Claims representative jobs in Cherry Hill, NJ

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Liability Adjuster, where you'll play a crucial role in managing Complex commercial general liability claims with precision and expertise. Key Responsibilities: Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments. Review and analyze evidence, reports, and medical records to establish damages and reserves. Process payments efficiently, ensuring timely resolution of claims. Interview insureds, claimants, and witnesses to gather essential information and build strong cases. Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively. Qualifications Juris Doctor (JD) degree preferred or Bachelor's degree with prior experience adjusting liability claims and a proven track record in litigation. Licensing: Active TX All Lines License, or willingness to obtain one at company's expense. Exceptional written and verbal communication skills. Strong organizational and computer skills. Excellent time management skills with the ability to prioritize tasks effectively.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? + A stable and consistent work environment in an office setting. + A training program to learn how to help employees and customers from some of the world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey. + Career development and promotional growth opportunities through increasing responsibilities. + A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To be oriented and trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. **ARE YOU AN IDEAL CANDIDATE?** We are seeking enthusiastic individuals for an entry-level trainee position. This role begins with a comprehensive 6-week classroom-based professional training program designed to equip you with the foundational skills needed for a successful career in claims adjusting. Over the course of a few years, you'll have the opportunity to grow and advance within the field. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Attendance and completion of designated classroom claims professional training program. + Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims. + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/processing with claimant and client. + Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned. + Participates in rotational assignments to provide temporary support for office needs. **QUALIFICATIONS** Bachelor's or Associate's degree from an accredited college or university preferred. **EXPERIENCE** Prior education, experience, or knowledge of: - Customer Service - Data Entry - Medical Terminology (preferred) - Computer Recordkeeping programs (preferred) - Prior claims experience (preferred) Additional helpful experience: - State license if required (SIP, Property and Liability, Disability, etc.) - WCCA/WCCP or similar designations - For internal colleagues, completion of the Sedgwick Claims Progression Program **TAKING CARE OF YOU** + Entry-level colleagues are offered a world class training program with a comprehensive curriculum + An assigned mentor and manager that will support and guide you on your career journey + Career development and promotional growth opportunities + A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 25.65/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #claims #claimsexaminer #entrylevel #remote #LI-Remote_ Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

Highlight Health is a mission-driven company that protects consumer rights and controls healthcare costs exclusively for self-funded employers and their stop loss carriers. We are a profitable, fast-growing company without private equity investors. We are looking for a health coverage large and complex claims analysis expert - an expert who has scrutinized hospital and other claims with millions of dollars of charges, knows where the medical billing and pricing skeletons are found, and is tired of business as usual. Your deep knowledge has likely been developed over decades of diverse work with a claims repricing organization, a claims audit department or organization, special investigations unit (SIU), and/or an Office of the Inspector General (OIG). Highlight Health engineers new ways to protect consumer rights and control healthcare costs for self-funded employers. Nearly every American has felt the pain of the skyrocketing cost of healthcare. Highlight Health brings them solutions. We use our subject-matter expertise to reduce costs for employers and relieve ordinary Americans of burdensome medical costs. Highlight Health is proud of its inclusive workplace that brings together highly skilled leadership and employees from all walks of life. Our company is headquartered in two cities along the Northeast Corridor with an affordable cost of living: Philadelphia, PA and Newark, NJ. If you are experienced in and passionate about fighting fraud, waste, and abuse in medical billing, this is the job for you. We are seeking a motivated and hard-working individual to guide and optimize the most crucial department of our business-claims analysis