complicated cases. Customer Service Experience - respond to phone and email inquiries related to claims. Follow up on any outstanding requirements within a specified timeframe. Maintain detailed, compliant, and accurate documentation of all claim activity. Collaborate with team to update procedures and develop new procedures as appropriate. Coordinate special projects as assigned. Training in new procedures. Perform quality reviews on claims/letters. Qualifications: Basic High School Diploma or GED Equivalent. Will also consider three years of progressive experience in the specialty in lieu of every year of education. 2 years' experience relevant to the job description Preferred Associate or bachelor's degree 3 years' experience analyzing life claims. Effective written and verbal communication skills Knowledge of the insurance industry or insurance products/procedures through a combination of experience and/or coursework Organizational and follow through skills. Sensitivity to service and quality Ability to work with confidential information. Your responsibilities include but may not be limited to Serve as a SME for claim team in answering team member questions regarding case specifics and assisting with complicated cases. Customer Service Experience - respond to phone and email inquiries related to claims. Follow up on any outstanding requirements within a specified timeframe. Maintain detailed, compliant, and accurate documentation of all claim activity. Collaborate with team to update procedures and develop new procedures as appropriate. Coordinate special projects as assigned. Training on new procedures. Perform quality reviews on claims/letters. Note: Applicants for employment in the U.S. must possess work authorization which does not require sponsorship by the employer for a visa (H1B or otherwise). The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email or face to face. About Us Infosys McCamish Systems,(*********************************** located in Atlanta, Georgia, is the Life Insurance and Retirement Services subsidiary of Infosys BPM Limited.(******************* Infosys McCamish was started in 1985 as a virtual insurance company and went to market as a commercial services provider in 1995.It has an outstanding business perspective and an exemplary track record that no other outsourcer of business solutions can claim - generating US$16 billion of recurring premium in less than five years as a virtual insurance company. Infosys McCamish has expert technology and outsourcing credentials, along with a proven business model for re-engineering systems and performing back-office services at a reduced cost, while reinforcing accuracy, speed and security. Seven of the top ten US insurers are among Infosys McCamish's many BPM clients. Infosys McCamish has its operations spread across Atlanta GA and Des Moines IA in USA. U.S. citizens and those authorized to work in the U.S. are encouraged to apply. We are unable to sponsor at this time. EOE/Minority/Female/Veteran/Disabled/Sexual Orientation/Gender Identity/Nationality Infosys is an equal opportunity employer, and all qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, spouse of protected veteran, or disability.

UFG is seeking to add an entry-level Claims Specialist I to our high performing Workers' Compensation Claim Specialization team. The role is responsible for verifying applicable coverage, conducting timely and thorough research of the facts of a loss, analyzing compensability and evaluating benefits for accurate reserves. This role will primary be responsible for Medical Only type of claims and may also have responsibility for low complexity, low severity indemnity claims in accordance with claims best practices. The following Essential Duties & Responsibilities defines the growth trajectory of knowledge and skills a successful candidate will be given opportunity to develop. The Claims Specialist I - WC role demonstrates a desire to learn and grow, promotes a positive work environment, and embraces a service-oriented mindset in support of internal and external customers. This role requires good communication skills, attention to detail, and the ability to handle multiple tasks efficiently and effectively. Essential Duties & Responsibilities: Review claim assignments to determine policy coverage, compensability of a claimed injury or illness and facilitation of medical, indemnity and other statutory workers' compensation benefits. If a coverage issue is relevant, review facts with a designated leader or mentor to determine a proper plan of action. Make prompt, meaningful contact with insureds and their employees to research facts by conducting interviews; securing, understanding and synthesizing information from relevant documents; and identifying other relevant parties to a claim. Establish rapport and an outcome focused relationship with insureds and their employees, as well as other internal and external stakeholders, through consistent on-going contact throughout the recovery process and claim resolution. Request and analyze medical records to determine compensability according to evidence-based causation by jurisdiction. Interact with medical providers to clearly define medical causation and establish treatment plans focused on recovery. Promptly and supportively inform insureds and employees as well as other stakeholders of coverage and compensability decisions. Support stay-at-work or return-to-work opportunities for insureds and their employees. Identify subrogation potential and document evidence in support of subrogation. Partner with the Technical Leader on increasing knowledge of the subrogation mechanism. Identify potential Medicare eligibility and comply with all Medicare Secondary Payor requirements of law. Assess and periodically re-assess the nature and severity of injury or illness. Design a plan of action focused on recovery and resolution in accordance with claims best practice guidelines by jurisdiction. Assess and periodically re-assess claim file reserves for adequacy. This will be achieved through understanding medical diagnoses and care plan developments; thorough analysis of wage information and accurate calculations of indemnity benefits; and by securing and providing job descriptions specific to the employee to medical providers. Execute all technical claim handling functions such as documenting facts within the claims management system in a consistent, concise and clear manner; make timely decisions and promptly communicate decisions to stakeholders; process accurate benefit payments; and seek opportunities to mitigate claim handling expenses. Proactively seek resolution of claims by defining stakeholder outcome expectations early and often. With the support of the Technical Leader, negotiate settlements of low to medium complexity claims. Comply with statute specific claims handling practices and reporting requirements. Inform underwriting of increased hazards or unusual circumstances concerning a risk/policy exposure. Participate in internal and external continuing education opportunities to maintain licensure and develop claim handling skills and abilities. Demonstrate a supportive attitude and presence within the team by adapting well to change in process or procedure. Share innovative ideas to improve work product and outcomes. Take initiative to identify and learn about areas of professional development. Proactively seek out opportunities to collaborate with peers. Demonstrate interest in one's own career development. Job Specifications: Education: High school diploma required. Post-Secondary education or Bachelor's degree is considered advantageous. Licensing/Certifications/Designations: Meet the appropriate state licensing requirements to handle claims. Within 2 years of hire, complete the Workers' Recovery Professional (WRP) certification program. Experience: 3+ years of general work experience. Knowledge: Basic knowledge of insurance, medical, and/or legal concepts is considered advantageous. Skills and Abilities: Service-Oriented Mindset Clear and Concise Communication Analytical and Critical Thinking Attitude of Collaboration and Curiosity Proactive Decision-making and Problem-solving Time management and Sense of Service Urgency Working Conditions: Working remote from home or general office environment. Occasionally the job requires working irregular hours. Infrequent overnight travel and weekend hours may be required. Disclaimer The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and skills required. Additional task and requirements may be assigned, as necessitated by business need. UFG retains the right to modify the description of this job at any time.

Kelly Services is looking to hire several Site Logistics Operators/Material Handlers in Knoxville, TN for an industry leading chemical company. For this opportunity, you could be placed as a Chemical Finished Product Operator or a Polymers Packaging/Warehousing/Shipping Operator on a long-term, indefinite assignment. You will be working with chemicals and should be comfortable doing such - either with previous experience or the willingness to learn. Kelly Services has been providing outstanding employment opportunities to the most talented individuals in the marketplace. We are proud to offer a contract opportunity to work as an Insurance Claims Processor position in a Fortune 500 corporation located in Des Moines, IA! Pay Rate: $13.25 per hour 7:30a - 4p Monday through Friday (unless otherwise specified) Job Information: Responsible for sorting and routing customer and provider claims or inquires to the appropriate areas within and outside the company. Will prepare various claims for entry and ensure all claims are complete and prepares letters to be sent to both members and providers. Pay Rate: $13.25 per hour Requirements: With this specific role, regular attendance is a necessity Medical Claim knowledge strongly preferred. Job Description: Responsible for sorting and routing customer and provider claims or inquires to the appropriate areas within and outside the company. Will prepare various claims for entry and ensure all claims are complete and prepares letters to be sent to both members and providers. Effectively communicates using verbal and written skills with peers, internal and external customers. Ability to work in a fast pace and high production environment. Ensure all claims are complete and prepares letters to be sent to both members and providers. Research errors on claims and provides resolution to allow the claim to be entered into the processing system appropriately. As needed, responsible for the entry, investigation, triage and analysis of basic claims. Completes daily reporting of receipts, production, aging and inventories. Additional Information All your information will be kept confidential according to EEO guidelines.

Description Medical Associates is hiring an experienced Insurance Claims Specialist to join our business office team! Skills You Bring: Strong attention to detail Great communication skills Ability to work independently and as a team Experience working with insurance and/or billing Schedule: This position is full time with four days per week working from 7am-3:30pm, one day per week working from 8am-5pm. Opportunity for a hybrid schedule once fully trained! Full Time Benefits Package Includes: Single or Family Health Insurance with discounted premium rates for wellness program participation 401k with immediate matching (50% on the dollar up to 7% of pay) + additional annual Profit Sharing Flexible Paid Time Off Program (24 days off/year) Medical and Dependent Care Flex Spending Accounts Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc. What You'll Be Doing: Apply insurance payments to open claims for each payment received and balance individual batches. Manage work queues including but not limited to past due, at risk, technical denial, age trial balance, and suspended claims report. Research open claims activity, audit accounts, and issue refunds when appropriate. Review, update, or obtain patient information making necessary changes to ensure correct billing. Review claims prior to submission for correct data. File protests with insurance companies and follow up for payment. Assist patients and insurance companies with questions and forms. Perform clerical skills for the daily operation of the department. Complete all other assigned projects and duties. Knowledge and Skills: Experience: Three months to one year of similar or related experience. Customer service and insurance experience required. Education : High school diploma or GED required. Physical Aspects: Reaching - Extending hand(s) and arm(s) in any direction. Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles. Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling. Grasping - Applying pressure to an object with the fingers and palm. Talking - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly. Hearing - Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts. Vision - 20 / 40 or better in the best eye with or without correction. Repetitive Motions - Substantial movements (motions) of the wrists, hands and/or fingers. Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Environmental Conditions: None - The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work). Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status. Please view Equal Employment Opportunity Posters provided by OFCCP ***************************

Job Description this is an onsite position in Holstein, IA. Overall Responsibilities: The duties of the Claims Specialist Lead are to perform as a mentor and trainer for Claims Specialist team members, along with managing assigned claim territory. Report to Tech Services/Claims Manager on team performance. Specific responsibilities include, but are not limited to the following: Train team members on systems and process for claim documentation Provides assistance to identify production errors for proper claim resolution Manage and report workload within assigned Claims Specialist team to meet service level standards Primary contact with Wisconsin production operations personnel for identification and resolution of production and shipping claims for team Essential Job Functions: Works with team to minimize errors Manages daily departmental duties for assigned team Participate and conduct personnel performance reviews Processes claims for assigned territory Participate and facilitate meetings/group function as needed Participates in claims meetings with production to discuss trends and quality improvement actions Have advanced understanding of VT product offering, construction, labeling, hardware, fire approvals, STC approvals, and production processes Functions as a resource for distributors and follows up with customers regarding claims Assists in sourcing special or subcontracted materials Works with Management and Sales Service to schedule ship dates for remake doors and accessories Work closely with Department Manager Confers with Project Coordinators, Schedulers, Detailers, and Production when appropriate Supports 5S/lean program keeping work area organized Available to work 8 to 10 hours per day as required Observes all safety policies and procedures at all times Participates and conducts Tech Services team meetings Assists with charting and reports for the department as needed Works individually or with team members as assigned, maintaining a positive work environment Other duties as assigned Position Requirements Must be able to work in an office environment during standard business hours High School Diploma or equivalent 2 to 4 years of relevant work experience Able to review your own work and the work of others ensuring accuracy of presented data Able to use and troubleshoot general office equipment including computer data entry (Word, Excel, IFS, VTOL, XA as needed) and other computer functions, telephone, and printers Self-Motivated Satisfactory attendance record Able to deal with multiple problems and tasks effectively and efficiently Excellent written and verbal communication with internal and external customers Strong organizational skills, detail oriented and consistently works toward continuous improvement All team members are expected to follow the Code of Conduct to the highest standards as well as to adhere to the Attendance Policy of VT Industries. Physical Requirements Tolerance for sitting long periods of time. Possess finger dexterity to write, type, and use a calculator. Maintain adequate vision to view small print and computer terminal. Ability to speak and hear, walk throughout facilities with occasional light lifting (25 pounds), stooping, kneeling, crouching, and reaching with hands and arms required. Ability to travel between multiple facilities as required to perform core job duties. The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Claims Specialists within the Central Region! As a Workers Compensation Claims Specialist, the successful candidate will join a dedicated Claims Team, utilizing the latest technology to manage a caseload of routine to moderately complex claims. Responsibilities include investigating claims, assessing liability and compensability, evaluating losses, and negotiating settlements. The role involves interactions with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. Training is a critical component of your success, and that success starts with reliable attendance. Attendance and active engagement during training are mandatory. Training will require 1 week in our Plano, TX office onsite in February 2026. This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I, or a Workers Compensation Claims Specialist II. The salary range posted reflects the range for the varying pay scale across various locations. To be considered for this position, candidates must reside within 50 miles of Hoffman Estates, IL, or Indianapolis, IN, and will be required to work in the office twice a month. Candidates located in Ohio, Montana, and Virginia are eligible for 100% remote work, as we do not have claims offices in these states. Please note that this policy is subject to change. Responsibilities Manages an inventory of claims to evaluate compensability/liability. Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. Evaluates actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. Performs other duties as assigned. Qualifications Effective interpersonal, analytical and negotiation abilities required Ability to provide information in a clear, concise manner with an appropriate level of detail Demonstrated ability to build and maintain effective relationships Demonstrated success in a professional environment; success in a customer service/retail environment preferred Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory Licensing may be required in some states About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority.Responsibilities: High complexity coverage interpretation, liability investigation, multiple vehicles, potential extra-contractual, litigation or significant injuries. Direct involvement in litigation claims management to reach desired outcomes and minimize expenses Investigate, negotiate and settle complex liability cases. Maintain and make sure alignment to Markel's guidelines and procedures. Ensure proper adherence to internal large loss reporting requirements. Promptly communicate with Claims Manager on case developments and provide information on issues affecting the lines of business Chip in and assist in the implementation of a range of initiatives, discussion and action plans brought forth by the Claims Manager Connect with underwriting as needed to handle claims and to alert of any significant developments Participate in agent related functions and meetings as required Requirements: 7-10+ years of Liability claims handling experience with a commercial insurance company Successful Liability claim handling experience is critical College degree and/or professional designation preferred Sound comprehension of personal and commercial liability coverages. Excellent written and oral communication skills. Experience in resolving contractual obligations, coverage analyses, and investigations. Ability to run sophisticated large liability exposures, set loss and expense reserves and evaluate settlement values. Ability to proactively self-manage an active caseload. Ability to analyze and convey summations of complex issues; recognize alternative approaches and develop action plans, both orally and in written form. Travel required as necessary (less than 15%). Adjuster license in multiple states or across the US strongly preferred. 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 $97,520 - $134,000 with a 25% 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.

At TruStage, we're on a mission to make a brighter financial future accessible to everyone. We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what's possible. We need you to help us shape what's next. You'll be encouraged to share your experiences, ideas and skills to help others take control of their financial future. Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition This position is responsible for oversight of assigned Program Third Party Administrators (TPA's) and handling new and existing litigation claims. Ensure timely and effective application of policies and processes. Accountable for team goals related to customer service and compliance with best practices. Provide claim file direction and assistance with complex claim issue resolution. Maintain effective communication with internal and external business partners. Participate in quality assurance reviews and work on special projects to best meet the needs of the department. Contribute to the development of functional/team strategy. The position will also oversee complex professional and general liability litigated claims. Job Responsibilities: * Serve as the primary point of contact and relationship manager for program claims. * Oversee proactive litigation management on assigned claims including investigating, evaluating, and negotiating to resolution. * Coordinate operational and leadership responsibilities to ensure consistent claim results, quality, and customer service. * Develop protocols to aid in the establishment and maintenance of claim strategies and appropriate claim handling authority providing education and training as required. * Collaborate with business partners vetting and onboarding new Programs and TPA's. * Develop/maintain tools to monitor and improve the communication of essential claim information to ensure that monthly data collection and information sharing practices support TruStage Corporate standards. * Work in close collaboration with cross-functional teams including Underwriting, Actuarial, Product, Finance, and Treasury to analyze and structure existing and new Program Business. * Conduct in-person or remote claim file reviews and audits on multiple TPA claim systems. * Identifies emerging claim trends as warranted. * Monitor and document claim processes/guidelines for effectiveness and efficiency, identifying and implementing process improvements. * Participate in Claim organization strategy initiatives and projects in collaboration with the Claim Operations team. * Collaborate with Claim Operations leaders regarding the selection and ongoing management of TPA's and other outside vendors. The above statement of duties is not intended to be all inclusive and other duties will be assigned from time to time. Job Requirements: * Bachelor's Degree in Business Administration, Insurance, Finance, Economics, or related field of study is strongly preferred. * 7+ years of P&C Insurance claims experience. * CPCU, AIC, ASLI, or other industry designations or certifications are highly desirable. * Adjuster license and continuing education as needed. * Proven ability to clearly and effectively communicate information to internal/external clients remotely or in person. * Strong critical thinking and analytical skills. * Demonstrated experience in progressively senior claim roles with strong technical skills. * Experience in a range of Property and Casualty lines of business and products including Property, General Liability, Automobile Liability and Physical Damage Liability, and Professional Liability. * Strong interpersonal and consultative skills. * Creativity, flexibility, emotional intelligence, adaptability, and problem-solving skills. * Ability to manage and develop existing and new industry relationships with Program Managers, Brokers, and Reinsurance partners. * Ability to travel ~10%. If you're ready to help make a difference, apply today. A resume is required to apply. TruStage may process applicant information using an Artificial Intelligence (AI) tool. This tool automatically generates a screening score based on how well applicant information matches the requirements and qualifications for the position. TruStage recruiters use the screening score as a guide to further evaluate candidates; the score is one component of an application review and does not automatically determine whether a candidate moves forward. Candidates may choose to opt out of this process. Compensation may vary based on the job level, your geographic work location, position incentive plan and exemption status. Base Salary Range: $91,300.00 - $136,900.00 At TruStage, we believe a sound, inclusive benefits program is of vital importance, along with a flexible workplace that allows for work-life balance, career growth and retirement assistance. In addition to your base pay, your position may be eligible for an annual incentive (bonus) plan. Additional benefits available to eligible employees include medical, dental, vision, employee assistance program, life insurance, disability plans, parental leave, paid time off, 401k, and tuition reimbursement, just to name a few. Beyond pay and benefits, we also recognize that flexibility, including working in a place you prefer, is essential to caring for our employees. We will continue to strive to offer flexibility and invest in technology and other tools that will make hybrid working normal rather than an exception, so that when "life happens," you can focus on what's most important. Accommodation request TruStage is a place where everyone can bring their best self and thrive. If you need application or interview process accommodations, please contact the accessibility department.

UFG is currently seeking a Claims Specialist III - Workers Compensation who will be primarily responsible for verifying applicable coverages, conducting timely and thorough research of the facts of a loss, analyzing compensability and evaluating benefits for reserve and settlement, and negotiating medium to high complexity claims to resolution in accordance with claims best practices. The Claims Specialist III - WC role demonstrates a strong desire to learn and grow, promotes a positive work environment, and embraces a strong service-oriented mindset in support of internal and external customers. This role requires strong communication skills, attention to detail, and the ability to handle multiple tasks efficiently and effectively. It also requires the ability to work independently with a low level of supervision and a high level of accountability. A strong desire to advance one's professional development and the development of others is essential to this role. Essential Duties and Responsibilities: Review claim assignments to determine policy coverage, compensability of a claimed injury or illness and facilitation of medical, indemnity and other statutory workers' compensation benefits. If a coverage issue is relevant, review facts with a designated leader or mentor to determine a proper plan of action. Make prompt, meaningful contact with insureds and their employees to research facts by conducting interviews; securing, understanding and synthesizing information from relevant documents; identifying other relevant parties to a claim; and proactively supporting all parties with their commitment to outcomes. Establish rapport and an outcome focused relationship with insureds and their employees, as well as other internal and external stakeholders, through consistent on-going contact throughout the recovery process and claim resolution. Request and analyze medical records to determine compensability according to evidence-based causation by jurisdiction. Have proficiency with conducting medical and legal research. Interact with medical providers to clearly define medical causation and establish treatment plans focused on recovery. Promptly and supportively inform insured and employees as well as other stakeholders of coverage and compensability decisions. Support stay-at-work or return-to-work opportunities for insureds and their employees. Propose and facilitate vocational support when appropriate by jurisdiction. Identify subrogation potential and document evidence in support of subrogation. Understand the subrogation mechanism and actively partner with internal and external subrogation partners to achieve outcomes with a goal to achieve global resolution. Identify potential Medicare eligibility and comply with all Medicare Secondary Payor requirements of law. Have strong knowledge of Medicare settlement obligations. Assess and periodically re-assess the nature and severity of injury or illness and design a plan of action focused on recovery and resolution in accordance with claims best practice guidelines by jurisdiction. Identify factors which could impact successful outcomes and collaborate on plans of action to mitigate impacts. Assess and periodically re-assess claim file reserves to a high degree of accuracy. This will be achieved through understanding medical diagnoses and care plan developments; thorough analysis of wage information and accurate calculations of indemnity benefits; and by securing and providing job descriptions specific to the employee to medical providers. Promptly identify factors of risk for increased loss and expense costs. Execute all technical claim handling functions such as documenting facts within the claims management system in a consistent, concise and clear manner; make timely decisions and promptly communicate decisions to stakeholders; process accurate benefit payments; and seek opportunities to mitigate claim handling expenses. Proactively seek resolution of claims by defining stakeholder outcome expectations early and often, managing processes focused on outcomes and engaging in direct negotiation, mediation, settlement conferences or hearings according to jurisdiction. Proficient with seeking opportunities to overcome resolution barriers. Comply with statute specific claims handling practices and reporting requirements. Inform underwriting of increased hazards or unusual circumstances concerning a risk/policy exposure. Participate in internal and external continuing education opportunities to maintain licensure and develop claim handling skills and abilities. Demonstrate a supportive attitude and presence within the team by adapting well to change in process or procedure. Share innovative ideas to improve work product and outcomes. Take initiative to identify and learn about areas of professional development. Proactively seek out opportunities to collaborate with peers. Demonstrate interest in one's own career development and actively support peers with their development. This role requires a strong understanding of the insurance mechanism and interactions between business functions as well as strong support for initiatives that advance the goals of the enterprise. Job Specifications: Education: High school diploma required. Post-Secondary education or bachelor's degree preferred. Licensing/Certifications/Designations: Meet the appropriate state licensing requirements to handle claims. Within 1 year of hire, complete the Workers' Recovery Professional (WRP) certification program. Within 3 years of hire, complete the Senior Workers' Compensation Law Associate (SCLA) designation program. Willingness to pursue other professional certifications or designations as requested. Experience: 5+ years of general work experience. 10+ years of workers' compensation claims handling experience or a combination of workers' compensation claims handling experience and experience in a related field. Knowledge: Proficient knowledge of insurance, medical and legal concepts is required with a high degree of ability to articulate knowledge verbally and in writing. Skills and Abilities: Service-Oriented Mindset Clear and Concise Communication Analytical and Critical Thinking Attitude of Collaboration and Curiosity Proactive Decision-making and Problem-solving Time management and Sense of Service Urgency Demonstrate aptitude for mentorship and leadership Actively leads execution of claims initiatives Working Conditions: Working remote from home or general office environment. Occasionally the job requires working irregular hours. Infrequent overnight travel and weekend hours may be required. Disclaimer The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and skills required. Additional tasks and requirements may be assigned, as necessitated by business need. UFG retains the right to modify the description of this job at any time.