Claims manager work from home jobs - 351 jobs

Job Description 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

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

The SouthState story is one of steady growth, deep community roots, and an unwavering commitment to helping our customers move forward. Since our beginnings in the 1930s to becoming a trusted financial partner across the South and beyond - we are known for combining personal relationships with forward-thinking solutions. We are committed to helping our team members find their success while maintaining the integrity of our values: building trust, fostering lasting relationships and pursuing excellence. At SouthState, individual contributions are recognized, potential is cultivated and team members are inspired to achieve their greater purpose. Your future begins here! SUMMARY/OBJECTIVES This position is primarily responsible for handling Government Lending Guaranty Claims. This position must possess a strong knowledge of loan credit review, loan documentation, and loan compliance. This individual must also be able to identify issues and provide workable solutions, in addition to answering questions, regarding loan file documentation, loan exceptions, loan status, and other related loan issues. This position may also include special projects and other duties that are essential in delivering excellent service and maintaining the data integrity of their function. ESSENTIAL FUNCTIONS Manager functions as coordinator for compiling comprehensive claims on government guaranteed loans that have failed and where the bank is seeking reimbursement on the guaranteed portion of the loan. Facilitates strict compliance with government requirements and performs a detailed analysis of each failed loan. This position requires extensive industry knowledge in a variety of disciplines including originating, underwriting, portfolio management and workout experience to strategically craft a compelling case for honoring the guaranty. Must be able to analyze and identify claim vulnerabilities and pre-emptively determining proper responses, (rationale) to mitigate the chances of a monetary repair on the claim or a full denial of the claim. Recognizes problem areas and carefully articulates steps that the bank took to either correct or mitigate the impact of these issues. The Manager submits the approved claim package to the government and serves as the primary point of contact for the agency on requests for additional information or clarification of documentation submitted. Completed claim packages are reviewed in a tiered approval format that adds additional reviewers based upon the size of the claim. Manager submits claims once the appropriate internal approval is obtained. Manager must respond to the government quickly and thoroughly requiring both efficiency and skill to accurately understand the nature of the request and quickly provide supplementary information in a timely manner. Manager will be responsible to attend and complete all Training as defined by Management. Manager will be responsible to follow and adhere to SouthState Banking and compliance policies. Manager will be responsible to Report to manager any compliance banking policies violations found in your daily workflow. Manager will be responsible to keep the SAM Governance and Practices Manager or Director of Special Assets apprised of any issues that may result in a claim repair or denial. Manager will be responsible to help with all document's exceptions from time to time. Manager will be responsible to research and respond to audit requests related to all loans as needed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. COMPETENCIES Ability to work in PCFS Loan Manager, Excel, Word, Adobe, ETRAN, Navigator Fiserv. Must have knowledge of the SBA's most recent SOP servicing release. Must be capable of working independently. Qualifications, Education, and Certification Requirements Education: High School and some College Experience: Minimum of 5 years' experience in SBA Certifications/Specific Knowledge: SBA Loan Servicing SOP processes & procedures TRAINING REQUIREMENTS/CLASSES Included, but not limited to required SouthState Bank, NA annual compliance training, New Employee Orientation and continued SBA SOP training. PHYSICAL DEMANDS Must be able to effectively access and interpret information on computer screens, documents, reports, and cash denominations, and identify customers. This position requires a large amount of time in front of a computer. This can be done sitting or standing with use of the right desk. WORK ENVIRONMENT This position is 100% remote. Candidate must have a secure home office environment that is free from background noise and distractions. They must also have a reliable private internet connection that is not supplied by use of cellular data (hot spot). Cable or fiber connections are preferred. Requirements are subject to change, as new systems and technology are delivered. Travel may be required to come to meetings as needed. Equal Opportunity Employer, including disabled/veterans.

At Ledgebrook, we believe a career in claims can be so much more. You bring the passion, discipline, and entrepreneurial spirit; we'll provide the environment to unleash your best work. Together, we'll celebrate and reward success. If you're ready to shape the future of claims and join a high-performing team that truly values ownership and innovation - read on and apply now. Ledgebrook is seeking an experienced Claim Manager to oversee its portfolio of General Liability and Unsupported Excess Liability claims. You'll play a key role in ensuring that our Third-Party Administrators (TPAs) deliver timely, thorough, and cost-effective claim resolutions, while maintaining Ledgebrook's commitment to excellence and integrity. As part of our Claim team, you'll collaborate with leadership, underwriting, actuarial, and technology teams to refine our state-of-the-art claim management platform and reporting capabilities. This role offers an opportunity to help define best practices across multiple casualty market segments - including construction, hospitality, manufacturing, real estate, retail, and habitational risks. We're looking for someone with a strong technical foundation in E&S casualty claims, a data-driven approach, and the ability to manage relationships with both internal and external partners to achieve outstanding claim outcomes. Here at Ledgebrook, we're passionate about building a team that thrives on learning, collaboration, and the excitement of building something from the ground up. You bring: A passion for delivering world-class service to both internal and external customers Intellectual curiosity and a desire for innovation, rather than following the status quo A hunger for continuous learning and personal growth Agile prioritization skills and a sense of urgency - you balance getting it right with getting it done A strong drive to win together as a high-performing team A moral compass to “do the right thing, period.” We have zero tolerance for toxic behaviors An eagerness to connect and collaborate across remote teams Transparent, honest communication A proactive, solution-oriented mindset - you focus on solving, not blaming Experience working successfully in a fully remote, fast-paced environment As a future Ledgebrook Claim Manager, you'll bring deep technical expertise, sound judgment, and an entrepreneurial mindset to help us redefine what claims excellence looks like in the E&S market. We're looking for someone with: 10+ years handling Commercial General Liability (CGL) Bodily Injury, Property Damage, and Personal & Advertising Injury claims 5+ years managing litigated CGL claims, developing and executing defense strategies 3+ years handling non-admitted market Excess & Surplus Lines claims 2+ years overseeing claims handled by Third-Party Administrators (TPAs) 2+ years supervising claim professionals - coaching, mentoring, and driving performance Proven ability to analyze coverage and prepare reservation of rights or coverage decision letters Strong litigation management skills - selecting, directing, and evaluating defense counsel Experience participating in quality assurance claim file reviews and process improvements Analytical mindset: You dissect complex claims, evaluate exposure, and create actionable strategies Coverage expertise: You interpret and apply policy language with precision and clarity Collaborative communicator: You build alignment across underwriting, legal, product, and operations teams Technology & innovation: You're proficient with modern claims systems, data, and analytics tools - and eager to implement workflow improvements that drive speed, accuracy, and customer satisfaction Customer focus: You combine empathy and responsiveness with professionalism Entrepreneurial drive: You take ownership, challenge the status quo, and help build scalable, forward-thinking solutions Decisive leadership: You make informed, timely decisions with confidence and accountability Exposure to Allied Healthcare and/or Professional Liability claims (a plus) Please Note This position is open only to candidates who are authorized to work in the United States without the need for current or future employer-sponsored work authorization. We are unable to offer visa sponsorship at this time. Competitive salary and meaningful equity ownership Health insurance - 100% employer-paid option available Additional benefits including 401(k), dental, vision, and other coverage options Remote work and flexible hours - work from where you perform best Unlimited time off policy - we trust you to manage your time and energy Culture of ownership, autonomy, and purpose - where your impact is visible and valued

The SouthState story is one of steady growth, deep community roots, and an unwavering commitment to helping our customers move forward. Since our beginnings in the 1930s to becoming a trusted financial partner across the South and beyond - we are known for combining personal relationships with forward-thinking solutions. We are committed to helping our team members find their success while maintaining the integrity of our values: building trust, fostering lasting relationships and pursuing excellence. At SouthState, individual contributions are recognized, potential is cultivated and team members are inspired to achieve their greater purpose. Your future begins here! SUMMARY/OBJECTIVES This position is primarily responsible for handling Government Lending Guaranty Claims. This position must possess a strong knowledge of loan credit review, loan documentation, and loan compliance. This individual must also be able to identify issues and provide workable solutions, in addition to answering questions, regarding loan file documentation, loan exceptions, loan status, and other related loan issues. This position may also include special projects and other duties that are essential in delivering excellent service and maintaining the data integrity of their function. ESSENTIAL FUNCTIONS * Manager functions as coordinator for compiling comprehensive claims on government guaranteed loans that have failed and where the bank is seeking reimbursement on the guaranteed portion of the loan. * Facilitates strict compliance with government requirements and performs a detailed analysis of each failed loan. * This position requires extensive industry knowledge in a variety of disciplines including originating, underwriting, portfolio management and workout experience to strategically craft a compelling case for honoring the guaranty. * Must be able to analyze and identify claim vulnerabilities and pre-emptively determining proper responses, (rationale) to mitigate the chances of a monetary repair on the claim or a full denial of the claim. * Recognizes problem areas and carefully articulates steps that the bank took to either correct or mitigate the impact of these issues. * The Manager submits the approved claim package to the government and serves as the primary point of contact for the agency on requests for additional information or clarification of documentation submitted. * Completed claim packages are reviewed in a tiered approval format that adds additional reviewers based upon the size of the claim. Manager submits claims once the appropriate internal approval is obtained. * Manager must respond to the government quickly and thoroughly requiring both efficiency and skill to accurately understand the nature of the request and quickly provide supplementary information in a timely manner. * Manager will be responsible to attend and complete all Training as defined by Management. * Manager will be responsible to follow and adhere to SouthState Banking and compliance policies. * Manager will be responsible to Report to manager any compliance banking policies violations found in your daily workflow. * Manager will be responsible to keep the SAM Governance and Practices Manager or Director of Special Assets apprised of any issues that may result in a claim repair or denial. * Manager will be responsible to help with all document's exceptions from time to time. * Manager will be responsible to research and respond to audit requests related to all loans as needed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. COMPETENCIES * Ability to work in PCFS Loan Manager, Excel, Word, Adobe, ETRAN, Navigator Fiserv. Must have knowledge of the SBA's most recent SOP servicing release. Must be capable of working independently. Qualifications, Education, and Certification Requirements * Education: High School and some College * Experience: Minimum of 5 years' experience in SBA * Certifications/Specific Knowledge: SBA Loan Servicing SOP processes & procedures TRAINING REQUIREMENTS/CLASSES Included, but not limited to required SouthState Bank, NA annual compliance training, New Employee Orientation and continued SBA SOP training. PHYSICAL DEMANDS Must be able to effectively access and interpret information on computer screens, documents, reports, and cash denominations, and identify customers. This position requires a large amount of time in front of a computer. This can be done sitting or standing with use of the right desk. WORK ENVIRONMENT This position is 100% remote. Candidate must have a secure home office environment that is free from background noise and distractions. They must also have a reliable private internet connection that is not supplied by use of cellular data (hot spot). Cable or fiber connections are preferred. Requirements are subject to change, as new systems and technology are delivered. Travel may be required to come to meetings as needed. Equal Opportunity Employer, including disabled/veterans.

Supervisor, Claims - California| 100% Remote (WFH) Opportunity The Workers' Compensation Claims Supervisor is responsible for leading a team to successfully and proactively analyze and manage work comp claims assigned to the unit. The supervisor monitors and directs team effectiveness, guiding compliance with work comp state statutes within best practices to ensure claims move efficiently to closure. Participates in establishing team goals and objectives, participates in strategic and budgetary planning; monitors team effectiveness and supervises personnel and provides direct oversight on issues exceeding their authority. Successfully supports, coordinates and delegates objectives that support the company's mission and financial success. Preference given to those candidates with experience in the California Essential Duties and Responsibilities Leads, supervises and manages a Workers' Compensation claims team to achieve company objectives and department goals by promoting and ensuring compliance with Company procedures and guidelines. Demonstrates leadership by creating an environment that fosters teamwork, values diversity, and supports and respects all team and company staff members, internal and external customers, and vendors. Responsible for managing, developing, coaching, and motivating your work comp claims team. Conducts regular performance reviews. Communicates effectively and assists with the interpretation and practical implementation of processes, workflows and systems. Provides technical and jurisdictional guidance to the team. Responsible for monitoring the quality and quantity of work produced and coaching towards improved performance. Fosters inter-departmental collaboration to build relationships throughout the organization to help drive success through partnership. Works closely with Corporate Claims and Quality Assurance for compliance. Participates in the recruitment, selection and hiring of team members and facilitates training of new hires. Exemplifies excellent customer service and models this for the team. Conduct business at all times with the highest standards of personal, professional and ethical conduct. Ability to maintain confidentiality. Participates in conference calls, meetings with adjusters, insureds, and agents. Provides superior customer service by addressing inquiries from agents and policyholders. Reviews and approves reserves, settlements, payments and other assigned tasks within level of authority. Performs regular claim reviews based upon best practices, procedures and guidelines. Collaborates with the team for proactive claims management. Other duties as assigned. Requirements Must have a minimum of 10 years of technical claims experience in Workers' Compensation to include claim, coverage and compensability investigation, claim reserving, settlement negotiation and litigation management, regulatory compliance, and mentoring, training and developing adjusters. At least two years of which must have been in a supervisory capacity. Demonstrated business knowledge including effective communication, customer focus, the ability to collect and analyze information, problem solving and decision making in accordance with policies and regulations. Demonstrated computer proficiency and comfortable using an internet-based claims system, reports, spreadsheets and databases. Strong interpersonal skills and ability to create and maintain mutually beneficial relationships with insurance company partners, customers, and other departments within the company. Previous formal presentation experience. Demonstrated technical PC skills to include MS Word, Excel, PowerPoint, and Windows, strong interpersonal skills and ability to create and maintain mutually beneficial relationships with insurance company partners, clients, and other departments within the company. Certification Active, current California Adjuster license Insurance designation preferred (WCCP, ARM, AIC, CPCU, etc.) preferred. Education Bachelor's Degree preferred or equivalent industry experience Work Environment: Remote: This role is remote, and only open to candidates currently located in the United States and able to work without sponsorship. It requires a suitable space that provides a private and quiet workplace. Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary Range: $80,000 - $120,000 and a comprehensive benefits package, please follow the link to our benefits page for details! ********************************************************* About EMPLOYERS As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As “America's small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote

Supervisor, Claims - California| 100% Remote (WFH) Opportunity The Workers' Compensation Claims Supervisor is responsible for leading a team to successfully and proactively analyze and manage work comp claims assigned to the unit. The supervisor monitors and directs team effectiveness, guiding compliance with work comp state statutes within best practices to ensure claims move efficiently to closure. Participates in establishing team goals and objectives, participates in strategic and budgetary planning; monitors team effectiveness and supervises personnel and provides direct oversight on issues exceeding their authority. Successfully supports, coordinates and delegates objectives that support the company's mission and financial success. Preference given to those candidates with experience in the California Essential Duties and Responsibilities * Leads, supervises and manages a Workers' Compensation claims team to achieve company objectives and department goals by promoting and ensuring compliance with Company procedures and guidelines. * Demonstrates leadership by creating an environment that fosters teamwork, values diversity, and supports and respects all team and company staff members, internal and external customers, and vendors. * Responsible for managing, developing, coaching, and motivating your work comp claims team. Conducts regular performance reviews. * Communicates effectively and assists with the interpretation and practical implementation of processes, workflows and systems. Provides technical and jurisdictional guidance to the team. * Responsible for monitoring the quality and quantity of work produced and coaching towards improved performance. * Fosters inter-departmental collaboration to build relationships throughout the organization to help drive success through partnership. Works closely with Corporate Claims and Quality Assurance for compliance. * Participates in the recruitment, selection and hiring of team members and facilitates training of new hires. * Exemplifies excellent customer service and models this for the team. Conduct business at all times with the highest standards of personal, professional and ethical conduct. Ability to maintain confidentiality. * Participates in conference calls, meetings with adjusters, insureds, and agents. * Provides superior customer service by addressing inquiries from agents and policyholders. * Reviews and approves reserves, settlements, payments and other assigned tasks within level of authority. * Performs regular claim reviews based upon best practices, procedures and guidelines. Collaborates with the team for proactive claims management. * Other duties as assigned. Requirements * Must have a minimum of 10 years of technical claims experience in Workers' Compensation to include claim, coverage and compensability investigation, claim reserving, settlement negotiation and litigation management, regulatory compliance, and mentoring, training and developing adjusters. * At least two years of which must have been in a supervisory capacity. * Demonstrated business knowledge including effective communication, customer focus, the ability to collect and analyze information, problem solving and decision making in accordance with policies and regulations. * Demonstrated computer proficiency and comfortable using an internet-based claims system, reports, spreadsheets and databases. * Strong interpersonal skills and ability to create and maintain mutually beneficial relationships with insurance company partners, customers, and other departments within the company. * Previous formal presentation experience. * Demonstrated technical PC skills to include MS Word, Excel, PowerPoint, and Windows, strong interpersonal skills and ability to create and maintain mutually beneficial relationships with insurance company partners, clients, and other departments within the company. Certification * Active, current California Adjuster license * Insurance designation preferred (WCCP, ARM, AIC, CPCU, etc.) preferred. Education * Bachelor's Degree preferred or equivalent industry experience Work Environment: * Remote: This role is remote, and only open to candidates currently located in the United States and able to work without sponsorship. * It requires a suitable space that provides a private and quiet workplace. * Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. * Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary Range: $80,000 - $120,000 and a comprehensive benefits package, please follow the link to our benefits page for details! ********************************************************* About EMPLOYERS As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As "America's small business insurance specialist", we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote

Scheduled Hours40Analyzes and evaluates complex incident reports and lawsuits, reviews medical records and interviews involved individuals to obtain needed information. Prepares complex investigative analytical reports for Director and Legal Counsel regarding potentially compensable incidents covered by the Self-Insured Professional Liability Program, and other reports as requested by Senior Management. Coordinates case development, case management, and participates in office management.Job Description Primary Duties & Responsibilities: Conducts internal claims investigations, plans defense strategies and negotiates disposition of assigned files with guidance of legal counsel. Conducts meetings with physicians, analyzes medical record information and event reports; directs approved legal counsel and other legal personnel involved in the defense; evaluates liability and financial exposure, approves expert witness reviews; responds to discovery requests and answers interrogatories; coordinates witness preparations; makes recommendations for resolution of claim; and coordinates meetings with Director, defense counsel and Office of General Counsel to perform decision tree analysis to determine case value. Attends mediation, arbitration, and/or trial. Prepares and submits required reports to Department Heads, Office of General Counsel, Director of Risk Management, excess insurance carriers, and when applicable, coordinates with external agency investigations, i.e., professional Board inquiries. Responds to general claim inquiries. Establishes indemnity and expense reserves based on the reserving policy. Negotiates settlements within authority. Reviews and approves defense counsel related invoices and expenses. Provides consultation and guidance on healthcare issues such as medical record release, subpoena responses, termination/transfer of care, patient complaints, and physician billing issues including accounts in litigation. Arrange for attorneys to attend depositions with physicians when necessary. Mentors less experienced claims managers. Performs other duties as assigned. Working Conditions: Job Location/Working Conditions Normal office environment Physical Effort Typically sitting at a desk or a table Equipment Office equipment The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.Required Qualifications Education: Bachelor's degree Certifications/Professional Licenses: No specific certification/professional license is required for this position. Work Experience: Analyzing Or Interpreting Medical Or Other Technical Evidence That Compares In Level Of Complexity To Medical Treatment (5 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position.More About This JobPreferred Qualifications: Analytical ability to evaluate facts and formulate questions in order to define problems and critical events in the medical care rendered. General knowledge of The Joint Commission and patient safety standards, diagnosis and treatment of human disease and injury, medical therapies, procedures and standard of medical care. Knowledge of methods and techniques of individual case study, recording and file maintenance. Seven years' experience in medical malpractice claims management. Preferred Qualifications Education: No additional education unless stated elsewhere in the job posting. Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Analytical Thinking, Defining Problems, Detail-Oriented, Disease Diagnosis, Disease Management, Group Presentations, Injury Treatment, Joint Commission Regulations, Organizational Savvy, Patient Safety, Report PreparationGradeG13Salary Range$65,900.00 - $112,700.00 / AnnuallyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email **************************** or call the dedicated accommodation inquiry number at ************ and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.Pre-Employment ScreeningAll external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: ****************************** EEO StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.

Shape Your Future With UsGeneral Re Corporation, a subsidiary of Berkshire Hathaway Inc., is a holding company for global reinsurance and related operations, with more than 2,000 employees worldwide. It owns General Reinsurance Corporation and General Reinsurance AG, which conducts business as Gen Re. Gen Re delivers reinsurance solutions to the Life/Health and Property/Casualty insurance industries. Represented in all major reinsurance markets through a network of 38 offices, we have earned superior financial strength ratings from each of the major rating agencies. Gen Re currently offers an excellent opportunity for a Claims Manager in our Life Health Global Claims unit to work remotely based out of our Stamford, CT office. Role Description The Claims Manager in Life Global Claims oversees the unit claims business, including the protection of Gen Re's fiduciary interest. The incumbent is an expert claims resource with comprehensive claim knowledge and experience. Managerial duties include hiring as well as overseeing performance and development of employees. As a senior claim resource, the incumbent also acts as a teacher, developer, mentor and leader in the Unit and the claims department. Responsibilities: Human Resources: The Claims Manager completes performance appraisals, provides salary planning recommendations and implements training/educational plans for the Unit. Additionally, the incumbent manages the interviewing, hiring and performance management. Claims Leadership & Expertise: The Claims Manager is expected to demonstrate superior analytical and claim handing skills and to have strong knowledge of changes in case law, jurisdictions, coverage, and recognition of exposures for timely financial reporting purposes. The Claims Manager acts as a senior resource, teacher and technical claim advisor to the team and others within the Global Claims LH Organization. Performance Standards & Goals: The Claims Manager is expected to set the tone for the unit's performance via team and individual goals and client centric activity. Existing and potential future client relationship management, trend analysis and proactive inventory management, along with the establishment of and adherence to proper claim controls is the responsibility of the Claims Manager. The incumbent also is responsible for the development and implementation of process improvements and workflow within the product lines assigned. Professional Development: The Claims Manager oversees the professional development of the staff. The incumbent ensures individuals have the necessary skills and developmental opportunities to continually meet the business needs of the Unit, Department and Division. Unit Management: The Claims Manager coordinates all administrative and procedural aspects of the Unit. The incumbent acts as the unit champion and fosters a supportive and results oriented environment. As the unit leader, incumbent manages the unit in accordance with all Gen Re policies, procedures, philosophies, and goals. Regulatory: The Claims Manager is responsible for ensuring overall compliance with various reporting and auditing of controls. Claim Management Reporting: The Claims Manager partners with his/her internal constituents to ensure claims data collected is analyzed and claim statistics reported to senior management in a timely, proactive, consolidated and solution-oriented fashion. Responsible for managing multiple work streams and influencing a variety of constituents at various levels, not solely within one's direct employ. Accountable for the effective development, ongoing maintenance and consistent application of client communications and relationships. The Claims Manager is a client facing position with accountability to ensure his/her staff is visible and present in the reinsurance work performed. Flexibility to travel frequently and on short notice. Incumbent ensures appropriate representation occurs in the industry conference work that may require committee representation, networking with client, hosting client events oriented at the claims discipline, effective delivery of presentation material and travel on short notices. Role Qualifications and Experience Prior experience managing claims and people. Broad understanding of insurance/reinsurance life cycle and intersection with claims. Ability to perform complex multitasking with short/medium/long term deadlines - with need for contingencies. Analytical, strategic, and organized thinker with demonstrated ability to deliver results. Proven ability to develop staff, resource allocation and planning. Exposure to managing people and claims in multiple products lines. Demonstrated leadership abilities. Highly refined analytical skills and business acumen. Demonstrated abilities to operate strategically or tactically depending on the situation at hand. Strong claim technical abilities. Prior experience with claim audit activity. Audit work of reinsured claims in client locations is an expectation. The audit process requires the ability to quickly adapt to the multitude of imaged systems in use by clients. The audit process may involve analyzing and verifying coverage and/or corresponding payments issued. The audit process may consist of managing internal and external communication with client executives in various areas such as claims, financial and legal resources, actuarial resources, etc. Thus, demonstrating an ability to emphasize and implement solutions to help clients manage risk and developing an in-depth knowledge of the management and organization of each assigned account. Exceptional communication and presentation skills. Ability to work as a member of a team or independently. Similarly, strong oral and written communication skills are required. Proven ability to analyze and problem solve client needs, system failures and strategy projections. College degree (preferred) or equivalent work experience Salary Range 155,000.00 - 259,000.00 USD The annual base salary range posted represents a broad range of salaries around the US and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. Our Corporate Headquarters Address General Reinsurance Corporation 400 Atlantic Street, 9th Floor Stamford, CT 06901 (US) At General Re Corporation, we celebrate diversity and are committed to creating an inclusive environment for all employees. It is the General Re Corporation's continuing policy to afford equal employment opportunity to all employees and applicants for employment without regard to race, color, sex (including childbirth or related medical conditions), religion, national origin or ancestry, age, past or present disability , marital status, liability for service in the armed forces, veterans' status, citizenship, sexual orientation, gender identity, or any other characteristic protected by applicable law. In addition, Gen Re provides reasonable accommodation for qualified individuals with disabilities in accordance with the Americans with Disabilities Act.

Cottingham & Butler Claims Services (CBCS) was built upon driven, ambitious people like yourself. “Better Every Day” is not just a slogan, it is a promise we make to ourselves and our clients. We are looking to hire an experienced Southeast Work Comp Claims Supervisor to our team. We are looking for someone who is eager to motivate and develop adjusters of all levels. If you're ready to make a significant impact and drive excellence, we want to hear from you! Key Expectations for the Claims Supervisor Role: Accountability and Feedback: Ensure that the team receives regular, high-quality feedback to drive accountability. Team Metrics: Maintain weekly metrics in the green. If a team member is not meeting expectations, develop and document plans with the Claims Manager to improve performance. Quality Service Review (QSR) Scores: Achieve monthly QSR scores of 90%+ for the team and address any underperformance with actionable plans. Monthly Meetings: Arrange monthly meetings with the team to align on goals, discuss challenges, provide training, and foster collaboration. Customer Service Survey Scores: Maintain an average score of 1.30 or less. Use survey results as coaching opportunities and ensure follow-up discussions. Mentorship and Teammate Development: Act as a mentor and actively contribute to developing your team of adjusters. Experience Requirements: The ideal candidate must have substantial experience in the Southeast region and possess a strong background in achieving results. We are looking for a critical thinker who is eager to collaborate with other like-minded professionals to drive growth and strengthen our business. A minimum of 1-5 years of claims supervision is required. Do you think this might be a fit for you? Send us your resume - we'd love to talk! Pay & Benefits Salary - Flexible based on your experience level. Most Benefits start Day 1 Medical, Dental, Vision Insurance Flex Spending or HSA 401(k) with company match Profit-Sharing/ Defined Contribution (1-year waiting period) PTO/ Paid Holidays Company-paid ST and LT Disability Maternity Leave/ Parental Leave Company-paid Term Life/ Accidental Death Insurance About the company At Cottingham & Butler Claims Services, we sell a promise to help our clients through life's toughest moments. To ensure we keep that promise, we hold ourselves to a set of principles that we believe position our clients and our company for long-term success. Our Guiding Principles are not just words on paper, they are a promise we make to ourselves and our clients. These principles have become a driving force of our culture and share many common themes with the values of our clients. First, we hire and develop amazing people that have an insatiable desire to succeed, are committed to learning, and thrive on challenges. Secondly, we pride ourselves on serving our clients' best interests through quality service, innovative solutions, and constantly evaluating our performance. Third, we have embraced and are guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday. Ultimately, we get more energy from the future we are creating for our people, our clients, and our company than from our past success. As an organization, we are very optimistic about the future and have incredibly high expectations for our people and our performance. We also understand that our growth is fueled by becoming better, not bigger - growth funds investments in new resources to better serve our clients and provide the career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.

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

Claims Manager (Professional Liability) Counterpart is an insurtech platform reimagining management and professional liability for the modern workplace. We believe that when businesses lead with clarity and confidence, they become more resilient, more innovative, and better prepared for what's ahead. That's why we built the first Agentic Insurance™ system - where advanced AI and deep insurance expertise come together to proactively assess, mitigate, and manage risk. Backed by A-rated carriers and trusted by brokers nationwide, our platform helps small businesses grow with confidence. Join us in shaping a smarter future, helping businesses Do More With Less Risk . As a Claims Manager (Professional Liability), you will be responsible for managing a large and diverse caseload of professional liability claims. In this role, you will apply and further develop your expertise by investigating, evaluating, and resolving claims in a way that reinforces our brand and values. You will also play a vital part in supporting the advancement of our systems and processes through ongoing feedback and collaboration with internal partners. In addition, you will be a key feedback provider for our active claims management processes and systems. Your input will help to shape and improve how we fulfill our mission of providing world-class service through tightly managing legal costs, making data-driven decisions when analyzing a claim's value, and ensuring that other potentially responsible parties pay their fair share. YOU WILL Achieve or exceed claims management case load and goals, applying sound judgment and legal knowledge to produce efficient and fair outcomes. Complete accurate and timely investigations into the coverage, liability, and damages for each claim assigned to you. Actively manage each claim assigned to you in a way that produces the most timely and cost-effective resolution. Build and maintain positive and productive working relationships with internal and external customers, including policyholders, brokers, carrier partners, and Risk Engineers (underwriters). Direct and monitor assignments to experts and outside counsel, and hold those vendors accountable for meeting or exceeding our service standards. Support our data collection efforts and models by effectively using our Agentic Claim Experience (ACE) system to fully and accurately capture critical details about each claim assigned to you. Identify and escalate insights into emerging claims trends across industries, geographies, and key business segments. Offer user-level feedback and insights to support the continuous improvement of our claim handling processes, guidelines, and systems. Ensure that every touchpoint with our insureds and brokers is representative of our brand, mission, and vision. YOU HAVE At least 10 years of professional experience, with at least 5 years of experience litigating or managing professional liability claims. Previous carrier experience is a plus. Bachelor's degree required; law degree (J.D.) and professional designations (RPLU, AIC, etc.) highly preferred. Must possess all required state claim adjuster licenses, or be able to obtain them within 90 days of hire. Proven ability to work both independently on complex matters and collaboratively as a team player to assist others as needed. High level of personal initiative and leadership skills. Exceptional time management, problem solving and organizational skills. Comfort and skill operating in a paperless claims environment. Familiarity with Google Workplace is preferred, but not required. Willingness to quickly adapt to change and use creative thinking and data-driven insights to overcome obstacles to resolution. Strong communication skills, both verbal and written. Ability to succeed in a full remote workplace environment, and travel as necessary (approximately 10-15%). WHO YOU WILL WORK WITH Eric Marler, Head of Claims: An industry veteran, Eric has more than 20 years of experience working with or for insurers offering management liability solutions. He is a licensed attorney who began his career in private practice before transitioning in-house. Prior to joining Counterpart, Eric held leadership roles at Great American Insurance Group and The Hanover Insurance Group. Jaclyn Vogt, Senior Claims Manager: Jaclyn is a licensed adjuster with over 15 years of experience handling Employment Practices Liability, Management Liability and Workers Compensation claims. Jaclyn received her bachelor's degree from Centre College. Katherine Dowling, Claims Manager: Katherine is a licensed attorney, mediator and adjuster with over a decade of experience handling professional liability and management liability litigation and claims. Katherine practiced law for several years with two of Atlanta's largest insurance defense firms prior to joining a wholesale specialty insurance carrier where she managed complex Professional Liability and Commercial General Liability claims. WHAT WE OFFER Stock Options: Every employee is able to participate in the value that they create at Counterpart through our employee stock option plan. Health, Dental, and Vision Coverage: We care about your health and that of your loved ones. We cover up to 100% of your monthly contributions for health, dental, and vision insurance and up to 80% coverage for family members. 401(k) Retirement Plan: We value your financial health and offer a 401(k) option to help you save for retirement. Parental Leave: Birthing parents may take up to 12 weeks of parental leave at 100% of their regular pay following the birth of the employee's child, and can choose to take an additional 4 unpaid weeks. Non-birthing parents will receive 8 weeks of parental leave at 100% of their regular pay. Unlimited Vacation: We offer flexible time off, allowing you to take time when you need it. Work from Anywhere: Counterpart is a fully distributed company, meaning there is no office. We allow employees to work from wherever they do their best work, and invite the team to meet in person a couple times per year. Home Office Allowance: As a new employee, you will receive a $300 allowance to set up your home office with the necessary equipment and accessories. Wellness stipend: $100 per month to spend toward an item or service that supports your wellness (i.e. massage or gym membership, meditation app subscription, etc.) Book stipend: To support your intellectual development, we offer a book stipend that allows you to purchase books, e-books, or educational materials relevant to your role or professional interests. Professional Development Reimbursement: We provide up to $500 annually for you to invest in relevant courses, workshops, conferences, or certifications that will enhance your skills and expertise. No working birthdays: Take your birthday off, giving you the opportunity to relax, enjoy your special day, and spend time with loved ones. Charitable Contribution Matching: For every charitable donation you make, we will match it dollar for dollar, up to a maximum of $150 per year. This allows you to amplify your charitable efforts and support causes close to your heart. COUNTERPART'S VALUES Conjoin Expectations - it is the cornerstone of autonomy. Ensure you are aware of what is expected of you and clearly articulate what you expect of others. Speak Boldly & Honestly - the only failure is not learning from mistakes. Don't cheat yourself and your colleagues of the feedback needed when expectations aren't being met. Be Entrepreneurial - control your own destiny. Embrace action over perfection while navigating any obstacles that stand in the way of your ultimate goal. Practice Omotenashi (“selfless hospitality”) - trust will follow. Consider every interaction with internal and external partners an opportunity to develop trust by going above and beyond what is expected. Hold Nothing As Sacred - create routines but modify them routinely. Take the time to reflect on where the business is today, where it needs to go, and what you have to change in order to get there. Prioritize Wellness - some things should never be sacrificed. We create an environment that stretches everyone to grow and improve, which is fulfilling, but is only one part of a meaningful life. Our estimated pay range for this role is $150,000 to $180,000. Base salary is determined by a variety of factors, including but not limited to, market data, location, internal equitability, and experience. We are committed to being a welcoming and inclusive workplace for everyone, and we are intentional about making sure people feel respected, supported and connected at work-regardless of who you are or where you come from. We value and celebrate our differences and we believe being open about who we are allows us to do the best work of our lives. We are an Equal Opportunity Employer. We do not discriminate against qualified applicants or employees on the basis of race, color, religion, gender identity, sex, sexual preference, sexual identity, pregnancy, national origin, ancestry, citizenship, age, marital status, physical disability, mental disability, medical condition, military status, or any other characteristic protected by federal, state, or local law, rule, or regulation.

Ready to lead and shape Hospital Professional Liability claims strategy? Apply to this senior-level claims leader position, Claims Manager II. Join a high-performing team leading the Hospital Professional Liability claims unit for IronHealth/NAS Claims. We're looking for a seasoned Claims Manager with deep Hospital Professional Liability experience who wants to lead a technical team, shape claims strategy, and drive measurable improvements across a portfolio of complex and high-severity matters consistent with the standards of Liberty International Underwriters. *This position may have in-office requirements and other travel needs depending on candidate location. You will be required to go into an office twice a month if you reside within 50-miles of one of the following offices: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; or Westborough, MA. This policy is subject to change. The salary range reflects the varying pay scale that encompasses each of the Liberty Mutual regions, and the overall cost of labor for that region, and based on you location you may not qualify for the top salary listed in the range. Responsibilities Responsible for performance, development and coaching of staff (including hiring, terminating, performance and salary management). Serve as technical resource not only for claims staff, but also cross-functional partners, including Underwriting (UW), Actuarial, Finance and Operations. Work with claims team and external attorneys to review coverages, investigate claims, analyze liability and damages, establish adequate indemnity and expense reserves, develop strategies and resolve claims, including, but not limited to direct participation in mediation and arbitration and active participation in settlement discussions. Perform quality assurance reviews/observations and provide feedback to team as well as action plan for development of team, where necessary. Actively pursue all avenues of recovery including, but not limited to timely recovery of deductibles from insureds and manage subrogation activities. Provide regular reports to claims management regarding losses either exceeding or likely to exceed the authority level in accordance with best practices. Must be able to present effectively, produce appropriate reports and develop team and train team in these skills Partner with underwriting managers/team to provide excellent customer service and to market and meet with brokers, risk managers and reinsurers. Serve as external face claims leader for product line and demonstrate ability to forge and maintain relationships with external customers, effectively resolving concerns where necessary. Ability to effectively articulate the claims value proposition in claims advocacy meetings, account renewals and new business prospecting. Present at industry conferences or publishes external industry content. Lead short to medium-term strategic claims activities/priorities for the product line, with alignment with the strategic priorities of IronHealth and NAS Claims. Oversee projects assigned by the department head. Direct and manage the Claims participation and content for multidisciplinary reviews, monthly UW connectivity meetings, and quarterly actuarial meetings. Ensure timely feedback to senior management, underwriting and actuaries regarding relevant losses, account issues, and trends. Assist and coordinate with underwriting team regarding new policy forms, product development and/or product rollouts and provide timely feedback to senior management and underwriting regarding recommendations. Ability to achieve fluency in Loss Triangle interpretation and Product Level Profitability Understanding/Awareness. Other duties as assigned, including delivery on established operational goals and objectives. Qualifications Qualifications - what will make you successful! Bachelors' degree or equivalent training; advanced degrees or certifications preferred. A minimum of 8+ years of relevant and progressively more responsible work experience required, including at least 2 years of supervisory experience. At least 5 years claims handling within a technical specialty. Requires advanced knowledge of claims handling concepts, practices, procedures and techniques, including, but not limited to coverage issues, product lines, marketing, computers and product competition within the marketplace. Requires advanced knowledge of a technical specialty. Knowledge of law and insurance regulations in various jurisdictions. The ability to effectively interact with brokers and internal departments is also required. Strong verbal and written communications and organizational skills. Strong negotiation, analytical and decision-making skills also required. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

Experienced WC Claim Adjuster - California ADR Program (CA | Remote | SIP Required) Schedule: Monday-Friday, 8:00 AM-4:30 PM PT Salary Range: $80,000-$85,000 annually Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary The Workers' Compensation Claim Consultant is responsible for handling California workers' compensation claims for a single dedicated Alternate Dispute Resolution (ADR) client account. This role requires California jurisdiction experience and an active CA Adjuster's License, along with the Self-Insurance Administrator Certificate (SIP). You'll join a team of 10 adjusters and play a key role in ensuring quality claim handling through compliance with client guidelines, state laws, and CCMSI claim standards. Important - Please Read Before Applying This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Investigate, evaluate, and adjust assigned California workers' compensation claims in compliance with jurisdictional requirements and ADR processes. Establish and monitor reserves, authorize claim payments, and negotiate settlements within authority and client guidelines. Review medical, legal, and vendor invoices to confirm accuracy and appropriateness. Maintain thorough documentation and diary updates in the claim system. Communicate effectively with clients, claimants, and involved parties throughout the claim process. Participate in claim reviews, hearings, and mediations as needed. Ensure compliance with state laws, CCMSI claim handling standards, and client-specific requirements. Qualifications Required Three or more years of experience adjusting California workers' compensation claims California Adjuster's License Self-Insurance Administrator Certificate (SIP) Strong written and verbal communication skills Proficiency with Microsoft Office Suite (Word, Excel, Outlook) Nice to Have Experience with Alternate Dispute Resolution (ADR) claims Strong organization, multitasking, and customer service skills Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted hourly rate 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. 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. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. 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: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #CaliforniaAdjuster #WorkersCompensation #ADRClaims #InsuranceCareers #ClaimsConsultant #CaliforniaJobs #RemoteAdjuster #SIPCertified #InsuranceProfessionals #ClaimsManagement #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote We can recommend jobs specifically for you! Click here to get started.

Porch Group is a leading vertical software and insurance platform and is positioned to be the best partner to help homebuyers move, maintain, and fully protect their homes. We offer differentiated products and services, with homeowners insurance at the center of this relationship. We differentiate and look to win in the massive and growing homeowners insurance opportunity by 1) providing the best services for homebuyers, 2) led by advantaged underwriting in insurance, 3) to protect the whole home. As a leader in the home services software-as-a-service (“SaaS”) space, we've built deep relationships with approximately 30 thousand companies that are key to the home-buying transaction, such as home inspectors, mortgage companies, and title companies. In 2020, Porch Group rang the Nasdaq bell and began trading under the ticker symbol PRCH. We are looking to build a truly great company and are JUST GETTING STARTED. Job Title: Liability Claims Examiner Location: United States Workplace Type: Remote Homeowners of America is a provider of Personal Lines Insurance products. We're always looking to add talented and passionate people to our team. We value the knowledge that comes from experienced individuals with diverse backgrounds and strengths that can contribute to the various departments within our company. Our shared values are no jerks, no egos, be ambitious, solve each problem, care deeply and together we win. Summary The Liability Claims Examiner is responsible for managing complex and litigated 3rd party claims arising under homeowners' insurance policies. This role involves investigating losses, evaluating coverage, assessing liability exposures, and directing litigation strategies to achieve fair and timely resolution of claims. The examiner will work closely with insureds, claimants, field adjusters, defense counsel, experts, and internal stakeholders ensuring compliance with company guidelines and regulatory requirements while mitigating risk and controlling costs. Liability Claims Examiners are responsible for requesting payments, documenting files, and preparing and issuing claim payment letters or denial letters when appropriate. What you Will Do As A Liability Claims Examiner Responsibilities: May include any or all the following. Other duties may be assigned. Investigate and Evaluate Claims: Review policy language, coverage issues, and liability exposures. Analyze incident reports, statements, expert opinions, and other evidence to determine liability and damages. Handles claims from all types of policies, including homeowners, dwelling fire, tenant, condo, and renters. Confers with legal counsel on claims involving coverage, legal, or complex matters Effectively manage difficult or emotional customer situations Litigation Management: Direct and oversee defense counsel in litigated matters, including strategy development, budgeting, and case progression. Attend mediations, settlement conferences, and trials as needed. Evaluate litigation reports and provide recommendations for resolution. Negotiation and Settlement: Negotiate settlements within authority limits to achieve equitable outcomes. Collaborate with legal counsel to resolve complex coverage and liability disputes. Financial Oversight: Establish and adjust reserves based on claim developments and litigation exposure. Monitor litigation costs and ensure adherence to budget guidelines. Seeking out and utilizing top vendors that build quality, increase efficiency, and reduce cost Communication and Documentation: Maintain accurate and detailed claim files, including litigation plans and correspondence. Communicate effectively with insureds, claimants, attorneys, and internal teams. Enters claims payments when applicable and maintains clean, concise, and accurate file documentation Manages correspondence and communication with various parties involved in the claim Draft and prepare letters and other correspondence related to the claim Compliance and Best Practices: Ensure adherence to claims handling guidelines, regulatory requirements, and ethical standards. Identify opportunities for process improvement and cost containment. Take on assignments and duties as requested by the management team What you Will Bring As A Liability Claims Examiner Bachelor's degree or equivalent experience Minimum 5+ years of liability claims experience, with a strong focus on litigated 3rd party claims Appropriate state adjuster license and continuing education credits In-depth knowledge of homeowners liability and med pay coverage, policy language, and litigation processes Strong negotiation, analytical, and decision-making skills Excellent written and verbal communication skills Ability to manage multiple complex cases and meet deadlines in a fast-paced environment Proficiency in claims management systems and Microsoft Office suite (Outlook, Word, Excel, PowerPoint) Works with integrity and ethics Exceptional customer service skills Effectively manages difficult or emotional customer situations Ability to read, write, and interpret routine correspondence, policies, and reports Makes decisions and completes activities in a confident and timely manner Follows Claims Handling Guidelines, policies and procedures Maintains confidentiality Works independently, with the ability to assess workload and plan accordingly to meet competing deadlines Cultivates environment of teamwork and collaboration Comprehensive and up-to-date knowledge of General Liability and P&C insurance, contractual policy language requirements and the implications of that language as it pertains to denial of claims Demonstrated commitment to continuing education in the industry through licensing or designations applicable to property and liability insurance field is preferred. Certificates, Licenses, Registrations Appropriate state adjuster license and continuing education credits. The application window for this position is anticipated to close in 2 weeks (10 business days) from December 17th, 2025. Please know this may change based on business and interviewing needs. At this time, Porch Group does not consider applicants from the following states for remote positions: Alaska, Arkansas, Delaware, Hawaii, Iowa, Maine, Mississippi, Montana, New Hampshire, and West Virginia. What You Will Get As A Porch Group Team Member Pay Range*: Annually$67,500.00 - $94,500.00 *Please know your actual pay at Porch will reflect a number of factors among which are your work experience and skillsets, job-related knowledge, alignment with market and our Porch employees, as well as your geographic location. Our benefits package will provide you with comprehensive coverage for your health, life, and financial wellbeing. Our traditional healthcare benefits include three (3) Medical plan options, two (2) Dental plan options, and a Vision plan from which to choose. Critical Illness, Hospital Indemnity and Accident plans are offered on a voluntary basis. We offer pre-tax savings options including a partially employer funded Health Savings Account and employee Flexible Savings Accounts including healthcare, dependent care, and transportation savings options. We provide company paid Basic Life and AD&D, Short and Long-Term Disability benefits. We also offer Voluntary Life and AD&D plans. Both traditional and Roth 401(k) plans are available with a discretionary employer match. Headspace is part of our employer paid wellbeing program and provides employees and their families access to on demand guided meditation and mindfulness exercises, mental health coaching, clinical care and online access to confidential resources including will preparation. Brio Health is another employer paid wellbeing tool that offers quarterly wellness challenges and prizes. LifeBalance is a free resource to employees and their families for year-round discounts on things like gym memberships, travel, appliances, movies, pet insurance and more. Our wellness programs include flexible paid vacation, company-paid holidays of typically nine per year, paid sick time, paid parental leave, identity theft program, travel assistance, and fitness and other discounts programs. #LI-JS1 #LI-Remote What's next? Submit your application and our Porch Group Talent Acquisition team will be reviewing your application shortly! If your resume gets us intrigued, we will look to connect with you for a chat to learn more about your background, and then possibly invite you to have virtual interviews. What's important to call out is that we want to make sure not only that you're the right person for us, but also that we're the right next step for you, so come prepared with all the questions you have! Porch is committed to building an inclusive culture of belonging that not only embraces the diversity of our people but also reflects the diversity of the communities in which we work and the customers we serve. We know that the happiest and highest performing teams include people with diverse perspectives that encourage new ways of solving problems, so we strive to attract and develop talent from all backgrounds and create workplaces where everyone feels seen, heard and empowered to bring their full, authentic selves to work. Porch is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected veteran status, or any other characteristic protected by applicable laws, regulations, and ordinances. Porch Group is an E-Verify employer. E-Verify is a web-based system that allows an employer to determine an employee's eligibility to work in the US using information reported on an employee's Form I-9. The E-Verify system confirms eligibility with both the Social Security Administration (SSA) and Department of Homeland Security (DHS). For more information, please go to the USCIS E-Verify website.

Our client, a leading A-rated Insurance Carrier, is seeking to add a Commercial Property Claims Supervisor to oversee a team of Inside Commercial Property Claims Examiners. This individual will be responsible for supervising daily claim operations, providing technical guidance, supporting adjuster development, and ensuring high-quality handling of mid-to-complex Commercial Property losses. The Supervisor will also assist with escalated files, conduct quality audits, and ensure adherence to company best practices. Experience with Xactimate or Symbility is required. This is a remote position! Supervise a team of Commercial Property Examiners handling mid-to-complex losses from inception to close. Provide ongoing coaching, mentorship, and technical guidance to adjusters. Review, analyze, and approve adjuster estimates, coverage recommendations, and settlement proposals. Manage team performance, conduct file audits, and ensure compliance with department Best Practices. Assist with escalated claims, complex coverage issues, and high-severity losses as needed. Oversee workload distribution, monitor productivity, and ensure timely file handling. Communicate effectively with policyholders, agents, contractors, and internal leadership. Identify opportunities for cost containment, loss mitigation, and subrogation recovery. Provide timely and accurate reporting to management regarding team performance and claim activity. Consistently promote exceptional customer service and support a positive team culture. Requirements: 7 to 10 years of Commercial Property claims experience 2 - 5+ years in a Team Lead / Supervisor capacity. Must have experience working directly for an Insurance Carrier handling or overseeing Commercial Property claims. Proficiency in Xactimate or Symbility. Strong leadership, communication, organizational, and interpersonal skills. Bachelor's Degree preferred but not required. Salary/Benefits: $110,000 to $150,000 annual base salary plus bonus up to 8 - 12% Company vehicle provided (Truck/SUV) Extremely competitive Medical, Dental, Vision, and Life plans Employer matching 401(k) plan Generous PTO policy Clear opportunities for advancement within a growing organization

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

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.

As a Claims Specialty Adjuster, you will provide efficient and effective disposition of assigned claims through timely investigation, evaluation, and negotiation. This adjuster works well under moderate supervision using company best practices. They must execute files within their authority to make appropriate decisions regarding coverage, settlement, and liability. The Specialty Adjuster handles claims involving fire, theft, vandalism, marine, specialty products, coverage, collision (1st and 3rd), various other comprehensive losses and a variety of complex claims. This position investigates coverage, evaluates, and settles damages and effectively resolves claims to conclusion in a timely manner. In this role this adjuster is responsible for taking recorded statements, reviewing policies for coverage, settling claims including total losses and writing Reservation of Rights and Coverage disclaimer letters, when appropriate. The person in this role takes ownership of their personal brand, stays professional and works well individually and within a dynamic team atmosphere. Ready to get in the driver's seat? Join us! What you'll do Makes timely and appropriate contacts with necessary parties, determines, and completes appropriate level of investigation for coverage determination. Determines exposure, establishes adequate initial reserves, and makes timely adjustment to reserve(s) as required. Determines settlement value and negotiates proper settlement of claims within authority. Provides recommendations for settlement and disposition of claims exceeding authority level. Pursues subrogation when appropriate. Handles first party auto property damage losses and occasionally third-party property damage losses. Demonstrates strong negotiating skills Controls expenses and expense reserves on storage, towing, appraisals, vendors, or legal counsel Problem solves complaints or questions Demonstrating technical learning and skill Exemplifies strategic agility Submit timely large loss reports and occasional Large Loss reporting Authority/Accountability Level: A Specialty Adjuster is capable of analyzing and determining exposure for fire, theft, vandalism, and a variety of complex claims. This person must exercise discretion to identify and resolve coverage issues, identify potential fraud, and settle losses as appropriate. A Specialty adjuster will process approximately 600-800 lines annually and is responsible for reporting out to various departments within the business. This Job Is Responsible for Producing the Following Results: Maintaining stellar customer service tracked through company measurements Handles claims for fire, vandalism, theft, complex coverage in personal lines Meets or exceeds individual goals to help the department reach its targets Making appropriate coverage and/or settlement decisions Setting timely reserves Consistently produces quality work product Completing thorough investigations in order to determine coverage, liability, and settlement Analyzes facts to justify the assistance of SIU, O&C's, or legal counsel Ability to take quality recorded statements from many parties Identifies Red Flags Ability to write accurate Reservation of Rights letters and Coverage declinations Manages expenses Pursues recovery as applicable Fueling engagement within the team and department This might describe you Must be detail oriented and show a high level of accuracy Excellent verbal and written communication skills Knowledgeable in insurance products and expertise Exercise decisiveness and execution within their authority Must have ability to work individually and as a team Ability to maintain confidential information Strong problem-solving skills Strong time management and organizational ability Must possess a keen interest in self-development Needs to be reliable, accountable, and trustworthy Must be able to motivate and lead others Demonstrate proficiencies with computer software & multitasking Must maintain impeccable attendance Must be licensed and bondable Familiarity of public company requirements, including Sarbanes Oxley and key regulations, if applicable. Other things to note This position is open to U.S. remote work. Say hello to Hagerty Hagerty is an automotive enthusiast brand and the world's largest membership organization. Along with being a best-in-class provider of specialty insurance for enthusiasts, Hagerty is also home to the Hagerty Drivers Foundation, Garage + Social, Hagerty Drivers Club, Marketplace and so much more. Committed to saving driving for future generations, each and every thing Hagerty does is dedicated to the love of the automobile. Hagerty is a rapidly growing company that values a winning culture. We provide meaningful work for and invest in every single team member. At Hagerty, we share the road. We are an inclusive automotive community where all are welcomed, valued and belong regardless of race, gender, age, or car preference. We are united by our shared passion for driving, our commitment to preserve car culture for future generations and our desire to make a positive impact in the world. If you reside in the following jurisdictions: Illinois, Colorado, California, District of Columbia, Hawaii, Maryland, Minnesota, Nevada, New York, or Jersey City, New Jersey, Cincinnati or Toledo, Ohio, Rhode Island, Vermont, Washington, British Columbia, Canada please email ********************** for compensation, comprehensive benefits and the perks that set us apart. #LI-Remote EEO/AA US Benefits Overview Canada Benefits Overview UK Benefits Overview If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!