Network Adjusters is seeking experienced General Liability and/or Construction Defect ClaimsAdjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of third-party construction defect claims, including property damage and liability exposures, while delivering consistent, high-quality claims management in alignment with industry best practices.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Construction Defect ClaimsAdjusters are responsible for managing complex third-party claims related to construction projects from inception through closure. Claims may include third-party property damage, bodily injury, and other specialized construction-related exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, determine coverage, negotiate settlements, and handle litigated matters as needed while maintaining clear, professional communication with all involved parties.
Adjusters routinely conduct site inspections, gather statements from claimants, witnesses, and contractors, coordinate with external experts, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role.
Responsibilities
Apply in-depth knowledge of General Liability and Construction Defect claims to manage complex third-party property damage, bodily injury, and related losses
Deliver high-quality customer service to insureds, claimants, carrier clients, and internal stakeholders
Review and analyze coverage by applying policy conditions, provisions, exclusions, and endorsements, and address jurisdictional considerations such as negligence laws, immunity, and financial responsibility limits
Investigate claims to determine liability and potential sources of recovery by contacting, interviewing, and coordinating with appropriate parties and external experts
Effectively manage litigated claims, including coordination with defense and coverage counsel
Establish, document, and maintain appropriate claim and expense reserves in a timely manner
Develop and execute plans of action for claim resolution, including diary management and timely follow-up
Determine settlement values using independent judgment, applicable limits, and deductibles, and negotiate settlements within assigned authority
Draft denial letters, reservation of rights, tenders, and other routine or complex claim correspondence
Identify and pursue subrogation opportunities when applicable
Prepare client-specific reports and detailed claim analyses, and consult with senior technical staff to ensure proper file handling
Document all claim activity in accordance with established procedures and Best Practices
Ensure compliance with all state-specific regulatory requirements and quality standards
Manage multiple competing priorities to ensure timely payments, follow-up, and claim resolution
Qualifications
2-5 years of claims handling experience, preferably in third-party General Liability and/or Construction Defect
College or technical degree, or equivalent relevant business experience
Ability to obtain and maintain required adjuster licenses, including completion of continuing education
Strong analytical, investigative, decision-making, and negotiation skills, with the ability to manage conflict effectively
Excellent verbal and written communication skills, with a customer-focused and empathetic approach
Strong organizational and time management skills with the ability to multitask in a fast-paced environment
High attention to detail, accuracy, confidentiality, and sound judgment
Proficiency in MS Word, Outlook, Excel, and standard business software
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: $75,000-$100,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Denver, CO (On-site)
Remote opportunities may be available for experienced candidates who meet all required criteria.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$75k-100k yearly 3d ago
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Claims Specialist
Veriant Solutions
Claims adjuster job in Denver, CO
You know how 811 exists so construction crews can call before they dig? Yeah… well… a shocking number of people don't.
Which results in:
Cut fiber lines
Blacked-out cable service
Angry customers
Insurance companies saying “Hard pass.”
And YOU our future hero stepping in to save the day.
What You'll Do:
Call contractors who definitely know they should've called 811
Explain, politely, why slicing through a fiber line is, in fact, a billable oopsie
Negotiate payment like a diplomatic bulldozer
Deal with damagers who have mastered the ancient art of delay
Keep things professional, even when you hear “But we didn't hit anything important!”
Update records, track claims, and celebrate every time you recover damage $ for our clients
What You Bring:
Can keep a straight face when someone says “There wasn't a line there yesterday.”
Enjoy solving problems with equal parts logic and sarcasm (light sarcasm)
Don't mind delivering tough news, but can do it in a friendly “let's figure this out together” way
Are organized enough to juggle multiple claims without losing their cool
Can charm a contractor and an insurance adjuster in the same day
Schedule:
Early bird gets the worm (7:00am - 3:30pm EST, with lunch break)
A couple days in our cool, office
A couple days remote
Base + robust commission program $100K total comp after 6 months.
$32k-51k yearly est. 1d ago
Senior Claims Specialist
Bitco Insurance Companies 3.5
Claims adjuster job in Lakewood, CO
BITCO Corporation, headquartered in Davenport, Iowa, is currently seeking a Bilingual Sr. Claims Specialist, Workers' Compensation to join our branch office located in Pasadena, Ca. With 11 branch offices in 10 states, BITCO provides quality property and casualty insurance services to specialized industries including construction, forest products and oil & gas. This position is eligible for a Remote/Hybrid work schedule.