and resolutions. In addition to an extensive background in medical billing and claims analysis, this role requires strong communication skills, both written and verbal, and organizational aptitude. The ability to prioritize and satisfy deadlines in this position is a must. Essential Duties and Responsibilities Analyze large and complex claims that need special attention Comprehensively review claims for fraud, waste, abuse, and overpayment Manage ad hoc Medicare pricing using APC Read, understand, and analyze comprehensive medical records and itemized bills Make and present claim resolution recommendations to manager or executive leadership Complete the claims resolution process Help Highlight Health improve claims analysis and resolution processes Requirements Typical Backgrounds Claims repricing organization Claims audit department or organization SIU unit OIG Required Experience/Knowledge Cynicism of our current healthcare finance system and a willingness to challenge the status quo More than 10 years of hands-on claims review experience More than 5 years of hands-on hospital (facility) claim review experience - both inpatient and outpatient More than 2 years of hands-on large facility claim review experience More than 2 years of hands-on commercial claims experience (Medicare/Medicaid experience is not sufficient) In depth knowledge of commercial price structures In depth knowledge of facility claims coding In depth knowledge of hospital billing rules and claim edits Insights into hospital fraud, waste, abuse, and overbilling as experienced by commercial payers Medical literacy Advanced Excel skills and understanding of advanced Excel functions including VLOOKUP, pivot tables, etc. Report writing skills Nice to have Clinical credentials Claim coding certificates (AHIMA, AAPC, ACDIS, etc.) Database query skills Medicare and/or Medicaid claims experience Experience managing ERISA appeals NSA IDR experience Team/department management experience Professional claim experience, particularly related to hospital care and J-code drugs Benefits Compensation and Benefits Salary Range: $110,000+ Highlight Health offers an attractive benefits package, with healthcare cost reimbursement, paid time off, commuting benefits, short term disability, an employer 401(k) contribution, and bonuses After 90 days of employment, you may work from home 1 day/week Location and Hours North New Jersey or Philadelphia areas preferred, but remote work is possible for a highly qualified applicant. Full-time employee relationship preferred but will consider flexible hours or contract work for a highly qualified applicant. How to Apply Submit your resume Include a MANDATORY cover letter that also includes a story of your role in identifying and stopping or recovering a hospital overpayment. (Please de-identify any HIPAA information.)

Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we're dedicated to providing exceptional service and innovative solutions, and we're looking for passionate individuals to be part of our dynamic team. If you're eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere! MAJOR DUTIES & RESPONSIBILITIES: The ESIS Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Duties may include but are not limited to: Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies. Communication: Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process. Investigation: Conduct thorough investigations of claims, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability. Decision-Making: Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws. Documentation: Maintain detailed and organized claim files, documenting all activities, communications, and decisions in the claims management system. Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, while ensuring appropriate reserves are established and maintained. Compliance: Ensure adherence to state-specific workers' compensation laws, regulations, and reporting requirements. Customer Service: Provide exceptional service to clients by addressing inquiries, resolving issues, and delivering timely updates on claim status. Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes. Experience: Minimum of 2-3 years of experience handling workers' compensation claims; prior experience with ESIS or similar third-party administrators is a plus. Licensing: Knowledge of Pennsylvania Workers Compensation and active adjuster license or ability to obtain licensure within a specified timeframe. Skills: Strong analytical and problem-solving abilities. Excellent verbal and written communication skills. Proficiency in claims management systems and Microsoft Office Suite. Ability to manage multiple priorities and meet deadlines in a fast-paced environment. Knowledge: Familiarity with California workers' compensation laws, medical terminology, and claim handling best practices. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam. The pay range for the role is $60,700 to $93,000. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled. ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.

