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. 1d ago
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Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations
Stout 4.2
Claim specialist job in Philadelphia, PA
At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.
About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.What You'll DoAs an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include:
Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations.
Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies.
Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic.
Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning.
Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives.
Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support.
Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations.
Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery.
Continue developing technical, analytical, and consulting skills while building credibility with clients.
Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement.
Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team.
What You Bring
Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred.
Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles.
Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance.
Epic Resolute or other hospital billing system experience preferred; Epic certification a plus.
Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required.
Additional certifications such as CHC, CFE, or AHFI preferred.
Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization.
Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred.
Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act.
Willingness to travel up to 25%, based on client and project needs.
How You'll Thrive
Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions.
Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships.
Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time.
Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment.
Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility.
Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions.
Why Stout?
At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life.
We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve.
We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals.
Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.
Learn more about our benefits and commitment to your success.
en/careers/benefits
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job.
Stout is an Equal Employment Opportunity.
All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law.
Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.
A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
$27k-33k yearly est. 5d 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 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 5d 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 13d 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
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. 22d 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
Billing & Claims Specialist
Agile Cold Storage
Claim specialist job in Claymont, DE
The Billing and ClaimsSpecialist will be responsible for managing all aspects of customer billing, including preparing invoices, reconciling accounts, claims and resolving billing discrepancies. The ideal candidate will have a minimum of 3 years of experience in billing or accounts receivable within a fast-paced environment.
Key Responsibilities:
Prepare, review, and process accurate customer invoices in a timely manner.
Reconcile billing statements and resolve discrepancies with internal teams and customers.
Maintain accurate and organized billing and claims records.
Collaborate with operations and sales teams to ensure proper billing for services rendered.
Respond to customer inquiries regarding billing issues professionally and promptly
Continuously identify and implement process improvements in billing operations.
Identify process improvements to streamline billing and claims management.
Qualifications:
Minimum of three (3) years billing or accounts receivable experience, preferably in logistics or warehousing.
Strong attention to detail and accuracy.
Proficiency in Microsoft Office, especially Excel. Experience with billing software is a plus.
Excellent communication and customer service skills.
Ability to work independently and as part of a team.
Strong organizational and time-management skills.
Schedule:
Full-time, Monday - Friday (with flexibility).
$31k-55k yearly est. Auto-Apply 60d+ 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 2d ago
PIP Appeal and Litigation Adjuster
NJM Insurance Group 4.7
Claim specialist job in Hammonton, NJ
NJM's General Claims Legal department is seeking a PIP Appeal and Litigation (PAL) Adjuster who will be responsible for conducting a complete and thorough investigation on assigned claims and manage those claims through their life cycle.
Job Responsibilities:
Review, evaluate and process incoming Pre-Litigation Appeals in accordance with the PIP Internal Appeal Procedures.
Review, manage and update litigated files to maximize litigation resources and ensure legal outcomes consistent with NJM litigation strategy.
Evaluate and process all claims, settlements and awards consistent with the proper regulatory, statutory and NJM guidelines for the governing time periods.
Communicate timely and effectively with defense counsel in preparing for trial/arbitration and attend legal proceedings as appropriate.
Collaborate and communicate cross-departmentally regarding claims and appeals handling related to pending litigation.
Required Skills & Qualifications:
Minimum 3 years' experience working in a previous role dealing with PIP Regulations and Statutes
Arbitration experience is a plus
Must have strong attention to detail and ability to read, analyze and assess data
Strong written and verbal communication skills
Must be open to change and be able to rapidly adapt to new information or unexpected obstacles.
Must be able to demonstrate strong problem-solving skills and the ability to make sound decisions
Ability to multi-task
Bachelor's Degree is a plus but not required
Proficient skills in Microsoft, Word, Excel and Outlook.
Working knowledge of all or any of the following is a plus: Guidewire Claim Center, Mitchell Decision Point, OnBase Unity Client, Agile Point
Compensation: This role may be filled at PAL Adjuster, or PAL Adjuster, Senior level based on skills, experience and credentials.
PAL Adjuster: $59,744 - $75,360
PAL Adjuster, Sr: $79,129 - $91,833
Compensation: Salary is commensurate with experience and credentials.
Pay Range: $61,256-$77,255
Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.
Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.
$79.1k-91.8k yearly Auto-Apply 12d 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. 28d ago
Ambulatory Care Capacity Analyst - Jefferson Medical Group - Center City
Kennedy Medical Group, Practice, PC
Claim specialist job in Philadelphia, PA
Job Details
The Ambulatory Care Capacity Analyst provides strategic support for provider access initiatives across the Jefferson Medical Group (JMG). This role provides internal schedulers and patients a standard, comprehensive approach to appointment availability across the enterprise.
Job Description
Essential Functions:
Responsible for building, maintaining, and modifying centralized scheduling templates for all scheduling providers, including resource providers · Ensure all approved template changes follow change management procedures and protocols and align with Jefferson's template strategy guidelines
Provide impact analysis for master template changes
Report, review, and reschedule patient appointments as indicated by the Reschedule List
Collaborate with Ambulatory practice administrative and clinical leadership on template optimization through the use of Epic Cadence functionality and advise on best practices
Participate in department meetings that address patient access-related metrics
Identify potential access limiting factors and develop possible solutions for department collaboration
Monitor the effectiveness of access-related initiatives using data analysis via Qlik Reporting, Epic Reporting Workbench, and excel
Strategize operational and technical methodologies to enhance patient self-scheduling for both patients and the ambulatory practices
Present, demonstrate, and train internal staff on access and capacity strategies and initiatives
On-board providers on scheduling decision tree and open scheduling platforms
Rotate with peers for on-call schedule
Education and Experience:
High School Diploma Required; Bachelor's Degree preferred.
Epic Cadence or other Epic application certification - plus.
Minimum 2-3 years experience in an ambulatory care or IT setting preferred.
Prior scheduling template management experience preferred.
Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Jefferson University Physicians
Primary Location Address
1101 Market, Philadelphia, Pennsylvania, United States of America
Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educa tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
For more benefits information, please click here
$33k-52k yearly est. Auto-Apply 60d+ 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.
One (1) year verifiable work experience, preferably in a related capacity.
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 - Rowan Towers
CRM Residential 3.6
Claim specialist job in Trenton, NJ
Job Description
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.
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$22-24 hourly 8d ago
Associate, Wage and Hour - Disputes, Claims & Investigations
Stout 4.2
Claim specialist job in Philadelphia, PA
At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.
Associate - DCI (Disputes, Claims & Investigations), Wage & Hour
Stout is seeking an Associate with 2-5 years of experience to join our Disputes, Claims & Investigations (DCI) Wage and Hour practice. This is a full-time role offering comprehensive benefits, a 401(k), and eligibility for annual bonuses.
Stout brings deep expertise supporting clients in high-stakes business litigation and economic consulting matters. Associates work closely with experienced professionals and subject-matter experts to analyze complex data and deliver independent, thoughtful analyses.
Impact You'll Make
This role plays a critical part in delivering high-quality analytical support on complex wage and hour matters. Your work will directly contribute to successful client outcomes and the effectiveness of project teams.
Execute and support complex data analyses related to wage and hour disputes and investigations.
Contribute to the development of sound methodologies and analytical approaches that support defensible conclusions.
Help ensure projects are completed on time, within scope, and with a high standard of quality.
Build strong working relationships across project teams to drive collaboration and efficiency.
Support client-facing deliverables that clearly communicate findings and insights.
What You'll Do
These responsibilities reflect the day-to-day work required to support engagements and achieve project objectives.
Review, organize, and analyze large and complex datasets to support litigation and consulting engagements.
Support multiple concurrent projects, anticipating scope, timing, and budget considerations.
Assist in developing work plans, methodologies, and resource needs to optimize project outcomes.
Collaborate closely with team members to meet deadlines and manage competing client expectations.
Support written analyses, reports, and presentations prepared for clients and other stakeholders.
Apply creative problem-solving techniques to manage risks and address analytical challenges.
What You Bring
This section outlines the qualifications and technical skills needed to succeed in the role.
Bachelor's degree from an accredited college or university, preferably in Economics, Mathematics, or a related field.
2-5 years of experience in wage and hour consulting or a closely related field.
Working knowledge of advanced data management and analytical tools such as SAS, SQL, STATA, R, or similar platforms.
Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Access.
Strong written and verbal communication skills with the ability to present complex information clearly.
Demonstrated ability to manage multiple projects simultaneously and work effectively with cross-functional teams.
How You'll Thrive
These competencies and behaviors will help you excel and grow within Stout's collaborative culture.
Maintain flexibility and adaptability in response to changing project requirements and timelines.
Demonstrate strong organizational skills and rigorous attention to detail.
Exhibit intellectual curiosity, self-motivation, and a commitment to quality control.
Collaborate effectively with colleagues while managing competing priorities.
Uphold Stout's core values and deliver Relentless Excellence in both client service and internal teamwork.
Why Stout?
At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life.
We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve.
We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals.
Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.
Learn more about our benefits and commitment to your success.
en/careers/benefits
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job.
Stout is an Equal Employment Opportunity.
All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law.
Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.
A reasonable estimate of the current range is $74,000.00 - $135,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
$33k-39k yearly est. 5d 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 12d 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 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 10d 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. 10d 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. 3d 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
How much does a claim specialist earn in Camden, NJ?
The average claim specialist in Camden, NJ earns between $35,000 and $104,000 annually. This compares to the national average claim specialist range of $27,000 to $67,000.
Average claim specialist salary in Camden, NJ
$60,000
What are the biggest employers of Claim Specialists in Camden, NJ?
The biggest employers of Claim Specialists in Camden, NJ are: