Claim Processor Jobs in Willingboro, NJ

Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. All of our doctors are board-certified in gastroenterology and hepatology. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top-quality physicians in publications, including but not limited to: Best Doctors in America and Top Doctors New Jersey, and US News Health - US News & World Report. We are excited to announce that we are looking for a Fulltime AR Denials and Escalation Analystat our Corporate office in West Long Branch NJ. This position can be remote or hybrid The AR Denials and Escalation Analyst responsibilities are Conducting medical coding audits to evaluate compliance with regulatory guidelines. Conducts coding, billing, and documentation compliance audits within established timeframe. Identifies need for new policy development/changes to meet regulatory requirements.. Prepares a report of findings and recommendations for improvement for each audit. Serves as a subject matter expert on coding/billing topics The AR Denials and Escalation Analyst must have the following qualifications and experience: 3+ years of relevant experience in a professional audit capacity required. Must have CPC, CRC, CGIC, CGOC from AAPC Strong technical knowledge of Institute of Internal Auditing (IIA) standards and Centers for Medicare & Medicaid Services (CMS) regulatory guidelines, including ICD-10 CM, CPT, and HCPCS Procedure Coding Proficiency in MS Office products - intermediate to advanced knowledge of MS Excel. Knowledge of Denials and Escalation Job Type: FulltimeRequiredPreferredJob Industries Other

The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of claims department and of CorVel. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises claims staff in their day-to-day operations Supports Claims Manager in staff recruitment, interviews and training of new staff on procedures and job-related functions Ensures staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations and recommends merit activity, subject to manager's approval Provides technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues and service account instructions Functions as liaison, suggesting and implementing final resolution for clients and employees regarding claim-specific, procedural or special requests Adheres to HIPPA regulations, policies, and procedures Requires regular and consistent attendance Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP) Adheres to all company policies, best practices and procedures Additional projects and duties as assigned KNOWLEDGE & SKILLS: Excellent written and verbal communication skills Ability to assist team members to develop knowledge and understanding of claims practice Participate in Customer Claim Reviews and PresentationsEffective quantitative, analytical and interpretive skills Strong leadership, management and motivational skills Demonstrated, Strong Customer Service SkillsAbility to travel overnight and attend meetings if required Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to work both independently and within a team environment Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation EDUCATION & EXPERIENCE: Bachelor's degree or a combination of education and related experience Demonstrated Public Speaking SkillsMinimum of 5 years' experience handling claims Knowledge of WC required Current license or certification in Workers' Compensation must be maintained throughout employment with CorVelSelf-Insured Certificate preferred State Certification as an experienced Examiner PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc. ) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $67,086 - $111,634 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVELCorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Company Details What makes Admiral Insurance Group ADMIRABLE . Since 1974, Admiral Insurance Group has been supporting business innovation and market growth through our wholesale-dedicated excess and surplus (E&S) lines of commercial insurance. We specialize in underwriting difficult-to-place moderate to high-risk commercial businesses that require creative solutions, outside of the box thinking, entrepreneurial spirit and astute business knowledge. As a member of the W. R. Berkley Corporation, a Fortune 500 Company and one of the nation's premier commercial lines property casualty insurance providers, we have the resources, support and industry data to provide exceptional service and exciting solutions for our clients and partners. Unlock your insure -ability. Learn more about Careers at Admiral Insurance Group. See what it's like to work in Admiral's Claims department. The Company is an equal employment opportunity employer. Responsibilities The Multi-Line Claims Examiner is responsible for determining and discharging the company's contractual obligations under its various policy contracts involving coverage analysis, investigation, legal defense, and loss and expense reserving. Incorporate all claims into company records and review for applicability of coverage. Conference coverage questions, reserves, and settlement authority with Manager and Claims Committee pursuant to best practices, including preparation of large loss reports. Present facts of claims, with recommendations, to committee as necessary. Establish initial loss and expense reserves. Maintain valid loss and expense reserves based on current investigation and legal discovery. Provide ongoing direction to adjusters, investigators and defense attorneys to ensure that all claims are adequately handled. Attend and participate in mediations and trials as necessary with supervision. Adhere to company procedures and guidelines as well as case law and statutory requirements when coverage is in question, and/or when paying or denying claims. Review trade journals, Unfair Claim Practice Acts, etc. to ensure current understanding as they relate to the specified job duties. Review incoming billing statements for accuracy and process for payment. Attend industry related seminar workshops and/or courses for continuing education. Additional tasks as assigned. Qualifications Bachelor's Degree preferred (or equivalent work experience). Minimum of three years of progressive commercial insurance claims handling experience. Ability to assess priorities and manage deadlines effectively. Effective communication skills, both verbal and written. Strong research and analytical skills. Must have strong problem-solving skills and excellent organization skills. Must be customer service oriented. Up to 20% travel. Proficiency with MS Office Suite. Additional Company Details We do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role

Company Details What makes Admiral Insurance Group ADMIRABLE. Since 1974, Admiral Insurance Group has been supporting business innovation and market growth through our wholesale-dedicated excess and surplus (E&S) lines of commercial insurance. We specialize in underwriting difficult-to-place moderate to high-risk commercial businesses that require creative solutions, outside of the box thinking, entrepreneurial spirit and astute business knowledge. As a member of the W. R. Berkley Corporation, a Fortune 500 Company and one of the nation's premier commercial lines property casualty insurance providers, we have the resources, support and industry data to provide exceptional service and exciting solutions for our clients and partners. Unlock your insure-ability. Learn more about Careers at Admiral Insurance Group. See what it's like to work in Admiral's Claims department. The Company is an equal employment opportunity employer. Responsibilities The Multi-Line Claims Examiner is responsible for determining and discharging the company's contractual obligations under its various policy contracts involving coverage analysis, investigation, legal defense, and loss and expense reserving. * Incorporate all claims into company records and review for applicability of coverage. * Conference coverage questions, reserves, and settlement authority with Manager and Claims Committee pursuant to best practices, including preparation of large loss reports. * Present facts of claims, with recommendations, to committee as necessary. * Establish initial loss and expense reserves. Maintain valid loss and expense reserves based on current investigation and legal discovery. * Provide ongoing direction to adjusters, investigators and defense attorneys to ensure that all claims are adequately handled. Attend and participate in mediations and trials as necessary with supervision. * Adhere to company procedures and guidelines as well as case law and statutory requirements when coverage is in question, and/or when paying or denying claims. * Review trade journals, Unfair Claim Practice Acts, etc. to ensure current understanding as they relate to the specified job duties. * Review incoming billing statements for accuracy and process for payment. * Attend industry related seminar workshops and/or courses for continuing education. * Additional tasks as assigned. Qualifications * Bachelor's Degree preferred (or equivalent work experience). * Minimum of three years of progressive commercial insurance claims handling experience. * Ability to assess priorities and manage deadlines effectively. * Effective communication skills, both verbal and written. * Strong research and analytical skills. * Must have strong problem-solving skills and excellent organization skills. * Must be customer service oriented. * Up to 20% travel. * Proficiency with MS Office Suite. Additional Company Details We do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role Responsibilities The Multi-Line Claims Examiner is responsible for determining and discharging the company's contractual obligations under its various policy contracts involving coverage analysis, investigation, legal defense, and loss and expense reserving. - Incorporate all claims into company records and review for applicability of coverage. - Conference coverage questions, reserves, and settlement authority with Manager and Claims Committee pursuant to best practices, including preparation of large loss reports. - Present facts of claims, with recommendations, to committee as necessary. - Establish initial loss and expense reserves. Maintain valid loss and expense reserves based on current investigation and legal discovery. - Provide ongoing direction to adjusters, investigators and defense attorneys to ensure that all claims are adequately handled. Attend and participate in mediations and trials as necessary with supervision. - Adhere to company procedures and guidelines as well as case law and statutory requirements when coverage is in question, and/or when paying or denying claims. - Review trade journals, Unfair Claim Practice Acts, etc. to ensure current understanding as they relate to the specified job duties. - Review incoming billing statements for accuracy and process for payment. - Attend industry related seminar workshops and/or courses for continuing education. - Additional tasks as assigned.

GEICO . For more information, please .Personal Injury Protection Claims Examiner - Marlton, NJ . As a PIP Claims Examiner, you will investigate medical necessity and determine casualty. You will consult with involved parties, secure medical information and review insurance contracts, associated reports and billing documentation. We will rely on you to evaluate the validity of personal injury insurance claims and monitor case files over the course of treatment. This job is a great fit for people who are continuous life learners, as PIP Claims Examiners are consistently challenged to learn more and increase their knowledge of our industry and company. Plus, GEICO encourages a promote-from-within culture, so there is plenty of room to grow your career and be rewarded for your hard work and determination. Bring your passion for helping others and a desire to make impact and start a rewarding career with GEICO today! Qualifications & Skills: High School or GED Required Prior insurance claims experience preferred, but not required Personal injury, bodily injury or workers' compensation experience preferred Solid analytical, customer service and multi-tasking skills Strong attention to detail, time management and decision-making skills At this time, GEICO will not sponsor a new applicant for employment authorization for this position. **Benefits:** As an Associate, you'll enjoy our * to help secure your financial future and preserve your health and well-being, including: * Premier Medical, Dental and Vision Insurance with no waiting period** * Paid Vacation, Sick and Parental Leave * 401(k) Plan * Tuition Reimbursement * Paid Training and Licensures *Benefits may be different by location. Benefit eligibility requirements vary and may include length of service. **Coverage begins on the date of hire. Must enroll in New Hire Benefits within 30 days of the date of hire for coverage to take effect. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants. For more than 75 years, GEICO has stood out from the rest of the insurance industry! We are one of the nation's largest and fastest-growing auto insurers thanks to our low rates, outstanding service and clever marketing. We're an industry leader employing thousands of dedicated and hard-working associates. As a wholly owned subsidiary of Berkshire Hathaway, we offer associates training and career advancement in a financially stable and rewarding workplace.

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Claims Examiner (Auto) **PRIMARY PURPOSE** : To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. + Responsible for litigation process on litigated claims. + Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. + Reports large claims to excess carrier(s). + Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. + Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. + Communicates claim action/processing with insured, client, and agent or broker when appropriate. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws. **Skills & Knowledge** + In-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs. + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong organizational skills + Strong interpersonal skills + Good negotiation skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **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_ **_$75,000_** _. 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. 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.** **Taking care of people is at the heart of everything we do. Caring counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (************************************** BGSfA)

LTD Claims Examiner II page is loaded **LTD Claims Examiner II** **LTD Claims Examiner II** remote type Hybrid or Remote locations Philadelphia, PAUnited States time type Full time posted on Posted 3 Days Ago job requisition id R5823 ****Job Responsibilities and Requirements**** KEY RESPONSIBILITIES **other duties as assigned** Obtains and analyzes information to make claim decisions and payments on LTD, Voluntary disability and Waiver of Premium claims. The goal of the position/role is to consistently render appropriate claim determinations based on a review of all available information and the terms and provisions of the applicable policy. * Reviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim. * Adjudicates claims accurately and fairly in accordance with the contract, appropriate claim policies and procedures, and state and federal regulations, meeting productivity and quality standards based on product line. * Utilizes appropriate medical and risk resources, adhering to referral polices, and transferring claims to the appropriate risk level in a timely manner. * Conducts in-depth pre-existing condition or contestable investigations if applicable. * Calculates benefit payments, which may include partial disability benefits, integration with other income sources, survivor benefits, residual disability benefits, etc. * Develops and maintains on-line claim data (and paper file if applicable). * Provide customer service that is respectful, prompt, concise, and accurate in an environment with competing demands. **Analysis and Adjudication** * Fully investigates and adjudicates a large volume simple to complex claims. * Identifies and investigates change in Total Disability definition (any occ). * Independently reviews and manage claims with high degree of complexity within the $1,500 per month approval authority limit. * Independently makes the determination if a policyholder with life policy up to $125,000 is eligible for a waiver of premium. * Majority of work is not subject to supervisor review and approval. **Case Management** * Consistently manage assigned case load of 60-80 simple to complex cases independently. * Collaborates with team members and management in identifying and implementing improvement opportunities. REQUIRED KNOWLEDGE, SKILLS, ABILITIES, COMPETENCIES, AND/OR RELATED EXPERIENCE **or equivalent experience gained from any combination of formal education, on-the-job training, and/or work and life experience** **Required Knowledge, Skills, Abilities and/or Related Experience** * High School Diploma or GED. Associates degree in Business, Finance, Social Work, or Human Resources preferred. Level I LOMA designation preferred. * 2 years experience processing long term disability claims. * Demonstrated understanding of claim management techniques and critical thinking in activities requiring analysis and/or investigation. * Experience working in confidential/protected identification environments. * Knowledge of medical terminology. * Good math and calculation skills. * Proven ability to work well in a high-visibility, public-oriented environment. **Ability to Travel:** None PHYSICAL REQUIREMENTS When used in the description below, the following terms are defined as: “Occasional”: done only from time to time, but necessary when it is performed “Frequent”: regularly performed; generally an act that is required on a daily basis “Continuous”: typically performed for the majority of an employee's shift Sitting for prolonged periods of time, frequently standing, walking distances up to one mile, bending, crouching, kneeling, reaching, occasionally lifting 25lbs, extensive typing, picking up and holding small objecting and otherwise using primarily the fingers rather than the entire hand. Employee is required to have visual acuity sufficient to perform activities such as preparing and analyzing data and figures; transcribing notes; viewing a computer terminal and extensive reading. Employee is required to have hearing sufficient to understand verbal instruction and answer telephones. Reliance Matrix will provide qualified employees with a reasonable accommodation in accordance with applicable law. CORE VALUES * Collaboration * Compassion * Empowerment * Integrity * Fun *The above description reflects the general details considered necessary to describe the principle responsibilities and functions of the job identified and shall not be construed as a detailed description of all the work requirements that may be inherent to this job.* The expected hiring range for this position is $53,650.00 - $67,070.00 annually for work performed in the primary location (Philadelphia, PA). This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions. These ranges may be modified in the future.Work location may be flexible if approved by the Company . ****What We Offer**** At Reliance Matrix, we believe that creating a more diverse, equitable and inclusive culture allows us to realize more of our potential. And we can't do this without our most important asset-you. That is why we offer a competitive pay package and a range of benefits to help team members thrive in their financial, physical, and mental wellbeing. **Our Benefits:** * An annual performance bonus for all team members * Generous 401(k) company match that is immediately vested * A choice of three medical plans (that include prescription drug coverage) to suit your unique needs. For High Deductible Health Plan enrollees, a company contribution to your Health Savings Account * Multiple options for dental and vision coverage * Company provided Life & Disability Insurance to ensure financial protection when you need it most * Family friendly benefits including Paid Parental Leave & Adoption Assistance * Hybrid work arrangements for eligible roles * Tuition Reimbursement and Continuing Professional Education * Paid Time Off, volunteer days, community partnerships, and Employee Assistance Program * Ability to connect with colleagues around the country through our Employee Resource Group program and our Diversity Equity & Inclusion Council **Our Values:** * Integrity * Empowerment * Compassion * Collaboration * Fun **EEO Statement** Reliance Matrix is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment depends solely on your qualifications. #LI-Remote #LI-MR1 **To learn more about the LTD Claims Examiner position, please watch this video from our team member!** Reliance Matrix delivers employee benefits, absence management and workforce productivity solutions through the financial stability of a top-rated insurance carrier, the agility and innovative spirit of a Third Party Administrator (TPA), and the daily commitment of thousands of team members across America. Where larger competitors offer size, we inspire confidence and long term engagement through integration, reliability and dedication to providing customized solutions. Reliance Matrix innovates and provides technology-driven absence and benefit solutions that enable employees and employers to manage time away from work. We help employers attract and retain valuable human capital through thoughtful, inclusive benefit programs delivered with care. We bring top-tier regulatory knowledge

Job Responsibilities and Requirements KEY RESPONSIBILITIES *other duties as assigned* Obtains and analyzes information to make claim decisions and payments on LTD, Voluntary disability and Waiver of Premium claims. The goal of the position/role is to consistently render appropriate claim determinations based on a review of all available information and the terms and provisions of the applicable policy. Reviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim. Adjudicates claims accurately and fairly in accordance with the contract, appropriate claim policies and procedures, and state and federal regulations, meeting productivity and quality standards based on product line. Utilizes appropriate medical and risk resources, adhering to referral polices, and transferring claims to the appropriate risk level in a timely manner. Conducts in-depth pre-existing condition or contestable investigations if applicable. Calculates benefit payments, which may include partial disability benefits, integration with other income sources, survivor benefits, residual disability benefits, etc. Develops and maintains on-line claim data (and paper file if applicable). Provide customer service that is respectful, prompt, concise, and accurate in an environment with competing demands. Analysis and Adjudication Fully investigates and adjudicates a large volume simple to complex claims. Identifies and investigates change in Total Disability definition (any occ). Independently reviews and manage claims with high degree of complexity within the $1,500 per month approval authority limit. Independently makes the determination if a policyholder with life policy up to $125,000 is eligible for a waiver of premium. Majority of work is not subject to supervisor review and approval. Case Management Consistently manage assigned case load of 60-80 simple to complex cases independently. Collaborates with team members and management in identifying and implementing improvement opportunities. REQUIRED KNOWLEDGE, SKILLS, ABILITIES, COMPETENCIES, AND/OR RELATED EXPERIENCE *or equivalent experience gained from any combination of formal education, on-the-job training, and/or work and life experience* Required Knowledge, Skills, Abilities and/or Related Experience High School Diploma or GED. Associates degree in Business, Finance, Social Work, or Human Resources preferred. Level I LOMA designation preferred. 2 years experience processing long term disability claims. Demonstrated understanding of claim management techniques and critical thinking in activities requiring analysis and/or investigation. Experience working in confidential/protected identification environments. Knowledge of medical terminology. Good math and calculation skills. Proven ability to work well in a high-visibility, public-oriented environment. Ability to Travel: None PHYSICAL REQUIREMENTS When used in the description below, the following terms are defined as: “Occasional”: done only from time to time, but necessary when it is performed “Frequent”: regularly performed; generally an act that is required on a daily basis “Continuous”: typically performed for the majority of an employee's shift Sitting for prolonged periods of time, frequently standing, walking distances up to one mile, bending, crouching, kneeling, reaching, occasionally lifting 25lbs, extensive typing, picking up and holding small objecting and otherwise using primarily the fingers rather than the entire hand. Employee is required to have visual acuity sufficient to perform activities such as preparing and analyzing data and figures; transcribing notes; viewing a computer terminal and extensive reading. Employee is required to have hearing sufficient to understand verbal instruction and answer telephones. Reliance Matrix will provide qualified employees with a reasonable accommodation in accordance with applicable law. CORE VALUES Collaboration Compassion Empowerment Integrity Fun The above description reflects the general details considered necessary to describe the principle responsibilities and functions of the job identified and shall not be construed as a detailed description of all the work requirements that may be inherent to this job. The expected hiring range for this position is $53,650.00 - $67,070.00 annually for work performed in the primary location (Philadelphia, PA). This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions. These ranges may be modified in the future. Work location may be flexible if approved by the Company. What We Offer At Reliance Matrix, we believe that creating a more diverse, equitable and inclusive culture allows us to realize more of our potential. And we can't do this without our most important asset-you. That is why we offer a competitive pay package and a range of benefits to help team members thrive in their financial, physical, and mental wellbeing. Our Benefits: An annual performance bonus for all team members Generous 401(k) company match that is immediately vested A choice of three medical plans (that include prescription drug coverage) to suit your unique needs. For High Deductible Health Plan enrollees, a company contribution to your Health Savings Account Multiple options for dental and vision coverage Company provided Life & Disability Insurance to ensure financial protection when you need it most Family friendly benefits including Paid Parental Leave & Adoption Assistance Hybrid work arrangements for eligible roles Tuition Reimbursement and Continuing Professional Education Paid Time Off, volunteer days, community partnerships, and Employee Assistance Program Ability to connect with colleagues around the country through our Employee Resource Group program and our Diversity Equity & Inclusion Council Our Values: Integrity Empowerment Compassion Collaboration Fun EEO Statement Reliance Matrix is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment depends solely on your qualifications. #LI-Remote #LI-MR1

The Claim Examiner is responsible for managing, investigating, and processing Accident & Health insurance claims. The ideal candidate should be highly detail-oriented, precise, and able to follow and interpret guidelines and requirements. Essential Duties & Functions Reasonable accommodations may be made to enable individuals to perform the essential functions. Demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage and processing of claims Timely and appropriately communicate with the claimant and client, as well as internally Establish proof of loss by reviewing medical documentation; assembling additional information as required from outside sources; including claimant, client, provider, and other insurance companies Calculates and pays benefits due; approves and makes timely claim payments and adjustments Ensure legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients Recognize and properly address coverage issues, potential fraud, and subrogation Ensure claim files are properly documented through internal notes and correspondence logs, and claim coding is correct Refers cases as appropriate to Manager Job Skills Team Player Excellent verbal and written communication Prioritize tasks appropriately and maintain organization Advanced critical thinking and problem-solving skills Strong decision-making ability and sound judgement Build client relationships Self-starter and self-disciplined in accomplishing tasks Ability to work unsupervised Willingness to obtain Insurance Adjuster License Job Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required/Preferred Education and Experience Required Education: Bachelor's Degree or Equivalent Experience Preferred Experience: 1-3 years insurance experience, medical billing or coding experience Preferred Licensure: Accident & Health Adjuster License Position Type and Expected Hours of Work This is a full-time position. The role is open to candidates who are in a fully remote, hybrid, or on-site role. One full week of on-site training is required at the start of employment. Days and hours of work are Monday through Friday, 8:30 a.m. to 5 p.m. The schedule for this role can be contingent upon Supervisor and Human Resources approval. Some evening and weekend work may be required. Travel Limited travel would be encouraged for trainings or team meetings. This would be discussed ahead of time and agreed upon between both Supervisor and employee. EEO Statement A-G is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment that is free of harassment, discrimination, or retaliation based on the following protected classes: age (40 and older), race, color, national origin, ancestry, religion, sex, sexual orientation (including transgender status, gender identity or expression), pregnancy (including childbirth, lactation, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. A-G is dedicated to the fulfillment of this policy in regard to all aspects of employment, including, but not limited to, recruiting, hiring, placement, transfer, training, promotion, rates of pay, other compensation, termination, and all other terms, conditions, and privileges of employment. A-G will conduct a prompt and thorough investigation of all allegations of discrimination, harassment, or retaliation, or any violation of the Equal Employment Opportunity Policy in a confidential manner. A-G will take appropriate corrective action, if and where warranted. A-G prohibits retaliation against team members who provide information about, complain about, or assist in the investigation of any complaint of discrimination or violation of the Equal Employment Opportunity Policy. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Shift: Monday-Friday, 8:00a-4:30p EST

The REH TPA-Oversight Claim Examiner is responsible for investigating and settling claims while ensuring a high level of customer service and claim file quality while providing oversight and guidance to our TPA partners. *This is a hybrid opportunity, 3 days in the office and 2 days remote in one the following locations: Whitehouse Station, NJ, Jersey City, NJ, Philadelphia, PA, Wilmington, DE or Chatsworth, CA.* **Duties include, but are not limited to:** * Provides outstanding customer service and works well with the insured, broker and TPA in the adjustment of casualty and auto risks. * Analyzes coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit. * Conducts, coordinates, and directs investigation into loss facts and extent of third-party damages. * Directs and closely monitors assignments to experts and defense counsel. * Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company. * Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor. * Reports to reinsurers and facilitates the prompt collection of reinsurance on those matters where they are accountable. * Travels to conferences, mediations, and trials as necessary. **Qualifications** **Bachelor's degree required.** **If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure within 3 months of hire.** * A minimum of 2-4 years experience handling general liability casualty claims. * Knowledge of claims handling concepts, practices, and procedures. * Ability and willingness to travel as needed. * Analytical, Detailed Oriented. * Customer focus - responsive with an appropriate sense of urgency. * Strong Written Communication Skills - including the ability to listen effectively; to confidently and diplomatically express opinions and voice concerns with other team members; and to present superior written communication to varied audiences. * Excellent Interpersonal Skills: Ability to establish trust and effective working relationships with others on an external and internal basis. * Strong Negotiation and Presentation Skills. * Ability to work collaboratively, independently and as part of a team. * Ability to multitask and prioritize. * Ability to adjust and adapt in an ever-changing environment. * Technically proficient. * Committed to high standards of behavior and performance. The pay range for the role is $61,500 to $104,500. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found . The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled. Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

**Holman is a family-owned, global automotive services organization anchored by our deeply rooted core values and principles that have enabled us to continue Driving What's Right throughout the last century. Our teams deliver the Holman Experience by treating our customers and each other as we would like to be treated, and creating positive, rewarding relationships all around.** **The automotive markets Holman serves include fleet management and leasing; vehicle fabrication and upfitting; component manufacturing and productivity solutions; powertrain distribution and logistics services; commercial and personal insurance and risk management; and retail automotive sales as one of the largest privately owned dealership groups in the United States.** **Principal Purpose of Position:** * Track incoming auto, property and general liability claims on a daily basis and correspond with the local site management, witnesses, adjusters and attorneys as needed within the first 24 hours of notice when feasible. * Monitor all open cases daily for any change in status. * Conduct internal investigations as needed. Prepare supporting files for all accidents including photos, police reports, damage estimates and subsequent financial and legal findings. * Assist in handling of EPL and Errors and Omissions (E & O) claims. * Negotiate with third parties for adjustment of losses. * Work directly with local management regarding explanation, understanding and application of applicable deductibles. * Handle subrogation and claims. * Pursue 3rd party carriers for diminished value and loss of use on vehicle damage claims involving Holman owned vehicles. * Assist company's defense attorney(s) in preparation of cases. This includes investigation of accidents, inquiries and preparing material and evidence for company to use in hearings, lawsuits, and insurance investigations. * Initiate communication with third parties for damage recovery on property damages against the company. Obtain necessary information and write reports in order to file claims with insurance carriers and claims departments. * Assist in selection of Field Investigators, Cause and Origin experts, accident Reconstructionist, and doctors for Independent Medical Evaluations. * Run loss reports and develop claim summaries as needed to track expenses and evaluate trends. * Participate in periodic claims review meetings held with Operations, adjusters, broker, and attorneys. * Assist Claims Manager in conducting periodic training related to claims investigation and reporting for site management. * Assist Claims Manager and coordinate with Risk and Safety Manager with implementation of Loss Prevention initiatives as needed. * Perform all other duties and special projects as assigned. * Establish reserves and/or provide reserve recommendations within established reserve authority levels. * Provide notices of qualifying claims to excess carriers. **Education and/or Training:** * Bachelor's degree from an accredited four-year university. * Valid Driver's License * AIC or equivalent designation preferred or ability to achieve. **Relevant Work Experience:** * A minimum of 3-5 years of prior insurance claims handling experience in both auto and general liability. * Subrogation claims handling experience. **Planning/Organizing/Managerial Knowledge:** * Knowledge of insurance coverages, contracts and claims handling guidelines. * Understanding of applicable statutes, regulations and case law. * Detail-oriented organizational skills in a multi-tasking environment. * Ability to compile and maintain case and claim files with appropriate documentation. * Excellent problem solving and time management skills. * Easily adapts to new or different changing situations, requirements or priorities. * Cultivates an environment of teamwork and collaboration. * Ability to use Risk Management Information and Services (RMIS) System. * Computer experience (MS Office, Excel, Word, etc.) * Good analytic and negotiation skills. * Flexibility, accuracy, initiative and ability to work with minimal supervision. * Responsive to internal and external client needs. **Communicating & Influencing Skills:** * Excellent written and verbal communication skills required. * Ability to negotiate settlements skillfully in difficult situations with both internal and external groups. * Ability to clearly communicate verbally and/or in writing both internally and externally. * Excellent presentation skills. * Build appropriate rapport and effective relationships with people inside and outside the organization **Assets:** * Manages an inventory of claims to evaluate liability and costs. * Verifying and determining applicability of coverage. * Evaluates and manages non-litigated and litigated claims, determines future course of handling ,and works closely with local management team in Operations. Consults with the Claims Manager and/or legal counsel on those claims in which assistance and consultation is needed. * Implements specific account handling instructions with adjusters assigned to claims. * Determines the method and extent of investigation for each claim as required by company Best Practices (reporting to carrier, handling internally or seeking legal assistance). This includes the selection, referral and supervision of designated files sent to outside vendors. (i.e. legal, surveillance, case management, etc.) * Discusses and approves negotiation settlements between our insurance carrier and the 3rd party carrier. #NTSP #LI-MG1 **At Holman, we exist to provide rewarding careers and better lives for employees and their families. We hire, train, empower, and reward exceptional people. Our journey is guided by our desire to get it right every time and the acknowledgement that we have an opportunity to be better. To be better, we have to do better, and to do better we must know better. That's why we are listening, open to learning new things - about ourselves and each other. We will never stop striving for improved diversity, equity, and inclusion because we are successful together when we feel trusted and supported. It's The Holman Way.** **At Holman, your total compensation goes beyond your paycheck. To position you for success and provide a rewarding career and better life for you and your family, Holman is proud to offer you the benefits you deserve; including protection against illness, disability, loss of work, or preparation for retirement. Below is a brief overview of the programs available to full-time employees (programs may vary by country or worker type):** * Health Insurance * Vision Insurance * Dental Insurance * Life and Disability Insurance * Flexible Spending and Health Savings Accounts * Employee Assistance Program * 401(k) plan with Company Match * Paid Time Off (PTO) * Paid Holidays, Bereavement, and Jury Duty * Paid Pregnancy/Parental leave * Paid Military Leave * Tuition Reimbursement **Benefits:** *Regular Full-Time* We offer excellent benefits including health, vision, dental, life and disability insurance, and 401(k) with company match. Our time off benefits include Paid Time Off (PTO), paid holidays, bereavement, and jury duty. In addition, we offer paid pregnancy and parental leave, and supplemental paid military leave to eligible employees. *Temporary or Part-Time* In geographic areas with statutory paid sick leave, part-time and temporary employees will receive a paid sick leave benefit that meets the mandated requirements. **Pay:** We offer competitive wages that are commensurate with job-related skills, experience, relevant education or training, and geographic location, starting in the range of $67,670.00 - $98,125.00 USD annually for full time employees. The annual compensation range is comprised of base pay earnings.**Equal Opportunity Employment and Accommodations:** *Holman provides equal employment opportunities to all employees and applicants for employment and prohibi

This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process. Reinsurance Claim Specialist Job Description Job Family Grouping: Reinsurance Claims Job Family: Claims The Accident & Health Reinsurance Claims Specialist is a key contributor to the reinsurance team at AXIS. Working in a globalized customer focused, reinsurance claims organization, you will support the department goals of providing best in class, professional internal and external client service through efficient and effective reinsurance claims handling and customer support as needed. As a Reinsurance Claims Specialist, you will proactively manage a diverse and interesting portfolio of Accident and Health reinsurance claims. How does this role contribute to our collective success? The Accident and Health Reinsurance Claims Specialist is diligent in reviewing reinsurance claims against our treaties to protect the assets of AXIS and ensure we are paying all claims properly presented as quickly and efficiently as possible, while maintaining accurate records and providing high quality service. What will you do in this role? * Proactively manage claims from notification through closure, investing the necessary level of involvement required for each claim depending on the nature of it. * Analyze and determine eligibility of claims, verify claims are correctly ceded and verify proper policy provisions and limits are applied. * Establish and monitor appropriate reserves. * Resolve claims questions directly with cedents or brokers in a professional manner. * Engage with cedents, brokers and 3rd party vendors, to identify opportunities to assist in mitigation of claims utilizing a suite of cost containment services. * Collaborate with other team members, including technical accounting, to get valid claims paid accurately and promptly within your authority level. * Conduct claim audits for existing accounts/clients. Travel may be required. * Collaborate with AXIS Re colleagues by sharing pertinent loss development information with underwriters and actuaries. * Build strategic relationships in the industry to support informed and best in class reinsurance claims handling. * Interact with colleagues across the organization to support strategic initiatives. * Identify developing trends and anomalies in your book of claims and recommend appropriate strategies which could include changes to procedures, cost containment strategies, and client or peer education presentations, among other strategies. * Participate in professional associations/professional development activities and industry conferences to gain expertise, industry information and insights, and to network. * Identify process improvements to be reviewed and approved by more senior management. * Engage in department wide initiatives. * May be asked to prepare presentations for clients or colleagues from time to time. You may also be required to take on additional duties, responsibilities and activities appropriate to the nature of this role. About You: We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals. What you need to have: * Bachelor's Degree or equivalent experience in insurance or reinsurance. * 5+ years experience with Employer Stop Loss, Fully Insured, and Managed Care claims adjudication. * A firm understanding of insurance and reinsurance terminology, including familiarity with various lines of business insurance coverage and reinsurance treaty types. * The ability to evaluate insurance claims and exposures for proper reserving under a reinsurance program. * An understanding of common reinsurance contract terms and conditions, including business covered, common exclusions, aggregate limits, treaty limits, retentions, how to apply annual aggregate deductibles, and the impact of the reinsurance contract terms and policy conditions to each claim. * Ability to communicate with brokers and cedents in a timely and concise manner. * Strong Microsoft Word and Excel skills What we prefer you to have: * High standard of professional conduct. * Strong analytical and organizational skills. * Ability to liaise with individuals across a variety of operational and technical disciplines. * Ability to read and interpret medical reports, clinical experience a plus Role Factors: In this role, you will typically be required to: Travel to cedents and broker meetings in North America between 2-5 times a year. Be in the office 3 days per week minimum. What we offer: For this position, we currently expect to offer a base salary in the range of $120,000 - $160,000 USD. Your salary offer will be based on an assessment of a variety of factors including your specific experience and work location. In addition, you will be offered competitive target incentive compensation, with awards based on overall corporate and individual performance. On top of this, you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, paid vacation, and much more.

About Everest: Everest Group, Ltd. (Everest), is a leading global reinsurance and insurance provider, operating for nearly 50 years through subsidiaries in North America, Latin America, the UK & Ireland, Continental Europe and Asia Pacific regions. Throughout our history, Everest has maintained its discipline and focuses on creating long-term value through underwriting excellence and strong risk and capital management. Our strengths include extensive product and distribution capabilities, a strong balance sheet, and an innovative culture. Our most critical asset is our people. We offer dynamic training & professional development to our employees. We also offer generous tuition/continuing education reimbursement programs, mentoring opportunities, flexible work arrangements, and Colleague Resource Groups. About the Role: Everest Insurance, a member of Everest Re Group, Ltd., has an opportunity for an experienced claims professional or attorney to join our Casualty Claims team as a Claims Specialist I. This individual will handle mainstream and moderately complex auto, general liability and excess liability and umbrella claims of all varieties. This position involves a hybrid work schedule (3 days in-office and 2 days remote) with the preferred location of Warren, NJ or Philadelphia. This opportunity will provide exposure to a variety of claim matters to build experience and a potential career in insurance. Responsibilities include but not limited to: Reviewing and analyzing complex coverage issues and preparation of coverage position letters Investigating, analyzing and evaluating liability and damages Managing and directing outside counsel Preparing case summary reports related to matters of significant reserve and trial activity Setting timely and appropriate case reserves Developing and executing claim strategies as well as resolution strategies Negotiating and resolving cases Attending trials, mediations and settlement conferences Working with underwriters to support policy construction and drafting, reporting claim trends, data analysis, and risk assessments Extensive communication with insureds, brokers, reinsurers, actuaries, and underwriters Attending client meetings and industry functions to support retention and development of client relationships and business Performing similar work-related duties as assigned Qualifications, Education & Experience: Strong analytical and organizational skills Excellent verbal and written communication skills Strong negotiation and investigation skills Ability to think strategically Ability to influence others and resolve complex, disputed claims In-depth knowledge of the litigation, arbitration, and trial process Currently holds or readily can obtain all required adjuster licenses Ability to identify and use relevant data and metrics to best manage claims Collaborative mind-set and willingness to work with people outside immediate reporting hierarchy to improve processes and generate optimal departmental efficiency Ability and willingness to present to senior management and to others in other group settings Knowledge of the insurance industry, claims process and legal and regulatory environment 3-5 years of claims handling experience or legal experience B.A. or B.S. required; JD helpful but not required Our Culture At Everest, our purpose is to provide the world with protection. We help clients and businesses thrive, fuel global economies, and create sustainable value for our colleagues, shareholders and the communities that we serve. We also pride ourselves on having a unique and inclusive culture which is driven by a unified set of values and behaviors. Click here to learn more about our culture. Our Values are the guiding principles that inform our decisions, actions and behaviors. They are an expression of our culture and an integral part of how we work: Talent. Thoughtful assumption of risk. Execution. Efficiency. Humility. Leadership. Collaboration. Diversity, Equity and Inclusion. Our Colleague Behaviors define how we operate and interact with each other no matter our location, level or function: Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together. All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues, and the global communities we serve. #LI-Hybrid #LI-CK1 Type: Regular Time Type: Full time Primary Location: Warren, NJ Additional Locations: Philadelphia, PA Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. As part of this commitment, Everest 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 Everest Benefits at *********************************. Everest U.S. Privacy Notice | Everest (everestglobal.com)

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage primarily motor truck cargo claims with moderate to high complexity and exposure. There may also be opportunity to handle ocean marine claims. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s). JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: * Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. * Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information. * Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols. * Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. * Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims. * Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate. * Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. * Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation. * Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements. * Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. * May serve as a mentor/coach to less experienced claim professionals May perform additional duties as assigned. Reporting Relationship Typically Manager or above Skills, Knowledge & Abilities * Solid working knowledge of motor truck cargo claims handling, liability analysis, policy coverage and claim practices. * Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed. * Demonstrated ability to develop collaborative business relationships with internal and external work partners. * Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions. * Demonstrated investigative experience with an analytical mindset and critical thinking skills. * Strong work ethic, with demonstrated time management and organizational skills. * Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity. * Developing ability to negotiate low to moderately complex settlements. * Adaptable to a changing environment. * Knowledge of Microsoft Office Suite and ability to learn business-related software. * Demonstrated ability to value diverse opinions and ideas Education & Experience: * Bachelor's Degree or equivalent experience. * Typically a minimum four years of relevant experience, preferably in claim handling. * Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience. * Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. * Professional designations are a plus (e.g. CPCU) #LI-AR1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Maryland, New York and Washington, the national base pay range for this job level is $49,000 to $98,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.

Our client is a leading global infrastructure investor with a strong track record spanning over 15 years. Recognized as one of the largest players in the industry, they are dedicated to fostering employee growth through comprehensive training, mentoring, and a competitive benefits package. They are seeking a Property Insurance Claims Specialist to join one of the nation’s largest owners and managers of residential real estate. For over 20 years, they have proudly provided housing for military families across the country. In this role, you will play a crucial part in supporting these families as they navigate natural disaster recovery and other insurance restoration processes. Responsibilities: Study and analyze documentation to assemble additional information from relevant sources, including site teams and adjustors. Complete and record necessary forms, reports, logs, and records related to property insurance claims. Collaborate with the Vice President of Risk & Insurance and the Legal Department to approve insurance adjustor settlements. Review policy provisions and certificates to determine coverage and claims eligibility. Collect, analyze, and summarize information to support claims decisions. Ensure compliance with company policies, procedures, guidelines, and state and federal insurance regulations. Follow customer service best practices and promptly respond to customer inquiries. Assemble comprehensive documentation for settlement actions Qualifications: Bachelor’s degree in business or accounting 3+ years of experience with property insurance claims Strong knowledge of insurance-related policies Proficient in analytical math Self-insured retention experience and Subrogation are a plus Compensation: Base salary in the 75k - 85k/year range Full Benefits Robust PTO 401k program with matching Annual bonus Tuition reimbursement, training, and mentoring opportunities **TO APPLY** Click Here for QUICK APPLY - Hassle Free & Easy #BPCFAC321 #INDALL

· Solid experience/proficiency with Xactimate· Construction background/experience - Residential, Roofing, Remodeling, Water mitigation, etc* Handles all assigned claims promptly and effectively, with little to no direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures. * Determines proper policy coverages and applies appropriate claims practices to resolve cases in alignment with company guidelines. * Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy. Adheres to file conferencing notification and authority procedures. * Maintains current knowledge of insurance and applicable product/services; court decisions which may impact the claims function; current guidelines; and policy changes and modifications. This may require attending various seminars and training sessions. * Maintains current knowledge of local industry repair procedures and local market pricing. * Submits severe incident reports, reinsurance reports and other information to claims management as needed. * Partners with Special Investigations Unit and Subrogation to identify fraud and subrogation opportunities. Assists or prepares files for lawsuit, trial, or subrogation. * Initiates and conducts follow-ups through proficient use of claims and other related business systems. * Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers. Adheres to high standards of professional conduct while providing delivery of outstanding claim's service. **Knowledge, Abilities and Skills:** General knowledge of insurance theory and practices, and contracts and their application. Property estimating and automated claims systems. Demonstrated knowledge of the investigation, consultation and settlement activities used to resolve extensive property damage claims. Proven ability to meet customer needs and provide exemplary meaningful service by guiding customers through the claims process and ensuring a positive customer experience. Analytical and problem-solving skills necessary to make decisions and resolve issues related to application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, and application of policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for property losses. Ability to evaluate and successfully advise on property claims. Organizational skills to prioritize work. Command of written and verbal communication skills to effectively communicate with policyholders, claimants, repairpersons, attorneys, agents and the general public . Ability to efficiently operate a personal computer and related claims and business software. Able to provide leadership to less experienced claims associates. Must be able to safely access and inspect rooftops using a ladder. Must be prepared and capable of conducting physical inspections on rooftops, including first and second story roofs with pitches up to 8/12. Normal office or field claims environment. May require ability to sit and operate phone and personal computer for extended periods of time. Able to make physical inspections of property loss sites; stoop, bend and/or crawl to inspect vehicles and structures; work outside in all types of weather. Must be willing to work irregular hours and to travel with possible overnight requirements. May be on-call. Must be available to work catastrophes (CAT). Extended and/or non-standard hours as required . Must have a valid driver's license with satisfactory driving record in accordance with Nationwide standards. We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer,At Nationwide, we find purpose in protecting people, businesses and futures with extraordinary care - and we've been doing that since 1926. Our financial strength and caring culture extend beyond our associates into the communities we serve. You really can *feel* the difference at Nationwide, which is why we continue to be named one of the Fortune 100 Best Companies To Work For. Check out why others think we're , too, and let us know -

· Solid experience/proficiency with Xactimate· Construction background/experience - Residential, Roofing, Remodeling, Water mitigation, etc* Handles all assigned claims promptly and effectively, with little to no direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures. * Determines proper policy coverages and applies appropriate claims practices to resolve cases in alignment with company guidelines. * Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy. Adheres to file conferencing notification and authority procedures. * Maintains current knowledge of insurance and applicable product/services; court decisions which may impact the claims function; current guidelines; and policy changes and modifications. This may require attending various seminars and training sessions. * Maintains current knowledge of local industry repair procedures and local market pricing. * Submits severe incident reports, reinsurance reports and other information to claims management as needed. * Partners with Special Investigations Unit and Subrogation to identify fraud and subrogation opportunities. Assists or prepares files for lawsuit, trial, or subrogation. * Initiates and conducts follow-ups through proficient use of claims and other related business systems. * Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers. Adheres to high standards of professional conduct while providing delivery of outstanding claim's service. **Knowledge, Abilities and Skills:** General knowledge of insurance theory and practices, and contracts and their application. Property estimating and automated claims systems. Demonstrated knowledge of the investigation, consultation and settlement activities used to resolve extensive property damage claims. Proven ability to meet customer needs and provide exemplary meaningful service by guiding customers through the claims process and ensuring a positive customer experience. Analytical and problem-solving skills necessary to make decisions and resolve issues related to application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, and application of policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for property losses. Ability to evaluate and successfully advise on property claims. Organizational skills to prioritize work. Command of written and verbal communication skills to effectively communicate with policyholders, claimants, repairpersons, attorneys, agents and the general public . Ability to efficiently operate a personal computer and related claims and business software. Able to provide leadership to less experienced claims associates. Must be able to safely access and inspect rooftops using a ladder. Must be prepared and capable of conducting physical inspections on rooftops, including first and second story roofs with pitches up to 8/12. Normal office or field claims environment. May require ability to sit and operate phone and personal computer for extended periods of time. Able to make physical inspections of property loss sites; stoop, bend and/or crawl to inspect vehicles and structures; work outside in all types of weather. Must be willing to work irregular hours and to travel with possible overnight requirements. May be on-call. Must be available to work catastrophes (CAT). Extended and/or non-standard hours as required . Must have a valid driver's license with satisfactory driving record in accordance with Nationwide standards. We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer,At Nationwide, we find purpose in protecting people, businesses and futures with extraordinary care - and we've been doing that since 1926. Our financial strength and caring culture extend beyond our associates into the communities we serve. You really can *feel* the difference at Nationwide, which is why we continue to be named one of the Fortune 100 Best Companies To Work For. Check out why others think we're , too, and let us know -

Gloucestershire Gloucester ****Assumptions and Liability Modelling Manager - 12 months secondment / maternity cover**** ****The Opportunity**** The Assumptions and Liability Modelling Manager is a key role in the Strategy, Planning and Performance team, leading on development of assumptions and financial modelling that's required as a part of our contractual submissions under the Nuclear Liabilities Funding Agreement (NLFA). This is a maternity cover / secondment opportunity to lead the work feeding in to Integrated Plan 2026 (produced in late 2025) and into early 2026. This role is in Nuclear Decommissioning's “Client team”, which has responsibility for managing the work required under the NLFA and leading the relationship between ENGL and, principally, the Non-NDA Nuclear Liabilities Assurance team in NDA, who act as the Government's agent. The Client Team's role is unique in ND and quite distinct from the technical colleagues it works alongside. The team - and this role - has extensive collaboration with internal technical teams and experts, as well as regular external facing engagement with Government (DESNZ) and its representatives. The strength and success of the relationships have significant financial and reputational implications for the ENGL business. ****Pay, benefits and culture**** We can offer a competitive salary and you'll be appointed based on the parameters outlined in the Nuclear Generation Personal Contract as well as your existing salary, competence, experience and qualifications. At EDF, everyone's welcome. We strive to create an inclusive and diverse environment where everyone has a voice and where you feel confident being yourself. We're committed to equality, diversity and inclusion. We'd like our future workforce to have an equal gender balance, represent a broad mix of people from minority ethnic backgrounds, LGBTQ+, those with a disability and supporting social mobility. We're a disability confident employer and we'll do all we can to help with your application, making adjustments as you need. We'll value the difference you bring and offer opportunities for you to thrive and succeed. ****What you'll be doing**** As part of your role, your responsibilities will include: * Production and updating of liability assumptions, including: + Leading cross-business coordination of inputs for quarterly and annual liability updates + Contributing to Governance processes through leading the Liability Impacts Forum (LIF) and Steering Committee meetings, leading coordination of the Liabilities Impact Review Group (LIRG) + Leading analysis of modelling output for internal governance and inclusion in contractual submissions (e.g. Integrated Plan, Decommissioning Plan Submissions) + Ensuring business familiarity with assumptions, underpinning methodologies, update processes and modelling outputs + Leading coordination for suite of financial and operational modelling inputs (WOLF, CAM, CCM, NLCM) to cross-business liability assumptions + Developing and updating underpinning assumptions and ‘calculators', including associated documentation and processes + Leading assumption and model-based assurance engagement with external assurance and audit bodies, ensuring robust adherence to internal governance processes * Providing liability estimates and analysis to governance forums for business monitoring, control, reporting and analysis of results to support business planning and ENGL accounts * Managing and directing a team of assumptions leads (including contractor support), tasking and leading team appropriately to secure necessary expertise and inputs across the range of work ****Who you are**** You will be educated to degree level in a relevant financial, economic, scientific, or commercial discipline. You will have proven experience in cost modelling and financial analysis, with good attention to detail. You will have natural leadership skills with the desire to gain management experience. Strong communication skills are essential in order to explain financial outputs and analysis to non-technical audiences, and present on information, data and forecasts. You will have experience of sharing information and presenting and discussing results and analytics with senior stakeholders such as regulators, Government representatives, auditors and management. Strong stakeholder and relationship management skills are essential, as part of the role is leading workshops with a range of stakeholders, including in depth discussions of technical information You will have excellent time management, project management and organisation skills, with the ability to work independently and to tight deadlines. You will be an expert in the use of Microsoft office products, particularly Microsoft Excel and Powerpoint An understanding of technical aspects of nuclear generation with particular focus on defueling, decommissioning and liabilities management would be advantageous. **To be appointed to this role, you will need to meet the criteria for Security Vetting which will, ordinarily, require you to have been a resident of the UK for at least 3 of the last 5 years.** Closing date for applications: Thursday 19th December Interviews to be held WC 6th January **Join us and together we can help Britain achieve Net Zero** **#EDFNuclearJobs #DestinationNuclear** Contact *************************** for more information or with any queries.