NJM Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst. The Claims Insights Analyst applies a strong understanding of data sources and associated business processes to provide management with research, analysis and insights in support of departmental strategies and goals. This position will perform analysis on large and diverse sets of data to tell compelling stories through presentations, dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated, creative self-thinker and has a good sense for interpreting and communicating the “why” behind the data and application to the business. Job Responsibilities: Develop intelligent insights from analysis of both quantitative and qualitative data, testing hypotheses, running exploratory analysis and identifying trends in support of business strategies and goals. Translate results/findings into clear and concise presentations for management and assist in the development of plans for corrective action. Develop and enhance KPI dashboards, analytics and reports to monitor performance to create a comprehensive view of the business. Collaborate with cross-functional business teams and Data Engineers to fully understand the meaning, business rules and structure of required data and ensure alignment and consistency of data to support the end-to-end journey. Partner with the department Business Stakeholders to identify, plan and prioritize source system improvements that facilitate data analytics. Expand understanding/knowledge of business data sources and competitive environments. Scan the market to understand key trends impacting markets, customers, products, services and operational processes. Comply with Data Governance standards and guidelines for data definition, quality, accuracy, completeness, availability and security to encourage data integrity and conformance. Required Skills & Experience: 3+ years writing queries (T-SQL). 3+ years using business intelligence tools (Power BI, SSRS, SAS, Excel). 1+ years using scripting languages (Javascript, Python, R) preferred. BS from a 4-year accredited college/university in related field (Statistics, Mathematics, Business Intelligence, Finance etc.) or equivalent experience. Strong analytical aptitude with the ability to turn raw data into presentations containing insights and visualizations that are critical in making strategic business decisions. Strong business and technical knowledge with the ability to balance multiple priorities in a fast-paced work environment. Knowledge of property and casualty insurance industry data and the Guidewire product (ClaimCenter, PolicyCenter, BillingCenter, ContactCenter) suite. Strong verbal and written communication skills. Ability to read and understand data models. Compensation: This role may be filled at an Associate Insights Analyst, Insights Analyst, or Senior Insights Analyst level based on skills, experience and credentials. Associate Insights Analyst: $68,711 - $90,977 Insights Analyst: $79,129 - $120,315 Senior Insights Analyst: $98,936 - 150,540 Compensation: Salary is commensurate with experience and credentials. Pay Range: $0-$0 Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses. Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Liability Adjuster, where you'll play a crucial role in managing Complex commercial general liability claims with precision and expertise. Key Responsibilities: Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments. Review and analyze evidence, reports, and medical records to establish damages and reserves. Process payments efficiently, ensuring timely resolution of claims. Interview insureds, claimants, and witnesses to gather essential information and build strong cases. Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively. Qualifications Juris Doctor (JD) degree preferred or Bachelor's degree with prior experience adjusting liability claims and a proven track record in litigation. Licensing: Active TX All Lines License, or willingness to obtain one at company's expense. Exceptional written and verbal communication skills. Strong organizational and computer skills. Excellent time management skills with the ability to prioritize tasks effectively.

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance, AIGI has an opening within our Claims Division on MidCorp Entertainment team as a Senior Claims Examiner, Entertainment to manage a wide range of complex claims across film, television, live events, motorsports, and more. This role involves investigating, evaluating, and resolving claims related to property, equipment, contingency, and third-party damage, while ensuring compliance with internal guidelines. You'll collaborate with underwriters, brokers, and external adjusters, drive subrogation and salvage efforts, and support new business onboarding Responsibilities * Proactively investigate, evaluate, negotiate and resolve Entertainment claims including Real Property and Business Personal Property, Time Element, Contingency, Miscellaneous Equipment, Theater, Third Party Property Damage and Props Sets & Wardrobe. * Entertainment claims include Motion Picture Film and Television, Commercial productions, Touring, Motorsports, Live Events, Theater. * Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis * Develop and implement strategy related to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care * Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures * Maintain contact with any/all associated claims carrier(s)' claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary * Investigate claims and review the insureds' materials, pleadings, and other relevant documents * Identify and review each jurisdiction's applicable statutes, rules, and case law * Review litigation materials including depositions and expert's reports * Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues * Retain counsel when necessary and direct counsel in accordance with resolution strategy * Analyze coverage, liability and damages for purposes of assessing and recommending reserves * Prepare and present written/oral reports to senior management setting forth all issues influencing evaluations and recommending reserves * Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter * Negotiate resolution of claims * Select and utilize structure brokers * Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims Experience & Required Skills * 5-7+ years of work experience at an insurance company and/or insurance claims loss adjustment service provider managing property claims process supporting commercial accounts * Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Strong time management and organizational skills * Demonstrated ability to take part in active strategic discussions * Demonstrated ability to work well independently and in a team environment * Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word * Willing and able to travel 10% * Multi-lingual is a plus Education * Bachelor's degree required. * Proper & active adjuster licensing in all applicable states #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $97,100 - $131,130/year * Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. * Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. 14400 Arch Insurance Group Inc.

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! * Competitive compensation * Healthcare benefits package that begins on first day of employment * 401K retirement plan with company match * Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays * Up to 6 weeks of parental and bonding leave * Hybrid work schedule (3 days in the office, 2 days from home) * Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) * Tuition reimbursement after 6 months of employment * Numerous opportunities for continued training and career advancement * And much more! Responsibilities The Senior Liability Adjuster is responsible for conducting office investigations and adjusting commercial general liability claims that are largely litigated and exposures up to and over policy limits within our Major Case Unit. The Adjuster is also responsible for, but not limited to: * Handling large and catastrophic losses * Analyzing construction and other contracts * Analyzing policies of insurance * Addressing risk transfer strategies and priority of coverage * Proactive approach towards negotiating claims towards resolution * Investigating losses and identifying coverage issues * Analyzing coverage and identifying covered and uncovered claims * Assigning panel counsel to defend our insured(s) * Working with counsel to develop litigation plan to resolve underlying claim * Obtaining and reviewing evidence, reports, and medical records * Establishing indemnity and expense reserves * Processing payments * Taking statements from insured's, claimants, and witnesses Qualifications * At least 10 years of prior experience adjusting commercial general liability (CGL) and businessowners' policies (BOP) liability claims * Bachelor's degree required, Attorney license preferred * Able to understand coverage * Ability to analyze policies of insurance and relevant contracts to address priority of coverage and explore risk transfer strategies * Excellent written and verbal communication skills * Strong organizational and computer skills * Excellent time management skills with the ability to prioritize * Able to occasionally travel to hearings, mediations, trials, and conferences

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** As a Product Liability Litigation Adjuster, Risk Management, you will be responsible for managing lawsuits and overseeing outside counsel defending CVS in high exposure, product liability mass tort litigations and general liability cases filed throughout the United States. Responsibilities include: + Developing relationships with internal colleagues for fact-finding and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all aspects of product liability mass tort litigations and complex general liability cases. + Working with outside national counsel and sr. management to develop consistent litigation strategies applicable to mass tort cases filed across the country. + Providing reporting to key internal stake holders on case developments and litigation trends for product liability mass torts and other cases. + Managing large scale discovery investigations by working with internal custodians, outside counsel and vendors to develop comprehensive procedures for identifying, locating, preserving and producing corporate records. + Analyzing case and internal materials and utilizing resources across CVS to discern key issues and identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working with and overseeing outside counsel. + Participating in meetings and attending mediation and trial as necessary to oversee and assist in the defense or resolution of cases. **Required Qualifications** + 2+ years of legal experience, ideally with a law firm or as a litigation adjuster with a large self-insured company or insurance carrier. + Juris Doctor degree from an ABA accredited university. + Ability to travel and participate in legal proceedings, arbitrations, depositions, etc. **Preferred Qualifications** + Experience overseeing or defending product liability claims and litigation. + Familiarity or experience with insurance and coverage issues related to litigated claims. + Strong attention to detail and project management skills. + Experience overseeing and answering written discovery. + Ability to work independently and in an environment requiring teamwork and collaboration. + Strong written and verbal communication skills. + Demonstrated negotiation skills and ability. + Ability to articulate and summarize cases with management in a concise, cogent manner. + Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation experience and trial exposure. + 3-5 years of legal or claims experience. + Familiarity with the rules and procedures applicable to mass tort litigations, class actions, and/or multidistrict litigations. + Knowledge and experience navigating attorney-client privilege issues, corporate litigation holds, corporate witness depositions, and e-discovery. + Ability to influence and work collaboratively with senior leaders, CVS' in-house legal counsel and outside counsel. + Proficient in Microsoft applications (Word, Excel, PowerPoint, Outlook) with a proven ability to learn new software programs and systems. + Ability to positively and aggressively represent the company at mediation, arbitration and trial. + Ability to navigate difficult situations and communicate effectively with both internal and external groups. + Excellent organizational and time management skills and ability to handle a high volume of litigated claims. + Experience with and understanding of legal documents (pleadings, discovery, motions and briefs). **Education** + Verifiable Juris Doctor degree **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/03/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Senior Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members' life events, as appropriate. Field Property Adjusters focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses within your locally assigned territory. Field Adjusters may travel outside of their local territory to respond to claims in other regions when needed. This is an hourly, non-exempt position with paid overtime available. We have a positions available for an experienced Senior Field Property Adjusters with large loss specializing in Contents for the Philadelphia, PA area. This is a field-based role for Philadelphia, PA. Also, candidate has to live withing 1 hour from the international airport. Candidates currently living in this location or willing to self-relocate are encouraged to apply. What you'll do: Proactively manages assigned claims caseload comprised of claims with moderate complexity damages that require commensurate knowledge and understanding of claims coverage. Partners with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance. Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics. Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing investigation information involving moderate complexity policy terms and contingencies. Determines and negotiates moderate complexity claims settlement. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes. Maintains accurate, thorough, and current claim file documentation throughout the claims process. Applies proficient knowledge of estimating technology platforms and virtual inspection tools; Utilizes platforms and tools to prepare claims estimates to manage moderate complexity property insurance claims. Applies working knowledge of industry standards of inspection, damage mitigation and restoration techniques. Serves as an informal resource for team members. Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations. Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours. May be assigned CAT deployment travel with minimal notice during designated CATs. Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.. What you have: High School Diploma or General Equivalency Diploma. 2 years relevant property adjusting and/or claims adjusting experience handling moderately complex claims or construction related industry/insurance experience. Developing knowledge of residential construction. Working knowledge of estimating losses using Xactimate or similar tools and platforms. Demonstrated negotiation, investigation, communication, and conflict resolution skills. Working knowledge of property claims contracts and interpretation of case law and state laws and regulations. Proficient in prioritizing and multi-tasking, including navigating through multiple business applications. May need to travel up to 50% of the year (local & non-local) and/or work catastrophe duty when needed. Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts. What sets you apart: Prior experience adjusting property claims using virtual technologies such as ClaimsXperience. Prior advanced knowledge of Xactcontents. Prior experience handling Contents only in higher severity/complex Large Loss claims Bachelor's degree Industry designations such as CPCU, AIC, SCLA Currently reside within or have the ability to self-relocate within 1 hour driving distance from Philadelphia, PA International Airport Currently hold an active Adjuster License US military experience through military service or a military spouse/domestic partner Physical Demand Requirements: May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces. May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver's license. May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car. May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics. Compensation range: The salary range for this position is: $63,590.00 - $121,530.00 USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Investigates, evaluates, reserves and resolves Automobile, General Liability and Property claims for self-insured clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, company and regulatory guidelines. Responsibilities: * Promptly investigates all assigned claims for coverage, liability, damages, subrogation and contribution. Ensures timely disposition of all claims in accordance with client, regulatory and statutory requirements. * Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claims management and clients when exposure exceeds authority. Negotiates claims resolution within granted authority. * Establishes and executes appropriate action plans for claim resolution including loss cost management while achieving appropriate balance between allocated expense and loss outcome. * Works collaboratively with the client and internal and external business partners in investigating and reaching appropriate disposition of all claims. * Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome. * Maintains a working knowledge of regulatory and jurisdictional requirements for assigned claims territory. * Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines. * Communicates effectively with internal and external customers on claims and account issues. Provides a high degree of customer service. * Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims. * Potential local travel. * Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. #LI-Remote * Bachelor's' degree and a minimum of 5 years of progressively responsible experience handling Automobile, General Liability, and Property claims required. * Familiarity with coverage, negligence principles, investigation and negotiation techniques. * Ability to obtain and maintain state adjusting licenses, as needed. Ensures that all state-required Continuing Education Credits are obtained as needed to maintain license. * Strong organizational skills and detail oriented. * Ability to work independently, handle multiple tasks simultaneously and exercise good judgment. * Working knowledge of Auto, Liability and Property claims handling practices. * Excellent verbal and written communication skills. * Excellent customer service skills. * Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.

AbSolve Absence Solutions, an Alera Group Company is seeking an Integrated Claims Specialist - Leave of Absence/Disability to join our Mount Laurel, NJ team. Alera Group was founded in 2017 and has grown to become the 14th largest broker of US business. We are passionate about our clients' success in the areas of Employee Benefits, Property and Casualty Insurance, Retirement Plan Services, and Wealth Services. With a network of offices nationwide, our commitment to collaboration allows us to offer national resources combined with local service. Absolve is a leading provider of absence and disability solutions for large employers. Our proprietary disability and claims management process provides employees with expert support during their leave. Rest assured that each employee's case will be managed consistently, in compliance with federal and state leave law. Our focus is creating healthier, more productive workforces by reducing the amount of time employees miss work due to unscheduled absences. When leaves are unavoidable, our team takes care of them from beginning to end. It is our commitment to make employees out on leave feel supported and ensure that they get their benefits as quickly and easily as possible. RESPONSIBILITIES In a telephonic customer service environment, the Integrated Claims Specialist - Leave of Absence/Disability works as part of the claims team ensuring accurate and timely processing and payment of all FMLA, New York Paid Family Leave, as well as New York and New Jersey Short-term Disability claims while providing an exceptional customer experience from start to finish. Integrated Claims Specialist - Leave of Absence/Disability are the "first response" for employees in need and must demonstrate a caring, responsive, and problem-solving attitude at all times while assigned to our Customer Service telephone queue. They are responsible for understanding and correctly communicating Federal and State leave laws and disability policy benefits to Human Resource partners and claimants. * Serve as the first point of contact for employees initiating disability and leave claims; gather, verify, and accurately enter all required information into the claims system while ensuring eligibility and compliance with applicable laws * Approve and process claims within authorized limits, calculate benefits, communicate decisions, and maintain thorough documentation while adhering to regulatory and internal timeframes * Provide empathetic, confidential assistance to employees; ensure HIPAA compliance, de-escalate concerns professionally, and coordinate with management and senior staff to ensure accuracy and quality of service QUALIFICATIONS * Claims experience (i.e. FMLA, LOA, or Disability) * College degree from an accredited college and/or a minimum of three years general business or customer service experience is preferred in an insurance setting. This prior experience should demonstrate solid organization, communication, negotiation, and decision-making skills * Requires excellent investigative, analytical, and multi-tasking abilities in a fast-paced environment * Ability to maintain scheduled deadlines and work well with others as part of a cohesive team of caring individuals * Must exhibit strong skills in technology to include keyboarding and familiarity with word processing software, electronic communications, and Internet research capabilities * Excellent written and verbal communication skills * Must possess high levels of fiduciary responsibility, self-accountability, attention to detail, and professionalism both over the telephone and in all written communications ADDITIONAL INFORMATION This job requires presence in the office full-time for training and then on a hybrid schedule as agreed with the manager. Alera Group offers comprehensive benefits to our colleagues, including medical, dental, life and disability insurance, 401k, generous paid time off and much more. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected class. Alera Group is committed to protecting your privacy. Please review our Privacy Policy to understand what personal information we may collect and use as part of your application process. #LI-KC1 #LI-Hybrid Location Type Hybrid

Insight Global is looking for a Senior Indemnity Adjuster to join our client's team. Responsibilities will include managing complex workers' compensation claims, ensuring fair and efficient resolution while maintaining compliance with state regulations. The ideal candidate will have extensive experience handling indemnity claims, negotiating settlements, and collaborating with medical and legal professionals. This candidate will handle a desk with at least 50-70% litigation and would only have a small amount of med only files. Claims total would be around 135. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements Indemnity Claims Experience; specifically litigation claims Minimum 3 years of Complex Claims Experience Experience with NJ, PA and DE Claims

Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner's property. This is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support. The Field Property Claims Adjuster will be traveling locally to insured homes within the Marlton, NJ (08053) and surrounding areas. To be successful within the role, candidates should live within or near this area. Sign-On Bonus Available! We're offering a sign-on bonus for experienced and actively licensed new hires. What you'll do Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include accessing roofs by ladder, inspecting attics, crawl spaces and basements in search of damage. Handle moderate to complex claims independently while managing your workload, from first notice of loss to final closure. Be expected to work in a vehicle in the field daily while occasionally handling assignments from the desk. Explain coverage of loss, assist policyholders with itemization of damages, emergency repairs and additional living arrangements. Work with and coordinate a few vendor services such as contractors, emergency repair, cleaning services and various replacement services. May be called upon for catastrophe duty. Position details Territory-based work: Most workdays will be spent in the field within your assigned local territory, giving you the opportunity to work directly with customers and gain hands-on experience. Training & support: To set you up for success, you'll participate in a comprehensive 5-month training program, which includes: Primarily virtual and on-the-job learning. Two short in-person training sessions (Weeks 4 and 7) at our Lewisville, TX office. Limited overnight travel for training and team meetings (typically less than 10%). Mileage Reimbursement: This role offers mileage reimbursement. You may qualify for a company-provided vehicle once mileage requirements are met. Additional details will be provided if you advance in the selection process. Qualifications Working knowledge of claims handling procedures and operations. Proven ability to provide exceptional customer service. Effective negotiation skills. Ability to effectively and independently manage workload while exhibiting good judgment. Strong written/oral communication and interpersonal skills. Computer skills with the ability to work with multi-faceted systems. The capabilities, skills and knowledge required through a bachelor's degree or equivalent experience and at least 1 year of directly related experience. Ability to obtain proper licensing as required. The ability to handle multiple competing priorities and organize your day. Strong time management and organizational skills. Demonstrated understanding of building construction principles. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.

Job Description RG/2 is seeking a Claims Analyst who will be responsible for handling data entry of claimant information, claim review, report processing and reconciliation, updating and maintaining the firm's database and document management systems, electronic and telephonic communication with claimants, claim payment distribution activities, and assisting in the preparation of periodic reports to courts and counsel. Successful candidate should be highly detail-oriented and have a demonstrated ability to work independently in a fast paced and high-volume environment. Strong sense of responsibility and cooperative attitude are critical attributes, as well as excellent interpersonal and communication (oral and written) skills. Candidate will perform a variety of assignments and must be motivated and willing to learn and apply new concepts. We believe balanced judgment, common sense, initiative and the capacity to confront a variety of situations are essential traits of a successful employee. Requirements Post-secondary education or 3 years of direct experience working in a claims administration firm or legal support services. Proficient with MS Office Strong analytical skills Benefits RG/2 is passionate about creating an inclusive workplace that promotes and values diversity. More importantly, creating an environment where everyone, from any background, can do their best work. Our competitive salary commensurate with experience. Performance based bonus and a wide range of employee benefits and support programs that include: Business Casual Dress Code 401(k)/Employee's Pension Plan Employee Assistance Program Employee Resource Groups Global Fit / Walk My Mind Flexible Spending & Commuter Benefits Life/AD&D Insurance Long-term Disability Insurance Short-term Disability Insurance Generous PTO Medical / Dental / Vision Insurance Back-Up Advantage Program Telemed (MeMd) Pet Insurance We encourage you to apply if you are interested in contributing to the success of RG/2 while developing your career in a challenging and professional environment. When applying include a cover letter when uploading your resume. RG/2 is an Equal Opportunity Employer.

**The Best Teams are Created and Maintained Here.** At BrightView, the best teams are created and maintained here. If you are searching for your next fulfilling career, picture yourself on a best-in-class team where you can grow to be your brightest. We're looking for a Senior Claims Specialist. Can you picture yourself here? **Hybrid Schedule:** 4 Days Onsite in Blue Bell, PA No Agency Resumes At This Time **Here's what you'd do:** The Senior Claims Specialist is a key member of the risk management team and plays a strategic role in overseeing the resolution of Auto and General Liability claims. Rather than handling claims directly, this position provides oversight of Third-Party Administrators (TPAs), ensuring adherence to best practices, timely resolution, and optimal financial outcomes. This individual will act as a subject matter expert in claims management, guiding internal stakeholders, monitoring vendor performance, and supporting risk mitigation initiatives across the organization. **You'd be responsible for** + Oversee the end-to-end claims process for Auto and General Liability claims managed by Third-Party Administrators (TPAs), ensuring alignment with corporate risk and compliance objectives. + Evaluate and guide TPA performance, including claim investigation, reserving practices, subrogation efforts, litigation strategy, and settlement recommendations. + Provide expert-level oversight on complex and high-exposure claims, ensuring coverage positions and liability assessments are accurate and defensible. + Maintain ongoing communication with TPAs to ensure timely reporting, status updates, and escalation of issues requiring internal input or executive attention. + Support reporting and coordination with excess insurers on significant or catastrophic claims. + Analyze claim trends and loss drivers using data from internal and external sources; identify opportunities to improve outcomes and reduce claim frequency/severity. + Ensure timely and accurate reporting of claims and developments to internal stakeholders and insurance partners. + Collaborate in the development, implementation, and refinement of internal procedures, playbooks, and best practices for claims oversight. + Stay current with legal and regulatory developments impacting claims handling, insurance coverage, and contractual risk transfer. + Coordinate with field operations to ensure timely incident reporting and appropriate documentation for claim investigations. + Build and maintain strong relationships with internal departments, TPAs, legal counsel, brokers, and other external partners. + Review and approve TPA reserve recommendations to ensure reserve adequacy aligns with exposure and industry standards. + Oversee and evaluate the performance and cost-effectiveness of external vendors, including attorneys, medical consultants, and surveillance firms. **You might be a good fit if you have:** + Bachelor's degree preferred; equivalent industry experience considered. + Minimum 5-7 years of experience in claims management with a strong emphasis on oversight of TPAs, litigation management, or complex liability claims. + Deep understanding of Auto and General Liability claims processes, coverage, and settlement strategies. + Excellent verbal and written communication skills with the ability to influence and educate diverse audiences. + Prior experience in a senior-level role (e.g., claims supervisor, senior adjuster, or risk management professional) with responsibility for guiding or auditing TPA performance. + Proven ability to build and maintain productive relationships with TPAs, legal counsel, brokers, and internal business units. + Familiarity with commercial operations, preferably in construction, landscaping, or related fields, is a plus. **Here's what to know about working here:** Here at BrightView, we're as passionate about caring for our clients as we are about caring for each other. Though we're the nation's leading landscape company, we maintain a small company feel and supportive environment that makes our team members feel at home. If you're looking to join a team of talented go-getters who tackle big vision projects other companies could only dream of, you just might have found your match. With our range of services, including landscape design, development, maintenance and enhancements, there's no limit to what we can do, and what you can achieve. **Growing Everyday** Like the communities we serve, you are on a constant path of discovery to shape your career and personal development. In addition to best-in-class opportunities and competitive salary, you may be eligible for benefits and perks like: + Paid time off + Health and wellness coverage + 401k savings plan **Start Your Bright New Career Journey** _BrightView is an Equal Employment Opportunity and E-Verify Employer._ **_BrightView offers a suite or health, wellness, and financial benefits to full-time team members. Benefits offerings for full-time team members include medical, dental, and vision insurance, ancillary and voluntary products, a 401k savings plan with employer contributions, and 6 to 9 company paid holidays per year. Employees may also be eligible to receive paid time off for vacation and/or sick leave, tuition reimbursement, and/or potential variable pay opportunities based on position and performance. A detailed benefits package will be provided during the interview process_** _._ _It's Not Just a Team. It's One BrightView._

Job DescriptionRisk Intermediary located in New Jersey seeks a VP of Claims for a Municipal Insurance fund. Claims handled are Workers Comp, Property and Liability and Professional Liability. Fund has 28 members submitting New Jersey based Public Entity based claims. This position will lead operational and administrative claims functions including reserving. Will also manage TPA relationships and direct TPA's Workers Comp activities. Will also manage staff Liability Litigation Managers and lead claims reporting. Require JD with 20 years experience in an Insurance Claims Department, TPA or Risk Management Department. Knowledge of New Jersey Civil Tort and Workers Comp claims systems. Advanced skills in Coverage Analysis, Litigation Management and Negotiation. Auto Liability, General Liability and Employer Liability claims. Knowledge needed in MS Office Products (Word, Excel and Powerpoint). Will work remote but must be within driving distance of office. Will manage 9-12 people. Minimal travel. Salary $150-200k no bonus opportunity.