Position Summary:
This role manages California Workers' Compensation claims overseeing the full claim lifecycle from initial coverage and compensability determinations through investigation, reserving, evaluation, and resolution. The position ensures timely and effective claim handling in compliance with company standards and regulatory requirements, while delivering a high level of service to internal and external business partners. The role also offers opportunities to broaden expertise by gaining exposure to additional lines of coverage..
Primary Responsibilities:
Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure
Investigate claims, which may include meeting with Insureds and witnesses, and obtaining statements, records, and other evidentiary materials
Provide proper documentation and reporting of investigation and claims handling activities
Negotiates, including through mediation, arbitration, or other court-supervised settlement efforts, settles, and resolves claims with claimants, and their lawyers; provides appropriate claims resolution documents
Maintain a working knowledge of regulatory and jurisdictional requirements
Provides direction to and management of defense counsel, independent adjusters and other third parties retained to assist in a particular claim
Other duties as assigned
Qualifications:
Minimum of 5 years of experience with the following:
Claims Investigation - Statements, authorizations, retention of qualified experts and counsel
Claims Administration - Reports, review and set accurate and timely reserves, compliance knowledge of laws and procedures, including lost time, serious injury, and litigated claims
Litigation management - work with defense counsel and experts to resolve litigated claims
Knowledge of coverage, reserving principles, investigation and negotiation techniques
Certified Experienced CA Workers Compensation cert, CA Self-Insured cert. preferred.
Ability to obtain and maintain state adjusting licenses, as needed
Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service
Ability to communicate clearly and effectively with our customers, claimants, opposing counsel, defense counsel, and members of the public
Ability to manage and organize workload of multiple tasks simultaneously
Excellent judgement, negotiation, and decision making skills
Must be able to travel, potentially overnight
Bilingual in English/Spanish is required (Both verbal and written communications are required)
Salary Range: $90,000.00- 120,000.00, commensurate with experience.
Benefits:
Competitive salary and benefits
Paid vacation and 12 paid holidays a year
Health, dental, and vision insurance
Company paid life insurance - 2x annual earnings
Old Republic 401(k) Savings and Profit Sharing Plan
Education and training opportunities
Insurance designations encouraged with financial assistance available
Daily two-hour flexible start and end time for 7.5-hour workday
Employee Fitness Program
$90k-120k yearly 2d ago
CO Onsite - Automotive Warranty Claims Adjuster
Aas Services 4.0
Claims adjuster job in Lakewood, CO
Full-time Description
*HIRING FOR MARCH 2026*
Founded in 2002, American Auto Shield (AAS) specializes in 3rd party home and vehicle service contract claims administration. AAS has a headquarters in Lakewood, Colorado, and we operate a satellite office in St. Peters, Missouri. For more than two decades, American Auto Shield has experienced tremendous growth, which equates to fantastic career opportunities for our employees. The American Auto Shield General ClaimsAdjuster is a full-time, on-site position at our Lakewood, CO office. This position is responsible for adjudicating claims while adhering to various written contracts and internal standard operating procedures.
Mechanics, service writers, advisors, and technicians are encouraged to apply!
Job Location
Lakewood, CO
Compensation
The General ClaimsAdjuster earns competitive compensation from
$30/hr.
*
What You Will Do in This Role
Provide excellent customer service.
Adjudicate and document claims according to coverage terms and standard operating procedures.
Provide accurate and timely information to all external and internal customers concerning claim status and other claim inquires.
Recommend further action on claims exceeding authority limits.
Other duties as assigned.
Requirements
What You Need to Join Our Team
Able to adhere to a defined work schedule.
Able to work independently and meet or exceed production targets with minimum supervision.
Friendly, courteous, and service-orientated.
Able to recognize problems, identify possible causes, and resolve routine problems.
Able to read and interpret vehicle service contracts after completing company provided training.
Able to comprehend and carry out verbal instructions.
Basic knowledge of Microsoft Office and Internet navigation.
Required Education/Certifications
High School Diploma or General Education Degree (GED).
Automotive mechanical experience and/or training required.
Why work for us?
We are excited to provide
Competitive compensation from
$30/hr *
Comprehensive benefits package
Medical
Dental
Vision
Short/Long Term Disability
Life Insurance
Flex Spending Account
401 (k) **
PTO
Paid Sick/Wellbeing Time Off
Employee Assistance Program
Voluntary Benefits
Pet Insurance
Life Insurance
Satisfaction of work with a highly skilled team to make a company-wide impact
*Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related aspects.
**Eligible for 401 (k) the first of the month after the 1st 90 days.
Company Core Values
Our company core values are integrity, respect, accountability, collaboration, and innovation. These values serve as cultural cornerstones and the foundation of behaviors that drive our organization to excellence.
Salary Description $30/hr
$30 hourly 18d ago
Senior Environmental Claims Adjuster (CONTRACT)
BP&C
Claims adjuster job in Denver, CO
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
A Brief Overview
We are looking for a highly capable Senior Environmental ClaimsAdjuster to help us on a temporary assignment through 12 December 2025 (and possibly through May 2026) and work from anywhere in the United States. This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and contributing to providing superb results for our clients.
The primary duties and responsibilities of the role are:
Working under limited technical direction and within broad limits and authority, adjudicate moderately complex commercial environmental claims, potentially with significant impact on departmental results.
Solving difficult problems that requires an understanding of a broader set of issues.
Reporting to claims management and underwriters on claims trends and developments.
Investigating claims promptly and thoroughly
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, 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.
Settles straightforward claims in line with authority limits and adheres to organizational referral procedures
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.
Core qualifications and requirements for this position include:
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 environmental claims typically acquired through:
A minimum of five years' experience adjudicating commercial environmental claims. A minimum of two of these years MUST including managing commercial environmental claims involving mold and gasoline storage tank leakage.
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.
Ability to regularly exercise discretion and independent judgment with respect to matters of significance. This role primarily faces problems and issues that generalized and typically not complex, but require an understanding of a broader set of issues.
Must have excellent communication skills and the ability to build lasting relationships.
Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
Desire to work in a fast-paced environment.
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.
Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used.
Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
Must demonstrate the ability to exercise sound judgment working under technical direction.
Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
Proficient in MS Office Suite and other business-related software.
Uses listening and questioning techniques to effectively gather information from insureds and claimants
Polished and professional written and verbal communication skills. Presents information clearly, concisely, and accurately.
Ability to effectively network, build and maintain relationships, and establish appropriate visibility with business partner
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.
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
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.
Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges: $47.69 - $56.78 per hour
California outside of Los Angeles and San Francisco metro areas, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: $52.50 - $62.45 per hour
Los Angeles, New York City and San Francisco metro areas Pay Ranges: $57.26 - $68.17 per hour
About Working in Claims at Argo Group
Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.
We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses.
Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.
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.
$47.7-56.8 hourly Auto-Apply 60d+ ago
Workers' Compensation Claim Specialist (CO)
Ccmsi 4.0
Claims adjuster job in Greenwood Village, CO
Workers' Compensation Claim Specialist (CO jurisdiction, some UT possible)
Hours: Monday - Friday, 8:00 AM to 4:30 PM
Salary Range: $60,000-$98,000 (experience considered)
Build Your Career With Purpose at CCMSI
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.
The Workers' Compensation Claim Specialist is responsible for the investigation and adjustment of assigned claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The Claim Representative is accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.
Important - Please Read Before Applying
This is a true insurance claimsadjusting role, not an HR, benefits, safety, consulting, or administrative position. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered.
Responsibilities
When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.
Investigate, evaluate and adjustclaims in accordance with established claim handling standards and laws.
Establish reserves and/or provide reserve recommendations within established reserve authority levels.
Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
Review and maintain personal diary on claim system.
Assess and monitor subrogation claims for resolution.
Compute disability rates in accordance with state laws.
Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claimadjustment process.
Provide notices of qualifying claims to excess/reinsurance carriers.
Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Qualifications What You'll Bring
Demonstrated knowledge of workers' compensation claim handling, including indemnity claims
Experience managing multiple client accounts across varied industries
Colorado workers' compensation claim experience
Strong analytical, organizational, and problem-solving skills with consistent attention to detail
Ability to manage competing priorities in a fast-paced claims environment
Excellent written and verbal communication skills with internal and external stakeholders
Strong customer service orientation with a commitment to accurate, compliant claim outcomes
Reliable, predictable attendance during established client service hours
Nice to Have
Experience handling claims in Utah
Professional designations such as AIC, ARM, or CPCU
Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required
Why You'll Love Working Here
4 weeks PTO + 10 paid holidays in your first year
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
Career growth: Internal training and advancement opportunities
Culture: A supportive, team-based work environment
How We Measure Success
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:
Quality claim handling - thorough investigations, strong documentation, well-supported decisions
• Compliance & audit performance - adherence to jurisdictional and client standards
• Timeliness & accuracy - purposeful file movement and dependable execution
• Client partnership - proactive communication and strong follow-through
• Professional judgment - owning outcomes and solving problems with integrity
• Cultural alignment - believing every claim represents a real person and acting accordingly
This is where we shine, and we hire adjusters who want to shine with us.
