Atlantic Casualty Insurance Company (ACIC) is a recognized Excess and Surplus Lines carrier and proud affiliate of the Auto-Owners Insurance Group since 2016. With authority in all 50 states and Washington, D.C., ACIC provides innovative insurance solutions while maintaining a strong financial foundation, reflected in our A.M. Best rating of A+ (Superior).
Our strength comes from our people. For six consecutive years, we've been certified a Great Place to Work and consistently ranked among Fortune's “100 Best Small and Medium Workplaces”. At ACIC, we foster a culture where everyone belongs. We're a team-supporting one another through leadership development, mentorship programs, career certifications, and comprehensive benefits.
Our benefits include:
Health, Dental & Vision plans (HSA & PPO options)
401(k) with company match + financial advisor access
Tuition reimbursement & student loan assistance
Paid parental leave
Counseling and mental wellness support
Flexible work and in-office schedules
Whether you're just starting your career or looking to grow it, Atlantic Casualty is where talent thrives, and teamwork drives success.
Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.
************************************************
SUMMARY:
The Senior ClaimsAdjuster will be capable of independently handling claims in states where ACIC writes business. The Senior ClaimsAdjuster will have a higher authority level than an adjuster and will have full responsibility for claims within that authority. This position has the authority to assign a local independent appraiser / adjuster for fieldwork in the state where the loss occurred. In those cases, they are responsible for controlling the work done by the I/A.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Analyze, review, and interpret policies to assess coverage and liability.
Establish and maintain proper loss and expense reserves on their claims.
Determine what investigation is necessary on more complicated claims in order to bring a claim to an equitable conclusion for all parties involved.
Responsible for controlling the work done by the independent adjuster/appraiser.
Properly document information in the claim file.
Verify and review damages.
Determine applicability of coverage and liability.
Maintain working diary of assigned claims.
Evaluate and settle claims within assigned authority.
Return all phone calls promptly.
Provide excellent customer service.
Recognize and investigate subrogation.
Handle total losses and process salvage returns.
Daily contact with adjusters and/or insureds and/or claimants and/or attorney and/or vendors and/or agents.
Weekly contact with other department managers.
Deal with and have access to information that is important and must be kept confidential.
Handle claims in litigation as assigned.
Assist in training less experienced adjusters.
Perform other similar or related duties as assigned.
REQUIRED EDUCATION/EXPERIENCE:
A four-year degree from an accredited institution or equivalent experience.
5 years' experience handling claims, including advanced skills in coverage, investigation, litigation, negotiation, damage/injury evaluation, salvage and subrogation.
Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims.
Basic understanding of claims, mathematics, construction, auto physical damage, medical terms and legal issues.
State adjuster's license where domiciled.
Non-resident adjuster's license where required in the states where we do business.
Be able to demonstrate time management skills; communication skills, verbal and written; strong computer skills.
MENTAL REQUIREMENTS :
Must be able to clearly define systems and operational problems and draw valid conclusions and recommendations as to how to resolve. Must possess ability to interpret and delegate an extensive variety of instructions in written or diagram form. Reasoning; dealing with problems involving a few variables in standard situations. Must also be able interact on personnel matters in a secure and confidential manner.
PHYSICAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may infrequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate. Works primarily indoors.
TRAVEL: 5%
$70k-100k yearly est. Auto-Apply 15d ago
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Senior Claims Examiner, New York Labor Law
Arch Capital Group Ltd. 4.7
Claims adjuster job in Hartford, CT
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Summary
The Claims Division is seeking a team member to join the Casualty Team as Senior Claims Examiner, New York Labor Law. In this role, the responsibilities include but not limited to actively manage a caseload and provide oversight to third-party administrator claims handlers for commercial New York Labor Law cover, liability, and damage claims.
Responsibilities
* Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis
* Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care
* Develop and implement strategy to resolve matters of liability and damages of a particular case
* Maintain contact with the TPA claim staff, business line leader, underwriter, and defense counsel, program manager and broker
* Investigate claim and review the insureds' materials, pleadings, and other relevant documents
* Identify and review of each jurisdiction's applicable statutes, rules, and case law
* Review litigation materials including depositions and expert's reports
* Analyze, and direct risk transfer, additional insured issues and contractual indemnity issues
* Retain counsel when necessary and direct counsel in accordance with resolution strategy
* Analyze coverage, liability and damages for purposes of assessing and recommending reserves
* Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves
* Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter
* Negotiate resolution of claims
* Select and utilize structure brokers
* Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from insured, counsel, underwriters, brokers, and senior management regarding claims
Experience & Required Skills
* Three to five (3-5) years of working experience with commercial accounts supporting primary and/or excess claims experience handling New York Labor Law claims
* Energy Casualty, Construction and/or Rail experience is a plus
* Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
* Strong time management and organizational skills
* Ability to take part in active strategic discussions
* Ability to work well independently and in a team environment
* Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word
* Willing and able to travel 25%
* This position is a hybrid role with 3 days in office
Education
* Bachelor's degree required; Juris Doctorate degree preferred
* Proper Adjuster Licensing in all applicable states
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
For NYC, Jersey City: $123,400 - $150,000/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.
$123.4k-150k yearly Auto-Apply 10d ago
Senior Claim Adjuster- CGL
Strickland Insurance Group 3.4
Claims adjuster job in Glastonbury, CT
Atlantic Casualty Insurance Company (ACIC) is a recognized Excess and Surplus Lines carrier and proud affiliate of the Auto-Owners Insurance Group since 2016. With authority in all 50 states and Washington, D.C., ACIC provides innovative insurance solutions while maintaining a strong financial foundation, reflected in our A.M. Best rating of A+ (Superior).
Our strength comes from our people. For six consecutive years, we've been certified a Great Place to Work and consistently ranked among Fortune's “100 Best Small and Medium Workplaces”. At ACIC, we foster a culture where everyone belongs. We're a team-supporting one another through leadership development, mentorship programs, career certifications, and comprehensive benefits.
Our benefits include:
Health, Dental & Vision plans (HSA & PPO options)
401(k) with company match + financial advisor access
Tuition reimbursement & student loan assistance
Paid parental leave
Counseling and mental wellness support
Flexible work and in-office schedules
Whether you're just starting your career or looking to grow it, Atlantic Casualty is where talent thrives, and teamwork drives success.
Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.
************************************************
SUMMARY:
The Senior ClaimsAdjuster will be capable of independently handling claims in states where ACIC writes business. The Senior ClaimsAdjuster will have a higher authority level than an adjuster and will have full responsibility for claims within that authority. This position has the authority to assign a local independent appraiser / adjuster for fieldwork in the state where the loss occurred. In those cases, they are responsible for controlling the work done by the I/A.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Analyze, review, and interpret policies to assess coverage and liability.
Establish and maintain proper loss and expense reserves on their claims.
Determine what investigation is necessary on more complicated claims in order to bring a claim to an equitable conclusion for all parties involved.
Responsible for controlling the work done by the independent adjuster/appraiser.
Properly document information in the claim file.
Verify and review damages.
Determine applicability of coverage and liability.
Maintain working diary of assigned claims.
Evaluate and settle claims within assigned authority.
Return all phone calls promptly.
Provide excellent customer service.
Recognize and investigate subrogation.
Handle total losses and process salvage returns.
Daily contact with adjusters and/or insureds and/or claimants and/or attorney and/or vendors and/or agents.
Weekly contact with other department managers.
Deal with and have access to information that is important and must be kept confidential.
Handle claims in litigation as assigned.
Assist in training less experienced adjusters.
Perform other similar or related duties as assigned.
REQUIRED EDUCATION/EXPERIENCE:
A four-year degree from an accredited institution or equivalent experience.
5 years' experience handling claims, including advanced skills in coverage, investigation, litigation, negotiation, damage/injury evaluation, salvage and subrogation.
Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims.
Basic understanding of claims, mathematics, construction, auto physical damage, medical terms and legal issues.
State adjuster's license where domiciled.
Non-resident adjuster's license where required in the states where we do business.
Be able to demonstrate time management skills; communication skills, verbal and written; strong computer skills.
MENTAL REQUIREMENTS :
Must be able to clearly define systems and operational problems and draw valid conclusions and recommendations as to how to resolve. Must possess ability to interpret and delegate an extensive variety of instructions in written or diagram form. Reasoning; dealing with problems involving a few variables in standard situations. Must also be able interact on personnel matters in a secure and confidential manner.
PHYSICAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may infrequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate. Works primarily indoors.
TRAVEL: 5%
$49k-77k yearly est. Auto-Apply 15d ago
Adverse Subrogation Claims Representative
Plymouth Rock 4.7
Claims adjuster job in Farmington, CT
Join Plymouth Rock Assurance, a dynamic leader in the insurance industry, as an Adverse Subrogation Claims Representative. We're seeking a seasoned professional to independently investigate, pursue, and recover monies from parties responsible for losses sustained by our insureds.
As part of our team, you'll play a pivotal role in facilitating prompt collection and maximizing recovery. Your responsibilities will include assessing liability, negotiating settlements, and enhancing our processes with your expertise.
Responsibilities:
* Analyze investigations to make liability assessments, including reviewing first and third-party statements, witness testimonies, scene photos, and other relevant data.
* Evaluate proximate cause, negligence, and damages to adjust reserves accordingly.
* Negotiate and settle claims within your authority, seeking guidance from supervisors when necessary.
* Maintain an effective follow-up system on pending files and prioritize tasks efficiently.
* Act as an intermediary between the company, preferred vendors, customers, insureds, and claimants.
* Utilize Adverse Stream system for case management and maintain an active diary management system.
* Respond to and draft arbitration contentions, with a willingness to become certified as an arbitrator.
* Adhere to privacy guidelines, laws, and regulations pertaining to claims handling.
* Scrub adverse carrier proofs to secure optimal settlements, collaborating with appraisal staff or Hyper Quest as needed.
Qualifications:
* Proficiency in Microsoft Office Suite products and computer skills.
* 3 to 5+ years of experience handling auto comparative negligence claims.
* Working knowledge of the inter-company arbitration process is advantageous.
* Certification from Arbitration Forums is a plus.
* Bachelor's degree or equivalent combination of education and experience.
* Ability to obtain state licenses when required.
* Pursuing an insurance designation is beneficial but not mandatory.
* Strong customer service, organizational, verbal, and written communication skills
Perks and Benefits
* 4 weeks accrued paid time off + 9 paid national holidays per year
* Free onsite gym at our Boston Location
* Tuition Reimbursement
* Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
* Robust health and wellness program and fitness reimbursements
* Auto and home insurance discounts
* Matching gift opportunities
* Annual 401(k) Employer Contribution (up to 7.5% of your base salary)
* Various Paid Family leave options including Paid Parental Leave
* Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
* Convenient location directly across from South Station and Pre-Tax Commuter Benefits
Salary Range: The pay range for this position is $48,000 to $71,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
About the Company
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent".
$48k-71k yearly Auto-Apply 4d ago
Liability Claims Specialist (Construction Defect)
CNA Financial Corp 4.6
Claims adjuster job in Glastonbury, CT
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 ***************************.
$54k-103k yearly Auto-Apply 29d ago
Complex Claims Specialist, Managed Care, E&O, D&O
Liberty Mutual 4.5
Claims adjuster job in Weatogue, CT
Liberty Mutual has an immediate opening for a Complex Claims Specialist with Managed Care, Errors & Omissions (E&O) and Directors & Officers (D&O) Professional Liability claims experience. The Complex Claims Specialist, with minimal supervision, handles a book of specialty lines claims under E&O and D&O policies issued to health plans and other Managed Care Organizations throughout the entire claim's life cycle. In this role, you will be responsible for conducting investigations, evaluating coverage, setting adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business.
*This position may have an in-office requirement and other travel needs depending on candidate location. If you reside within 50 miles of one of the following offices, you will be required to go to the office twice a month: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; Westborough, MA; or Weatogue, CT. Please note this policy is subject to change.
Responsibilities
Analyzes, investigates and evaluates the loss to determine coverage and claim disposition.
Utilizes proprietary claims management system to document claims and to diary future events or follow up.
Issue detailed coverage position letters for all new claims within prescribed time frames.
Within prescribed settlement authority, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level.
Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting.
Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment.
Pro-actively manages the case resolution process. Actively participates in mediations and arbitrations, as well as negotiation discussions within limit of settlement authority.
Participates in the claims audit process.
Provides claims marketing services by meeting with brokers and insureds.
As required, maintains insurance adjuster licenses
Qualifications
Bachelors' and/or advanced degree
7 + years claims/legal experience, with at least 2 years within a technical specialty preferred Professional Liability (Managed Care, Errors & Omissions and Directors & Officers)
Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge
Functional knowledge of law and insurance regulations in various jurisdictions
Demonstrated advanced verbal and written communications skills
Demonstrated advanced analytical, decision making and negotiation skills
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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$89k-119k yearly est. Auto-Apply 12d ago
Specialty Loss Adjuster
Sedgwick 4.4
Claims adjuster job in Hartford, CT
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
Specialty Loss Adjuster
**Embark on an Exciting Career Journey with Sedgwick Specialty**
**Job Location** **: USA, Mexico, Brazil and strategic locations globally**
**Job Type** **: Permanent**
**Remuneration** **: Salaries can range from** **_$40,000.00USD to $250,000.00USD_** **taking into account skills, experience and qualifications.**
**We have a number of fantastic opportunities for Specialty Loss Adjusters across the US, Mexico and Brazil and a number of key locations**
We are looking for a variety of skill sets at all levels. Whether you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your skills and grow with a company that values innovation, excellence, and employee satisfaction.
Are you ready to be a part of providing a differentiated and best of class proposition to clients whilst working with like-minded colleagues? Sedgwick Specialty is thrilled to announce that we are investing in growth across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals who are passionate about making a difference to the Adjusting industry.
**As a member of the Specialty platform, you will have the opportunity to:**
+ Work with a wide range of clients across the globe, handling complex cases and claims
+ Collaborate with a talented and supportive team of professionals who are dedicated to delivering exceptional results
+ Utilise state-of-the-art technology and resources to streamline processes and enhance efficiency
+ Receive ongoing training and development opportunities to further enhance your skills and knowledge in the marine industry
+ Enjoy a flexible work arrangement that allows you to maintain a healthy work-life balance while contributing to our global success
**The skills you will have when you apply:**
+ **Qualified** : it is important to us that you are either accredited, on your way to be accredited or qualified by experience
+ **Insurance claims experience:** it is imperative that you have experience working on insurance claims within you respective field. Full claims life cycle experience is a must
+ **Great communicator:** you will be constantly working with policy holders, brokers, carriers and various third parties, so being able to communicate accurately important. Providing an excellent customer service with our clients in mind. Able to approach issues empathetically
+ **Commercially minded:** An understanding of how the industry operates and where the role of a Loss Adjuster fits in. Being able to negotiate. Understanding how to market your services is a big advantage
**What we'll give you for this role:**
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 annual salaries can range from _$40,000.00 to $250,000.00USD._ Bonus eligible role. 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.
**This isn't just a position, it's a pivotal role in shaping our industry**
At Sedgwick, you won't just build your career; you'll cultivate a team of experts. Our Sedgwick University offering empowers you to excel as well as your team members, with the most comprehensive training program in the industry which includes more than 15,000 courses on demand, training specific to roles, and opportunities to continue formal education.
Together, we're not only reshaping the insurance landscape, we're building a legacy of talent. Come and be a catalyst for change within our industry.
**Next steps for you:**
**Think we'd be a great match? Apply now -** ** we want to hear from you.**
As part of our commitment to you, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation.
After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person).
\#LI-HYBRID
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
$50k-70k yearly est. 60d+ ago
Senior Claims Examiner (General Liability)
Housing Authority Insurance Group 3.2
Claims adjuster job in Cheshire, CT
The Senior Claims Examiner is responsible for investigation, evaluation, reserving, negotiation, and resolution of the companies' liability claims in multiple jurisdictions. The position is required to follow established claims management standards and exercise solid judgment when solving business problems as well as using critical thinking, decision-making skills, and judgment within their assigned authority levels. The Senior Claims Examiner continually explores ways to apply claim's best practices to business challenges. Individuals in this role are expected to mentor and coach team members to increase their technical expertise and business contributions.
Essential Functions
Timely and effectively investigate and evaluate claims while managing outside adjusters and legal counsel
Directs settlement activity using investigative and problem-solving skills in direct negotiations
Handle all assigned cases efficiently and cost-effectively through conclusion
Analyze and recommend appropriate reserves; periodically reviewing and adjusting these reserves based on the assessment of probable liability, financial responsibility and exposure
Handle all assigned cases efficiently and cost-effectively through conclusion, identifying and thoroughly investigating all available risk transfer options (subrogation and third-party recoveries and re-insurance)
Review, analyze and interpret coverage in accordance with applicable policies
Prepare coverage evaluations, document files and draft letters for management review in a timely manner
Concentration on larger cases with reinsurance involvement requiring ability to track aggregates, and prepare more complex reports
Reviews invoices, estimates, legal fees, and other documents to ensure accuracy and legitimacy prior to payment
Prepare clear and concise reports with little or no guidance that can be presented for review and require little or no edits by management
Mentors' examiners, as well as coordinators, by providing guidance, sharing expertise, and overseeing work product
Serve as Subject Matter Expert for certain venues and/or coverage line
Knowledge, Skills, Abilities:
Create and manage positive working relationships with internal and external business partners
Presents a positive and professional image of companies
Knowledge and commitment to company mission, vision, and organizational values
Ability to quickly assimilate and practically utilize new information
Possess written and verbal communications skills to review, understand, interpret, and convey data including medical records, legal documents, and coverage interpretation
Strong customer service skills including interacting with internal and external customers
Team player; works effectively as part of a team
Job Requirements
Required:
High School Diploma
Bachelor's degree in business management, insurance, or related field required, or equivalent work experience
Minimum 5 years progressive liability claims handling experience for property/casualty insurance company or third-party administrator
All lines property/casualty adjuster's license
Experience analyzing and interpret coverage at a level commensurate with complexity of assigned claims
Experience preparing and communicating written status reports, for policyholders, management and business partners, including treaty and facultative reinsurers, agents and brokers
Understands the litigation process, current relevant case law and statutory law in multiple jurisdictions
Experience implementing compliance processes and procedures to ensure consistent, efficient and effective compliance with all federal, state, local and filed requirements
Maintains adjusting licenses in all required states
Preferred:
AIC designation
Knows the Public and Affordable Housing business
Work environment & Physical Demands
Inside climate-controlled office building
Prolonged sitting and using a PC
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Department Overview
The HAI Group [1], Claims Department provides expertise and guidance to HAI Group members and insureds. We partner with our constituents to solve complex problems and facilitate favorable solutions. The team has deep subject matter expertise on the claims process and its financial impact to the insurance business and our insureds' business. Our goal is to achieve excellence using conceptual and critical thinking to serve the customer and add value to the partnership. We collaborate with our members and insureds to make the most appropriate business decisions that assure timely, fair and favorable resolution of claims. The team works closely with all other departments within HAI Group's insurance operation to coordinate a high level of service to our members and insureds.
Company Overview
HAI Group is the nation's leading property-casualty insurance company founded by and dedicated to affordable housing organizations. While we are recognized as a pioneer of affordable housing insurance programs, insurance is not our only strength. We protect, preserve, and promote the sustainability of affordable housing with an array of products and services that support the challenges housing organizations face. Besides insurance, we offer risk management services, online training, and consulting services used by more than 1,500 housing organizations nationwide. Headquartered in Cheshire, Connecticut, HAI Group was recognized as a Top Workplace in 2020, 2021, 2022, 2023 and 2024.
Cultural Objective
HAI Group contributes to a culture that creates a safe and healthy working environment and a space of inclusiveness and belonging for all by: exceeding our customers' expectations, working collaboratively across the organization, embracing diversity, and demonstrating mutual respect and empathy.
HAI Group Benefits and Perks
Bonus program eligibility
Annual merit program
Outstanding 401(k) program and non-elective contribution
Flexible work schedules
Generous paid time off, paid volunteer days and paid holidays
Medical, vision and dental Insurance
Company paid life, AD&D, short-term disability, and long-term disability coverage
HSA, FSA and dependent care options
On-Site wellness: Full gym and locker rooms, wellness initiatives, outdoor basketball and tennis court, picnic pavilion area
Tuition reimbursement and loan repayment
Professional development
Community outreach
HAI Group is an Equal Opportunity Employer.
HARRG Inc., reserves the right to fill this position at a level above or below the level included in this posting.
No agency submissions please. Resumes submitted to any HAI Group employee without a current, signed and valid contract in place with the HAI Group Recruiting team for this position will become the property of HAI Group and no agency fees will be paid.
[1] HAI Group is a marketing name used to refer to insurers, a producer, and related service providers affiliated through a common mission, management, and governance. Property-casualty insurance and related services are written or provided by Housing Authority Risk Retention Group, Inc.; Housing Authority Property Insurance, A Mutual Company; Housing Enterprise Insurance Company, Inc.; Housing Specialty Insurance Company, Inc.; Innovative Housing Insurance Company Inc.; Housing Investment Group, Inc.; and Housing Insurance Services, Inc. (DBA Housing Insurance Agency Services, Inc. in NY and MI).
$41k-71k yearly est. Auto-Apply 60d+ ago
Claims Specialist - Auto
Philadelphia Insurance Companies 4.8
Claims adjuster job in Glastonbury, CT
Marketing Statement:
Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.
We are looking for a Claims Specialist - Auto to join our team.
JOB SUMMARY
Investigate, evaluate and settle more complex first and third party commercial insurance auto claims.
JOB RESPONSIBILITIES
Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
Communicates with all relevant parties and documents communication as well as results of investigation.
Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts.
Travel is required to attend customer service calls, mediations, and other legal proceedings.
JOB REQUIREMENTS
High School Diploma; Bachelor's degree from a four-year college or university preferred.
10 plus years related experience and/or training; or equivalent combination of education and experience.
• National Range : $82,800.00 - $97,300.00
• Ultimate salary offered will be based on factors such as applicant experience and geographic location.
EEO Statement:
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Benefits:
We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
$82.8k-97.3k yearly Auto-Apply 60d+ ago
Complex Claims Specialist - Cyber, Technology, Media & Crime
Hiscox
Claims adjuster job in Hartford, CT
Job Type:
Permanent
Build a brilliant future with Hiscox
Put your claims skills to the test and join one of the top Professional Liability Insurers in the Industry as a Complex Claims Specialist!
Please note that this position is hybrid and requires working in office two (2) days per week. Position can be based near the following office locations:
West Hartford, CT (preferred)
Atlanta, GA
Boston, MA
Chicago, IL
Los Angeles, CA
Manhattan, NY
About the Hiscox Claims team:
The US Claims team at Hiscox is a growing group of professionals with experience across private practice and in-house roles, working together to provide the ultimate product we offer to the market. Complex Claims Specialists are empowered to manage their claims with high levels of authority to provide fair and fast resolution of claims for our insured and broker partners.
The Role:
The primary role of a Complex Claims Specialist is to analyze liability claim submissions for potential coverage, set adequate case reserves, promptly and professionally respond to inquiries from our customers and their brokers, and to proactively drive early resolution of claims arising from our commercial lines of insurance. This particular role is open to Atlanta and will be focused on servicing claims and potential claims arising from our book of Cyber, Tech PL, Media and/or Crime professional liability lines of business. This is a fantastic opportunity to join Hiscox USA, a growing business where you will be able to make a real impact. Together, we aim to be the best people producing the best insurance solutions and delivering the best service possible.
What you'll be doing as the Complex Claims Specialist:
Key Responsibilities: To perform all core aspects of in-house claims management, including but not limited to:
Reviewing and analyzing claim documentation and legal filings
Drafting coverage analyses for tech E&O, first and third party cyber claims
Strategizing and maximizing early resolution opportunities
Monitoring litigation and managing local defense and breach counsel
Attending mediations and/or settlement conferences, either in person or by phone as appropriate
Smartly managing and tracking third-party vendor and service provider spend
Continually assessing exposures and adequacy of claim reserves, and escalating high exposure and/or volatile claims to line manager
Liaising directly on daily basis with insureds and brokers
Maintaining timely and accurate file documentation/information in our claims management system
Our Must-Haves:
5+ years of professional lines claims handling experience
A JD from an ABA-accredited law school and bar admission in good standing may be considered as a supplement to claims handing experience
A minimum of 2-3 years professional experience in the area of Cyber and Technology coverage experience
Proven ability to positively affect complex claims outcomes through investigation, negotiation and effectively leading litigation
Advanced knowledge of coverage within the team's specialty or focus
Advanced knowledge of litigation process and negotiation skills
Excellent verbal and written communication skills
Advanced analytical skills
B.A./B.S degree from an accredited College or University, JD degree from an ABA accredited law school is preferred
What Hiscox USA Offers:
Competitive salary and bonus (based on personal & company performance)
Comprehensive health insurance, Vision, Dental and FSA (medical, limited purpose, and dependent care)
Company paid group term life, short-term disability and long-term disability coverage
401(k) with competitive company matching
24 Paid time off days with 2 Hiscox Days
10 Paid Holidays plus 1 paid floating holiday
Ability to purchase 5 additional PTO days
Paid parental leave
4 week paid sabbatical after every 5 years of service
Financial Adoption Assistance and Medical Travel Reimbursement Programs
Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
Company paid subscription to Headspace to support employees' mental health and wellbeing
Recipient of 2024 Cigna's Well-Being Award for having a best-in-class health and wellness program
Dynamic, creative and values-driven culture
Modern and open office spaces, complimentary drinks
Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation
About Hiscox USA:
Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.
Today, Hiscox USA has a talent force of about 420 employees mostly operating out of 6 major cities - New York, Atlanta, Dallas, Chicago, Los Angeles and San Francisco. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism.
You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)
Salary Range: $125,000- $160,000
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.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
#LI-RM1
Work with amazing people and be part of a unique culture
$44k-76k yearly est. Auto-Apply 17d ago
Lost Time Senior Claim Examiner
Chubb 4.3
Claims adjuster job in New Haven, CT
Chubb is currently seeking a Workers' Compensation Lost Time Senior Claim Examiner for our Northeast, New York, and New Jersey region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey. The position will reside in our office located in New Haven, Connecticut.
Duties & Responsibilities:
Independently handles all aspects of workers' compensation lost time claims from set-up to case closure, ensuring strong customer relations are maintained throughout the process
Reviews claim and policy information to provide background for the investigation
Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with the insured, claimant, and medical providers
Evaluates the facts gathered through the investigation to determine the compensability of the claim
Informs insureds, claimants, and attorneys of claim denials when applicable
Prepares reports on investigation, settlements, denials of claims, evaluations of involved parties, etc.
Timely administration of statutory medical and indemnity benefits throughout the life of the claim
Sets reserves within authority limits for medical, indemnity, and expenses and recommends reserve changes to the team leader throughout the life of the claim
Reviews the claim status at regular intervals and makes recommendations to the team leader to discuss problems and remedial actions to resolve them
Prepares and submits to the team leader unusual or possible undesirable exposures when encountered
Works with attorneys to manage hearings and litigation
Controls and directs vendors, nurse case managers, telephonic case managers, and rehabilitation managers on medical management and return-to-work initiatives
Complies with customer service requests, including special claims handling procedures, file status notes, and claim reviews
Timely administration and filing of all electronic data and workers' compensation forms with states to ensure compliance with statutory regulations
Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized
Works with in-house Technical Assistants, Special Investigators, and Nurse
Consultants, Telephonic Case Managers, and Team supervisors
Must exceed customer's expectations for exceptional claim handling service
Technical Skills & Competencies:
Prior experience in workers' compensation as a lost time claim examiner or medical only examiner. Alternately, potential candidates should possess and be prepared to demonstrate transferable skills from other claim roles including short-term / long-term disability, auto personal injury protection, auto liability, medical injury, general liability, or other related customer service fields
Works with a high degree of autonomy and showcases venue expertise
Requires knowledge of workers' compensation statutes, regulations, and compliance
Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues
Exceptional customer service and focus
Ability to openly collaborate with leadership and peers to accomplish goals
Demonstrates a commitment to a career in claims
Exceptional time management and multi-tasking capabilities with consistent follow-through to meet deadlines
Use analytical skills to find mutually beneficial solutions to claims and customer issues.
Ability to prepare and make exceptional presentations to internal and external customers
Conscientious about the quality and professionalism of work product and
relationships with co-workers and clients
Willing to take ownership and resolve issues to meet Chubb's quality
standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation
Superior verbal and written communication skills
Experience, Education, & Requirements:
4 - 6 years of prior claim experience, or related field, with a preference for workers' compensation claims
Experience working in a customer-focused, fast-paced, fluid environment
Experience utilizing strong communication and telephonic skills
Prior experience demonstrating a high level of organization, follow-up, and accountability
AIC, RMA, or CPCU-completed coursework or designation(s) is a plus but not required
Experience with litigation management
Experience with subrogation investigations
Experience with fraud investigations
Experience with medical case management
Knowledge of medical terminology, treatment and related costs
Knowledge of medical ICD coding and Medicare standards
Conduct reserve analyses to ensure adequacy and demonstrate financial acumen
If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.
Proficiency with Microsoft Office Products
$72k-109k yearly est. Auto-Apply 60d+ ago
Daily Property Field Adjuster
Alacrity Solutions
Claims adjuster job in Hartford, CT
Job Description
Alacrity Solutions
Independent Contractor
Daily Property Field Adjuster
Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Our staffing capabilities, temporary housing services, managed repair network, and subrogation services support a fully integrated solution for all your needs from first notice of loss through completion of repairs. By assembling the best service providers through strategic acquisitions and relying on the right talent, Alacrity Solutions provides consistent, professional, and scalable services throughout the entire claim handling and resolution process. To learn more, visit **************************
The objective of a Daily Property Field Adjuster is to provide excellent claim handling services for our clients regarding daily claim work within your area which can include multiple perils.
Contract Requirements Include:
A contract will be issued within 24 hours of accepting your first claim assignment with Alacrity. This IA contract will include pay details and other pertinent information regarding your work as an independent contract with Alacrity. A completed contract is required to issue pay.
Skills & Requirements/Licensure:
MUST live within 50-100 miles of posted location and willing to travel to location.
Minimum 2-3 years property field adjusting experience.
Independent adjusting license in your home state (area of work), or a designated home state license if residing in a non-licensing state.
Experienced in wind, hail, theft, fire, water losses and other perils preferred.
Have reliable transportation, computer, digital camera, ladder, and other miscellaneous items necessary to perform adjuster responsibilities.
Willing and able to climb roofs.
Computer and Phone System Requirements:
Smart Cell Phone able to access to internet.
Xactimate and/or Symbility proficient with current subscription
Working Laptop computer with reliable high-speed internet
Digital camera and other miscellaneous items necessary to perform adjuster responsibilities.
Working Conditions / Physical & Mental Demands:
The physical demands described here are representative and must be met by the independent contractor to successfully perform this job.
100% travel is required within designated working territory based on the location of assignments received.
Normal office or field claims environment. Ability to operate a motor vehicle for up to 8 hours daily, repeatedly entering and exiting the vehicle. Must be able to make physical inspections of auto loss sites. Must be able to work outdoors in all types of weather. Available to work catastrophic loss events. A willingness to work irregular hours and to travel with possible overnight requirements a plus.
Why Choose Alacrity?
Flexibility: Self-determined Scheduling
Diversity Statement
Alacrity is an equal opportunity employer and is committed to providing employees with a work environment free of discrimination and harassment. All decisions pertaining to an employee's employment are made without regard to race, color, religion, sex (including sexual orientation, pregnancy, childbirth), gender, gender identity or expression, age, national origin, ancestry, physical or mental disability, medical condition, reproductive health decisions, veteran's status, genetic information, creed, marital status, disability, citizenship status, or any other characteristic protected by applicable law.
How Long We Retain Personal Information:
We will keep your personal information for as long as necessary to fulfill legitimate business purposes and in accordance with applicable laws.
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$50k-70k yearly est. 17d ago
Associate APD Claims Handler
Amica Mutual Insurance 4.5
Claims adjuster job in East Hartford, CT
Associate APD Claims Representative Hartford Regional Office 101 East River Dr, East Hartford, CT 06108 Thank you for considering Amica as part of your career journey, where your future is our business. Ready to Join Us? Are you a detail-oriented professional with a passion for resolving complex issues and supporting customers in a time of need? We're looking for a Claims Representative who thrives in a fast-paced environment and is committed to delivering exceptional service. As an Associate Auto Physical Damage (APD) Claims Handler in our East Hartford office, you will play a vital role in handling automobile insurance claims.
At Amica, we recruit the best talent and believe that an investment in our people is an investment in us. Our frontline customer service representatives carry out our guiding philosophy - that empathy is our best policy - to our valued customers every day.
We believe in promoting from within and providing our employees with opportunities for growth and advancement. This entry-level position offers a high level of growth potential, including the possibility to advance to team lead and supervisory roles. We are committed to helping our employees build long-term careers with us.
At Amica, we pride ourselves on being an inclusive and supportive environment. We all work together to accomplish the common goal of providing the best experience for our customers. We believe in trust and fostering lasting relationships for our customers and employees! We're focused on creating a workplace that works for all. We'll continue to provide training, guidance, and resources to make Amica a true place of belonging for all employees. Want to learn more about our commitment to diversity, equity, and inclusion? Visit our DEI page to read about it!
As a key member of our claims team, you will:
* Own your caseload: Manage a backlog of claims using a diary system to ensure timely communication, monitoring, and reporting.
* Investigate: Conduct in-depth research to evaluate coverage and determine claim outcomes.
* Communicate effectively: Monitor claim-related communications and respond to customer's needs.
* Collaborate and contribute: Build strong relationships across departments and help foster a culture of teamwork.
* Stay informed: Develop a working knowledge of laws and regulations impacting claims handling.
* Stay compliant: Maintain active licenses in designated states and complete continuing education as required.
* Adapt and support: Take on additional responsibilities as needed to support team success.
What We're Looking For:
* A high school diploma or equivalent - college coursework or additional training is a plus!
* Willingness to obtain required state insurance licenses (Don't worry - we'll provide study materials, paid time to study and cover the exam costs!)
* Prior experience in insurance or claims handling is helpful, but not required
* Prior experience providing support to customers or clients is valued and can contribute to success in this role
* Strong decision-making skills
* A calm, empathetic communicator who can confidently support people during tough situations
* Excellent written and verbal communication skills
* Comfortable using Microsoft Word and Outlook
Compensation and Schedule:
* Starting annual salary of $47,416, overtime is paid for any excess hours subject to manager approval
* Annual Success Sharing Plan - Paid to eligible employees if the company meets or exceeds the combined ratio, growth and/or service goals.
* 37.5-hour schedule, Monday through Friday, 8:45 a.m. to 5 p.m.
* Potential to work holidays for additional pay
* Work from home up to two days per week once trained to work independently
We've Got the Whole Package:
* Medical, dental, vision coverage, short- and long-term disability, and life insurance
* Paid Vacation - you will receive at least 13 vacation days in the first 12 months; amounts could be greater depending on the role. While able to use prior to accrual, vacation time will accrue monthly.
* Holidays - 14 paid holidays observed
* Sick time - 6 days sick time at hire, 6 additional days sick time at 90 days of employment
* Generous 401k with company match and immediate vesting. Additionally, annual 3% non-elective employer contribution
* Annual Success Sharing Plan - Paid to eligible employees if the company meets or exceeds combined ratio, growth and/or service goals
* Generous leave programs, including paid parental bonding leave
* Student Loan Repayment and Tuition Reimbursement programs
* Generous fitness and wellness reimbursement
* Employee community involvement
* Strong relationships, lifelong friendships
* Opportunities for advancement in a successful and growing company
Why Amica?
* Our People Are Our Priority: We're a mutual company where people come first, including empathetic employees who represent the diversity of our policyholders. That's why we welcome employees who represent differences in opinion, life experience and perspectives, who enrich a culture where everyone can contribute and grow.
* The Opportunities Are Wide Open: We know growth isn't always linear. We encourage our employees to be curious about their career at Amica and explore the options available to them. We believe that what's best for our employees is best for the company.
* Commitment Goes Both Ways: What employees get in return for what they bring to Amica includes compensation and benefits of a Total Rewards package. But it goes further to include flexible work environments and opportunities to advance their careers. The support we offer is designed to help you build a stable and fulfilling career that's uniquely Amica.
Amica conducts background checks which includes a review of criminal, educational, employment and social media histories, and if the role involves use of a company vehicle, a motor vehicle or driving history report. The background check will not be initiated until after a conditional offer of employment is made and the candidate accepts the offer. Qualified applicants with arrest or conviction records will be considered for employment.
The safety and security of our employees and our customers is a top priority. Employees may have access to employees' and customers' personal and financial information in order to perform their job duties. Candidates with a criminal history that imposes a direct or indirect threat to our employees' or customers' physical, mental or financial well-being may result in the withdrawal of the conditional offer of employment.
About Amica
Amica Mutual Insurance Company is America's oldest mutual insurer of automobiles. A direct national writer, Amica also offers home, marine and umbrella insurance. Amica Life Insurance Company, a wholly owned subsidiary, provides life insurance and retirement solutions. Amica was founded on the principles of creating peace of mind and building enduring relationships for and with our exceptionally loyal policyholders, a mission that thousands of employees in offices nationwide share and support
Equal Opportunity Policy: All qualified applicants who are authorized to work in the United States will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, family status, ethnicity, age, national origin, ancestry, physical and/or mental disability, mental condition, military status, genetic information or any other class protected by law. The Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are 40 years of age or older. Employees are subject to the provisions of the Workers' Compensation Act.
Amica Mutual Insurance Company is committed to protecting job seekers from recruitment fraud. We never request sensitive personal information or payment during the interview process. All legitimate job opportunities are listed on our official careers site: ************************** Learn more in the "Is Amica hiring?" section of our FAQ.
hp
$47.4k yearly 4d ago
Senior Claim Examiner-General Liability
Atlantic Casualty Insurance Co 4.2
Claims adjuster job in Glastonbury, CT
Atlantic Casualty Insurance Company (ACIC) is a recognized Excess and Surplus Lines carrier and proud affiliate of the Auto-Owners Insurance Group since 2016. With authority in all 50 states and Washington, D.C., ACIC provides innovative insurance solutions while maintaining a strong financial foundation, reflected in our A.M. Best rating of A+ (Superior).
Our strength comes from our people. For six consecutive years, we've been certified a Great Place to Work and consistently ranked among Fortune's “100 Best Small and Medium Workplaces”. At ACIC, we foster a culture where everyone belongs. We're a team-supporting one another through leadership development, mentorship programs, career certifications, and comprehensive benefits.
Our benefits include:
Health, Dental & Vision plans (HSA & PPO options)
401(k) with company match + financial advisor access
Tuition reimbursement & student loan assistance
Paid parental leave
Counseling and mental wellness support
Flexible work and in-office schedules
Whether you're just starting your career or looking to grow it, Atlantic Casualty is where talent thrives, and teamwork drives success.
Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.
************************************************
Summary:
Manages the settlement of complex, high-value claim and suit files independently. Cases will involve complex coverage, liability, damages and/or injuries. May give technical assistance to staff adjusters. Manages independent adjusters and attorneys assigned to the Examiner's files. Has settlement authority in excess of adjusters. May extend settlement authority to staff adjusters. Does not administratively supervise staff adjusters.
Essential Duties and Responsibilities:
Analyze, review and interpret policies to resolve coverage and assess liability.
Independently handle more complex and high-exposure Commercial Garage claims.
Under general supervision and direction, resolves beginning to moderately complex claims by investigating losses, negotiating settlements, presenting evidence in legal proceedings while maintaining adequate production and quality levels.
Investigates claims by interviewing shipper, consignee, witnesses, requesting and obtaining official reports, requesting and reviewing survey reports, and comparing claim information with evidence.
Independently manage files in litigation.
Establish and maintain proper loss and expense reserves.
Determine what investigation is necessary in order to bring a claim to an equitable conclusion for all parties involved.
Properly document information in the claim file.
Review insurance policies for coverage and make recommendations.
Make decisions regarding the liability of an insured.
Maintain a working diary of assigned claims.
Return phone calls promptly.
Provide excellent customer service.
Assist in the training of personnel within the unit.
Perform other similar or related duties as assigned.
Required Education/Experience:
Basic
A four-year degree from an accredited institution or equivalent experience.
Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims.
A basic understanding of accounting principles, construction, underwriting, marketing and auto physical damage estimating.
Advanced
Seven plus years successful handling of claims including advanced skills in coverage, investigation, litigation, negotiation, salvage and subrogation.
Knowledge of medical terms and legal issues.
Excellent computer skills.
Advanced communication skills are required to understand, interpret and convey technical information.
Excellent time management skills.
Licensing:
A valid resident adjuster license for the license state of the applicant.
A non-resident adjuster's license where required in the states where we do business.
Mental Requirements:
The position requires using and interpreting information and facts that may require refining and improving existing methods of analysis. The incumbent has considerable latitude for decision making and establishment of priorities. Significant planning is required to coordinate with other organizational units.
PHYSICAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate. Works primarily indoors.
TRAVEL: 5%
"Atlantic Casualty Insurance Company is an Equal Opportunity Employer"
$59k-86k yearly est. Auto-Apply 37d ago
Workers Compensation Claims Specialist, Northeast Region
Liberty Mutual 4.5
Claims adjuster job in Weatogue, CT
The Workers Compensation Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claim's management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers.
We are open to filling this position as an Associate Claims Specialist I (grade 10) or Claims Specialist I (grade 11), or Claims Specialist II (grade 12) depending on candidate experience.
We prefer candidates from Connecticut, Maine, New Hampshire, Rhode Island, Vermont, New Jersey, New York, Pennsylvania, Massachusetts. If you do live within 50 miles of Westborough, MA or Weatogue, CTclaims office, you will be required to go into the office twice per month.
Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.
Training will require travel for 1 week to our office in Plano, TX in February.
Responsibilities:
* Manages an inventory of claims to evaluate compensability/liability.
* Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
* Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
* Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate.
* Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
* Performs other duties as assigned.
Qualifications
* Proven interpersonal, analytical and negotiation abilities required.
* Ability to provide information in a clear, concise manner, ability to build effective relationships.
* Bachelor`s degree or equivalent in addition to 1-year claims handling experience. Knowledge of legal liability, insurance coverage and medical terminology preferred.
* Licensing may be required in some states.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
* California
* Los Angeles Incorporated
* Los Angeles Unincorporated
* Philadelphia
* San Francisco
$89k-119k yearly est. Auto-Apply 5d ago
Claims Examiner, General Liability
Arch Capital Group Ltd. 4.7
Claims adjuster job in Hartford, CT
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Summary
The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity General Liability claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence.
Responsibilities:
* Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level
* Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution
* Review and analyze supporting damage documentation
* Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions
* Establish appropriate loss and expense reserves with documented rationale
* Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines
Experience & Qualifications
* Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word
* Knowledge of ImageRight preferred
* Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
* Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions
* Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines
* Ability to work well independently and in a team environment
* Texas ClaimAdjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas ClaimAdjuster license within six months of hire date.
Education
* Bachelor's degree preferred
* 3-5 years' experience handling the process of commercial insurance claims
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$71,900 - $97,110/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
For Colorado Applicants - The deadline to submit your application is:
May 17, 2026
14400 Arch Insurance Group Inc.
$71.9k-97.1k yearly Auto-Apply 10d ago
Senior Claim Examiner-General Liability
Strickland Insurance Group 3.4
Claims adjuster job in Glastonbury, CT
Atlantic Casualty Insurance Company (ACIC) is a recognized Excess and Surplus Lines carrier and proud affiliate of the Auto-Owners Insurance Group since 2016. With authority in all 50 states and Washington, D.C., ACIC provides innovative insurance solutions while maintaining a strong financial foundation, reflected in our A.M. Best rating of A+ (Superior).
Our strength comes from our people. For six consecutive years, we've been certified a Great Place to Work and consistently ranked among Fortune's “100 Best Small and Medium Workplaces”. At ACIC, we foster a culture where everyone belongs. We're a team-supporting one another through leadership development, mentorship programs, career certifications, and comprehensive benefits.
Our benefits include:
Health, Dental & Vision plans (HSA & PPO options)
401(k) with company match + financial advisor access
Tuition reimbursement & student loan assistance
Paid parental leave
Counseling and mental wellness support
Flexible work and in-office schedules
Whether you're just starting your career or looking to grow it, Atlantic Casualty is where talent thrives, and teamwork drives success.
Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.
************************************************
Summary:
Manages the settlement of complex, high-value claim and suit files independently. Cases will involve complex coverage, liability, damages and/or injuries. May give technical assistance to staff adjusters. Manages independent adjusters and attorneys assigned to the Examiner's files. Has settlement authority in excess of adjusters. May extend settlement authority to staff adjusters. Does not administratively supervise staff adjusters.
Essential Duties and Responsibilities:
Analyze, review and interpret policies to resolve coverage and assess liability.
Independently handle more complex and high-exposure Commercial Garage claims.
Under general supervision and direction, resolves beginning to moderately complex claims by investigating losses, negotiating settlements, presenting evidence in legal proceedings while maintaining adequate production and quality levels.
Investigates claims by interviewing shipper, consignee, witnesses, requesting and obtaining official reports, requesting and reviewing survey reports, and comparing claim information with evidence.
Independently manage files in litigation.
Establish and maintain proper loss and expense reserves.
Determine what investigation is necessary in order to bring a claim to an equitable conclusion for all parties involved.
Properly document information in the claim file.
Review insurance policies for coverage and make recommendations.
Make decisions regarding the liability of an insured.
Maintain a working diary of assigned claims.
Return phone calls promptly.
Provide excellent customer service.
Assist in the training of personnel within the unit.
Perform other similar or related duties as assigned.
Required Education/Experience:
Basic
A four-year degree from an accredited institution or equivalent experience.
Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims.
A basic understanding of accounting principles, construction, underwriting, marketing and auto physical damage estimating.
Advanced
Seven plus years successful handling of claims including advanced skills in coverage, investigation, litigation, negotiation, salvage and subrogation.
Knowledge of medical terms and legal issues.
Excellent computer skills.
Advanced communication skills are required to understand, interpret and convey technical information.
Excellent time management skills.
Licensing:
A valid resident adjuster license for the license state of the applicant.
A non-resident adjuster's license where required in the states where we do business.
Mental Requirements:
The position requires using and interpreting information and facts that may require refining and improving existing methods of analysis. The incumbent has considerable latitude for decision making and establishment of priorities. Significant planning is required to coordinate with other organizational units.
PHYSICAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate. Works primarily indoors.
TRAVEL: 5%
"Atlantic Casualty Insurance Company is an Equal Opportunity Employer"
$37k-63k yearly est. Auto-Apply 37d ago
Workers' Compensation Claim Representative
Chubb 4.3
Claims adjuster job in New Haven, CT
Chubb is currently seeking a Workers' Compensation Claim Representative for our Northeast, New York, and New Jersey Region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey. The position will report to, and reside in, our New Haven, Connecticut, office.
Duties & Responsibilities:
Handles all aspects of workers' compensation medical only claims from set-up to case closure, ensuring strong customer relations are maintained throughout the process.
Reviews claim and policy information to provide background for the investigation.
Conducts three-part ongoing investigations, obtaining facts and taking statements as necessary, with the insured, claimant, and medical providers.
Evaluates the facts gathered through the investigation to determine the compensability of the medical treatment.
Informs insureds and claimants of claim denials when applicable.
Prepares reports on investigations, settlements, denials of claims, evaluations of involved parties, etc.
Timely administration of statutory medical only benefits throughout the life of the claim.
Sets reserves within authority limits for medical and expenses and recommends reserve changes to Team Leader throughout the life of the claim.
Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them.
Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered.
Controls and directs vendors, nurse case managers, and telephonic case managers on medical management.
Complies with customer service requests, including Special Claims Handling procedures and file status notes.
Submits workers' compensation forms and electronic data to states to ensure compliance with statutory regulations.
Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized.
Works with in-house Technical Assistants, Special Investigators, Nurse
Consultants, Telephonic Case Managers and Team Supervisors to exceed customers' expectations for exceptional claim handling service.
Technical Skills & Competencies:
Entry-level Medical Only Claim Examiner position.
Knowledge of insurance, claims, and workers' compensation statutes, regulations, and compliance is a plus, but on-the-job training will be provided to the chosen applicant.
Ability to incorporate data analytics and modeling into daily activities to expedite the fair and equitable resolution of claims and claim issues.
A personal commitment to superior performance that adds value to our company and our customers.
Ability to work effectively with a wide variety of people.
An aptitude for evaluating, analyzing, and interpreting information.
Superior telephonic skills.
Excellent organizational skills.
The ability to multi-task with proven time management skills to meet deadlines.
Ability to work well in teams.
Demonstrate critical thinking and decision-making ability.
Excellent verbal and written communication skills.
Experience, Education, & Requirements:
Prior medical only or similar claim handling experience is a plus but not required.
Proficiency in using Microsoft Office Products
Experience in a fast-paced, fluid environment
Strong communication and telephonic skills
Knowledge of medical terminology is a plus but not required.
Knowledge of bill processing is a plus but not required.
If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.
$46k-64k yearly est. Auto-Apply 60d+ ago
Complex Claims Specialist, Managed Care, E&O, D&O
Liberty Mutual 4.5
Claims adjuster job in Weatogue, CT
Liberty Mutual has an immediate opening for a Complex Claims Specialist with Managed Care, Errors & Omissions (E&O) and Directors & Officers (D&O) Professional Liability claims experience. The Complex Claims Specialist, with minimal supervision, handles a book of specialty lines claims under E&O and D&O policies issued to health plans and other Managed Care Organizations throughout the entire claim's life cycle. In this role, you will be responsible for conducting investigations, evaluating coverage, setting adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business.
* This position may have an in-office requirement and other travel needs depending on candidate location. If you reside within 50 miles of one of the following offices, you will be required to go to the office twice a month: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; Westborough, MA; or Weatogue, CT. Please note this policy is subject to change.
Responsibilities
* Analyzes, investigates and evaluates the loss to determine coverage and claim disposition.
* Utilizes proprietary claims management system to document claims and to diary future events or follow up.
* Issue detailed coverage position letters for all new claims within prescribed time frames.
* Within prescribed settlement authority, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level.
* Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting.
* Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment.
* Pro-actively manages the case resolution process. Actively participates in mediations and arbitrations, as well as negotiation discussions within limit of settlement authority.
* Participates in the claims audit process.
* Provides claims marketing services by meeting with brokers and insureds.
* As required, maintains insurance adjuster licenses
Qualifications
* Bachelors' and/or advanced degree
* 7 + years claims/legal experience, with at least 2 years within a technical specialty preferred Professional Liability (Managed Care, Errors & Omissions and Directors & Officers)
* Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge
* Functional knowledge of law and insurance regulations in various jurisdictions
* Demonstrated advanced verbal and written communications skills
* Demonstrated advanced analytical, decision making and negotiation skills
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
* California
* Los Angeles Incorporated
* Los Angeles Unincorporated
* Philadelphia
* San Francisco
$89k-119k yearly est. Auto-Apply 11d ago
Senior Claim Examiner-General Liability
Strickland Insurance Group 3.4
Claims adjuster job in Glastonbury, CT
Atlantic Casualty Insurance Company (ACIC) is a recognized Excess and Surplus Lines carrier and proud affiliate of the Auto-Owners Insurance Group since 2016. With authority in all 50 states and Washington, D.C., ACIC provides innovative insurance solutions while maintaining a strong financial foundation, reflected in our A.M. Best rating of A+ (Superior).
Our strength comes from our people. For six consecutive years, we've been certified a Great Place to Work and consistently ranked among Fortune's “100 Best Small and Medium Workplaces”. At ACIC, we foster a culture where everyone belongs. We're a team-supporting one another through leadership development, mentorship programs, career certifications, and comprehensive benefits.
Our benefits include:
Health, Dental & Vision plans (HSA & PPO options)
401(k) with company match + financial advisor access
Tuition reimbursement & student loan assistance
Paid parental leave
Counseling and mental wellness support
Flexible work and in-office schedules
Whether you're just starting your career or looking to grow it, Atlantic Casualty is where talent thrives, and teamwork drives success.
Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.
************************************************
Summary:
Manages the settlement of complex, high-value claim and suit files independently. Cases will involve complex coverage, liability, damages and/or injuries. May give technical assistance to staff adjusters. Manages independent adjusters and attorneys assigned to the Examiner's files. Has settlement authority in excess of adjusters. May extend settlement authority to staff adjusters. Does not administratively supervise staff adjusters.
Essential Duties and Responsibilities:
Analyze, review and interpret policies to resolve coverage and assess liability.
Independently handle more complex and high-exposure Commercial Garage claims.
Under general supervision and direction, resolves beginning to moderately complex claims by investigating losses, negotiating settlements, presenting evidence in legal proceedings while maintaining adequate production and quality levels.
Investigates claims by interviewing shipper, consignee, witnesses, requesting and obtaining official reports, requesting and reviewing survey reports, and comparing claim information with evidence.
Independently manage files in litigation.
Establish and maintain proper loss and expense reserves.
Determine what investigation is necessary in order to bring a claim to an equitable conclusion for all parties involved.
Properly document information in the claim file.
Review insurance policies for coverage and make recommendations.
Make decisions regarding the liability of an insured.
Maintain a working diary of assigned claims.
Return phone calls promptly.
Provide excellent customer service.
Assist in the training of personnel within the unit.
Perform other similar or related duties as assigned.
Required Education/Experience:
Basic
A four-year degree from an accredited institution or equivalent experience.
Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims.
A basic understanding of accounting principles, construction, underwriting, marketing and auto physical damage estimating.
Advanced
Seven plus years successful handling of claims including advanced skills in coverage, investigation, litigation, negotiation, salvage and subrogation.
Knowledge of medical terms and legal issues.
Excellent computer skills.
Advanced communication skills are required to understand, interpret and convey technical information.
Excellent time management skills.
Licensing:
A valid resident adjuster license for the license state of the applicant.
A non-resident adjuster's license where required in the states where we do business.
Mental Requirements:
The position requires using and interpreting information and facts that may require refining and improving existing methods of analysis. The incumbent has considerable latitude for decision making and establishment of priorities. Significant planning is required to coordinate with other organizational units.
PHYSICAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate. Works primarily indoors.
TRAVEL: 5%
"Atlantic Casualty Insurance Company is an Equal Opportunity Employer"
How much does a claims adjuster earn in Manchester, CT?
The average claims adjuster in Manchester, CT earns between $45,000 and $73,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.