Claims Representative Jobs in Clark, NJ

Exciting Opportunity: No-Fault Claims Adjuster at a Growing Law Firm! Are you ready to take your No-Fault Claims experience to the next level? Do you thrive in a fast-paced, dynamic environment where your expertise truly matters? We're a growing, full-service law firm with over 110 attorneys, and we're looking for a dedicated No-Fault Claims Adjuster to join our vibrant team! Why This Role? Do you have 3-5 years of No-Fault Claims experience in New York? We want to hear from you! Are you ready to work with top-tier professionals in a collaborative and supportive team environment? Do you have a passion for working with insurance companies and processing claims efficiently? Want to grow your career with a firm that values both expertise and work-life balance? What You'll Do: Manage No-Fault claims, from medical records to vendor bills and claim checks, ensuring accuracy and timeliness. Work directly with insurance companies, leveraging your knowledge of New York's No-Fault claims process and Regulation 68. Utilize your skills in medical terminology and legal concepts to handle complex claims effectively. Stay organized and meet deadlines, while adapting to the firm's evolving needs. What You'll Bring: Strong knowledge of medical and legal terminology. Ability to work independently and collaboratively under pressure. Proficiency with the ADR provider's online dispute resolution platform is a plus! Adjuster License? Even better! Perks: Competitive salary range: $70,000 - $80,000. Full benefits package: Medical, Dental, 401K, PTO & Life Insurance. Location: On-site in Brooklyn, NY. Ready to make an impact with a team that values your skills and expertise? Apply now and help us continue delivering exceptional results to our clients!

Property & Casualty Insurance Industry NYC Examine, adjust and defend, general liability claims and lawsuits filed against insureds towards an amicable resolution, where possible. This includes reviewing the terms, conditions and exclusions of the insurance policy to determine whether or not the claim presented is covered, conducting an investigation of the facts and circumstances of the claim presented, securing necessary medical and other documentation of alleged damages and negotiating settlements with claimants and attorneys. Review coverage under the policy of insurance that the claim or lawsuit was submitted under to determine whether or not coverage for the claim or lawsuit is in order. Conduct an initial investigation of the facts and circumstances of the claim presented by contacting both the insured and claimant (or attorney, if claimant is represented) to get more specifics. This includes securing copies of any applicable contracts, leases, and certificates of insurance from any 3rd party tortfeasors for potential risk transfer. Secure copies of medical records and other documentation of damages alleged from claimants or their attorney to assist in the evaluation of the claim presented. Review the claimants documented damages to ensure that a proper reserve has been placed on the file. Bachelor's degree required. Minimum of 2 years of experience handling premises liability claims is required. Experience handling liability claims in the state of New York is required. In-depth knowledge of tort/insurance law in the jurisdiction. Knowledge of how to properly investigate and prepare claims and lawsuits for trial required. One or more of the following Professional Designations - AIC, CPCU, SCLA is preferred. Well versed with Commercial General Liability (CGL) coverage forms. Knowledge of Microsoft Office 365 required. Experience with ImageRight and WINS a plus. Visit *********************** for more info!

Claim Specialist Job Description FLSA Status: Non-Exempt Reports to: ADR Case Manager Summary: We are seeking a Claim Specialist with 1-2 years of experience. Comfortability with technology and platforms required. Job Responsibilities Format documents and communications for clients; Liaise between third party vendor and Labaton Keller Sucharow; Review documents (release/document verification) for production to defense counsel for quality control; Calendaring and entry of case info into database; Perform intake and initial filtering of client inquiries; Preparation of submissions involving large volumes of individual claims; Run and analyze client data reports; Organize documents and communications with clients; Ensure that case documents accurately reflect a client's individual information; Keep track of communications or developments relating to client cases and deadlines that may be applicable to individual clients; Prepare and send client communications; Communicate with clients telephonically, on occasion; Work with attorneys to plan data gathering, and settlement update workflows; Analyze and summarize client inquiries to identify trends and patterns requiring further action; and Assist with the development of processes and technological systems for addressing large volumes of client interactions. Skills/Requirements Proficient in the use of Microsoft Word and Excel; Familiarity with Filesite preferred; Familiarity with client management systems or databases preferred; Strong technical skills and ability to quickly learn new litigation support software; Strong written and oral communication skills and strong interpersonal skills; Must possess great attention to detail; Must possess analytical and critical thinking skills; Strong organizational and time-management skills; Ability to work independently while understanding the importance of teamwork; Ability to manage workload consisting of multiple tasks; and The work shift for this position is 9:30 am-5:30 pm, five days a week, but applicant must be willing and available to work overtime, both evening and weekends, when necessary. We are looking to hire in the $50-55,000/year range. SEARCH FIRM/HEADHUNTERS: Please do not reach out to our partners regarding this search at this time. All correspondence should go to ******************* Thank you.

Job Description SENIOR CLAIMS ANAYLYST (PM/CA)- New York, NY Keville Enterprises, Inc., an established Construction Management and Inspection firm, is seeking qualified candidates to serve as a full-time Senior Claims Analyst on several public agency projects in the New York City area. A conscientious individual, with a positive attitude, and great organizational skills is required. Candidates must have a B.S. degree in either Construction Management or Civil Engineering. All candidates must also have no less than 12 years of working on construction projects (infrastructure preferred but not required) - and no less than 7 years of experience with change orders and construction claims. Candidates must be able to work both remotely and on certain project job sites, in the New York City area, on typical weeks throughout the full year. RESPONSIBILITIES: The Senior Claims Analyst will be serving, as part of a Keville group, as an owner/agency representative on their capital construction program. The Senior Claims Analyst will be responsible for: reviewing, analyzing, reporting, and presenting construction claims (submitted by contractors to the owner). This primary function will include reviewing contractor claims/changes for completeness/compliance; providing independent assessments for costs, developing detailed cost estimates (comparative), and reviewing merit based on the contract language. Additional responsibilities may include recommending negotiation strategy; supporting the management and oversight of the construction contractor; helping to manage the impacts of changes in the construction budget; reviewing the contractor's schedule updates for accuracy; processing the contractor's requests for payment; reviewing reports for cost, schedule, budget, inspection, submittal status, change order status, and other reports; developing various project related reports; utilizing the owner/agency's project status software; helping to process change orders; coordinating with other field/office staff; and other duties as assigned. QUALIFICATIONS: Candidates must have a bachelor's degree in construction management, civil engineering or a related degree. All candidates must also have no less than 12 years working on construction projects, no less than 7 years of experience with change orders and construction claims, and no less than 5 years of construction field experience, preferably on infrastructure construction. Candidates must have excellent communication skills, demonstrated writing ability, demonstrated ability to get along with all personality types, and strong computer skills. Experience in construction/program management systems --- such as Sage, HCSS, e-Builder, Sharepoint, Procore, Bluebeam, On Screen Take-off, Excel and Power Point. OTHER: OSHA 10 certification is a condition of employment. This position is exempt under the FLSA. This employer participates in e-verify. More Information: **************************** WORK ENVIRONMENT: Candidates must be able to work both remotely and on certain project job sites, in the New York City area, on typical weeks throughout the full year. COMPANY OVERVIEW: Keville Enterprises, Inc. has been serving the Construction Management Industry since 1991. A WBE/DBE Certified Construction management and inspection firm, Keville specializes in providing a full spectrum of construction management and support services as an owner's representative on public and private projects. Today Keville is one of the largest and most successful woman-owned CM firms in the nation committed to 100% client satisfaction and continuous development and improvement of our employees, products, and services. Keville Enterprises, Inc. is an Affirmative Action/Equal Opportunity Employer Background checks required. Pre-employment (post-offer) Job Posted by ApplicantPro

JCW is currently working on behalf of a real estate and property management company that's looking to add a Property Claims Manager. As a Claims Manager, you'll be working closely with the Head of Insurance and serving as the main point of contact across the property business verticals. Responsibility: Providing directive assisting in filling third party tenant and vendor liable claims Managing the day to day operations of the claims production Coordinating the administration of claims through TPAs, adjusters, brokers, etc. Qualifications: 5+ years of experience of property claims adjusting experience Previous experience in a high claims volume environment Salary : Up to $135,000 base + bonus *POSITION IS 4 DAYS IN OFFICE, 1 DAY REMOTE* Please message Clara Masson at ****************************** with a copy of your resume if you are interested in further details.

Claims Manager - NYLL Responsibilities Manage and review all NYLL, Construction Claims Oversee all claims in the Construction program Direct their TPA to make sure best practices are used Work hand in hand with the Head of Claims Oversight for various Adjuster & Examiners Work closely with Defense Panels Direct TPA activity Oversee all Claim tasks Minimal Travel Qualifications/ Skills Required 7+ years in Construction, NYLL Claims JD NYLL Expertise NYLL 240 Ability to oversee Adjusters and work independently Proficient in Microsoft Office Suite Benefits/Compensation Competitive Benefit Package - Medical, Dental, Vision, and Life Insurance 401K with Employer Matching

Country-Wide Insurance Company is seeking new employees for its upcoming claims training class. Our training program offers a rare opportunity for individuals to receive intensive, hands-on training from expert professionals that can be directly transferred to the field. We are looking for the next generation of exceptional leaders. Essential Functions and Responsibilities: - Review, evaluate and process No-Fault Insurance claims - including confirming coverage. - Responsible for processing No-Fault claims in compliance with Regulation 68. - Ensure investigation of claim and organize claim file during investigation. - Interact/response to inquiries made by medical providers, attorneys and claimants. Job Requirements: 1) Must be highly motivated and eager to learn. 2) Must possess excellent organizational and communication skills. 3) Must be able to work independently and as a member of a team. 4) Possess the ability to analyze complex no-fault files. Excellent benefits (Health insurance, 401K plan!!).

About Everest: Everest Group, Ltd. (Everest), is a leading global reinsurance and insurance provider, operating for nearly 50 years through subsidiaries in North America, Latin America, the UK & Ireland, Continental Europe and Asia Pacific regions. Throughout our history, Everest has maintained its discipline and focuses on creating long-term value through underwriting excellence and strong risk and capital management. Our strengths include extensive product and distribution capabilities, a strong balance sheet, and an innovative culture. Our most critical asset is our people. We offer dynamic training & professional development to our employees. We also offer generous tuition/continuing education reimbursement programs, mentoring opportunities, flexible work arrangements, and Colleague Resource Groups. About the Role: The Auto and GL TPA Oversight - Casualty Claims team has an opportunity for an experienced claims professional to join as a Claims Representative. This is a hybrid role (3 days in office/2 days remote). This individual will handle TPA Oversight for general liability and commercial auto claims. Role & Responsibilities (include but not limited to): * Ensure compliance with Everest TPA Claim Handling Protocols. * Perform focused claim reviews. * Actively manage and resolve claims where appropriate. * Participate in settlement conferences and mediation as needed. * Participate in meetings with policyholders and brokers as needed. * Analyze claims metrics including reserve accuracy, productivity, prompt communication; and expense management. * Develop and execute on action plans to address deficiencies. * Conduct regular meetings with TPA adjusters and managers to discuss trends and claim handling strategy. * Develop and maintain relationships with underwriting groups and brokers/agents. * Work with business partners to address customer service issues. Qualifications: * B.A. or B.S. or equivalent work experience. Knowledge, Skills & Competencies: * 2+ years of commercial claims handling experience. * Experience with litigation management and bodily injury claims is required. * Prior commercial TPA oversight experience is strongly preferred. * Strong analytical and organizational skills. * Excellent verbal and written communication skills. * Strong negotiation and investigation skills. * Ability to think strategically. * Ability to influence others and resolve complex, disputed claims. * In-depth knowledge of the litigation, arbitration, and trial process. * Currently holds or readily can obtain all required adjuster licenses. * Ability to identify and use relevant data and metrics to best manage claims. * Collaborative mind-set and willingness to work with people outside immediate reporting hierarchy to improve processes and generate optimal departmental efficiency. * Ability and willingness to present to senior management and to others in other group settings. * Knowledge of the insurance industry, claims process and legal and regulatory environment. Our Culture At Everest, our purpose is to provide the world with protection. We help clients and businesses thrive, fuel global economies, and create sustainable value for our colleagues, shareholders and the communities that we serve. We also pride ourselves on having a unique and inclusive culture which is driven by a unified set of values and behaviors. Click here to learn more about our culture. * Our Values are the guiding principles that inform our decisions, actions and behaviors. They are an expression of our culture and an integral part of how we work: Talent. Thoughtful assumption of risk. Execution. Efficiency. Humility. Leadership. Collaboration. Diversity, Equity and Inclusion. * Our Colleague Behaviors define how we operate and interact with each other no matter our location, level or function: Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together. All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues, and the global communities we serve. Type: Regular Time Type: Full time Primary Location: Warren, NJ Additional Locations: Boston, MA, Chicago, IL - South Riverside, Hartford, CT, New York, NY, Philadelphia, PA Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. As part of this commitment, Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Everest Benefits at *********************************. Everest U.S. Privacy Notice | Everest (everestglobal.com)

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $48,700.00 - $80,400.00 Target Openings 1 What Is the Opportunity? This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. What Will You Do? * Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel. * The on the job training includes practice and execution of the following core assignments: * Handles 1st party property claims of moderate severity and complexity as assigned. * Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates. * Broad scale use of innovative technologies. * Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate. * Establishes timely and accurate claim and expense reserves. * Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. * Negotiates and conveys claim settlements within authority limits. * Writes denial letters, Reservation of Rights and other complex correspondence. * Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. * Meets all quality standards and expectations in accordance with the Knowledge Guides. * Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. * Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with state regulations, where applicable. * Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. * Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. * Identifies and refers claims with Major Case Unit exposure to the manager. * Performs administrative functions such as expense accounts, time off reporting, etc. as required. * Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. * May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. * Must secure and maintain company credit card required. * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. * In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards. * This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience preferred. * Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic * Verbal and written communication skills -Intermediate * Attention to detail ensuring accuracy - Basic * Ability to work in a high volume, fast paced environment managing multiple priorities - Basic * Analytical Thinking - Basic * Judgment/ Decision Making - Basic * Valid passport preferred. What is a Must Have? * High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required. * Valid driver's license - required. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************

Job Description PIP Claims Representative The PIP Claims Representative will handle the investigation, evaluation and disposition by settlement, payment, or denial of complex Personal Injury Protection claims. Ensure that claims are processed within company policies, procedures, regulatory requirements, and the individual's prescribed authority with high standards of performance. Settlement Authority Level: $0 - $15k (employee threshold individually determined); No First EOB Authority As an Auto Claims Representative, you will ensure CURE’s customers receive a high level of customer service and professionalism. The program includes a combination of activities aimed at giving the representative a full understanding of the claims department and how the department interacts with other areas of the organization. What You Will Work On Receive assigned claims, verify coverage, confirm eligibility and determine course of action. Complete detailed, thorough claim investigation through telephone and/or written correspondence with subscribers, attorneys, witnesses and any others with information relevant to the claim. Analyze information obtained through investigation in order to evaluate the claim, determine PIP eligibility and determine the extent of the injuries and claim exposure. Establish and maintain the proper reserves for the exposure. Assign medical case managers or other experts to a case when appropriate and arrange for independent medical examinations when necessary to determine medical necessity and causal relationship of treatment. Handle incoming calls and correspondence from subscribers, claimants, attorneys and providers regarding questions or problems associated with a claim. Document claim files and maintain a diary system for reporting and claim follow-up. Handle claims in accordance with CURE's Decision Point Review Plan. Work closely with the Special Investigation Unit, Underwriting Department, attorneys, and other members of the Claim Department to ensure that CURE achieves optimum results on all files. Manages allocated loss adjustment expense. Employs outside vendors when activities cannot be completed by a staff member and directs the activities of vendors to ensure only necessary work is completed Comply with all conditions outlined in the Unfair Claim Practices Acts. Reserve authority ranges from $5,000-$10,000. Who We Are Looking For Education: Bachelor's degree or commensurate experience in the insurance industry. Years/Type of Experience: A minimum of 2 years PIP claim handling experience or commensurate medical experience. Litigation experience is a plus. Licenses/Designations: Property and Casualty license a plus. Specific Skills: Must have the ability to analyze coverages, liability and damages. Knowledge: Strong technical knowledge of the statutes and regulations governing personal injury protection claims. Working practical knowledge of litigation from assignment to discovery and trial. Other Required or Preferred Qualifications: Detail oriented with strong written and verbal communication skills. Must be able to work independently as well as possess strong interpersonal skills necessary to contribute as a team player. Schedule: Full-Time; Monday – Friday, 8:30 am-5 pm. Location: This is a hybrid position based out of our offices in either Princeton, NJ, or Detroit, MI. You will be expected to come on-site several times per week.

Job Description The Desk Adjuster will investigate, evaluate, reserve, negotiate and resolve assigned claims in accordance with client guidelines. The adjuster will provide timely, accurate, fair, and professional service to all clients and insured parties while maintaining a high level of production. Must have property claim handling experience. Key Responsibilities: Conducts thorough investigations, as outlined in the claim handling guidelines and best practices Denies, settles, or authorizes payments to property claims based on coverage, field reports, and verifiable damage Interviews, telephones, or corresponds with insureds, claimants, vendors, carriers, witnesses, public adjusters, attorneys, etc. to gather important information to support the claims; including proofs of loss Sets proper reserves Takes recorded statements as needed Reviews and evaluates property claims for coverage and further claim handling procedures to conclude within required statutory time frame Interpret policy language and evaluate coverage issues of multiple different policies and endorsements Addresses diaries, emails and voicemails Prepares technical claim documents and correspondence Prepares report of findings of an investigation Contributes to department efforts with an emphasis on team collaboration Other Duties as assigned Qualifications: 2-5 years of homeowner claims experience Guidewire experience strongly preferred Must hold a valid claims adjusting license Proficient in working all loss perils Carrier experience strongly preferred Proficient in Xactimate and Xactanalysis Proficient in reconciling supplements Experience in negotiating settlements Strong writing skills related to policy interpretation is a must Decision making skills and the ability to work independently Familiar with a variety of field concepts, practices and procedures Good organization and time management skills Analytical and proactive claim handling skills Excellent customer service skills Proficient oral and written communication is a must Proficient computer & typing skills - working knowledge of MS Office: Word, Excel and Outlook Ability to speak Spanish a plus

Job DescriptionThird Party Administrator is looking for an experienced general liability adjuster. Will handle approximately 150 pending claims at all levels of complexity. At least 5 years experience in claims handling. are remote.

Berkshire Hathaway GUARD Insurance Companies provide Property & Casualty insurance products and services through a nationwide network of independent agents/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 the 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 and profit sharing * Generous paid vacation and sick time * Hybrid work schedule (three days in the office, two days from home) * Work/life balance schedule - no nights or weekends/closed for all major holidays * Longevity awards (every 5 years of employment receive a generous monetary award to be used toward a vacation) * Tuition reimbursement after six months of employment * Numerous opportunities for continued training and career advancement * And much more! Responsibilities We are currently seeking an experienced Construction Defect Adjuster to directly handle Construction related claims. Responsibilities include the adjustment of Construction Defect commercial liability claims under the occurrence based Businessowners' policies according to company protocols, quality and customer service standards. Responsibilities include the following: * Evaluating coverage issues and risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed. * Recognizing exposures and ensuring reserving is appropriate and timely * Evaluating coverage issues and risk transfer opportunities * Ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, proper negotiation strategy is employed * Effectively communicate exposures both internally and externally * Overall responsibility for formulating proper resolution strategy to ensure best total outcome * Periodic travel to attend meditations, trials and / or other related meetings * Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes * Provides guidance and assistance to less experienced claims staff and other functional areas * Manages all types of investigative activity or litigation on major claims, including the posting of appropriate reserves in a timely manner Qualifications The successful candidate will possess the following: * Minimum of 10+ years' experience in the handling or litigating of Construction Defect commercial liability claims * Must show advanced knowledge of coverage and be able to articulate covered and non-covered claims * Have the ability to write and articulate clear, concise and accurate coverage positions * Advanced level knowledge and skill in claim and litigation * Bachelor's degree required, JD preferred Salary Range $80,000.00-$140,000.00 USD The successful candidate is expected to work in one of our offices 3-4 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training.

CareersJob search Collision Center Adjuster Collision Center Adjuster Location:New York, USTasksThe Mercedes-Benz Collision Center Shop Adjustor is responsible for writing informed and comprehensive Collision Center damage estimates, establishing and maintain relationships with insurance companies, negotiating with insurance adjustors, and completing accurate and timely billing and other shop income related activates. The Mercedes-Benz Collision Center Shop Adjustor must provide a consistently outstanding brand and customer experience through consistently outstanding preparation, attitude, and teamwork. Responsibilities * Greet all customers & adjustors promptly and give a fair estimate on the cost and time for a collision repair. * Update insurance companies, adjustors, and customers (both internal and external). * Review insurance claims - update/upload to corresponding insurance companies. * Write supplements and review with insurance companies to get additional hours & parts to property complete repairs in an expedited manner. * Greet tow operators dropping off Collision Center vehicles and take custody of vehicle by securing keys and owner information. * Take photos of all vehicles as necessary and upload into CCC or required insurance software. * Assist customers who drop off and pick up directly at the North Bergen location. * Secure payment from any customer picking up in North Bergen. QualificationsQualifications * High School Diploma (GED) or equivalent work experience. * Must have at least 3 years experience as a Collision Center Adjuster * Must have at least 3 years of experience using estimating software (CCC preferred). * ASE/I-CAR Certification preferred. * Must be able to work Saturdays. * Work Holidays when required. * Must be articulate, enthusiastic, and a self-motivated team player with outstanding communication skills (both written and verbal), a positive attitude, and an excellent work ethic. * Maintain professional appearance at all times. * Be able to withstand physical demands of the job. * Must have valid driver's license. Benefits Good public transport Parking **We need your consent to load the YouTube Video service!** We use a third party service to embed video content that may collect data about your activity. Please review the details and accept the service to watch this video. This content is not permitted to load due to trackers that are not disclosed to the visitor. The website owner needs to setup the site with their CMP to add this content to the list of technologies used. powered by

The Casualty Claim Representative will be responsible for the handling of First and Third Party Bodily Injury claims in a Personal Lines/Commercial environment for the Plymouth Rock Operation. Essential Functions and Responsibilities Initiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations. These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims. Analyze, review and interpret policies to assess coverage and liability. Provide advice to Excess and Primary coverage issues. Conduct field investigations, interviews with insureds, witnesses and claimants while maintaining a pending of represented and unrepresented claimant cases. Manage and direct outside vendors (Field/Counsel/Surveillance, etc.) to determine what investigation is necessary and give them direction to bring a claim to conclusion. Ensure only necessary work is completed. Investigate cases timely so that reserves are established and maintained at proper levels. Revise reserves timely based on developments in the course of the claim. Investigate the validity of bodily injury claims being presented by individual insureds/claimants or attorneys representing insureds/claimants. Be aware of certain “Red Flags” to identify potential fraudulent claims. Refer to SIU for investigation timely. Handle complex claims to include coverage issues, UM/UIM, TNC, Commercial, Umbrella etc. Also, must have prior litigation handling. Recognize and investigate subrogation potential. Negotiate both 1st and 3rd party claims directly with injured parties and/or their attorneys. Exercises proper judgment and decision making to analyze exposure, determine the proper course of action and make recommendations for final resolution. Attend litigation proceedings to either represent the company or participate in arbitrations/depositions/settlement conferences/ mediations/ trials. Attend all internal and external training events as required. Participate in proactive team activities to achieve departmental and company objectives. May be asked to participate in special projects, committees or assignments from management. Utilize all claims systems, Excel, Word and social media search engines. Prepare case summary for significant reserve increase and/or trial alerts. Participate in roundtable discussions. Effectively manage workload while maintaining diary and focus on claims quality. Possess knowledge of and adherence to State(s) laws and regulatory claim handling guidelines and statutory regulations. Adhere to departmental internal control requirements. Comply with Plymouth Rock's standards, best practices and ethical guidelines, adhere to Plymouth Rock's culture. Qualifications and Education A bachelor's degree (B.A.) from an accredited four year college or university. 5 - 10 years' experience handling liability commercial, homeowners, UM/UIM, Excess/Umbrella. In-depth knowledge of litigation, arbitration and trial process, handle out of state claims, and/or Personal Injury Protection claims. Currently holds and/or can readily obtain an out of State License(s) (i.e. - CT, Delaware, Florida, etc.). Professional designation such as IIA, AEI, Senior Claim Law Associate (SCLA) or Chartered Property Casualty Underwriting (CPCU) or be actively working towards a designation, preferred. High level of self-motivation. Have advanced skills in coverage, investigation, litigation/ legal issues, negotiations, evaluations, medical terminology, and subrogation. Strong communication, organizational, customer service and time management skills. Excellent problem solving skills. Possess knowledge of and adherence to State(s) laws and regulatory claim handling guidelines and statutory regulations. About the Company The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.

Claims Manager/Claims Oversight Property & Casualty Insurance Industry Addition to staff position has created this IMMEDIATE need for a NYC based specialty program insurance Senior Claims / TPA Oversight! Will manage and oversee TPA handling of complex national GL, involving special event / entertainment claims and coverage. Min 10+ years of complex coverage and litigation “Special Event” claims handling a huge plus to include strong coverage analysis, reservation of rights, settlement negotiations and direction of all legal activities. College degree, law degree helpful, primary and excess claims handling experience. Concentration in construction claims desired. Any real estate/ real estate developer type claims background a PLUS. Visit *********************** for more information.

* Completes required training program which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel. * The on the job training includes practice and execution of the following core assignments: * Participates in on-going training sessions for the inside auto business. * Works closely with Unit Manager or mentor to promptly resolve assigned claim. * Customer Contacts/Experience: * Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follows-through and meeting commitments to achieve optimal outcome on every file. * Coverage Analysis: * Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for Auto Damage only claims in assigned jurisdictions. Addresses proper application of any deductibles and verifies benefits available and coverage limits that will apply. * Investigation/Evaluation: * Investigates each claim to obtain relevant facts necessary to determine coverage, causation, extent of liability/establishment of negligence, damages, contribution potential and exposure with respect to the various coverages provided through prompt contact with appropriate parties (e.g.. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, etc.) Takes recorded statements as necessary. * Recognizes and requests appropriate inspection type based on the details of the loss and coordinate the appraisal process. Maintains oversight of the repair process and ensures appropriate expense handling. * Refers claims beyond authority as appropriate based on exposure and established guidelines. Recognizes and forwards appropriate files to subject matter experts (i.e., Subrogation, SIU, Property, Adverse Subrogation, etc.). * Reserving: * Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner. * Negotiation/Resolution: * Determines settlement amounts based upon appraisal estimate, negotiates and conveys claim settlements within authority limits to insureds and claimants. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to insureds and claimants. * May provide support to other parts of Auto Line of Business (e.g. Total Loss, Salvage, etc.) when needed. * Insurance License: * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. * Perform other duties as assigned. * Bachelor's Degree preferred or a minimum of 2 years of work OR customer service related experience preferred. * Demonstrated ownership attitude and customer centric response to all assigned tasks - basic * Ability to work in a high volume, fast paced environment managing multiple priorities - basic * Attention to detail ensuring accuracy - basic * Keyboard skills and Windows proficiency, including Excel and Word - Intermediate * Verbal and written communication skills -Intermediate * Analytical Thinking - Basic * Judgment/Decision Making - Basic * **Health Insurance**: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. ****Employment Practices**** Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit .

Job Description Auto Claims Representative - First Notice of Loss MI, NJ, or PA CURE’s Auto Claims Representative Program is designed to develop the fundamental skills required for a successful claim professional. As an Auto Claims Representative, you will ensure CURE’s customers receive a high level of customer service and professionalism. The program includes a combination of activities aimed at giving the representative a full understanding of the claims department and how the department interacts with other areas of the organization. Representatives will focus on developing the skills necessary for success by assisting other claims professionals with day-to-day job assignments, doing analytical work, or dealing directly with the customers, claimants, or legal and medical professionals to help gather the critical information necessary for the resolution of a claim. Representatives may also work on specific projects with defined tasks that are critical to the claim department’s success. What You Will Work On As a representative, you will be the first person our customers speak with when a new claim is filed. Document all the facts surrounding the loss to ensure faster cycle times. Review our methods of inspection with the customers and let them choose the one that works best. Promote the benefits of the CURE Direct Repair Program. Review the coverages under the policy and determine what coverages are applicable to each claim. Differentiate between repairable and totaled vehicles based on damages. Identify, document, and communicate any potential red flags to the file handlers and the team leads. Adhere to cycle times established by the business while maintaining quality standards. Continually attend training modules to grow within the position. Maintain a high level of customer service and professionalism. Performs other related duties as assigned. Who We Are Looking For Strong written and oral communication skills. Comfortable working at a fast pace with deadlines. No insurance experience is necessary. Knowledge of automobile components, systems, repair procedures, and related options is a plus. Strong organizational skills and the ability to handle a fast-paced work environment. Compensation: $47,840 Schedule: Full-Time; Monday – Friday, 8:30 am-5 pm. Overtime as business needs dictate. Location: This is a hybrid position based out of our offices in either Princeton, NJ, or Detroit, MI. You will be expected to come on-site several times per week. Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Job Description The Desk Adjuster will investigate, evaluate, reserve, negotiate and resolve assigned claims in accordance with client guidelines. The adjuster will provide timely, accurate, fair, and professional service to all clients and insured parties while maintaining a high level of production. Must have property claim handling experience. Key Responsibilities: Conducts thorough investigations, as outlined in the claim handling guidelines and best practices Denies, settles, or authorizes payments to property claims based on coverage, field reports, and verifiable damage Interviews, telephones, or corresponds with insureds, claimants, vendors, carriers, witnesses, public adjusters, attorneys, etc. to gather important information to support the claims; including proofs of loss Sets proper reserves Takes recorded statements as needed Reviews and evaluates property claims for coverage and further claim handling procedures to conclude within required statutory time frame Interpret policy language and evaluate coverage issues of multiple different policies and endorsements Addresses diaries, emails and voicemails Prepares technical claim documents and correspondence Prepares report of findings of an investigation Contributes to department efforts with an emphasis on team collaboration Other Duties as assigned Qualifications: 2-5 years of homeowner claims experience Guidewire experience strongly preferred Must hold a valid claims adjusting license Proficient in working all loss perils Carrier experience strongly preferred Proficient in Xactimate and Xactanalysis Proficient in reconciling supplements Experience in negotiating settlements Strong writing skills related to policy interpretation is a must Decision making skills and the ability to work independently Familiar with a variety of field concepts, practices and procedures Good organization and time management skills Analytical and proactive claim handling skills Excellent customer service skills Proficient oral and written communication is a must Proficient computer & typing skills - working knowledge of MS Office: Word, Excel and Outlook Ability to speak Spanish a plus