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.
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.
Our Core Values
At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who:
Lead with transparency We build trust by being open and listening intently in every interaction.
Perform with integrity We choose the right path, even when it is hard.
Chase excellence We set the bar high and measure our success. What gets measured gets done.
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
Win together Our greatest victories come when our clients succeed.
We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.
#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #WorkersCompensation #HybridWork #ClaimsAdjuster #InsuranceCareers #WorkersCompSpecialist #AdjusterJobs #CareerAdvancement #FlexibleWork #ExperiencedAdjuster #WorkComp #IND123 #LI-Hybrid
$60k-98k yearly Auto-Apply 2d ago
Senior Construction Claims Analyst
MWH 4.6
Claims adjuster job in Broomfield, CO
MWH is a leading water and wastewater treatment-focused general contractor in the US with a rich history dating back to the 19th century. Fueled by the mission of Building a Better World, our teams are rapidly growing across the nation.
As a company committed to our team's well-being and growth, we offer a supportive work environment, opportunities for advancement, and the chance to contribute to a mission that shapes the future. Your expertise and ambition are valued here.
The work we do matters. The critical systems infrastructure we build changes lives, betters' communities, and improves ecosystems. If you're passionate about this, we want to hear from you!
About the Role
MWH is seeking a remote Senior Construction Claims Analyst. The Analyst will be responsible for evaluating, analyzing, and resolving construction-related claims and disputes. This role requires a strong understanding of construction contracts, project management, and claim resolution processes. This position will also require 50% travel.
Essential Functions
Review and analyze construction claims, including delay, disruption, acceleration, and other impact claims.
Assess the validity and potential impact of claims on project schedules, budgets, and resources.
Prepare detailed claims reports, including cause-effect analysis, quantum assessment, and recommendations for resolution.
Collect, organize, and maintain all necessary documentation related to claims, including contracts, change orders, correspondence, schedules, and cost records.
Ensure all claims documentation complies with contractual, legal, and regulatory requirements.
Work with legal counsel, project managers, and senior leadership to develop and implement strategies for resolution of claims.
Participate in negotiations, mediation, and arbitration processes to resolve claims.
Provide expert testimony and support in legal proceedings, if necessary.
Identify potential claims and disputes early in the project lifecycle and provide proactive advice to mitigate risks.
Assist in developing and implementing best practices for claims management across the organization.
Liaise with project teams, contractors, subcontractors, and external consultants to gather information and support claims analysis.
Communicate findings and recommendations to stakeholders clearly and effectively.
Provide training and guidance to junior staff on claims analysis and management.
Basic Qualifications
Bachelor's degree in Construction Management, Engineering, Law, or a related field.
Master s degree or a professional certification (e.g. CCM, PMP, RICS) is preferred.
Minimum of 8 years experience in construction claims analysis, with a focus on large-scale infrastructure projects.
Extensive knowledge of construction contracts, claims management, and dispute resolution.
Experience with various construction delivery methods, including Design-Bid-Build (DBB), Design-Build (DB), and CMAR.
Strong analytical and problem-solving skills with the ability to interpret complex data and draw accurate conclusions.
Excellent written and verbal communication skills, with the ability to present findings clearly and persuasively.
Proficiency in construction management software (e.g. Primavera 6, MS Project) and claims analysis tools.
Strong understanding of legal and regulatory aspects of construction claims.
Compensation
The anticipated compensation for this position is $175,000-$225,000/yr depending on previous experience.
Benefits
Group health & welfare benefits including options for medical, dental and vision
100% Company Paid Benefits: Employee Life Insurance & Accidental Death & Dismemberment (AD&D), Spouse and Dependent Life & AD&D, Short Term Disability (STD), Long Term Disability (LTD), Employee Assistance Program and Health Advocate
Voluntary benefits at discounted group rates for accidents, critical illness, and hospital indemnity
Flexible Time Off Program (includes vacation and personal time)
Paid Sick and Safe Leave
Paid Parental Leave Program
10 Paid Holidays
401(k) Plan (company matching contributions up to 4%).
Employee Referral Program
MWH Constructors
is a global project delivery company in heavy civil construction with a focus on water and wastewater treatment infrastructure. With the ultimate goal of delivering maximum value to clients and their local communities,
MWH Constructors
provides single-source, integrated design and construction services through a full range of project delivery methods. Incorporating industry-leading preconstruction and construction services, the Company s multi-disciplined team of engineering and construction professionals delivers a wide range of projects, including new facilities, infrastructure improvement and expansion, and capital construction services.
Equal Opportunity Employer, including disabled and veterans.
Please note that all positions require pre-employment screening, including drug and background check, as a condition of employment.
#LI-SW1
#LI-Onsite
$74k-94k yearly est. 60d+ ago
Claims Adjuster - Workers Comp | Must Reside in Denver, Colorado
Sedgwick 4.4
Claims adjuster job in Denver, CO
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
ClaimsAdjuster - Workers Comp | Must Reside in Denver, Colorado
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path.
Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.
ARE YOU AN IDEAL CANDIDATE? To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
Manages subrogation of claims and negotiates settlements.
Communicates claim action with claimant and client.
Ensures claim files are properly documented and claims coding is correct.
May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
Maintains professional client relationships
Performs other duties as assigned.
Supports the organization's quality program(s).
Travels as required.
QUALIFICATIONS
Education and Licensing
Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.
Experience
Four (4) years of claims management experience or equivalent combination of education and experience required.
TAKING CARE OF YOU
Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
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 ($61,857.00 - $
86,600.00 USD Annual). 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.
Always accepting applications.
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.
$61.9k yearly Auto-Apply 54d ago
Field Claims Representative
Auto-Owners Insurance 4.3
Claims adjuster job in Broomfield, CO
*Applications are accepted on an ongoing basis. An open position may not be available at this time.
Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated Field (property) Claims professional to join our team. The position requires the following, but is not limited to:
Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
Handles multi-line property and casualty claims in an assigned territory with an emphasis on property claims.
Become familiar with insurance coverage by studying insurance policies, endorsements and forms.
Works toward the resolution of claims, and may attend arbitrations, mediations, depositions, or trials as necessary.
Ensures that claims payments are issued in a timely and accurate manner.
Handle investigations by phone, mail and on-site investigations.
Desired Skills & Experience
Bachelor's degree or equivalent experience
A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims
Field claims handling experience is helpful but not required
Knowledge of Xactimate software is preferred but not required
Above average communication skills (written and verbal)
Ability to resolve complex issues
Organize and interpret data
Ability to handle multiple assignments
Possess a valid driver's license
Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent benefits package. Along with a matched 401(k), fully-funded pension plan (once vested), Auto-Owners also offers medical, prescription, dental and vision insurance; associate, spouse and child life insurance; supplemental sick pay; long term disability; health care flexible spending accounts and dependent care flexible spending accounts. Additional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program; student loan assistance program, a gym membership and fitness class reimbursement program and a company car. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
Compensation
Auto-Owners offers a generous compensation package. For this position, the anticipated annualized starting base pay range is: $62,000.00 - $95,300.00. Other components of the compensation package include benefit dollars used to purchase certain benefits and several bonus opportunities.
Equal Employment Opportunity
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
#LI-AT1 #LI-Hybrid
$62k-95.3k yearly Auto-Apply 45d ago
Senior Environmental Claims Adjuster (CONTRACT)
Argo Group International Holdings Ltd. 4.9
Claims adjuster job in Denver, CO
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
A Brief Overview
We are looking for a highly capable Senior Environmental ClaimsAdjuster to help us on a temporary assignment through 12 December 2025 (and possibly through May 2026) and work from anywhere in the United States. This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and contributing to providing superb results for our clients.
The primary duties and responsibilities of the role are:
* Working under limited technical direction and within broad limits and authority, adjudicate moderately complex commercial environmental claims, potentially with significant impact on departmental results.
* Solving difficult problems that requires an understanding of a broader set of issues.
* Reporting to claims management and underwriters on claims trends and developments.
* Investigating claims promptly and thoroughly
* 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, 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.
* Settles straightforward claims in line with authority limits and adheres to organizational referral procedures
* 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.
Core qualifications and requirements for this position include:
* 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 environmental claims typically acquired through:
* A minimum of five years' experience adjudicating commercial environmental claims. A minimum of two of these years MUST including managing commercial environmental claims involving mold and gasoline storage tank leakage.
* 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.
* Ability to regularly exercise discretion and independent judgment with respect to matters of significance. This role primarily faces problems and issues that generalized and typically not complex, but require an understanding of a broader set of issues.
* Must have excellent communication skills and the ability to build lasting relationships.
* Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
* Desire to work in a fast-paced environment.
* 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.
* Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used.
* Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
* Must demonstrate the ability to exercise sound judgment working under technical direction.
* Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
* Proficient in MS Office Suite and other business-related software.
* Uses listening and questioning techniques to effectively gather information from insureds and claimants
* Polished and professional written and verbal communication skills. Presents information clearly, concisely, and accurately.
* Ability to effectively network, build and maintain relationships, and establish appropriate visibility with business partner
* 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.
* 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
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.
* Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges: $47.69 - $56.78 per hour
* California outside of Los Angeles and San Francisco metro areas, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: $52.50 - $62.45 per hour
* Los Angeles, New York City and San Francisco metro areas Pay Ranges: $57.26 - $68.17 per hour
About Working in Claims at Argo Group
Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.
We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses.
Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.
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.
$47.7-56.8 hourly Auto-Apply 60d+ ago
Denver Area Daily Claims Adjuster
Cenco Claims 3.8
Claims adjuster job in Denver, CO
CENCO Claims is seeking a skilled Daily Property Adjuster to handle residential and commercial property claims in the Denver, CO area. This field-based role offers steady claim volume, flexible scheduling, and responsive support from our experienced team.
Key Responsibilities:
Perform on-site inspections of property damage
Prepare accurate estimates using Xactimate
Take clear photos and document all findings
Communicate effectively with policyholders and insurance carriers
Submit timely, complete, and professional claim files
Requirements:
Proficient in Xactimate
Strong knowledge of property damage and repair
Excellent communication and time management skills
Reliable vehicle and valid driver's license
Colorado or designated home state adjuster license
Preferred: 2+ years of field adjusting experience
What We Offer:
Competitive per-claim compensation
Regular claim volume in the Denver metro area
Flexible schedule and autonomy in the field
Ongoing support from experienced claims staff
Opportunities for long-term work and advancement
Apply Today
$46k-56k yearly est. Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims adjuster job in Denver, CO
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.
$46k-56k yearly est. Auto-Apply 11d ago
Independent Insurance Claims Adjuster in Denver, Colorado
Milehigh Adjusters Houston
Claims adjuster job in Denver, CO
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed ClaimsAdjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed ClaimsAdjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed ClaimsAdjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claimsadjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed ClaimsAdjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$45k-55k yearly est. Auto-Apply 60d+ ago
Senior Marine Claims Specialist-Hull
Zurich Na 4.8
Claims adjuster job in Denver, CO
130521 We are excited to share that Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability experience preferred) to join our team! We are open to remote work for the right candidate located within the U.S..
In this role you will be responsible for:
+ Ability to handle dedicated accounts.
+ Frequent interaction with Assureds, Brokers and Underwriters.
+ Some travel may be required but this is not very frequent.
Basic Qualifications:
+ Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Zurich Certified Insurance Apprentice, including an associate degree with 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.AND
+ Must obtain and maintain required adjuster license(s)
+ Microsoft Office experience
+ Knowledge of insurance regulations, markets, and products as well as maritime and admiralty practices.
Preferred Qualifications:
+ Extensive Marine Hull claims experience preferred.
+ Emphasis on Marine Liability, Hull, Blue water and brown water claims, Jones Act, General Average and Ocean Cargo Claims experience preferred.
+ Licensed in all states as needed required.
+ Effective verbal and written communication skills
+ Strong analytical, critical thinking and problem-solving skills
+ Strong multi-tasking and prioritization skills
+ Experience collaborating in a team environment and building cross functional working relationships
+ Proactively shares and promotes sharing of insights
+ Ability to gather unique perspectives from other teams/functions to optimize outcomes.
+ Understands, analyzes, and applies the component parts of an insurance policy for complex claims
+ Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims
+ Ability to determine the scope and exposure for complex claims
+ Ability to leverage trend and relationships to provide high-quality customer service
+ Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts.
+ Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims
+ Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies
Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us.The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $75,800.00 - $124,100.00, with short-term incentive bonus eligibility set at 15%.
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .]
**Why Zurich?**
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 .
Join us for a brighter future-for yourself and our customers.
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.
Zurich complies with 18 U.S. Code § 1033.
**Please note:** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.
Location(s): AM - Texas Virtual Office, AM - Remote Work (US)
Remote Working: Yes
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-JJ1 #LI-ASSOCIATE #LI-REMOTE
EOE Disability / Veterans
$75.8k-124.1k yearly 8d ago
Senior Stop Loss Claims Analyst - HNAS
Highmark Health 4.5
Claims adjuster job in Denver, CO
This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards.
HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve.
**ESSENTIAL RESPONSIBILITIES**
+ Processes daily incoming Stop Loss claims including initial entry claims or subsequent claims as needed; provides counseling to clients and assists with client service programs.
+ Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal and state regulatory guidelines, and industry standards.
