Claims Adjuster
Claims adjuster job in Farmingdale, NY
Network Adjusters is seeking skilled insurance claims adjusters with experience in General Liability and/or Construction Defect for a third-party liability Construction Defect Claims Adjuster position. In this role, you will manage third-party Construction Property Damage and Liability Insurance claims of varying complexity and severity, specifically within construction development and subcontractor programs.
CONSTRUCTION DEFECT ADJUSTER RESPONSIBILITES:
Knowledge of General Liability and Construction Defect claims.
Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clients.
Fulfill specific client requirements including reporting of claim details and analysis.
Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements.
Recognize and apply jurisdictional issues that impact the claim (i.e.: negligence laws, financial responsibility limits, immunity, etc.)
Investigate facts to determine liability, other sources of recovery as appropriate by contacting and interviewing appropriate parties.
Manage 3rd party property damages, bodily injury and other claims requiring specialized investigation and utilization of external experts in accordance with local laws.
Effectively manage litigated claims & assigned defense or coverage counsel.
Establish and maintain appropriate claim and expense reserves in a timely fashion.
Develop and continually update a plan of action for file resolution including maintaining an effective diary.
Document claim file activities in accordance with established procedures.
Write denial letters, reservation of rights, tenders and other routine and complex correspondence to insureds and claimants.
Confer with higher level technical claim personnel for guidance and direction to ensure files are handled properly.
Determine settlement amounts based on independent judgment, application of applicable limits and deductibles.
Negotiate settlements within authority limits.
Identify subrogation opportunities.
Meet all quality standards and expectations based on Best Practices.
Assure compliance with state specific regulations.
Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution.
CONSTRUCTION DEFECT ADJUSTER QUALIFICATIONS:
2-5 years of experience in claims handling (preferably 3rd party - general liability).
College/Technical degree or equivalent business experience.
Obtain Adjusters licenses as required to meet business need.
Complete continuing education to maintain licenses.
Strong verbal and written communication skills.
General software skills including MS Word, Outlook and Excel.
Customer service and empathy skills.
Solid analytical and decision-making skills in order to evaluate claims and make sound decisions.
Excellent negotiation skills and ability to effectively handle conflict.
Strong organization and time management skills.
Ability to multi-task and adapt to a changing environment.
Attention to detail, ensuring accuracy.
Strong investigative skills and creativity to achieve optimal results.
Ability to maintain confidentiality.
CONSTRUCTION DEFECT ADJUSTER BENEFITS:
Training/Development and growth opportunities
401(k) with company match / Retirement planning
Paid time off / Company paid holidays
Comprehensive health plans including dental and vision coverage
Flex spending account
Company paid life insurance
Company paid long term disability
Supplemental life insurance
Opportunity to buy into short term disability
Strong work/family and employee assistance programs
This role is located in Farmingdale, NY; no remote or hybrid offers are available at this time.
The starting salary for this position is $75,000 - $100,000, depending on factors such as licensure, certifications, and relevant experience. Become a part of a dynamic, energetic workforce in which you can make a difference.
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
Auto Claim Representative, I
Claims adjuster job in Melville, NY
**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**
$55,200.00 - $91,100.00
**Target Openings**
4
**What Is the Opportunity?**
This role is eligible for a sign on bonus up to $10,000
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 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.
+ Insurance License: 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.
**What Will Our Ideal Candidate Have?**
+ Bachelor's Degree.
+ Three years of experience in insurance claims, preferably Auto claims.
+ Experience with claims management and software systems.
+ Strong understanding of insurance principles, terminology with the ability to understand and articulate policies.
+ Strong analytical and problem-solving skills.
+ Proven ability to handle complex claims and negotiate settlements.
+ Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.
**What is a Must Have?**
+ High School Diploma or GED required.
+ A minimum of one year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program is required.
**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 ******************************************************** .
Multi-line Adjuster
Claims adjuster job in Melville, NY
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Multi-Line Property Damage Adjuster - New York City and surrounding areas.
Salary: Starting pay rate varies based upon position and location. Ask your Recruiter for details!
We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Property Damage Adjuster! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, a customer's home or in a virtual estimating environment. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing boat, motorcycle, RV and other specialty claims.
Qualifications & Skills:
* Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits
* Must have a minimum of 1 year prior auto damage or estimating experience
* Willingness to be flexible with primary work location - position may require either remote or in-office work
* Solid computer, mechanical aptitude, and multi-tasking skills
* Effective attention to detail and decision-making skills
* Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
* Minimum of high school diploma or equivalent, college degree or currently pursuing preferred
Annual Salary
$36.63 - $57.49
The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
* Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
* Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
* Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
* Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
Auto-ApplyLiability Claims Adjuster
Claims adjuster job in Teaneck, NJ
Interstate Waste Services is the most progressive and innovative provider of solid waste and recycling services in the country! We primarily service Northern New Jersey, Southern New York State, New York City, Connecticut, with a state-of-the-art rail served landfill located in Ohio. We cater to a diverse range of residential, industrial and commercial customers. Our mission has always been to provide our customers with the highest quality waste, recycling and environmental services, while keeping focus on employees, customer and environmental safety.
What makes our company culture unique is we have mastered the ability to balance the standards of a large corporate company while maintaining our small business family style culture.
Essential Job Summary:
We are seeking a qualified Liability Claims Adjuster to join our team. The Liability Claim Adjuster will investigate insurance claims, examine evidence, and prepare reports. Write and submit comprehensive reports detailing findings from research, interviews, site visits, and policy stipulations. This position will be pivotal in solving problems and recommend solutions to reach the best ethical and financial outcomes.
Essential Job Functions: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned.
· Verify that the insurance policies in question exist and examine terms and stipulations as they relate to claims
· Conduct interviews with claimants, witnesses, and all involved parties to obtain a full picture of events detailed in each claim
· Research the costs of repairing all damages mentioned in the claim, and seek out quotes from mechanics, repair shops, contractors, or similar vendors to compare prices
· Examine documentation, police reports, and all other pieces of evidence provided in the claim
· Recommend creative solutions to bring to the claims negotiation process
Requirements and Qualifications:
· Bachelor's Degree or equivalent experience
· 3-5 years of experience in claims management or as an insurance adjuster
· Working knowledge of typical industry insurance policies and the claims process
· Strong communication skills, both verbal and written, for speaking with claimants, witnesses, and lawyers throughout the claims process
· Strong time-management skills, as some tasks will be time sensitive
· Commitment to providing ethical judgment
· Strong problem-solving capabilities
· Ability and willingness to occasionally travel for site visits
· Claims adjuster license (NY, CT)
· Advanced industry knowledge
· Strong claim negotiations skills
· Ability to learn new software quickly
· Excellent research skills
· Advanced writing skills
Additional Information
This job description is intended to be an accurate representation of the general functions of the job, rather than exhaustive list of duties, responsibilities, or experience. Other duties may be assigned, requested, or required. Aspects of the job may be altered without notice.
Interstate Waste Services provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Salary Range Minimum USD $70,000.00/Yr. Salary Range Maximum USD $80,000.00/Yr.
Auto-ApplyWorker's Compensation Claims Supervisor
Claims adjuster job in Spring Valley, NY
Worker's compensation insurance is a headache. We make it simple, smooth, and stress free. Join us in redefining workers' comp. Job Summary: The Workers' Compensation Claims Supervisor oversees a team of claims adjusters responsible for managing workers' compensation claims. This role ensures compliance with jurisdictional regulations, adherence to best practices, and attainment of performance targets. The Supervisor is responsible for technical guidance, training, quality assurance, and operational efficiency. Please note: This job description outlines general duties and expectations and is not intended to be exhaustive. Duties may change based on business needs.
Essential Job Functions:
Supervise daily activities of assigned workers' compensation claims adjusters.
Triage new files to ensure assignments are appropriate.
Review first diary within 7 days of assignment for coverage, compensability, damages, compliance, reserves, and plan of action.
Monitor caseload distribution monthly and ensure appropriate workloads.
Use appropriate metrics for Return to Work, New/Reopened claims, claim closures per month, penalties, and timely contact.
Review claim files for quality assurance, reserve accuracy, and compliance.
Conduct quality assurance audits (5-7 claims per adjuster monthly) and reserve accuracy audits per jurisdiction.
Ensure all state forms are filed correctly and timely with zero penalties.
Provide coaching, mentoring, and technical guidance to adjusters through monthly one-on-ones.
Ensure timely and appropriate reserving and settlement authority adherence.
Facilitate regular file audits and roundtables on complex or high-exposure claims.
Coordinate training for new hires and continuing education for the team.
Develop training modules and onboarding tasks for new adjusters.
Serve as an escalation point for complex or litigated claims.
Authority level: $50,000 for reserve and settlement; roundtable claims with managers for amounts ≥ $100,000; settlements ≥ $50,000.
Communicate with insured and brokers on claims above $25,000 and work with the account manager to set up claim reviews.
Collaborate with internal departments (Legal, Compliance, Risk Management).
Generate reports for management including performance metrics and trends.
Conduct monthly one-on-ones with the manager to review team metrics, audit scores, trends, and staffing.
Identify process improvements to enhance claims efficiency and outcomes.
Maintain knowledge of applicable jurisdictional regulations (e.g., NY, NJ, PA).
Seek training opportunities with vendors and law firms to enhance knowledge and performance.
Required Skills/Abilities:
Excellent oral and written communication skills-able to convey complex information effectively.
Detail-oriented with a high accuracy rate, ensuring precision in claim processing.
Strong critical thinking and problem-solving skills to assess claims efficiently and make informed decisions.
Flexible and tech-savvy, comfortable navigating various software tools and adapting to new processes.
Highly adaptable, able to adjust to evolving laws and industry changes with ease.
Thrives in a dynamic environment-willing to embrace change and contribute to continuous improvement.
Self-motivated with excellent time management, capable of handling multiple priorities effectively.
Education and Experience:
Bachelor's degree preferred or equivalent work experience.
Minimum 5 years of experience in workers' compensation claims handling.
Prior leadership or supervisory experience 1-3 years preferred.
Strong understanding of state-specific WC laws and regulations.
Excellent communication, organization, and problem-solving skills.
Proficient in claims management systems and Microsoft Office.
Ability to use metrics as a tool to manage performance.
Physical Requirements:
Prolonged periods sitting at a desk and working on a computer.
Prolonged periods of standing, walking, and/or sitting and reaching with hands and arms.
Must be able to lift 10 pounds at a time.
Additional Requirements:
Due to the nature of our business, and urgency of our clients' needs, you may be required to participate in the company's on-call program and work on holidays/weekends according to the on-call schedule.
Additional Details:
This is a full-time in office position in Rockland County, NY.
We offer a competitive salary ranging from $110-165k with generous PTO and Benefits.
We are an Equal Opportunity Employer
We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. We intend that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.
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Auto Damage Claims Adjuster
Claims adjuster job in North New Hyde Park, NY
Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As an auto damage claims adjuster, you'll serve as Progressive's point of contact with customers - directing and making decisions regarding the repair process from beginning to end. Managing your own inventory while working independently, you'll work closely with body shops and others to negotiate repair pricing and assess liability. Ideal candidates will possess leadership and conflict management skills, along with strong attention to detail and a passion for providing excellent customer service.
This is a field position with access to a company car and frequent driving within your assigned geographical area. We assess our workload collectively, which means you may cover assignments outside your geographical area. You may also be required to report into an office occasionally.
Duties and responsibilities
* Complete vehicle inspections, write estimates, determine total loss evaluations, and set clear expectations and timelines
* Negotiate repair process with body shops
* Document information related to the claim and make decisions consistent with claims standards and local laws
* Evaluate and handle claim payments and resolution of claims without payments
* Review and determine validity of any supplement requests
Must-have qualifications
* A minimum of four years of relevant work experience with one year appraisal/estimatics or insurance experience
* {OR} Associate's degree and a minimum of three years relevant work experience with one year appraisal/estimatics or insurance experience
* {OR} Bachelor's degree and a minimum of one year appraisal/estimatics or insurance experience
* Valid driver's license, auto insurance, and compliance with Progressive's driving standards and/or policies
Compensation
* $80,200 - $98,100/year, depending on experience
* Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance
Location
* This position covers the assigned geographical area of New Hyde Park, NY. We assess our workload collectively, which means you may cover assignments outside your geographical area as well.
Benefits
* 401(k) with dollar-for-dollar company match up to 6%
* Medical, dental & vision, including free preventative care
* Wellness & mental health programs
* Health care flexible spending accounts, health savings accounts, & life insurance
* Paid time off, including volunteer time off
* Paid & unpaid sick leave where applicable, as well as short & long-term disability
* Parental & family leave; military leave & pay
* Diverse, inclusive & welcoming culture with Employee Resource Groups
* Career development & tuition assistance
Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership.
Equal Opportunity Employer
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Claims Representative - Auto Property Damage
Claims adjuster job in Uniondale, NY
The Auto Property Damage Claims Representative is responsible for managing Auto Property Damage claims within our "Auto PD Claim Unit." This role demands a high level of customer service, patience, and professionalism while working in a fast-paced environment with significant phone interaction. Strong customer service, organizational, verbal, and written communication skills are essential. The ability to navigate adversarial situations with professionalism is critical. Comparative negligence claim handling experience is needed for this role.
Essential Functions and Responsibilities:
* Policy Analysis:
* Investigate and interpret policy provisions, endorsements, and conditions to determine coverage for automobile property claims.
* Identify and investigate contested coverage claims that may require a roundtable discussion.
* Claim Investigation:
* Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties.
* Secure and analyze pertinent records, documentation, and loss scene information to determine proximate cause, negligence, and damages.
* Claims Management:
* Evaluate and adjust reserves as necessary.
* Prepare dispatch instructions for field personnel to inspect vehicles.
* Negotiate and settle claims within individual authority limits and seek supervisor approval for claims exceeding authority or requiring additional guidance.
* Maintain effective follow-up systems on pending files, advising insureds, claimants, and brokers on claim status.
* Act as an intermediary between the company, preferred vendors, and customers to resolve disputes.
* Ensure adherence to privacy guidelines, laws, and regulations in claims handling.
* Backup to Commercial Claims handling.
* Subrogation and Legal Handling:
* Investigate and initiate subrogation processes when applicable.
* Handle and respond to special civil part lawsuits or intercompany arbitrations related to auto property damage claims.
* Administrative Duties:
* Manage a customer-focused phone environment by answering calls, returning voicemails, and responding to emails and text correspondence promptly.
* Process incoming and outgoing mail timely and in accordance with state guidelines.
* Complete other duties as assigned.
Qualifications and Education:
* Bachelor's degree required.
* A minimum of 2 year of related PD claim experience is required.
* Licensed in CT, NH, RI and other foreign states is preferred.
* Proficiency in personal computer skills, including Microsoft Office Suite.
* Ability to prioritize and manage multiple tasks effectively.
* Excellent communication, organizational, and customer service skills.
Perks and Benefits:
* 4 weeks accrued paid time off + 9 paid national holidays per year
* Tuition Reimbursement
* Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
* Robust health and wellness program and fitness reimbursements
* Auto and home insurance discounts
* Matching gift opportunities
* Annual 401(k) Employer Contribution (up to 7.5% of your base salary)
* Various Paid Family leave options including Paid Parental Leave
* Resources to promote Professional Development (LinkedIn Learning and licensure assistance
Salary Range: $50,000-65,000 a year. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
About the Company
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent".
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Auto-ApplyWorkers Compensation Claims Manager
Claims adjuster job in Saddle Brook, NJ
Division:TSIB - Risk Services Minimum Years Experience:8Travel Involved:20-30%Job Type:RegularJob Classification:ExperiencedEducation:Bachelors DegreeJob Family:Insurance and ClaimsCompensation:Salaried Exempt
Position Description:
Oversee insurance carriers and Third-Party Administrators (TPAs) in their management and handling of affiliated clients' Workers' Compensation claims in an assigned geographic region of the country based upon program and compliance regulations.
Essential Duties & Key Responsibilities:
* Oversee assigned workers' compensation case portfolio of minor to complex claims in assigned geographic region.
* Leverage knowledge of workers' compensation policy and manage incidents, and dispatch nurse case managers as necessary.
* Collaborate closely with Risk Management leadership on workers' compensation claims, process, and procedures to ensure integrated program.
* Serve as resource for injured employees and inform of workers' compensation process and procedures.
* Report workers' compensation claims to carriers and Third-Party Administrators (TPAs), including notification of questionable claims.
* Facilitate proactive identification of claims with opportunities for early Return to Work and light duty Return to Work program, as needed.
* Evaluate and respond to Reserve and Settlement Consultations within given authority, escalate consultations above scope authority to appropriate leadership.
* Maintain diary for open claims and document specific claim related activities in Risk Management information system.
* Work with carriers, TPAs, and Defense Counsel to develop mitigation strategies for Owner Controlled Insurance Program (OCIP) that result in cost savings to the claim, ensure aggressive strategy is developed on litigated claims, and bring claims to timely resolution.
* Collaborate with General Liability team to develop mitigation strategies and facilitate most economic global resolution of Contractor Controlled Insurance Program (CCIP) claims.
* Attend hearings and mediations on as needed basis.
* Ensure avenues for potential claim recovery are identified and pursued and manage lien recovery on case-by-case basis.
* Participate in claims review process and monitor claims handling process by carriers and TPAs; provide direction to ensure compliance with best practices and special handling instructions.
* Oversee and hold vendors and defense firms accountable for adherence to standard protocols, agreed to service instructions, and litigation management guidelines. Update instructions and guidelines and provide recommendations to appropriate leadership.
* Partner with Safety team and onsite medics on initiatives that support worker wellness and post-injury care.
* Participate in CCIP kickoff meetings and jobsite walkthroughs, attend Claims, Safety and Operations meetings to monitor current and anticipated project risks and report on claims status for specific projects.
* Maintain and foster relationships with carriers and TPAs claims teams.
* Assist with claim data analysis and claim performance reports.
* Collaborate with HR and Payroll departments for completion of required Workers' Compensation Jurisdictional Forms.
* Support audits related to workers' compensation claims.
* Remain current on Workers' Compensation laws and regulations, industry trends, and case law within assigned jurisdictions.
* Other activities, duties, and responsibilities as assigned.
* Qualifications:
* Bachelor Degree in Insurance, Risk Management, Finance, Business Administration or related program; with minimum of 8 years of workers' compensation claims administration experience; or equivalent combination of education, training, and/or experience
* Experience with workers' compensation claims in a construction environment, desired
* CRIS, ARM or similar insurance designation, desired
* Knowledge of jurisdictional laws and regulations for assigned territory
* OSHA (Occupational Safety and Health Act) knowledge and experience desired; OSHA 30-hour certification, a plus
* In-depth knowledge of workers' compensation claims, medical management procedures, medical cost containment programs and applicable laws and regulations
* Demonstrate process thinking and sound decision-making skills
* Analytical and adept at processing and breaking down data into actionable information
* Self-starter with strong project management skills and capable of managing concurrent complex projects and tasks successfully to completion
* Demonstrate strong interpersonal and teamwork skills with ability to work with individuals across organizational levels, both internal and external
* Professional written and verbal communication, and effective presentation skills
* Proficient computer skills, Microsoft Office suite of applications, and insurance-based risk management information systems
* Limited travel
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, use hands to finger, handle, or feel objects, tools, or controls; and reach with hands, talk, and hear. The employee frequently views a computer monitor and frequently uses a computer keyboard. Specific vision abilities required by this job include close vision, peripheral vision, depth perception, and the ability to adjust focus. The employee is occasionally required to be mobile, and the employee occasionally travels both short and long distances via a variety of conveyances. The employee occasionally performs work on-site at construction work sites, office locations, and/or off-site venues. The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee regularly works in an office setting. The noise in the work environment is usually quiet to moderate in an office setting. While performing the duties of this job, the employee may occasionally work at construction work sites where the employee is exposed to moving mechanical parts, high precarious places, fumes or airborne particles, outside weather conditions, and risk of electrical shock. The noise in the work environment is usually moderate to loud. The employee is required to work in compliance with company safety policies, procedures, and applicable laws.
The salary range for this position in the New York Metropolitan Area is $112,000 - $173,000
Turner Surety and Insurance Brokerage, Inc. is an Equal Opportunity Employer
Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity
VEVRAA Federal Contractor
Turner Surety and Insurance Brokerage, Inc. is an Equal Opportunity Employer -minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity.
VEVRAA Federal Contractor
Claims - Field Claims Representative
Claims adjuster job in White Plains, NY
Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person.
If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.
Build your future with us
The Field Claims department is currently seeking Field Claims Representatives to service the territory surrounding: White Plains, New York. The candidate is required to reside within the territory.
This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements.
Be Ready to:
* complete thorough claim investigations
* interview insureds, claimants, and witnesses
* consult police and hospital records
* evaluate claim facts and policy coverage
* inspect property and auto damages and write repair estimates
* prepare reports of findings and secure settlements with insureds and claimants
* use claims-handling software, company car and mobile applications to adjust loss in a paperless environment
* provide superior and professional customer service
* once eligible, become a certified and active Arbitration Panelist
To be an Entry Level Claims Representative:
Salary: The pay range for this position is $55,000 - $76,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.
Be equipped with:
* be available and communicative during your regular business hours
* a desire to learn about the insurance industry and provide a great customer experience
* the ability to work unsupervised
* excellent verbal and written communication skills
* strong interpersonal skills
* excellent problem-solving, negotiation, organizational and prioritization skills
* preparedness to follow-up with others in a timely manner
* a valid driver's license
Bring education or experience from:
* a bachelor's degree
* AINS, AIC, or CPCU designations preferred
Benefits in addition to compensation include:
* company car
* company stock options, including Restricted Share Units and Incentive based stock options
* paid time off (PTO)
* 401K with 6% company match
To be an Experienced Claims Representative:
Salary: The pay range for this position is $62,000- $108,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.
Be equipped with:
* be available and communicative during your regular business hours
* multi-line claims experience preferred
* ability to completely assess auto, property, and bodily injury type damages
* capacity to work unsupervised
* excellent verbal and written communication skills
* strong interpersonal skills
* excellent problem-solving, negotiation, organizational, and prioritization skills
* preparedness to follow-up with others in a timely manner
* a valid driver's license
Bring education or experience from:
* one or more years of claims handling experience
* AINS, AIC, or CPCU designations preferred
* bachelor's degree or equivalent experience required
Benefits in addition to compensation include:
* company car
* company stock options, including Restricted Share Units and Incentive based stock options
* paid time off (PTO)
* 401K with 6% company match
Enhance your talents
Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career.
Enjoy benefits and amenities
Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities.
Embrace a diverse team
As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. All job applicants have rights under Federal Employment Laws. Please review this information to learn more about those rights.
Field Property Claims Adjuster
Claims adjuster job in White Plains, NY
Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner's property. This is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support.
The Field Property Claims Adjuster will be traveling locally to insured homes within White Plains, NY (10603) and surrounding areas. To be successful within the role, candidates should live within or near this area.
Sign-On Bonus Available! We're offering a sign-on bonus for experienced and actively licensed new hires.
What you'll do
Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include accessing roofs by ladder, inspecting attics, crawl spaces and basements in search of damage.
Handle moderate to complex claims independently while managing your workload, from first notice of loss to final closure.
Be expected to work in a vehicle in the field daily while occasionally handling assignments from the desk.
Explain coverage of loss, assist policyholders with itemization of damages, emergency repairs and additional living arrangements.
Work with and coordinate a few vendor services such as contractors, emergency repair, cleaning services and various replacement services.
May be called upon for catastrophe duty.
Position details
Territory-based work: Most workdays will be spent in the field within your assigned local territory, giving you the opportunity to work directly with customers and gain hands-on experience.
Training & support: To set you up for success, you'll participate in a comprehensive 5-month training program, which includes:
Primarily virtual and on-the-job learning.
Two short in-person training sessions (Weeks 4 and 7) at our Lewisville, TX office.
Limited overnight travel for training and team meetings (typically less than 10%).
Mileage Reimbursement: This role offers mileage reimbursement. You may qualify for a company-provided vehicle once mileage requirements are met. Additional details will be provided if you advance in the selection process.
Qualifications
Working knowledge of claims handling procedures and operations.
Proven ability to provide exceptional customer service.
Effective negotiation skills.
Ability to effectively and independently manage workload while exhibiting good judgment.
Strong written/oral communication and interpersonal skills.
Computer skills with the ability to work with multi-faceted systems.
The capabilities, skills and knowledge required through a bachelor's degree or equivalent experience and at least 1 year of directly related experience.
Ability to obtain proper licensing as required.
The ability to handle multiple competing priorities and organize your day.
Strong time management and organizational skills.
Demonstrated understanding of building construction principles.
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-ApplyProperty Adjuster - Inside (Trainee) Uniondale, NY
Claims adjuster job in Uniondale, NY
At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Job Description
Inside Property Adjuster -Hybrid - Uniondale, NY
A day in the life of an inside Property Adjuster, and what it takes to do the job!
As a Moderate Inside Property Adjuster, you will provide exceptional service to our policyholders. Working in this hybrid environment, your primary responsibility will involve virtually inspecting damages, investigating coverage, preparing estimates, and settling claims promptly and accurately. You will be interacting with customers, contractors, and vendors through various software platforms such as Xactimate and ClaimsX Video Collaboration. This communication will take place through different channels, including voice calls, email, and text messages. This role places a particular focus on water losses, ensuring that our customers receive the highest level of support and resolution for these specific claims.
You'll wear a few hats that will require a level of experience:
The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Property claim. You lead with empathy, always.
The Investigator - you'll confidently and independently investigate property claims by performing detailed reviews of damage and interpreting policies to determine coverage.
The Effective Communicator - you'll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You'll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress.
The Negotiator - You will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations.
The Problem Solver -you'll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.
The Recorder - you'll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You'll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim.
Schedule:
Schedule for training and after - 8 - 4:30 pm Hybrid - Mon/Fri Remote, Tues, Wed, Thurs in-office
Office location · 1125 RXR Plaza, 11th Floor Uniondale, NY 11556
Preferred Qualifications:
1+ years of previous customer service experience required.
Previous industry experience is highly desired.
Proficiency in using Xactimate and other relevant software for virtual assessments is preferred.
Ability to assess property damages and accurately determine claim coverage.
Excellent negotiation and communication skills to interact with customers and stakeholders remotely.
Ability to work independently and manage time efficiently in a virtual work environment.
Detail-oriented and organized, with a focus on delivering high-quality and efficient claim resolutions.
Residency within the posted location is mandatory for this role.
You're provided with comprehensive training:
The training program is designed to help you build a claims foundation and understand the systems and processes in your day-to-day work.
Ongoing training opportunities for continuous improvement happen regularly on the job.
Notice of Licensing Requirement:
As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license which includes passing an additional background check with the Department of Labor. If applicable, you will be required to secure license(s) within 60 days of hire.
If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed.
Sign On Bonus:
You may be eligible for a $1,000 Licensing Sign on Bonus if you have the applicable active licenses needed for this role. This could include Home Resident Property & Casualty License, Designated Home State (DHS) Florida or Texas License, and/or applicable Appraiser License.
*Current employees or candidates who have previously worked for Allstate, including its family of companies, are not eligible for this sign-on bonus.
Allstate Benefits:
Being a part of Allstate means you receive a benefits package from Day 1 of employment. This includes time off, healthcare, retirement, and more. That is why as an Allstater, you'll enjoy a Total Rewards package that includes:
Competitive pay with needed support for continuous development and career advancement.
Flexibility in scheduling and a time off policy that helps support your work/life balance.
Initial and ongoing training to get you proficient in your new role.
Comprehensive benefits like a 401K/pension, education reimbursement, and programs to help you balance work with the rest of your life. Visit: ************************ to learn more. #LI-TW1
Skills
Active Listening, Communication, Critical Thinking, Customer Service, Empathy, Multitasking, Time Management, Working Independently
Compensation
Compensation offered for this role is $64,350 - $83,755 and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.
Allstate generally does not sponsor individuals for employment-based visas for this position.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.
For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance.
For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
Auto-ApplyClaims Setup Specialist
Claims adjuster job in Rutherford, NJ
Job DescriptionWe are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on the initial setup of claims, ensuring all information is accurately entered into the claims management system. You will play a key role in preparing claims for further processing by entering data, verifying policy details, and assigning claims to the appropriate adjusters. This position is a full-time, in-office position located at our Rutherford, NJ, headquarters.
Key Responsibilities:
Initial Claims Setup:
Review FNOL (First Notice of Loss) and ensure all necessary information is included (claimant info, loss date, incident description).
Enter claim details into the system, including policy info, loss type, incident description, and the claimant's description of the event.
Policy Verification:
Cross-check claim details against the policy to verify effective dates of coverage.
Confirm policy and coverage details are accurately entered into the system.
Confirm appropriate client contact is attached to the policy
Assign Adjuster & Set Diary Notifications:
Assign the claim to the appropriate adjuster and supervisor.
Set adjuster diaries with new claim notifications and necessary actions.
Claims Acknowledgement Letters:
Generate and send acknowledgement letters as per client instructions.
Skills and Qualifications:
High attention to detail for accurate data entry and policy verification.
Ability to assign claims and set appropriate reminders.
Familiarity with claims management systems (or willingness to learn).
Basic insurance knowledge is a plus but not required.
Strong organizational and time management skills.
Company Overview:
Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client's specific needs. As a claim's organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry!
As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and a “roll-up-your-sleeves, get it done” mentality. We are searching for experienced, energetic, creative, and self-reliant professionals for exciting career opportunities!
Benefits and Perks:
We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company.
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Insurance Claims Manager
Claims adjuster job in East Northport, NY
The Claims Manager will be responsible for managing the full lifecycle of property insurance claims, from intake to settlement. This individual will oversee adjusters, estimators, and administrative staff to ensure claims are handled efficiently, deadlines are met, and clients receive excellent service. The role requires strong leadership, insurance knowledge, and the ability to balance operations, compliance, and negotiation strategy.
Key Responsibilities
Oversee the intake, assignment, and progress of all claims files.
Manage client relations
Review estimates, proofs of loss, and supporting documentation before submission.
Monitor deadlines, follow-ups, and carrier communications to prevent delays.
Handle escalated negotiations and disputes with insurance carriers.
Ensure compliance with New York State adjusting regulations and firm best practices.
Track performance metrics: claim cycle times, settlement results, and client satisfaction.
Provide regular reporting to ownership on claim status and financial outcomes.
Sr. Claims Examiner - PIP
Claims adjuster job in Melville, NY
Marketing Statement:
Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.
We are looking for a Sr. Claims Examiner - PIP to join our team!
Summary:
Analyze insurance claims to determine extent of Insurer's obligations. Settle claims with first and third party claimants in accordance with policy provisions and applicable law.
A typical day will include the following:
Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts.
Travel is required to attend customer service calls, mediations, and other legal proceedings.
Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
Communicates with all relevant parties and documents communication as well as results of investigation.
Qualifications:
High School Diploma; Bachelor's degree from a four-year college or university preferred.
Five plus years related experience and/or training; or equivalent combination of education and experience.
Three plus years of PIC related experience and an AIC Designation will be considered for employees in good standing with excellent claim audit scores.
Compensation Range : $90,226.00 - $100,840.00
Ultimate salary offered will be based on factors such as applicant experience and geographic location.
EEO Statement:
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Benefits:
We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
Auto-ApplyGeneral Liability Claims Specialist
Claims adjuster job in Melville, NY
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
* Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
* Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
* Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
* Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
* Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
* Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* May serve as a mentor/coach to less experienced claim professionals
May perform additional duties as assigned.
Reporting Relationship
Typically, Manager or above
Skills, Knowledge & Abilities
* Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed.
* Demonstrated ability to develop collaborative business relationships with internal and external work partners.
* Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
* Demonstrated investigative experience with an analytical mindset and critical thinking skills.
* Strong work ethic, with demonstrated time management and organizational skills.
* Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
* Developing ability to negotiate low to moderately complex settlements.
* Adaptable to a changing environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas
Education & Experience:
* Bachelor's Degree or equivalent experience.
* Typically, a minimum four years of relevant experience, preferably in claim handling.
* Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Professional designations are a plus (e.g. CPCU)
#LI-LG1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
Auto-ApplyDaily Property Field Adjuster
Claims adjuster job in Stamford, CT
Job Description
Alacrity Solutions
Independent Contractor
Daily Property Field Adjuster
Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Our staffing capabilities, temporary housing services, managed repair network, and subrogation services support a fully integrated solution for all your needs from first notice of loss through completion of repairs. By assembling the best service providers through strategic acquisitions and relying on the right talent, Alacrity Solutions provides consistent, professional, and scalable services throughout the entire claim handling and resolution process. To learn more, visit **************************
The objective of a Daily Property Field Adjuster is to provide excellent claim handling services for our clients regarding daily claim work within your area which can include multiple perils.
Contract Requirements Include:
A contract will be issued within 24 hours of accepting your first claim assignment with Alacrity. This IA contract will include pay details and other pertinent information regarding your work as an independent contract with Alacrity. A completed contract is required to issue pay.
Skills & Requirements/Licensure:
MUST live within 50-100 miles of posted location and willing to travel to location.
Minimum 2-3 years property field adjusting experience.
Independent adjusting license in your home state (area of work), or a designated home state license if residing in a non-licensing state.
Experienced in wind, hail, theft, fire, water losses and other perils preferred.
Have reliable transportation, computer, digital camera, ladder, and other miscellaneous items necessary to perform adjuster responsibilities.
Willing and able to climb roofs.
Computer and Phone System Requirements:
Smart Cell Phone able to access to internet.
Xactimate and/or Symbility proficient with current subscription
Working Laptop computer with reliable high-speed internet
Digital camera and other miscellaneous items necessary to perform adjuster responsibilities.
Working Conditions / Physical & Mental Demands:
The physical demands described here are representative and must be met by the independent contractor to successfully perform this job.
100% travel is required within designated working territory based on the location of assignments received.
Normal office or field claims environment. Ability to operate a motor vehicle for up to 8 hours daily, repeatedly entering and exiting the vehicle. Must be able to make physical inspections of auto loss sites. Must be able to work outdoors in all types of weather. Available to work catastrophic loss events. A willingness to work irregular hours and to travel with possible overnight requirements a plus.
Why Choose Alacrity?
Flexibility: Self-determined Scheduling
Diversity Statement
Alacrity is an equal opportunity employer and is committed to providing employees with a work environment free of discrimination and harassment. All decisions pertaining to an employee's employment are made without regard to race, color, religion, sex (including sexual orientation, pregnancy, childbirth), gender, gender identity or expression, age, national origin, ancestry, physical or mental disability, medical condition, reproductive health decisions, veteran's status, genetic information, creed, marital status, disability, citizenship status, or any other characteristic protected by applicable law.
How Long We Retain Personal Information:
We will keep your personal information for as long as necessary to fulfill legitimate business purposes and in accordance with applicable laws.
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Claims Response Technician
Claims adjuster job in Plainview, NY
Cleans and restores damage to residences due to water and/or mold. Conducts detailed inspections, independently determines, and executes mitigation plan. Upon assignment, may act as the field adjuster on behalf of the Claims department.
Responsibilities:
Communicates with co-workers, management, clients, vendors, and others in a courteous and professional manner
Participates in special projects as assigned
Maintains the integrity of the company and products offered by complying with federal and state regulations as well as company policies and procedures
Conducts initial onsite inspection to determine extent and scope of damage
Identifies hazards and source of damage; evaluates flooring and structure materials and/or contents and documents pre-existing conditions
Takes and labels photos; measures and sketches affected rooms
Determines best restoration process and establish drying goals
Removes excess water by mopping and/or extraction
Sets air movers, dehumidifiers and/or specialty equipment. Monitors and documents temperature and humidity readings
As needed, pulls baseboards, drywall, insulation, carpet/carpet pad, flooring, cabinetry, etc.
As needed, set-up containment areas and hepa-vacuums affected areas. Treats areas with anti-microbial, as needed
Schedules follow-up and clearance tests
Obtains Customer Service Report and Certificate of Satisfaction upon completion of job
Completes and submits in a timely manner all required paperwork
Communicates with co-workers, management, clients, vendors, and others in a courteous and professional manner
Supports workload surges and/or Catastrophe operations as needed to include working significant overtime during designated CATs
Participates in special projects as assigned
Maintains the integrity of the company and products offered by complying with federal and state regulations as well as company policies and procedures
Qualifications:
High School Diploma or equivalent and an active Driver's License with clear driving record are required
6 months relevant experience. Experience in restoration or construction preferred
WRT, ASD, AMRT certification a strong plus
Ability to climb, kneel, and crawl required; may worked in confined spaces. Ability to lift and move items up to 30lbs alone; more with assistance from a partner
Basic computer proficiency; comfortable working with internet-based tools
Demonstrated customer service focus / superior customer service skills
Excellent communication skills and ability to interact on a professional level with internal and external personnel
Results driven with strong problem solving and analytical skills
Ability to work in a fast-paced environment; and manages changing priorities effectively
Detail-oriented and exceptionally organized
Collaborative partner: ability to contribute to a positive work environment
Must be available on call and weekends
This position is based within an assigned region; travel throughout the region is required with occasional travel to locations beyond the assigned region.
Company paid pre-employment drug test and health screening required
Home Base for this position would be
49 North Mall, Plainview, NY 11803
Please check out or website for more information:
**********************************
Apply online to any of our open positions at:
***********************
Auto-ApplyBodily Injury Claims Adjuster
Claims adjuster job in Farmingdale, NY
Network Adjusters is seeking skilled bodily injury insurance claims adjusters for a liability claims adjuster position. As a bodily injury adjuster, you will handle primarily commercial auto and general liability injury claims with varying degrees of complexity and severity. This will include taking statements, analyzing policy language, handling litigated matters and negotiating settlements as needed. Our adjusters handle claims from inception to closure, communicating claim decisions and key developments to policyholders, claimants, attorneys and other involved parties.
CLAIMS ADJUSTER RESPONSIBILITIES:
Provide superior customer service to meet the needs of the insured, claimant, and all internal and external customers (including carrier clients)
Investigate, negotiate, and manage bodily injury claim investigations
Conduct comprehensive interviews, secure testimonies and gather evidence from claimants, witnesses, medical providers, and law enforcement agencies while determining and establishing reserve requirements
Evaluate claims against insurance contracts to interpret how the policy applies and write professional correspondence to involved parties summarizing your analysis
Determine settlement amounts based on independent judgment, application of applicable limits and deductibles, and collaborating with legal counsel when necessary
Review medical records, police reports, and other relevant documents to determine the extent of injuries and liability
Assure compliance with state specific regulations along with meeting all quality standards and expectations based on Network Adjusters' best practices
Ability to work autonomously while maintaining accurate and up-to-date claim files, diaries, and documentation
Utilize conflict resolution and customer service skills to deliver claims decisions with empathy and confidence
CLAIMS ADJUSTER QUALIFICATIONS:
Minimum of 3 years handling bodily injury claims
Strong verbal and written communication skills
General software skills including MS Word, Outlook and Excel
Customer service and empathy skills
Solid analytical and decision-making skills in order to evaluate claims and make sound decisions
Excellent negotiation and investigative skills with ability to effectively handle conflict to achieve optimal results
Strong organization and time management skills
Ability to multi-task and adapt to a changing environment
Attention to detail, ensuring accuracy
Ability to maintain confidentiality
College or technical degree or equivalent business experience (preferred)
Obtain adjusters licenses as required to meet business needs & continuing education to maintain licenses
Knowledge of security industry and/or rideshare industry is beneficial
CLAIMS ADJUSTER BENEFITS:
Training, development, and growth opportunities
401(k) with company match and retirement planning
Paid time off and company paid holidays
Comprehensive health plans including dental and vision coverage
Flex spending account
Company paid life insurance
Company paid long term disability
Supplemental life insurance
Opportunity to buy into short term disability
Strong work/family and employee assistance programs
This role is located in Farmingdale, NY; no remote or hybrid offers available at this time.
The starting salary for this position is $75,000 and up, depending on factors such as licensure, certifications, and relevant experience.
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
Field Property Claims Adjuster
Claims adjuster job in White Plains, NY
Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner's property. This is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support.
The Field Property Claims Adjuster will be traveling locally to insured homes within White Plains, NY (10603) and surrounding areas. To be successful within the role, candidates should live within or near this area.
Sign-On Bonus Available! We're offering a sign-on bonus for experienced and actively licensed new hires.
What you'll do
* Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include accessing roofs by ladder, inspecting attics, crawl spaces and basements in search of damage.
* Handle moderate to complex claims independently while managing your workload, from first notice of loss to final closure.
* Be expected to work in a vehicle in the field daily while occasionally handling assignments from the desk.
* Explain coverage of loss, assist policyholders with itemization of damages, emergency repairs and additional living arrangements.
* Work with and coordinate a few vendor services such as contractors, emergency repair, cleaning services and various replacement services.
* May be called upon for catastrophe duty.
Position details
* Territory-based work: Most workdays will be spent in the field within your assigned local territory, giving you the opportunity to work directly with customers and gain hands-on experience.
* Training & support: To set you up for success, you'll participate in a comprehensive 5-month training program, which includes:
* Primarily virtual and on-the-job learning.
* Two short in-person training sessions (Weeks 4 and 7) at our Lewisville, TX office.
* Limited overnight travel for training and team meetings (typically less than 10%).
* Mileage Reimbursement: This role offers mileage reimbursement. You may qualify for a company-provided vehicle once mileage requirements are met. Additional details will be provided if you advance in the selection process.
Qualifications
* Working knowledge of claims handling procedures and operations.
* Proven ability to provide exceptional customer service.
* Effective negotiation skills.
* Ability to effectively and independently manage workload while exhibiting good judgment.
* Strong written/oral communication and interpersonal skills.
* Computer skills with the ability to work with multi-faceted systems.
* The capabilities, skills and knowledge required through a bachelor's degree or equivalent experience and at least 1 year of directly related experience.
* Ability to obtain proper licensing as required.
* The ability to handle multiple competing priorities and organize your day.
* Strong time management and organizational skills.
* Demonstrated understanding of building construction principles.
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
Auto-ApplyDaily Property Field Adjuster
Claims adjuster job in Stamford, CT
Alacrity Solutions
Independent Contractor
Daily Property Field Adjuster
Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Our staffing capabilities, temporary housing services, managed repair network, and subrogation services support a fully integrated solution for all your needs from first notice of loss through completion of repairs. By assembling the best service providers through strategic acquisitions and relying on the right talent, Alacrity Solutions provides consistent, professional, and scalable services throughout the entire claim handling and resolution process. To learn more, visit **************************
The objective of a Daily Property Field Adjuster is to provide excellent claim handling services for our clients regarding daily claim work within your area which can include multiple perils.
Contract Requirements Include:
A contract will be issued within 24 hours of accepting your first claim assignment with Alacrity. This IA contract will include pay details and other pertinent information regarding your work as an independent contract with Alacrity. A completed contract is required to issue pay.
Skills & Requirements/Licensure:
MUST live within 50-100 miles of posted location and willing to travel to location.
Minimum 2-3 years property field adjusting experience.
Independent adjusting license in your home state (area of work), or a designated home state license if residing in a non-licensing state.
Experienced in wind, hail, theft, fire, water losses and other perils preferred.
Have reliable transportation, computer, digital camera, ladder, and other miscellaneous items necessary to perform adjuster responsibilities.
Willing and able to climb roofs.
Computer and Phone System Requirements:
Smart Cell Phone able to access to internet.
Xactimate and/or Symbility proficient with current subscription
Working Laptop computer with reliable high-speed internet
Digital camera and other miscellaneous items necessary to perform adjuster responsibilities.
Working Conditions / Physical & Mental Demands:
The physical demands described here are representative and must be met by the independent contractor to successfully perform this job.
100% travel is required within designated working territory based on the location of assignments received.
Normal office or field claims environment. Ability to operate a motor vehicle for up to 8 hours daily, repeatedly entering and exiting the vehicle. Must be able to make physical inspections of auto loss sites. Must be able to work outdoors in all types of weather. Available to work catastrophic loss events. A willingness to work irregular hours and to travel with possible overnight requirements a plus.
Why Choose Alacrity?
Flexibility: Self-determined Scheduling
Diversity Statement
Alacrity is an equal opportunity employer and is committed to providing employees with a work environment free of discrimination and harassment. All decisions pertaining to an employee's employment are made without regard to race, color, religion, sex (including sexual orientation, pregnancy, childbirth), gender, gender identity or expression, age, national origin, ancestry, physical or mental disability, medical condition, reproductive health decisions, veteran's status, genetic information, creed, marital status, disability, citizenship status, or any other characteristic protected by applicable law.
How Long We Retain Personal Information:
We will keep your personal information for as long as necessary to fulfill legitimate business purposes and in accordance with applicable laws.
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