Claims adjuster jobs in Horsham, PA - 157 jobs

We're hiring an Inter-Plan Relations Coordinator in Philadelphia for a 4+ month contract to support complex and escalated provider and member claim issues across partner health plans. Key responsibilities include: Owning partner plan inquiries end to end, ensuring timely and compliant resolution Investigating claim issues, performing root-cause analysis, and supporting reprocessing or adjustments Acting as a liaison between internal teams, providers, and partner plans Managing escalations and supporting process improvement initiatives This role is ideal for candidates with claims, BlueCard/Inter-Plan, or service operations experience.

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 The Professional Liability Adjuster is responsible for conducting office investigations and adjusting Professional Liability and Error & Omission (E&O), Employment Practices Liability Insurance (EPLI), and Directors & Officers (D&O) Liability claims. The Adjuster is also responsible for, but not limited to: Investigating losses and identifying coverage issues across Professional Liability, E&O, EPLO, and D&O lines Obtaining and reviewing evidence, reports, and medical records Establishing damages and reserves Processing payments Taking statements from insured's, claimants, and witnesses Participating in Mediations Qualifications Active attorney license with at least 5 years of professional liability experience Prior experience adjusting Professional Liability, E&O, EPLI, and D&O claims Experience with Legal Malpractice preferred Active Adjuster license is preferred Strong understanding of employment law and corporate governance as it relates to EPLI and D&O exposures Excellent written and verbal communication skills Strong organizational and computer skills Excellent time management skills with the ability to prioritize

Job DescriptionJob Title: Claims AdjusterLocation: USAHire Type: ContingentPay Range: $35.00/hour Work Type: Full-time Work Model: OnsiteWork Schedule: Monday - Friday, 8:30am - 4:30pm Recruiter Contact: Sean Craft, sean@marykraft.com Nature & Scope:Positional OverviewWe are seeking an experienced Workers' Compensation Claims Adjuster to manage mid- to high-level lost-time workers' compensation claims. This role is responsible for determining compensability and benefits due, managing reserves, coordinating return-to-work efforts, identifying subrogation opportunities, and negotiating settlements. The ideal candidate will have proven experience handling Pennsylvania and New Jersey lost-time claims and will ensure claims are adjudicated in compliance with company standards, state regulations, and industry best practices.Role & Responsibility:Tasks That Will Lead to Your Success Manage end-to-end handling of mid- and higher-level workers' compensation lost-time claims, including investigation, compensability determination, and ongoing claim administration. Develop and execute claim-specific action plans to drive timely and appropriate resolutions. Monitor and maintain reserve adequacy throughout the life of the claim. Approve and issue indemnity and medical payments in accordance with statutory and contractual requirements. Prepare and submit required documentation and filings with applicable state agencies. Ensure claim files are thoroughly documented and claims coding is accurate. Apply in-depth knowledge of Pennsylvania and New Jersey workers' compensation statutes, regulations, and case law. Prepare and file state-specific forms, including PA LIBC forms and NJ WC filings. Manage EDI submissions and resolve filing errors as needed. Accurately calculate Average Weekly Wage (AWW) and Temporary Total Disability (TTD) benefits. Apply jurisdiction-specific rules, including PA's 7-day waiting period and NJ's 7-day retroactive provisions. Coordinate medical treatment plans, utilization review, and compliance with state medical fee schedules. Apply NJ authorized provider rules and PA panel provider requirements. Manage litigated claims by working closely with defense counsel, attending hearings, and preparing testimony as needed. Demonstrate knowledge of PA's Supersedeas process and NJ's informal and formal hearing procedures. Handle complex lifetime medical and defined-period medical claims, including physician and state filings. Collaborate with employers to develop modified duty programs and facilitate early return-to-work. Identify and manage subrogation opportunities. Negotiate lump-sum settlements, including Compromise & Release (PA) and Section 32 agreements (NJ). Prepare settlement evaluations and manage Medicare compliance requirements when applicable. Maintain regular communication with injured workers, employers, medical providers, and attorneys. Provide superior customer service and professional phone etiquette. Clearly and timely document all claim activities and correspondence. Skills & ExperienceQualifications That Will Help You Thrive Minimum five (5) years of direct experience managing lost-time workers' compensation claims in both Pennsylvania and New Jersey required. Experience handling additional jurisdictions is a plus. Workers' compensation adjuster licenses preferred but not required. Strong technical expertise in lost-time indemnity claim management. Excellent analytical, organizational, and negotiation skills. Strong written and verbal communication abilities. Ability to manage a high-volume caseload independently in a remote environment. Proficient in claims management systems, EDI processing, and Microsoft Office.

**Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and resolution of claims or claims-related financial issues. The position includes moderately complex call center, administrative, operational and customer support assignments. Workload is typically semi-routine assignments along with intermediate level math computations. This is an opportunity to work remotely and use your research, resolution and customer service skills to join a Fortune 100 company with a great culture and outstanding benefits. Humana values associate engagement and well-being. We also provide excellent professional development and continued education. **The claims inbound call center is comprised of a group of calls / claims / provider** **associates researching the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in the resolution of claims. Responsibilities include: + Taking inbound calls to address customer needs which may include complex financial recovery, answering questions, and resolving issues. + Recording notes with details of inquiries, comments or complaints, transactions or interactions and taking action accordingly. + Escalation of unresolved and pending customer inquiries. + Decisions are typically focused on interpretation of area or department policy and methods for completing assignments. + Standard policies and practices allow for some opportunity for interpretation / deviation and / or independent discretion. Work is within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization and timing, and works under minimal direction. **Use your skills to make an impact** **Required Qualifications** + **1 or more years of Call Center or Telephonic customer service experience (within the past 5 years)** + **Previous healthcare related experience or education** + Basic Microsoft Office (Word, Excel, Outlook, and Teams) skills + Strong technical skills with the ability to work across multiple software systems + Self-reliance with the ability to resolve issues independently with minimum supervision + Ability to use internal system resources (i.e., Mentor) to find a resolution to an issue and/or respond to an inquiry + Demonstrated time management and prioritization skills + Ability to manage multiple or competing priorities + Capacity to maintain confidentiality working remotely out of your home **Required Work Schedule** **Training** + Virtual training starts on day one of employment and will run for the first 8 to 10 weeks with a schedule of 8:00 AM to 4:30 PM Eastern, Monday - Friday. + **Attendance is vital for your success; no time off will be allowed during training.** + The initial 180 days of employment as a Claims Research & Resolution Representative 2 constitute an appraisal period. This Appraisal Period is essential to your learning and development, which is why we ask for perfect attendance during both the classroom training and nesting periods. + This position requires learning many systems, policies, and tools, and it takes time to become proficient in the role. **You must be willing to remain in this position for a period of eighteen (18) months before applying to other Humana opportunities.** **Work Hours** + Following training, must be able to work an assigned 8-hour shift between the hours of 8:00 AM to 6:00 PM Eastern. + Overtime _may_ be offered, based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery experience + Previous experience with Mentor software + PrePay or Post Pay experience + CAS, CIS or CISPRO experience + CRM experience **Additional Information** ****PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) **** **Work at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Interview Process** As part of our hiring process for this opportunity, we will be using technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. + **Text Prescreen:** Shortly after submitting your application, you may receive both a text message and email requesting you to complete 10 to 15 prescreen questions with either yes or no answers. The text message may arrive prior to the email. If you prefer to answer via computer or tablet, wait for the email. + **Video Prescreen:** If you are successful with the text prescreen, you will receive another communication to record a Video Prescreen. This is an online video activity using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet. + **Interviews:** Some candidates will be invited to interview. If so, the recruiter will reach out to schedule. + **Offers:** Finalists from the interview will be contacted by a recruiter to discuss an offer for the job + **Note:** Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** As a Product Liability Litigation Adjuster, Risk Management, you will be responsible for managing lawsuits and overseeing outside counsel defending CVS in high exposure, product liability mass tort litigations and general liability cases filed throughout the United States. Responsibilities include: + Developing relationships with internal colleagues for fact-finding and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all aspects of product liability mass tort litigations and complex general liability cases. + Working with outside national counsel and sr. management to develop consistent litigation strategies applicable to mass tort cases filed across the country. + Providing reporting to key internal stake holders on case developments and litigation trends for product liability mass torts and other cases. + Managing large scale discovery investigations by working with internal custodians, outside counsel and vendors to develop comprehensive procedures for identifying, locating, preserving and producing corporate records. + Analyzing case and internal materials and utilizing resources across CVS to discern key issues and identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working with and overseeing outside counsel. + Participating in meetings and attending mediation and trial as necessary to oversee and assist in the defense or resolution of cases. **Required Qualifications** + 2+ years of legal experience, ideally with a law firm or as a litigation adjuster with a large self-insured company or insurance carrier. + Juris Doctor degree from an ABA accredited university. + Ability to travel and participate in legal proceedings, arbitrations, depositions, etc. **Preferred Qualifications** + Experience overseeing or defending product liability claims and litigation. + Familiarity or experience with insurance and coverage issues related to litigated claims. + Strong attention to detail and project management skills. + Experience overseeing and answering written discovery. + Ability to work independently and in an environment requiring teamwork and collaboration. + Strong written and verbal communication skills. + Demonstrated negotiation skills and ability. + Ability to articulate and summarize cases with management in a concise, cogent manner. + Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation experience and trial exposure. + 3-5 years of legal or claims experience. + Familiarity with the rules and procedures applicable to mass tort litigations, class actions, and/or multidistrict litigations. + Knowledge and experience navigating attorney-client privilege issues, corporate litigation holds, corporate witness depositions, and e-discovery. + Ability to influence and work collaboratively with senior leaders, CVS' in-house legal counsel and outside counsel. + Proficient in Microsoft applications (Word, Excel, PowerPoint, Outlook) with a proven ability to learn new software programs and systems. + Ability to positively and aggressively represent the company at mediation, arbitration and trial. + Ability to navigate difficult situations and communicate effectively with both internal and external groups. + Excellent organizational and time management skills and ability to handle a high volume of litigated claims. + Experience with and understanding of legal documents (pleadings, discovery, motions and briefs). **Education** + Verifiable Juris Doctor degree **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/03/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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.

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.

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 an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Liability Adjuster, where you'll play a crucial role in managing Complex commercial general liability claims with precision and expertise. Key Responsibilities: Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments. Review and analyze evidence, reports, and medical records to establish damages and reserves. Process payments efficiently, ensuring timely resolution of claims. Interview insureds, claimants, and witnesses to gather essential information and build strong cases. Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively. Qualifications Juris Doctor (JD) degree preferred or Bachelor's degree with prior experience adjusting liability claims and a proven track record in litigation. 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.

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 The Senior Liability Adjuster is responsible for conducting office investigations and adjusting commercial general liability claims that are largely litigated and exposures up to and over policy limits within our Major Case Unit. The Adjuster is also responsible for, but not limited to: * Handling large and catastrophic losses * Analyzing construction and other contracts * Analyzing policies of insurance * Addressing risk transfer strategies and priority of coverage * Proactive approach towards negotiating claims towards resolution * Investigating losses and identifying coverage issues * Analyzing coverage and identifying covered and uncovered claims * Assigning panel counsel to defend our insured(s) * Working with counsel to develop litigation plan to resolve underlying claim * Obtaining and reviewing evidence, reports, and medical records * Establishing indemnity and expense reserves * Processing payments * Taking statements from insured's, claimants, and witnesses Qualifications * At least 10 years of prior experience adjusting commercial general liability (CGL) and businessowners' policies (BOP) liability claims * Bachelor's degree required, Attorney license preferred * Able to understand coverage * Ability to analyze policies of insurance and relevant contracts to address priority of coverage and explore risk transfer strategies * Excellent written and verbal communication skills * Strong organizational and computer skills * Excellent time management skills with the ability to prioritize * Able to occasionally travel to hearings, mediations, trials, and conferences

The Casualty Claim Representative will be responsible for the handling of First- and Third-Party Bodily Injury and Physical Damage claims in a Personal Lines /Commercial environment for the Plymouth Rock Operation. The candidate must have the skills listed below and be able to perform the following duties: 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. * Willing to conduct investigations, interviews with insureds, witnesses and claimants while maintaining a pending of represented 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. * Have advanced skills in coverage, investigation, litigation/ legal issues, negotiations, evaluations, medical terminology, and subrogation. Handle more complex claims to include coverage issues, UM/UIM, etc.. Also, must have prior litigation handling. * Recognize and investigate subrogation potential. * Negotiate both 1st and 3rd party claims directly with injured parties 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. * Possess strong organizational skills, able to demonstrate time management, has the ability to prioritize multiple tasks/duties, and be proficient in the utilization of all claims systems, Excel, Word and social media search engines. * Have strong communication skills both verbal and written. Provide strong customer service. Prepare case summary for significant reserve increase and/or trial alerts. Participate in roundtables. * Capable of working independently without close supervision, high level of self motivation, effectively manage workload while maintaining diary and focus on claims quality. * Ability to handle multiple responsibilities and be adept at conflict resolution while working in a team environment. Work well under pressure. Able to think strategically, solve problems, set priorities, make the necessary decisions to resolve complex/regular issues/claims. * 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. * 3 - 5 years' experience handling liability and/or Personal Injury Protection claims. * 1 year of experience handling bodily injury or casualty claims. * Some litigation experience and knowledge of the New Jersey court system is preferred. * Knowledge of PA, CT or NY claims handling would be beneficial. * Currently holds and/or can readily obtain an out of State License(s) (i.e. - CT, Delaware, Florida, etc.) is preferred SALARY RANGE The pay range for this position is $58,000 to $76,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. Candidates with more senior-level experience may be considered for an elevated salary range, depending on qualifications and fit. 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". #LI-DNI #BICLMT

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Senior Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members' life events, as appropriate. Field Property Adjusters focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses within your locally assigned territory. Field Adjusters may travel outside of their local territory to respond to claims in other regions when needed. This is an hourly, non-exempt position with paid overtime available. We have a positions available for an experienced Senior Field Property Adjusters with large loss specializing in Contents for the Philadelphia, PA area. This is a field-based role for Philadelphia, PA. Also, candidate has to live withing 1 hour from the international airport. Candidates currently living in this location or willing to self-relocate are encouraged to apply. What you'll do: Proactively manages assigned claims caseload comprised of claims with moderate complexity damages that require commensurate knowledge and understanding of claims coverage. Partners with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance. Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics. Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing investigation information involving moderate complexity policy terms and contingencies. Determines and negotiates moderate complexity claims settlement. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes. Maintains accurate, thorough, and current claim file documentation throughout the claims process. Applies proficient knowledge of estimating technology platforms and virtual inspection tools; Utilizes platforms and tools to prepare claims estimates to manage moderate complexity property insurance claims. Applies working knowledge of industry standards of inspection, damage mitigation and restoration techniques. Serves as an informal resource for team members. Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations. Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours. May be assigned CAT deployment travel with minimal notice during designated CATs. Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.. What you have: High School Diploma or General Equivalency Diploma. 2 years relevant property adjusting and/or claims adjusting experience handling moderately complex claims or construction related industry/insurance experience. Developing knowledge of residential construction. Working knowledge of estimating losses using Xactimate or similar tools and platforms. Demonstrated negotiation, investigation, communication, and conflict resolution skills. Working knowledge of property claims contracts and interpretation of case law and state laws and regulations. Proficient in prioritizing and multi-tasking, including navigating through multiple business applications. May need to travel up to 50% of the year (local & non-local) and/or work catastrophe duty when needed. Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts. What sets you apart: Prior experience adjusting property claims using virtual technologies such as ClaimsXperience. Prior advanced knowledge of Xactcontents. Prior experience handling Contents only in higher severity/complex Large Loss claims Bachelor's degree Industry designations such as CPCU, AIC, SCLA Currently reside within or have the ability to self-relocate within 1 hour driving distance from Philadelphia, PA International Airport Currently hold an active Adjuster License US military experience through military service or a military spouse/domestic partner Physical Demand Requirements: May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces. May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver's license. May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car. May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics. Compensation range: The salary range for this position is: $63,590.00 - $121,530.00 USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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 Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date. Education Bachelor's degree preferred 3-5 years' experience handling the process of commercial insurance claims #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $71,900 - $97,110/year Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. For Colorado Applicants - The deadline to submit your application is: May 17, 202614400 Arch Insurance Group Inc.

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 Complex Casualty Adjuster **PRIMARY PURPOSE** **:** Handles complex, technically challenging claims on automobile, homeowner, and excess liability policies. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts claims that arise on Automobile, Homeowner and Excess Liability policies. + Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws. + Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues. + Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability. + Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims. + Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage. + Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials. + Maintains proper reserves on all pending claims. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Travel as required **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. State mandated adjusting licenses as required. Insurance designations such as CPCU, AIC, ARM preferred. **Experience** Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required. Experience with commercial lines claims and litigation in multiple states preferred. **Skills & Knowledge** + Exposure to and knowledge of affluent market segment + Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management + Excellent oral and written communication skills, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent interpersonal skills + Excellent negotiating skills + Ability to create and complete comprehensive, accurate and constructive written reports + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($85,000 - $120,000 USD annually). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

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 ***************************************** Share: mail Apply Now

This is a complex claims role responsible for end-to-end handling of small commercial Workers' Compensation claims, including high-severity and litigated matters. The position primarily supports CT, MA, NJ, PA, and RI and requires strong technical expertise and multi-jurisdiction experience. Key Responsibilities: * Investigate, evaluate, and resolve complex and litigated WC claims with accuracy and timeliness * Set and manage reserves; develop resolution strategies; negotiate settlements * Partner with defense counsel and vendors; manage litigation plans and outcomes * Ensure compliance with state statutes, regulations, and internal guidelines * Communicate effectively with insureds, brokers, medical providers, and internal stakeholders Strong Preference: * Required: Prior Workers' Compensation claims experience, including complex and litigated case handling * Proven negotiation, litigation management, and analytical skills * Excellent communication, organization, and decision-making abilities * May require state-specific claims adjuster licensing; candidates must hold (or be able to obtain and maintain) all necessary licenses for CT, MA, NJ, PA, and RI. Remote role. If you live within 50 miles of a USRM hub location, in-office presence is required twice per month. Qualifications * A Bachelors degree or equivalent business experience is required * In addition, the candidate will generally posses 5-7 years of related claims experience with 1-2 years of experience in complex claims * Demonstrated proficiency in Excel, PowerPoint as well as excellent written and verbal communication skill required About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco

Job DescriptionDescriptionQUICK FACTS: Must have Public Adjuster License Must have experience with Xactimate Must have network of Condo, Apartment, Property Management partners Must be able to physically examine all buildings top to bottom (roofs as well W2, Base Salary 70K+, and industry leading commission package We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment. Key ResponsibilitiesKey Responsibilities: Identify and pursue new business opportunities with homeowners, contractors, and referral partners. Educate prospective clients on our services and guide them through the insurance claims process. Develop and maintain a pipeline of leads through prospecting and networking efforts. Conduct presentations and training sessions to build brand awareness and establish partnerships. Provide exceptional customer service to existing clients, ensuring their satisfaction and retention. Work closely with internal teams to optimize the sales process and improve closing rates. Maintain accurate records of sales activities and client interactions. Skills, Knowledge and ExpertiseQualifications & Experience: 3+ years of proven sales experience as a licensed Public Adjuster Strong ability to generate leads, manage relationships, and close deals. Bachelor's degree in Business, Marketing, Communications, or equivalent experience. Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms. Highly organized with strong follow-through skills in a fast-paced environment. Public Adjuster license BenefitsWhat We Offer: Extensive training and support to help you succeed. Flexible work environment with opportunities for growth and career advancement. A team-oriented culture with strong leadership and professional development opportunities. If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!

**The Best Teams are Created and Maintained Here.** At BrightView, the best teams are created and maintained here. If you are searching for your next fulfilling career, picture yourself on a best-in-class team where you can grow to be your brightest. We're looking for Claims Manager. Can you picture yourself here? **Work Schedule:** 5 Days Onsite in Blue Bell, PA No Agency Resumes At This Time **Job Summary** + The Claims Manager is a key leader in the Risk Management team, responsible for overseeing all claims-related activities across Auto Liability, Workers' Compensation, and General Liability. This position manages a team of claims professionals, providing strategic oversight, TPA performance management, process improvement leadership, and claims outcome optimization. The role requires proven expertise in large deductible programs, high-volume claims management, complex and litigated claims, and workers' compensation enhancements. The Claims Manager serves as a subject matter expert and change agent, ensuring BrightView achieves strong financial results while fostering positive experiences for employees. **Duties and Responsibilities:** + Lead, mentor, and develop a team of six claims professionals, establishing performance goals and accountability measures + Oversee the end-to-end claims process for Auto, Workers' Compensation, and General Liability claims, with a focus on large claim volumes and consistent quality + Monitor and guide Third-Party Administrator (TPA) performance, ensuring alignment with BrightView's standards and cost-effectiveness + Provide expert oversight of large, complex, and litigated claims, including strategy development, reserving, and settlement approvals + Support communication and reporting with excess insurers on significant or catastrophic claims + Analyze claim trends and loss drivers to identify opportunities to improve outcomes and reduce claim frequency/severity + Develop and refine claim intake and reporting processes for field employees, improving accuracy, timeliness, and ease of use + Implement and manage change initiatives to strengthen claims oversight, efficiency, and employee outcomes + Collaborate with legal, brokers, operations, HR, and external vendors to support claim resolution and risk mitigation strategies + Ensure reserve adequacy and data integrity throughout claim lifecycles; prepare and deliver regular reporting to stakeholders + Build and maintain strong relationships with TPAs, defense counsel, brokers, and internal departments + Oversee vendor performance, including attorneys, investigators, and medical professionals, to ensure quality and cost-effectiveness **Education and Experience:** + Bachelor's degree in Business, Risk Management, or related field; Juris Doctor preferred. + Minimum 5 years of claims management experience, including Auto, GL, and Workers' Compensation + Prior Management experience overseeing a claims team + Experience in construction, landscaping, or related industries + Demonstrated expertise in large deductible programs, high-volume claim handling, complex/litigated claims, and TPA oversight + Proven record of improving workers' compensation claim outcomes for employees + Strong background in change management and process improvement, including improving field-level claim intake processes + Excellent communication and leadership skills + Advanced organizational and analytical capabilities with strong attention to detail. + Bilingual (Spanish) **Physical Demands/Requirements:** + Constant operation of a computer and other office productivity machinery, such as a calculator, photocopier, and computer printer + Position is sedentary; must be able to remain in a stationary position for a majority of the time + Operates in an office environment and requires in-person presence **Work Environment:** + Work is conducted in a professional office environment, with a collaborative and dynamic team setting, and requires in-person presence **_BrightView Landscapes, LLC is an Equal Opportunity and E-Verify Employer._** **_This job description is subject to change at any time._** **_BrightView offers a suite or health, wellness, and financial benefits to full-time team members. Benefits offerings for full-time team members include medical, dental, and vision insurance, ancillary and voluntary products, a 401k savings plan with employer contributions, and 6 to 9 company paid holidays per year. Employees may also be eligible to receive paid time off for vacation and/or sick leave, tuition reimbursement, and/or potential variable pay opportunities based on position and performance. A detailed benefits package will be provided during the interview process_** _._ _It's Not Just a Team. It's One BrightView._

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. Experienced Auto Damage Adjuster- Trenton/Marlton, NJ or Philadelphia, PA Salary: $34.60-$44.01 per hour/$69,700-$88,663 We are looking for talented Auto Damage Adjusters to join our team in Trenton/Marlton, NJ or Philadelphia, PA. As an experienced Adjuster, you should have a minimum of 12 months of Auto Damage experience and demonstrated a track record of success delivering excellent customer service while promptly and accurately settling claims. The ideal candidate will have the ability to handle complex claims using their technical and industry knowledge. Qualifications & Skills: Motor Vehicle Damage Adjuster/Appraiser's License *required - if not already licensed must be able to obtain within 90 days of hire* 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 Willingness to be flexible with primary work location - position may require either remote/field/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 Annual Salary $34.60 - $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.

Essential Job Duties and Responsibilities: To accept, contract, and handle claims as assigned. Work as many claims as possible. Assist in resolving complaints from policy holder relative to claims. Assist in investigating more complex claims. Complete Quality Control functions as assigned. Assists with other duties as necessary. Knowledge, Skills, and Abilities: Knowledge of or the ability to learn the agricultural industry, including an understanding of the kinds of crops produced in the territory; agricultural issues. Knowledge of or the ability to learn Rain and Hail's products, services and systems. Knowledge of and the ability to learn the underwriting and claim adjustment rules and regulations associated with the Multiple Peril Crop Insurance program, crop-hail program and the other insurance products offered by the company. Ability to organize and prioritize multiple tasks. Ability to work in a team oriented environment. Ability to effectively communicate and maintain business relationships with Company personnel, outside resources and customers. Ability to use the Company's terminology, procedures and systems. Ability to use department equipment. Ability to perform basic and complex mathematical calculations. Ability to drive a vehicle and maintain a valid drivers license. Ability to remain calm and professional during peak periods of activity. Ability to work from oral and written communication. Ability to maintain confidentiality. Ability to work independently. Ability to travel away from home for extended periods of time and on short notice. Willingness to relocate to another division if requested. Ability to assist in other work-related areas as required. QUALIFICATIONS ABOUT US Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.