Claims and Litigation Manager
Claims adjuster job in Atlanta, GA
Created in 1933, the Georgia Municipal Association (GMA) is the only state organization that represents municipal governments in Georgia. Based in Atlanta, GMA is a voluntary, non-profit organization that provides legislative advocacy, educational, employee benefit and technical consulting services to its members
The purpose of this position is to coordinate, manage and oversee claims and litigation for the Georgia Interlocal Risk Management Agency (GIRMA). This role directs, guides, and evaluates the performance of the third-party claims administrator (TPA) and collaborates with defense counsel regarding litigation and resolution strategies. The incumbent serves as a key liaison to member entities, helping navigate claims processes, interpret coverage issues, and understand case strategies.
Responsibilities
Provide strategic oversight of all property and liability claims processed by the third-party administrator (TPA). Direct TPA on assignment of defense counsel. Oversee selection and performance of claims-related vendors, including independent adjusters, investigators, appraisers, and expert consultants.
Evaluate TPA work product and processes to ensure proper claims handling and compliance with service instructions. Monitor claim reserves, plans of action, and detailed status reports. Assess TPA performance through audits, file reviews, reports, metrics, and compliance with service-level agreements.
Review new claims for coverage and conflicts. Prepare and issue notices of reservation of rights. Collaborate with outside coverage counsel to resolve and/or document claims-related coverage concerns.
Assist TPA and legal counsel in expediting closure of claims. Review and approve high-exposure, complex, or non-routine claims decisions, including coverage determinations, settlement authority, and claim resolutions.
Participate in settlement strategy discussions and approve settlement recommendations within authority. Ensure settlements are in the best interest of the Fund Member and GIRMA.
Ensure compliance with applicable laws, regulations, and policies for claims handling and insurance operations. Ensure settlements are properly executed, including consideration of Medicare Set Aside Agreements.
Oversee litigated claims in collaboration with assigned defense counsel. Review and evaluate litigation plans, budgets, strategies, and file handling to ensure alignment with program goals. Monitor work product for compliance with established litigation management guidelines. Review and approve requests for filing of pre-answer motions.
Assist with settlement negotiations. At times, this may include negotiating directly with claimants on behalf of GIRMA.
Participate with defense counsel on litigated claims. Attend depositions, mediations, hearings and/or trial preparation meetings as appropriate.
Serve as the primary liaison to members for claims questions, concerns, and escalated issues. Facilitate communication between TPA, defense counsel and members to address any problems or concerns.
Schedule and perform new member orientation. Conduct onsite visits with members to review claim status, discuss strategy, and strengthen relationships. Educate members on coverage, claims processes, and best practices for incident reporting and documentation.
Maintain thorough documentation and reporting to support decision-making and accountability.
Assist Management as needed with overall program goals and objectives, including development and implementation of new services and/or procedures; vendor management and contract negotiations; and interpretation, update, and amendment of GIRMA Member Coverage Agreement.
Work closely with underwriting, risk control, finance, and pool leadership to ensure alignment across program functions.
Monitor legislation and court decisions impacting municipal liability, property claims, and risk exposure. Monitor claim trends, loss drivers, and emerging risks to inform program improvements and risk management initiatives. Communicate new or emerging issues, claims trends, and liability concerns to supervisor, pool leadership, risk control, and/or members as appropriate.
Qualifications
Bachelor's degree (Master's preferred) in risk management / insurance or equivalent in a related field; or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Must possess and maintain a valid Georgia Driver's License.
Minimum of five (5) years of supervisory experience.
This position requires strong analytical judgment, excellent communication skills, and the ability to drive high-quality claims outcomes while maintaining positive relationships with internal and external stakeholders.
Property Field Claims Adjuster Sr - Atlanta, GA
Claims adjuster job in Atlanta, GA
Experience more with a career at COUNTRY Financial!
We're excited you're interested in a career at COUNTRY as we strive toward our vision - to enrich lives in the communities we serve. Our footprint spans coast to coast. But more important than where we operate, is the people who do the work. Apply today to help our organization grow and make a difference for our clients.
About the role Looking for a genuinely rewarding career where you know you're actually making a difference in people's lives? COUNTRY Financial is seeking a Sr. Property Claims Adjuster to join our field claims team. You'll be providing a consistent, positive, and satisfying claims experience for our clients through the proper investigation, evaluation, negotiation, and settlement of property claims. You'll learn how to use innovative technologies, i.e., drones for property inspections. In addition to on-site inspections, we also use virtual claim handling software to lead our clients safely and expertly through the claim process.How does this role make an impact?
- Investigates claims by determining applicable policy coverage, evaluates, negotiates and settles assigned claims.
- Initiates contact with insureds, claimants, and all relevant parties to gather basic information, obtain recorded statements (when necessary), and explain the overall claims process.
- Completes physical and/or virtual inspections of damaged property (when necessary), evaluates damages, and prepares written estimates according to policy provisions and liability.
This position allows full-time field work within the territory for this position which includes Athens, Georgia and surrounding areas.
Do you have what we're looking for?
Typically requires 7+ years of relevant experience or a combination of related experience, education and training.
-Maintains the appropriate adjuster's licensing as required by the states in which we do business.
-For Property-Field representatives only, excluding representatives in the Large Property Loss Unit: Part 107 drone license required for roof inspections. License must be obtained within 5 months of start date; must pass exam within 3 attempts.
- This job operates in a professional office or work from home environment and routinely uses standard office equipment such as computers, phones, scanners and copy machines.
- Work may extend beyond normal business hours as business needs dictate.
