Claim specialist jobs in Kansas - 118 jobs

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

ESIS recognizes each risk management program is unique, and we are committed to providing consultative and innovative solutions to drive superior results. Our culture and vision enables us to effectively operate as an extension of our clients' risk management program, aligning combined goals to form a collaborative partnership. We recognize our clients' desire to do things differently, and we are confident that our integrated approach will deliver better overall results. ESIS' specialized claim intervention strategy integrates an effective deployment of resources and appropriate actions, which are essential to our success ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities seriously and are proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations. For information regarding ESIS please visit ************* Summary: ESIS is seeking an experienced Auto, General & Liability (AGL) Claims representative for the Overland Park, KS office. The person in this role will handle and maintain all AGL claims and file reviews under general supervision of a supervisor and as part of the ESIS team. KEY OBJECTIVE: Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines. MAJOR DUTIES &RESPONSIBILITIES: Duties include but are not limited to: Under limited supervision, Receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business. Contacts, interviews and obtains statements(recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal. Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract. Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Sets reserves within authority limits and recommends reserve changes to Team Leader. Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims. Settles claims promptly and equitably. Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims. Informs claimants, insureds/customers or attorney of denial of claim when applicable. Manage litigation as required. High level of technical claims knowledge and competence as evidenced by a minimum of 5 years claims handling experience in specific line of business (Auto & General Liability). Experience within a TPA environment strongly preferred. Required to obtain specific state licenses. Knowledge of coverages; along with a good understanding of applicable legal principles. Knowledge of auto liability cost containment programs and proven account management skills a must. Excellent communication, negotiation and interpersonal skills to effectively interact with all levels of an organization both internal and external. Strong analytical and problem solving ability. Demonstrated ability to provide consistent superior service to customers. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.

Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients. This is an in-office position that will work out of our Overland Park, KS office, located at 6130 Sprint Parkway, Ste 200 Overland Park, KS. A work from home option is not available. Responsibilities Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. Explain policy coverage to policyholders and third parties. Complete thorough investigations and document facts relating to claims. Determine the value of damaged items or accurately pay medical and wage loss benefits. Negotiate settlements with policyholders and third parties. Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars. Minimum Qualifications Current pursuing, or have obtained a four-year degree Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields Ability to make confident decisions based on available information Strong analytical, computer, and time management skills Excellent written and verbal communication skills Leadership experience is a plus Salary Range: $63,800 - $78,000 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team. What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy.

The Lead Claims Examiner is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of AmTrust and the Claims organization. This position will start remotely with an expectation to transition to a hybrid schedule upon opening of our Overland Park, Kansas office. Responsibilities Follows AmTrust policies and procedures in managing claims. Investigates the claim and coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured, claimant, witnesses and medical providers. Evaluates, establishes, maintains and adjusts reserves based on fact, company standard and experience. Skillfully negotiates claims, turning adverse perspectives into quick resolution. Gains trust of other parties to negotiations and demonstrates good sense of timing. Approaches discussions from merits or strengths of case. Leverages strong critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues. Establishes effective relationships with internal or assigned counsel for customized defense plan. Applies company principles and standards including planning, organizing and monitoring legal panel services and cost in partnership with internal legal counsel. Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans. Obtain medical records (past and present), police, ambulance and other agency reports as required. Provides insights and input when reviewing claims of others. May be sought out by others for advice. Writes in a clear, succinct and fact-based manner in claims files as well as in other communication. Manages mail and diary entries effectively and efficiently. Provides exceptional customer service. Performs other functional duties as requested or required. Qualifications Required: 3+ years experience as a Workers Comp adjuster MS Office experience (Work, Excel, Outlook) Effective negotiation skills Strong verbal and written communication skills Ability to prioritize work load to meet deadlines Ability to manage multiple tasks in a fast-paced environment This is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time The expected salary range for this role is $77,500-87,000 annual. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future. Not ready to apply? Connect with us for general consideration.

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

Title Claims Specialist Days - Full Time Southlake Campus / Career Interest: The Claims Specialist is responsible for accurate and timely action on accounts. This position complies with governmental and managed care rules and regulations. Meets department goals as well as productivity and quality standards. Responsibilities and Essential Job Functions * Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. * Confirms receipt of daily billing files by the claims clearing house. * Researches and resolves any claim rejections within designated timeframes. * Reports any claim rejection trends or delays to management. * Submits paper claims and supporting documentation as required by payers. * Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. * These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required. Required Education and Experience * High School Graduate or GED. Preferred Education and Experience * 2 or more years of experience working in Epic. Time Type: Full time Job Requisition ID: R-48061 Important information for you to know as you apply: * The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion. * The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link *****************************. * Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP. Need help finding the right job? We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.

Position TitleClaims SpecialistDays - Full TimeSouthlake Campus / Career Interest:The Claims Specialist is responsible for accurate and timely action on accounts. This position complies with governmental and managed care rules and regulations. Meets department goals as well as productivity and quality standards.Responsibilities and Essential Job Functions Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. Confirms receipt of daily billing files by the claims clearing house. Researches and resolves any claim rejections within designated timeframes. Reports any claim rejection trends or delays to management. Submits paper claims and supporting documentation as required by payers. Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required. Required Education and Experience High School Graduate or GED. Preferred Education and Experience 2 or more years of experience working in Epic. Time Type:Full time Job Requisition ID:R-48061Important information for you to know as you apply: The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion . The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link *****************************. Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP. Need help finding the right job? We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.

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

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

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

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

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

Employment Type: Full-time, In-Office Salary: $85,000-$105,000 base salary including meaningful equity. Steadily is hiring an Claims Adjuster who is the very best at what they do. You'll be surrounded by team members who are the best at what they do, which will just make you even better. You'll be responsible for guiding our customers through the claims process with empathy, accuracy, and speed - making sure we create a fast, easy, and effortless experience. This is a full-time, in-office position based in Overland Park, KS. What You'll Do You will learn the Steadily approach to claims handling, helping create a fast, easy, and effortless experience for our customers. Establish new claims by taking customer's First Notice of Loss Request appraisals, estimates, cause & origin reports, and various other reports to assist in the investigation of the claim Communicate with customers using their preferred channel of communication (phone, text, email, mail) Review estimates and reports and issue payments as owed under the policy contract Adjust claim files with extremely high quality, exceeding the expectations of internal/external auditor security, including ample documentation, regular diary entries, and quality application of coverage and compliance with all claims related laws and regulations Write exterior estimates with high level of accuracy and attention to detail If there is a catastrophe, you will be responsible for helping the entire team in an all-hands-on-deck approach Assist in establishing new workflows, improve existing workflows, and build claims processes Your Background Experience: You must possess at least 2 years experience adjusting P&C Insurance claims. You must possess an adjuster license. You're a property claims savant. Experience in homeowners, condo, and landlord insurance is a plus. Xactimate experience preferred. Nice to Have: You are also knowledgeable on 3rd party claims and 1st party litigation. AIC and/or ARM is a plus. Communication: You possess superior verbal and written communication skills. You can communicate concisely and diplomatically, maintaining a calm demeanor and professional communication. Insurance: Extensive knowledge of standard claims practices, estimating, claims processes, coverage application, subrogation, SIU and everything in between. Bonus if you have experience in subrogation, fraud investigation, or property damage estimating. Digital: You have above average computer skills. You're great at independently learning new software quickly and are savvy using online resources. Self-Driven: You thrive under intense pressure and can manage a large workload with minimal oversight. There is no task too small or beneath you; “that's not my job” is not in your mantra. Hungry: You want to make the leap into an earlier-stage tech company to rapidly accelerate your growth. You want to roll up your sleeves and hustle - you are not looking for a traditional 9-5 job. Project Management: As part of this role, you may be asked to assist in projects. Prior project experience is a plus. Compensation and Benefits Salary between $85,000 - $105,000 Equity in the company 3 weeks PTO plus six federal holidays Health insurance including Medical, Dental, Vision, Life, Disability, HSA, FSA 401K Free snacks & regular team lunches This position will start in 1Q 2026 Locations Overland Park, Kansas (Kansas City Metro) Relocation assistance available for out of state candidates Steadily is building a workplace environment of team members who are passionate and excited to be together in person. Our office is in Overland Park and is key to our fast-paced growth trajectory. Why Join Steadily Good company. Our founders have three successful startups under their belt and have recruited a stellar team to match. Top compensation. We pay at the top of the Kansas City market (see comp). Growth opportunity: We're an early-stage, fast-growing company where you'll wear a lot of hats and shape product decisions. Strong backing. We're growing fast, we manage over $20 billion in risk, and we're exceptionally well-funded. Culture: Steadily boasts a very unique culture that our teammates love. We call it like we see it and we're nothing if not candid. Plus, we love to have a good time. Check out our culture deck to learn what we're all about. Awards: We've been recognized both locally and nationally as a top place to work. We were named a Top 2025 Startup in Newsweek, winner of Austin Business Journal's Best Places to Work in 2025, recognized in Investopedia's Best Landlord Insurance Companies, ranked No. 6 on Inc's list of Fastest Growing Regional Companies, 44th on Forbes' 2025 Best Startup Employers list, and 63rd on the prestigious Inc 5000 Fastest Growing Companies list. We're excited to meet you!

