Claims adjuster jobs in Greece, NY

New York, New York This role is Hybrid. Interested in the legal/dispute side of construction projects? CPMI is seeking Financial Forensic Claims Managers and Senior Managers. These team members will work closely with Principals of the firm in preparation and evaluation of financial construction claims on a variety of construction projects. Responsibilities include developing conclusions/opinions for contract dispute analysis and resolution, as well as technical research and oversight of team members. Capital Project Management, Inc. (CPMI) is an independent consulting firm that specializes in the analysis, resolution, and prevention of complex construction disputes with an emphasis on schedule/delay/disruption analyses and related damages calculations. CPMI has been successfully serving the construction industry for 25 years handling more than a thousand projects in virtually every type of capital construction, worldwide. Our professionals regularly address complicated multipart claims in all sectors of the construction industry - from commercial buildings, stadiums, and industrial plants to environmental projects, public works, and defense contracts. We thoroughly evaluate technical, scheduling, cost, quality, and other critical issues, develop dispute resolution strategies, assist in settlement negotiations and mediation, and provide concise, credible expert witness testimony if the case goes to trial. (***************** Responsibilities Analyze documents, identifying issues, developing chronologies, and histories. Conduct detailed technical and legal research as required. Utilize project records, including financial records to identify project costs, project overruns, or sub-activity costing. Develop databases for equipment, material, labor, change orders, etc., from project records. Utilize databases to support or contradict various project assumptions. Evaluate financial records, including financial statements, claims, and project cost records. Prepare summaries, including charts and graphics to present findings. Summarize efforts and findings in narratives, including proper grammar with minimal edits. Prepare documents, exhibits and reports for trial. Assist clients with document production, depositions and trial preparation as required. Organize, index and maintain project documents. Develop and utilize document databases. Education/Qualifications: Undergraduate degree A CPA and/or CFE certification is preferred, but others will be considered with relevant experience. Preferred Skills: Excellent communication (written and verbal), mathematical, and organizational skills Proficient knowledge of PC environment and related software including Microsoft applications such as Word, PowerPoint, and Excel Proficient in developing and analyzing dynamic spreadsheets Ability to work in a team as well as independently Ability to produce high quality work product under strict deadlines Ability to work in a high-paced, multi-task environment with attention to detail Flexibility in handling assigned tasks and engagements due to deadline and task priority changes High level of interpersonal skills High level of quantitative and qualitative research and analytical skills Hard working, eager to learn, and motivated to succeed Fluency in English required and other languages considered as a plus Benefits/Perks 401k plan with company contribution Comprehensive medical insurance Competitive market salary with performance bonus Continuing education reimbursement opportunities Capital Project Management, Inc. is an Equal Opportunity Employer. All eligible candidates are invited to apply. For more information, please visit our website at *****************

Claims Adjuster Salary :$75 K to $85 K Benefits Yes Bonus No Must-Haves 1 2-4 years of adjudicating worker's compensation and general liability claims at a high volume 2 Risk management experience 3 Associates Degree in Business, Risk Management or related field Nice-To-Haves 1 Experience managing a third party insurance agent like Traveler's insurance Job Description Are you a skilled professional with 2-4 years of experience in Worker's Compensation? We're seeking a dynamic and knowledgeable individual to join our team and make a significant impact in incident claim liability mitigation through collaborative efforts with internal and external stakeholders and managing high case loads Key Responsibilities: Conduct thorough investigations into worker's compensation claims. Assess and analyze claim information to ensure accurate and fair settlements. Collaborate with internal teams and external stakeholders for effective claims resolution. Stay updated on industry regulations and compliance standards. Provide expert guidance and support to ensure a smooth claims process. Qualifications: Associates degree in Business, Risk Management or related field is required 2-4 years of hands-on experience primarily in Worker's Compensation and General liability claims. In-depth knowledge of claim investigation and settlement processes. Familiarity with relevant laws, multi-state regulations, and industry best practices. Strong analytical and problem-solving skills. Excellent communication and interpersonal abilities. Bonus Points: Experience working at an insurance firm, especially with Travelers. What We Offer: Exciting and challenging work environment. Competitive compensation package. Opportunities for professional growth and development. Flexible work schedule Much more! If you're passionate about making a difference in Worker's Compensation and have the experience to match, we want to hear from you! Join us in ensuring a safe and fair workplace for all. Apply today by sending your resume. Let's build a safer and healthier workplace together!

CENCO is a trusted name in property claims solutions, working with leading insurance carriers to provide accurate, timely, and efficient adjusting services. We are currently seeking experienced Daily Property Claims Adjusters to handle residential and commercial claims throughout Rochester and the surrounding Western New York region. This position is ideal for independent adjusters looking for steady work and the flexibility of field-based assignments. Key Responsibilities: Conduct thorough inspections of property damage from wind, water, fire, hail, and other covered events. Document damages with detailed reports and high-quality photos. Create accurate estimates using Xactimate or Symbility. Maintain professional communication with policyholders, contractors, and insurance carriers. Manage claims efficiently and meet all required reporting deadlines. Requirements: Licensing: Active New York adjuster license is required. Software: Familiarity with Xactimate or Symbility preferred. Equipment: Reliable transportation, ladder, laptop, and standard field tools. Work Style: Self-motivated, detail-oriented, and able to work independently. Availability: Must be responsive to assignments and able to complete claims promptly. Why Join CENCO? Steady claim volume in Rochester and surrounding areas Competitive, on-time compensation Supportive internal team and efficient claims handling systems If you're an experienced adjuster looking for consistent work and the opportunity to grow with a respected industry leader, we want to hear from you!

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.

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Multi-Line Property Damage Adjuster - New York City and surrounding areas. Salary: Starting pay rate varies based upon position and location. Ask your Recruiter for details! We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Property Damage Adjuster! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, a customer's home or in a virtual estimating environment. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing boat, motorcycle, RV and other specialty claims. Qualifications & Skills: * Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits * Must have a minimum of 1 year prior auto damage or estimating experience * Willingness to be flexible with primary work location - position may require either remote or in-office work * Solid computer, mechanical aptitude, and multi-tasking skills * Effective attention to detail and decision-making skills * Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities * Minimum of high school diploma or equivalent, college degree or currently pursuing preferred Annual Salary $36.63 - $57.49 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. * Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. * Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. * Access to additional benefits like mental healthcare as well as fertility and adoption assistance. * Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? 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 Claims Adjuster, 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 Claims Adjuster 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 Claims Adjuster. 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 claims adjusting. 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 claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting 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 Claims Adjuster. 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.

Job DescriptionSalary: $55k-$65k No-Fault Claims Adjuster Our legal team is committed to providing each client with quality counsel, innovative solutions, and personalized service. Founded in 2000, the firm offers the legal expertise of its 115+ attorneys, who have accumulated experience and problem-solving skills over decades of practice. We are a vibrant, busy, and growing full-service law firm looking to increase its talented ranks of support staff by adding a No-Fault Claims Adjuster with a demonstrated interest and experience of 2-3 years working on no-fault claims in the state of New York. Successful Candidate The successful candidate must have an understanding and experience of Regulation 68 with an emphasis on regulatory time frames. Understanding of New York, No-Fault Arbitration, and the No-Fault Claims process. Must be a true team player genuinely interested in working in a supportive, collaborative team environment. The candidate must be proficient in inputting and identifying information that pertains to new claims in a timely and accurate manner. The duties of the candidate will include working with insurance companies directly to process data entry of claims, medical records, and vendor bills, process insurance claims, and refund/claim checks, and perform daily administrative functions such as answering the phone photocopying, filing, and scanning. What you'll need to have: Expertise with the ADR providers online dispute resolution platform Ability to understand medical reports and medical terminology Ability to understand legal concepts and legal terminology Understanding of worker compensation fee schedule Exceptional organizational skills Demonstrate ability to work under tight deadlines Demonstrate ability to adapt to new and changing business needs Adjuster License a PLUS Additional Information: Salary Range: $55k-$65k Benefits: Medical, Dental, 401K, PTO & Life Insurance Location: On-site in Brooklyn

This is a dynamic claims and account management position. In accordance with applicable statutes and in keeping with company rules, regulations, client guidelines and established performance objectives, this role is responsible for effectively managing to conclusion an assigned inventory of medical professional and general liability claim files that may include cases of extreme complexity or with unique or unusual issues. This position is multifaceted and includes the following primary areas of focus: Culture - Every member of the Intercare team is responsible for nurturing and promoting a healthy culture. Our culture is the most important element of our success. Intercare's culture is defined by our Core Values: • INTEGRITY: Reinforces our commitment to transparency • COLLABORATION: Strengthens our passion for customer service • ACCOUNTABILITY: Supports our actions • RESPECT: Inspires us to do the right thing • EXCELLENCE: Drives our outcomes Claims Management - This teammate will be directly responsible for claim and account management. Expectations regarding claim and account management are best described by our mission: Mission: To be the leading third-party administrator offering professional and technological resources through proactive and aggressive claims, risk and managed care solutions in support of our clients' objectives. Innovative processes and state-of-the-art technology support our people. Exceptional individuals provide the human element needed to deliver excellent service and drive excellent outcomes. Quality - The leader works closely with every member of the Intercare team to carry out our vision to promote growth: Vision: To be recognized as the most trusted and innovative partner in providing Claims and Managed Care solutions that are tailored to the specific needs of our clients. Essential Duties and Responsibilities: • Maintain a culture of positivity, respect, supportiveness, collaboration, patience, accountability and excellence. • Assist with team building ideas and events. • Lead by example and through service. • Develop and maintain strong and collaborative client relationships. • Establish prompt contact on all new losses within 24 hours of receipt of the claim, including the insured, claimant, or claimant representative, to document relevant facts surrounding the incident and obtain information relevant to analysis of liability and damages. • Thoroughly and accurately evaluate coverage on a timely basis, document coverage analysis, identify coverage issues and draft appropriate coverage letters. • Thoroughly and accurately investigate all claims and document ongoing case facts and relevant information necessary for establishing liability and damages. Perform and document ongoing analysis and evaluation and what is being done to move the case toward closure. • Litigation management - Direct, manage and control the litigation process for nationwide programs. • Assure that all assigned claims are maintained on an active 30-45-day diary and have an up-to-date plan of action outlining activities and actions anticipated for ultimately resolving the claim. • Obtain consultant and/or expert reviews for early evaluation. • Aggressively pursue contribution on multiple defendant cases or where provided by employment or independent contractor agreements and apportionment when there is shared liability. • Assure that the claim file is handled in accordance with applicable statutes, in-force service contracts and company guidelines. • Establish, monitor and adjust claim reserves in strict accordance with assigned authority levels and client claim-handling instructions. • Exhibit and maintain a courteous and helpful attitude and project a professional image on behalf of the company and client. • Respond to telephone messages and inquiries within 24 hours of receipt and to written inquiries within one week of receipt. • Travel for mediations, trials, client meetings and/or industry-related conferences. • Requires a working knowledge of medical terminology and various jurisdictional issues. • Handle other duties and tasks as deemed appropriate by the Supervisor or Manager. Competency: To perform the job successfully, an individual should demonstrate the following: • An open mind, eagerness to learn, positive attitude and healthy curiosity. • Strong communication skills, including being open and respectful of everyone, regardless of their position or role. • Flexibility and the ability to adapt to change quickly, including switching efficiently between program needs and personalities multiple times throughout the day. • Problem solving, change and conflict management, including developing workable implementation plans and recommendations, communicating changes effectively, building commitment, overcoming resistance and supporting those affected. • Leadership by example and service, including instilling confidence in yourself and others, inspiring and motivating others to perform well ethically, positively influencing others, inspiring respect and trust, accepting and growing from feedback, providing vision and inspiration, recognizing others appropriately, displaying passion and optimism, and mobilizing others to fulfill the vision. • Exceptional customer service, always going above and beyond, searching for ways to expand services, soliciting client feedback, promptly responding to requests and ensuring compliance with client contracts and service instructions. • Strong business acumen, being well spoken, poised, presenting with balanced confidence and humility, taking initiative, sparking innovation, understanding business implications, displaying profitability orientation, knowing the market and aligning work with strategic goals. • Discipline in all aspects of the position with a focus on accuracy, thoroughness and continuous improvement. • Project management skills, including developing plans, coordinating projects, staying on task, communicating changes and completing projects on time and within budget. Qualification Requirements: To perform this job successfully, an individual must, at a minimum, be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience: JD and/or RN preferred. Bachelor's degree from a four-year college or university; at least seven years of related experience and/or training; or an equivalent combination of education and experience. Requires a high degree of claims handling expertise, including at least five years managing medical professional liability cases, many with complex litigation or high potential value. Language Skills: Ability to read, analyze and interpret insurance policies, statutes, legal opinions, business periodicals, professional journals, technical procedures and governmental regulations. Ability to write complex coverage letters, reports, business correspondence, procedure manuals and correspondence to clients, colleagues and industry peers. Ability to effectively present information verbally and in writing and respond to questions from groups of managers, clients, customers and the general public. Fluent spoken and written English is required. Math Skills: Ability to add, subtract, multiply and divide in all units of measure using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent and to draw and interpret bar graphs. Reasoning Ability: Requires strong problem-solving and analytical skills. Ability to apply common-sense understanding to carry out instructions in written, oral or diagram form, and to deal with problems involving several concrete variables in standardized situations. Computer Skills: Proficiency in Word, Excel, Outlook, PowerPoint, RMIS software, RingCentral, Zoom, TEAMS, WebEx, GoToMeeting and other tele-video conferencing software and apps. Certificates and Licenses: JD and/or RN licensure preferred. Appropriate jurisdictional adjuster license required. Physical Demands: The physical demands described here are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. • Regularly required to sit. • Frequently required to use hands to finger, handle, feel, type, collate, file or lift. • Required to stand and walk. • Some lifting may exceed 10 pounds, such as luggage, collateral materials or claim files. • Required to travel by vehicle, airplane, subway and train. • Required to spend nights in hotels for out-of-town travel. Work Environment: The work environment characteristics described here are representative of those encountered while performing essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. The noise level in the work environment is usually moderate.

**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 ******************************************************** .

Division or Field Office: New York Branch Office Claims Department Work from: Home in ERIE operating footprint Salary Range: $55,261.00 - $88,274.00 * salary range is for this level and may vary based on actual level of role hired for * This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment. At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits That Go Beyond The Basics We strive to be Above all in Service to our customers-and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including: * Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. * Low contributions to medical and prescription premiums. We currently pay up to 97% of employees' monthly premium costs. * Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service. * 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. * Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave. * Career development. Including a tuition reimbursement program for higher education and industry designations. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. Position Summary Exercises independent discretion and judgement in claims handling involving complex liability issues, to include coverage issues and minor injury claims. * The selected candidate will work from home within the ERIE operating footprint, but will handle New York claims. Duties and Responsibilities * Conducts investigations, evaluate and make recommendations regarding coverage and liability. * Sets and maintains reserves. Obtains documents to establish the value of claims and negotiates settlement or declines claim. * Documents files and submits final report. * Identifies subrogation opportunities and initiates appropriate action. * Negotiates with all parties, or their representatives, within designated authority. * Completes required training. * Trains and mentors. * Travel for training may be required. The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished. This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident. Capabilities * Values Diversity * Nimble Learning * Self-Development * Collaborates * Customer Focus * Cultivates Innovation * Information Management Skills * Instills Trust * Optimizes Work Processes (IC) * Job-Specific Knowledge * Ensures Accountability * Decision Quality Qualifications Minimum Educational and Experience Requirements * High school diploma or equivalent and two years of claims or customer service experience, preferably with casualty claims, required. * Equivalent educational experience will be considered. * Associate's or Bachelor's degree, preferred. Designations and/or Licenses * Appropriate license as required by state. Physical Requirements * Lifting/Moving 0-20 lbs; Occasional ( * Lifting/Moving 20-50 lbs; Occasional ( * Ability to move over 50 lbs using lifting aide equipment; Occasional ( * Pushing/Pulling/moving objects, equipment with wheels; Occasional ( * Climbing/accessing heights; Rarely * Driving; Occasional ( * Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%)

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers . If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a claims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position, which means you'll be building relationships with customers over the phone. In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims. This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months. After that period, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office as often as you would like. You must reside within 25 miles of Progressive's Bohemia Claims office at 1 Corporate Drive, Bohemia, NY 11716 Duties & responsibilities (upon completion of training) Determine coverage Determine liability (who's at fault for the damages) Interview customers, claimants, and witnesses Partner with appraisers/estimators to manage vehicle repairs Negotiate with customers and other insurance carriers and resolve claims Additional Qualifications/Responsibilities Must-have qualifications Three years of work experience OR Bachelor's degree OR Two years work experience and an associate degree Schedule: During Onboarding (first three weeks): Monday - Friday, 8:30 AM - 5:30 PM Location: Bohemia, NY Compensation Once you complete training and pass any necessary testing requirements, your salary will range from $64,500 - $69,000/year, however, during training, you'll be paid hourly based on your annual salary Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance Benefits 401(k) with dollar-for-dollar company match up to 6% Medical, dental & vision, including free preventative care Wellness & mental health programs Health care flexible spending accounts, health savings accounts, & life insurance Paid time off, including volunteer time off Paid & unpaid sick leave where applicable, as well as short & long-term disability Parental & family leave; military leave & pay Diverse, inclusive & welcoming culture with Employee Resource Groups Career development & tuition assistance

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 Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies and other records to determine insurance coverage. + Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim. + Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. + Estimates cost of repair, replacement, or compensation. + Prepares report of findings and negotiates settlement with claimant. + Recommends litigation by legal department when settlement cannot be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required. **Experience** None. **Skills & Knowledge** + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Demonstrated commitment to timely reporting + Strong customer service skills + Strong interpersonal skills + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently or 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 and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** : + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity. **Auditory/Visual** : Hearing, vision and talking 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. 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 ($50,000 - $70,000). 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. 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**

Job Description At Community Financial System, Inc. (CFSI), we are dedicated to providing our customers with friendly, personalized, high-quality financial services and products. Our retail division, Community Bank, N.A., operates more than 200 customer facilities across Upstate New York, Northeastern Pennsylvania, Vermont and Western Massachusetts. Beyond retail banking, we also offer commercial banking, wealth management, investment management, insurance and risk management, and benefit plan administration. Just as our employees are committed to helping our customers manage their finances, we're committed to our employees. After all, they make it happen for our customers every day. To ensure our people can enjoy long and successful careers here at CFSI, we offer competitive compensation, great benefits, and professional development and advancement opportunities. As an equal-opportunity workplace and affirmative-action employer, we celebrate and support a diverse workplace for the benefit of all: our employees, customers and communities. Responsibilities We are seeking an experienced Insurance Claims Representative to join our team. The successful candidate will be responsible for managing and processing claims for personal lines insurance policies, such as home, auto, and liability insurance in addition to commercial policy holder claims. The role requires a person who is detail-oriented, empathetic, and able to work under pressure. The successful candidate will help to coordinate the claims process with internal and carrier stakeholders, providing guidance, support and information. Review and investigate personal lines claims, including property, auto and liability claims Review and interpret insurance policy language, endorsements, and exclusions to determine coverage and limitations. Communicate with policyholders, agents, brokers, underwriters, and other relevant parties to gather necessary information and documents Determine coverage and liability of claim Develop and execute a plan to resolve the claim in a timely and efficient manner Evaluate damages and negotiate settlements with claimants and other parties involved Document and maintain accurate records of claim status and updates Provide excellent customer service to policyholders and agents throughout the claims process Participate in training and development opportunities to enhance knowledge of the insurance industry and claims management Maintain proficient knowledge of, and demonstrate ongoing compliance with all laws and regulations applicable to this position, ensure ongoing adherence to policies, procedures, and internal controls, and meet all training requirements in a timely manner Qualifications High school diploma or equivalent; associate or bachelor's degree in related field preferred Minimum of 2 years experience in commercial and personal insurance claims processing Valid Property & Casualty License or willingness to obtain is required Prior experience with Epic Agency Management system is desired Strong Analytical and problem solving sills Excellent written and verbal communication skills Ability to work independently and as part of a team Proficiency in Microsoft Office and claims management software Attention to detail and strong organizational skills Knowledge of insurance laws and regulations Ability to handle confidential information with discretion Customer service experience preferred All applicants must be 18 years of age or older

The Company At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an "A" rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier. Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago. What you will do The Specialist will be responsible for the management and effective resolution of high exposure, complex liability claims in multiple jurisdictions. The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Experience handling complex commercial general liability is required. Key responsibilities * Responsible for thorough evaluation of coverage and proactive investigation, reserving, negotiating and managing the defense of complex liability claims in multiple jurisdictions. * Manage all claims in accordance with Utica National's established claim procedures. * Draft and present claim reviews to supervisor and upper management that provide full evaluation of coverage, liability and damages associated with claim, proposed plan to resolve claim and sufficient basis and support for authority requests above the Complex Liability Claims Specialist's individual monetary authority level. * Maintain timely and accurate claim reserves in accordance Utica National's reserving philosophy. * Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel's work product and working with defense counsel to efficiently and fairly resolve claims. * Participate as appropriate in litigation activities including settlement negotiations, depositions, conferences, hearings, alternative dispute resolution sessions and trials. * Maintain effective communications with insureds, claimants, agents, and other representatives involved in the claims cycle. * Achieve the service standard of "excellent" during all phases of claims handling. * Stay abreast of legal trends, case law, and jurisdictional environment and its impact on handling claims within the jurisdiction. * Responsible for analyzing and communicating changes in law, regulation, and custom to ensure consistent quality claim handling. What you need * Four year degree or equivalent experience preferred. * Minimum of 5 years of commercial casualty claims handling experience working with high complexity litigated casualty claims. * Proven experience negotiating claims and active participation in alternative dispute resolution practices. * Experience with general liability, additional insured considerations and complex coverage determinations. Licensing Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment. Salary range: $103,300 - $136,400 The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications. Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following: * Medical and Prescription Drug Benefit * Dental Benefit * Vision Benefit * Life Insurance and Disability Benefits * 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) * Health Savings Account (HSA) * Flexible Spending Accounts * Tuition Assistance, Training, and Professional Designations * Company-Paid Family Leave * Adoption/Surrogacy Assistance Benefit * Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance * Student Loan Refinancing Services * Care.com Membership with Back-up Care, Senior Solutions * Business Travel Accident Insurance * Matching Gifts program * Paid Volunteer Day * Employee Referral Award Program * Wellness programs Additional Information: This position is a full time salaried, exempt (non-overtime eligible) position. Utica National is an Equal Opportunity Employer. Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. #LI-HL1

Award Winning Toyota of Clifton Park has an immediate opening for a Licensed Body Shop Adjustor. Our shop is staffed by an amazing group of qualified and long standing technicians. Our body shop is extremely busy and we need additional help! Apply today if you have a history of success in the Collision Center repair field and want to work for an award winning dealership in the Capital District! Benefits Medical and Dental 401K Plan Paid time off and vacation Growth opportunities Paid Training Family owned and operated Long term job security Responsibilities Understand, keep up-to-date with and comply with federal, state and local regulations that affect Body Shop operations such as hazardous waste disposal. Right-to-Know and environmental updates Write and manage all estimates in the body shop from beginning to end Establish and maintain good working relationships with several insurance adjusters Present self as a role model by demonstrating leadership and commitment to the customer, dealership, and manufacturer Take the initiative to exceed customer satisfaction, even if it requires overcoming obstacles Perform multiple tasks simultaneously Prioritize work to ensure that deadlines are met Other responsibilities as assigned by dealership General Manager Qualifications Must have adjuster license High school diploma or the equivalent Proven track record of successful estimator positions Excellent communication, supervisory and managerial skills Working knowledge of body repair methods Proficient knowledge of dealership's computer systems Must have valid in-state driver's license and have and maintain an acceptable, safe driving record, and safe driving habits in order to drive both customer vehicles and a demonstrator vehicle Must be a team player with impeccable honesty and integrity Maintain a high level of professional personal appearance and conduct We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Collection Adjuster 1 - Consumer Reports To: Consumer Collection Manager Department: Retail Lending - Collections FLSA Status: Non-Exempt Purpose : The Consumer Collection Adjuster 1 is responsible for managing delinquency to acceptable levels in accordance with established Department goals and objectives. Must strictly adhere to all Bank policies and procedures, in addition to all State and Federal mandates and requirements. This position will work with borrowers in providing financial counseling and to implement structured repayment plans to bring the borrower's loan status to current and to encourage a future banking relationship. Supervisory Responsibilities : Degree of Supervision Received: Extensive Supervision Received (title): Consumer Collection Manager Degree of Supervision Given: None Supervision Given to (Titles): N/A Essential Functions : Contact delinquent borrowers to arrange for timely repayment. The majority of the contact is initiated though telephone contact. Letters and approved e-mails are other permissible contact options. A measurable goal is the expectation for borrower contact via telephone: Example - An average of 135 calls per day. Obtain updated borrower information. Verify information with each interaction. Utilize standard collection practices when attempting to located borrowers such as: skip tracing tools and techniques; approved social media outlets; and approved and authorized references and third parties. Fully, clearly and concisely document all borrower interactions and conversations. Fully disclose all collection activity. Solid knowledge of regulations governing collection activity such as, but not limited to: FDCPA, SCRA, Privacy, Fair Lending, and Identity Theft. Must ensure strict adherence is critical to avoid sanctions, fines and penalties both from a Bank and personal liability standpoint. Resolution of delinquency; NSF items; returned electronic payments; all for the purpose of reducing delinquency and avoiding losses. Creation of repayment/workout plans that are both good for and reasonable for the borrower and the Bank. Daily review of delinquent queues and borrowers to identify potential/y serious problems; to receive immediate repayment and to schedule future payments. A measurable goal is the expectation for acquiring electronic payments: Example - 200-250 per month. Define problems, collect data, establish facts. Promptly respond to all inquiries. Research borrower inquiries and resolve payment posting issues. Provide loan history information and explanations. Work closely with peers across the Bank to provide the best possible borrower experience. Develop solid working relationships with: Branches, Loan Servicing, Banking Center and Systems Analysts. Educate borrowers on the resolution process - provide assistance and alternatives, fully describe and detail eligibility for relief options: Extensions/deferments, government established relief programs, charitable organizations, and debt counseling agencies. Provide assistance to ensure the most accurate borrower information and records: Change of Address Forms, Extension/Deferment Forms, Due Date Change Requests, Authorization for Preauthorized Payments, and Repossession Request Forms. Identify potential loss situations by securing pertinent borrower information, and by analyzing financial data. Determine the probability of timely repayment - income vs debt. Proactively alert management to possible fraud situations. Formulate plans and seek approval by working closely with management. Must perform all tasks and responsibilities by working in a partnership with peers, management, Loan Servicing and Call Center teams. Values must align with working in a true team environment to consistently deliver a superior quality of service. Demonstrate the standards and principles of the Five Star Bank experience in every interaction with internal and external customers, associates, and stakeholders. Incorporate the high-performance behaviors of teamwork, leading by example, and service in every facet of work. This job description is not exhaustive. The Collection Adjuster 1 - Consumer may be required to perform other duties as assigned. Job Related Qualifications - Education and Prior Experience : Required: Education: High School Diploma or equivalent Prior Experience: 2+ years of Collection, Banking, Customer Service, Call Center, Sales, Auto Financing, Collection Agency, Law Firm, Credit Union Preferred: Education: Associate Degree in business or related field Prior Experience: 2+ years of Collection, Banking, Customer Service, Call Center, Sales, Auto Financing, Collection Agency, Law Firm, Credit Union Competencies : Strong verbal and written communication skills. Demonstrated customer service skills. Basic knowledge of the collection function. Working knowledge of Microsoft Office, Windows operating system, and Excel applications with the ability to learn new and existing Banking software. Analytical ability to interpret data and to make sound decisions and logical recommendations. Excellent negotiation skills with the ability to overcome objections. Strong organizational skills. Ability to work in a fast- paced, high volume environment with specific measurement performance goals. Follow through, accountability, integrity, empathy, accuracy, attention to detail and problem solving are required skills. Physical Requirements : Able to regularly sit for prolonged periods of time. Extensive computer usage is required. Ability to work: Evenings Occasionally Weekends Occasionally

At MVP Health Care, we're on a mission to create a healthier future for everyone which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Claims Examiner to join #TeamMVP. If you have a passion for medical claims and attention to detail this is the opportunity for you. **What's in it for you:** + Growth opportunities to uplevel your career + A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team + Competitive compensation and comprehensive benefits focused on well-being + An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work** for and one of the **Best Companies to Work For in New York** **Qualifications you'll** **bring:** + High School Diploma required. Associate degree in health, Business or related field preferred + The availability to work Full-Time, Virtual within New York State + Previous related health care experience required + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills required, Microsoft Windows experience highly desired. Strong attention to detail. + Curiosity to foster innovation and pave the way for growth + Humility to play as a team + Commitment to being the difference for our customers in every interaction **Your key responsibilities:** + Using a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess Systems. + Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + Knowledge of Facets and Macess systems strongly preferred, but not required. + Reviews and ensures the accuracy of all changes to claim line information based on information received from other departments and in accord with available benefit information. + Is responsible for the timely and accurate adjudication of claims that are suspended to other MVP departments for benefit and/or authorization determination. + Meets or exceeds department quality and work management standards for claims adjudication. + Successfully completes a course of comprehensive formal training in all areas of benefits determination, system navigation, and MVP policy. + Suspends, investigates and resolves claim issues by coordinating with appropriate departments, based on criteria set by those departments. + Handles inquiries regarding suspended claims from other departments and identifies trends in suspensions based on these inquiries and other feedback. + Keeps abreast of all benefit changes. + Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. **Where you'll be:** Virtual, Rochester or Schenectady, NY **Pay Transparency** MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. **MVP's Inclusion Statement** At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** . **Job Details** **Job Family** **Claims/Operations** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD** **Hiring Max Rate** **24 USD**

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. **Job Location (Full Address):** 905 Elmgrove Rd, Rochester, New York, United States of America, 14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500011 Patient Financial Services Work Shift: UR - Day (United States of America) Range: UR URC 206 H Compensation Range: $20.99 - $28.34 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: Performs follow-up activities designed to bring all open account receivables to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. Mentors and trains new or lower-level staff. **LOCATION** + Rochester Tech Park (RTP), Gates, NY + Remote options available after in-person training. + Occasional onsite meetings / work at RTP are required. + Remote location must be within 2 hours of RTP and within New York State. **ESSENTIAL FUNCTIONS** + Independently determines the most effective method to follow up on disputed, unpaid, underpaid, or overpaid insurance or contracted service accounts in order to bring about prompt account resolution and revenue collection from complex claims, high dollar claims, and specialized services. Identifies and resolves problems related to primary and secondary accounts which are disputed, unpaid, underpaid or overpaid. + Determines cause of problem and initiatives corrective action through reviews of electronic medical records. + Works to confer with external agencies. + Analyzes accounts and determines if correct proration of revenue has been collected, using detailed understanding and application of all payer contracts. + Contacts applicable agency, payer or department for resolution. + Decides when resubmitting efforts are complete, including writing an appeal using applicable content and supporting documentation to appropriately influence the highest level of revenue. + Acts as a resource for questions from assigned collection and billing staff on payer policies, procedures and methods of revenue collection. + Trains new staff on the use of the billing application, payer systems, and clearinghouse systems. + Demonstrates how to apply the knowledge of payer contracts and resources to resolve disputed, unpaid, underpaid, or overpaid accounts. + Provides feedback to leadership on results of training of new and existing staff. + Provides input for performance assessments based on observation, questions, and quality reviews of work performed. + Acts as area leader, when needed, including responding to payers, patients, and issues referred to the area from hospital departments or department representatives. + Researches and responds to clinical department inquiries on complex, high dollar, and specialized accounts and status of collection activities affecting departmental revenue. + Assesses if/when patients are contacted. + Resolves complex, high dollar, and specialized claim resolution issues due to coordination of benefits, eligibility issues, and authorizations. + Resolves accounts identified in third party audits involving retroactive approvals, resulting in adjustments, refunds, and subsequent secondary billing. + Researches, verifies, and/or obtains authorizations post-claim submittal. + Determines allocation of reimbursement applicable to multiple providers for global transplant payments and initiates transfer of money to each payer. + Identifies need for in-person meetings and phone conferences with third party insurance representatives due to claim and system issues requiring prompt attention for complex high dollar accounts. + Prepares information for and attends meeting with third-party insurance representatives on claims and systems issues for scheduled in-person meetings and phone conferences regarding complex high dollar claims. + Identifies and clarifies issues that require management and intervention to avoid loss of revenue. + Recommends filing of a formal complaint with the State's regulation commission or agency. + Determines when to change the account to a self-pay financial class after a review of previous efforts has not resulted in revenue collection and further attempts would not be successful without patient intervention. + Research and initiates suggestions to leadership to streamline processes and training materials. + Performs coverage for other positions as needed. Performs administrative office tasks and maintains records. Other duties as assigned. **MINIMUM EDUCATION & EXPERIENCE** + Associate's degree and 3 years of relevant experience required + Or equivalent combination of education and experience The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law. Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward. **Learn. Discover. Heal. Create.** Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals. At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.

Kaeppel Consulting is seeking a qualified Claims Support Specialist II to join our client's team in New York. This is a 6-month onsite contingent position providing administrative and claims/zone support services at the New York Branch. The role involves a variety of administrative and customer service responsibilities performed under moderate supervision, with a strong focus on accuracy, confidentiality, and delivering excellent customer service. Key Responsibilities Perform administrative support tasks such as answering phones, filing, imaging, faxing, processing/distributing mail, and assisting with vendor processes. Order office supplies and coordinate/schedule meetings. Greet and direct visitors to the appropriate personnel. Provide inbound and outbound phone support to policyholders, claimants, agents, and other customers-ensuring all inquiries are handled with a strong focus on customer service. Support claims operations during weather-related events, including CAT loss reports and other CAT response activities. Assist across multiple claim types, including material damage, property, liability, subrogation, workers compensation, medical, and litigation. Prepare, process, and maintain confidential claim file documentation on a routine basis. Conduct follow-up calls and provide additional claim support as needed. Verify policyholder information and assist in setting follow-ups for claim activity completion. Enter new loss report details and update claim documentation in systems. Qualifications Previous experience in administrative support, claims processing, or a related clerical role preferred. Strong organizational and multitasking skills. Excellent communication and customer service abilities. Ability to maintain confidentiality with sensitive information. Proficiency with office equipment and standard software applications (Microsoft Office Suite). Ability to work independently with moderate supervision. Schedule: Shift: 8:00 AM - 4:30 PM, Saturday start of week