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Claims adjuster jobs in Howell, NJ

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  • Forensic Construction Claims Manager

    Capital Project Management, Inc. (CPMI

    Claims adjuster job in New York, 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 *****************
    $37k-83k yearly est. 4d ago
  • Complex Claims Adjuster, Specialty

    Lotsolutions, Inc.

    Claims adjuster job in Iselin, NJ

    Job Description The Complex Claims Adjuster, Specialty will independently review, investigate, evaluate and resolve complex Commercial Casualty claims, while maintaining effective contact with agents, insureds, and company personnel. Minimum Qualifications: Bachelor's degree or equivalent professional education or experience required. At least 3 years' experience handling Commercial General Liability claims, New York Labor Law. Excess Liability claims, or relevant experience preferred. Skills & Competencies Required: Ability to establish close business relationships. Excellent communication skills. Analytical, decision-making and resource management skills. Strong commitment to superior client service. Strong negotiating skills. Additional Information: Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more. The anticipated salary for this position is $100,000 - $150,000 per year, based on qualifications and experience. #LI-Onsite
    $100k-150k yearly 17d ago
  • Senior Liability Adjuster - NY Labor Law

    Guard Insurance Group

    Claims adjuster job in New York, NY

    Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! * Competitive compensation * Healthcare benefits package that begins on first day of employment * 401K retirement plan with company match * Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays * Up to 6 weeks of parental and bonding leave * Hybrid work schedule (3 days in the office, 2 days from home) * Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) * Tuition reimbursement after 6 months of employment * Numerous opportunities for continued training and career advancement * And much more! Responsibilities Are you a seasoned professional with a knack for navigating complex liability claims? Join our Major Case Unit as a Senior Liability Adjuster, where you'll play a pivotal role in managing high-stakes commercial general liability claims involving litigation and exposures that exceed policy limits. Key Responsibilities: * Expertly handle large and catastrophic losses, ensuring thorough investigations and effective resolutions. * Analyze construction contracts and insurance policies to identify coverage issues and risk transfer strategies. * Proactively negotiate claims to achieve favorable outcomes for our clients. * Investigate losses with a keen eye for detail, identifying covered and uncovered claims. * Collaborate with panel counsel to develop robust litigation plans and defend our insureds. * Review evidence, reports, and medical records to build strong cases. * Establish indemnity and expense reserves with precision. * Process payments efficiently and accurately. * Conduct interviews with insureds, claimants, and witnesses to gather crucial information. Salary Range $95,000.00 - $140,000.00 USD The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. Qualifications * Minimum 10 years of prior experience adjusting CGL and BOP liability claims * At least 5 years of experience adjusting New York Labor Law claims with an exposure of $500,000 or more * Bachelor's degree required; Attorney license preferred * Ability to understand coverage * 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 * Occasional travel to hearings, mediations, trials, and conferences
    $95k-140k yearly Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims adjuster job in Lakewood, NJ

    At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
    $52k-67k yearly est. 60d+ ago
  • Financial Lines Senior Claims Specialist

    MSIG Holdings 4.1company rating

    Claims adjuster job in Warren, NJ

    MSIG USA continues to grow! MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world's top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business's unique risks. We are seeking an experienced and detail-oriented Senior Home Office Claims Analyst to join our Financial Lines Claims team. The Senior Home Office Claims Analyst will be responsible for handling complex matters, including high severity claims and class actions, from inception through resolution under Financial Lines with an emphasis on Directors & Officers (D&O), Financial Institutions Professional Liability (E&O), Pension Trust (Fiduciary), Employment Practices Liability and Fidelity policies. The team also handles other Specialty Lines such as Cyber, Political Risk & Trade Credit, Transactional and Tax claims. You will work closely with internal and external customers and stakeholders, deliver excellent customer service, analyze coverage, draft coverage letters, evaluate liability, make claim presentations, set reserves, and formulate and execute resolution strategies. The role can be located in one of the following locations: NYC, Chicago, Los Angeles, Warren, NJ and Atlanta Hybrid work environment (3 days in office) Key Responsibilities: Proactively manage claims throughout their lifecycle from initial notification through final disposition. Conduct timely and thorough investigations and analyses to determine coverage, liability and damages. Work closely with insureds, brokers, legal counsel, vendors, and other stakeholders throughout the claims process. Collaborate on claim resolution strategies. Negotiate direct and mediated settlements within designated authority limits. Prepare claim summaries and reports and make presentations. Provide feedback on claims and trends to underwriting and stakeholders. Maintain accurate and up-to-date claim files and diary system. Qualifications: Bachelor's degree required Minimum of 3 years of experience handling Financial Lines or Cyber insurance claims, litigation or other related experience. Excellent communication and interpersonal skills to deliver exceptional customer service and build and maintain customer relationships. Strong negotiation skills. Detail-oriented with an ability to independently manage a caseload and prioritize tasks and deadlines. Proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint) Ability to travel as needed. Salary: The base pay range is $110,000.00 - 185,000.00. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group! It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities.
    $110k-185k yearly 60d+ ago
  • Independent Insurance Claims Adjuster in Edison, New Jersey

    Milehigh Adjusters Houston

    Claims adjuster job in Edison, NJ

    IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE 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.
    $53k-69k yearly est. Auto-Apply 60d+ ago
  • Daily Claims Adjuster - Staten Island, NY

    Cenco Claims 3.8company rating

    Claims adjuster job in New York, NY

    CENCO is a leading provider of property claims solutions, trusted by top insurance carriers for delivering efficient, accurate, and responsive adjusting services. We are currently seeking experienced Daily Property Claims Adjusters to handle residential and commercial property claims across Staten Island and the surrounding New York City area. This opportunity is ideal for adjusters seeking steady claim volume and the flexibility of independent field work. Key Responsibilities: Conduct on-site inspections of property damage from perils such as wind, water, fire, and vandalism. Document damages thoroughly with detailed written reports and clear photographs. Prepare accurate repair estimates using Xactimate or Symbility. Maintain clear and professional communication with policyholders, contractors, and carriers. Manage each claim from inspection through submission, meeting all required deadlines. Requirements: Licensing: Must hold an active New York adjuster license. Software: Experience with Xactimate or Symbility is preferred. Equipment: Reliable vehicle, ladder, laptop, and standard field tools. Work Style: Self-driven, organized, and capable of working independently. Responsiveness: Must be available to accept and complete assignments promptly. Why Work with CENCO? Consistent daily claim volume in Staten Island and surrounding boroughs Competitive pay with reliable, on-time compensation Supportive internal team and efficient workflows If you're a qualified adjuster looking for regular work in Staten Island and want to be part of a respected industry team, we'd love to hear from you!
    $51k-65k yearly est. 60d+ ago
  • Multi-line Adjuster

    Geico 4.1company rating

    Claims adjuster job in New York, NY

    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.
    $36.6-57.5 hourly Auto-Apply 21d ago
  • Complex Claims Adjuster, Specialty

    Fortegra Financial 4.4company rating

    Claims adjuster job in Iselin, NJ

    The Complex Claims Adjuster, Specialty will independently review, investigate, evaluate and resolve complex Commercial Casualty claims, while maintaining effective contact with agents, insureds, and company personnel. Minimum Qualifications: * Bachelor's degree or equivalent professional education or experience required. * At least 3 years' experience handling Commercial General Liability claims, New York Labor Law. * Excess Liability claims, or relevant experience preferred. Skills & Competencies Required: * Ability to establish close business relationships. * Excellent communication skills. * Analytical, decision-making and resource management skills. * Strong commitment to superior client service. * Strong negotiating skills. Additional Information: Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more. The anticipated salary for this position is $100,000 - $150,000 per year, based on qualifications and experience. #LI-Onsite
    $51k-66k yearly est. 60d+ ago
  • Claims Adjusters, Examiners, and Investigators

    Mercor

    Claims adjuster job in New York, NY

    Job Description Role Overview Mercor is collaborating with a top-tier AI research group to model real-world claims workflows for property and casualty insurance. We are seeking experienced independent contractors-particularly claims adjusters, examiners, and investigators-to execute and evaluate a wide range of P&C insurance tasks. This project supports the development of AI systems capable of understanding, simulating, and automating complex insurance operations. It is a short-term, high-impact engagement ideal for professionals with strong technical and compliance knowledge. Key Responsibilities Execute full-cycle claims tasks including FNOL intake, coverage verification, reserve setting, and liability determination Simulate real-world workflows using structured tools and mock systems such as Guidewire ClaimCenter and Xactimate Review and synthesize third-party documentation including police reports, medical records, and vendor estimates Draft structured outputs such as coverage memos, repair estimates, and liability assessments Identify inconsistencies or red flags in claim statements and documentation Evaluate claim compliance, document regulatory deadlines, and assess communication quality Flag fraud indicators and recommend SIU referrals where applicable Document all work clearly for auditability and quality review Ideal Qualifications 5+ years handling property, auto, bodily injury, or general liability claims Familiarity with systems such as Guidewire, Duck Creek, Xactimate, Hyland OnBase, or FileNet Deep understanding of coverage interpretation, state compliance standards, and claims file documentation Experience reviewing third-party documentation (e.g., police reports, medical summaries, contractor estimates) Strong written communication and analytical skills More About the Opportunity Remote and asynchronous - control your own work schedule Expected commitment: min 30 hours/week Project duration: ~6 weeks Compensation & Contract Terms $100-150/hour Independent contractor arrangement Paid weekly via Stripe Connect Application Process Submit your resume followed by domain expertise interview and short form About Mercor Mercor is a talent marketplace that connects top experts with leading AI labs and research organizations Our investors include Benchmark, General Catalyst, Adam D'Angelo, Larry Summers, and Jack Dorsey Thousands of professionals across domains like insurance, law, engineering, and research partner with Mercor to shape the next era of AI
    $51k-66k yearly est. 21d ago
  • Liability Claims Adjuster III - Medical Malpractice

    Avonrisk

    Claims adjuster job in New York, NY

    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.
    $51k-66k yearly est. Auto-Apply 60d+ ago
  • Sr. Claims Analyst, Environmental Casualty

    Allied World Assurance Company 4.5company rating

    Claims adjuster job in New York, NY

    Compensation The below annualized base pay range is a broad range based on analysis of similar positions in the market. The actual base pay for the position may be above or below he listed range and determined by a number of considerations, including but now limited to complexity, location, and scope of the role, along with experience, skills, education, training, and other conditions of employment. Base salary represents one compensation of Allied World comprehensive total reward package, which may also include annual incentive compensation rewards. The salary range is flexible and will be determined according to the candidate's experience. $105,000 - $113,000 Qualifications: · Minimum of 2 years' experience handling claims. · Four-year college degree is required. Knowledge of claims, legal and coverage issues in all U.S. jurisdictions. Excellent negotiation and communication skills. Strong technical skills and writing experience. Proficient with Microsoft Office products, internet research. Ability to accurately and timely analyze coverage, draft coverage position letters and interact and collaborate with counsel regarding litigation and coverage strategies, negotiate and resolve claims and otherwise act within the scope of delegated authority. Compliance with multi-state adjuster licensing requirements. Some travel required. About Fairfax Fairfax is a holding company which, through its subsidiaries, is engaged in property and casualty insurance and reinsurance and investment management. About Allied World Allied World Assurance Company Holdings, Ltd, through its subsidiaries, is a global provider of insurance and reinsurance solutions. We operate under the brand Allied World and have supported clients, cedents and trading partners with thoughtful service and meaningful coverages since 2001. We are a subsidiary of Fairfax Financial Holdings, Limited and benefit from a strong capital base and a worldwide network of affiliated entities that allow us to think and respond in non-traditional ways. Our generous benefits package includes Health, Dental and Disability Insurance, a company match 401k plan, and Group Term Life Insurance. Allied World is an Equal Opportunity Employer. All qualified applicants will be considered for employment without consideration of any disability, veteran status or any other characteristic protected by law. To learn more, visit awac.com, or follow us on Facebook at facebook.com/alliedworld and LinkedIn at linkedin.com/company/allied-world. Location: New York, NY, New Jersey, Farmington, CT, or other Allied World office locations. Job Summary: Investigate, evaluate, and resolve claims asserted against the Company's environmental policies. Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations, and technology. Provide superior service to all customers, whether internal or external. Job Responsibilities: · Efficiently manage a vigorous load of claims involving a broad spectrum of accounts and coverages. Promptly analyze coverage, draft accurate and timely coverage positions, and manage litigation by effectively interacting with insureds, brokers, defense counsel, underwriters and other parties as required. Establish timely and appropriate reserves and regularly report claim developments and trends to claims and underwriting management. Represent Company in the resolution of claims and participate in legal proceedings, including mediations. · Work with other areas of the Company including underwriting, finance and accounting, actuarial, operations and technology on projects as requested. Prepare claim summaries and other reports as necessary for management. Prepare Executive Claim reports and present on a quarterly basis to senior executives. · Meet with existing or prospective clients and brokers. Attend relevant industry conferences/meetings.
    $105k-113k yearly Auto-Apply 60d+ ago
  • Senior Claims Adjuster

    Aspen Insurance Holdings Limited

    Claims adjuster job in Jersey City, NJ

    Since Aspen was founded in 2002, we have become a leading, diversified specialty insurance and reinsurance company. We respond thoughtfully and creatively to find the best outcomes for our clients and business partners through carefully-tailored solutions. We believe the way we work is just as important as the work we do, and we are guided by our core values of respect, honesty, trust and professionalism. Aspen is a great place to develop your career offering an exciting and challenging environment where achievement is rewarded. The work pattern for this job is Hybrid The minimum and maximum salaries for this job role are below: Minimum Salary - 97,600.00 Maximum Salary - 122,000.00 As a Senior Claims Adjuster this individual will be able to use their deep knowledge and expertise every day. You will part of a group that is be able to deliver powerful outcomes for our insureds and the Company. This will be an opportunity to learn and grow. Do you have at least 5 years' knowledge of Excess and Casualty claims and some knowledge of New York Labor Law? If so, please continue to read. The Role: This position will ensure high-quality claim handling in the US Casualty Claims Unit. Files handled by this unit include long-tail bodily injury and property damage exposures, claims arising under Primary/Excess CGL policies. The primary function is to investigate, evaluate and resolve new and existing high-profile complex claims, including Excess & Primary Casualty Claims, including but not limited to: * Product Liability exposures. * Class Action litigation and Public Nuisance litigation. * Infectious Disease and bodily injury exposure. * Manage, document, and organize all claims/ cases assigned. * Negotiate and resolve claims effectively and efficiently. * Hire and manage defense and coverage counsel, and any other external resources. * New York Labor Law. Key Accountabilities: * To evaluate and process in an accurate and timely manner, claims estimates and paid claims values in accordance with policy terms and conditions to provide the level of service and meet obligations contracted to by the company at all times. * Through the use of analytics and insights continually drive continuous improvement in the use of TPA's and third-party experts. * Contribute to, monitor, and advise on plan developments for relevancy, compliance, and optimal delivery. Manage complex claims with peers and colleagues across offices, and act as the key liaison for designated claims portfolio with various departments. * Provide expert technical support across the claims function. Develop and present recommendations to improve claims systems and processes, and foster strong relationships with brokers, third parties, and customers. * Champion collaboration with internal stakeholders to resolve issues and implement initiatives. Engage with the wider market to promote the Aspen brand and claims reputation and produce regular statistical and analytical claims information for effective monitoring. * Wider market engagement, including any applicable committee membership, to promote the Aspen brand and claims reputation. * Act as a referral point to other members of the global claims team on specific tasks or in the absence of appropriate Portfolio Head of role owner * Our Aspen Values are expected to be reflected in the delivery and performance of every role. Knowledge, Skills, & Experience: * 5+ years of a proven track record of working in a Claims environment within a specialized/complex Claims area (Excess and Casualty.) * At least 1 year of experience with New York Labor Law Claims preferred * Adjuster Licenses in most US states. (New York and Florida are required.) Texas is preferred. * Recognized qualification(s) and/or good practical knowledge of the insurance regulatory framework. * Strong commercial experience of the general insurance industry and claims trends to be able to provide expert advice and opinion where required. * Able to navigate and assimilate complex technical data applications and sources strong investigative skills. * Negotiation, influencing and collaboration skills. * Attention to detail with a track record of delivering service excellence via detailed and technical processes. * Able to work independently and in a team environment. * Proficient in MS Office applications; Word, Excel, and PowerPoint. At Aspen we know that having a diverse and inclusive workforce is good for our people, good for our business and good for the environments in which we operate. We therefore welcome applications from people which allows us to draw on diverse cultures, perspectives, skills and experiences.
    $65k-106k yearly est. 27d ago
  • Senior Claims Examiner, New York Labor Law

    Archgroup

    Claims adjuster job in Jersey City, NJ

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary The Claims Division is seeking a team member to join the Casualty Team as Senior Claims Examiner, New York Labor Law. In this role, the responsibilities include but not limited to actively manage a caseload and provide oversight to third-party administrator claims handlers for commercial New York Labor Law cover, liability, and damage claims. Responsibilities Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care Develop and implement strategy to resolve matters of liability and damages of a particular case Maintain contact with the TPA claim staff, business line leader, underwriter, and defense counsel, program manager and broker Investigate claim and review the insureds' materials, pleadings, and other relevant documents Identify and review of each jurisdiction's applicable statutes, rules, and case law Review litigation materials including depositions and expert's reports Analyze, and direct risk transfer, additional insured issues and contractual indemnity issues Retain counsel when necessary and direct counsel in accordance with resolution strategy Analyze coverage, liability and damages for purposes of assessing and recommending reserves Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter Negotiate resolution of claims Select and utilize structure brokers Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from insured, counsel, underwriters, brokers, and senior management regarding claims Experience & Required Skills Three to five (3-5) years of working experience with commercial accounts supporting primary and/or excess claims experience handling New York Labor Law claims Energy Casualty, Construction and/or Rail experience is a plus Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines Strong time management and organizational skills Ability to take part in active strategic discussions Ability to work well independently and in a team environment Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word Willing and able to travel 25% This position is a hybrid role with 2 days in office Education and Experience Bachelor's degree required; Juris Doctorate degree preferred Proper Adjuster Licensing in all applicable states #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. For NYC, Jersey City: $123,400 - $150,000/year Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. 14400 Arch Insurance Group Inc.
    $123.4k-150k yearly Auto-Apply 21d ago
  • Senior Claims Compliance Analyst

    Hiscox

    Claims adjuster job in New York, NY

    Job Type: Permanent Build a brilliant future with Hiscox Please note that this position is hybrid and requires work in office a minimum of two (2) days per week. Position can be based at our following hub office locations: Atlanta, GA Boston, MA Chicago, IL Manhattan, NY Scottsdale, AZ West Hartford, CT The US Claims Compliance and Quality Assurance team at Hiscox is a growing group of professionals with operational and technical experience. The team serves as a claims technical resource, as well as provides assistance and expertise across Hiscox by identifying and promoting claims best practices and facilitating required improvements. We foster consistency, calibration, and continuous improvement in the handling of Hiscox claims. Our team is quite diverse, and you will be able to demonstrate that you can flex your work and delivery style to accommodate different stakeholders. You'll play a critical role in safeguarding our organization from regulatory risk. This is a high-impact role suited for an experienced insurance claims compliance professional or attorney, with deep knowledge of insurance claims regulations, processes, and technology. This role is ideal for someone who can translate risk into actionable strategy and build sustainable compliance practices as Hiscox USA grows. Key Responsibilities Manage and maintain 50-state claims database Monitor legislation, DOI bulletins, court reporters/decisions, and statutory changes; manage backlog and implement targeted compliance training Develop and own controls related to Medicare, OFAC, Child Support Lien Network, and other federal protocols Partner with Claims Technical, US Legal, and IT to design controls and workflows aligned with regulatory requirements Lead US Claims response to regulatory inquiries and complaints Deliver training and legal support to internal teams and vendors Develop audit programs and dashboards to monitor compliance effectiveness Oversee/support technology-related compliance integrations Provide executive reporting, trends analysis, and regulatory insights Qualifications 10+ years of experience in claims compliance, insurance regulation, or legal operations J.D. highly desired Degree in law, risk management, or a related field; required Advanced insurance compliance certifications a plus (CPCU, CIPP, CAMS, CRCM, or similar) Scrum/PMP a plus but not required Deep understanding of claims handling regulations, Medicare protocols, and market conduct standards Experience with multiple lines of business in a 50-state claims environment Knowledge of Medicare Secondary Payer requirements and Section 111 reporting Strong research and policy writing skills Excellent collaboration, project management, and problem-solving skills Experience with regulatory audit preparation and response Compensation: $90,000-$140,000 based on experience 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. About Hiscox USA Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group. Today, Hiscox USA has a talent force of about 420 employees mostly operating out of several major cities - New York, Atlanta, Chicago, West Hartford, and Scottsdale. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism. What We Offer: 401(k) with competitive company matching Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care) Company paid group term life, short- term disability and long-term disability coverage 24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days Paid parental leave 4-week paid sabbatical after every 5 years of service Financial Adoption Assistance and Medical Travel Reimbursement Programs Annual reimbursement up to $600 for health club membership or fees associated with any fitness program Company paid subscription to Headspace to support employees' mental health and wellbeing 2024 Gold level recipient of Cigna's Healthy Workforce Designation for having a best-in-class health and wellness program Dynamic, creative and values-driven culture Modern and open office spaces, complimentary drinks Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance). #LI-AJ1 Work with amazing people and be part of a unique culture
    $90k-140k yearly Auto-Apply 13d ago
  • Senior General Liability Bodily Injury Claims Adjuster

    Argo Group International Holdings Ltd. 4.9company rating

    Claims adjuster job in New York, NY

    Argo Group International Holdings, Inc. and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions. Job Description Business Title(s): Senior Commercial General Liability Bodily Injury Claims Adjuster Employment Type: Full-Time FLSA Status: Exempt Location: In-Office Summary: We are looking for a highly capable Senior Commercial General Liability Bodily Injury Claims Adjuster to join our team and work from any one of the our offices in Albany, Chicago, Los Angeles, New York City, Omaha, Richmond (VA), Rockwood (PA), San Antonio, or Springfield (MO). This individual will report to the Director of General Liability Bodily Injury Claims who works in the Los Angeles, CA office. This role adjudicates moderately complex commercial general liability bodily injury claims and provides superb results for our clients. This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours. Essential Responsibilities: * Working under limited technical direction and within broad limits and authority, adjudicate moderately complex commercial general liability bodily injury claims, potentially with significant impact on departmental results. * Solving difficult problems that requires an understanding of a broader set of issues. * Reporting to senior management and underwriters on claims trends and developments. * Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage. * Investigating claims promptly and thoroughly, including interviewing all involved parties. * Managing claims in litigation * Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution. * Creates and reviews reserves in line with market and Argo's reserving policy * Identifying loss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management * Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution. * Preparing reports for file documentation * Applying creative solutions which result in the best financial outcome. * Negotiates in a timely and effective manner to provide cost effective solutions for the company and its customers within own limits using a range of negotiation styles. * Processing mail and prioritizing workload. * Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.). * Having an appreciation and passion for strong claim management. Qualifications / Experience Required: * Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable). * An advanced knowledge of commercial general liability bodily injury claims typically acquired through: * A minimum of five years' experience adjudicating commercial general liability bodily injury claims. * Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating general liability bodily injury beyond the minimum experience required above may be substituted in lieu of a degree. * Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims. within 120 Days. * Must work independently and demonstrate the ability to exercise sound judgment. * Must have excellent communication skills and the ability to build lasting relationships. * Excellent evaluation and strategic skills required. * Strong claim negotiation skills a must. Ability to take proactive and pragmatic approach to negotiation. * Must possess a strong customer focus. * Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines. * Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO. * Ability to regularly exercise discretion and independent judgment with respect to matters of significance. * Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis. * A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by: * Finding a way to achieve success through adversity. * Being solution (not problem) focused * Thinking with a global mindset first. * Client focus - the ability to effectively determine specific client needs and to provide value added solutions. * Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast paced environment that is evolving constantly. * Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information. * Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking. * Uses listening and questioning techniques to effectively gather information from insureds and claimants. * Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used. * Proficient in MS Office Suite and other business-related software. * Polished and professional written and verbal communication skills. * The ability to read and write English fluently is required. * Must demonstrate a desire for continued professional development through continuing education and self-development opportunities. The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package. * Albany and Chicago Pay Range: $111,400 - $132,500 * Los Angeles and New York City Pay Range: $121,500 - $144,500 PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas. If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at ************. Notice to Recruitment Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions. We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics. The collection of your personal information is subject to our HR Privacy Notice Benefits and Compensation We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
    $121.5k-144.5k yearly Auto-Apply 3d ago
  • Claims Representative, Casualty

    Plymouth Rock 4.7company rating

    Claims adjuster job in Woodbridge, NJ

    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 $61,000 to $79,000 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 * Free onsite gym at our Woodbridge Location * Resources to promote Professional Development (LinkedIn Learning and licensure assistance) * Robust health and wellness program and fitness reimbursements * Various Paid Family leave options including Paid Parental Leave * Tuition Reimbursement ABOUT THE COMPANY The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent". #LI-DNI #BICLWB
    $61k-79k yearly Auto-Apply 16d ago
  • Sr. Claims Examiner, Casualty

    Arch Capital Group Ltd. 4.7company rating

    Claims adjuster job in Jersey City, NJ

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Arch Insurance Group Inc., AIGI, has an opening in the Claims Division is seeking a Senior Claims Examiner to join the Casualty Team. In this role, the responsibilities include actively managing commercial accounts claims caseload throughout the United States. Primary Responsibilities Specific duties include but not limited to the below: * Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis * Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care * Develop and implement strategy to resolve matters of liability and damages of a particular case * Maintain contact with the business line leader, underwriter, defense counsel, program manager, and broker * Investigate claim and review the insureds' materials, pleadings, and other relevant documents * Identify and review of each jurisdiction's applicable statutes, rules, and case law * Review litigation materials including depositions and expert's reports * Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues * Retain counsel when necessary and direct counsel in accordance with resolution strategy * Analyze coverage, liability and damages for purposes of assessing and recommending reserves * Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves * Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter * Negotiate resolution of claims * Select and utilize structure brokers * Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims Qualifications * Proper adjuster licensing in all applicable states * Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Strong time management and organizational skills * Ability to take part in active strategic discussions * Ability to work well independently and in a team environment * Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word * Willing and able to travel 20% * This role is hybrid with 2 days in office Education and Experience * Bachelor's degree; Juris Doctorate degree preferred * Five (5) years of working experience with a primary and / or excess carrier supporting commercial accounts for Casualty claims; Professional Liability 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. For Jersey City, Morristown, NYC: $123,400 - $166,633/year For Hartford, Chicago, Long Island: $111,100 - $149,970/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: December 08, 2025 14400 Arch Insurance Group Inc.
    $123.4k-166.6k yearly Auto-Apply 14d ago
  • Sr. Claims Analyst, Environmental Casualty

    Awac

    Claims adjuster job in New York, NY

    Sr. Claims Analyst, Environmental Casualty - (25000048) Description Location: New York, NY, New Jersey, Farmington, CT, or other Allied World office locations. Job Summary:Investigate, evaluate, and resolve claims asserted against the Company's environmental policies. Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations, and technology. Provide superior service to all customers, whether internal or external. Job Responsibilities:· Efficiently manage a vigorous load of claims involving a broad spectrum of accounts and coverages. Promptly analyze coverage, draft accurate and timely coverage positions, and manage litigation by effectively interacting with insureds, brokers, defense counsel, underwriters and other parties as required. Establish timely and appropriate reserves and regularly report claim developments and trends to claims and underwriting management. Represent Company in the resolution of claims and participate in legal proceedings, including mediations. · Work with other areas of the Company including underwriting, finance and accounting, actuarial, operations and technology on projects as requested. Prepare claim summaries and other reports as necessary for management. Prepare Executive Claim reports and present on a quarterly basis to senior executives. · Meet with existing or prospective clients and brokers. Attend relevant industry conferences/meetings. Qualifications CompensationThe below annualized base pay range is a broad range based on analysis of similar positions in the market. The actual base pay for the position may be above or below he listed range and determined by a number of considerations, including but now limited to complexity, location, and scope of the role, along with experience, skills, education, training, and other conditions of employment. Base salary represents one compensation of Allied World comprehensive total reward package, which may also include annual incentive compensation rewards. The salary range is flexible and will be determined according to the candidate's experience. $105,000 - $113,000Qualifications:· Minimum of 2 years' experience handling claims. · Four-year college degree is required. Knowledge of claims, legal and coverage issues in all U. S. jurisdictions. Excellent negotiation and communication skills. Strong technical skills and writing experience. Proficient with Microsoft Office products, internet research. Ability to accurately and timely analyze coverage, draft coverage position letters and interact and collaborate with counsel regarding litigation and coverage strategies, negotiate and resolve claims and otherwise act within the scope of delegated authority. Compliance with multi-state adjuster licensing requirements. Some travel required. About FairfaxFairfax is a holding company which, through its subsidiaries, is engaged in property and casualty insurance and reinsurance and investment management. About Allied WorldAllied World Assurance Company Holdings, Ltd, through its subsidiaries, is a global provider of insurance and reinsurance solutions. We operate under the brand Allied World and have supported clients, cedents and trading partners with thoughtful service and meaningful coverages since 2001. We are a subsidiary of Fairfax Financial Holdings, Limited and benefit from a strong capital base and a worldwide network of affiliated entities that allow us to think and respond in non-traditional ways. Our generous benefits package includes Health, Dental and Disability Insurance, a company match 401k plan, and Group Term Life Insurance. Allied World is an Equal Opportunity Employer. All qualified applicants will be considered for employment without consideration of any disability, veteran status or any other characteristic protected by law. To learn more, visit awac. com, or follow us on Facebook at facebook. com/alliedworld and LinkedIn at linkedin. com/company/allied-world. Primary Location: US-NY-New YorkOther Locations: US-CT-Farmington, US-NJ-IselinWork Locations: New York 199 Water Street New York 10038Job: ClaimsEmployee Status:RegularJob Type:StandardJob Posting: Oct 31, 2025, 1:02:59 PMMaximum Salary113,000. 00Pay BasisYearly
    $105k-113k yearly Auto-Apply 6h ago
  • Workers Compensation Claim Adjuster (NY)

    Cannon Cochran Management 4.0company rating

    Claims adjuster job in Wall, NJ

    Workers' Compensation Claim Consultant - NY claims Schedule: Monday - Friday | 8:00 AM - 4:30 PM EST Salary Range: $68,500 - $83,000 Join a Company That Invests in You At CCMSI, we're proud to be one of the nation's largest employee-owned Third Party Administrators, specializing in self-insurance services. As a certified Great Place to Work, we offer more than a job-we offer a career path in a culture built on integrity, innovation, and collaboration. About the Role We're seeking an experienced Workers' Compensation Claim Consultant to manage a remote, multiple-account desk handling claims in New York and New Jersey. This role focuses on proactive claims management with no travel required, a structured workday, and the opportunity to work with a supportive and experienced team. Responsibilities What You'll Do Handle workers' compensation claims from start to finish in accordance with NY laws and client-specific guidelines. Manage a varied caseload across multiple accounts and industries. Set and recommend reserves within authority levels. Review and process payments, settlements, and medical/legal bills. Collaborate with attorneys, vendors, and case managers to move claims forward. Prepare timely reports on claim status, reserves, and payments. Represent CCMSI at hearings, mediations, and legal proceedings as needed (virtually). Provide outstanding service that meets our internal standards and exceeds client expectations. Qualifications What You Bring Required: 5+ years of experience adjusting New York Workers' Compensation claims. New York Adjuster's License (must be active). In-depth knowledge of New York Workers' Compensation law. Proficiency in Microsoft Office (Word, Excel, Outlook). Strong organization and communication skills. Preferred: Experience handling multi-jurisdictional workers' comp claims. Familiarity with New Jersey workers' compensation laws. Why You'll Love Working at CCMSI ✅ Employee-Owned: Share in our success through our ESOP. ✅ Time Off: 4 weeks of PTO in your first year + 10 paid holidays. ✅ Comprehensive Benefits: Medical, Dental, Vision, Life, Disability, Critical Illness, 401K, and more. ✅ Growth Opportunities: We promote from within and support your career development. ✅ Work-Life Balance: Manageable caseloads, flexible environment, no travel. Ready to elevate your career with a company that values you? Apply today and be part of a team where your expertise makes an impact. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. #CCMSICareers #RemoteWork #ClaimConsultant #NYWorkComp #InsuranceCareers #EmployeeOwned #GreatPlaceToWork #JoinOurTeam #TPACareers #WorkLifeBalance #NowHiring #LI-Remote #IND123 We can recommend jobs specifically for you! Click here to get started.
    $68.5k-83k yearly Auto-Apply 4d ago

Learn more about claims adjuster jobs

How much does a claims adjuster earn in Howell, NJ?

The average claims adjuster in Howell, NJ earns between $47,000 and $77,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.

Average claims adjuster salary in Howell, NJ

$60,000

What are the biggest employers of Claims Adjusters in Howell, NJ?

The biggest employers of Claims Adjusters in Howell, NJ are:
  1. Eac Holdings LLC
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