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claim Governance Analyst to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. About the role The Claim Governance and Control team is looking to recruit a talented individual with working knowledge of commercial or personal line claim operations for the purpose of conducting claim handling or claim operational oversight audits. The primary responsibility is to perform oversight audits of functions or services provided by third parties to evaluate Service Level Agreement compliance and to identify claim handling or operational improvement opportunities. Additional duties include: Gathering of data for compliance with claim audit requests or for regulatory reporting. Completion of monthly oversight quality reviews on services provided by third party contractors or by internal claim handling teams associated with the processing of commercial or personal line claims. Generate monthly reports that are reviewed with key stakeholders that effectively capture the prior month performance. Performance below expectation results in the development of an action plan in coordination with key stakeholders. Identification of trends and improvement opportunities with follow-up to identify opportunities for new audits to evaluate performance and support claim handling performance. Assist with the collection of data to support audit or regulatory reporting requirements. This includes industry and state requests as well as collaborating with outside auditors reviewing the oversight audits. Establish and maintain effective communication with third party contractors, internal teams and state contacts to support ongoing efforts to improve performance and efficiency. Assist with the review of controls with other departments to identify potential impacts from upcoming projects. What you'll need to succeed Proven claim adjudication or claim operations experience for multi-line commercial claims. Claim Audit or file review experience is desirable. Knowledge of key regulatory and legal requirements relevant to commercial or personal line claims is a plus. Experience in claims analysis, management information and stakeholder reporting desirable. Ability to make recommendations on action and improvement plans. Excellent attention to detail. Excellent verbal and written Communication skills, ability to influence and to manage stakeholder expectations. Excellent written communication skills with ability to create consistently factual, correct, high quality audit reports and supporting documentation. Ability to address queries, disputes, challenges through the oversight audit cycle while maintaining the philosophies of the Governance Oversight control and objective. Excellent organizational skills. Ready to accelerate your career? We would love to hear from you. #LI-PA1 At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike. Enjoy benefits that take care of what matters At AIG, our people are our greatest asset. We know how important it is to protect and invest in what's most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world's most far-reaching property casualty networks. It is an exciting time to join us - across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become. Welcome to a culture of inclusion We're committed to creating a culture that truly respects and celebrates each other's talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG's greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations. AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to *********************. Functional Area: CP - ComplianceAIG Claims, Inc.

Experienced claims adjuster to adjust complex first and third-party claims involving injuries and other serious losses and claims. ESSENTIAL DUTIES & RESPONSIBILITIES · Investigate, evaluate, and conclude casualty claims of highly complex nature. Adjustment of losses in excess of $20,000 required. · Aptitude for first and third-party claims. To include but not limited to injury, property damages, homeowners and general liability claims. · Introductory understanding of negotiation and interaction with plaintiff counsel and defense counsel. · Collaborate with teammates to effectively manage/coordinate complex casualty claims. · Investigate and evaluate coverage issues. · Consistently support company, departmental, and managerial decisions through positive interpretation, application and communication of company information and policies to fellow employees, agents, and customers. · Assist in the training of claims personnel regarding casualty claims adjusting. · Perform special projects as assigned. REQUIRED SKILLS & ABILITIES · Must be coachable and learn from constructive criticism. · Must have excellent verbal and written communication skills. · Strong organizational skills required. · Sound judgement and problem-solving skills required. · Excellent computer skills required. · Ability to read, analyze, and interpret general business reports, company manuals, technical procedures, or governmental regulations. · Ability to write reports, business correspondence, and procedure manuals. · Ability to effectively present information and respond to questions from managers, clients, customers, and the general public. EDUCATION &/OR EXPERIENCE · College Bachelor's degree preferred. Consideration will be given to applicants with an associate's degree and a minimum one year work experience in the property/casualty insurance industry, and who have demonstrated a desire to learn through the completion of various IIA/CPCU or other recognized industry courses. · Continued learning through additional courses may be required by the Manager. PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, reach with hands and arms to operate computer keyboard, talk and hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.

Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients. This is an in-office position that will work out of our Overland Park, KS office, located at 6130 Sprint Parkway, Ste 200 Overland Park, KS. A work from home option is not available. Responsibilities Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. Explain policy coverage to policyholders and third parties. Complete thorough investigations and document facts relating to claims. Determine the value of damaged items or accurately pay medical and wage loss benefits. Negotiate settlements with policyholders and third parties. Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars. Minimum Qualifications Current pursuing, or have obtained a four-year degree Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields Ability to make confident decisions based on available information Strong analytical, computer, and time management skills Excellent written and verbal communication skills Leadership experience is a plus Salary Range: $63,800 - $78,000 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team. What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy. We can recommend jobs specifically for you! Click here to get started.

This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various departments across the enterprise, including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims, and Medical Policy. The person in this position must fully understand all product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. **ESSENTIAL RESPONSIBILITIES** + Coordinate, analyze, and interpret the benefits and claims processes for the department. + Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special handling claims. Communicate benefit explanations clearly and concisely to all pertinent parties. + Investigate benefit/claim information and provide technical guidance to clinical and claims staff regarding the final adjudication of complex claims. Research and investigate conflicting benefit structures in multi-payor situations. + Provide prompt, thorough and courteous replies to written, electronic and telephonic inquiries from internal/external customers (e.g., clinical, sales/marketing, providers, vendors, etc.) Follow-up on all inquiries in accordance with corporate and regulatory standards and timeframes. + Must have the ability to apply knowledge about the business operations of the area within the defined scope of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim processing inaccuracies. Bring trends to the attention of management. + Assist with handling inbound calls and strive to resolve customer concerns received via telephone or written communication. + Work independently of support, frequently utilizing resources to resolve customer inquiries. + Collaborate with Clinical Strategy, Sales/Client Management and other areas across the enterprise to respond to client questions and concerns about care/case management and high-cost claimants. + Gather information and develop presentation/training materials for support and education. + Other duties as assigned or requested. **EDUCATION** **Required** + High School or GED **Substitutions** + None **Preferred** + Associate's degree in or equivalent training in Business or a related field **EXPERIENCE** **Required** + 3 years of customer service, health insurance benefits and claims experience. + Working knowledge of Highmark products, systems (e.g., customer service and clinical platforms, knowledge resources, etc.), operations and medical policies + PC Proficiency including Microsoft Office Products + Ability to communicate effectively in both verbal and written form with all levels of employees **Preferred** + Working knowledge of medical procedures and terminology. + Complex claim workflow analysis and adjudication. + ICD9, CPT, HPCPS coding knowledge/experience. + Knowledge of Medicare and Medicaid policies **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services + Knowledge of administrative and clerical procedures and systems such as managing files and records, designing forms and other office procedures + The ability to take direction, to navigate through multiple systems simultaneously + The ability to interact well with peers, supervisors and customers + Understanding the implications of new information for both current and future problem-solving and decision-making + Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate and not interrupting at inappropriate times + Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems + Ability to solve complex issues on multiple levels. + Ability to solve problems independently and creatively. + Ability to handle many tasks simultaneously and respond to customers and their issues promptly. **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $21.53 **Pay Range Maximum:** $32.30 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. 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Will be filled at the appropriate level based on experience Are you looking for an exciting career where you can directly impact someone's life? We are seeking a service-minded individual to join our Catastrophe (CAT) Claims team! Who We Are: With Farm Bureau Financial Services, our client/members can feel confident knowing their family, home, cars, and other property are protected. We value a culture where integrity, teamwork, passion, service, leadership, and accountability are at the heart of every decision we make and every action we take. We're proud of our more than 80-year commitment to protecting the livelihoods and futures of our client/members and creating an atmosphere where our employees thrive. What You'll Do: As a Catastrophe Claims Representative, you will be responsible for immediate response to CAT storm events to investigate, evaluate, and negotiate property claim assignments involving homeowner, farm, and commercial risks. In this role, you will represent Farm Bureau in the field and must keep a service-oriented attitude by maintaining professional and productive relationships with coworkers, supervisors, agents, policyholders, and others. You will focus on accurately documenting investigations, evaluations, recommendations and plans of action with results focused on developing a defendable claims file. You must be able to effectively negotiate with client/members and contractors in a professional manner to attain a fair settlement. When called to storm events covering our 8-state territory (KS, NE, IA, MN, SD, AZ, NM, UT), you will be deployed for up to three weeks. During non-storm periods, you will be assisting our business units manage claims by reviewing and paying replacement cost claims or following up on pending storm losses, as well as focusing on your personal development and training. What It Takes to Join Our Team: * College degree or equivalent plus 3+ years of relevant experience required. * Working knowledge of construction and estimating systems (Xactimate) is preferred. * Excellent verbal and written communication, including the ability to negotiate effectively and present yourself in a professional manner. * Must possess excellent interpersonal and organizational skills, as well as analytical ability. * Strong computer skills are required in order to quickly learn our multiple systems. * A valid driver's license and satisfactory Motor Vehicle Records are required, as this position includes a company paid vehicle. * Travel may be as high as 90% to effectively handle catastrophe claims in the field. * Must maintain on-call availability with the ability to deploy at any time, with the potential for being out for extended periods including weekends. * Must be able to climb onto ladders, roofs, and other structures to inspect damage and lift a minimum of 75 pounds. * Progress towards industry education outlined in career development path is expected. What We Offer You: When you're on our team, you get more than a great paycheck. You'll hear about career development and educational opportunities. We offer an enhanced 401K with a match, low-cost health, dental, and vision benefits, and life and disability insurance options. We also offer paid time off, including holidays and volunteer time, and teams who know how to have fun. Add to that an onsite wellness facility with fitness classes and programs, a daycare center, a cafeteria, and for many positions, even consideration for a hybrid work arrangement. Farm Bureau....where the grass really IS greener! If you're interested in joining a company that appreciates employees, provides growth and professional development opportunities, and offers great benefits, we invite you to apply today! Work Authorization/Sponsorship: At this time, we are not considering candidates that need any type of immigration sponsorship now or in the future, such as additional or permanent work authorization. Applicants must be currently authorized to work in the United States on a full-time, permanent basis. We are not able to sponsor now or in the future, or take over sponsorship of, an employment visa or work authorization for this role. For example, we are not considering candidates with OPT status.

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