- May be called upon for catastrophic duty.
#LI-CORP
Base Pay Range:
$76,000-$104,500
The base pay range represents the typical range of potential salary offers for candidates hired. Factors used to determine your actual salary include your specific skills, qualifications and experience.
Incentive Pay:
In addition to base salary, this position is eligible for a Short-Term Incentive plan.
Why work with us?
Our employees and representatives serve nearly one million households with our diverse range of personal and business insurance products as well as retirement and investment services. We build relationships and work together to create a stronger, more secure future for our clients and our communities. We're a big company, yet small enough you can make an impact and won't get lost in the shuffle. You'll have the opportunity to learn and grow throughout your career, either within this role or by exploring other areas of our business.
You'll be able to take advantage of our benefits package, which includes insurance benefits (medical, dental, vision, disability, and life), 401(k) with company match.
COUNTRY Financial is committed to providing equal opportunity in all areas of employment, and in providing employees with a work environment free of discrimination and harassment. Employment decisions are made without regard to race, color, religion, age, gender, sexual orientation, veteran status, national origin, disability, or any other status protected by applicable laws or regulations.
Come join our team at COUNTRY today!
Auto-ApplySenior Complex Claims Specialist - Professional Liability
Claims adjuster job in Atlanta, GA
Job Type:
Permanent
Build a brilliant future with Hiscox
Join our dynamic and forward-thinking Claims team! Here, you'll be part of an energetic and innovative group, with the chance to help shape insurance products and collaborate with business leaders throughout the organization.
Please note that this position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations:
Atlanta, GA
Boston, MA
Chicago, IL
Manhattan, NY
West Hartford, CT
Our Senior Complex Claims Specialist-Professional Liability role is an individual contributor responsible for the handling of high-severity primary Professional Lines including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims for the organization from inception to resolution. This role is responsible for all aspects of the claims and litigation process, including liaising with external and internal business partners (e.g., outside experts and/or legal counsel; underwriting) as required. In addition to handling assigned claims, this role also provides technical support to the overall claims team. This role also:
With minimal supervision, adjusts to resolution the highest severity claims and drafts the most complex technical coverage analysis and letters required in the given claim department
Acts as subject matter expert within the team
Models gold standard for litigation best practices and file integrity
Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions, including identifying appropriate matters for trial
Identifies and provides potential solutions for emerging exposures and claims trends
Identifies suspected fraudulent claims and tracks with special investigations unit
Accurately documents claim files with all relevant correspondence and notes in compliance with company policies and applicable regulatory authorities
Mentors other team members, including providing formalized training, as needed.
Develops content and conducts training for claims team and underwriters as requested
The Team:
The US Claims team at Hiscox is a growing group of professionals working collaboratively to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority in order to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox's strong brand built on a long history of outstanding claims handling.
Requirements:
10+ years of Professional Liability and/or Specialty claims handling experience.
A JD from an ABA accredited law school may be considered as a supplement to claims handling experience
Proven ability to positively affect highest severity claims outcomes through investigation, negotiation and effectively leading litigation
Ability to work in a fast-paced and changing environment
Expert knowledge of coverage within the team's specialty or focus
Expert knowledge of litigation process and negotiation skills
Proven track record of mentoring others
Excellent verbal and written communication skills
Advanced analytical skills
B.A./B.S Degree required, JD optimal
Must be able to obtain adjuster licensing is required within 90 days of employment
Additional Factors Considered:
Subject matter expertise or technical leadership in other lines of business and/or claim types
Demonstrates ability to work with minimal oversight
Demonstrates ability to advance product innovation or develop a greater understanding of other aspects of the business through training or other relevant projects across teams of lines of business
Demonstrates courage and confidence in addressing and solving difficult or severity matters with insureds, attorneys, and brokers
What Hiscox USA offers
401(k) with competitive company matching
Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)
Company paid group term life, short- term disability and long-term disability coverage
24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days
Paid parental leave
4-week paid sabbatical after every 5 years of service
Financial Adoption Assistance and Medical Travel Reimbursement Programs
Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
Company paid subscription to Headspace to support employees' mental health and wellbeing
2024 Gold level recipient of Cigna's Healthy Workforce Designation for having a best-in-class health and wellness program
Dynamic, creative and values-driven culture
Modern and open office spaces, complimentary drinks
Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation
About Hiscox US
Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.
Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism.
You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)
Salary range $150,000 - $160,000 (Boston, Manhattan, West Hartford)
Salary range $125,000-$135,000 (Chicago, Atlanta)
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
#LI-AJ1
Work with amazing people and be part of a unique culture
Auto-ApplyOutside Property Claim Representative Trainee - Alpharetta, GA
Claims adjuster job in Alpharetta, GA
ATTENTION MILITARY AFFILIATED JOB SEEKERS
- Our organization works with partner companies to source qualified talent for their open roles. The following position is available to
Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers
. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.
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.
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
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 Insureds/Agents in Fairburn/Stockbridge GA. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory.
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.
Additional Qualifications/Responsibilities
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.
Sr. Claims Examiner, Casualty
Claims adjuster job in Alpharetta, GA
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Arch Insurance Group Inc., AIGI, has an opening in the Claims Division is seeking a Senior Claims Examiner to join the Casualty Team. In this role, the responsibilities include actively managing commercial accounts claims caseload throughout the United States.
Primary Responsibilities
Specific duties include but not limited to the below:
* Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis
* Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care
* Develop and implement strategy to resolve matters of liability and damages of a particular case
* Maintain contact with the business line leader, underwriter, defense counsel, program manager, and broker
* Investigate claim and review the insureds' materials, pleadings, and other relevant documents
* Identify and review of each jurisdiction's applicable statutes, rules, and case law
* Review litigation materials including depositions and expert's reports
* Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues
* Retain counsel when necessary and direct counsel in accordance with resolution strategy
* Analyze coverage, liability and damages for purposes of assessing and recommending reserves
* Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves
* Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter
* Negotiate resolution of claims
* Select and utilize structure brokers
* Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims
Qualifications
* Proper adjuster licensing in all applicable states
* Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
* Strong time management and organizational skills
* Ability to take part in active strategic discussions
* Ability to work well independently and in a team environment
* Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word
* Willing and able to travel 20%
* This role is hybrid with 2 days in office
Education and Experience
* Bachelor's degree; Juris Doctorate degree preferred
* Five (5) years of working experience with a primary and / or excess carrier supporting commercial accounts for Casualty claims; Professional Liability claims
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
For Jersey City, Morristown, NYC: $123,400 - $166,633/year
For Hartford, Chicago, Long Island: $111,100 - $149,970/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
For Colorado Applicants - The deadline to submit your application is:
December 08, 2025
14400 Arch Insurance Group Inc.
Auto-ApplySenior Complex Claims Specialist (New York Labor Law)
Claims adjuster job in Atlanta, GA
Company Details
Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following four market segments: Construction, Specialty Casualty, Velocity Smal Business & Professional Liability.
We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.
Responsibilities
Ideal Complex Claims Specialist will have 8 or more years of commercial general liability claims experience, with significant experience in complex coverage and litigated claims. Specific knowledge and expertise in New York Labor law and construction related claims are critical to this role. New York Adjuster License a plus.
Candidates must be capable of working under limited supervision and working with a remote manager. In this role, the claims professional investigates, evaluates, negotiates, and resolves litigated and non-litigated bodily injury, property damage, personal and advertising injury, and claims of high exposure and complexity.
Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval
Focus on specialized claims in construction defect
Investigate and evaluate liability
Investigate and evaluate damages
Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution.
Establish timely reserves within authority and re-evaluate throughout the life of the claim
Maintain up-to-date, appropriate file documentation and written file notes
Maintain an active diary and productive file inventory
Timely completion of all required large loss reporting
Negotiate settlements within authority limit granted, and attend mediations, Mandatory Settlement Conferences, and/or Alternative Dispute Resolutions
Proactively control the work product and expense of outside vendors
Develop and maintain positive customer relationships and provide superior customer service
Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation
Ability to Work with designated assigned accounts
Recognize and investigate fraud
Comply with deductible/self-insured retention recovery protocol
Meet all State licensing requirements
Adhere to all statutory regulations, Unfair Claims Practices acts, and corporate Best Practices
Demonstrated success in handling cases that involve New York Labor law is critical for this role
Qualifications
Education Requirement
Four (4) year College Degree, or commensurate experience and training
JD preferred but not required
Industry designations preferred (CRIS, AIC, SCLA, etc.)
Possess and maintain required adjuster licensing in various states
Qualifications
Eight (8) or more years claims handling experience or equivalent experience.
In-depth knowledge of the insurance industry, including legal and regulatory environments.
A strong functional and developing knowledge of substantive laws and legal procedures.
Attributes and superior command of the skills necessary for handling complex primary, excess and surplus lines claims for various lines of business, including:
Effective problem solving (identifying issues and effective solutions)
Sound decision making
Commitment and dedication to job responsibilities
Ability to adapt to changing job requirements
Willingness to accept constructive criticism
Focus under stress
Accuracy
Strong organizational ability
Clear, concise, and complete verbal and written communication
Proactive consideration of customer needs and concerns
Positive attitude
Interest and willingness to learn
Acting with integrity
Robust negotiation skills
Ability to travel as required
Additional Company Details We do not accept any unsolicited resumes from external recruiting firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role includes:
Base salary range: $125-$140K
Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
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.
This role is eligible to participate in the annual discretionary bonus program. Sponsorship Details Sponsorship not Offered for this Role
Auto-ApplySenior Claims Representative
Claims adjuster job in Suwanee, GA
Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available. As a Commercial Insurance Claims Representative, you will review and process simple and straightforward Commercial claims within assigned authority limits consistent with policy and legal requirements. In addition to a wide range of benefits, as a direct employee, your insurance education and training are paid by Liberty Mutual.
The preference is for the candidates to be located close to a hub and be in the office a minimum of 2 days/week (Hubs: Plano, TX, Suwanee, GA, Westborough, MA, Hoffman Estates, IL, Indianapolis, IN and Eugene. OR, and Phoenix, AZ) although candidates from any location will be considered. Please note this policy is subject to change.
Responsibilities:
Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments.
Extensive and timely direct interaction with Insured's, Claimants, Agent's and Internal Customers.
Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues.
Establishes claim reserve requirements and makes adjustments, as necessary, during the processing of the claims.
Determines and negotiates settlement amount for damages claimed within assigned authority limits.
Writes simple to moderately complex property damage estimates or review auto damage estimates.
Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate.
Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistent with established guidelines and expectations.
Alerts Unit Leader to the possibility of fraud or subrogation potential for claims being processed.
Qualifications
Bachelor's Degree preferred. High school diploma or equivalent required.
1-2 years of experience. Claims handling skills preferred.
Strong customer service and technology skills.
Able to navigate multiple systems, strong organizational and communication skills.
License may be required in multiple states by state law.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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Auto-ApplyField Claims Adjuster
Claims adjuster job in Lawrenceville, GA
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.
General Liability Claims Adjuster
Claims adjuster job in Atlanta, GA
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.
About the role
Come join an amazing and collaborative team! We are seeking a highly organized and customer-focused General Liability Adjuster to join our team. The successful candidate will be responsible for speaking to customers on the phone, educating and helping the customer work through their claim to the best possible outcome. Your role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering service to all constituents of the claim.
The ideal candidate has a willingness to work through a design process that supports the quickest claim resolution with the best outcome. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.
Who you are
Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org.
Passionate adjuster who cares about the customer and their experience.
Empathetic. You exercise empathy and patience towards everyone you interact with.
Sense of urgency - at all times. That does not mean working at all hours.
Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured's best interest.
Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational.
Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution.
Anti-status quo. You don't just
wish
things were done differently, you
action
on it.
Communicative. (we'd love to know what this means to you)
And did we mention, you have a sense of humor. Claims are hard enough as it is.
You are collaborative and a team player.
What we need
We need you to do all the things typical to the role:
Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests
Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action
Manage an inventory of claims, analyze coverage and identify any potential coverage issues.
Establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim
Ability to handle all aspects of general liability claims not limited to but including Slip and Falls, Habitational, Risk Transfer, Construction, and New York Labor Law
Ensure compliance with specific state regulations, policy provisions, and standard operating procedures
Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority
Provide input for continuous development of claims guidelines, best practices, and process improvements
Oversee and direct outside investigative service providers, client counsel and investigative services to resolve the claim while closely with the client.
Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications
Requirements
Bachelor's degree. JD, Professional insurance designations strongly preferred.
Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license
Minimum of 5 years of experience ideally with;
General Liability (Premise, Habitational, Auto, Garagekeepers, BOP's, Dwelling)
Construction Liability.
Employers Liability.
Liquor Liability/Dram Shop.
Complex claims involving litigation.
Policy interpretation. Drafting Reservation of Rights letters, coverage declinations.
Third-party bodily injury.
Third-party litigated bodily injury/property damage.
Willing to obtain all licenses within 45 days, including completing state required testing
Knowledge of state regulations, policy provisions, and standard operating procedures
Ability to analyze and evaluate complex data and make sound decisions based on established guidelines, policies, and procedures
Curious and motivated by problem solving and questioning the status quo
Desire to engage in learning opportunities and continuous professional development
Ability to collaborate with colleagues within and outside your department
Willingness to travel for client and claims needs
Benefits
Generous health-insurance package with nationwide coverage, vision, & dental
401(k) retirement plan with employer matching
Competitive PTO policy - we want our employees fresh, healthy, happy, and energized!
Generous family leave policy after 8 months of continuous work
Work from anywhere to facilitate your work life balance
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
Additionally, we will
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
Work toward reducing and eliminating all the administrative work from an adjuster role
Foster a culture of empathy, transparency, and empowerment in a remote-first environment
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!
Auto-ApplyIndependent Insurance Claims Adjuster in Atlanta, Georgia
Claims adjuster job in Atlanta, GA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
Auto-ApplyComplex Liability Adjuster
Claims adjuster job in Alpharetta, GA
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.
Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!
Benefits:
We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer!
Competitive compensation
Healthcare benefits package that begins on first day of employment
401K retirement plan with company match
Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
Up to 6 weeks of parental and bonding leave
Hybrid work schedule (3 days in the office, 2 days from home)
Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
Tuition reimbursement after 6 months of employment
Numerous opportunities for continued training and career advancement
And much more!
Responsibilities
Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Liability Adjuster, where you'll play a crucial role in managing Complex commercial general liability claims with precision and expertise.
Key Responsibilities:
Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments.
Review and analyze evidence, reports, and medical records to establish damages and reserves.
Process payments efficiently, ensuring timely resolution of claims.
Interview insureds, claimants, and witnesses to gather essential information and build strong cases.
Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively.
Qualifications
Juris Doctor (JD) degree preferred or Bachelor's degree with prior experience adjusting liability claims and a proven track record in litigation.
Licensing: Active TX All Lines License, or willingness to obtain one at company's expense.
Exceptional written and verbal communication skills.
Strong organizational and computer skills.
Excellent time management skills with the ability to prioritize tasks effectively.
Auto-ApplyMechanical Claims Adjuster (On-Site)
Claims adjuster job in Norcross, GA
We are partnered with one of the leading providers and administrators of F&I products for the auto industry. Our customer is looking for Powertrain Claims Adjusters to join their team.. As an adjuster you will be responsible for adjudication of mechanical repair claims, tire claims and pre-paid maintenance claims. The Claims adjuster will report to the Senior Director of Claims Operations and Field Support and functions as a customer service representative by explaining contract coverage and claim decisions to contract holders. To perform his job successfully, an individual must be a proactive team player with a focus on excellent customer service and customer satisfaction. The positions require the claims adjusters be adept at utilizing a computer database, handling serval ongoing cases simultaneously and seeing a claim filed to completion while offering efficient solutions to the variety of cases that are presented.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: ****************************************************
Skills and Requirements
Experience working as a Mechanical Claims adjuster or Service Manager at an Auto shop/ Dealership for 3+ years
Knowledge of automotive components parts and claims terminology
Great Customer service skills
Tech Savvy / Ability to efficiently work in a remote environment Powertrain Experience
Mechanical Claims Adjuster
Claims adjuster job in Norcross, GA
At APCO Holdings, home to trusted brands like EasyCare, GWC Warranty, and National Auto Care, we're redefining the automotive protection industry through trusted products, exceptional service, and people who care deeply about doing what's right. Our Mechanical Claims Adjusters are the engine that keeps our promise of service excellence running. In this role, you'll combine your mechanical know-how and customer service skills to help drivers get back on the road quickly, delivering the peace of mind our partners and customers expect.
What You'll Do
* Review and verify automotive mechanical breakdown claims for coverage, service history, and eligibility.
* Collaborate with repair facilities to approve covered repairs and negotiate fair parts and labor costs.
* Apply contract terms and make accurate repair cost calculations.
* Communicate decisions clearly, ensuring every customer interaction is handled with care, empathy, and professionalism.
* Manage your call queue efficiently while maintaining detailed and accurate claim documentation.
What You'll Bring
* High school diploma or equivalent (ASE or Manufacturer Certification is a plus!).
* Solid understanding of vehicle mechanical systems, repairs, and diagnostics.
* Strong communication and problem-solving skills.
* Computer proficiency and comfort working in a fast-paced environment.
* A caring, authentic approach that puts the customer first, always.
Why You'll Love Working Here
At APCO, we move with velocity, passion, and purpose. Our team lives by our core values:
* Invested - We believe in our mission, our team, and your growth.
* Authentic - We bring honesty and transparency to every interaction.
* Principled - We do the right thing, even when no one's watching.
* Caring - We act with empathy and respect for our customers and each other.
* Open - We embrace change and value every voice.
When you join APCO Holdings, you're not just taking a job, you're starting a career where your expertise, integrity, and drive make a real impact.
What We Offer
* Competitive compensation and career advancement opportunities.
* Comprehensive benefits package.
* Supportive, team-oriented culture.
* The opportunity to work with industry-leading automotive protection brands.
Join us and help shape the future of automotive protection, one claim, one customer, and one trusted interaction at a time.
Apply today to start your journey with APCO Holdings.
Senior Claims Specialist, Inland Marine
Claims adjuster job in Alpharetta, GA
As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people. At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world. Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions.
Job Description
Are you looking for your next opportunity?
Sompo has a unique opportunity for a Senior Claims Specialist, Inland Marine in our Commercial Property Claims team.
As a Senior Claims Specialist, you will provide adjustment oversight and deliver key insights for Sompo's North American First Party Property, specialty claims. This position services a diverse range of claims including Inland Marine, Property, Heavy Equipment and Machinery, Builder's Risk and Transportation.
Location: This position may be based out of our Alpharetta, GA, Charlotte, NC or Chicago, IL offices. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers.
Our business, your impact, our opportunity:
What you'll be doing:
* Direct handling of Inland Marine claims within the North American Property, Specialty Claims unit
* Manage and analyze claims related to Heavy Equipment and Machinery, Builder's Risk, and Transportation, ensuring timely and accurate resolution.
* Manage and analyze first party property claims and other lines of business as needed
* Deliver strategic insights and data-driven analysis to support claims decision-making
* Manage loss adjustment expenses to ensure a highly efficient claim outcomes
* Create exposure reports for Underwriting, Senior Management and Reinsurers for reporting on trends, reserves, and claim metrics
* Collaborate with internal and external stakeholders, including insureds, brokers, and vendors, to ensure high-quality claims service and adherence to Sompo's standards.
* Provide guidance for coverage, liability, and damage analysis for complex first party property claims
* Stay informed of industry trends, legal developments, and market conditions
* Proactively identify trends and exposures impacting the Inland Marine claims portfolio
What you'll bring:
* Minimum 5 years claim handling experience in commercial property or other lines of commercial business
* Experience handling first-party property claims in one or more of the following: Inland Marine, Builders Risk, and Transportation related claims
* Experience handling a variety of property loss exposures and loss types
* Ability to manage complex claims and deliver results in a fast-paced environment.
* Excellent communication and negotiation skills to effectively collaborate with stakeholders and resolve claims.
* Ability to effectively communicate actionable insights and recommendations
* Capability to build and strengthen collaborative relationships with other departments.
* Technical skillsets in claims systems such as Claims Center, ImageRight, Guidewire, or any in-house systems
Salary Range: $95,000 - $175,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high-quality compensation and benefit programs to eligible employees.
Our compensation program is built on a foundation that promotes a pay-for-performance culture, resulting in higher incentive awards, on average, when the Company does well and lower incentive awards when the Company underperforms. The total compensation opportunity for all regular, full-time employees is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based on individual performance.
We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents. Below is a summary of our current comprehensive U.S. benefit programs:
* Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution
* Pharmacy benefits with mail order options
* Dental benefits including orthodontia benefits for adults and children
* Vision benefits
* Health Care & Dependent Care Flexible Spending Accounts
* Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children
* Company-paid Disability benefits with very competitive salary continuation payments
* 401(k) Retirement Savings Plan with competitive employer contributions
* Competitive paid-time-off programs, including company-paid holidays
* Competitive Parental Leave Benefits & Adoption Assistance program
* Employee Assistance Program
* Tax-Free Commuter Benefit
* Tuition Reimbursement & Professional Qualification benefits
In today's world, what do we stand for?
Ethics and integrity are the foundation of delivering on our commitment to you. We believe that core values drive success, and that when relationships are held in the highest regard, there is nothing that cannot be accomplished. At Sompo, our ring is more than a logo, it is a symbol of our promise. Click here to learn more about life at Sompo.
Sompo is an equal opportunity employer and we intentionally value inclusion and diversity. Above all, we want you to work in an environment that respects everyone's unique contributions - we are passionately committed to equal opportunities. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.
Auto-ApplyLiability Adjuster
Claims adjuster job in Atlanta, GA
Resolution Recruiting is looking for a mid level to senior lever commercial auto, general liability adjuster for our TPA Client. This person will be responsible for handling claims associated with schools.
To Be Considered YOU MUST Have:
3 plus years of commercial claims handling specific to commercial auto, general liability
Insurance claims litigation experience
GA Adjuster License
Ability to write Reservation of Rights and Declining Liability Letters
College degree preferred but we will consider experience over education
Salary: $65,000-$80,000 plus benefits
Claims Manager- TPA
Claims adjuster job in Duluth, GA
BITCO Corporation, a leading provider of specialized insurance solutions is seeking a Claims Manager (TPA) for our corporate office located in Davenport IA. With a strong national presence and 11 branch offices in 10 states, BITCO delivers tailored insurance services to specialized industries including construction, forest products and oil & gas.
This position is eligible for a hybrid or remote work arrangement with required business travel to BITCO office locations and customer offices.
Position Summary :
As a Claims Manager, you will oversee the day-to-day operations of a claims team handling Legacy Claims and working with Third Party Administrators (TPAs). This role includes managing workflow distribution, providing training and guidance to team members, and ensuring all claims are processed accurately, efficiently, and within established timelines.
As a working manager, your main responsibility will be managing a claims team. However, you will also be responsible for handling a modest pending of complex claims directly, with a focus on timely resolution and the prioritization of high-impact cases. You will ensure appropriate workload balance across the team while maintaining a high standard of service delivery.
The ideal candidate will bring strong technical expertise, utilizing claims management systems and analytical tools to streamline processes, monitor key performance indicators, and identify areas for operational improvement. Your leadership will be critical in supporting team performance, ensuring compliance with company policies, and driving continuous improvement in claims handling.
Primary Responsibilities:
Directs and supervises the work of assigned claims team, including the quality, quantity and timeliness of work product
Maintains current company and department processes and procedures. Assigns work, provides training and feedback to team members, and conducts timely and appropriate evaluations of job performance in the department
Supervises and participates in the functions of the assigned claims team to meet the needs of internal and external customers
Review, analyze, and interpret policy conditions, exclusions and endorsements to resolve coverage and liability issues for assigned claims
Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure
Review and evaluate contractual documents to identify potential risk transfer opportunities or exposure
Investigate claims to evaluate coverage and legal issues, and obtaining statements, records, and other evidentiary materials
Provide proper documentation and reporting of investigation and claims handling activities
Negotiates, settles, and resolves claims with claimants and insureds; provides appropriate claims resolution documents
Maintain a working knowledge of regulatory and jurisdictional requirements
Provides direction to and management of independent adjusters and other third parties retained to assist in a particular claim
Coordinates with claims management to staff assigned claims team with persons who have the appropriate skills, abilities and interests to perform the job responsibilities
Coordinates with and assists claims management in carrying out personnel and salary administration involving persons under their supervision.
Participates with the Underwriting management team on preparing and carrying out the office's business plan each year, including setting of business objectives with revisions and modifications as needed to meet the branch sales and profit goals
As a management representative, consistently acts in the best interest of BITCO and provides leadership and communication to actively promote BITCO's mission, core values, and culture
Prepare and review key reports, including Reinsurance summaries, large reserve changes, and Claims Committee materials, while actively participating in roundtable discussions.
Perform other duties as assigned
Qualifications:
The qualified candidate will have experience with the following:
15 or more years of claims experience in the following areas:
Commercial General Liability, Commercial Auto, and Construction Defect in multiple jurisdictions, with a strong emphasis in the West
Complex Coverage - proficient in managing and analyzing complex coverage claims and providing clear and accurate direction to claims staff accordingly
Claims Administration - analysis of losses, reports, reserves, compliance, laws, and procedures within the handling territory, providing clear and accurate direction to claims staff to meet best practices and company guidelines across multiple jurisdictions
Claims Settlement - provide clear and accurate direction to claims staff in the analysis and resolution of claims within the assigned claims territory. Ensure timely and accurate preparation of coverage communications, releases, and proof of loss statements
5 or more years' experience managing a claims team
Chartered Property Casualty Insurance (CPCU), Associates in Claims (AIC), and/or similar professional designation highly regarded
Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service to BITCO customers, including but not limited to its agents and policyholders
Strong verbal and written communication skills, both internally within the team and externally
Proven ability to stay organized and meet deadlines
Efficiently utilize and oversee the utilization of computers and claims related software, and other office machines/equipment, to perform job responsibilities and those of the persons being supervised
Work Environment & Physical Requirements:
Must be legally authorized to work in the United States
Office environment; this position is eligible for a hybrid or remote work schedule, as directed by manager
Frequently sit at a desk or other work station for extended periods of time
Occasionally lift and carry equipment and/or materials weighing up to 15 pounds
Routinely bend, kneel, reach, see, be mobile and walk around
Must be able to attend and perform job duties effectively both in-person and virtually, as required by manager
Travel - some overnight travel required
Benefits:
Competitive salary and benefits
Paid time off and 12 paid holidays a year
Health, dental, and vision insurance
Company paid life insurance - 2x annual earnings
Old Republic 401(k) Savings and Profit Sharing Plan
Education and training opportunities
Insurance designations encouraged with financial assistance available
Daily two-hour flexible start and end time for 7.5-hour workday
Employee Fitness Program
Claims Supervisor - General Liability
Claims adjuster job in Atlanta, GA
National Claim Services Inc. (“NCS”) is a dynamic, rapidly growing TPA for a highly successful Managing General Agency. We are looking for a proven star to join the team. As part of the Allstar Financial Group, Inc. family, NCS offers:
Top pay
Comprehensive benefits package including a 401(K)
Stimulating work environment
Highly motivated, talented, and creative teammates
Flexible work schedule options
Business casual dress code
Low turnover
NCS is looking for an exceptional person with the prerequisite skills to manage general liability claims out of Atlanta, GA or Columbia, SC claim operations. Successful candidates will have 5 years experience supervising and adjusting construction-related GL claims, habitation claims, products liability claims, etc. in multiple jurisdictions throughout the United States, reviewing/evaluating coverage, and managing complex litigated cases.
Job Description
Requires strong technical and analytical skills coupled with excellent communication abilities.
Able to correspond effectively and professionally with internal management and external customers/partners.
Able to provide oversight to a team of adjusters while also handling a small pending of claims with medium to high complexity.
Requires current expertise with claim handling, coverage analysis, reserves, principles of investigation, litigation management, adjustment documentation, and case evaluation
Requires strong written and oral communication skills.
Can operate independently with minimal supervision, independently evaluates claim exposures within authority.
Requires an excellent understanding and skill level of internal and external customer service.
May perform other duties as assigned.
Qualifications
College degree or equivalent multi-line, multi-jurisdictional claims experience
10+ years claims experience with a high degree of technical experience, claims handling practices, an in-depth knowledge of manuscript coverage and policy language, contract analysis and litigation management.
Supervisory experience a plus
Adjusters license required.
Construction- related general liability claims handling experience required.
Current and in-depth knowledge of specialized claim resolution, legal issues, civil procedures, loss compensation values, principles of investigation, adjustment documentation and evaluation of cases to determine effective course of action.
Working knowledge of Microsoft Office Products (Outlook, Word and Excel)
Additional Information
Competitive Salary
Professional, yet relaxed, workplace environment.
Comprehensive Benefits package, including 401k w/match, Paid PTO and holidays.
Privately held employer
COMPANY WEBSITES: ******************************* *******************************************
Auto Liability Claim Representative
Claims adjuster job in Alpharetta, GA
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$67,000.00 - $110,600.00
**Target Openings**
4
**What Is the Opportunity?**
This role is eligible for a sign on bonus
What is the Opportunity?
Be the Hero in Someone's Story
When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most.
As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner.
In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process.
What Will You Do?
+ Provide quality claim handling of Auto Liability claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations.
+ Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates.
+ Determine claim eligibility, coverage, liability, and settlement amounts.
+ Ensure accurate and complete documentation of claim files and transactions.
+ Identify and escalate potential fraud or complex claims for further investigation.
+ Coordinate with internal teams such as investigators, legal, and customer service, as needed.
What Will our Ideal Candidate Have?
+ Bachelor's Degree.
+ Three years of experience in insurance claims, preferably Auto Liability.
+ Experience with claims management and software systems.
+ Strong understanding of insurance principles, terminology with the ability to understand and articulate policies.
+ Strong analytical and problem-solving skills.
+ Proven ability to handle complex claims and negotiate settlements.
+ Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.
What is a Must Have?
+ High School Degree or GED with a minimum of one year bodily injury liability claim handling experience or successful completion of Travelers Claim Representative training program
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
Claims Supervisor - Mechanical Claims - Automotive
Claims adjuster job in Atlanta, GA
Please do not respond to direct messages with your personal information. All job applications and your sensitive, personal information should only be submitted via our official job platform.
Job Title: Claims Supervisor, VSC
FLSA: Exempt
Company Overview:
Safe-Guard Product International serves Original Equipment Manufacturers (OEMs), top retailers, and independent agents in the automotive finance and insurance industry with the leading Protection Products Platform. Our platform delivers innovative protection products and solutions that protect consumers from the perils of ownership, while providing Finance & Insurance professionals the tools to ignite scalable and sustainable business growth. Safe-Guard's success is driven by over 850 employees, who serve more than 12,000 dealers and support contract holders across the U.S. and Canada.
For 30 years and counting, our team continues to transform the motor vehicle space, earning a stellar reputation from our partners and peers by providing: 1) the highest quality protection products in the industry, 2) a broad platform of branded product, technology, marketing, and training solutions, and 3) an unwavering commitment to uncomplicated care and customer service.
Job Summary
To perform the job successfully, an individual must be responsible for assisting quality and efficient customer service through daily monitoring of a team by providing day-to-day technical support to Claims Adjudicators. Additionally, the Supervisor is responsible for assisting the Manager with customer escalation related to the customer experience.
Leadership: act as role mole for company values, providing timely feedback to help others
Collaboration: develops a clear mission for the team aligned with business strategy, coaches team to maintain or improve team unity.
Customer experience: communicate effectively with customers, independently develops and /or introduces process change to improve the customer experience advocate customer needs and initiate resolution
Essential Functions:
Supervises a team of Claims Adjusters to ensure that claims are being administered properly within department guidelines.
Monitors call volume and productivity to ensure proper balance, consistency, and quality control within the department.
Implements new procedures and amendments to existing procedures when necessary.
Remains ‘hands on' and synchronized with claims processing and underwriting to keep current with targeted standards.
Provides back up to adjusters at times of peak volume.
Works directly with customers, dealers, and agents to help resolve complex claim issues.
Offers internal support within the department and other areas of the company; including support to adjusters through continued training and guidance, as well as support to entire department when necessary
The above statements are intended only to describe the general nature of the job and should not be construed as an all-inclusive list of position responsibilities.
Qualifications:
Bachelor's degree preferred. High School Diploma or equivalent required.
5+ years of experience in supervision, call center and office environment. Insurance and/or financial field preferred.
3-5 years of experience within Automotive Service Industry required (Technician, Service Advisor, etc..)
Must have strong people, interpersonal skills, and presentation capabilities
Must have superior verbal/written skills with the ability to communicate effectively to employees, clients, customers, team members, and all levels of management.
Must have strong computer skills and the ability to understand and service policies.
Must be proficient in Windows and Microsoft Office Products (Outlook, Excel, Word, PowerPoint, Teams)
Must be innovative, analytical, and able to offer solutions to challenging situations. Exercises sound judgment when interacting with employees and customers.
Excellent team leadership experience
Exceptional negotiation and remediation skills, with the ability to teach and instill the same skills throughout the department.
Outstanding time management and organizational skills
Verifiable experience/success in high volume or processing environment
Problem solving skills with a proactive attitude at all times
Must be authorized to work in the U.S
Must be able to successfully pass a background check
Company Benefits:
Medical, Dental, and Vision Insurance
Flexible Spending Account
Health Savings Account
401(k) Plan with Company Match
Company-paid Short-Term and Long-Term Disability
Company-paid Life Insurance
Paid Holidays and Vacation
Employee Referral Program
Employee Assistance Program
Wellness Programs
Paid Community Service Opportunities
Tuition Reimbursement
Ongoing Training & Personal Development
And More!
Auto-ApplyLiability Adjuster II
Claims adjuster job in Atlanta, GA
JOIN THE ASSURANCEAMERICA TEAM
Do you want to be part of an organization where you are valued, and your ideas and opinions have an impact?
Join the AssuranceAmerica team.
For more than 25 years, AssuranceAmerica has provided superior property and casualty insurance products through contracted independent agents and directly to customers. Our team succeeds through diversity of thought, experiences, skills, and backgrounds.
Liability Adjuster II
The Liability Adjuster II is responsible for managing a caseload of complex liability and coverage claims, including those involving minor bodily injuries. This role requires the execution of thorough investigations to gather all necessary facts, along with a strong understanding of policy language to ensure accurate and timely coverage and liability determinations. While working with a degree of autonomy, the Adjuster will collaborate with their supervisor for guidance on more nuanced or high-exposure cases.
About the ROLE
Each day at AssuranceAmerica is different, but as a Liability Adjuster II you will:
Conduct thorough investigations and evaluations of coverage, liability, and damages across all lines of personal automobile insurance/.
Accurately assess exposure and evaluate injury claims in a fair, consistent, and equitable manner based on the facts and extent of damages.
Negotiate timely and appropriate settlements, ensuring all required documentation is obtained to support proper claim resolution and closure.
Manage low-complexity, attorney-represented injury claims with sound judgement and attention detail, maintaining compliance with internal guidelines and industry standards.
Control expenses and adhere to company reserving philosophy by maintaining proper reserves
on all pending claims/potential exposures.
Meet and maintain general file handling goals and procedures as outlined by the company including maintaining a 1:1 closing ratio and status on diary reviews.
Properly utilize underwriting and policy systems and understand its features and functionality, as needed.
Attend any available seminars and classes applicable to this position and the skills required to meet the job duties and responsibilities.
Continually ask questions and have a desire to develop additional skills to better investigate and evaluate claims.
About YOU
Excellent communication skills with demonstrative ease with both verbal and written formats.
Attention to detail and ability to multi-task.
A high degree of motivation and team orientation.
Direct, results driven, and dedicated to the success of the business and each other.
Required
Minimum three years of experience handling auto claims.
Minimum of two years of experience handling complex liability and coverage issues and unrepresented bodily injury cases.
Preferred
Bachelor's degree or equivalent.
Non-standard experience.
Adjuster's license in relevant state or the ability to obtain one quickly.
Bilingual (English-Spanish).
Physical Requirements
Prolonged periods sitting at a desk and working on a computer.
Must be able to lift 15 pounds at times.
Must be able to navigate various departments of the organization's physical premises.
About US
We are direct, results-driven, and dedicated to the success of our business and each other.
We are a diverse group of thinkers and doers.
We offer many opportunities to grow in your professional skills and career.
We fight homelessness by directing 5% of our earnings from each policy we sell to organizations that help those in need. We call it our Generous Policy.
WHAT WE OFFER
AssuranceAmerica provides these benefits to Associates:
Premium healthcare plans: All full-time Associates and part-time Associates working a regular schedule of 30 hours, or more, are eligible for benefits including Medical, Dental, Vision, Voluntary Life, Flexible Spending Accounts, and a Health Savings Account.
Employer Paid Benefits: We enroll all eligible Associates in Group Life and AD&D Insurance, Short- and Long-Term Disability Plans, Employee Assistance Program, Travel Assist, and the Benefit Resource Card which includes Teladoc™, Pet Insurance and Health Advocate.
Additional Benefits:
401(k) Employer Match: We want to help you prepare for the future, now. All full-time and part-time Associates over age 21 are eligible to participate in the 401(k) Savings Plan.
AssuranceAmerica will match 100% of the first 4% of an Associate's contributions.
Engagement Events. We make time for fun activities that strengthen Associate relationships in all our locations.
Annual Learning Credit: Want to learn something new? We'll reimburse you for approved educational assistance.
Time Off:
Paid Time Off (PTO), Parental Leave Pay, Volunteer Time Off (VTO), Bereavement Pay, Military Leave Pay, and Jury Duty Pay.
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