Claim processor jobs in Wichita, KS - 99 jobs

Claims Specialist Pay: $60,000 - $85,000/year (Depending on experience) Experience: 9+ years handling commercial general liability claims, including litigation; commercial auto experience preferred. Education: Bachelor's degree in a related field or equivalent experience; CPCU a plus. Type: Full-time; Direct Hire Schedule: Monday - Friday, 8:00 AM to 5:00 PM ProRecruiters is seeking a Claims Specialist to join a growing and dynamic team! Job Description: Manage a portfolio of complex commercial general liability and auto claims, including litigated matters, across multiple jurisdictions. Investigate claims, evaluate coverage and liability, and develop resolution strategies. Partner with defense counsel to manage litigation strategy and outcomes. Manage high-value GL and auto claims, including litigated files, nationwide. Ensure compliance with legal, regulatory, and internal standards. Serve as a technical resource and mentor to team members. Collaborate with underwriting and internal partners to identify trends and improve results. Position Requirements: Experience working with defense counsel and participating in mediations, depositions, and trials. Strong understanding of policy coverage, liability evaluation, and claims strategy. Excellent analytical, communication, and negotiation skills. ProRecruiters is part of Array Corporation, the leading technology-enabled workforce solutions company whose mission is to fix how work is bought, sold and delivered to enable access to the American Dream. We are proud to be an Equal Employment Opportunity and Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. #PRPRO

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.

Amergis Healthcare Staffing is seeking a Claims Processor / Claims Examiner to be responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Minimum Requirements: + High school diploma or equivalent required + Minimum of one year or more of processing healthcare claims preferred. + Researching, investigating and adjusting claims. + CPT, ICD-9, and Diagnostic coding experience. + Data entry experience. + Successful completion of background screening and hiring process. Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: + Competitive pay & weekly paychecks + Health, dental, vision, and life insurance + 401(k) savings plan + Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

WHAT WE'RE LOOKING FOR Edison Healthcare, A Relation Company is seeking a Claims Examiner who will be responsible for verifying, adjudicating, and resolving insurance claims. The individual in this role serves clients and providers by ensuring claims are processed accurately, efficiently, and in compliance with company policies and regulatory requirements. The Claims Examiner must demonstrate strong interpersonal, analytical, and organizational skills, and be able to communicate effectively with a variety of stakeholders. A GLIMPSE INTO YOUR DAY Reviews and validates claims for accuracy, completeness, and eligibility based on policy terms and guidelines. Analyzes, adjudicates, and resolves claims by approving or denying documentation, calculating benefit amounts, and initiating payments or composing denial letters. Ensures legal compliance with company policies, procedures, and applicable state and federal regulations throughout the claims process. Maintains accurate records of claims, settlements, denials, and related documentation. Addresses questions and concerns from providers, clients, and internal personnel regarding the adjudication process. Reports overpayments, underpayments, and irregularities to supervisors. Communicates with reinsurance brokers and other stakeholders to obtain necessary information for claim processing. Verifies member eligibility, benefit coverage, and authorizations as needed. Protects confidential information and ensure HIPAA compliance. Participates in process improvement initiatives and update documentation as required. Special projects and other duties as assigned. WHAT SUCCESS LOOKS LIKE IN THIS ROLE High school diploma or equivalent required. Ability to read, analyze, and interpret company guidelines, benefit documentation, and government regulations. Intermediate computer skills, including email, database activity, word processing, and spreadsheets. Ability to handle multiple tasks simultaneously and adapt to changing priorities. Strong analytical, problem-solving, and communication skills. Associate's degree or technical college coursework preferred. 1-3 years of healthcare reimbursement, claims processing, or customer service experience preferred. In-depth knowledge of medical coding principles is helpful. Familiarity with Medicaid, Medicare, and commercial insurance claims preferred. Experience in provider contract development, medical billing/coding, patient accounting, claims auditing, or revenue cycle improvement. WHY CHOOSE RELATION? Competitive pay. A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more. Career advancement and development opportunities. . Note: The above is not all encompassing of the full position description. Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Relation, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is presented within this posting. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. .

The Claim Specialist at CTPA will be responsible for managing the administration of claims for our clients. This role involves ensuring compliance with federal and state regulations, managing employee communications, and maintaining accurate records. The specialist will work closely with clients, employees, and insurance carriers to facilitate seamless continuation coverage processes. Attention to detail, strong organizational skills, and in-depth knowledge of claims regulations are essential. Key Responsibilities: - Administer claims coverage for multiple client accounts in accordance with federal and state regulations. - Generate and distribute election notices, qualifying event notices, and other required communications. - Respond to client and participant inquiries regarding eligibility, coverage options, and payment procedures. - Coordinate with insurance carriers to ensure timely enrollment and coverage of participants. - Track and monitor participant payments and follow up on overdue payments as necessary. - Maintain accurate and up-to-date records of participants and qualifying events. - Assist with audits and compliance reviews related to administration. - Collaborate with internal teams and clients to resolve related issues efficiently. - Stay current with changes in laws and regulations to ensure compliance. Qualifications - Bachelor's degree in Human Resources, Business Administration, or related field preferred. - Minimum of 2 years of experience in claims administration or benefits administration, preferably within a third-party administrator environment. - Strong knowledge of federal and state regulations and compliance requirements. - Experience with benefits administration systems and software. - Excellent communication skills, both written and verbal, with the ability to explain complex regulations clearly. - Strong organizational skills with keen attention to detail. - Ability to manage multiple tasks and deadlines in a fast-paced environment. - Proficient in Microsoft Office Suite (Word, Excel, Outlook). - Strong customer service orientation and problem-solving skills. - Ability to maintain confidentiality and handle sensitive information appropriately.

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.

The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or adjust the claim. Examiners are expected to meet performance expectations in accuracy and efficiency. KEY RESPONSIBILITIES: Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions. Identify claims requiring additional resources and route to the team lead, supervisor or other departments as needed. Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials. Identify and communicate trends or problems identified during adjudication process. Contribute to the creation of a pleasant working environment with peers and other departments. Assist in investigating and solving claims that require additional research. Consistently learn and adapt to changes related to claims processing, benefits, limits and regulations. Perform other duties as assigned. QUALIFICATIONS: Self-motivated and able to work with minimal direction. Ability to read and understand claims processing manuals, medical terminology, CPT codes, and perform basic processing procedures. Ability to read and understand health benefit booklets. Demonstrated learning agility. Successful completion of Health Care Sanctions background check. Knowledge in the contracted managed care plan terms and rates. General understanding of unbundling methods, COB, and other over-billing methodologies. Must have high attention to detail. Proficient in Microsoft applications. Ability to perform basic mathematical calculations. Possess strong oral and written communication skills. EDUCATION/EXPERIENCE: High School Diploma or Equivalent required. Two years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required.

At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100 TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly. Job Title: Claims Examiner Pay Rate: $11.77/hour Job Description Overview: •Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims •Review and compare information in computer systems and apply proper codes/documentation •May place outgoing calls to providers and/or pharmacies for further investigation before processing claims Job Specific Qualifications: •High school diploma or GED •Data Entry and/or typing experience •Clear and concise written and verbal communication skills •Ability to multi task and prioritize is required •Interpersonal, verbal and written communication skills •Ability to sit for long periods of time •Analytical and problem solving skills •Must be dependable and flexible Additional Information Kelly Services is a U.S.-based Fortune 500 company. With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world. We invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide: www.kellyservices.com.

Claims Investigator - Part Time Wichita, KS Uncover the Truth. Protect the Integrity. Advance Your Career. At CoventBridge Group, every claim tells a story - and as a Claims Investigator, you'll be the one uncovering it. Using your investigative instincts, field experience, and attention to detail, you'll help clients get the answers they need and ensure claims are resolved with accuracy and fairness. Join a global leader in full-service investigations, where integrity meets action, and every day brings a new case - and a new challenge. At this time, CoventBridge is not considering candidates who require visa sponsorship, currently or in the future, including but not limited to H-1B, H-2B, E-3, TN, O-1, F-1 (OPT/CPT, or J-1 Visa Statuses.) Responsibilities/ Requirements What You'll Do: As a Claims Investigator, you'll combine analytical skill with real-world investigation techniques to uncover facts, document findings, and deliver objective results. You will: · Conduct complex field investigations involving multiple claim types. · Submit daily updates summarizing your progress and observations. · Manage your time effectively to maintain client billable hour expectations. · Write detailed, professional statements and investigative summaries. · Deliver clear, client-ready reports that meet CoventBridge's quality standards. · Perform scene investigations, background checks, and courthouse research. · Operate safely and remain alert while driving during field assignments. Your curiosity and persistence will turn each case into a story built on truth and evidence. What You'll Bring: We're looking for investigators who are driven, professional, and dedicated to uncovering facts with accuracy and integrity. · Hold a valid (state) Investigator license (or eligibility for licensure in surrounding states). · Demonstrate at least 1 year of field investigations experience, including face-to-face statements and report writing. · Travel across multiple states as needed to complete case assignments. · Investigate claims related to product, auto, general liability, Workers' Compensation, disability, life insurance, and contestable death cases. · Adapt to variable schedules - including nights and weekends when required. · Maintain a reliable, fuel-efficient vehicle and required insurance coverage. · Equip yourself with a digital recorder, laptop (Windows OS), and necessary investigative tools. What You'll Need: To qualify for this position, applicants must possess the following: · An Associate's or Bachelor's degree in Criminal Justice or a related field. · Strong report writing skills. · Bring prior experience as a Private Investigator, detective, or law enforcement professional. · Understand investigative processes, insurance law, and claim procedures. · Excel in report writing and typing (50+ WPM) with accuracy and attention to detail. · Thrive under pressure and maintain professionalism in sensitive situations. · Demonstrate self-motivation, accountability, and sound judgment. Benefits We believe great work deserves great rewards. Here's what you can expect when you join our team: · Home-based work and flexible scheduling · Competitive pay with monthly vehicle allowance · Paid time off · Company fuel card and company-issued cell phone · Medical, Dental, Vision plans · Employer-paid Life, LTD, STD insurance · 401(k) with company match · Travel and report writing compensation · Licensing fees paid by company · Paid ongoing career advancement training · Expense reimbursement with minimal out-of-pocket expenses About Us: CoventBridge Group is a global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients' needs and delivers worldwide coverage via its 700+ employees and affiliates worldwide. CoventBridge is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintains a drug-free workplace. CoventBridge is committed to the full inclusion of all qualified individuals. As part of this commitment, CoventBridge will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; ************; *******************************. CoventBridge (USA) Inc. Kansas License # A-5183

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 *********************************************************

Job Posting Important Recruitment Information for this vacancy: * Job Posting closes: February 3, 2026 Agency Information: Kansas State Service Agency | Kansas Department of Administration Verification of identity and employment eligibility to work in the United States is required by federal law. For a list of acceptable documents that establish these criteria, please refer to the federal Form I-9. While the Department of Administration (D of A) welcomes all candidates legally eligible to work in the United States, D of A does not provide sponsorships for this position. E-Verify: Kansas Department of Administration (D of A) participates in E-Verify and will provide the federal government with your I-9 information to confirm that you are authorized to work in the U.S. For additional information regarding E-Verify, please click here. For additional information regarding Immigrant and Employee Rights (IER) please click here. About the Position * Who can apply: Anyone * Classified/Unclassified Service: Unclassified * Full-Time/Part-Time: Full-Time * Regular/Temporary: Regular * Work Schedule: Monday - Friday, 8am - 5pm * Eligible to Receive Benefits: Yes * Veterans' Preference Eligible: Yes * Application Deadline: February 3, 2026 Compensation: * Hourly Pay Range: $25.02 - $26.28 * Note: Salary can vary depending upon education, experience, or qualifications. Employment Benefits: * Comprehensive medical, mental, dental, vision, and additional coverage * Sick & Vacation leave * Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave * Paid State Holidays (designated by the Governor annually) * Fitness Centers in select locations * Employee discounts with the STAR Program * Retirement and deferred compensation programs Visit the Employee Benefits page for more information Position Description: The Claims Specialist position is in the State Self Insurance Fund (SSIF) of the State Employee Health Benefits Plan (SEHBP) and reports to the Claims Supervisor. Job Responsibilities: * Complex Adjudication: Determine claim compensability by evaluating case facts with the Kansas Workers Compensation Act, administrative rules, and established case law. * Financial Stewardship: Calculate and execute precise indemnity payments including child support withholdings. Research and negotiate settlements for functional disabilities within SSIF authority limits. * Medical & Expense Oversight: Audit medical invoices for necessity and reasonableness; verify and process reimbursements for mileage, per-diem, and out-of-pocket expenses. * Strategic Communication: Act as the primary point of contact for injured workers, medical providers, agency personnel and legal counsel. Provide expert guidance to claimants regarding their rights and benefits under the Act. * Compliance & Documentation: Ensure all statutory notifications - including denials of compensability - are issued accurately and within mandatory timeframes to mitigate fund liability. Return-to-Work & Collaborative Case Management * Proactive Case Resolution: Lead multi-disciplinary collaborations with medical providers, legal counsel, and agency stakeholders to facilitate early Return-to-Work (RTW) outcomes, minimizing indemnity exposure and supporting worker recovery. * RTW Advocacy: Strategically initiate and lead RTW discussions; coordinate technical job site or vocational rehabilitation evaluations to bridge the gap between medical restrictions and operational needs. * Integrated Benefit Guidance: Serve as a subject matter expert on the intersection of Workers' Compensation, FMLA, and state leave policies (sick/vacation), ensuring both the agency and the employee navigate concurrent benefits accurately. * Continuous Professional Excellence: Maintain mastery of evolving Kansas statutes by attending the annual DOL Workers Compensation Seminar and completing advanced technical training as directed. Dispute Resolution & Litigation Management * Alternative Dispute Resolution: Mediate complex conflicts between parties to achieve early resolution and minimize costly litigation. * Legal Strategy & Advocacy: For cases requiring formal defense, prepare comprehensive legal summaries and defense theories. Employee will collaborate with defense counsel to prepare defenses strategy on compensability in preliminary, regular, and review/modification settings. * Claims Authority: Retain full management and decision-making authority over claims, including collaboration with legal counsel on defense measures and structuring settlement frameworks for executive authorization. * Discovery Compliance: Manage the timely and accurate delivery of records and evidence to claimant's counsel in accordance with legal discovery mandates. Investigation & Analysis * High-Threshold Investigations: Conduct end-to-end investigations for claims with exposure up to $60,000. This includes performing forensic interviews of claimants, supervisors, and witnesses to establish a definitive "Findings of Fact." * Fraud & Abuse Detection: Identify and refer potential cases of fraud or abuse to the Assistant Attorney General. You will serve as a key witness and resource for the prosecution of fraudulent activity by claimants, providers, or legal counsel. * Evidence Review: Analyze a diverse range of evidence-including personnel files, medical records, and wage statements-to produce clear, concise conclusions on compensability. Financial Recovery & System Integrity * Subrogation & Recovery: Identify and pursue opportunities for financial recovery from negligent third parties, product liability claims, and the Kansas Workers Compensation Second Injury Fund. * Data Stewardship: Maintain high-integrity electronic files within the claims management system, ensuring all scanned documents and data points are triaged and acted upon within strict best-practice timelines. * Workload Optimization: To maintain the industry benchmark of 80-150 cases per adjuster, this position is essential for distributing the annual volume of 2,000-3,000 new claims. This prevents "caseload creep," which is a primary driver of reporting errors and statutory penalties. * Medical Cost Containment: This role ensures that medical authorizations are both "reasonable and necessary" and issued promptly. By directing quality care and ensuring timely payments, this position minimizes litigation risk and improves return-to-work timelines. * Mission-Critical Support: This position provides the "significant effort" required to oversee medical care delivery, ensuring the State Self-Insurance Fund remains a leader in workers' compensation program success. Minimum Qualifications * High school diploma/GED. * Two years of experience interacting with clients, customers, or the public in a social service, customer service, or problem resolution setting. Education may be substituted for experience as determined relevant by the agency. * A valid driver's license is required. * The incumbent will receive training in the provision of the HIPAA Privacy Regulations and HIPAA Security Regulations as they relate to the duties of this position and is required to sign a confidentiality agreement. Preferred Qualifications * Previous experience handling insurance claims. * Case management experience. * Data collection and management skills. * Recording keeping abilities. * Previous experience with Worker's Compensation. * Knowledge of State of Kansas statutes, laws, regulations, and policies. * Time management skills. * Previous experience and understanding of HIPAA. * Medical knowledge. * Customer service experience. * Communications skills, both verbal and written. Post Offer Requirement: Kansas Tax Clearance Certificate: A valid Kansas Tax Clearance Certificate is a condition of employment for all employees of the State of Kansas. Applicants (including non-residents) who receive a formal job offer for a State job, are required to obtain a valid Tax Clearance within ten (10) days of the job offer. A Tax Clearance can be obtained through the Kansas Department of Revenue who reviews individual accounts for compliance with Kansas Tax Law. Please be encouraged if you have a missing tax return(s) or you owe taxes to the State of Kansas, the Kansas Department of Revenue will work with you. The Kansas Department of Revenue can set you up on a payment plan to receive a Tax Clearance so you can get a job working for the State of Kansas. The Kansas Department of Revenue can be contacted at ************. Kansas Department of Revenue - Tax Clearance Frequently Asked Questions Recruiter Contact Information: Name: Ashley Webb Email: ******************** Mailing Address: Department of Administration Office of Personnel Service 915 SW Harrison, Suite 260, Topeka, KS 66612 Job Application Process: * First Sign in or register as a New User. * Complete or update your contact information on the Careers> My Contact Information page. *This information is included on all your job applications. * Upload required documents listed below for the Careers> My Job Applications page. * Start your draft job application, upload other required documents, and Submit when it is complete. * Manage your draft and submitted applications on the Careers> My Job Applications page. * Check your email and My Job Notifications for written communications from the Recruiter. * Email - sent to the Preferred email on the My Contact Information page * Notifications - view the Careers> My Job Notifications page Helpful Resources at jobs.ks.gov: "How to Apply for a Job - Instructions" and "How to Search for a Job - Instructions" Required Documents for this Application to be Complete: Upload these on the Careers - My Job Applications page * DD FM 214 (if you are claiming Veteran's Preference) Upload these on the Attachments step in your Job Application * Resume * Letter of Interest / Cover Letter How to Claim Veterans Preference: Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a "veteran"; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determine by the hiring manager. Learn more about claiming Veteran's Preference How to Claim Disability Hiring Preference Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without a reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager. Learn more about claiming Disability Hiring Preference PLEASE NOTE: The documentation verifying a person's eligibility for use of this preference should not be sent along with other application materials to the hiring agency but should be sent directly to OPS. These documents should be sent either by fax to *************, scanned and emailed to *************************, or can be mailed/delivered in person to: ATTN: Disability Hiring Preference Coordinator Office of Personnel Services Docking State Office Building 915 SW Harrison, Ste 260 Topeka, KS 66612 Equal Employment Opportunity: The State of Kansas is an Equal Opportunity Employer. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job. If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.

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.

Tribal Diagnostics to searching for three Medical Lab Specimen Processor/Accessioner. The hours are either Tuesday through Saturday from 8am - 5pm or 4am - 12:30pm. The pay range is $17 - $19 per hour depending on experience level. The role of a Medical Laboratory Accessioner is pivotal in the healthcare and laboratory settings. Accessioners are responsible for the accurate and efficient processing of patient specimens, including receiving, labeling, and documenting them in preparation for laboratory testing. Their meticulous attention to detail and organizational skills contribute to the integrity and reliability of diagnostic results. By adhering to strict quality control and safety standards, Medical Laboratory Accessioners ensure the smooth flow of specimens through the laboratory, ultimately supporting timely and precise patient care. Duties/Responsibilities Receive, verify, and record incoming patient specimens, ensuring proper identification and labeling. Prepare specimens for analysis by assigning unique identifiers and sorting them for testing. Accurately document specimen information, including patient data, test requisitions, and collection details. Maintain precise records and files related to specimen accessioning. Follow established quality control procedures to ensure specimen integrity and accurate documentation. Identify and report any discrepancies or issues with specimen collection or labeling. Collaborate with healthcare providers and laboratory staff to clarify specimen requirements and resolve any issues related to specimen accessioning. Provide support for specimen-related inquiries and requests. Monitor and maintain inventory of specimen collection supplies, ensuring an adequate stock. Communicate supply needs and assist with procurement as necessary. Adhere to safety protocols and infection control measures to maintain a safe working environment. Ensure compliance with relevant regulations and standards, including HIPAA Successfully participates in and supports Tribal Diagnostics' compliance program and initiatives. Qualifications Education and Experience: High school diploma or equivalent. Previous experience in a laboratory or healthcare setting is preferred. Required Skills/Abilities: Strong organizational skills and attention to detail. Excellent written and verbal communication skills. Proficiency in data entry and computer software used for accessioning. Ability to work accurately and efficiently in a fast-paced environment. Knowledge of medical terminology is a plus. Physical Requirements: Accessioners may need to move around the laboratory or workspace to receive specimens, retrieve supplies, and transport specimens to different areas within the lab. Precise hand-eye coordination is crucial for handling specimens, labels, and documentation accurately. Accessioners must be able to manipulate vials, tubes, and paperwork with care. Good vision is essential for reading and verifying specimen information, labels, and documentation. Corrective lenses, if needed, should be worn to ensure accuracy. Accessioners may spend a significant portion of their time either sitting at a workstation for data entry and documentation or standing while receiving and handling specimens. The ability to use small instruments and equipment, such as barcode scanners and label printers, is necessary for efficient specimen accessioning. Accessioners may occasionally need to lift boxes of specimens or supplies, which can vary in weight. Accessioners should be able to bend or reach to access supplies, equipment, or specimens in different parts of the workspace. Effective verbal and non-verbal communication is essential for interacting with colleagues, healthcare providers, and others within the laboratory environment. Accessioners should adhere to safety protocols and infection control measures to maintain a safe and clean working environment. Proficiency in data entry and computer use is necessary for accurately documenting specimen information and maintaining electronic records.

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.

Amergis Healthcare Staffing is seeking a Claims Processor / Claims Examiner to be responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Minimum Requirements: + High school diploma or equivalent required + Minimum of one year or more of processing healthcare claims preferred. + Researching, investigating and adjusting claims. + CPT, ICD-9, and Diagnostic coding experience. + Data entry experience. + Successful completion of background screening and hiring process. Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: + Competitive pay & weekly paychecks + Health, dental, vision, and life insurance + 401(k) savings plan + Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or adjust the claim. Examiners are expected to meet performance expectations in accuracy and efficiency. KEY RESPONSIBILITIES: Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions. Identify claims requiring additional resources and route to the team lead, supervisor or other departments as needed. Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials. Identify and communicate trends or problems identified during adjudication process. Contribute to the creation of a pleasant working environment with peers and other departments. Assist in investigating and solving claims that require additional research. Consistently learn and adapt to changes related to claims processing, benefits, limits and regulations. Perform other duties as assigned. QUALIFICATIONS: Self-motivated and able to work with minimal direction. Ability to read and understand claims processing manuals, medical terminology, CPT codes, and perform basic processing procedures. Ability to read and understand health benefit booklets. Demonstrated learning agility. Successful completion of Health Care Sanctions background check. Knowledge in the contracted managed care plan terms and rates. General understanding of unbundling methods, COB, and other over-billing methodologies. Must have high attention to detail. Proficient in Microsoft applications. Ability to perform basic mathematical calculations. Possess strong oral and written communication skills. EDUCATION/EXPERIENCE: High School Diploma or Equivalent required. Two years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required.

At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100 TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly. Job Title: Claims Examiner Pay Rate: $11.77/hour Job Description Overview: •Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims •Review and compare information in computer systems and apply proper codes/documentation •May place outgoing calls to providers and/or pharmacies for further investigation before processing claims Job Specific Qualifications: •High school diploma or GED •Data Entry and/or typing experience •Clear and concise written and verbal communication skills •Ability to multi task and prioritize is required •Interpersonal, verbal and written communication skills •Ability to sit for long periods of time •Analytical and problem solving skills •Must be dependable and flexible Additional Information Kelly Services is a U.S.-based Fortune 500 company. With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world. We invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide: www.kellyservices.com.

**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 ******************************************************** .