The Casualty Claim Representative will be responsible for the handling of First- and Third-Party Bodily Injury claims in a Personal Lines/Commercial environment for the Plymouth Rock Operation.
RESPONSIBILITIES
Initiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations. These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims.
Analyze, review and interpret policies to assess coverage and liability. Provide advice to Excess and Primary coverage issues.
Conduct field investigations, interviews with insureds, witnesses and claimants while maintaining a pending of represented and unrepresented claimant cases.
Manage and direct outside vendors (Field/Counsel/Surveillance, etc.) to determine what investigation is necessary and give them direction to bring a claim to conclusion. Ensure only necessary work is completed.
Investigate cases timely so that reserves are established and maintained at proper levels. Revise reserves timely based on developments in the course of the claim.
Investigate the validity of bodily injury claims being presented by individual insureds/claimants or attorneys representing insureds/claimants. Be aware of certain “Red Flags” to identify potential fraudulent claims. Refer to SIU for investigation timely.
Handle complex claims to include coverage issues, UM/UIM, TNC, Commercial, Umbrella etc. Also, must have prior litigation handling.
Recognize and investigate subrogation potential.
Negotiate both 1st and 3rd party claims directly with injured parties and/or their attorneys.
Exercises proper judgment and decision making to analyze exposure, determine the proper course of action and make recommendations for final resolution.
Attend litigation proceedings to either represent the company or participate in arbitrations/depositions/settlement conferences/ mediations/ trials.
Attend all internal and external training events as required.
Participate in proactive team activities to achieve departmental and company objectives. May be asked to participate in special projects, committees or assignments from management.
Utilize all claims systems, Excel, Word and social media search engines.
Prepare case summary for significant reserve increase and/or trial alerts. Participate in roundtable discussions.
Effectively manage workload while maintaining diary and focus on claims quality.
Possess knowledge of and adherence to State(s) laws and regulatory claim handling guidelines and statutory regulations.
Adhere to departmental internal control requirements. Comply with Plymouth Rock's standards, best practices and ethical guidelines, adhere to Plymouth Rock's culture.
QUALIFICATIONS
A bachelor's degree (B.A.) from an accredited four-year college or university.
5 - 10 years' experience handling liability commercial, homeowners, UM/UIM, Excess/Umbrella.
In-depth knowledge of litigation, arbitration and trial process, handle out of state claims, and/or Personal Injury Protection claims.
Currently holds and/or can readily obtain an out of State License(s) (i.e. - CT, Delaware, Florida, etc.). Professional designation such as IIA, AEI, Senior Claim Law Associate (SCLA) or Chartered Property Casualty Underwriting (CPCU) or be actively working towards a designation, preferred.
High level of self-motivation.
Have advanced skills in coverage, investigation, litigation/ legal issues, negotiations, evaluations, medical terminology, and subrogation.
Strong communication, organizational, customer service and time management skills.
Excellent problem solving skills.
Possess knowledge of and adherence to State(s) laws and regulatory claim handling guidelines and statutory regulations.
SALARY RANGE
The pay range for this position is $88,00 to $112,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
PERKS & BENEFITS
4 weeks accrued paid time off + 9 paid national holidays per year, and 2 floating holidays
Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
Annual 401(k) Employer Contribution
Free onsite gym at our Woodbridge Location
Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
Robust health and wellness program and fitness reimbursements
Various Paid Family leave options including Paid Parental Leave
Tuition Reimbursement
ABOUT THE COMPANY
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
$112k yearly 1d ago
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Senior General Liability Claim Representative
CWA Recruiting
Claims adjuster job in Union, NJ
Senior General Liability Claim Representative - Property & Casualty Insurance Industry
Union County NJ
The management of accounts and the processing of claims related to litigated matters in hotels, real estate, hospitality, liquor liability, general liability, and bodily injury cases is a specialized function. This role necessitates an individual with a personality geared toward customer satisfaction. Responsibilities also include the negotiation of claims that are under litigation.
Candidates should have at least 3 to 5 years of experience in handling middle market claims and possess a college degree. A valid New York adjuster's license is essential, while licenses from other states are considered a plus.
$48k-70k yearly est. 3d ago
Claims Manager
Recruithook
Claims adjuster job in Jersey City, NJ
We are seeking an experienced Claims Manager to oversee construction-related claims. This role requires strong knowledge of NYC Labor Law and hands-on experience managing construction claims while working closely with TPAs, defense counsel, and internal leadership.
Responsibilities
Manage and review construction claims
Oversee TPAs and ensure best practices
Coordinate with defense counsel on active matters
Partner with the Head of Claims on complex cases
Qualifications
Minimum 5 years of construction claims experience
Strong NYC Labor Law knowledge
Excellent communication and organizational skills
$40k-90k yearly est. 3d ago
Litigation Claims Adjuster - CGL
Guard Insurance Group
Claims adjuster job in Parsippany-Troy Hills, NJ
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
Are you a detail-oriented insurance professional with a strong background in Commercial General Liability (CGL) and litigation handling? Join our team as a Complex Liability Adjuster, where you'll play a crucial role in managing Commercial General Liability (CGL) and Business Owners Policy (BOP) claims with precision and expertise.
Key Responsibilities:
* Investigate, evaluate, and resolve CGL and BOP claims
* Manage claims involving active litigation, working closely with legal counsel and external stakeholders.
* Analyze policy coverage, determine liability, and negotiate settlements.
* Maintain accurate documentation and ensure compliance with regulatory and company standards.
* Communicate effectively with insureds, claimants, attorneys, and internal teams.
Salary Range
$80,000.00-$115,000.00 USD
The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training.
Qualifications
* Prior experience adjusting liability claims with a proven track record in litigation, specifically involving Commercial General Liability and Business Owners Policy.
* Juris Doctor (JD) degree preferred or bachelor's degree with prior experience adjusting liability claims.
* Licensing: Active TX All Lines License, or willingness to obtain one at company's expense.
* Exceptional written and verbal communication skills.
* Strong organizational and computer skills.
* Excellent time management skills with the ability to prioritize tasks effectively.
$80k-115k yearly Auto-Apply 30d ago
Independent Insurance Claims Adjuster in Edison, New Jersey
Milehigh Adjusters Houston
Claims adjuster job in Edison, NJ
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed ClaimsAdjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed ClaimsAdjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed ClaimsAdjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claimsadjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed ClaimsAdjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$53k-69k yearly est. Auto-Apply 60d+ ago
Auto Claim Representative, I
Travelers Insurance Company 4.4
Claims adjuster job in Morristown, NJ
**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**
$55,200.00 - $91,100.00
**Target Openings**
4
**What Is the Opportunity?**
This role is eligible for a sign on bonus up to $10,000
Be the Hero in Someone's Story
When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most.
As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner.
In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process.
**What Will You Do?**
+ Provide quality claim handling of Auto claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations.
+ Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates.
+ Determine claim eligibility, coverage, liability, and settlement amounts.
+ Ensure accurate and complete documentation of claim files and transactions.
+ Identify and escalate potential fraud or complex claims for further investigation.
+ Coordinate with internal teams such as investigators, legal, and customer service, as needed.
+ Insurance License: In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
**What Will Our Ideal Candidate Have?**
+ Bachelor's Degree.
+ Three years of experience in insurance claims, preferably Auto claims.
+ Experience with claims management and software systems.
+ Strong understanding of insurance principles, terminology with the ability to understand and articulate policies.
+ Strong analytical and problem-solving skills.
+ Proven ability to handle complex claims and negotiate settlements.
+ Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.
**What is a Must Have?**
+ High School Diploma or GED required.
+ A minimum of one year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program is required.
**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 ******************************************************** .
$55.2k-91.1k yearly 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims adjuster job in Edison, NJ
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$53k-67k yearly est. Auto-Apply 6d ago
Senior Claims Examiner, New York Labor Law
Archgroup
Claims adjuster job in Jersey City, NJ
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Summary
The Claims Division is seeking a team member to join the Casualty Team as Senior Claims Examiner, New York Labor Law. In this role, the responsibilities include but not limited to actively manage a caseload and provide oversight to third-party administrator claims handlers for commercial New York Labor Law cover, liability, and damage claims.
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 strategy to resolve matters of liability and damages of a particular case
Maintain contact with the TPA claim staff, business line leader, underwriter, and defense counsel, program manager and broker
Investigate claim and review the insureds' materials, pleadings, and other relevant documents
Identify and review of 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 evaluation 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 insured, counsel, underwriters, brokers, and senior management regarding claims
Experience & Required Skills
Three to five (3-5) years of working experience with commercial accounts supporting primary and/or excess claims experience handling New York Labor Law claims
Energy Casualty, Construction and/or Rail experience is a plus
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
Ability to take part in active strategic discussions
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 25%
This position is a hybrid role with 3 days in office
Education
Bachelor's degree required; Juris Doctorate degree preferred
Proper 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.
For NYC, Jersey City: $123,400 - $150,000/year
Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.
$123.4k-150k yearly Auto-Apply 17d ago
Sr. Claims Examiner - SIU
Philadelphia Insurance Companies 4.8
Claims adjuster job in Ewing, NJ
Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.
We are looking for a Sr. Claims Examiner - SIU to join our team!
Summary:
Evaluate referred insurance claims for potential insurance fraud. Conduct thorough investigations of suspect insurance claims and policy applications. Conduct insurance fraud investigations in accordance with applicable law and determine whether suspect claims meet state reporting thresholds. Work with vendor partners to conduct relevant field investigations. Complete database investigations.
A typical day will include the following:
Review and evaluation of claims and applications referred to the SIU for possible fraud.
Conduct database investigations, including use of CLEAR, ISO and various search engines.
Assignment to and coordination with third-party field investigators. Ensure third party field investigators conduct appropriate investigations.
Review and evaluation of third-party investigator reports for thoroughness and accuracy.
Review and evaluation of completed SIU investigations for referral to state authorities, law enforcement and/or the NICB.
Work with state authorities, law enforcement and/or the NICB in prosecuting insurance fraud cases.
EEO Statement:
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Benefits:
We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
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$98k-148k yearly est. 4d ago
Senior Claims Examiner, New York Labor Law
Arch Capital Group Ltd. 4.7
Claims adjuster job in Jersey City, NJ
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Summary
The Claims Division is seeking a team member to join the Casualty Team as Senior Claims Examiner, New York Labor Law. In this role, the responsibilities include but not limited to actively manage a caseload and provide oversight to third-party administrator claims handlers for commercial New York Labor Law cover, liability, and damage claims.
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 strategy to resolve matters of liability and damages of a particular case
* Maintain contact with the TPA claim staff, business line leader, underwriter, and defense counsel, program manager and broker
* Investigate claim and review the insureds' materials, pleadings, and other relevant documents
* Identify and review of 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 evaluation 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 insured, counsel, underwriters, brokers, and senior management regarding claims
Experience & Required Skills
* Three to five (3-5) years of working experience with commercial accounts supporting primary and/or excess claims experience handling New York Labor Law claims
* Energy Casualty, Construction and/or Rail experience is a plus
* 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
* Ability to take part in active strategic discussions
* 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 25%
* This position is a hybrid role with 3 days in office
Education
* Bachelor's degree required; Juris Doctorate degree preferred
* Proper 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.
For NYC, Jersey City: $123,400 - $150,000/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.
$123.4k-150k yearly Auto-Apply 11d ago
Claims Specialist
Berkley 4.3
Claims adjuster job in Jersey City, NJ
Company Details
W. R. Berkley Corporation, founded in 1967, is one of the nation's premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers an array of coverages for virtually all classes traditionally known to have environmental liability exposures on both an admitted and non-admitted basis. We provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers' compensation, along with claim services, providing expertise to meet the unique business needs of our customers.
Company URL: *********************************
The company is an equal opportunity employer.
Responsibilities
This is a mid-level examiner position in our liability claims department. This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level generally up to $50,000.00. This position requires an understanding and knowledge of litigation management in multiple jurisdictions.
Key functions include but are not limited to the following:
Complete coverage analysis
Formulate coverage letters
Conduct the necessary investigation, either by phone, or through independent adjusters, to determine coverage, liability and damages.
Evaluate, negotiate, and settle assigned property damage or minor bodily injury claims within authority granted, or seek authority for those claims in excess of authority.
Obtain all required adjuster licenses within 180 days
Manage and direct defense counsel
Recovery/Subrogation
Communication with both internal and external business partners.
Qualifications
Bachelors Degree
5-10 years experience handling basic to complex pollution and professional, liability claims.
Understanding of the claims process
Strong negotiation skills
Some travel may be required
customer service skills;
negotiation and decision-making skills;
communication skills and a confident disposition when dealing with people;
organizational and time management skills;
the ability to think strategically;
initiative and the ability to adapt quickly to different situations;
interpersonal skills;
attention to detail and sound report-writing skills.
JD is a plus
The Company is an equal employment opportunity employer.
Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include:
• Base Salary Range: $57,000 - $115,000
• Eligible to participate in annual discretionary bonus.
• Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role
$57k-115k yearly Auto-Apply 7d ago
Sr. Claims Examiner, Medical Malpractice
Markel Corporation 4.8
Claims adjuster job in Summit, NJ
What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.
Join us and play your part in something special!
This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders. The position will have increased responsibility for decision making within their authority and work with minimal oversight and will provide training and be a technical referral point for other team members.
Responsibilities
* Handles healthcare malpractice/negligence claims including the following:
* Analyzes coverage and communicates coverage positions
* Conducts, coordinates, and directs investigation into loss facts and extent of damages
* Confirms coverage of claims by reviewing policies and documents submitted in support of claims
* Drafts coverage position letters
* Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
* Handles claims in all jurisdictions
* Handles litigated and non-litigated bodily injury claims with values up to $450,000 in all jurisdictions, managing the process from inception of the claim until conclusion, including settlement, trial, or appeal, when litigated.
* Monitors excess and reinsurance claim files with varying levels of attachment point;
* Identify losses which should be reported to SIU.
* Participates in special projects or assists other team members as requested
* Provides excellent and professional customer service to insureds while maintaining a high level of production.
* Represents Markel in mediations, as required
* Monitors trial, as required
* Sets reserves within authority or makes recommendations concerning reserve changes to manager
Education
* Bachelor's degree or equivalent work experience
* JD , advanced degree, or focused technical degree a plus
Certification
* Must have or be eligible to receive claimsadjuster license.
* Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or
* Participation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC, etc.)
Work Experience
* Minimum of 7-15 years of claims handling experience or equivalent combination of education and experience in insurance
* Successful completion of 5 years as a Claims Examiner
Skill Sets
* Excellent written and oral communication skills
* Strong analytical and problem solving skills
* Strong organization and time management skills
* Experience in negotiation, mediations, arbitrations and monitoring trials on higher value complex claims
* Ability to influence claims stakeholders and to effectively direct claims strategy
* Strong vendor management skills are required including the ability to provide direction and guidance to defense attorneys, independent adjusters, building consultants, forensic accountants and other experts while controlling expenses.
* Ability to assist with technical training to team claim handlers as required
* Well developed and advanced expertise and knowledge in most technically complex claims topics
* Policy language skills enabling accurate and consistent policy wording interpretation
* Experience in effectively following up on recommendations from technical claims audits and continuous file handling improvement.
* Ability to deliver outstanding customer service
* Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
* Ability to work in a team environment
* Strong desire for continuous improvement
US Work Authorization
US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.
Pay information:
The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary for the Sr. Claims Examiner is $78,000 - $107,250 with 15% bonus potential.
Who we are:
Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.
We're all about people | We win together | We strive for better
We enjoy the everyday | We think further
What's in it for you:
In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.
* We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life.
* All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.
* We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.
Are you ready to play your part?
Choose 'Apply Now' to fill out our short application, so that we can find out more about you.
Caution: Employment scams
Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that:
* All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings.
* All legitimate communications with Markel recruiters will come from Markel.com email addresses.
We would also ask that you please report any job employment scams related to Markel to ***********************.
Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.
Should you require any accommodation through the application process, please send an e-mail to the ***********************.
No agencies please.
$87k-125k yearly est. Auto-Apply 60d+ ago
Claims Specialist
Sales Match
Claims adjuster job in Newark, NJ
Job Title: Remote Claims Specialist
Hourly Pay: $22 -$27/hour
We are looking for a skilled Claims Specialist to join our work-from-home team. In this role, you will assist in processing and reviewing insurance claims, ensuring all necessary information is gathered, and helping resolve claims efficiently. If you have strong attention to detail and enjoy supporting customers through the claims process, this is a great opportunity for you.
Key Responsibilities:
Assist in processing insurance claims, ensuring accuracy and timely resolution
Review claims documentation, including reports, medical records, and other evidence
Communicate with claimants, insurance adjusters, and third parties to gather information
Help resolve disputes or issues with claims and escalate when necessary
Maintain detailed records of claims progress and updates
Ensure compliance with industry regulations and internal policies
Provide excellent customer service and answer inquiries related to claims
Qualifications:
Experience in insurance, claims handling, or a related field
Strong attention to detail and organizational skills
Excellent communication and customer service abilities
Ability to handle multiple claims and prioritize effectively in a remote environment
Familiarity with insurance policies and claims procedures is a plus
Must have reliable internet and a quiet, dedicated workspace
Perks & Benefits:
100% remote work flexibility
Competitive hourly pay: $22 - $27
Paid training and professional development opportunities
Flexible work hours, including evening and weekend options
Opportunities for career growth in the insurance industry
A supportive and team-oriented work environment
$22-27 hourly 60d+ ago
Claims Representative, Auto Property Damage - Independent Agent Channel
Plymouth Rock Assurance 4.7
Claims adjuster job in Parsippany-Troy Hills, NJ
The Auto Property Damage Claims Representative is responsible for managing Auto Property Damage claims within our “Auto PD Claim Unit.” This role demands a high level of customer service, patience, and professionalism while working in a fast-paced environment with significant phone interaction. Strong customer service, organizational, verbal, and written communication skills are essential. The ability to navigate adversarial situations with professionalism is critical. Comparative negligence claim handling experience is a plus but not required.
RESPONSIBILITIES
Policy Analysis:
Investigate and interpret policy provisions, endorsements, and conditions to determine coverage for automobile property claims.
Identify and investigate contested coverage claims that may require a roundtable discussion.
Claim Investigation:
Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties.
Secure and analyze pertinent records, documentation, and loss scene information to determine proximate cause, negligence, and damages.
Claims Management:
Evaluate and adjust reserves as necessary.
Prepare dispatch instructions for field personnel to inspect vehicles.
Negotiate and settle claims within individual authority limits and seek supervisor approval for claims exceeding authority or requiring additional guidance.
Maintain effective follow-up systems on pending files, advising insureds, claimants, and brokers on claim status.
Act as an intermediary between the company, preferred vendors, and customers to resolve disputes.
Ensure adherence to privacy guidelines, laws, and regulations in claims handling.
Subrogation and Legal Handling:
Investigate and initiate subrogation processes when applicable.
Handle and respond to special civil part lawsuits or intercompany arbitrations related to auto property damage claims.
Administrative Duties:
Manage a customer-focused phone environment by answering calls, returning voicemails, and responding to emails and text correspondence promptly.
Process incoming and outgoing mail timely and in accordance with state guidelines.
Complete other duties as assigned.
QUALIFICATIONS
Bachelor's degree required.
A minimum of 1 year of related PD claim experience is welcomed but not required.
Proficiency in personal computer skills, including Microsoft Office Suite.
Ability to prioritize and manage multiple tasks effectively.
Excellent communication, organizational, and customer service skills.
SALARY RANGE
The pay range for this position is $47,000 to $55,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
PERKS & BENEFITS
4 weeks accrued paid time off, 8 paid national holidays per year, and 2 floating holidays
Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
Annual 401(k) Employer Contribution
Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
Robust health and wellness program and fitness reimbursements
Various Paid Family leave options including Paid Parental Leave
Tuition Reimbursement
ABOUT THE COMPANY
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
$47k-55k yearly 3d ago
Independent Insurance Claims Adjuster in Trenton, New Jersey
Milehigh Adjusters Houston
Claims adjuster job in Trenton, NJ
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed ClaimsAdjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed ClaimsAdjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed ClaimsAdjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claimsadjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed ClaimsAdjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$53k-68k yearly est. Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims adjuster job in Trenton, NJ
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$52k-67k yearly est. Auto-Apply 7d ago
Claims Examiner, General Liability
Arch Capital Group Ltd. 4.7
Claims adjuster job in Jersey City, NJ
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Summary
The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity General Liability claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence.
Responsibilities:
* Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level
* Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution
* Review and analyze supporting damage documentation
* Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions
* Establish appropriate loss and expense reserves with documented rationale
* Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines
Experience & Qualifications
* Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word
* Knowledge of ImageRight preferred
* Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
* Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions
* Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines
* Ability to work well independently and in a team environment
* Texas ClaimAdjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas ClaimAdjuster license within six months of hire date.
Education
* Bachelor's degree preferred
* 3-5 years' experience handling the process of commercial insurance claims
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$71,900 - $97,110/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
For Colorado Applicants - The deadline to submit your application is:
May 17, 2026
14400 Arch Insurance Group Inc.
$71.9k-97.1k yearly Auto-Apply 11d ago
Independent Insurance Claims Adjuster in Bristol, Pennsylvania
Milehigh Adjusters Houston
Claims adjuster job in Bristol, PA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed ClaimsAdjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed ClaimsAdjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed ClaimsAdjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claimsadjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed ClaimsAdjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$45k-58k yearly est. Auto-Apply 60d+ ago
Claims Representative, PIP IA
Plymouth Rock 4.7
Claims adjuster job in Woodbridge, NJ
In this fast-paced role, PIP Claims Representatives adjust first party personal injury claims according to state compliance requirements and guidelines. RESPONSIBILITIES * This position will handle Personal Injury Protection claims in multiple states, including NJ and PA
* The PIP Claim Representative will receive between 3 to 5 first reports a day with a priority on patient contact, service, and claim disposition.
* Daily duties include first claim reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction.
* Maintains an effective follow-up system on pending files, prioritizes and handles multiple tasks simultaneously, adjusting to fluctuating workload, and advises injured parties as to the status of their claim.
* Investigates and interprets policy provisions and conditions to make a coverage determination.
* Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements is preferred but not necessary.
* The PIP Claim Representative must have the ability to multitask in time sensitive situations.
* Ensures that service, loss, and expense control are maintained at all times.
* Adheres to privacy guidelines, law and regulations pertaining to claims handling.
* Candidates must have strong customer service, organization, verbal and written skills and have the ability to work in a small team environment.
QUALIFICATIONS
* Recent college graduates are encouraged to apply.
* A Bachelor's degree from an accredited four-year college or university is a plus.
* Experience in other Claims areas would be beneficial
* Basic personal computer skills including working knowledge of Microsoft Office Suite products.
SALARY RANGE
The pay range for this position is $50,000 to $68,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
PERKS & BENEFITS
* 4 weeks accrued paid time off + 9 paid national holidays per year
* Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
* Annual 401(k) Employer Contribution
* Free onsite gym at our Woodbridge Location
* Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
* Robust health and wellness program and fitness reimbursements
* Various Paid Family leave options including Paid Parental Leave
* Tuition Reimbursement
ABOUT THE COMPANY
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent".
#LI-DNI
$50k-68k yearly Auto-Apply 15d ago
Senior Claims Examiner, General Liability
Arch Capital Group Ltd. 4.7
Claims adjuster job in Jersey City, NJ
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 Overview
Claims Shared Services seeks a Senior Claims Examiner responsible for managing and resolving claims with varying complexity, including Employment Practices Liability and other commercial lines. The role supports Shared Services initiatives and workflows, ensuring operational efficiency and collaboration across claims teams. Responsibilities include thorough investigation, strategic resolution planning, and partnership with internal and external stakeholders to deliver best-in-class claims handling.
Primary Job Duties & Responsibilities
* Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level
* Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution
* Review and analyze supporting damage documentation
* Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions
* Establish appropriate loss and expense reserves with documented rationale
* Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines
* Communicate effectively and timely with internal (such as underwriting) and external customers on claims and account issues
* Maintain and manage diary system to efficiently manage and resolve assigned pending
* Identify and communicate trends with senior claims and underwriting management
* Effectively draft written communications to Insureds and Claimants regarding status of claim i.e. request for information, confirmation of investigatory details and/or coverage position letters
* Mitigate claim expenses as economically as possible
* Summarize claims in excess of authority and submit rational to manager for approval
* Negotiate settlements within approved authority level, issue settlement payments and document all activities
* Identify potential subrogation and fraud opportunities and make appropriate referrals
* Support claims workflow efficiency by accurately documenting claim progress, referring high risk exposures outside authority levels and seeking opportunities that enhance operational knowledge
* Use multiple systems to gather, enter and analyze claim metric data to ensure targets are achieved
Qualifications
* Bachelor's degree required
* 5-7 years of experience handling commercial insurance claims, including Employment Practices Liability.
* Adjuster licensing in applicable states preferred; ability to obtain required licenses post-hire.
* Exceptional communication, negotiation, and interpersonal skills.
* Strong analytical, organizational, and time management abilities.
* Proficiency in Microsoft Office (Excel, PowerPoint, Word); familiarity with claims systems (e.g., ImageRight) preferred.
* Demonstrated ability to work independently and collaboratively in a team environment.
#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.
$83,600 - $113,000/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.
How much does a claims adjuster earn in Franklin, NJ?
The average claims adjuster in Franklin, NJ earns between $47,000 and $77,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.
Average claims adjuster salary in Franklin, NJ
$60,000
What are the biggest employers of Claims Adjusters in Franklin, NJ?
The biggest employers of Claims Adjusters in Franklin, NJ are: