Claim processor jobs in Topeka, KS - 187 jobs

We are currently looking for a Claims Examiner to join our team! The Claims Examiner processes the notification of death claims, ensures state regulations are being maintained in the follow up process, reviews and adjudicates claims, and provides assistance to the beneficiaries through calls and written correspondence. Job Responsibilities Review and process death claims Create payments and letters to settle claims Correspond with claimants via phone, letter, and email Follow all state regulations, being mindful of Unfair Claim Practice regulations Provide excellent, prompt customer service to beneficiaries and other callers Reconcile suspense items, returned mail, and other items in workflow according to service level agreements Job Qualifications Good understanding or ability to learn in house systems (Workflow/Imaging System, Life Insurance Policy Administration systems, Microsoft Office applications) Knowledge of life and disability insurance Well organized, detail oriented, uses time efficiently Able to work independently and think critically Excellent written and verbal communication Able to operate effectively in a fast-paced environment while maintaining a professional image and positive attitude Previous life insurance claims experience Education Qualifications Four year degree from an accredited college or university, or relevant industry experience About Us Americo: We re in this for life! The roots of the Americo family of companies date back more than 100 years. Americo is a life insurance and annuity company providing innovative products to our customers. At Americo, it s the people who make things work, so we hope you join us! What you ll love about working at Americo: Compensation: Our competitive pay and robust bonus program, offered to all associates, will make you feel valued. Learning and development: We prepare you for success with a comprehensive, paid training program. Additionally, our Talent Development team creates various development opportunities for associates at every stage of their careers. Work-life balance: We value work-life balance with our generous paid time off; you begin accruing hours every month, and they increase with tenure. All new hires earn over three weeks of paid time off annually, plus 11 paid company holidays! We also support new mothers with a maternity leave program, along with paid STD and LTD. Health and well-being: We commit to your health and well-being and are proud to offer comprehensive health and life insurance options, including FSA or HSA accounts and subsidies to support your health and fitness goals through vendor partnerships at The Y, Orange Theory, WW, and more. Future planning: Americo offers a 401(k) with a company match. We also have tuition reimbursement programs to further your education. Giving back: We support several local organizations, such as Ronald McDonald House, Hope Lodge, the American Red Cross, Harvesters, and many more. Our associates volunteer their time and donate money alongside the company to make a difference in our community. The fun stuff: Americo participates in the Kansas City Corporate Challenge, a great way to connect with coworkers. Additionally, we host events like a Royals Party at the K, a legendary Holiday Party, and in-office events with local vendors to allow associates to step away from work and enjoy each other s company. Bustling environment: Our newly renovated offices are conveniently located in downtown Kansas City, within walking distance of your favorite restaurants and attractions. Plus, you ll receive complimentary paid parking near our Americo offices downtown parking is a premium, but we ve got you covered. #AMERICO

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

Stefanini is a global IT services company with over 88 offices in 39 countries across the Americas, Europe, Africa, Australia, and Asia in 35 languages. Since 1987, Stefanini has been providing offshore, onshore, and nearshore IT services, including application development, IT infrastructure outsourcing, systems integration, consulting and strategic staffing to Fortune 1000 enterprises around the world. Job Description Educates patients, their families and health care professionals in the use of the organization's products and services. Organizes and conducts classes and individual meetings to demonstrate how the organization's products and services contribute to the maintenance and improvement of health and/or the management of specific diseases and physical conditions. Prepares and distributes educational and instructional material (e.g., booklets, promotional kits). May expand patient pool through participation in referral and screening programs. Provides information and suggestions to sales and/or medical representatives and management on the results of educational programs, including comments and questions from patients and health care professionals. Has developed specialized skills or is multi-skilled through job-related training and considerable on-the-job experience. Completes work with a limited degree of supervision Likely to act as an informal resource for colleagues with less experience Identifies key issues and patterns from partial/conflicting data Post-secondary certifi./Assoc. degree in applicable discipline and 3-5 Yrs of related Exp. Qualifications Previous Medical Claims Experience Strong Problem-Solving Skills Previous Experience Calling Plans & figuring out patient's out of pocket costs for both Medical & Pharmacy Plans Additional Information All your information will be kept confidential according to EEO guidelines.

Responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements. Essential Functions: - Adjudicate claims and adjustments as required. - Resolve claims edits and suspended claims. - Maintain and update required reference materials to adjudicate claims. - Provide backup support to other team/group members in the performance of job duties as assigned. · Requirements/Certifications: - Ability to quickly use a 10-key machine- Experience with list of ICD-9 codes and Current Procedural Terminology (CPT) Claims High School (Required) GED (Required) Additional Information All your information will be kept confidential according to EEO guidelines.

Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.

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 Overland Park, KS office, located at 6130 Sprint Parkway, Ste 200 Overland Park, KS. 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 responsible for the resolution of low complexity and low exposure claims and provide support to other team members as directed. This position will work closely with their manager to train and develop fundamental claims handling skills. Job Responsibilities * Confirms coverage of claims by reviewing policies and documents submitted in support of claims. * Conducts, coordinates and directs investigation into loss facts and extent of damages. * Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure. * Strong emphasis on customer service to both internal and external customers is a major focus for the ACE as this role will handle small commercial claims that require excellent customer service to insureds and agents. * Set reserves within authority (up to $25,000) and resolve claims within a prompt timeframe avoiding expense relating to independent adjusting. Required Qualifications * This role will is responsible for Equine claims; equine knowledge or hands-on experience working with horses is strongly preferred. * Must have or be eligible to receive claims adjuster license. * Successful completion of basic insurance courses or achievement of industry designations. * Ability to be trained in insurance adjusting up to two years of claims experience. * 2-4 years of experience in general liability, construction defect, or related liability lines preferred. * Bachelor's degree preferred * Excellent written and oral communication skills. * Strong organizational and time management skills. #LI-Hybrid US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. 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.

**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. 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. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $104,000.00 - $171,700.00 **Target Openings** 1 **What Is the Opportunity?** Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required. This position does not manage staff. **What Will You Do?** + Directly handle assigned severe claims. + Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value. + Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. + Work with Manager on use of Claim Coverage Counsel as needed. + Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. + Interview witnesses and stakeholders; take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts. + Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. + Maintain claim files and document claim file activities in accordance with established procedures. + Develop and employ creative resolution strategies. + Responsible for prompt and proper disposition of all claims within delegated authority. + Negotiate disposition of claims with insureds and claimants or their legal representatives. + Recognize and implement alternate means of resolution. + Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers. + Utilize evaluation documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis. + Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure. + Establish and maintain proper indemnity and expense reserves. + Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims. + Recommend appropriate cases for discussion at roundtable. + Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense. + Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others. + Apply the Company's claim quality management protocols, and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance. + Apply litigation management through the selection of counsel, evaluation. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's Degree. + 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims. + Extensive working level knowledge and skill in various business line products. + Excellent negotiation and customer service skills. + Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills. + Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims. + Able to make independent decisions on most assigned cases without involvement of supervisor. + Openness to the ideas and expertise of others and actively solicits input and shares ideas. + Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices. + Demonstrated strong coaching, influence and persuasion skills. + Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise. + Can adapt to and support cultural change. + Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information. + Analytical Thinking - Advanced. + Judgment/Decision Making - Advanced. + Communication - Advanced. + Negotiation - Advanced. + Insurance Contract Knowledge - Advanced. + Principles of Investigation - Advanced. + Value Determination - Advanced. + Settlement Techniques - Advanced. + Litigation Management - Advanced. + Medical Terminology and Procedural Knowledge - Advanced. **What is a Must Have?** + Four years bodily injury litigation claim handling experience or comparable claim litigation experience. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance PL CLAIM SPECIALIST **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. + Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim settlement up to designated authority level. + Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life. + Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement. + Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. + Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients. + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents Company in depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred. **Experience** Six (6) years of claims management experience or equivalent combination of education and experience required. **Skills & Knowledge** + In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent negotiation skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $117,000 - $125,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

At Safety National, we don't just offer jobs - we build careers with purpose! Since 1942, we've been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success-both personally and professionally. Ready to grow with us? Apply today! Follow this link to view all of our available careers and apply: ******************************************** This opportunity is in the Claims department. Our Claims Department oversees both high-exposure workers' compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess carrier, the catastrophic claims we handle keep our group challenged, but the uniqueness provides plenty of growth opportunities. Role Description: Are you an expert in complex liability claims, particularly those involving facultative reinsurance or runoff operations? In this role, you'll take ownership of high-exposure litigation cases, guide TPAs and self-administered programs, and play a crucial role in managing our umbrella runoff program. You'll conduct detailed coverage reviews, set and monitor reserves, and participate in litigation management, settlement, and reporting. This role calls for strategic oversight and collaboration across multiple business units, ensuring timely reporting, reinsurance recovery efforts, and client engagement. With opportunities to travel for mediations, audits, and trials, your impact will be both national and deeply strategic. If you're looking for a challenging claims role where your litigation knowledge, analytical abilities, and project experience can shine-this is your opportunity to lead and make a difference. Qualifications: Education: Bachelor's Degree from an accredited college or university required. JD preferred. Required Qualifications: Must be presently authorized to work in the U.S. without a requirement for work authorization sponsorship by our company for this position now or in the future. 10 or more years of litigation or claims experience handling complex, high-exposure liability claims, including facultative reinsurance, umbrella run-off, and construction liability claims. 5 or more years handling environmental and latent disease claims. Strong knowledge of coverage issues, with the ability to draft reservation of rights and coverage letters. Preferred Qualifications: Experience across multiple jurisdictions with an insurance carrier or Third-Party Administrator. Proficiency with all phases of claims litigation, including mediations, settlement conferences, and trials. Demonstrated project leadership and cross-functional influence. Exceptional organizational, analytical, and communication skills. Self-starter with the ability to independently prioritize a high-volume workload. Proficiency with Microsoft Excel, Word, and Outlook. AIC, SCLA, or CLCS designation preferred. Ability to travel as business needs require. Protect the confidentiality, integrity and availability of information and technology assets against unauthorized disclosure, destruction and/or alteration, in accordance with Safety National policies, standards, and procedures. Safety National is a leading specialty insurance and reinsurance provider. Our culture is built upon relationships, which allow us to demonstrate our expertise gained through our rich 80-year history. As a wholly-owned subsidiary of Tokio Marine, Inc., we appreciate the benefits and support provided by our affiliation with one of the top 10 insurance companies in the world. Total Rewards That Put Employees First In our vision to be First with Co-Workers, compensation that includes base salary, holiday bonus, and incentive awards is only a small portion of the comprehensive total rewards package we offer. Our total rewards approach recognizes and rewards the time, talents, efforts, and results of our valued employees. Highlights of our exceptional benefits include generous health, dental, and vision coverage, health savings accounts, a 401(k)-retirement savings match and an annual profit sharing contribution. We proudly offer family forming benefits for adoption, fertility, and surrogacy, generous paid time off and paid holidays, paid parental and caregiver leave, a hybrid work environment, and company-paid life insurance and disability. To support employees in their career journeys, we provide professional growth and development opportunities in addition to employee recognition and well-being programs. Apply today to learn more. Safety National is committed to fair, transparent pay and we strive to provide competitive, market-based compensation. In our vision to be First with Co-Workers, compensation is only one piece of the comprehensive total rewards package we offer. The target base salary range for this position is $99,000 to $128,500. Compensation for the successful candidate will consider the candidate's particular combination of knowledge, skills, competencies, experience and geographic location. #LI-Hybrid #LI-Remote

We are looking to add a Workers' Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in Iowa, Minnesota, Nebraska, and Wisconsin. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: · Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. · Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims. · Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues. · Enters and maintains accurate information on a computer system during the claim process, to include final settlement information. · Generates checks for indemnity and medical payments daily. · Develops and monitors consistency in procedural matters of claims handling process within CRS. · Willingness to become licensed if required in jurisdiction where claims are handled. Qualifications: · Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. · Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling. · Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in Iowa, Nebraska, Wisconsin, and Minnesota. · Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs. · 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. #LI-SM1

Job Description At TA Resources we have re-imagined traditional staffing and HR consulting with Small to mid-size businesses in mind. Focusing on what makes our clients unique, we match them with the talent they need to continue to grow. We are currently searching for an Automotive Claims Specialist for our client located in the Earth City, MO area. This is a contract position which offers the opportunity to transition into a permanent role for a strong performer. Are you a skilled mechanic looking to shift gears in your career? Our client is seeking an Automotive Claims Specialist to join their expanding customer contact team. In this role, you'll transition from the physical demands of the shop floor to a comfortable office environment where you will leverage your automotive expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims. This opportunity offers a refreshing change of pace, allowing you to work in the comfort of a modern workspace. If you're ready to take the next step in your career and join a company that will invest in your future, we want to hear from you! Apply today and drive your career forward with us! Key Responsibilities: · Utilize in-depth knowledge of vehicle mechanics to evaluate, investigate, and process mechanical claims with accuracy and efficiency. · Communicate via telephone and email with vehicle contract holders, repair facilities, and other parties, providing exceptional customer service while successfully resolving claim-related requests. · Actively listen to caller's questions and concerns, demonstrating empathy and compassion to ensure a positive and reassuring experience. · Adhere to all established department processes and utilize company specific computer systems to maintain detailed and accurate electronic claim-related records · Collaborate with leaders and other claim analysts to consistently uphold the company's reputation for honesty, fairness, and excellence in all interactions. Qualifications: · At least 3 years of proven experience as an automotive mechanic or in a related mechanical field. · A strong understanding of vehicle repair processes and the talent to clearly discuss elements of the repair process with both mechanical and non-mechanical individuals. · Excellent verbal communication skills with the ability to clearly and effectively articulate information to callers, colleagues, and stakeholders over the phone. · Prior success in a customer service role including experience resolving complex requests and ensuring outstanding customer satisfaction · Technology proficient in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing, as well as the ability to navigate multiple software systems and monitors while assisting customers on the phone. · Detail-oriented, motivated self-starter with the ability to work efficiently in a fast-paced call center environment with minimal oversight. · Bilingual (Spanish & English) candidates preferred. · High school diploma or GED required. · ASE certification is a plus. Additional Considerations: · Ability to work a hybrid schedule out of our St. Louis, MO office (2 days in office/3 days at home). · Must be willing to work Saturdays occasionally. · A high-speed home internet connection and a quiet at-home workspace is required. Work Location: In person Salary Range: $25-$33 per hour based on experience

Join our team as a Disability Claims Specialist where you'll play a crucial role in managing complex and sensitive claims with precision and efficiency. In this position, you'll conduct detailed evaluations, adhering to internal and external regulations to ensure top-tier customer service. Your role involves direct interactions with employers, attorneys, and external vendors, alongside guiding less experienced analysts through complex claims scenarios. This role demands sharp independent decision-making and critical thinking skills. You will also contribute to process improvements by eliminating inefficiencies, focusing on activities that enhance customer value. If you are ready to drive change and lead in a dynamic environment, we invite you to apply and make a significant impact. WHAT WE CAN OFFER YOU: Estimated Salary: $57,500- $60,000 Benefits and Perks, 401(k) plan with a 2% company contribution and 6% company match. Regular associates working 40 hours a week can earn up to 15 days of vacation each year. Regular associates receive 11 paid holidays in 2024, which includes 2 floating holidays that are added to your prorated personal time to be used at your discretion. Regular associates are provided sick leave through the use of personal time. Associates working 40 hours a week can receive up to 40 hours of personal time in 2024, which is prorated based on the start date. Additionally you will receive two floating holidays in 2024 by way of personal time that may be used at your discretion. Applicants for this position must not now, nor at any point in the future, require sponsorship for employment. WHAT YOU'LL DO: Support and Guidance: Assist with issue resolution, transaction processing, and interactions with policy owners and providers. Claim Determinations: Analyze and evaluate disability claims, make critical determinations, and initiate payments or denials as per established procedures. Quality and Compliance: Conduct quality reviews, resolve issues, and communicate process changes and compliance requirements. Leadership and Collaboration: Promote best practices in claims management, engage with business partners, and participate in team activities. WHAT YOU'LL BRING: Claims Experience: Understanding of complex insurance provisions and contracts, ability to interpret vocational and medical information, and calculate disability benefits. Experienced in applying insurance regulations, handling disability claims procedures, and interpreting policies and practices. Organizational and Analytical Skills: Strong attention to detail, ability to make informed decisions, meet deadlines, work independently, and adapt to a changing environment. Communication and Technical Skills: Excellent verbal and written communication, strong customer service and the ability to handle escalated concerns. Organizational and Analytical Skills: Strong attention to detail, ability to make informed decisions, meet deadlines, work independently, and adapt to a changing environment. You promote a culture of diversity and inclusion, value different ideas and opinions, and listen courageously, remaining curious in all that you do. Ability to work at our home office located in Omaha, Nebraska, in a hybrid environment. We value diverse experience, skills, and passion for innovation. If your experience aligns with the listed requirements, please apply! If you have questions about your application or the hiring process, email our Talent Acquisition area at careers@mutualofomaha.com. Please allow at least one week from time of applying if you are checking on the status. #Circa

We are looking to add a Workers' Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in Iowa, Minnesota, Nebraska, and Wisconsin. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: · Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. · Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims. · Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues. · Enters and maintains accurate information on a computer system during the claim process, to include final settlement information. · Generates checks for indemnity and medical payments daily. · Develops and monitors consistency in procedural matters of claims handling process within CRS. · Willingness to become licensed if required in jurisdiction where claims are handled. Qualifications: · Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. · Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling. · Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in Iowa, Nebraska, Wisconsin, and Minnesota. · Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs. · 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. #LI-SM1

Rapidly growing Insurance Restoration Company seeking qualified candidates for the position of Sales Representative. The Sales Representative will sell roofing product lines / systems and generate new growth and profitability through business networking, contacts, telephoning, door knocking, and the like to obtain inspections for potential weather related structural property damage and consultations for cosmetic/structural replacements, upgrades and remodels. You will also be provided with occasional company generated leads. Our ideal candidates will have in-home sales experience or come from the residential real estate, window/siding/roofing, home inspection, or home improvement industries. You MUST have verifiable and STABLE sales experience. Construction experience and knowledge is a definite plus. The ideal candidate must also have strong listening, follow-up, and closing skills. You must be proficient working with computer software and be detail oriented, focused, and a team player. Most importantly, you MUST have strong ethics and high integrity and be committed to ALWAYS putting the customer first. We also ask that you are outgoing, with a positive personality, have a professional and respectable demeanor, clean cut and professional appearance, are self-motivated, eager to succeed, possess excellent communication skills, have the ability to multitask and manage time effectively, are positive and energetic, have the ability & willingness to learn and implement today's top marketing and selling techniques, and be willing to work some weekends to go above and beyond. Team Players will thrive in our environment. We build our jobs promptly! Requires ability to climb on roofs and transport a ladder. W2 & 1099 Positions. If interested please call ************ to schedule your interview today! Qualifications Would prefer prior sales experience Additional Information All your information will be kept confidential according to EEO guidelines.

As a Claims Specialist, you will review and analyze claims and expenses, process new claims and complete old ones, and work with internal teams. Schedule: Monday-Friday (8:00am -5:00pm) Pay: $22 - $25/hr. Based on Experience What will you be doing? Collect and analyze required documentation needed for claim resolution. Communicate with Transportation Carriers/Insurers/Customers to gather necessary information. Assist with claims resolution and collection of payments on Claims. Manage customer claims portals and monthly reports. Interact with external parties like 3rd party claims management and/or insurance providers. Collect payment for damages caused by the carrier. Personal responsibility to manage change. Run weekly data to capture any trending Drivers and Customers. Review data to pinpoint damage trends for call out and executive action. Assist with preventative measures to reduce claims. Claim mitigation start to finish. End of Month close auditing and balancing checks. Must be willing and able to perform all other duties as assigned by management. What are we looking for? This position requires a minimum of a High School Diploma or equivalent. Must have one to two years of experience in claims resolution. Must have working knowledge with Windows computer system and Microsoft Office Programs (Word, Excel, Outlook, etc.). Great oral and written communication skills. Ability to effectively organize and prioritize work as well as concentrate on multiple tasks simultaneously. Creative, can think outside of the box to resolve problems. Excellent customer service skills. Previous Transportation or Automotive Industry knowledge a plus. Personal responsibility to manage change. Critical thinking / ability to think outside of the box to resolve issue at hand. Benefits At ACERTUS we believe that our employees are our greatest asset. Our benefits include: Medical, Dental and Vision Insurance benefits start on the 1 st day of the month following your start date. Company Paid Time Off 8 Company Paid Holidays 401(k) with auto-enrollment at 3% starts on the 1 st day of the month following your start date. Casual Dress Code About ACERTUS ACERTUS is an automotive logistics company specializing in vehicle lifecycle solutions. Our client centric model is enabled by our people, processes and innovative technology that are a differentiator in the industry. Our comprehensive portfolio of services is designed to provide solutions throughout the lifecycle of a vehicle. We offer a full suite of vehicle transportation services, customizable technology, a national title and registration platform plus compliance services, and a growing vehicle storage footprint throughout North America. ACERTUS - Relentless Drive to Deliver! ACERTUS is committed to employing a diverse workforce. Qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, gender expression, veteran status, or disability.

Do you want to join a team that's changing the world? Do you have a strong background as a Claims Analyst? Then we're looking for you! Check out the job description and apply now! Put your skills to meaningful use, gain unique experience, and work with world-class team members with diverse backgrounds and expertise who share the same vision. Join the PECNA team today! **Responsibilities** **Meet the Recruiter: (*************************************** Anh Martin** **Summary:** Join us at Panasonic Energy as we expand to De Soto, Kansas, where we're building the world's largest lithium-ion battery factory. This is an exciting opportunity to grow your career while contributing to the future of electric vehicles. As part of our team, you'll help push the limits of battery technology, enhancing performance and efficiency in sustainable transportation. Our state-of-the-art facility, just outside the Kansas City Metro, will be a hub for innovation in green energy solutions. If you're passionate about sustainability and eager to contribute to the electric vehicle revolution, we invite you to be part of our dynamic team. Join us and make a meaningful impact on the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in the insurance claims lifecycle at a high-volume, 24/7 lithium-ion battery manufacturing facility. This position serves as a bridge between the administrative functions of the Claims Coordinator and the strategic oversight of the Claims Manager. The Analyst supports complex claims analysis, documentation, investigation coordination, and regulatory compliance, while identifying trends to improve loss control. Strong technical knowledge of claims processes, OSHA recordkeeping, and data analysis is critical to success in this role. **Essential Duties:** **Claims Administration & Reporting:** + Support timely and accurate reporting of all claims to insurance carriers in compliance with policy and regulatory standards + Maintain and update claim files in the Claims Management System (CMS) with documentation, notes, and supporting evidence + Review claims for completeness, accuracy, and compliance prior to submission; flag discrepancies for correction + Prepare internal reports summarizing claim activity and status for management review + Assist with OCIP enrollments and claims tracking related to contractor claims as needed **Incident Investigation & Regulatory Compliance:** + Collaborate with EHS, HR, Legal, and Operations teams to ensure thorough investigation documentation + Assist in collecting evidence such as witness statements, photos, and reports following incidents + Monitor OSHA 1904 Recordkeeping compliance, reviewing reportable vs. recordable classifications + Enter and audit injury and illness records and assist with annual OSHA log preparation and submittal **Claims Analysis & Loss Prevention:** + Track and analyze claims data to identify patterns, trends, and areas of high exposure + Generate loss run reports, root cause summaries, and trend dashboards for internal use + Participate in risk assessments and offer recommendations for claim prevention strategies + Assist in evaluating TPA performance through claims cycle metrics and communication reviews **Stakeholder Communication & Support:** + Act as a liaison between internal stakeholders and external parties (e.g., insurance carriers, TPAs, attorneys, medical providers) + Provide technical support and clarification to Claims Coordinators, Supervisors, and Managers on complex cases + Coordinate claim review meetings and ensure preparation of all related materials + Provides mentorship or guidance to Claims Coordinators as needed **Personal Protective Equipment (PPE) Requirements:** + To ensure health and safety in the workplace and for employee protection, wearing PPE is a possibility and includes equipment such as a full Tyvek suit, safety shoes, gloves, safety glasses, face mask, and a full hazmat suit that includes a respirator. A respirator fit test will be required based on functional area. **_The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job._** **Qualifications** **Qualifications:** **Education:** + **Required:** Bachelor's degree in Risk Management, Insurance, Business Administration, Occupational Safety, or a related field + **Preferred:** Master's Degree in Business Administration, Occupational Safety, or Risk Management **Essential Qualifications:** + 4-6 years of experience in insurance claims handling, investigation coordination, or risk administration + Working knowledge of general liability, workers' compensation, property, or pollution/environmental claims + Familiarity with OSHA regulations, especially 1904 Recordkeeping Standards + Proficient in Microsoft Office Suite (Excel, Word, Outlook); experience with RMIS and digital claims platforms + Strong analytical skills and ability to interpret loss data and performance metrics + Excellent written and verbal communication and professional presentation skills + Detail-oriented with strong judgment and decision-making capabilities + Ability to multitask and manage competing priorities in a fast-paced environment + Must have working-level knowledge of the English language, including reading, writing, and speaking English + Alignment to Panasonic's seven (7) core principles (contribution to society, fairness and honesty, cooperation and team spirit, untiring effort for improvement, courtesy and humility, adaptability, gratitude) **Preferred Qualifications:** + Experience in an industrial, construction, or manufacturing claims setting + Knowledge of OCIP or CCIP programs and related claims processes + Experience supporting insurance audits, renewals, or risk financing strategies + Experience guiding or mentoring junior claims staff, or serving as a technical resource + Familiarity with loss control or claims prevention initiatives in a manufacturing setting **Preferred Certification(s):** + AIC - Associate in Claims - strongly recommended + INS - Certificate in General Insurance + ARM - Associate in Risk Management + OSHA 1904 Recordkeeping Standard Training - strongly recommended + CRIS - Construction Risk and Insurance Specialist **Physical Demands:** **Physical Activities:** Percentage of time (equaling 100%) during the normal workday the employee is required to: + Sit: 40% + Walk: 30% + Stand: 20% + Lift: 10% **Required Lifting and Carrying:** _Not required (0%), Occasional (1-33%), Frequent (34-66%), Continuous (67-100%)_ For this position, the required frequency is: + Up to 10 lbs.: Occasional + Up to 20 lbs.: Not Required + Up to 35 lbs.: Not Required + Team-lift only (over 35 lbs.): Not Required **Who We Are:** Meet Panasonic Energy (*************************************************** ! At Panasonic Energy, you'll do work that matters as we are dedicated to transforming the world through the acceleration of sustainable energy. By producing safe, high-quality lithium-ion batteries, you become part of a team that plays a crucial role in creating technologies that move us (********************************************* . This is an exciting time to join us as we expand our operations to De Soto, Kansas and build the world's largest lithium-ion battery factory. We will provide you with the opportunity to experience career growth in more ways than one. As an innovative thinker, you'll thrive here, as we continually push the boundaries of lithium-ion battery technology and production capabilities to enhance efficiency and performance in EVs. Being part of Panasonic Energy means positively contributing to society, aligning with our commitment to building a better world through sustainable energy solutions. We care about what you care about, fostering an environment where your contributions make a meaningful impact on the future of energy and transportation. Join us and be part of a team that values your work, encourages innovation, and actively contributes to a positive societal impact. In addition to an environment that is as innovative as our products, we offer competitive salaries and benefits. **We Take Opportunity Seriously:** At Panasonic Energy, we are committed to a workplace that genuinely fosters inclusion and belonging. Fairness and Honesty have been part of our core values for more than 100 years and we are proud of our diverse culture as an equal opportunity employer. We understand that your career search may look different than others and embrace the professional, personal, educational, and volunteer opportunities through which people gain experience. If you are actively looking or starting to explore new opportunities, submit your application! **Where You'll Be:** For our onsite roles, Panasonic Energy is committed to fostering an ideal working environment that goes beyond the conventional. We understand the significance of moments that matter in your onsite experience, and we prioritize creating a workspace that not only promotes productivity but also ensures a fulfilling and positive work atmosphere. Join us at Panasonic Energy, where your onsite presence is valued, and we strive to make each moment count in your professional journey. **Benefits & Perks - What's In It For You:** Panasonic Energy prioritizes total well-being and offers comprehensive benefits options to support physical, emotional, financial, social, and environmental health: + **Health Benefits** - Offering medical, dental, vision, prescription plans, plus Health Savings Account and Flexible Spending Account options. + **Voluntary Benefits** - Life, accident, critical illness, disability, legal, identity theft, and pet insurance. + **Panasonic Retirement Savings & Investment Plan (PRSIP)** - 401(k) plan with company matching contributions and immediate vesting. + **Paid Time-Off Benefits** - Vacation, holidays, personal days, sick leave, volunteer, and parental & caregiver leave. + **Educational Assistance** - Tuition reimbursement for job-related courses after six months of service. + **Health Management and Wellbeing Programs** -Lifestyle Spending Account, EAP, virtual health management, chronic condition, neurodiversity, tobacco cessation, substance abuse support, and life stage and fertility resources. Available to eligible employees starting the first day of the month following your start date. Eligibility for each benefit may vary based on employment status, location, and length of service. + **Employee Recognition Program** - High5 employee recognition and awards platform, quarterly and annual employee recognition + **Annual Bonus Program -** Opportunity for an annual performance-based bonus. + **On-site Food Options** : Several on-site cafes, plentiful snack and beverage kitchens, revolving on-site vendor visits and employee events **Supplemental Information:** Pre-employment drug testing is required. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by law. All qualified individuals are required to perform the essential functions of the job with or without reasonable accommodation. _Due to the high volume of responses, we will only be able to respond to candidates of interest. All candidates must have valid authorization to work in the U.S. without restriction._ **Thank you for your interest in Panasonic Energy Corporation of North America.** **\#LI-AM1** R-103296

Who We Are At HeartLand, our roots run deep - in the landscapes we care for and the partnerships we build. Since our founding in 2016, we've grown by acquiring and empowering exceptional local landscape companies, each bringing unique talent, history, and heart. Together, we've built a national family of brands committed to a shared purpose: Delivering the ordinary in extraordinary ways through investing in people, preserving legacies, and scaling success. Today, with operations across 26+ states and counting, HeartLand is one of the fastest-growing and most trusted names in the green industry - a national employer redefining how great people power great businesses. What You'll Do As HeartLand's Liability Claims & Risk Specialist, you'll play a critical role in how we manage risk, resolve claims, and protect our people, assets, and reputation. You'll shape our ability to proactively spot, assess, and mitigate risk across the business while leading and owning the full lifecycle of claims to drive timely, fair, and defensible outcomes. This hands-on role blends analytical thinking, collaboration, and strategic problem-solving to drive better-than-expected outcomes on all General Liability (GL) and Auto Liability (AL) claims while supporting broader insurance and risk management programs across our family of operating companies. You'll collaborate closely with operations, brokers, carriers, and TPAs to ensure every claim is handled efficiently, transparently, and in HeartLand's best interest. You'll also strengthen our contractual and risk transfer practices, improve data visibility, and build scalable systems that enable proactive risk management. The role focuses on the following areas: Claims Management & Oversight Manage all aspects of General Liability (GL) and Auto Liability (AL) claims from intake through resolution, with an eye toward cost containment and fair outcomes. Serve as the primary contact for new and legacy claims, ensuring continuity, accountability, and timely follow-up. Engage field operations, brokers, carriers, and TPAs to develop claim strategies, confirm reserves, and monitor exposure. Coordinate early response to serious incidents, including communication and legal engagement when appropriate. Monitor legacy claims to ensure timely movement and closure opportunities. Review and approve settlement recommendations within established authority limits. Partner with Safety and Operations to provide feedback that drives future prevention and training efforts. Maintain complete and accurate claim documentation and participate in quarterly performance reviews with TPAs and defense counsel. Risk Program & Insurance Coordination Support execution and administration of the corporate insurance program, including data collection, property schedules, and renewal preparation. Collaborate with brokers and carriers to manage coverage, policy terms, and renewals. Ensure data accuracy and responsiveness to underwriting and audit requests. Contract & Compliance Review Review customer and subcontractor contracts to confirm appropriate risk transfer and insurance compliance. Assist in developing insurance requirements, contract templates, and best practice guides. Educate operating companies on contractual risk and insurance compliance. What You Bring Required: 8+ years of experience managing liability and/or auto claims in a corporate, broker, carrier, or TPA environment Working knowledge of insurance coverage, claims processes, and legal coordination Experience reviewing contracts and insurance requirements Strong organizational, analytical, and communication skills Proficiency in claims systems, Microsoft Excel, and data reporting tools Ability to build trust and influence across a multi-entity business structure Preferred: Bachelor's degree in Risk Management, Business, or a related field Experience with property schedules, COI tracking, and risk data analytics Exposure to service industry or multi-site operations Familiarity with AI or automation tools for claims analysis and reporting Your Mindset: Proactive & Resolute: Anticipates issues before they escalate; takes a stand on claim strategy when facts support it; drives timely, fair, and defensible outcomes rather than defaulting to the path of least resistance. Collaborative: Builds trust and alignment with field operations, brokers, and carriers. Accountable: Owns outcomes and follows through on every claim. Analytical: Uses data and evidence to inform decisions and recommendations. Adaptable: Thrives in a fast-paced, high-growth environment. Service-Oriented: Approaches problem-solving with an enterprise mindset and customer-first attitude.

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. 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. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $104,000.00 - $171,700.00 Target Openings 1 What Is the Opportunity? Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required. This position does not manage staff. What Will You Do? * Directly handle assigned severe claims. * Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value. * Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. * Work with Manager on use of Claim Coverage Counsel as needed. * Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. * Interview witnesses and stakeholders; take necessary statements, as strategically appropriate. * Complete outside investigation as needed per case specifics. * Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts. * Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. * Maintain claim files and document claim file activities in accordance with established procedures. * Develop and employ creative resolution strategies. * Responsible for prompt and proper disposition of all claims within delegated authority. * Negotiate disposition of claims with insureds and claimants or their legal representatives. * Recognize and implement alternate means of resolution. * Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers. * Utilize evaluation documentation tools in accordance with department guidelines. * Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis. * Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure. * Establish and maintain proper indemnity and expense reserves. * Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims. * Recommend appropriate cases for discussion at roundtable. * Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense. * Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others. * Apply the Company's claim quality management protocols, and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance. * Apply litigation management through the selection of counsel, evaluation. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Bachelor's Degree. * 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims. * Extensive working level knowledge and skill in various business line products. * Excellent negotiation and customer service skills. * Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills. * Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims. * Able to make independent decisions on most assigned cases without involvement of supervisor. * Openness to the ideas and expertise of others and actively solicits input and shares ideas. * Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices. * Demonstrated strong coaching, influence and persuasion skills. * Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise. * Can adapt to and support cultural change. * Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information. * Analytical Thinking - Advanced. * Judgment/Decision Making - Advanced. * Communication - Advanced. * Negotiation - Advanced. * Insurance Contract Knowledge - Advanced. * Principles of Investigation - Advanced. * Value Determination - Advanced. * Settlement Techniques - Advanced. * Litigation Management - Advanced. * Medical Terminology and Procedural Knowledge - Advanced. What is a Must Have? * Four years bodily injury litigation claim handling experience or comparable claim litigation experience. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************