+ Monitors, reviews and analyzes various complex potential claims with emphasis on controlling losses through effective managed care. This includes following a departmental claim checklist to ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for duplicate line-item charges and determining if all information is available to finalize the payment request. Refers the claim to the cost containment and RxOps departments for review of high dollar charges if applicable.
+ Determines whether to pend or adjudicate claims following organizational policies and procedures; finalizes and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, brokers, or customers utilizing the appropriate application and/or template.
+ Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which can be used to educate/train internal staff, streamline, and improve processes and update documentation.
+ Assists leadership with performing client performance evaluations to assess the accuracy of client reports submitted to the organization, efficiency of claim operations, and adequacy of systems and procedures.
+ Approves claim payments on behalf of multiple clients and provides client counseling and support services. Assists in the client service programs including revising and establishing procedures, protocols and ensuring client satisfaction with the organization.
+ Maintains accurate claim records.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ High School Diploma/GED
**Substitutions**
+ None
**Preferred**
+ Bachelor's degree
**EXPERIENCE**
**Required**
+ 5 years of relevant, progressive experience in health insurance claims
+ 3 years of prior experience processing 1st dollar health insurance claims
+ 3 years of experience with medical terminology
**Preferred:**
+ 3 years of experience in a Stop Loss Claims Analyst role.
**SKILLS**
+ Ability to communicate concise accurate information effectively.
+ Organizational skills
+ Ability to manage time effectively.
+ Ability to work independently.
+ Problem Solving and analytical skills.
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$22.71
**Pay Range Maximum:**
$35.88
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273755
$22.7-35.9 hourly 40d ago
Casualty Claims Adjuster
Randstad North America, Inc. 4.6
Claims adjuster job in Englewood, CO
Randstad US is a wholly owned subsidiary of Randstad Holding nv, an $18.8 billion global provider of HR services and the second largest staffing organization in the world. We play a pivotal role in shaping the world of work, leveraging the true value of human capital for the benefit of our clients, candidates, employees and investors.
Job Description
Randstad is currently recruiting a Casualty Adjuster for a private mutual company that focuses on property, casualty and auto insurance in Englewood, Colorado. The ideal candidate would have minimum of 2-5 years of experience. This role will primarily handles non-injury casualty claims of minor to moderate complexity that may include, but are not limited to, comparative fault, coverage investigation, and auto thefts.
Primary Responsibilities:
- Investigates and processes insurance claims file by our policyholders and 3rd parties
- Obtains recorded statements from our policyholders, claimants & witnesses to gather pertinent information
- Determines liability and applies comparative negligence when applicable.
- Determines if coverage applies through investigation
- Sets expectations with our customers
Qualifications
Required Skills:
- A minimum of 2-5 years of experience is required to be considered for this position.
- Recognizes and interprets primarily Auto, Homeowner, Specialty and Recreational policies.
- Reviews loss report and any prior action taken on the file to determine next steps.
- Analyzes and evaluates factual information to formulate an opinion on liability claim losses that do not involve bodily injury, including loss of use and related expenses.
- Escalates cases that involve injury and/or current or prior medical history/problems.
- Manages individual claim inventory and collaborates with peers to achieve unit and branch results.
- Utilizes the electronic integrated claim system and other technologies to complete and document actions throughout the life of the file.
- Negotiates and settles claims in accordance with divisional expectations
- Establishes rapport with business partners (agency, personal lines, legal, etc.) and builds ongoing relationships by including stakeholders in the claim handling process as appropriate.
Additional skills:
- Knowledge and understanding of policies and endorsements related to casualty coverage
- Demonstrated experience handling casualty claims
- Knowledge and understanding of each phase of casualty claim process
Additional Information
For further details contact:
Cenla Ganzon
Executive Recruiter
Randstad General Staffing
Office: ****************
Email: cenla.ganzon@randstadusa_.com
$46k-56k yearly est. 3d ago
General Liability Claim Representative
Travelers Insurance Company 4.4
Claims adjuster job in Centennial, CO
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$67,000.00 - $110,600.00
**Target Openings**
1
**What Is the Opportunity?**
Be the Hero in Someone's Story
When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most.
As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner.
In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process.
As of the date of this posting, Travelers anticipates that this posting will remain open until 4/1/2026.
**What Will You Do?**
Provide quality claim handling of General Liability claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations.
Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates.
Determine claim eligibility, coverage, liability, and settlement amounts.
Ensure accurate and complete documentation of claim files and transactions.
Identify and escalate potential fraud or complex claims for further investigation.
Coordinate with internal teams such as investigators, legal, and customer service, as needed.
**What Will Our Ideal Candidate Have?**
+ Bachelor's Degree.
+ Three years of experience in insurance claims, preferably General Liability claims.
+ Experience with claims management and software systems.
+ Strong understanding of insurance principles, terminology with the ability to understand and articulate policies.
+ Strong analytical and problem-solving skills.
+ Proven ability to handle complex claims and negotiate settlements.
+ Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.
**What is a Must Have?**
+ One-year bodily injury liability claim handling experience, or one year of liability claim experience, or successful completion of Travelers Claim Representative training program.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
$67k-110.6k yearly 15d ago
Claims Examiner, General Liability
Arch Capital Group Ltd. 4.7
Claims adjuster job in Denver, CO
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 property and bodily injury 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 & Required Skills
* 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
Education
* Bachelor's degree preferred
* Texas ClaimAdjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas ClaimAdjuster license within six months of hire date.
* 3-5 years' experience handling the process of commercial insurance claims
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$71,900 - $97,110/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
For Colorado Applicants - The deadline to submit your application is:
May 17, 2026
14400 Arch Insurance Group Inc.
$71.9k-97.1k yearly Auto-Apply 14d ago
Seasonal CAT Adjuster
Munich Re 4.9
Claims adjuster job in Denver, CO
American Modern Insurance Group, Inc., a Munich Re company, is a widely recognized specialty insurance leader that delivers products and services for residential property - such as manufactured homes and specialty dwellings - and the recreational market, including boats, personal watercraft, classic cars, and more. We provide specialty product solutions that cover what the competition often can't.
American Modern Insurance Group is recruiting Seasonal CAT Adjusters to join our CAT team! This is a temporary, full-time position till October/November and will be required to travel for CAT deployments across the United States. As a CAT Adjuster, you will be deployed to the front lines supporting customers in times of need and disaster when they need it the most.
We're seeking an individual with excellent decision making skills, the ability to work under pressure, solid organizational skills, exemplary customer service skills, as well as time management skills to balance various tasks.
* A majority of claims handled would be catastrophe related (Occasionally, adjusters may handle day to day claims)
* Provide prompt contact and timely adjustment of assigned claims.
* Handle assigned claims from start to finish, including investigation, documentation, coverage analysis and subrogation/salvage assessment.
* Perform on-site inspections including carrying and setting up a 40-pound ladder, walking on roofs, and accessing tight spaces.
* Travel is expected about 75% of the time
This career might be right for you if:
* Previous property claim handling experience is required. Preferably experience CAT property claims experience is required.
* Ability to perform physical inspections; climb roofs, stoop, bend, etc.
* Mobile home and Dwelling construction knowledge preferred.
* You must have a Bachelor's degree or equivalent work/industry experience.
* A clean driving record and a valid driver's license are required.
* Proficiency in Symbility, Xactimate or similar estimating platform experience
* Industry training, coursework, certifications are preferred. (AIC, CPCU, SCLA)
* Ability to lift, carry, set-up, ascend and descend ladders in excess of 40 pounds.
* Ability to complete field inspections (scope, diagram and estimate damages)
At American Modern, we see Diversity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and talent with a focus on providing our customers the most innovative products and services.
We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
$45k-57k yearly est. 12d ago
Liability Claims Specialist (Construction Defect)
CNA Financial Corp 4.6
Claims adjuster job in Littleton, CO
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
This individual contributor position works under moderate direction, and within defined authority limits, to manage third party liability construction defect commercial claims with moderate to high complexity and exposure. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).
JOB DESCRIPTION:
Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols.
* Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
* Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
* Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
* Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
* Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
* Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* May serve as a mentor/coach to less experienced claim professionals
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or above
Skills, Knowledge & Abilities
* Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed.
* Demonstrated ability to develop collaborative business relationships with internal and external work partners.
* Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
* Demonstrated investigative experience with an analytical mindset and critical thinking skills.
* Strong work ethic, with demonstrated time management and organizational skills.
* Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
* Developing ability to negotiate low to moderately complex settlements.
* Adaptable to a changing environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas
Education & Experience:
* Bachelor's Degree or equivalent experience.
* Typically a minimum four years of relevant experience, preferably in claim handling.
* Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Professional designations are a plus (e.g. CPCU)
#LI-KP1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
How much does a claims adjuster earn in Lakewood, CO?
The average claims adjuster in Lakewood, CO earns between $42,000 and $60,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.
Average claims adjuster salary in Lakewood, CO
$50,000
What are the biggest employers of Claims Adjusters in Lakewood, CO?
The biggest employers of Claims Adjusters in Lakewood, CO are: