Responsibilities:
Conduct in-depth investigations into complex bodily injury claims, determining coverage, establishing liability, and evaluating damages by analyzing medical records, police reports, and witness statements.
Develop and execute effective negotiation strategies to achieve fair and timely settlements with claimants, attorneys, and other parties.
Manage litigated files, including developing defense strategies, communicating with legal counsel, and attending mediations, arbitrations, and trials as necessary.
Maintain meticulous and accurate claim file documentation in compliance with company standards and regulatory requirements.
Provide exceptional customer service, guiding insureds and claimants through complex claim processes with professionalism and empathy.
Candidate & SkillsTop 3-5 Skills:
5 + years of direct experience handling casualty claims, with a strong focus on bodily injury (BI) claims across various lines (Auto, Homeowners, Commercial).
Proven ability to investigate, analyze, and evaluate complex BI claims, including understanding medical terminology and injury causation.
Solid understanding of insurance policies, relevant state laws, and the litigation process.
Strong negotiation and conflict resolution skills, with a track record of successful settlements.
Takes ownership of files, even when litigation is involved.
Soft Skills:
Exceptional communication (verbal and written), interpersonal, and customer service skills.
Ability to work independently, manage a challenging caseload, and make sound judgments.
Strong analytical, problem-solving, and decision-making abilities.
Meticulous attention to detail and excellent organizational skills.
An eagerness to learn, adapt, and embrace new technologies
Ability to work effectively both independently and as part of a supportive team.
Certifications/Licenses/Education:
Active Adjuster License in CT, MA, RI - willing to get additional licenses as needed (company to assist)
A bachelor's degree is preferred, or equivalent work experience.
Pay Range:
$80,000-$100,000
We understand salary is an important factor in your job search and encourage you to apply even if your desired compensation falls outside this range. The final rate is determined based on several factors including relevant experience, education, certifications, and market conditions.
Benefits:
Our comprehensive benefits package includes:
o Medical insurance
o Dental insurance
o Vision insurance
o 401(k) retirement savings plan
Contact:
Justine Haley
************************
Refer a Colleague:
Do you know someone who would be interested in this project? Submit your referral directly by emailing the Jacobson contact listed above or submitting them through this form. If your referral is hired for a contract assignment and meets all other eligibility criteria, you will receive a referral bonus!
Equal Opportunity Employer:
The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law. We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs. If you require a reasonable accommodation to complete the application process or participate in an interview, please contact us at ********************* or ***************** to make a request.
$80k-100k yearly 5d ago
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Auto Claims Representative
Beacon Hill 3.9
Claims adjuster job in Boston, MA
Auto Claims Representative to $47K - Lauch Your Career!
Our client, a leading insurance organization, is seeking an Auto Claims Representative to manage automobile property damage claims while delivering exceptional customer service. As part of a growth-oriented training program, you'll investigate claims, assess liability, and ensure timely resolution.
Position Details:
Location: Boston, MA
Work Model: Hybrid
Degree: Preferred
Responsibilities include analyzing policy provisions to determine coverage; investigating auto accidents and gathering documentation; negotiating and settling claims within authority limits; maintaining accurate records and follow-up systems; coordinating with vendors and internal teams to resolve disputes; initiating subrogation processes when applicable; and managing phone and email communications to ensure timely updates.
The ideal candidate possesses strong organizational and multitasking skills; excellent verbal and written communication abilities; proficiency in Microsoft Office Suite; ability to handle sensitive situations with professionalism; and a customer-focused mindset with adaptability to manage multiple priorities.
Enjoy a role that offers comprehensive benefits, long-term career growth, and a supportive team environment committed to your success!
Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply.
California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: *****************************************
Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records.
Company Profile:
Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.
Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.
Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting *************
Benefits Information:
Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings.
We look forward to working with you.
Beacon Hill. Employing the Future (TM)
$47k yearly 1d ago
Workers' Compensation Claims Adjuster - Temp
Argonaut Management Services, Inc.
Claims adjuster job in Portland, ME
Argo Group International Holdings, Inc.and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.
Job Description
Business Title(s):Workers' Compensation ClaimsAdjuster
Employment Type:Contingent Worker
FLSA Status:Non-Exempt
Location:In-Officeor Remote
Summary:
Although Rockwood underwrites general liability insurance and workers' compensation for many types of businesses, ourspecialtyis underwriting workers' compensation insurance for the mining industry, with a focus on the coal-mining industry. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal. We have never been more committed to our clients to ensure their employees receive excellent medical care if they need it due to a work-related injury or illness. Our passion for outstanding customer focus, combined with our deep industry experience, is what sets up apart from other insurance carriers in this niche market.
We are looking for a highly capable Workers' Compensation ClaimsAdjuster to help us on a temporary assignment through13February2026 and work from anywhere in the continental United States.
If this assignment is filled in one of our following offices, the assignment can be considered temp-to-hire: Albany, Chicago, Los Angeles, New York,Omaha, Richmond (VA), Rockwood (PA), or Springfield (MO). This role willadjudicateindemnity workers' compensation claims of higher technical complexity for our customers in the states of CO, KS, KY, MD, MI, MO, MT, PA, UT, and WV. As this is a temporary assignment, only government-mandated benefits will be provided.
Essential Responsibilities:
Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Resolving issues that are generalized and typically notcomplex butrequire understanding of a broader set of issues.
Reporting to senior management and underwriters onclaimstrends and developments.
Investigating claims promptly and thoroughly.
Analyzing claims forms, policies and endorsements, client instructions, and other records todeterminewhether the loss falls within the policy coverage.
Investigating claims promptly and thoroughly, including interviewing all involved parties.
Managing claims in litigation.
Managing diarytimelyand complete tasks to ensure that cases move to the best financial outcome andtimelyresolution.
Properly setting claim reserves.
Identifying, assigning, and coordinating the assignment and coordination ofexpertiseresources toassistin case resolution.
Preparing reports for file documentation.
Applying creative solutions which result in the best financial outcome.
Negotiating settlements.
Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
Having an appreciation and passion for strong claim management.
Qualifications / Experience Required:
A practical knowledge ofadjudicatingworkers' compensation claims through:
A minimum of two years' experienceadjudicatingindemnity workers'compensation claimsin one or more of the followingjurisdictions: CO, KS, KY, MD, MI, MO, MT, PA, UT, and/or WV.
Bachelor'sdegree from an accredited universityrequired. Two or more insurance designations or fouradditionalyears of related experienceadjudicatingindemnity claims beyond the minimum experiencerequiredabove may be substituted in lieu of a degree.
Must be licensed in KY
Must have good business acumen (i.e.understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
A practical knowledge ofadjudicatingworkers' compensation claims through:
Must have excellent communication skills and the ability to build lasting relationships.
Exhibit natural curiosity
Desireto work in a fast-paced environment.
Excellent evaluation and strategic skillsrequired.
Strong claim negotiation skillsa must.
Mustpossessa strong customer focus.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
Must work independently anddemonstratethe ability to exercise sound judgment.
Demonstrates inner strength. Has the courage to do the right thing anddemonstratesit on a daily basis.
Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
Proficient in MS Office Suite and other business-related software.
Polished and professional written and verbal communication skills.
The ability to read and write English fluently isrequired.
Mustdemonstratea desire for continued professional development through continuing education and self-development opportunities.
The base salary range provided below is for hires in those geographic areas only and will becommensuratewith candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.
Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges:$37.66- $44.33per hour
California outside of Los Angeles and San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Houston metro area, New York State (including Westchester County)and Washington State Pay Ranges:$41.44- $48.79per hour
Los Angeles, New York City and San Francisco metro areas Pay Ranges:$45.12- $53.16per hour
About Working in Claims at Argo Group
Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions andtreateach case as the unique situation it is.
We have a very flat organizational structure, enabling our employeeshavemore interaction with our senior management team, especially when it relates to reviewing large losses.
Our entire claims team works in a collaborative nature to expeditiously resolve claims.We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.
PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at .
Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.
We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.
The collection of your personal information is subject to our HR Privacy Notice
Benefits and Compensation
We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
$37.7-44.3 hourly 5d ago
Associate, Wage and Hour - Disputes, Claims & Investigations
Stout 4.2
Claims adjuster job in Boston, MA
At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.
Associate - DCI (Disputes, Claims & Investigations), Wage & Hour
Stout is seeking an Associate with 2-5 years of experience to join our Disputes, Claims & Investigations (DCI) Wage and Hour practice. This is a full-time role offering comprehensive benefits, a 401(k), and eligibility for annual bonuses.
Stout brings deep expertise supporting clients in high-stakes business litigation and economic consulting matters. Associates work closely with experienced professionals and subject-matter experts to analyze complex data and deliver independent, thoughtful analyses.
Impact You'll Make
This role plays a critical part in delivering high-quality analytical support on complex wage and hour matters. Your work will directly contribute to successful client outcomes and the effectiveness of project teams.
Execute and support complex data analyses related to wage and hour disputes and investigations.
Contribute to the development of sound methodologies and analytical approaches that support defensible conclusions.
Help ensure projects are completed on time, within scope, and with a high standard of quality.
Build strong working relationships across project teams to drive collaboration and efficiency.
Support client-facing deliverables that clearly communicate findings and insights.
What You'll Do
These responsibilities reflect the day-to-day work required to support engagements and achieve project objectives.
Review, organize, and analyze large and complex datasets to support litigation and consulting engagements.
Support multiple concurrent projects, anticipating scope, timing, and budget considerations.
Assist in developing work plans, methodologies, and resource needs to optimize project outcomes.
Collaborate closely with team members to meet deadlines and manage competing client expectations.
Support written analyses, reports, and presentations prepared for clients and other stakeholders.
Apply creative problem-solving techniques to manage risks and address analytical challenges.
What You Bring
This section outlines the qualifications and technical skills needed to succeed in the role.
Bachelor's degree from an accredited college or university, preferably in Economics, Mathematics, or a related field.
2-5 years of experience in wage and hour consulting or a closely related field.
Working knowledge of advanced data management and analytical tools such as SAS, SQL, STATA, R, or similar platforms.
Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Access.
Strong written and verbal communication skills with the ability to present complex information clearly.
Demonstrated ability to manage multiple projects simultaneously and work effectively with cross-functional teams.
How You'll Thrive
These competencies and behaviors will help you excel and grow within Stout's collaborative culture.
Maintain flexibility and adaptability in response to changing project requirements and timelines.
Demonstrate strong organizational skills and rigorous attention to detail.
Exhibit intellectual curiosity, self-motivation, and a commitment to quality control.
Collaborate effectively with colleagues while managing competing priorities.
Uphold Stout's core values and deliver Relentless Excellence in both client service and internal teamwork.
Why Stout?
At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life.
We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve.
We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals.
Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.
Learn more about our benefits and commitment to your success.
en/careers/benefits
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job.
Stout is an Equal Employment Opportunity.
All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law.
Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.
A reasonable estimate of the current range is $74,000.00 - $135,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
$39k-44k yearly est. 2d ago
General Liability Claims Adjuster II
Delhaize America 4.6
Claims adjuster job in Scarborough, ME
Ahold Delhaize USA, a division of global food retailer Ahold Delhaize, is part of the U.S. family of brands, which includes five leading omnichannel grocery brands - Food Lion, Giant Food, The GIANT Company, Hannaford and Stop & Shop. Our associates support the brands with a wide range of services, including Finance, Legal, Sustainability, Commercial, Digital and E-commerce, Technology and more.
Position Summary
Primary responsibilities include investigation of General Liability claims to determine liability exposure. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role is the primary interface to associates, attorneys, healthcare providers, vendor partners and Brand partners. Primary responsibilities include investigation of General Liability claims to determine liability exposure. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role is the primary interface to associates, attorneys, healthcare providers, vendor partners and Brand partners.
Our flexible/hybrid work schedule includes 1 in-person day at one of our core locations and 4 remote days.
Applicants must be currently authorized to work in the United States on a full-time basis.
Principle Duties and Responsibilities:
Claims Management
* Manage caseload within established targets and appropriate level. Performance standards include thorough investigations, evaluations, negotiation and disposition of all claims, while ensuring that all claims are in compliance with statutory and legal obligations.
* Monitor and ensure timely execution of all statutory deadlines or legal filings as needed.
* Analyze facts of the loss to understand the nature of the claim to develop strategies that provide optimal outcome and mitigate the overall Total Cost of Risk to the Banners' bottom lines.
* Identify fraud indicators and actively pursue subrogation opportunities.
* Collaborate with the Safety department in identifying hazards that exist in the retail and distribution operations and ways to minimize these risks.
* Build and maintain positive relationships with internal (Brands, Distributions Centers, Transportation, Ecommerce, Human Resources, Legal, Insurance) and external (vendors, healthcare providers, outside attorneys) customers.
Financial Impact Administration
* Manage book of claims business (up to $ 2million) with authority to settle/negotiate a single claim within their authority of up to $25,000.
* Communicate ongoing causes of incidents to Safety and Brands.
* Serve as the primary point of contact to address and resolve claim issues impacting customer, associate, vendor, and the Brands. Research and resolve claim/legal issues. Provide timely communication related to the claim, resolving issues, and responding to questions via phone, email, and online applications.
Basic Qualifications:
* Licensed adjuster (as appropriate by jurisdiction)
* Bachelor's degree or experience handling General Liability claims or equivalent expertise.
* Thorough knowledge of rules, regulations, statutes, and procedures pertaining to general liability claims.
* Knowledge of medical terminology involved in complex claims
* Negotiates resolution of claims of various exposure and complexity
Skills and Abilities:
* Demonstrates relationship building and communication skills, both written and verbal.
* Highly self-motivated, goal oriented, and works well under pressure.
* Customer focused solid understanding of legal procedures, processes, practices and standards in the handling of general liability claims
* Ability to identify problems and effectuate solutions
* Ability to manage multiple tasks simultaneously with excellent follow-up and attention to detail
* Able to apply critical thinking when solving problems and making decisions.
ME/NC/PA/SC Salary Range: $63,440-$95,160
IL/MA/MD/NY Salary Range: $72,880 - $109,320
Actual compensation offered to a candidate may vary based on their unique qualifications and experience, internal equity, and market conditions. Final compensation decisions will be made in accordance with company policies and applicable laws.
#LI-SM1 #LI-Hybrid
At Ahold Delhaize USA, we provide services to one of the largest portfolios of grocery companies in the nation, and we're actively seeking top talent.
Our team shares a common motivation to drive change, take ownership and enable our brands to better care for their customers. We thrive on supporting great local grocery brands and their strategies.
Our associates are the heartbeat of our organization. We are committed to offering a welcoming work environment where all associates can succeed and thrive. Guided by our values of courage, care, teamwork, integrity (and even a little humor), we are dedicated to being a great place to work.
We believe in collaboration, curiosity, and continuous learning in all that we think, create and do. While building a culture where personal and professional growth are just as important as business growth, we invest in our people, empowering them to learn, grow and deliver at all levels of the business.
$72.9k-109.3k yearly 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims adjuster job in Portland, ME
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$46k-57k yearly est. Auto-Apply 39d ago
Inside Property Claim Representative
Travelers Insurance Company 4.4
Claims adjuster job in West Bridgewater, MA
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$60,800.00 - $100,300.00
**Target Openings**
1
**What Is the Opportunity?**
Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business property claims of moderate severity and complexity. Claims may also involve low severity building damage with some personal property and business personal property related to a wide variety of causes of loss. Claims can involve higher exposure depending on loss type and nature of the damaged property. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.
**What Will You Do?**
+ Handles 1st party property claims of moderate severity and complexity as assigned.
+ Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.
+ Broad scale use of innovative technologies.
+ Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate.
+ Establishes timely and accurate claim and expense reserves.
+ Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
+ Negotiates and conveys claim settlements within authority limits.
+ Writes denial letters, Reservation of Rights and other complex correspondence.
+ Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
+ Meets all quality standards and expectations in accordance with the Knowledge Guides.
+ Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
+ Manages file inventory to ensure timely resolution of cases.
+ Handles files in compliance with state regulations, where applicable.
+ Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
+ Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
+ Identifies and refers claims with Major Case Unit exposure to the manager.
+ Performs administrative functions such as expense accounts, time off reporting, etc. as required.
+ Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
+ May provides mentoring and coaching to less experienced claim professionals.
+ May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
+ Must secure and maintain company credit card required.
+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Bachelor's Degree.
+ 2+ years previous inside property claim handling experience.
+ Interpersonal and customer service skills - Advanced.
+ Organizational and time management skills - Intermediate.
+ Ability to work independently - Intermediate.
+ Judgment, analytical and decision making skills - Intermediate.
+ Negotiation skills- Intermediate.
+ Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively - Intermediate.
+ Investigative skills - Intermediate.
+ Ability to analyze and determine coverage - Intermediate.
+ Analyze, and evaluate damages - Intermediate.
+ Resolve claims within settlement authority - Intermediate.
**What is a Must Have?**
+ High School Diploma or GED.
+ One year previous inside property claim handling experience or successful completion of Travelers Inside Claim Representative training program.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
$60.8k-100.3k yearly 6d ago
Public Adjuster
The Misch Group
Claims adjuster job in Portland, ME
Job DescriptionDescriptionQUICK FACTS:
Must have Public Adjuster License
Must have experience with Xactimate
Must have network of Condo, Apartment, Property Management partners
Must be able to physically examine all buildings top to bottom (roofs as well
W2, Base Salary 70K+, and industry leading commission package
We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment.
Key ResponsibilitiesKey Responsibilities:
Identify and pursue new business opportunities with homeowners, contractors, and referral partners.
Educate prospective clients on our services and guide them through the insurance claims process.
Develop and maintain a pipeline of leads through prospecting and networking efforts.
Conduct presentations and training sessions to build brand awareness and establish partnerships.
Provide exceptional customer service to existing clients, ensuring their satisfaction and retention.
Work closely with internal teams to optimize the sales process and improve closing rates.
Maintain accurate records of sales activities and client interactions.
Skills, Knowledge and ExpertiseQualifications & Experience:
3+ years of proven sales experience as a licensed Public Adjuster
Strong ability to generate leads, manage relationships, and close deals.
Bachelor's degree in Business, Marketing, Communications, or equivalent experience.
Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms.
Highly organized with strong follow-through skills in a fast-paced environment.
Public Adjuster license
BenefitsWhat We Offer:
Extensive training and support to help you succeed.
Flexible work environment with opportunities for growth and career advancement.
A team-oriented culture with strong leadership and professional development opportunities.
If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
$39k-54k yearly est. 5d ago
Claim Adjuster
Chubb 4.3
Claims adjuster job in Portland, ME
Combined Insurance, A Chubb company, is seeking a ClaimAdjuster to join our fast-paced, high energy, growing company. We are proud of our tradition of success in the insurance industry of nearly 100 years. Come join our team of hard-working, talented professionals!
The ClaimsAdjuster is responsible for contacting claimant and /or service providers to request information needed in order to process claim - includes written correspondence and phone calls. They will evaluate claims based on documentation received including responses from claimant and providers.
Will need to handle multiple priorities simultaneously, be self-directed and meet service level expectations.
The adjuster must demonstrate customer centricity in all aspects of their job by performing actions with empathy and expertise.
RESPONSIBILITIES:
Efficiently and accurately adjudicate claims in accordance with the policy terms, established guidelines and regulations.
Conduct eligibility claim review by evaluating claim submission and comparing to policy benefits.
Request additional information from policyholders, providers and others as necessary to finalize claim.
Actively manage inventory and ongoing claim adjudication.
Effectively communicate with customers using empathy and professionalism via phone and written correspondence.
Interface with Policyholders and Agents answering a variety of questions through different service channels.
Develop a broad understanding of our products and systems.
Meet Department standards for time, service and quality.
Ability to maneuver between system applications confidently to find information and respond to customer needs in a timely manner.
Collaborate with other team members and leadership to ensure effective customer service.
Actively engage in Continuous Improvement initiatives and identify process and efficiency enhancements.
Participate in required training
Performs other duties as assigned
Competencies:
Problem Solving: Takes an organized and logical approach to thinking through problems and complex issues. Simplifies complexity by breaking down issues into manageable parts. Looks beyond the obvious to get at root causes. Develops insight into problems, issues and situation.
Continuous Learning: Demonstrates a desire and capacity to expand expertise, develop new skills and grow professionally. Seeks and takes ownership of opportunities to learn, acquire new knowledge and deepen technical expertise. Takes advantage of formal and informal developmental opportunities. Takes on challenging work assignments that lead to professional growth
Initiative: Willingly does more than is required or expected in the job. Meets objectives on time with minimal supervision. Eager and willing to go the extra mile in terms of time and effort. Is self-motivated and seizes opportunities to make a difference.
Adaptability: Ability to re-direct personal efforts in response to changing circumstances. Is receptive to new ideas and new ways of doing things. Effectively prioritizes according to competing demands and shifting objectives. Can navigate through uncertainty and knows when to change course
Results Orientation: Effectively executes on plans, drives for results and takes accountability for outcomes. Perseveres and does not give up easily in challenging situations. Recognizes and capitalizes on opportunities. Takes full accountability for achieving (or failing to achieve) desired results
Values Orientation: Upholds and models Chubb values and always does the right thing for the company, colleagues and customers. Is direct truthful and trusted by others. Acts as a team player. Acts ethically and maintains a high level of professional integrity. Fosters high collaboration within own team and across the company; constantly acts and thinks "One Chubb"
SKILLS:
Exceptional written and verbal communication skills
Quality and Customer Centric Orientation
Excellent organizational skills
Ability to multi-task in fast-paced environment with attention to detail and prioritize tasks
Analytical skills and good decision-making skills
Proficient in MS Office - Outlook, Word and Excel
Navigation between systems and use of technology is important
Insurance/Claims Experience
Windows based PC Knowledge
Bilingual in Spanish and English a plus
EDUCATION AND EXPERIENCE:
3 or more years related claims experience required (disability management and critical care desired)
Experience in a customer interfacing position with progressive responsibility in role
Knowledge of medical terminology
ABOUT US
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
$45k-56k yearly est. 7d ago
Associate VB Claims Specialist
Unum Group 4.4
Claims adjuster job in Portland, ME
When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:
+ Award-winning culture
+ Inclusion and diversity as a priority
+ Performance Based Incentive Plans
+ Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
+ Generous PTO (including paid time to volunteer!)
+ Up to 9.5% 401(k) employer contribution
+ Mental health support
+ Career advancement opportunities
+ Student loan repayment options
+ Tuition reimbursement
+ Flexible work environments
**_*All the benefits listed above are subject to the terms of their individual Plans_** **.**
And that's just the beginning...
With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!
**General Summary:**
Minimum starting hourly rate is $22.60
This is an entry level position within the Voluntary Benefits Claims Organization. This position is responsible for the thorough, fair, objective, and timely adjudication of voluntary benefits claims in conjunction with providing technical expertise regarding applicable regulations. This position is responsible for providing excellent customer service and interacts on a regular basis with employees, employers, health care providers and other specialized internal resources.
Incumbents in this role are considered trainees and are assigned a formal mentor for 6-12 months until they are assessed as capable of independent work. Incumbents are primarily responsible for learning and developing the skills, knowledge, and behaviors necessary to successfully adjudicate assigned claims, in accordance with our claims philosophy and policies and procedures.
Incumbent must demonstrate the ability to effectively manage an assigned caseload, exercise discretion and independent judgment, and appropriately render timely claim decisions while demonstrating strong customer service prior to movement to the exempt level claims specialist role.
**Principal Duties and Responsibilities:**
+ Maintain organizational service standards on all assigned claims demonstrating success in developing and implementing effective strategies to manage a caseload of varying size and complexity.
+ Develop an understanding and working knowledge of Voluntary Benefits for Unum and Colonial Life, including products, policies, procedures, and contracts.
+ Develop an understanding of the applicable contract/policy definitions and relevant provisions, clauses, exclusions, riders, and waivers, as well as regulatory and statutory requirements for claim products administered.
+ Develop skill set to determine appropriate risk management strategies through analyzing and applying technical and complex contractual knowledge (policies and provisions) to ensure appropriate eligibility requirements, liability decisions, and benefits payee.
+ Develop problem solving skills by demonstrating analytical and logical thinking resulting in the timely and accurate adjudication of a variety of simple to complex voluntary benefits claims.
+ Develop a working knowledge of systems needed for claims adjudication.
+ Provide excellent customer service and independently respond to all inquiries within service guidelines.
+ Responsible for timely and accurate claims review, initiation and completion of appropriate claim validation activities, and referrals/notifications to other areas (i.e., medical assessments, billing, etc.) as appropriate.
+ Produce objective, clear documentation and technical rationale for all claim determinations and demonstrate the ability to effectively communicate determinations while ensuring compliance with Voluntary Benefits procedures and all legal requirements including state regulations.
+ Partner and coordinate file strategies utilizing specialized resources including nurses, physicians, vocational rehabilitation and assessing medical documentation, when appropriate.
+ Ensure a timely and well communicated transfer process when transitioning integrated claims across lines of business, ensuring a coordinated and continuous claims experience for customers.
+ Be familiar with specialized workflow requirements and performance standards for any assigned customers.
+ May perform other duties as assigned.
**Job Specifications:**
+ 4-year degree preferred or equivalent work experience
+ Ability to develop Voluntary Benefits product knowledge and apply a best-in-class service experience
+ Medical background, voluntary benefits claims and/or disability management experience preferred
+ Possess strong analytical, critical thinking, and problem-solving skills
+ Ability to exercise independent judgment and discretion in increasingly complex claim adjudication decisions, including initial decision and ongoing medical management.
+ Able to effectively utilize a broad spectrum of resources, materials, and tools needed to assist with the decision-making process
+ Strong service and quality orientation.
+ Ability to interact effectively and professionally with claimants, employers, medical resources, attorneys, accountants, brokers, sales representatives, etc.
+ Demonstrated ability to operate with a sense of urgency and make balanced decisions with the highest degree of integrity and fairness.
+ Excellent communication skills, written and verbal
+ Meets the standards for this position, as defined in the Talent Management framework
~IN3
\#LI-LM2022
Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.
Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.
The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.
$40,000.00-$75,600.00
Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.
Company:
Unum
$40k-75.6k yearly 7d ago
Risk Management/Claims Manager
Varney Agency 3.8
Claims adjuster job in Scarborough, ME
Varney Agency Inc. is a leading provider of property and casualty insurance. We are committed to delivering exceptional service and innovative solutions to our clients. We are currently seeking a skilled and experienced Claims Manager to join our dynamic team.
As a Claims Manager, you will be responsible for overseeing and managing the claims process to ensure efficient and effective resolution of claims. You will work closely with clients, adjusters, and other stakeholders to facilitate the claims process and provide exceptional customer service.
Requirements
Responsibilities:
Excellent time management, prioritization, and team leadership skills to manage multiple client accounts, deadlines, and stakeholders simultaneously.
Stay current on legal, regulatory, and market developments that impact claims and risk management operations, and timely resolution of claims across all lines (property, casualty, auto, workers' comp, professional liability, etc.)
Liaise with carriers, adjusters, and legal counsel to ensure claim handling aligns with client interests
Risk Assessment and Advisory Services
Conduct risk assessments and loss analyses for client accounts to identify exposures and recommend risk control or coverage solutions.
Partner with producers and account managers to develop tailored risk management strategies for key clients.
Insurance Program and Carrier Coordination
Collaborate with insurance carriers on policy terms, claims handling procedures, and renewal negotiations.
Provide input to account teams to improve coverage language or limits based on claim outcomes and emerging risks.
Data Analytics and Reporting
Maintain claims databases, analyze loss trends, and prepare stewardship reports and dashboards for clients and leadership.
Use data insights to drive renewal strategies and demonstrate the value of proactive risk management.
Process Improvement and Training
Develop internal best practices, workflows, and staff training to enhance claim handling efficiency and client communication.
Stay current on legal, regulatory, and market developments that impact claims and risk management operations.
Qualifications:
Ability to travel occasionally for large claims and occasional loss control meetings
Credentials are preferred but not required: CIC, AIC, CRM
Prior Loss Control or Claims Experience required 7+ years
Claims and Coverage Expertise
Deep understanding of commercial insurance lines, policy language, and claims processes; ability to interpret coverage and advocate effectively for clients.
Client Relationship Management
Exceptional interpersonal and communication skills to build trust and maintain long-term relationships with clients, carriers, and internal teams.
Analytical and Strategic Thinking
Skilled in analyzing claims data and loss trends to identify patterns, forecast risks, and develop actionable recommendations.
Negotiation and Advocacy
Strong negotiation skills to achieve favorable claim outcomes and influence carrier decisions on behalf of clients.
Organizational and Leadership Abilities
Excellent time management, prioritization, and team leadership skills to manage multiple client accounts, deadlines, and stakeholders simultaneously.
$45k-83k yearly est. 1d ago
Claim Specialist
Memic 4.0
Claims adjuster job in Portland, ME
The Claim Specialist III investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Conducts training classes (including research and position papers) for less experienced Claim Department Representatives. Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision.
Principal Duties and Responsibilities:
Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed.
Administers the delivery of timely, appropriate and accurate indemnity and medical benefits.
Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and attend mediation, arbitration, and hearings, as necessary.
Develops litigation plan with defense counsel and tracks adherence to plan in order to control legal expenses and assure effective resolution.
Works closely with insureds and employees making visitations and presentations as needed to facilitate partnership approach to claims handling.
Maintains quality claim files in accordance with appropriate best practices, and other company procedures.
Implements Managed Care strategies, coordinate rehabilitation or medical management, process bills, review all mail through Image Right, and monitor progress as appropriate.
Interacts with State and Federal Boards and Commissions, while establishing and maintaining proper reserves, as appropriate.
Serves as a mentor and helps prepare/train the less experienced Claim Department representatives.
Keeps up-to-date on State laws and Company procedures relating to various claims; educates injured worker and/or insured on same.
Prepares and presents files for Agent/Broker Reviews and Insured File Review.
Understands medical terminology and standard medical procedures as they pertain to worker's compensation, U.S. Longshoreman's and Jones Act claims.
Participates in in-house and outside training programs to keep up-to-date on relevant issues/topics.
Maintains a working knowledge of all computer systems currently in use.
Continues education in claims through Associate in Claims or Claims Law (AEI) courses.
Requirements:
Three years of workers' compensation lost time claim handling experience required.
Bachelor's degree preferred.
Computer skills, Word, Excel and Image Right preferred.
Must have valid driver's license.
Strong attention to detail and strong communication skills both verbal and written.
Adaptable/flexible and self-directed with the ability to manage time and other resources wisely.
Must have the ability to work effectively with other organizational team members.
Our comprehensive benefits package includes all traditional offerings such as:
Health Insurance options, Dental Insurance options and Vision Insurance
Employee Life Insurance/AD&D and Dependent Life Insurance options
Short-term & Long-term Disability
Health Savings Account with potential employer match
Flexible Medical and Dependent Care Account
Accident Insurance
Critical Illness Insurance
Employee Assistance Program
Legal/Identify Theft Insurance options
Long Term Care Insurance
Pet Insurance
401 (k) Retirement Plan with match up to 5%, plus profit sharing & discretionary contributions (subject to vesting)
5 weeks of Paid Time Off (PTO)
11 paid holidays
We also offer other benefits to help foster a healthy, balance lifestyle such as:
Flextime schedules
Paid Parental Leave
Student loan paydown and refinancing assistance
Educational assistance for job related courses, seminars, certifications or degrees
One paid day every year to volunteer for your non-profit of choice
On-site fitness center (Maine only) or fitness reimbursement
Subsidized parking
Sit-Stand desks & daily stretch breaks
MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law.
#IND2022
$70k-99k yearly est. Auto-Apply 31d ago
Executive General Adjuster - Northeast Region
Sedgwick 4.4
Claims adjuster job in Portland, ME
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
Executive General Adjuster - Northeast Region
**PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and attempts to effect out-of-court settlement with claimants.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock).
+ Examines claim form and other records to determine insurance coverage.
+ Interviews, telephones, or corresponds with claimant and witnesses regarding claim.
+ Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.
+ Estimates cost of repair, replacement, or compensation.
+ Prepares report of findings and negotiates settlement with claimant.
+ Recommends litigation by legal department when settlement cannot be negotiated.
+ Attends litigation hearings.
+ Revises case reserves in assigned claims files to cover probable costs.
+ Prepares loss experience reports to help determine profitability and calculates adequate future rates.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required.
**Experience**
Five (5) years of related experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ Strong oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Strong customer service skills
+ Attention to detail and accuracy
+ Good time management and organizational skills
+ Ability to work independently or in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical** :
+ Must be able to stand and/or walk for long periods of time.
+ Must be able to stand and/or walk for long periods of time.
+ Must be able to kneel, squat or bend.
+ Must be able to work outdoors in hot and/or cold weather conditions.
+ Have the ability to climb, crawl, stoop, kneel, reaching/working overhead
+ Be able to lift/carry up to 50 pounds
+ Be able to push/pull up to 100 pounds
+ Be able to drive up to 4 hours per day.
+ Must have continual use of manual dexterity.
**Auditory/Visual** : Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 115,596.00 - 161,834.00. (Bonus or commission eligibility, if applicable). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
$57k-78k yearly est. 60d+ ago
Field Claims Representative - Southern Maine
Concord General Mutual Insurance Company 4.5
Claims adjuster job in Auburn, ME
Job Description
Our role as a Field Claims Representative will be responsible for the investigation, evaluation and settlement of assigned claims involving 1st Party Homeowner and Commercial Property claims. This role is a field-based position and will require travel to loss sites to evaluate the damages. This also includes special investigation activities with an emphasis on investigating possible fraudulent activity.
This is a field based position, travel will be required within Southern Maine, with occasional travel to other areas as required.
Responsibilities
Field appraise losses of all types for both personal lines and commercial lines claims
Take loss reports directly from insureds and/or claimants and/or their representatives.
Appropriately handle incoming correspondence on assigned claim files.
Investigate assigned claims - confirm coverage - verify damages.
Effectively handle portions of claim investigations principally through on-site investigations, as warranted.
Evaluate and settle assigned claims based upon the results of the investigation.
A strong ability to work independently.
Other related duties as assigned by supervisor including but not limited to aiding during CATs or other unusual spikes in claim volume.
Requirements
Bachelor's degree preferred or several years of direct experience
5-7 years of experience handling Property Claims; Commercial Lines experience a plus.
Strong understanding of personal and commercial lines policy forms and coverage analysis.
Multi-line adjuster's license as required in our operating territories.
Demonstrated proficiency in writing detailed structural cost of repair/replacement estimates in Xactimate estimating system and proficient in PC Windows environment.
Demonstrated proficiency in investigating, evaluating and settling contents claims.
Excellent understanding and skill level of claim handling and customer service.
Possess or has ability to timely secure and maintain required multiline adjuster licenses. Knowledge of policy contracts, insurance laws, regulations, and the legal environment in which we operate.
Outside/Field Adjusters - ability to view damages and prepare estimates based on their inspection of the damaged property.
Benefits
At The Concord Group, we're proud to offer a comprehensive benefits package designed to support the wellbeing of our associates. This includes medical, vision, dental, life insurance, disability insurance, and a generous paid time off program for vacation, personal, sick time, and holiday pay. Additional benefits include parental leave, adoption assistance, fertility treatment assistance, a competitive 401(k) plan with company match, gym member/fitness class reimbursement, and additional resources and programs that encourage professional growth and overall wellness.
Why Concord Group Insurance
Since 1928, The Concord Group has been protecting families and small businesses across New England with trusted, personal insurance solutions. The Concord Group is a member of The Auto Owners Group of Companies and is recognized as a leading insurance provider through the independent agency system. Rated A+ (Superior) by AM Best, the company is represented by more than 550 of the best local independent agents throughout Maine, Massachusetts, New Hampshire, and Vermont.
At Concord Group, we believe in more than just insurance, we believe in our people. Our associates thrive in a supportive, collaborative workplace where community involvement, professional growth, and shared values drives everything we do.
Starting your career with The Concord Group means joining a team that values people first and gives you the opportunity to grow, give back, and make a lasting difference in the lives of those we serve.
Compensation
We are dedicated to fair and competitive total compensation package that supports the wellbeing and success of our associates. In addition to this, we offer other components like bonus opportunities.
Equal Employment Opportunity
The Concord Group is an equal opportunity employer and hires, transfers, and promotes based on ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state, or local law.
The Concord Group participates in E-Verify
$34k-43k yearly est. Auto-Apply 49d ago
Manager Claims Admin (Disability)
Oneamerica 4.5
Claims adjuster job in South Portland, ME
At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives!
Job Summary
The Manager Claims Admin is responsible for contributing to the overall success of OneAmerica objectives by providing timely and accurate support to our customers and the Claims department. This individual will focus on meeting all key financial business objectives and enhance customer service levels for assigned team; effectively managing the performance of all individuals to achieve optimal productivity; maintaining clear and ongoing communications with other business partners, inside and outside of the Claims department, such as QA, Appeals, Training Team, Program Managers, Policy and Procedures, Underwriting, Legal, etc.
Primary duties may include, but are not limited to:
KEY RESPONSIBILITIES:
* Consistently adhere to the documented workflow guidelines and established procedures.
* Assure consistent, quality claims handling by review of pending claim, diary and Change of Definition reports.
* Respond to and track all Insurance Department complaints.
* Actively participate in review of claims for approvals/denials.
* Conduct one-on-one meetings with all claims staff on a monthly basis to assess performance.
* Document and address all performance management issues and communicate those to the Director of Claims.
* Monitor caseloads to maintain consistency within team.
* Analyze claim activity reports to ensure adherence to turn-around times, workflow guidelines, etc.
* Ensure the team provides excellent customer service by appropriately adjudicating claims within established service protocols.
* Respond to and document customer complaints from claimants/their representatives, clients, and policyholders.
* Ensure quality claim decisions in accordance with ERISA requirements and fair claim practices through participation in Team Meetings.
* Participate in customer presentations and visits with the goal of retaining existing customers and attaining new customers at the request of the Director of Claims.
* Reach or exceed approved quality rating requirements.
* Display a high level of leadership through employee development, coaching and performance management.
* Strive to timely utilize appropriate resources across the benefits organization.
* Participate in cross-departmental initiatives to enhance the overall effectiveness of the company at the request of the Director of Claims
Job Requirements
Required Education and/or Certifications
* B.S. degree or a combination of equivalent related work experience and education.
* Or any combination of education and experience which would provide an equivalent background
Recommended Education and/or Certifications
* Desired designations include: ICA (Insurance Claims Associate); HIA (Health Insurance Associate); LOMA, FLMI (Fellow Life Management Institute); CEBS (Certified Employee Benefit Specialist); etc.
Required Work Experience
* Leadership experience strongly preferred
* A minimum of 5 years' experience managing disability claims.
* Or any combination of education and experience which would provide an equivalent background
Salary Band: 06A
#LI-SC1
This selected candidate will be expected to work hybrid in Indianapolis, In or Portland, ME. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team-building and collaboration.
If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York.
Disclaimer: OneAmerica Financial is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual's race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.
For all positions:
Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.
To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.
$41k-46k yearly est. 41d ago
Manager Claims Admin (Disability)
American United Life Ins Co 3.7
Claims adjuster job in South Portland, ME
Job Description
At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives!
Job Summary
The Manager Claims Admin is responsible for contributing to the overall success of OneAmerica objectives by providing timely and accurate support to our customers and the Claims department. This individual will focus on meeting all key financial business objectives and enhance customer service levels for assigned team; effectively managing the performance of all individuals to achieve optimal productivity; maintaining clear and ongoing communications with other business partners, inside and outside of the Claims department, such as QA, Appeals, Training Team, Program Managers, Policy and Procedures, Underwriting, Legal, etc.
Primary duties may include, but are not limited to:
KEY RESPONSIBILITIES:
Consistently adhere to the documented workflow guidelines and established procedures.
Assure consistent, quality claims handling by review of pending claim, diary and Change of Definition reports.
Respond to and track all Insurance Department complaints.
Actively participate in review of claims for approvals/denials.
Conduct one-on-one meetings with all claims staff on a monthly basis to assess performance.
Document and address all performance management issues and communicate those to the Director of Claims.
Monitor caseloads to maintain consistency within team.
Analyze claim activity reports to ensure adherence to turn-around times, workflow guidelines, etc.
Ensure the team provides excellent customer service by appropriately adjudicating claims within established service protocols.
Respond to and document customer complaints from claimants/their representatives, clients, and policyholders.
Ensure quality claim decisions in accordance with ERISA requirements and fair claim practices through participation in Team Meetings.
Participate in customer presentations and visits with the goal of retaining existing customers and attaining new customers at the request of the Director of Claims.
Reach or exceed approved quality rating requirements.
Display a high level of leadership through employee development, coaching and performance management.
Strive to timely utilize appropriate resources across the benefits organization.
Participate in cross-departmental initiatives to enhance the overall effectiveness of the company at the request of the Director of Claims
Job Requirements
Required Education and/or Certifications
B.S. degree or a combination of equivalent related work experience and education.
Or any combination of education and experience which would provide an equivalent background
Recommended Education and/or Certifications
Desired designations include: ICA (Insurance Claims Associate); HIA (Health Insurance Associate); LOMA, FLMI (Fellow Life Management Institute); CEBS (Certified Employee Benefit Specialist); etc.
Required Work Experience
Leadership experience strongly preferred
A minimum of 5 years' experience managing disability claims.
Or any combination of education and experience which would provide an equivalent background
Salary Band: 06A
#LI-SC1
This selected candidate will be expected to work hybrid in Indianapolis, In or Portland, ME. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team-building and collaboration.
If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York.
Disclaimer: OneAmerica Financial is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual's race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.
For all positions:
Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.
To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.
$35k-40k yearly est. 22d ago
Manager Claims Admin (Disability)
Disclaimer: Oneamerica Financial
Claims adjuster job in South Portland, ME
At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives!
Job Summary
The Manager Claims Admin is responsible for contributing to the overall success of OneAmerica objectives by providing timely and accurate support to our customers and the Claims department. This individual will focus on meeting all key financial business objectives and enhance customer service levels for assigned team; effectively managing the performance of all individuals to achieve optimal productivity; maintaining clear and ongoing communications with other business partners, inside and outside of the Claims department, such as QA, Appeals, Training Team, Program Managers, Policy and Procedures, Underwriting, Legal, etc.
Primary duties may include, but are not limited to:
KEY RESPONSIBILITIES:
Consistently adhere to the documented workflow guidelines and established procedures.
Assure consistent, quality claims handling by review of pending claim, diary and Change of Definition reports.
Respond to and track all Insurance Department complaints.
Actively participate in review of claims for approvals/denials.
Conduct one-on-one meetings with all claims staff on a monthly basis to assess performance.
Document and address all performance management issues and communicate those to the Director of Claims.
Monitor caseloads to maintain consistency within team.
Analyze claim activity reports to ensure adherence to turn-around times, workflow guidelines, etc.
Ensure the team provides excellent customer service by appropriately adjudicating claims within established service protocols.
Respond to and document customer complaints from claimants/their representatives, clients, and policyholders.
Ensure quality claim decisions in accordance with ERISA requirements and fair claim practices through participation in Team Meetings.
Participate in customer presentations and visits with the goal of retaining existing customers and attaining new customers at the request of the Director of Claims.
Reach or exceed approved quality rating requirements.
Display a high level of leadership through employee development, coaching and performance management.
Strive to timely utilize appropriate resources across the benefits organization.
Participate in cross-departmental initiatives to enhance the overall effectiveness of the company at the request of the Director of Claims
Job Requirements
Required Education and/or Certifications
B.S. degree or a combination of equivalent related work experience and education.
Or any combination of education and experience which would provide an equivalent background
Recommended Education and/or Certifications
Desired designations include: ICA (Insurance Claims Associate); HIA (Health Insurance Associate); LOMA, FLMI (Fellow Life Management Institute); CEBS (Certified Employee Benefit Specialist); etc.
Required Work Experience
Leadership experience strongly preferred
A minimum of 5 years' experience managing disability claims.
Or any combination of education and experience which would provide an equivalent background
Salary Band: 06A
#LI-SC1
This selected candidate will be expected to work hybrid in Indianapolis, In or Portland, ME. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team-building and collaboration.
If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York.
Disclaimer: OneAmerica Financial is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual's race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.
For all positions:
Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.
To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.
$36k-42k yearly est. 50d ago
Workers' Compensation Claims Adjuster - Temp
Argonaut Management Services, Inc.
Claims adjuster job in Boston, MA
Argo Group International Holdings, Inc.and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.
Job Description
Business Title(s):Workers' Compensation ClaimsAdjuster
Employment Type:Contingent Worker
FLSA Status:Non-Exempt
Location:In-Officeor Remote
Summary:
Although Rockwood underwrites general liability insurance and workers' compensation for many types of businesses, ourspecialtyis underwriting workers' compensation insurance for the mining industry, with a focus on the coal-mining industry. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal. We have never been more committed to our clients to ensure their employees receive excellent medical care if they need it due to a work-related injury or illness. Our passion for outstanding customer focus, combined with our deep industry experience, is what sets up apart from other insurance carriers in this niche market.
We are looking for a highly capable Workers' Compensation ClaimsAdjuster to help us on a temporary assignment through13February2026 and work from anywhere in the continental United States.
If this assignment is filled in one of our following offices, the assignment can be considered temp-to-hire: Albany, Chicago, Los Angeles, New York,Omaha, Richmond (VA), Rockwood (PA), or Springfield (MO). This role willadjudicateindemnity workers' compensation claims of higher technical complexity for our customers in the states of CO, KS, KY, MD, MI, MO, MT, PA, UT, and WV. As this is a temporary assignment, only government-mandated benefits will be provided.
Essential Responsibilities:
Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Resolving issues that are generalized and typically notcomplex butrequire understanding of a broader set of issues.
Reporting to senior management and underwriters onclaimstrends and developments.
Investigating claims promptly and thoroughly.
Analyzing claims forms, policies and endorsements, client instructions, and other records todeterminewhether the loss falls within the policy coverage.
Investigating claims promptly and thoroughly, including interviewing all involved parties.
Managing claims in litigation.
Managing diarytimelyand complete tasks to ensure that cases move to the best financial outcome andtimelyresolution.
Properly setting claim reserves.
Identifying, assigning, and coordinating the assignment and coordination ofexpertiseresources toassistin case resolution.
Preparing reports for file documentation.
Applying creative solutions which result in the best financial outcome.
Negotiating settlements.
Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
Having an appreciation and passion for strong claim management.
Qualifications / Experience Required:
A practical knowledge ofadjudicatingworkers' compensation claims through:
A minimum of two years' experienceadjudicatingindemnity workers'compensation claimsin one or more of the followingjurisdictions: CO, KS, KY, MD, MI, MO, MT, PA, UT, and/or WV.
Bachelor'sdegree from an accredited universityrequired. Two or more insurance designations or fouradditionalyears of related experienceadjudicatingindemnity claims beyond the minimum experiencerequiredabove may be substituted in lieu of a degree.
Must be licensed in KY
Must have good business acumen (i.e.understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
A practical knowledge ofadjudicatingworkers' compensation claims through:
Must have excellent communication skills and the ability to build lasting relationships.
Exhibit natural curiosity
Desireto work in a fast-paced environment.
Excellent evaluation and strategic skillsrequired.
Strong claim negotiation skillsa must.
Mustpossessa strong customer focus.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
Must work independently anddemonstratethe ability to exercise sound judgment.
Demonstrates inner strength. Has the courage to do the right thing anddemonstratesit on a daily basis.
Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
Proficient in MS Office Suite and other business-related software.
Polished and professional written and verbal communication skills.
The ability to read and write English fluently isrequired.
Mustdemonstratea desire for continued professional development through continuing education and self-development opportunities.
The base salary range provided below is for hires in those geographic areas only and will becommensuratewith candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.
Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges:$37.66- $44.33per hour
California outside of Los Angeles and San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Houston metro area, New York State (including Westchester County)and Washington State Pay Ranges:$41.44- $48.79per hour
Los Angeles, New York City and San Francisco metro areas Pay Ranges:$45.12- $53.16per hour
About Working in Claims at Argo Group
Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions andtreateach case as the unique situation it is.
We have a very flat organizational structure, enabling our employeeshavemore interaction with our senior management team, especially when it relates to reviewing large losses.
Our entire claims team works in a collaborative nature to expeditiously resolve claims.We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.
PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at .
Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.
We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.
The collection of your personal information is subject to our HR Privacy Notice
Benefits and Compensation
We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
$37.7-44.3 hourly 5d ago
Outside Property Claim Representative
Travelers Insurance Company 4.4
Claims adjuster job in Bridgewater, MA
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$52,600.00 - $86,800.00
**Target Openings**
1
**What Is the Opportunity?**
This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. This position services a territory in South Eastern MA. The selected candidate must either reside in or be willing to relocate at his or her own expense to the assigned territory.
Experienced candidates will also be considered.
**What Will You Do?**
+ Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.
+ The on the job training includes practice and execution of the following core assignments:
+ Handles 1st party property claims of moderate severity and complexity as assigned.
+ Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.
+ Broad scale use of innovative technologies.
+ Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate.
+ Establishes timely and accurate claim and expense reserves.
+ Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
+ Negotiates and conveys claim settlements within authority limits.
+ Writes denial letters, Reservation of Rights and other complex correspondence.
+ Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
+ Meets all quality standards and expectations in accordance with the Knowledge Guides.
+ Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
+ Manages file inventory to ensure timely resolution of cases.
+ Handles files in compliance with state regulations, where applicable.
+ Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
+ Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
+ Identifies and refers claims with Major Case Unit exposure to the manager.
+ Performs administrative functions such as expense accounts, time off reporting, etc. as required.
+ Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
+ May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
+ Must secure and maintain company credit card required.
+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
+ In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards.
+ This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience.
+ Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic.
+ Verbal and written communication skills -Intermediate.
+ Attention to detail ensuring accuracy - Basic.
+ Ability to work in a high volume, fast paced environment managing multiple priorities - Basic.
+ Analytical Thinking - Basic.
+ Judgment/ Decision Making - Basic.
+ Valid passport.
**What is a Must Have?**
+ High School Diploma or GED and one year of customer service experience OR Bachelor's Degree.
+ Valid driver's license.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
$52.6k-86.8k yearly 60d+ ago
Public Adjuster
The Misch Group
Claims adjuster job in Portland, ME
Department
Insurance & Financial Services
Employment Type
Full Time
Location
Maine
Workplace type
Hybrid
Compensation
$90,000 - $170,000 / year
Key Responsibilities Skills, Knowledge and Expertise Benefits About The Misch Group Stone Hendricks Group is a direct-hire search firm that brings together years of experience and a diverse range of talent to connect businesses with exceptional job candidates. With a focus on timely and effective recruitment, we understand the power of a well-formed employee base in helping businesses achieve their goals. We offer our services to businesses of all sizes, providing qualified candidates for blue- and grey-collar roles, as well as white-collar and executive positions. The success of our direct-hire search process is driven by our advanced training, proprietary technology, and extensive network across industries. At Stone Hendricks Group, we value integrity and prioritize connectedness, commitment, and candor in our interactions with both employers and job seekers. Our clients consider us trusted advisors, relying on the highly personalized service we provide and our ability to find candidates that are an ideal fit for their unique needs. Choose Stone Hendricks Group for unsurpassed direct-hire search services that match successful organizations with talented job candidates.
How much does a claims adjuster earn in Portland, ME?
The average claims adjuster in Portland, ME earns between $40,000 and $63,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.
Average claims adjuster salary in Portland, ME
$50,000
What are the biggest employers of Claims Adjusters in Portland, ME?
The biggest employers of Claims Adjusters in Portland, ME are: