Adecco is assisting a local client recruiting General Liability Claims Analyst opportunities in Philadelphia, PA (Remote Role). This is an excellent opportunity to join a winning culture and get your foot in the door for being known Helping people, restoring property, preserving brands and empowering performance. If General Liability Claims Analyst sounds like something you would be interested in, and you meet the qualifications listed below, apply now!
**Key Responsibilities**
· To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
**Required Skills** :
· Analyze and process complex general liability claims by investigating and gathering information to determine exposure.
· Develop and execute action plans to achieve timely and appropriate resolution of claims.
· Assess liability and resolve claims within evaluation guidelines.
· Negotiate settlements within designated authority.
· Calculate and assign timely and appropriate reserves, monitor reserve adequacy throughout the claim lifecycle.
· Approve and process timely claim payments and adjustments within authority limits.
· Prepare and submit necessary state filings within statutory deadlines.
· Manage litigation process to ensure timely and cost-effective resolution.
· Coordinate vendor referrals for investigations and litigation management.
· Utilize cost containment strategies, including strategic vendor partnerships, to reduce overall claim costs.
· Manage claim recoveries, including subrogation, Second Injury Fund excess recoveries, and Social Security/Medicare offsets.
· Report claims to excess carriers and respond to requests promptly and professionally.
· Maintain communication with claimants and clients; foster professional client relationships.
· Ensure proper documentation and accurate coding of claim files.
· Refer cases to supervisors or management as appropriate.
What's in this General Liability Claims Analyst position for you?
Pay: $ 35.71/hr.
Shift: Remote Role // 8:00 AM-5:00 PM EST Mon- Fri // Philadelphia, PA
Weekly paycheck
Dedicated Onboarding Specialist & Recruiter · Access to Adecco's Aspire Academy with thousands of free upskilling courses.
This General Liability Claims Analyst is being recruited by one of our Centralized Delivery Team and not your local Branch. For instant consideration for this General Liability Claims Analyst position and other opportunities with Philadelphia, PA(Remote Role) apply today!
**Pay Details:** $35.71 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to **********************************************
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
+ The California Fair Chance Act
+ Los Angeles City Fair Chance Ordinance
+ Los Angeles County Fair Chance Ordinance for Employers
+ San Francisco Fair Chance Ordinance
**Massachusetts Candidates Only:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
$35.7 hourly 1d ago
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INSURANCE SPECIALIST (PER DIEM)
Cooper University Health Care 4.6
Claim specialist job in Cherry Hill, NJ
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description The insurance Specialist is responsible for the following: Registration and Charge Entry * Register patients into EPIC from for outside physician practices * Using outside EMRs to verify demographic data (Cerner, Sorian, Epic) * Check eligibility of patients/update insurance coverage * Manual charge entry * Daily work queue edits (registration, interface, documentation) * Enter charge sessions for outside physician practices * Communication with coding vendors as needed * Merging duplicate charts together and send to HIM * Physician Billing Tracking for manual charge entry Experience Required 2 years insurance verification or registration experience in a hospital or physician office. Knowledge of medical insurance and billing requirements. Proficient in Flowcast, HQ, eCAOS, MISYS, Spheris. Knowledge of state and federal medical assistance and health services programs preferred. Ability to organize, take independent action and project Cooper values to customers and co-workers. Experienced scheduling, front desk, and basic knowledge of hospital/physician coding. Education Requirements High School Diploma or Equivalent required. Special Requirements Skilled in use of computers and software applications, i.e., Microsoft Word, Excel, Access, registration and billing systems. Excellent verbal and written communications skills. Scheduled Days / Hours: as needed
$32k-37k yearly est. 2d ago
Claims Service Sales Representative
CWA Recruiting
Claim specialist job in Montgomery, PA
Property & Casualty Insurance
Montgomery County, Pennsylvania
As a sales representative, your role involves taking initiative and providing guidance throughout the recovery journey. Your support will help build trust, making it easier to finalize the sale. Our skilled team will handle all the necessary paperwork, while you play a crucial role on the front lines, assisting homeowners and business owners as they navigate the aftermath of disasters like fire, water, or storms. Familiarity with the Xactimate system would be beneficial, along with strong writing abilities. The ideal candidate should not only understand property claims but also possess the ability to persuade clients effectively. It is essential to live within the designated territory, which includes Allentown, NE PA, Schuylkill, Lebanon, Reading, Bucks, and Montgomery counties, among others.
Since 1964, our company has employed 20 staff members. Candidates must have a clear background, a valid driver's license, and a willingness to obtain an adjuster's license. Availability is required on both weekdays and weekends. We strive for a quick resolution, responding to emergencies, referrals, and opportunities with speed and efficiency.
$34k-40k yearly est. 2d ago
Trucking Claims Specialist
Berkshire Hathaway 4.8
Claim specialist job in Philadelphia, PA
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.
Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!
Benefits:
We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer!
Competitive compensation
Healthcare benefits package that begins on first day of employment
401K retirement plan with company match
Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
Up to 6 weeks of parental and bonding leave
Hybrid work schedule (3 days in the office, 2 days from home)
Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
Tuition reimbursement after 6 months of employment
Numerous opportunities for continued training and career advancement
And much more!
Responsibilities
Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking ClaimsSpecialist to join our P&C Claims Casualty team. This role will report to the AVP of Claims and is responsible for investigating and resolving commercial auto liability and physical damage claims, with a focus on trucking exposures. The ideal candidate will bring strong analytical skills, sound judgment, and a commitment to delivering high-quality claims service.
Key Responsibilities
Investigate and resolve commercial auto liability and physical damage claims involving trucking exposures.
Review and interpret policy language to determine coverage and consult with coverage counsel when needed.
Manage a caseload of moderate to high complexity and exposure, applying effective resolution strategies.
Communicate with insureds, claimants, attorneys, body shops, and law enforcement to gather relevant information.
Collaborate with defense counsel and vendors to support litigation strategy and recovery efforts.
Ensure claims are handled accurately, efficiently, and in alignment with service and regulatory standards.
Participate in file reviews, team meetings, and ongoing training to support continuous learning.
Qualifications
Minimum of 3 years of trucking industry experience.
Experience with bodily injury and/or cargo exposures.
Familiarity with trucking operations, FMCSA/DOT regulations, and multi-jurisdictional claims practices.
Strong analytical and negotiation skills, with the ability to manage multiple priorities.
Proven ability to manage sensitive and high-stakes situations with accuracy and professionalism.
Possession of applicable state adjuster licenses.
Juris Doctor (JD) preferred; alternatively, a bachelor's degree or equivalent experience in insurance, risk management, or a related field.
$44k-51k yearly est. Auto-Apply 12d ago
Complex Casualty Claims Specialist - MidAtlantic Region
Liberty Mutual 4.5
Claim specialist job in Marlton, NJ
Join Our Team as a Senior Claims Resolution Specialist - MidAtlantic Region
Are you ready to take your claims expertise to the next level? Personal Lines Casualty Complex is seeking a dedicated and experienced Senior Claims Resolution Specialist to lead the handling of challenging auto and homeowner's casualty claims across our MidAtlantic Region.
In this pivotal role, you'll take ownership of complex, high-exposure cases, diving deep into investigations, evaluations, and strategic resolutions. This is your opportunity to make a real impact, handling severe and catastrophic injury claims that demand both skill and compassion. If you thrive in a fast-paced environment where your expertise drives meaningful outcomes, we want to hear from you!
Preference for candidates who reside within Eastern or Central Time Zones.
There is an in-office requirement twice a month if you live within 50 miles of one of our Hub locations.
10% travel may be required for mediations, arbitrations, trials and in-person events.
Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.
Responsibilities:
Manages, investigates, and resolves auto and homeowner's casualty claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority. Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office.
Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation.
Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status.
Confers with trial counsel and prepares trial reports.
Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action.
Responds to various written and telephone inquiries including status reports.
Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority.
Accountable for security of financial processing of claims, as well as security information contained in claims files.
Responsible for managing the practices and billing activities of outside and in-house counsel.
May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies.
May be involved in special projects and/or mentoring at the direction of local management.
Ideal experience includes:
5+ years of casualty and litigation experience
Expert knowledge of handling personal lines complex claims with severe to catastrophic injuries and fatalities
Qualifications
Must have an advanced knowledge of coverage, liability, and complex claims handling procedures.
Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.
A full working knowledge of claims operations and procedures is required.
Strong written and oral communication skills required as well as strong interpersonal, analytical, investigative, and negotiation skills.
The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 5-7 years of directly related experience.
Ability to obtain proper licensing as required.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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$86k-117k yearly est. Auto-Apply 15d ago
Claims Representative
Mid Atlantic Retina 3.9
Claim specialist job in Plymouth Meeting, PA
This position is eligible for Mid Atlantic Retina's $1,000 Hiring Incentive! The hired candidate will receive $500 after successful completion of 90 days of employment and $500 after successful completion of 1 year of employment! Available to new hires only- not available to agency hires, internal transfers, or re-hires.
Sign On Bonus Eligible: Yes
Job Type: Full Time
Qualifications
* 3-5 years medical billing experience in a physician practice or third-party billing company preferred
* Previous experience with claims processing and working with a clearinghouse.
* Experience with CPT, ICD10 and Microsoft Office Suite required.
Job Description
The Claims Representative is responsible for submitting both electronic and paper claims to insurance companies. This position ensures that all accounts are billed appropriately and meet all regulatory and compliance requirements. The Claims Representative is also responsible for reviewing daily claim edit reports and working with other departments to resolve the claim edits.
Essential Functions
1. Pulls daily Claim Edit report from Nextgen to review red edits for errors.
2. Collaborates with Front Desk and Clinic to correct errors.
3. Submits corrected report through clearinghouse via EDI file or uploading.
4. Complete paper claims by reviewing account, attaching needed information, and mailing out to responsible payer.
5. Ensures correct processing of all accounts.
6. Acts as customer service representative in person and by telephone. Promptly responds to patient and corresponding payor questions regarding accounts.
7. Maintains up to date billing knowledge of insurance carriers to act as a resource for other departments within MAR.
8. Attends regular staff meetings.
9. Works overtime as needed.
10. Travels to other MAR locations as needed.
11. Performs other duties as assigned.
Benefits
* Health Insurance
* Dental Insurance
* Vision Insurance
* Paid Sick Time
* Paid Vacation Time
* Company Bonuses twice a year (after 1 year of employment)
* 7 Paid Company Holidays
* 401K
* Profit Sharing
* Company Paid Life Insurance
Physical and Cognitive Demands
The physical and cognitive demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
* This is largely a sedentary role; however, some filing may be required. This would require the ability to occasionally lift files, bend, stoop, crouch, reach, and stand on a stool as necessary.
* Ability to lift or move up to 15 pounds at times.
* Work with data by calculating and manipulating numbers, processing data on a computer, classify, record, store and retrieve information.
* Use words to communicate ideas, read with comprehension and explain abstract or complex ideas in more basic terms.
* The employee will use hands to operate equipment such as a computer mouse, show manual or finger dexterity, handle things with precision or speed, use muscular coordination and physical stamina.
* While performing the duties of this job, the employee is regularly required to talk, communicate verbally one to one, in front of groups, over the telephone or with a headset and in email.
* This position requires listening to verbal communication using a telephone or with a headset and processing the information while entering the data into a computer system, processing auditory information, and responding verbally back in an appropriate manner.
* Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus with or without corrective lenses.
* Ability to follow through on plans or instructions.
$31k-40k yearly est. 5d ago
Trucking Claims Specialist
Guard Insurance Group
Claim specialist job in Philadelphia, PA
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.
Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!
Benefits:
We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer!
* Competitive compensation
* Healthcare benefits package that begins on first day of employment
* 401K retirement plan with company match
* Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
* Up to 6 weeks of parental and bonding leave
* Hybrid work schedule (3 days in the office, 2 days from home)
* Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
* Tuition reimbursement after 6 months of employment
* Numerous opportunities for continued training and career advancement
* And much more!
Responsibilities
Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking ClaimsSpecialist to join our P&C Claims Casualty team. This role will report to the AVP of Claims and is responsible for investigating and resolving commercial auto liability and physical damage claims, with a focus on trucking exposures. The ideal candidate will bring strong analytical skills, sound judgment, and a commitment to delivering high-quality claims service.
Key Responsibilities
* Investigate and resolve commercial auto liability and physical damage claims involving trucking exposures.
* Review and interpret policy language to determine coverage and consult with coverage counsel when needed.
* Manage a caseload of moderate to high complexity and exposure, applying effective resolution strategies.
* Communicate with insureds, claimants, attorneys, body shops, and law enforcement to gather relevant information.
* Collaborate with defense counsel and vendors to support litigation strategy and recovery efforts.
* Ensure claims are handled accurately, efficiently, and in alignment with service and regulatory standards.
* Participate in file reviews, team meetings, and ongoing training to support continuous learning.
Qualifications
* Minimum of 3 years of trucking claims experience.
* Experience with bodily injury and/or cargo exposures.
* Familiarity with trucking operations, FMCSA/DOT regulations, and multi-jurisdictional claims practices.
* Strong analytical and negotiation skills, with the ability to manage multiple priorities.
* Proven ability to manage sensitive and high-stakes situations with accuracy and professionalism.
* Possession of applicable state adjuster licenses.
* Juris Doctor (JD) preferred; alternatively, a bachelor's degree or equivalent experience in insurance, risk management, or a related field.
$41k-72k yearly est. Auto-Apply 60d+ ago
Claims Examiner
Arch Capital Group 4.7
Claim specialist job in Philadelphia, PA
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Summary
The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence.
Responsibilities:
Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level
Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution
Review and analyze supporting damage documentation
Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions
Establish appropriate loss and expense reserves with documented rationale
Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines
Experience & Qualifications
Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word
Knowledge of ImageRight preferred
Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions
Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines
Ability to work well independently and in a team environment
Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date.
Education
Bachelor's degree preferred
3-5 years' experience handling the process of commercial insurance claims
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$71,900 - $97,110/year
Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.
$71.9k-97.1k yearly Auto-Apply 39d ago
Litigation Claims Specialist
Questor Consultants, Inc.
Claim specialist job in Deptford, NJ
Job DescriptionRisk Intermediary located in New Jersey seeks a VP of Claims for a Municipal Insurance fund. Claims handled are Workers Comp, Property and Liability and Professional Liability. Fund has 28 members submitting New Jersey based Public Entity based claims.
This position will lead operational and administrative claims functions including reserving.
Will also manage TPA relationships and direct TPA's Workers Comp activities.
Will also manage staff Liability Litigation Managers and lead claims reporting.
Require JD with 20 years experience in an Insurance Claims Department, TPA or Risk Management Department.
Knowledge of New Jersey Civil Tort and Workers Comp claims systems.
Advanced skills in Coverage Analysis, Litigation Management and Negotiation.
Auto Liability, General Liability and Employer Liability claims.
Knowledge needed in MS Office Products (Word, Excel and Powerpoint).
Will work remote but must be within driving distance of office.
Will manage 9-12 people.
Minimal travel.
Salary $150-200k no bonus opportunity.
$45k-80k yearly est. 24d ago
Public Adjuster
The Misch Group
Claim specialist job in Philadelphia, PA
Job DescriptionDescriptionQUICK FACTS:
Must have Public Adjuster License
Must have experience with Xactimate
Must have network of Condo, Apartment, Property Management partners
Must be able to physically examine all buildings top to bottom (roofs as well
W2, Base Salary 70K+, and industry leading commission package
We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment.
Key ResponsibilitiesKey Responsibilities:
Identify and pursue new business opportunities with homeowners, contractors, and referral partners.
Educate prospective clients on our services and guide them through the insurance claims process.
Develop and maintain a pipeline of leads through prospecting and networking efforts.
Conduct presentations and training sessions to build brand awareness and establish partnerships.
Provide exceptional customer service to existing clients, ensuring their satisfaction and retention.
Work closely with internal teams to optimize the sales process and improve closing rates.
Maintain accurate records of sales activities and client interactions.
Skills, Knowledge and ExpertiseQualifications & Experience:
3+ years of proven sales experience as a licensed Public Adjuster
Strong ability to generate leads, manage relationships, and close deals.
Bachelor's degree in Business, Marketing, Communications, or equivalent experience.
Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms.
Highly organized with strong follow-through skills in a fast-paced environment.
Public Adjuster license
BenefitsWhat We Offer:
Extensive training and support to help you succeed.
Flexible work environment with opportunities for growth and career advancement.
A team-oriented culture with strong leadership and professional development opportunities.
If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
$47k-69k yearly est. 5d ago
Electronic Visit Verification Specialist
365 Health Services 4.1
Claim specialist job in Philadelphia, PA
Responsible for maintaining office payroll data in compliance with state, federal and local regulations. Properly document all manual corrections. Ensure office payroll is completed in a timely manner. Utilize system reports to ensure compliance. Extensive software skills are required, as well as Internet research abilities and strong communication skills.
Position Qualifications
Two (2) year college degree preferred.
High school diploma accepted with relevant experience.
Proficient in Microsoft computer products including Word, Excel and Outlook.
Demonstrated record of strong interpersonal skills.
Competence in basic PC skills required to perform job functions.
Ability to read, write and effectively communicate in English.
Essential Job Functions/Responsibilities
Able to work in a fast-paced work environment.
Focus on consumer needs: Anticipate, understand, and respond appropriately to the needs of consumers to meet or exceed their expectations within the organizational parameters.
Ability to handle confidential information in compliance with HIPAA.
Ability to handle sensitive information in a calm and professional manner.
Ability to lead change and innovation.
Ability to manage multiple tasks daily and manage time efficiently.
Public relations ability, interpersonal skills and professional telephone manner.
Review and process all pending approvals in the EVV system.
Review completion of care plan for accuracy and alignment with care plan.
Address EVV setup issues with office staff.
Review over authorizations and discrepancies with schedules to prevent overpayments.
Escalate over authorizations and discrepancies with schedule to appropriate representatives.
Run visit compliance report as final check of tasks and visits completed
$25k-33k yearly est. Auto-Apply 60d+ ago
Certification Specialist
CRM Residential 3.6
Claim specialist job in Trenton, NJ
Full-time Description
Certification Specialist
We are seeking a dedicated and detail-oriented Certification Specialist to join our team. This role offers an exciting opportunity to contribute to our community by ensuring compliance and maintaining high standards through certification processes. The ideal candidate will be proactive, organized, and capable of working independently under the guidance of the Community Manager.
Key Responsibilities:
- Manage and coordinate certification processes for residents and staff, ensuring all documentation is accurate and up-to-date
- Assist in preparing and submitting certification applications and renewals in accordance with regulatory requirements
- Maintain organized records of certifications, licenses, and related documentation
- Collaborate with community staff to facilitate certification-related training sessions and workshops
- Travel to various training sessions and certification events as required, maintaining reliable transportation and a valid driver's license
- Conduct background and drug screenings for new hires as part of the onboarding process
- Stay informed about certification standards and updates relevant to the property and community needs
Skills and Qualifications:
- High School diploma or equivalent education required
- Previous experience in certification processes or related administrative roles preferred
- Strong organizational skills with attention to detail
- Excellent communication and interpersonal skills
- Ability to work independently and follow instructions accurately
- Valid driver's license and reliable transportation for travel to training sessions
- Ability to handle sensitive information with confidentiality and professionalism
At CRM Residential, we foster a supportive and inclusive environment that values growth, teamwork, and excellence. We offer opportunities for professional development and a rewarding work environment dedicated to community well-being.
Requirements
HUD Background required
Salary Description $22-$24/hr
$22-24 hourly 38d ago
INSURANCE SPECIALIST (PER DIEM)
Cooper University Health Care 4.6
Claim specialist job in Trevose, PA
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description The insurance Specialist is responsible for the following: Registration and Charge Entry * Register patients into EPIC from for outside physician practices * Using outside EMRs to verify demographic data (Cerner, Sorian, Epic) * Check eligibility of patients/update insurance coverage * Manual charge entry * Daily work queue edits (registration, interface, documentation) * Enter charge sessions for outside physician practices * Communication with coding vendors as needed * Merging duplicate charts together and send to HIM * Physician Billing Tracking for manual charge entry Experience Required 2 years insurance verification or registration experience in a hospital or physician office. Knowledge of medical insurance and billing requirements. Proficient in Flowcast, HQ, eCAOS, MISYS, Spheris. Knowledge of state and federal medical assistance and health services programs preferred. Ability to organize, take independent action and project Cooper values to customers and co-workers. Experienced scheduling, front desk, and basic knowledge of hospital/physician coding. Education Requirements High School Diploma or Equivalent required. Special Requirements Skilled in use of computers and software applications, i.e., Microsoft Word, Excel, Access, registration and billing systems. Excellent verbal and written communications skills. Scheduled Days / Hours: as needed
$34k-40k yearly est. 2d ago
Complex Casualty Claims Specialist - MidAtlantic Region
Liberty Mutual 4.5
Claim specialist job in Marlton, NJ
Join Our Team as a Senior Claims Resolution Specialist - MidAtlantic Region Are you ready to take your claims expertise to the next level? Personal Lines Casualty Complex is seeking a dedicated and experienced Senior Claims Resolution Specialist to lead the handling of challenging auto and homeowner's casualty claims across our MidAtlantic Region.
In this pivotal role, you'll take ownership of complex, high-exposure cases, diving deep into investigations, evaluations, and strategic resolutions. This is your opportunity to make a real impact, handling severe and catastrophic injury claims that demand both skill and compassion. If you thrive in a fast-paced environment where your expertise drives meaningful outcomes, we want to hear from you!
Preference for candidates who reside within Eastern or Central Time Zones.
There is an in-office requirement twice a month if you live within 50 miles of one of our Hub locations.
10% travel may be required for mediations, arbitrations, trials and in-person events.
Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.
Responsibilities:
* Manages, investigates, and resolves auto and homeowner's casualty claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority. Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office.
* Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation.
* Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status.
* Confers with trial counsel and prepares trial reports.
* Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action.
* Responds to various written and telephone inquiries including status reports.
* Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority.
* Accountable for security of financial processing of claims, as well as security information contained in claims files.
* Responsible for managing the practices and billing activities of outside and in-house counsel.
* May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies.
* May be involved in special projects and/or mentoring at the direction of local management.
Ideal experience includes:
* 5+ years of casualty and litigation experience
* Expert knowledge of handling personal lines complex claims with severe to catastrophic injuries and fatalities
Qualifications
* Must have an advanced knowledge of coverage, liability, and complex claims handling procedures.
* Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.
* A full working knowledge of claims operations and procedures is required.
* Strong written and oral communication skills required as well as strong interpersonal, analytical, investigative, and negotiation skills.
* The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 5-7 years of directly related experience.
* Ability to obtain proper licensing as required.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
* California
* Los Angeles Incorporated
* Los Angeles Unincorporated
* Philadelphia
* San Francisco
$86k-117k yearly est. Auto-Apply 13d ago
Trucking Claims Specialist
Berkshire Hathaway 4.8
Claim specialist job in Conshohocken, PA
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.
Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!
Benefits:
We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer!
Competitive compensation
Healthcare benefits package that begins on first day of employment
401K retirement plan with company match
Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
Up to 6 weeks of parental and bonding leave
Hybrid work schedule (3 days in the office, 2 days from home)
Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
Tuition reimbursement after 6 months of employment
Numerous opportunities for continued training and career advancement
And much more!
Responsibilities
Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking ClaimsSpecialist to join our P&C Claims Casualty team. This role will report to the AVP of Claims and is responsible for investigating and resolving commercial auto liability and physical damage claims, with a focus on trucking exposures. The ideal candidate will bring strong analytical skills, sound judgment, and a commitment to delivering high-quality claims service.
Key Responsibilities
Investigate and resolve commercial auto liability and physical damage claims involving trucking exposures.
Review and interpret policy language to determine coverage and consult with coverage counsel when needed.
Manage a caseload of moderate to high complexity and exposure, applying effective resolution strategies.
Communicate with insureds, claimants, attorneys, body shops, and law enforcement to gather relevant information.
Collaborate with defense counsel and vendors to support litigation strategy and recovery efforts.
Ensure claims are handled accurately, efficiently, and in alignment with service and regulatory standards.
Participate in file reviews, team meetings, and ongoing training to support continuous learning.
Qualifications
Minimum of 3 years of trucking claims experience.
Experience with bodily injury and/or cargo exposures.
Familiarity with trucking operations, FMCSA/DOT regulations, and multi-jurisdictional claims practices.
Strong analytical and negotiation skills, with the ability to manage multiple priorities.
Proven ability to manage sensitive and high-stakes situations with accuracy and professionalism.
Possession of applicable state adjuster licenses.
Juris Doctor (JD) preferred; alternatively, a bachelor's degree or equivalent experience in insurance, risk management, or a related field.
$44k-51k yearly est. Auto-Apply 7d ago
Claims Examiner, Commercial Insurance
Arch Capital Group Ltd. 4.7
Claim specialist job in Philadelphia, PA
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Summary
Arch Insurance Group Inc., AIGI, has an opening with the Claims Division as a Claims Examiner, Casualty. In this role, the responsibilities include actively managing medium-high severity commercial liability claims in jurisdictions throughout the United States.
Responsibilities
* Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis
* Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care
* Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures
* Maintain contact with any/all associated claims carrier(s)' claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary
* Investigate claims and review the insureds' materials, pleadings, and other relevant documents
* Identify and review each jurisdiction's applicable statutes, rules, and case law
* Review litigation materials including depositions and expert's reports
* Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues
* Retain counsel when necessary and direct counsel in accordance with resolution strategy
* Analyze coverage, liability and damages for purposes of assessing and recommending reserves
* Prepare and present written/oral reports to senior management setting forth all issues influencing evaluations and recommending reserves
* Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter
* Negotiate resolution of claims
* Select and utilize structure brokers
* Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims
Experience & Required Skills
* Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
* Strong time management and organizational skills
* Demonstrated ability to take part in active strategic discussions
* Demonstrated ability to work well independently and in a team environment
* Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word
* Willing and able to travel 10%
* Hybrid schedule, 3 days a week in office
Education
* Bachelor's degree required.
* Minimum of 3 years of working experience with a primary and or excess carrier supporting commercial accounts for Casualty claims
* Proper & active adjuster licensing in all applicable states
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$95,000 - $150,000/year based on experience level
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
$42k-59k yearly est. Auto-Apply 3d ago
Employment Practice Liability Claim Manager
Questor Consultants, Inc.
Claim specialist job in Philadelphia, PA
Job Description- National Insurance Carrier is looking for an experienced EPL Claims Manager that is currently managing a team. Prior experience in EPLI & professional liability claims is preferred but not mandatory. Will need a minimum of 5 to 7 years experience in EPL and or professional liability claims.
JD preferred with good interpersonal skills.
Call for additional details.
$43k-105k yearly est. 11d ago
Public Adjuster Solicitor
The Misch Group
Claim specialist job in Philadelphia, PA
Job DescriptionDescriptionAbout the Company A well-established public adjusting firm is seeking motivated Public Adjuster Solicitors to join its growing team. This firm specializes in advocating for policyholders and ensuring they receive fair settlements for property damage claims. As the demand for expert claims assistance grows, we are looking for ambitious sales professionals who can build strong client relationships and drive business growth.
Position Overview
The Public Adjuster Solicitor serves as the first point of contact for homeowners and businesses seeking assistance with insurance claims. This role involves prospecting, educating potential clients, and generating leads while working under the supervision of a licensed public adjuster. It's an ideal position for sales-driven individuals who enjoy helping clients navigate insurance claims and maximizing their settlements.
Key Responsibilities
Identify and engage potential clients, including homeowners, contractors, and business owners.
Educate prospective clients on public adjusting services and the benefits of professional claims representation.
Solicit qualified leads furnished from our office and networking through referrals, and direct outreach.
Conduct initial consultations to assess client needs and determine claim eligibility.
Work closely with management and licensed public adjusters to transition leads into active claims.
Provide ongoing client support and maintain strong relationships.
Present and sell our service to obtain new clients for the firm.
Respond quickly to disaster scenes.
Follow-up on all leads and assignments.
Skills, Knowledge and Expertise
2+ years of sales experience, preferable in insurance, real estate, restoration, or a related field.
Strong ability to generate leads, build relationships, and close sales.
Public Adjuster Solicitor license preferred (or willingness to obtain).
Self-motivated with strong communication and negotiation skills.
Must have a valid driver's license and reliable transportation.
Business-like professional appearance.
Ability to close on first call.
Have in home or face to face sales experience.
Work requires to be on-call.
Benefits
High earing potential with competitive commission and performance-based bonuses.
Extensive training and mentorship to help you succeed in this role.
Flexible work schedule with the ability to manage your own territory.
A team-oriented culture with strong leadership and professional development support.
If you are a motivated sales professional looking for a rewarding career with uncapped earnings potential, apply today and start making a difference for policyholders in Pennsylvania!
Competitive Advantages
One of the oldest and largest public adjusting firms in Pennsylvania
Firm provides unlimited quality leads and informational support.
Excellent reputation.
Large in-house support staff with experience in construction, personal property and loss of business claims.
Experience to handle high-end large and complex losses for both homeowners and business owners.
$47k-69k yearly est. 30d ago
Certification Specialist - Rowan Towers
CRM Residential 3.6
Claim specialist job in Trenton, NJ
CRM Residential has been a trusted name in the property management industry for over 46 years specializing in affordable housing. Our success story is a testament to the dedicated and talented individuals who have chosen to build their careers with us. We take great pride in our values, and we live and breathe them every day.
Working at CRM Residential is so much more than a job, it is a career with purpose. No matter what department or level of the company you join, our mission is to provide a comfortable and reliable home environment for those who need it most and to provide excellent service to our customers. You will make a difference.
Why Join the CRM Residential Team:
Comprehensive Health Coverage
Retirement Savings with employer contribution
Bonus Potential
Paid Time Off (PTO)
Company Paid Holidays
Once eligible for enrollment, the company will contribute a Safe Harbor match of 3% of your compensation to your 401(k) account, regardless of whether you choose to make your own contributions.
Pay Rate: $22.00-$24.00 per hour
What You'll Get To Do:
The Compliance Specialist will be responsible for keeping abreast of all HUD, state agency, and tax credit rules and regulations concerning occupancy, recertifications, and tax credit related issues. The Compliance Specialist will deal directly with HUD and state agencies in reference to Section 8 contract renewals. This role will be responsible for but not limited to:
Prepare monthly, quarterly, and annually reports for Tax Credit Properties
Prepare Company Occupancy Reports weekly and for properties and owners
Review and critique recertification move in packages at tax credit properties
Prepare handouts for training classes and an assist in allocating the cost to each property that attended training
Site visits may be required from time to time to offer assistance to onsite staff pertaining to occupancy, file compliance or other tax credit specific areas
Attend educational seminars relating to tax credit compliance & other affordable housing
Monitor the timely completion of annual recertifications for all sites. Advise Regional Manager of any potential problems
Written correspondence with owners and agencies, relating to affordable housing
Requirements:
High School diploma or equivalent education required. 3-4 years of experience can offset minimum educational requirements for this position.
Valid driver's license and reliable transportation
Ability to work with a variety of people and make them feel comfortable quickly
Strong customer service skills required
Must have strong organizational and time management skills
Valid driver's license
Proficiency at multi-tasking
3 years' experience of project-based section 8
Organizational skills
Working knowledge of Microsoft Office software
Experience with verifications and renewals
Experience with Real Page, TRACS, etc.
Other administrative duties as assigned
Onsite Monday-Friday 8:00am-4:30pm
About CRM Residential:
CRM Residential is an award-winning full-service property management company which professionally manages 11,000+ apartments valued in excess of one billion. We are exclusively third-party so there is no conflict of interest between the properties that we manage for our clients and our own properties, because we do not own any properties. Our focus is dedicated to our clients.
We are an equal opportunity employer and welcome applicants from all backgrounds to apply. If you have a passion for property management and a desire to work for a reputable company, we encourage you to apply for this exciting opportunity.
$22-24 hourly Auto-Apply 38d ago
Public Adjuster
The Misch Group
Claim specialist job in Philadelphia, PA
Department
Insurance & Financial Services
Employment Type
Full Time
Location
Pennsylvania
Workplace type
Hybrid
Compensation
$90,000 - $170,000 / year
Key Responsibilities Skills, Knowledge and Expertise Benefits About The Misch Group Stone Hendricks Group is a direct-hire search firm that brings together years of experience and a diverse range of talent to connect businesses with exceptional job candidates. With a focus on timely and effective recruitment, we understand the power of a well-formed employee base in helping businesses achieve their goals. We offer our services to businesses of all sizes, providing qualified candidates for blue- and grey-collar roles, as well as white-collar and executive positions. The success of our direct-hire search process is driven by our advanced training, proprietary technology, and extensive network across industries. At Stone Hendricks Group, we value integrity and prioritize connectedness, commitment, and candor in our interactions with both employers and job seekers. Our clients consider us trusted advisors, relying on the highly personalized service we provide and our ability to find candidates that are an ideal fit for their unique needs. Choose Stone Hendricks Group for unsurpassed direct-hire search services that match successful organizations with talented job candidates.
How much does a claim specialist earn in Abington, PA?
The average claim specialist in Abington, PA earns between $31,000 and $93,000 annually. This compares to the national average claim specialist range of $27,000 to $67,000.
Average claim specialist salary in Abington, PA
$54,000
What are the biggest employers of Claim Specialists in Abington, PA?
The biggest employers of Claim Specialists in Abington, PA are: