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  • Service Support Manager

    LHH 4.3company rating

    Claims manager job in Frederick, MD

    Service Support Manager - Job Description The Service Support Manager will lead the transformation of the service organization from a cost center to a profit center, driving value through rapid response and hands-on service delivery. This role is pivotal to the organization's plan to triple its size within two years and will require a blend of technical expertise, strategic thinking, and strong leadership. Key Responsibilities Execute Service Strategy: Implement the new service model focused on rapid response to customer issues and boots-on-ground support. Training & Development: Design, develop, and deliver training programs for service staff to ensure high-quality customer support. Cross-Functional Collaboration: Work closely with engineering and sales teams to create and price aftermarket parts kits, ensuring alignment with organizational goals. Customer Issue Resolution: Lead efforts to resolve customer issues swiftly and effectively, maintaining high satisfaction levels. Organizational Growth: Contribute to the plan to grow the service organization threefold within two years by identifying opportunities for expansion and efficiency. On-Call Availability: Maintain readiness to respond to urgent service needs as the role requires on-call availability. Candidate Profile & Requirements Experience: Significant hands-on HVAC field experience is essential. Managerial Skills: Proven ability to manage teams, drive strategic initiatives, and oversee technical troubleshooting. Technical & Strategic Acumen: Ability to balance immediate technical problem-solving with long-term strategic planning. Collaboration: Strong interpersonal skills to work with engineering, sales, and other departments. Adaptability: Comfortable working in a dynamic, growth-focused environment. Additional Information This role is designed for candidates who thrive in fast-paced environments, possess deep technical expertise in HVAC, and are passionate about building and leading high-performing teams. The Service Support Manager will be instrumental in shaping the future of the service organization and driving its success as a profit center. Compensation & Expectations Salary Range: $105,000 to $115,000, commensurate with managerial and technical experience. On-Call Requirement: The position requires on-call availability for urgent service needs. 401k match Health, Vision, Dental Insurance PTO and Sick Leave Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to *******************************************
    $105k-115k yearly 2d ago
  • DI Claims Supervisor

    Ameritas 4.7company rating

    Remote claims manager job

    The DI Claims Supervisor is responsible for assisting the Manager of Claims Services - DI and other claim's associates in reviewing complex claims prior to the disbursement of benefits. is remote and does not require regular in-office presence. What you do: Reviews other associate's work, including complex cases to determine if the claim meets policy guidelines. Handles escalated inquiries from clients regarding claim outcome and provides solution while keeping in mind of the company's best interest. Assists Manager with audits to ensure compliance and regulations are met. Trains and coaches the members of the claims team. Influences associate and business resources to achieve business results. Collaborate with internal partners and external vendors. What you bring: Bachelor's Degree or equivalent experience required 3-5 years of related experience required 0-2 years of supervisory experience required What we offer: A meaningful mission. Great benefits. A vibrant culture Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life. Ameritas, you'll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don't: Ameritas Benefits For your money: • 401(k) Retirement Plan with company match and quarterly contribution. • Tuition Reimbursement and Assistance. • Incentive Program Bonuses. • Competitive Pay. For your time: • Flexible Hybrid work. • Thrive Days - Personal time off. • Paid time off (PTO). For your health and well-being: • Health Benefits: Medical, Dental, Vision. • Health Savings Account (HSA) with employer contribution. • Well-being programs with financial rewards. • Employee assistance program (EAP). For your professional growth: • Professional development programs. • Leadership development programs. • Employee resource groups. • StrengthsFinder Program. For your community: • Matching donations program. • Paid volunteer time- 8 hours per month. For your family: • Generous paid maternity leave and paternity leave. • Fertility, surrogacy, and adoption assistance. • Backup child, elder and pet care support. An Equal Opportunity Employer Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law.
    $76k-109k yearly est. 7h ago
  • Senior Casualty Claims Representative

    Michigan Farm Bureau 4.1company rating

    Remote claims manager job

    OBJECTIVE Senior Casualty Claims Representative Objective To provide efficient adjustment, processing, and settlement of casualty claims, including large and/or complex casualty claims consistent in accordance with established adjusting procedures while providing a WOW! customer experience and also controlling loss and loss adjustment expenses. RESPONSIBILITIES Senior Casualty Claims Representative Responsibilities Investigate and interpret policy as it pertains to the loss, including large and/or above-average complicated claims, evaluate liability, negotiate settlement or declination, and defend Farm Bureau insureds according to Farm Bureau insurance contracts. Accomplish function under minimal supervision with emphasis on customer service and controlling loss and loss adjustment expenses. Evaluate insurance coverage based on loss notice, insurance policies, applicable statutes and case law to determine if insurance coverage is afforded. Obtain all documentation necessary to determine liability and damages of alleged bodily injury or property damage through a thorough investigation focusing on key issues. QUALIFICATIONS Senior Casualty Claims Representative Qualifications Required Bachelor's degree required, with emphasis on insurance preferred, or equivalent experience may be considered. Minimum five to ten years' experience required. Keyboarding skills of 40 wpm required. Must possess outstanding listening and customer service skills. Knowledge of computers and various software including Microsoft Office products required. Must possess a valid driver license with an acceptable driving record. Designation in AIC, CPCU, SCLA or similar insurance designation required, or actively being pursued. Note: This is a work from home position within Michigan primarily covering these Michigan counties: Allegan, Barry, Berrien, Branch, Calhoun, Cass, Eaton, Hillsdale, Ionia, Jackson, Kalamazoo, Kent, Lenawee, Macomb, Mecosta, Monroe, Montcalm, Muskegon, Newaygo, Oakland, Oceana, Ottawa, St. Joseph, Van Buren, Washtenaw, Wayne. Farm Bureau offers a full benefit package including medical, dental, vision, and 401K. PM19 We can recommend jobs specifically for you! Click here to get started.
    $45k-61k yearly est. Auto-Apply 1d ago
  • Commercial Claims Manager - Remote Possible

    Tower Hill Insurance Group, LLC 4.7company rating

    Remote claims manager job

    Tower Hill Insurance Group has an exciting opportunity for a talented Commercial Claims Manager who enjoys intellectual challenges and is seeking a rewarding career with a company that is experiencing growth. Not only is Tower Hill Insurance one of Florida's most trusted names in homeowners insurance, but it offers great opportunities for career advancement and personal growth, along with very competitive benefits and rewards. We are growing at a consistent pace and seek professional individuals with drive, team mentality, who want to make an impact, and are committed to a long-term career in the insurance industry. The Commercial Claims Manager is responsible for overseeing the end-to-end management of first party commercial property claims. This position ensures the prompt, fair, and cost-effective resolution of claims while maintaining superior customer service standards. The role provides leadership and technical guidance to claims adjusters, manages workload distribution, ensures compliance with state regulations, and drives continuous improvement initiatives within the claims department. ESSENTIAL DUTIES AND RESPONSIBILITIES * Manage day-to-day operations of the commercial claims unit, including property, liability, and complex loss claims. * Supervise, train, and mentor a team of commercial claims adjusters to ensure consistent application of claims handling standards. * Oversee vendor selection and onboarding, as well as contract and performance management. * Review and approve reserves, settlements, and coverage determinations within assigned authority levels. * Monitor claim files to ensure timely investigations, accurate documentation, and regulatory compliance. * Collaborate with Underwriting, Risk Management, Legal, and Finance teams to ensure alignment of business objectives. * Handle escalated or complex claims directly, including mediation, litigation, and large loss files. * Develop and implement process improvements to enhance claim quality and efficiency. * Analyze claims data to identify trends, evaluate performance, and recommend strategic initiatives. * Serve as a subject matter expert on commercial claims policies, systems, and best practices. * Represent Tower Hill professionally in interactions with insureds, agents, vendors, and external partners. ADDITIONAL DUTIES This job description reflects the general duties considered necessary to describe the essential functions of the job and should not be considered a complete description of all the work requirements and expectations of the position. Tower Hill reserves the right to assign duties not listed herein as necessary to accomplish the goals of the organization. Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION Bachelor's Degree or higher in Business Administration, Risk Management, Insurance, or related field required. Master's Degree in Business or related field preferred. Equivalent experience may substitute for minimum educational requirements. Equivalent experience may include eight (8) years of relevant experience, with three (3) years in a leadership or supervisory capacity. EXPERIENCE Minimum of seven (7) to ten (10) years of relevant work experience required. CERTIFICATIONS Property and casualty insurance industry designations preferred (i.e. Associate in Claims [AIC], Chartered Property Casualty Underwriter [CPCU], etc.) LICENSES Valid Driver's License required. Valid Florida Adjuster's License required. * Tower Hill currently operates in a hybrid work environment and may consider candidates located outside of our established office locations. We are presently open to hiring in the following states CT, FL, GA, IA, IN, KY, MI, MS, NC, OH, SC, TN, TX, UT, VA, WV. Preferred work arrangement hybrid on-site, but remote candidates will be considered based on qualifications and experience. BENEFITS * Medical * Dental * Vision * Life & Disability Insurance * 401(k) * Health Savings Account * Accident, Critical Illness and Hospital Indemnity * Pet insurance * Paid time off & Holiday pay We offer competitive pay and benefits, and well-being programs to support you and your family. For more information about our company, careers and Total Compensation visit: Total Compensation - Tower Hill Insurance (thig.com) Tower Hill Insurance is an equal opportunity employer, and all qualified applicants will receive consideration for employment 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. Tower Hill Insurance is committed to working with and providing reasonable accommodation for individuals with disabilities. If you need reasonable accommodation because of a disability for any part of the employment process, please send an e-mail to ********************* and let us know the nature of your request and your contact information. All applicants will receive an acknowledgement that their application has been received. Candidates will not receive status updates regarding their application; however, those candidates selected for further consideration will be contacted by Human Resources.
    $65k-118k yearly est. 14d ago
  • Manager, Claims Operations

    Healthcare Management Administrators 4.0company rating

    Remote claims manager job

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: The Claims Operations Manager will oversee the end-to-end processing of healthcare claims. The manager is responsible for leading the HMA Claims Operations staff and their daily work requirements. Leveraging metrics and forecasts; they prioritize workload and resourcing to maximize operational production in partnership with vendor resources and liaisons. The manager will lead a team responsible for claims intake, pricing, adjudication, coordination of benefits and issue resolution while driving operational excellence What YOU will do: Direct supervisory responsibilities: Manages and coaches individual contributor's performance and quality. Assess and manages claims inventory: Tracks and manages inventory trends and proactively adjusts resource levers as needed to maximize productivity Manage daily operations of claims processing, ensuring accuracy, timeliness, and compliance with healthcare policies and federal guidelines Create daily updates for management team flagging production rates, critical issues and areas of escalation in real time Monitor and resolve pricing discrepancies impacting claims adjudication and provider payments. Lead initiatives to improve pricing workflows, automation, and system performance. Vendor auditing &QA: Leads vendor audits and manages reporting to ensure vendor quality. Apply subject matter expertise to the business of claims processing and operations Manage to vendor agreements, proactively identify and flag issues, escalate appropriately Develop and maintain workflows and documentation specific to claims processing. Train and coach staff and vendors on claims processes as needed Motivate talent: Ability to motivate and lead team members and vendors in accordance with HMA values and objectives Talent planning: Proactively review and assess talent. Continually develop and/or recruit talent to meet objectives Requirements Knowledge, Experience and Attributes: Bachelor's Degree or equivalent work experience Minimum 5 years' of claims operations experience, self-funded health plan experience is a plus Minimum 2 years' of people leading experience Experience with claims platforms such as HealthEdge, Mphasis, or Facets Knowledge of CPT, HCPCS, ICD-10 coding, and reimbursement methodologies. Strong understanding of provider contract terms, fee schedules, and pricing models (e.g., DRG, APC, RBRVS). Proven ability to manage and develop a team of highly skilled staff Proven ability to manage and interact with vendors to support execution of work within the SLA's established Benefits Compensation: The base salary range for this position in the greater Seattle area is $100,000-$123,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit
    $100k-123k yearly Auto-Apply 28d ago
  • Claims Manager

    Coalition Inc.

    Remote claims manager job

    About us Coalition is the world's first Active Insurance provider designed to help prevent digital risk before it strikes. Founded in 2017, Coalition combines comprehensive insurance coverage and innovative cybersecurity tools to help businesses manage and mitigate potential cyberattacks. Opportunities to make an impact with bold thinking are real-and happening daily at Coalition. About the role The Claims team at Coalition stands apart for our outstanding level of client service and intelligent handling of claims for our insured customers. As a team, Claims is about finding ways to help our clients solve cyber risk. As we continue to expand, we are seeking an experienced cyber claims adjuster to join our cyber claims team and to lend a hand in handling complex primary Cyber, Tech, and Media policies. You will also provide support to the underwriting team and manage/collaborate with a variety of vendors namely - breach coaches, defense counsel, and coverage counsel for Coalition and its partner carriers. Responsibilities Handle the intake of cyber events, including the coordination with breach counsel, forensic investigators and other vendors Evaluate full pending of claims in connection with the posting and recommending accurate reserves Maintain accurate file documentation/information in our claims system Analyze liability and damage data in connection with complex claims, maintain appropriate documentation Analyze insurance coverage issues Draft coverage letters Intelligently manage and track third-party vendors and service providers work and spend Maintain and develop relationships with brokers, various positions within an insureds' business including: risk managers, general counsels, and a variety of vendors Identify settlement opportunities to maximize impact Collaborate in the defense and resolution of claims Provide data and analytic based-informational support to underwriters Provide support to business development with regard to marketing Liaise with partner carriers on a daily basis Skills and Qualifications 3+ years of experience adjusting cyber claims Juris Doctor or Bachelors Degree is preferred Must be a licensed claims adjuster in your state of residence and able to obtain licensing for California and New York Demonstrated ability to work as part of a team, interact with others, meet deadlines, and successfully perform in a fast-paced, changing work environment Excellent communication and interpersonal skills Team-oriented with ability to excel in a collegial environment but work independently Compensation Our compensation reflects the cost of labor across several US geographic markets. The US base salary for this position ranges from $105,000/year in our lowest geographic market up to $155,000/year in our highest geographic market. Consistent with applicable laws, an employee's pay within this range is based on a number of factors, which include but are not limited to relevant education, skills, job-related knowledge, qualifications, work experience, credentials, and/or geographic location. Your recruiter can share more on target salary for your location during the interview process. Coalition, Inc. reserves the right to modify this range as needed. Perks 100% medical, dental and vision coverage Flexible PTO policy Annual home office stipend and WeWork access Mental & physical health wellness programs (One Medical, Headspace, Wellhub, and more)! Competitive compensation and opportunity for advancement Why Coalition? Work at Coalition is centered on the joint mission to Protect the Unprotected. We have built a remote-first, highly inclusive culture that welcomes people from diverse backgrounds. We trust each other to take responsibility, share ownership of outcomes, and put in the work together to protect businesses from digital risk. Coalition's exceptional growth stems from its ability to address real-world problems for organizations of all sizes while remaining true to our founding values of character, humility, responsibility, purpose, authenticity, and inclusion. We're always looking for collaborative, inquisitive individuals to join #OurCoalition. Visit our Newsroom > Privacy Notice Coalition is committed to protecting your privacy and handling your personal information responsibly. We collect, use, and store personal information as necessary for the recruitment process and in compliance with applicable privacy laws and regulations in all regions where we operate. We want you to understand what personal information we collect, how we use it, and your rights regarding access, correction, and deletion of your data where applicable. Information submitted, collected, and processed as part of your application is subject to Coalition's Privacy Policy. For further details, please review our full Privacy Policy or contact us with any questions regarding how your information is handled. Our Privacy Policy > Safe Hiring Notice All legitimate communication from Coalition comes from @coalitioninc.com emails, and open roles are listed only on our Careers page. We never ask for payment, banking details, or personal identification before an offer is accepted through our secure systems. If you believe you've been a victim of fraudulent recruiting, follow guidance from the Federal Trade Commission (FTC). Anti-Discrimination Notice Coalition is proud to be an Equal Opportunity employer. Our policy is to provide equal employment opportunities to all individuals, without discrimination or harassment on the basis of any characteristic protected by applicable laws in each country where we operate. This commitment includes, but is not limited to, ensuring equal treatment in recruitment, selection, training, promotion, transfer, compensation, and all other aspects of employment. Coalition does not tolerate discrimination or harassment of any kind, and we are dedicated to fostering an inclusive and supportive workplace. Accommodations Coalition is committed to providing reasonable accommodations to qualified individuals with disabilities, including applicants and employees, in accordance with applicable laws and regulations in each country where we operate. Our policy is to support equal opportunity in the hiring process by considering qualified applicants regardless of disability or other protected characteristics, unless providing accommodation would impose an undue hardship or disproportionate burden. If you require accommodation to complete an application, interview, pre-employment testing, or participate in the selection process, please contact us at candidateaccommodations@coalitioninc.com. We also consider all qualified applicants, including those with criminal histories, in line with applicable laws and regulations in each jurisdiction. To all recruitment agencies: Coalition does not accept unsolicited agency resumes. Do not forward resumes to our email alias, employees, or other physical or virtual organization locations. Coalition is not responsible for any fees related to unsolicited resumes.
    $105k-155k yearly Auto-Apply 5d ago
  • Claims Litigation Manager - section II

    USAA 4.7company rating

    Remote claims manager job

    Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Claims Litigation Manager- Section II, you will be responsible for managing moderately complex litigation arising out of the property contract in compliance with state laws and regulations, to include creating strategy for defense or settlement, evaluating, negotiating, and collaborating with defense counsel to secure appropriate resolution. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice and empathy. This hybrid role requires an individual to be in the office 3 days per week. This position can be based in one of the following locations: San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, Chesapeake, VA or Tampa, FL. Relocation assistance is not available for this position. What you'll do: Manages moderately complex litigation to include serious injury or property damage arising from Section II liability, questionable damages, questionable liability and questionable coverage issues. Applies intermediate knowledge of claims litigation processes under the Homeowner/Renter Policy Contract/Umbrella. Proactively manages litigation and acts as liaison with members, internal and external counsel. Clearly documents litigation strategy, litigation budget, investigation, evaluation, negotiation, settlement, and trial decisions. Represents USAA at mediations, case conferences, and/or trials. Reviews, audits, and approves legal fees and expenses. Partners and/or directs law firm vendors to facilitate timely lawsuit resolution. Holds law firm vendors accountable for following Defense Counsel Litigation Handling Requirements. Recognizes and solves routine and intermediate issues arising out of legal case management. Follows practices and processes to achieve results to positively impact the quality, timeliness and effectiveness of the team; proactively identifies opportunities to improve processes. Interacts with membership, attorneys and management to advise on moderately complex litigation. Ensures members receive high levels of service from themselves and law firm vendors. May act as an informal resource for team members. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have: Bachelor's degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree. 4 years work experience handling liability and first party claims or progressive experience in litigation. 2 years customer contact experience. Claims adjusters license in assigned state or ability to obtain license within 3 months. Demonstrated negotiation and customer service skills. Excellent communication skills with experience as an effective liaison between partners, members, outside counsel and management. Knowledge of P&C policies state laws. Knowledge of regulatory compliance related to claims and claims litigation. Experience handling large losses property or commercial. Knowledge of Microsoft Office tools to include Word, Excel, and PowerPoint. What sets you apart: 4 or more years of injury Litigation Case management under the Homeowner/Renter Policy Contract/Umbrella - Personal Injury Section II Coverage 2 or more years Commercial/Premise Liability Managed moderate to complex Litigation cases Thorough understanding of negligence laws and how they apply Compensation range: The salary range for this position is: $85,040 - $162,550. USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com. Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $85k-162.6k yearly Auto-Apply 9d ago
  • Complex Claims Manager - Construction Defect and Environmental

    Crump Group, Inc. 3.7company rating

    Remote claims manager job

    The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency: English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: A Complex Claims Manager - Construction Defect and Environmental is responsible for investigating, evaluating, and resolving insurance claims related to environmental damage, as well as claims involving General Liability (GL) and Excess Liability. This role involves analyzing coverage, assessing liability, negotiating settlements, and managing legal defense strategies, all while ensuring compliance with environmental regulations and minimizing the company's financial exposure. Additionally, the Claims Manager will collaborate with underwriting on marketing, portfolio management, and other strategic initiatives. Thoroughly investigate environmental claims, GL and Excess Liability by gathering information on the incident, site assessment, potential pollutants, and impacted parties to determine the scope of damage and liability. Review insurance policies to determine coverage applicability for environmental, general liability and excess liability claims, including policy limits and exclusions. Evaluate potential liability based on the investigation findings, legal precedents, and environmental regulations. Calculate and assign appropriate claim reserves based on the potential damages and liability assessment to accurately reflect the financial exposure. Negotiate settlements with claimants or their legal representatives to reach a fair and cost-effective resolution. Coordinate with legal counsel to manage legal defense strategies, including assigning attorneys, reviewing legal documents, and monitoring litigation progress. Manage consultants and contractors, including reviewing environmental work plans, remedial designs, and other technical aspects of environmental projects. Identify and implement cost-saving measures during the claims process, such as utilizing preferred vendors or negotiating favorable settlement terms. Investigate potential fraudulent claims related to environmental and non-environmental damages. Ensure adherence to all relevant environmental regulations and reporting requirements throughout the claims process. Maintain clear communication with policyholders, brokers, adjusters, legal counsel, and internal stakeholders regarding claim status and updates. Identify patterns and trends within environmental claims to inform risk management strategies and proactive measures. Oversee a portfolio of claims for the Environmental Division, prioritizing critical cases, and monitoring overall claim performance. Provide underwriting teams with insights on environmental risks and participate in risk assessment meetings. Collaborate on marketing strategies and contribute real-world examples for marketing materials. Analyze claims portfolio performance and recommend risk mitigation strategies. Share claims insights for new product development and refine policy language. Conduct training on claims handling and regulatory changes. Liaise between claims, underwriting, and other departments to ensure cohesive risk management. EDUCATION AND EXPERIENCE The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Bachelor's Degree required, Juris Doctorate preferred. Minimum of 5 years' experience required. CERTIFICATIONS, LICENSES, REGISTRATIONS n/a FUNCTIONAL SKILLS Extensive knowledge of environmental laws, regulations, and compliance standards. Knowledge of Construction Defect Proven experience in managing complex insurance claims, including investigation, evaluation, and resolution. Ability to analyze complex data, assess environmental impacts, and make informed decisions. Strong negotiation skills to reach favorable settlements with claimants and legal counsel. Understanding of legal principles related to environmental liability and insurance coverage. Strong interpersonal skills to build and maintain relationships with internal and external stakeholders. Ability to represent the company in market-facing activities, including client meetings, industry conferences, and networking events. General Description of Available Benefits for Eligible Employees of CRC Group: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of CRC Group offering the position. CRC Group offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. Depending on the position and division, this job may also be eligible for restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work. CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace. EEO is the Law Pay Transparency Nondiscrimination Provision E-Verify
    $59k-97k yearly est. Auto-Apply 60d+ ago
  • CLAIMS MANAGER

    SBH Health System 3.8company rating

    Remote claims manager job

    Essential Function Overall responsibility for all claim activity and specifically for various high exposure ($100,000 or high profile) non-liability related claims (workers compensation, property/cargo, travel accident) seeking to minimize the Company's financial exposure and ensure effective administration of claims on a global basis. Achieves operational objectives by contributing information and recommendations to risk management plans, preparing and completing action plans, resolving problems, identifying trends and determining system improvements and overseeing implementation of changes. Responsible claims analytics, financial analysis of both monthly insurance accruals and semi-annual actuarial analysis to determine final insurance reserves, working in conjunction with Corporate Insurance Manager. “At Sally Beauty Holdings, we find beauty in diversity. Our inclusivity and self-expression are what fuel our innovation and growth. You are welcome here, and you can thrive here. We find beauty in YOU. Join us.” Primary Duties Direct responsibility for high profile/exposure claims on all Property and Workers Compensation, and Executive Risk lines, including oversight and coordination of communication efforts and closure strategies both internally and externally through resolution. Monitoring of claim reserves and case administration for entire book of claims, including settlement and reserve strategies. Works with various departments, including Human Resources, Legal and Accounting along with Director on high profile cases to resolve/mitigate damages. Develops and recommends global claim processes, monitoring compliance of same. Develops and provides training as needed throughout the organization. Works with Loss Prevention to identify and report WC claim trends for inclusion in strategic loss mitigation plans. Coordinates interdepartmental communications on property claim processing and reimbursements, including resulting accounting treatment. Reviews and approves loss reports. Key contact with service providers (TPA, Brokers) on all claim management/resolution related activities. Includes, but is not limited to, identification of strategic case management opportunities for cost reduction/containment. Performs data analytics and validation of loss trending analysis, in addition to coordinating and scheduling claim reviews with service providers. Reviews and assists as necessary in monthly insurance accruals. Reviews claims data for semi-annual actuarial analysis. Works with accounting as necessary. Monitors and ensures departmental claim processing controls for SOX compliance related to insurance reserves. Reviews claim invoices for accuracy and authorization. Special projects as assigned. Knowledge, Skills and Abilities Bachelors Degree in Business preferred. 7-10 years experience in Risk Management, Workers Compensation claims or closely related field. Technical Workers Compensation knowledge required. Ability to prioritize and complete multiple, competing tasks. Ability to interface with various levels of management, including executive style communications. Technical Insurance knowledge and strong analytical skills required. Competencies / Attributes Intermediate to advanced computer skills in Microsoft Office. High Accountability and follow up. Independent worker with excellent Interpersonal skills. Decision making and problem solving skills. Strong Project Management skills. Working Conditions /Physical Requirements The work is sedentary. Typically, the employee may sit comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items such as papers, files, books, small parts, etc. No special physical demands are required to perform the work. The work environment involves everyday risks or discomforts which require normal safety precautions typical of such places as offices, meeting and training rooms, libraries, and residences, e.g., use of safe work practices with office equipment, avoidance of trips and falls, observance of fire regulations, etc. The work area is adequately lighted, heated, cooled and ventilated. Benefits We offer a competitive salary and outstanding benefits package that includes medical, dental, vision, life Insurance, paid vacation and sick days, paid holidays, tuition reimbursement and 401(k) with company match. In addition, associates of SBH may take advantage of our in house salon with complementary services and a varied selection of food options at our corporate campus. Also, featured at our corporate campus, is both a Sally Beauty and CosmoProf Professional onsite store, where associates enjoy a great merchandise discount! Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, or disability. #LI-Hybrid
    $100k yearly Auto-Apply 57d ago
  • Ohio Workers' Compensation Claims Manager

    Procare HR

    Remote claims manager job

    Note: This is a remote opportunity. Start a new career as a Worker's Compensation Claims Manager with Procare HR! At Procare HR, we're on a mission to transform workforce outcomes for care providers through our industry-focused HR services model. We offer comprehensive HR services, including payroll processing, benefits administration, workers compensation management, and general HR support. Our core values drive our culture, emphasizing positivity, curiosity, accountability, gratitude, and growth. Why choose Procare HR? Salary is $65,000 - $85,000/year | Credit given for experience Great Benefits Available This is a remote work opportunity How you will make an impact: As a Workers' Compensation Claims Manager, you will handle workers' compensation claims of the clients you serve from initiation to resolution, including investigation, documentation, evaluation and settlement negotiations. This role will also be responsible for tracking and reviewing client-specific data, such as EMRs, policy data, and reports, and using that information to identify trends and develop strategies for claims management and cost containment. The right candidate role will have an in-depth understanding of workers' compensation laws, regulations, and compliance requirements at both a state and federal level. What you will need: Associate's degree in Risk Management (AIC) or a related field (Preferred). Minimum of 5 years of progressive experience handling workers' compensation claims, with experience specifically in Ohio. Proficiency in using claims management software, databases, and other tools including Microsoft Office. Willingness to attend litigation proceedings and advocate effectively when needed. Prior experience in PEO/HR Shared Services (Preferred). Certified Workers' Compensation Professional (CWCP) certification (Preferred). Benefits Available: Health insurance with company paid premium for employee only coverage FSA and HSA options available Company paid dental insurance for employee only coverage Company paid life insurance Company paid short- and long-term disability insurance A 401K plan with company match and safe harbor contribution Paid Time Off Additional ancillary benefits including Vision, Critical Illness, Voluntary Life/AD&D, and Accident Join us in reshaping the future of HR services! To apply, please complete the required questionnaire. We accept applications on a rolling basis. We are an Equal Opportunity Employer and are committed to a diverse and inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, ancestry, disability, medical condition, genetic information, marital status, veteran or military status, citizenship status, pregnancy (including childbirth, lactation, and related conditions), political affiliation, or any other status protected by applicable federal, state, or local laws. We are committed to providing an inclusive and accessible recruitment process. If you require accommodations during the interview process, please let us know. Reasonable accommodations will be provided upon request to ensure equal opportunity for all applicants. Applicants may be subject to a background check. Employees in this position must be able to satisfactorily perform the essential functions of the position. If requested, this organization will make every effort to provide reasonable accommodations to enable employees with disabilities to perform the position's essential job duties. As markets change and the Organization grows, job descriptions may change over time as requirements and employee skill levels evolve. With this understanding, this organization retains the right to change or assign other duties to this position. E-Verify Participation Procare HR participates in E-Verify. This employer will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's Form I-9 to confirm work authorization.
    $65k-85k yearly Auto-Apply 24d ago
  • Workers' Compensation Claim / Senior Representative

    The Hartford 4.5company rating

    Remote claims manager job

    Claims Representative - CH09CNSr Representative Claims - CH08BE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. This position can be filled as a Claim Representative or Sr. Claim Representative based on experience. The Workers' Compensation Claim / Sr. Claim Representative is accountable for planning, recommending, and executing the investigation of workers' compensation claims. Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies. Additionally, the representatives will work within established procedures in adherence to statutory, regulatory and ethical requirements. Work Arrangements: This position has an in-state handling requirement and is open only to candidates who reside in the state of Maryland. This position is 100% remote but the selected candidate must reside in the state of Maryland. Start Date: January 26, 2026 Hours: Monday - Friday, core business hours Training: 5 weeks Responsibilities: Effectively manage workers' compensation claims requiring timely investigations and financial accuracy Provide benefit oversight, appropriate file disposition and adherence to statutory guidelines for all claims Leverage a network of professional resources that may include: doctors, nurses, attorney and regulators to facilitate our mission of restoring the lives of our claimants Provide exceptional customer service by establishing and maintaining productive business relationships with customers Utilize critical thinking skills to gather and analyze data information to inform critical claim decisions Provide accurate mathematical calculations of disability benefit rates and claim financial exposures Leverage contemporary technology to achieve accurate and efficient claim outcomes Consistently demonstrate professional diplomacy during all interactions with customers Contribute to a courageous culture that promotes collaboration and inclusion to maximize operational performance and employee engagement Embrace a culture of continuous improvement Qualifications: This opportunity will be hired as a WC Claim Representative (Tier 9) or Sr WC Claim Representative (Tier 8) depending on experience. Claim Representative: $52,880 - $79,320 Prior workers' compensation insurance claim handling is preferred HS Diploma required, Bachelor's Degree is preferred Demonstrated passion for delivering a superb customer experience Excellent organizational skills, especially regarding prioritizing work activities Strong computer proficiency in the MS Office Suite (Word, Excel, Outlook & PowerPoint) Superb time management and organizational skills Ability to meet productivity targets in a fast-paced, team-oriented environment Excellent communication skills and negotiation skills Ability to adapt and flourish using industry-changing workflows Excellent written and verbal communication skills Demonstrates active listening to attentively meet the needs of our customers and exhibit empathy during difficult situations Demonstrated desire to promote an inclusive culture of continuous learning that is built on teamwork, collaboration, transparency, and accountability to one another Ability to self-manage competing priorities while delivering accurate work within key timelines Sr. Claim Representative: $61,600 - $92,400 Minimum of 2+ years of experience in Workers' Compensation claim handling required Certification exams and adjusting licenses as required by state Outstanding interpersonal skills Strong focus delivering outstanding customer service Demonstrated strong written and verbal communication skills Demonstrated consistent high level of performance and achievement over career span Excellent time management skills with the ability to manage competing priorities HS Diploma required, Bachelor's Degree is preferred Additional Details: As a condition of your employment, you must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance. Continued employment with The Hartford is contingent upon the successful passage of the Licensing exam within 1 year from your date of hire. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $52,880 - $92,400 The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience. Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us | Our Culture | What It's Like to Work Here | Perks & Benefits
    $61.6k-92.4k yearly 4d ago
  • Field Property Claims Manager

    Travelers Insurance Company 4.4company rating

    Claims manager job in Silver Spring, MD

    **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** $104,000.00 - $171,700.00 **Target Openings** 2 **What Is the Opportunity?** LOCATION REQUIREMENT: This field position services Insureds/Agents in the Maryland and Delaware areas. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. *You will be issued a company vehicle for this position.* Under general direction and as a member of the local line of business (LOB) management team, responsible for product quality and performance for a specific team of Outside Property claim professionals. Provide guidance and direction to direct reports through a continuous process of management involvement and frequent claim file review. Serve as a field representative for the Home Office Property product, as requested. Reinforce LOB Vision, Strategies, and Objectives through word and action. Select, lead, mentor, performance manage and develop staff. **What Will You Do?** + Attract, Retain and Develop World Class Talent: + Proactive recruitment of talent; work with management establishing and implementing a strategic staffing strategy. + Effective orientation and on-boarding. + Manage staff performance; implement strategies and plans to address staff development; identify and address training needs on an ongoing basis; provide frequent performance feedback. + Work with management to develop and implement effective training, performance development and succession planning. + Effective retention planning; proactively manage and respond to turnover. + Effectively utilize reward system to distinguish top performers and significant achievements. + Provide Compelling Claim Services: + Employ proper claim handling techniques to protect the integrity of our brand and providing consistent service quality and streamlined processes to add value for our customers. + Develop and execute a strategic file management plan that achieves optimal file resolution and business results. + Provide face-to-face and written guidance to ensure effectiveness, engagement, accuracy and efficiency. + Review new notices, ensuring claims are assigned to staff with appropriate skill sets. + Conduct quality file reviews per office/ best practices guidelines. + Conduct ride-along inspections/ reinspections with claim professionals to provide coaching and feedback. + Establish/follow up on file reviews per diary instructions, conducting additional reviews (i.e. 180, 360 day reviews), as necessary. + Implement strategies and initiatives to improve file quality, customer service and manage costs. + Drive the Information Advantage: + Successfully leverage data, management information and technology to identify and make the most of opportunities to support business strategies and improve results. + Achieve Optimal Solutions: + Focus on resolution and process improvement, fulfilling all obligations while maximizing cost effectiveness, helping the business understand drivers, trends and product stress points and helping our partners attract and retain business. + Operate within agreed upon expense budget to achieve optimal business results through productivity, appropriate resource allocation, inventory management and loss adjustment expense. + Partner for Mutual Success: + Develop and maintain effective relationships with colleagues, business partners, customers, agents, regulatory agencies and others to achieve organizational goals and create better outcomes. + Participate in business meetings and agency visits as required. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + Access and inspect all areas of a dwelling or structure which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds with a safety weight rating of up to 300 pounds (safety weight rating is the amount of weight the ladder can safely carry and includes weight of the individual and up to16 pounds of standard equipment), walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's Degree preferred. + Claim management experience preferred. + Leading the Business: + Drive Results. + Leads Change. + Executes Business Strategy. + Leading Others: + Attract Top Talent. + Maximize Individual Performance. + Holds Others Accountable. + Aligns Rewards. + Creates and Sustains a Dynamic Workplace. **What is a Must Have?** + High School Diploma or GED required. + A minimum of three years claim work experience in at least one line of business required. + Valid Driver's License 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 ******************************************************** .
    $104k-171.7k yearly 60d+ ago
  • CAT Claims Manager

    Frontline Insurance

    Remote claims manager job

    Job DescriptionSalary: Catastrophe (CAT) Claims Manager Remote At Frontline Insurance, we are on a mission to Make Things Better, and our Catastrophe (CAT) Claims Manager plays a pivotal role in achieving this vision. We strive to provide high quality service and proactive solutions to all our customers to ensure that we are making things better for each one. What makes us different? At Frontline Insurance, our core values Integrity, Patriotism, Family, and Creativity are at the heart of everything we do. Were committed to making a difference and achieving remarkable things together. If youre looking for a role, as a Catastrophe (CAT) Claims Manager, where you can make a meaningful impact and grow your career, your next adventure starts here! Our Catastrophe (CAT) Claims Managers enjoy robust benefits: Full Time Remote Position! Health & Wellness: Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and Long-Term). Financial Security: 401k Retirement Plan with a generous 9% match Work-Life Balance: Four weeks of PTO and Pet Insurance for your furry family members. What you can expect as a Catastrophe (CAT) Claims Manager: Responsible for management of claims adjusters to ensure that catastrophe claims are handled in a timely and effective manner. Ensure that claims are handled in accordance with the available coverage and that applicable procedures, laws and regulations are followed. Oversee a team of claim handlers and provide feedback to team members on a regular basis regarding the status of their goals and performance. Participate in the development and monitoring of Frontlines catastrophe claim operations Maintain effective communication with other departments including Underwriting, Sales and Information Technology. What we are looking for as a Catastrophe (CAT) Claims Manager: Bachelors degree in a related field required Minimum of 5 years of claims experience Must possess and maintain Adjusters Licenses in all states Frontline does business within 90 days of employment Must be able to travel via commercial or personal transportation to CAT sites, as need, to support and/or manage the catastrophe response, within their area of responsibility. Why work for Frontline Insurance? At Frontline Insurance, were more than just a workplace were a community of innovators, problem solvers, and dedicated professionals committed to our core values:Integrity, Patriotism, Family, and Creativity.We provide a collaborative, inclusive, and growth-oriented work environment where every team member can thrive. Frontline Insurance is an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. LI-REMOTE LI-AK1
    $41k-81k yearly est. 4d ago
  • Claims Director | Full-Time | Remote

    Oak View Group 3.9company rating

    Remote claims manager job

    Oak View Group Oak View Group is the global leader in venue development, management, and premium hospitality services for the live event industry. Offering an unmatched, 360-degree solution set for a collection of world-class owned venues and a client roster that includes the most influential, highest attended arenas, convention centers, music festivals, performing arts centers, and cultural institutions on the planet. Position Summary Working in conjunction with the VP, Risk Management: The Claims Director position has a responsibility to manage the day-to-day and long-term operations of the OVG Corporate International Insurance Claims Department. This role pays an annual salary of $115,000-$140,000 and is bonus eligible Benefits for Full-Time roles: Health, Dental and Vision Insurance, 401(k) Savings Plan, 401(k) matching, and Paid Time Off (vacation days, sick days, and 11 holidays) This position will remain open until January 9, 2026. Responsibilities Manages, plans, and coordinates insurance claims process to control risks and losses. Duties & Responsibilities Team leadership: Guide and manage a team to achieve high-level claims operations, claims vendors, TPA's Policy and claims procedures establishment: Create and maintain policies and procedures for the management of claims occurring across the organization that are consistent with the corporate claims strategy and loss control. Claims management: Oversee the claims process, including coverage reviews, claim verification, and adjudication. Manage the administration of general liability, errors & omissions, property, workers' compensation, cyber and vehicle claims to ensure that claims are being settled fairly, consistently, and in the best interest of the company. Collaboration: Work collaboratively with insurance brokers, carriers and project teams to ensure overall compliance with the company's Risk Management goals, policies and procedures. Financial Management: Timely, accurate payment and adjudication of claims Process improvement: Set up a process of continuous improvement. Develop and implement processes to increase the efficiency and effectiveness of the claims department. Customer service: Ensure that internal and external customers receive excellent service Claims representation: Represent the department and company Claims advice: Provide professional advice to customers, senior management, and departments on all aspects of the claim management and reporting Risk management: Assist with the development of the organization's risk management process. Identification of new opportunities for lowering the total cost of risk. Communication: Articulate complex concepts and issues through oral and written communications and consult with senior management in establishing corporate policies and procedures to manage and control corporate claims risks. Other duties as assigned. Qualifications Candidate Requirements: 10+ years of P&C claims management experience with a claims department, insurance carrier or TPA Extensive knowledge of commercial insurance claim operations and insurance coverage. Bachelor's degree in insurance, Accounting, Business Administration or equivalent. Strong PC skills (MS Office Suite). Knowledge of risk management practices, policies and programs. Excellent written communication, negotiation and presentation skills. Ability to relate well to others both inside and outside the organization and build effective business relationships. Demonstrated analytical ability, leadership and problem-solving skills. Strong written verbal communication skills. Ability to exercise sound judgement and work independently and in a team environment Ability to lead projects and process design and lead and direct the work of others. Must demonstrate consistency, accuracy and follow through. Must demonstrate a customer service mindset Ability to work under tight time constraints, handle sensitive data and multi-task so that deadlines can be met. Highly organized and able to prioritize and manage time efficiently with the ability to handle stress in a fast-paced, deadline driven environment. Empathetic, resilient, ability to flourish in a fast-paced environment Any of the following certifications are a plus: CCP, CPCU, RPLU, ARM, CISR, AU, PMP Claims management experience on all commercial lines of insurance a plus International claims experience a plus Strengthened by our Differences. United to Make a Difference At OVG, we understand that to continue positively disrupting the sports and live entertainment industry, we need a diverse team to help us do it. We also believe that inclusivity drives innovation, strengthens our people, improves our service, and raises our excellence. Our success is rooted in creating environments that reflect and celebrate the diverse communities in which we operate and serve, and this is the reason we are committed to amplifying voices from all different backgrounds. Equal Opportunity Employer Oak View Group is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally recognized basis (“protected class”) including, but not limited to veteran status, uniform service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other protected class under federal, state, or local law.
    $115k-140k yearly Auto-Apply 25d ago
  • Supervisor Claims

    Independence Pet Group

    Remote claims manager job

    Established in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America. We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands. Job Summary: Pets Best is seeking a Supervisor, Claims Processing who will report to the Manager, Claims. The Supervisor, Claims Processing is responsible for leading a team of non-exempts for the Claims Processor group. Providing leadership, coaching and development. You will own full supervisory and administrative responsibilities for the team members, and also share with other leaders the responsibility overall for a positive, friendly culture in the department that is customer-centric, productive, and contributes to the growth of the business. Job Location: Remote - USA Main Responsibilities: Directly responsible for leading your team to success - driving performance management, ensure accuracy of claims processes, and ensuring your team is equipped to provide a positive customer/client experience Ensure appropriate risk for the business - ensuring your team is familiar with and understands the importance of following operating instructions including compliance requirements Drive results by ensuring that your team is meeting or exceeding performance targets via OKR/KPI coaching and leadership Inspiring and connecting with each team member - cultivating an environment of trust, teamwork and personal ownership. Partnering with each team member to understand and help support their personal development Project management - initiating, planning and executing on key business initiatives Be a business partner - ability to understand and relate to the business objectives and provide strategic vision and a high-quality solutions. Learning, staying abreast and complying with all claim's compliance laws, rules and regulations. Assists with claims processing function duties as needed to maintain daily turnaround time Performs other duties as assigned. Basic Qualifications: Bachelor's degree or in lieu of a Bachelor Degree, a High School Diploma/GED and a minimum of 3 years experience in a veterinary clinic or like setting; such as a practice manager, Lead Veterinary Technician, Animal Science Research, etc. 3+ years clinical veterinary experience with a proficiency in medical terminology. Leadership experience - Minimum of 2 years of proven experience leading a team - Be prepared to share with us some specific examples of how you've inspired your team and driven performance using qualitative and quantitative results Flexible - The hours for this role are between 6 AM & 9 PM EST with a weekend rotation each quarter as manager on duty (comp day provided M-F the week prior). This role could include some weekend shift as well as work on holidays.1-year relevant experience and/or claims experience within a clinic or hospital Expected Hours of Work: This is a full-time position: Days and hours to be determined by needs of business. Hours to be determined between employee and director #li-Remote #petsbest All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following: Comprehensive full medical, dental and vision Insurance Basic Life Insurance at no cost to the employee Company paid short-term and long-term disability 12 weeks of 100% paid Parental Leave Health Savings Account (HSA) Flexible Spending Accounts (FSA) Retirement savings plan Personal Paid Time Off Paid holidays and company-wide Wellness Day off Paid time off to volunteer at nonprofit organizations Pet friendly office environment Commuter Benefits Group Pet Insurance On the job training and skills development Employee Assistance Program (EAP)
    $59k-95k yearly est. Auto-Apply 15d ago
  • Claims Supervisor

    Aspire General Insurance Company

    Remote claims manager job

    Full-time Description Aspire General Insurance Company and its affiliated general agent, Aspire General Insurance Services, are on a mission to deliver affordable specialty auto coverage to drivers without compromising outstanding service. Our company values can best be described with ABLE: to always do the right thing, be yourself, learn and evolve, and execute. Join our team where every individual takes pride in driving their role for shared success. What You'll Do Under moderate supervision of Management, the Claims Supervisor performs the essential functions of the position, which includes but is not limited to supervising a team of Claims Representatives and Claims Support Specialists. Ensure that the team meets service standards and performs essential functions at or above the quality and service standards of Aspire General Insurance Company. DUTIES AND RESPONSIBILITIES: · Review of automobile claim investigations. · Make handling recommendations and provide directions to subordinates. · Ensure ongoing adjudication of claims within company standards and industry best practices and regulations. · Determine, recommend and grant authority for settlement and payment processes. · Responsible for overall file handling and work product quality of subordinates. · Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation. · Assist in the operations of the claims department, including making recommendations and implementing an organizational structure adequate for achieving the department's goals and objectives. · Maintain a documented system of claims policies, systems, procedures and workflows to ensure smooth operations. · Provide feedback to Management on process and system improvement initiatives for the department. · Report to Management as soon as there is an awareness of any issues or concerns which may be detrimental to the department or Company; recommend policies and procedures to Management regarding quality issues that may arise. · Staff Training-Foster a highly focused training and development environment within the Claims Department. · Complies with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follows and enforces Aspire General Insurance Company and partner's policies, procedure and work rules. · Communicate and provide timely notification to the Human Resources Department for all things related to employee attendance, punctuality or possible leave related situations. · Provide timely and thorough documentation for all things related to employee performance, training, recognition and/or coaching. · Evaluate subordinates' performance and administer personnel actions as required in coordination with human resources department. Ensure the Department has adequate scheduling, including time-off requests, work shift management, etc Assist to identify, recruit, hire and develop top talent. · Ability to achieve targeted performance goals Maintain that sensitive information regarding employees and the Company is kept confidential Regular and predictable punctuality and attendance. · Other duties as necessary. Requirements · Three plus years' experience in Property and Casualty insurance industry. · Must have a clear understanding of insurance industry practices, standards and terminology. · Experience in handling subrogation, property damage and injury claims required. · Must be able to pass a background check. · Must have the ability to work in a high volume, fast-paced environment while managing multiple priorities. · Must have a disciplined approach to all job-related activities. · Must have a solid foundation of personal organization, sound decision making and analytical skills, strong interpersonal and customer service skills. · Must have strong keyboard skills as well as proficiency in Windows and MS Office products. INTER-RELATIONSHIP COMPONENT: Ability to develop excellent working relationships with Staff, Partners, Clients and outside agencies. Ability to communicate with others in an effective and friendly manner, one that is conducive to being a conscientious team member, fostering a spirit of goodwill, indicative of a professional environment and atmosphere. Ability to be a team player and work cohesively with other Aspire General Insurance and Partner Companies' staff to achieve company goals. Able to represent the Company in a professional manner and contribute to the corporate image. Able to consistently provide excellent service. WORKING CONDITIONS: This is an exempt position which complies with an alternative work schedule when applicable. This work environment is fast-paced, and accuracy is essential to successful task completion. The office is that of a highly technical company supporting a paperless environment. Travel may be required. Requires extended periods of computer use and sitting. This is a remote position. Benefits: Medical, Dental, Vision, HSA*, PTO, 401k, Company observed Holidays Individuals seeking employment at Aspire General Insurance Services LLC are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation in accordance with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements. *Dependent on plan selected Compensation may vary based on several factors, including candidate's individual skills, relevant work experience, location, etc. Salary Description $80,000-$100,000 Annually
    $80k-100k yearly 60d+ ago
  • Commercial Trucking Claims Adjuster - Remote

    Cannon Cochran Management 4.0company rating

    Remote claims manager job

    Overview Multi-Line Claim Representative II - Remote (Commercial Trucking) Schedule: Monday-Friday, 8:00 AM-4:30 PM (local time) Salary Range: $75,000 annually Reports To: Claim Supervisor Caseload: Approximately 100 active files Client: Single, dedicated commercial trucking account Build Your Career With Purpose at CCMSI At CCMSI, we don't just process claims-we support people. As a leading Third Party Administrator and a certified Great Place to Work , we offer manageable caseloads, employee ownership, and a collaborative culture. Our employee-owners are empowered to grow, contribute, and make a meaningful impact every day. Job Summary We are seeking an experienced Multi-Line Claim Representative II to manage commercial trucking liability claims for a single, dedicated client. This remote position is ideal for a self-motivated professional who takes pride in thorough investigation, clear communication, and delivering high-quality service. You will handle claims from start to finish, ensuring fair and timely resolutions while adhering to CCMSI's corporate claim standards and client-specific service expectations. Responsibilities Investigate, evaluate, and adjust commercial trucking liability claims in accordance with established guidelines and jurisdictional regulations. Review claim documentation, legal correspondence, and invoices to determine coverage, liability, and damages. Authorize and process claim payments within settlement authority. Negotiate settlements with claimants, attorneys, and other parties as appropriate. Oversee litigation strategy and collaborate with defense counsel. Identify and pursue subrogation opportunities. Prepare detailed claim summaries, reserve updates, and client reports. Maintain accurate and timely documentation in the claim management system. Ensure compliance with service commitments, quality standards, and client-specific requirements. Qualifications Required: 5+ years of experience handling commercial trucking or multi-line liability claims. Active adjuster's license (in applicable jurisdictions). Strong written and verbal communication skills. Ability to work independently, prioritize effectively, and maintain confidentiality. Proficiency with Microsoft Office (Word, Excel, Outlook). Nice to Have: Experience managing claims for national commercial trucking clients. Knowledge of federal transportation regulations and industry best practices. Performance Metrics Performance is evaluated through annual reviews based on claim quality, timeliness, communication, and adherence to CCMSI's corporate and client standards. What We Offer • 4 weeks PTO + 10 paid holidays in your first year • Medical, Dental, Vision, Life, and Disability Insurance • 401(k) and Employee Stock Ownership Plan (ESOP) • Internal training and advancement opportunities • A supportive, team-based work environment Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #NowHiring #ClaimsJobs #InsuranceCareers #TruckingIndustry #LiabilityClaims #ClaimsAdjuster #RemoteJobs #CareerGrowth #HiringNow #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote We can recommend jobs specifically for you! Click here to get started.
    $75k yearly Auto-Apply 3d ago
  • Claims Assistant

    Advocates 4.4company rating

    Remote claims manager job

    OverviewAt Advocate, our mission is to empower Americans to obtain the government support they've earned. Advocate aims to reduce long wait times and bureaucratic obstacles of the current government benefits application process by developing a unified intake system for the Social Security Administration, utilizing cutting-edge technologies such as artificial intelligence and machine learning, crossed with the knowledge and experience of our small team of EDPNA's and case managers. We are seeking a Claims Assistant to play a key role in ensuring smooth case management and operational support at Advocate. In this position, you will handle a variety of important administrative tasks, from managing incoming communication to scheduling appointments for case managers. You'll ensure that our administrative processes flow efficiently, contributing directly to the success of our mission. If you're organized, detail-oriented, and enjoy working in a fast-paced environment, this could be the perfect opportunity for you to make a meaningful impact.Job Responsibilities Ensure the Social Security Administration (SSA) has processed representative forms and provided access to Electronic Records Express (ERE). Manage a high volume of incoming mail as the company continues to grow. Handle calls and texts to the client care team's dedicated 888 line. Schedule appointments for case managers to keep operations on track. Request medical source statements and assist with other administrative tasks to ensure smooth process flow. Qualifications Strong administrative and clerical skills are essential. Prior experience with Social Security disability is preferred but not required. Highly organized and capable of managing multiple tasks efficiently. Strong attention to detail and task-oriented mindset. Ability to thrive in a fast-paced and growing work environment. This is a remote position and Advocate is currently a fully remote team. Advocate is an equal opportunity employer and values diversity in the workplace. We are assembling a well-rounded team of people passionate about helping others and building a great company for the long term.
    $35k-39k yearly est. Auto-Apply 60d+ ago
  • (Remote) Claims Assistant

    Military, Veterans and Diverse Job Seekers

    Remote claims manager job

    ESSENTIAL FUNCTIONS and RESPONSIBILITIES Evaluates residential and commercial contents inventories obtained by or submitted to VeriClaim on both a Replacement Cost and Actual Cash Value (ACV) basis. Applies limitations and/or exclusions on claims based on coverage afforded by the policy. Tracks time and log file notes for daily field activity. Assists with answering telephones. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS: Education & Licensing High school diploma or GED required. Resident Insurance Adjuster License (Fire and Other Hazards) preferred. Experience One (1) year customer service experience or equivalent combination of education and experience preferred. Accounting and insurance background preferred. Skills & Knowledge Oral and written communication skills PC literate, including Microsoft Office products Good comprehensive decision making skills Ability to read and comprehend policy language Ability to work in a team environment Ability to meet or exceed Performance Competencies
    $35k-43k yearly est. 60d+ ago
  • Claims Assistant

    Pie Insurance 4.5company rating

    Remote claims manager job

    Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Workers' Compensation Claims Assistant's primary role is to provide administrative and technical support for Claims Adjusters and to perform various administrative tasks in support of claim handling requirements. Pie's Claims Team is 100% remote-based and strategically deployed across the states we write business in. Pie dedicates significant resources and support to ensuring our remote Pie-oneers are set up for success! How You'll Do It Data Entry: Enter and review claim notes in the claims management system. Create, review and complete tasks in the claims management system. Review and describe mail in the claims management system. Update and maintain data integrity in the claims management system. Technical Administrative Support: Process payments, such as mileage reimbursement and vendor payments Create and send benefit notices and letters within appropriate jurisdictional timeframes Prepare legal documents, such as subpoena packets and attorney packets Prepare medical packets for treating providers and/or vendors File and serve documents to multiple parties. Perform other activities and projects as assigned. Communication: Call medical providers to obtain information related to work status, treatment plans, appointment information and billing. Schedule medical appointments and send appointment letters. Request wage statements, job descriptions, and medical release of information from appropriate parties. Process vendor referrals, including transportation, translation, investigation, and other services. Respond to telephonic and email inquiries. Make other outbound calls as required. The Right Stuff A high school diploma or GED is required. Minimum of 1 year (2+ years preferred) of experience in a Workers' Compensation and/or Commercial Auto claims environment, with knowledge of the full claims lifecycle. Prioritizes work and maintains a high level of organization to ensure timely and accurate completion of tasks. Responds to customer requests professionally, promptly, and with a sense of accountability. Gathers and analyzes information. Develops alternative solutions. Identifies and solves problems in a timely manner. Supports the team's efforts to achieve goals and objectives. The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. All AI-reviewed applications are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. Base Compensation Range$21.75-$27 USDCompensation & Benefits Competitive cash compensation A piece of the pie (in the form of equity) Comprehensive health plans Generous PTO Future focused 401k match Generous parental and caregiver leave Our core values are more than just a poster on the wall; they're tangibly reflected in our work Our goal is to make all aspects of working with us as easy as pie. That includes our offer process. When we've identified a talented individual who we'd like to be a Pie-oneer , we work hard to present an equitable and fair offer. We look at the candidate's knowledge, skills, and experience, along with their compensation expectations and align that with our company equity processes to determine our offer ranges. Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members. Location Information Unless otherwise specified, this role is remote. Remote team members must live and work in the United States ( territories excluded ) and have access to reliable, high-speed internet. Additional Information Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic. Pie Insurance participates in the E-Verify program. Please click here , here and here for more information. Pie Insurance is committed to protecting your personal data. Please review our Privacy Policy. Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process. Pie Named to 2025 America's Best Startup Employers Pie's Ford Pro Insure Coverage expanded to Pennsylvania and Texas Pie Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE
    $21.8-27 hourly Auto-Apply 21d ago

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