Claims representative jobs in Erie, PA - 963 jobs

Network Adjusters is seeking experienced General Liability and/or Construction Defect Claims Adjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of third-party construction defect claims, including property damage and liability exposures, while delivering consistent, high-quality claims management in alignment with industry best practices. This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities. About the Role Construction Defect Claims Adjusters are responsible for managing complex third-party claims related to construction projects from inception through closure. Claims may include third-party property damage, bodily injury, and other specialized construction-related exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, determine coverage, negotiate settlements, and handle litigated matters as needed while maintaining clear, professional communication with all involved parties. Adjusters routinely conduct site inspections, gather statements from claimants, witnesses, and contractors, coordinate with external experts, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role. Responsibilities Apply in-depth knowledge of General Liability and Construction Defect claims to manage complex third-party property damage, bodily injury, and related losses Deliver high-quality customer service to insureds, claimants, carrier clients, and internal stakeholders Review and analyze coverage by applying policy conditions, provisions, exclusions, and endorsements, and address jurisdictional considerations such as negligence laws, immunity, and financial responsibility limits Investigate claims to determine liability and potential sources of recovery by contacting, interviewing, and coordinating with appropriate parties and external experts Effectively manage litigated claims, including coordination with defense and coverage counsel Establish, document, and maintain appropriate claim and expense reserves in a timely manner Develop and execute plans of action for claim resolution, including diary management and timely follow-up Determine settlement values using independent judgment, applicable limits, and deductibles, and negotiate settlements within assigned authority Draft denial letters, reservation of rights, tenders, and other routine or complex claim correspondence Identify and pursue subrogation opportunities when applicable Prepare client-specific reports and detailed claim analyses, and consult with senior technical staff to ensure proper file handling Document all claim activity in accordance with established procedures and Best Practices Ensure compliance with all state-specific regulatory requirements and quality standards Manage multiple competing priorities to ensure timely payments, follow-up, and claim resolution Qualifications 2-5 years of claims handling experience, preferably in third-party General Liability and/or Construction Defect College or technical degree, or equivalent relevant business experience Ability to obtain and maintain required adjuster licenses, including completion of continuing education Strong analytical, investigative, decision-making, and negotiation skills, with the ability to manage conflict effectively Excellent verbal and written communication skills, with a customer-focused and empathetic approach Strong organizational and time management skills with the ability to multitask in a fast-paced environment High attention to detail, accuracy, confidentiality, and sound judgment Proficiency in MS Word, Outlook, Excel, and standard business software Bilingual proficiency preferred but not required Compensation & Benefits Salary: $75,000-$100,000 annually (based on licensure, certifications, and experience) Training, development, and career growth opportunities 401(k) with company match and retirement planning Paid time off and company-paid holidays Comprehensive medical, dental, and vision insurance Flexible Spending Account (FSA) Company-paid life insurance and long-term disability Supplemental life insurance and optional short-term disability Strong work/family and employee assistance programs Employee referral program Location 📍 Farmingdale, NY (On-site) Remote opportunities may be available for experienced candidates who meet all required criteria. About Network Adjusters Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.

This is a full-time, onsite position based in Robinson Township. Responsibilities: Process pharmacy claims accurately and timely to meet client expectations Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage Maintain compliance with patient assistance program guidelines Document all information and data discovery according to operating procedures Research required information using available resources Maintain confidentiality of patient and proprietary information Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering Requirements: High school diploma or GED required, Bachelor's degree strongly preferred One year of Pharmacy Experience, having resolved third party claims Healthcare industry experience with claims background Strong verbal and written communication skills Attention to detail and a strong operational focus A passion for providing top-notch patient care Ability to work with peers in a team effort and cross-functionally Strong technical aptitude and ability to learn complex new software Location/Hours Full time position hourly, on-site role in Pittsburgh (Robinson) Availability for Monday-Friday across various 8 hours shifts : 8am- 4pm EST , 9am- 5pm EST, 1pm- 9pm EST Availability for rotating Saturday shifts 9am-5pm Scheduling flexibility, as your schedule may change over time according to business needs Benefits Medical, dental, and vision insurance plans that fit your needs 401(k) retirement plan Daily snack stipend for onsite marketplace Pre-tax transit benefits and free onsite parking

We're hiring an Inter-Plan Relations Coordinator in Philadelphia for a 4+ month contract to support complex and escalated provider and member claim issues across partner health plans. Key responsibilities include: Owning partner plan inquiries end to end, ensuring timely and compliant resolution Investigating claim issues, performing root-cause analysis, and supporting reprocessing or adjustments Acting as a liaison between internal teams, providers, and partner plans Managing escalations and supporting process improvement initiatives This role is ideal for candidates with claims, BlueCard/Inter-Plan, or service operations experience.

Melville area based Public Adjuster seeks experienced Risk & Claim Manager to lead risk initiatives and oversee complex Property Damage claims across Residential and Commercial portfolios. Responsibilities include strategic risk oversight; identify, assess, and mitigate risks through audit controls and data driven strategies; manage a diverse portfolio of Property Damage claims ensuring fair settlement; team development; mentor and manage adjusters and support staff; policy compliance; serve as central liaison between internal team, clients, underwriters, brokers and legal partners; analyze claim data, financials, reports and audit results; dispute resolutions, lead negotiation strategies, interpret policy language and prepare files for resolutions. Ideal candidate has 5 years risk management or property claim public adjusting experience (carrier or IA firm) as well as technical experience, understanding of policy language and claim procedures, and an analytical mindset. Excellent communicator, NYS Public Adjusters License preferred or willing to obtain. Willing to travel locally when needed. Six figure salary, health PTO, paid training, professional support. (DC13015)

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.

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.

General Electric Credit Union is a not-for-profit, member-owned full service financial institution headquartered in Cincinnati with branches in Ohio and Kentucky. At GECU, we pride ourselves on maintaining quality service, being an employee-friendly workplace, and developing our team members while teaching you the skills to lead you to career advancement opportunities. Overview: The Claims Specialist processes insurance, warranty, and gap claims, acting as the primary point of contact for GECU members experiencing a claim or total loss of a vehicle. The Claims Specialist investigates and reviews claims, ensuring they are handled efficiently, and plays an important role in educating and updating members on their claim status. Essential Responsibilities: Determine covered insurance losses by studying provisions of a policy or certificate Analyze insurance claims to determine legitimacy of claim Establish proof of loss by reviewing documentation (such as police reports, mechanic reports, and auction house reports) and assembling additional information from outside sources Document claims by completing and recording forms, reports, logs, and records Collaborate with members to collect appropriate reports and documentation needed for the claims process Evaluate member and claim documentation and reports to help reduce loss for member and credit union Ensure legal compliance by following company policies, procedures, and guidelines, as well as state and federal insurance regulations Maintain quality member service by ensuring claims process is completed within a 90-day time frame Protect operations by keeping claims information confidential Process and submit cancellation requests for extended warranties to the dealerships, coordinating follow-up actions as needed Systematically gather, categorize and file all necessary documentation for total loss GAP claims, ensuring completeness and adherence to regulator and company requirements Perform other duties to support the department as needed Education and Experience: High school diploma or GED required; bachelor's degree preferred Minimum two years of experience in claims processing, insurance administration, dealer services or related role required Knowledge, Skills, and Abilities: Excellent communication and interpersonal skills Strong conflict resolution skills Ability to work under pressure and meet deadlines Strong analytical and problem-solving skills with proficiency in analytical math Attention to detail and accuracy Proficiency in Microsoft Office Suite Good organizational and time management skills Member service-oriented mindset Ability to work independently and as part of a team At GECU, we want to support your wellbeing by offering a wide range of benefits: Health, Dental and Vision insurance Life and Disability insurance options Paid Time Off starts accruing once hired and take your birthday off - paid 401k Retirement plan with up to a 10% match of your base gross compensation Tuition reimbursement opportunities & professional development Volunteer opportunities -and earn additional PTO hours! On-site clinics for Vaccines and Mammograms And many more! Come join GECU as we are a curated culture of respect, understanding, and mutual recognition. We believe forming bonds and connecting with each other only stands to strengthen the service we provide to our members in our mission of improving the Quality of Financial lives! General Electric Credit Union is an Equal Opportunity Employer

The Opportunity As a Complex Adjuster Trainee, you'll manage a caseload of, low-complexity claims while developing the advanced skills needed to become a Complex Adjuster. Over the next six months, you'll build expertise in evaluating liability, interpreting policy language, and handling more nuanced claim scenarios.. Our goal is to leverage technology, data, and a team of highly talented people to build a claims experience that is recognized as number 1 in the industry. You will receive role-specific training with Root and will need to self-study before completing an adjuster licensing exam (paid for by Root). This position may be required to have an onsite presence based on operational needs. Salary Range: $45,000 - $50,000 Root is a “work where it works best” company. This means we will support you working in whatever location that works best for you across the US. How You Will Make an Impact Deliver a high-quality claims experience for all policyholders and claimants by managing claims with professionalism and empathy Verify coverage and assist in determining liability for a range of accident scenarios, under guidance from senior adjusters or claims leadership Obtain detailed accident statements from drivers, passengers, and witnesses to develop clear liability perspectives Maintain consistent, prompt, and courteous contact with all involved parties throughout the claim lifecycle Use time management and organizational skills to proactively manage pending claims, tasks, and correspondence Coordinate vehicle repairs and assist customers with rental reimbursement processes Participate in team reviews of claims handling practices to strengthen understanding of policy language and claim best practices Engage in continuous learning to develop a strong understanding of: Policy interpretation Liability assessment and shared negligence scenarios Court decisions and legislation affecting claims functions Emerging claims guidelines and industry best practices Recommend process and product improvements based on observed opportunities Interact and communicate effectively with customers, peers, vendors, and managers Support the development of claims documentation and training materials as knowledge grows What You Will Need to Succeed Bachelor's degree or equivalent work experience Successful history of time management, multi-tasking, and customer-facing communication Ability to secure an adjuster insurance license within 90 days of the start date Strong written and verbal communication skills Proficient in Microsoft Office Suite and/or Google Suite High sense of professionalism while remaining empathetic Curious in nature Willingness and ability to keep learning Great attention to detail with high organizational skills Ability to approach problems with an open mind Strong decision-making capabilities Ability to complete other duties as assigned As part of Root's interview process, we kindly ask that all candidates be on camera for virtual interviews. This helps us create a more personal and engaging experience for both you and our interviewers. Being on camera is a standard requirement for our process and part of how we assess fit and communication style, so we do require it to move forward with any applicant's candidacy. If you have any concerns, feel free to let us know once you are contacted. We're happy to talk it through. Please see our Privacy Notice available HERE for more information on how we process your personal data.

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 Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims system. + Reviews survey reports and insurance policies to determine insurance coverage. + Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Appropriate state adjuster license is required. **Experience** 3 years or more of Marine Adjusting preferred. **Skills & Knowledge** + Strong oral and written communication skills + PC literate, including Microsoft Office products + Good customer service skills + Good organizational skills + Demonstrated commitment to timely reporting + Ability to work independently and in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity **Auditory/Visual** **:** Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. 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**

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 Professional Liability Adjuster is responsible for conducting office investigations and adjusting Professional Liability and Error & Omission (E&O), Employment Practices Liability Insurance (EPLI), and Directors & Officers (D&O) Liability claims. The Adjuster is also responsible for, but not limited to: * Investigating losses and identifying coverage issues across Professional Liability, E&O, EPLO, and D&O lines * Obtaining and reviewing evidence, reports, and medical records * Establishing damages and reserves * Processing payments * Taking statements from insured's, claimants, and witnesses * Participating in Mediations Qualifications * Active attorney license with at least 5 years of professional liability experience * Prior experience adjusting Professional Liability, E&O, EPLI, and D&O claims * Experience with Legal Malpractice preferred * Active Adjuster license is preferred * Strong understanding of employment law and corporate governance as it relates to EPLI and D&O exposures * Excellent written and verbal communication skills * Strong organizational and computer skills * Excellent time management skills with the ability to prioritize

Job Description Award Winning Toyota of Clifton Park has an immediate opening for a Licensed Body Shop Adjustor. Our shop is staffed by an amazing group of qualified and long standing technicians. Our body shop is extremely busy and we need additional help! Apply today if you have a history of success in the Collision Center repair field and want to work for an award winning dealership in the Capital District! Benefits Medical and Dental 401K Plan Paid time off and vacation Growth opportunities Paid Training Family owned and operated Long term job security Responsibilities Understand, keep up-to-date with and comply with federal, state and local regulations that affect Body Shop operations such as hazardous waste disposal. Right-to-Know and environmental updates Write and manage all estimates in the body shop from beginning to end Establish and maintain good working relationships with several insurance adjusters Present self as a role model by demonstrating leadership and commitment to the customer, dealership, and manufacturer Take the initiative to exceed customer satisfaction, even if it requires overcoming obstacles Perform multiple tasks simultaneously Prioritize work to ensure that deadlines are met Other responsibilities as assigned by dealership General Manager Qualifications Must have adjuster license High school diploma or the equivalent Proven track record of successful estimator positions Excellent communication, supervisory and managerial skills Working knowledge of body repair methods Proficient knowledge of dealership's computer systems Must have valid in-state driver's license and have and maintain an acceptable, safe driving record, and safe driving habits in order to drive both customer vehicles and a demonstrator vehicle Must be a team player with impeccable honesty and integrity Maintain a high level of professional personal appearance and conduct We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Division or Field Office: Claims Division Claims Department Work from: Home in ERIE's Footprint Salary Range: $99,336.00 - $158,679.00 * salary range is for this level and may vary based on actual level of role hired for * This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment. At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits That Go Beyond The Basics We strive to be Above all in Service to our customers-and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including: * Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. * Low contributions to medical and prescription premiums. We currently pay up to 97% of employees' monthly premium costs. * Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service. * 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. * Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave. * Career development. Including a tuition reimbursement program for higher education and industry designations. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. Position Summary Performs independent claims examination activities for the field or home offices. Analyzes claims with high exposure and/or complexity. * The successful candidate will have a focus on and be well versed in Liability and Coverage. * Successful candidate will work from the Home and live in ERIE's Footprint. Duties and Responsibilities * Directs field management on the handling of complex claims including coverage, reserving and resolution strategy. * Responsible for files involving litigation against ERIE. Manages the litigation process including collaboration with Claims Legal Department and outside counsel. * Directs investigation, settlement, and/or coverage denials of claims. Directs appeal process and handling of excess verdicts. * Reviews files and collaborates with field Management on recommendations for improvement as appropriate. Visits field offices on a periodic basis to conduct training including, but not limited to, claims handling processes and procedures, coverage, statutory changes and reserving. * Reviews and analyzes statutory changes and works to ensure applicable changes are implemented for compliance in designated jurisdictions. * Assists defense counsel in litigation and trial as needed. * Participates in or leads special projects with other departments. The first four duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished. This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident. Capabilities * Values Diversity * Nimble Learning * Self-Development * Collaborates * Customer Focus * Cultivates Innovation * Optimizes Work Processes (IC) * Instills Trust * Decision Quality * Ensures Accountability * Information Management Skills * Job-Specific Knowledge Qualifications Minimum Educational and Experience Requirements * Bachelor's degree with five years' experience adjusting complex claim matters, required; or * Associate's degree with seven years' experience adjusting complex claim matters, required; or * High school diploma or GED with nine years' experience adjusting complex claim matters, required. Additional Experience * Extensive knowledge of applicable line of business (Worker's Compensation, Liability, Medical Management, or Property) required. * Occasional overnight travel may be required. Designations and/or Licenses * Valid driver's license required. * Pursuit and successful completion of a professional designation, such as AIC, CPCU, SCLA, WCLA or equivalent, preferred. Physical Requirements * Climbing/accessing heights; Rarely * Driving; Occasional ( * Lifting/Moving 0-20 lbs; Rarely * Lifting/Moving 20-50 lbs; Rarely * Ability to move over 50 lbs using lifting aide equipment; Rarely * Manual Keying/Data Entry/inputting information/computer use; Often (20-50%) * Pushing/Pulling/moving objects, equipment with wheels; Rarely

Job DescriptionDescriptionAbout the Company A well-established public adjusting firm is seeking motivated Public Adjuster Solicitors to join its growing team. This firm specializes in advocating for policyholders and ensuring they receive fair settlements for property damage claims. As the demand for expert claims assistance grows, we are looking for ambitious sales professionals who can build strong client relationships and drive business growth. Position Overview The Public Adjuster Solicitor serves as the first point of contact for homeowners and businesses seeking assistance with insurance claims. This role involves prospecting, educating potential clients, and generating leads while working under the supervision of a licensed public adjuster. It's an ideal position for sales-driven individuals who enjoy helping clients navigate insurance claims and maximizing their settlements. Key Responsibilities Identify and engage potential clients, including homeowners, contractors, and business owners. Educate prospective clients on public adjusting services and the benefits of professional claims representation. Solicit qualified leads furnished from our office and networking through referrals, and direct outreach. Conduct initial consultations to assess client needs and determine claim eligibility. Work closely with management and licensed public adjusters to transition leads into active claims. Provide ongoing client support and maintain strong relationships. Present and sell our service to obtain new clients for the firm. Respond quickly to disaster scenes. Follow-up on all leads and assignments. Skills, Knowledge and Expertise 2+ years of sales experience, preferable in insurance, real estate, restoration, or a related field. Strong ability to generate leads, build relationships, and close sales. Public Adjuster Solicitor license preferred (or willingness to obtain). Self-motivated with strong communication and negotiation skills. Must have a valid driver's license and reliable transportation. Business-like professional appearance. Ability to close on first call. Have in home or face to face sales experience. Work requires to be on-call. Benefits High earing potential with competitive commission and performance-based bonuses. Extensive training and mentorship to help you succeed in this role. Flexible work schedule with the ability to manage your own territory. A team-oriented culture with strong leadership and professional development support. If you are a motivated sales professional looking for a rewarding career with uncapped earnings potential, apply today and start making a difference for policyholders in Pennsylvania! Competitive Advantages One of the oldest and largest public adjusting firms in Pennsylvania Firm provides unlimited quality leads and informational support. Excellent reputation. Large in-house support staff with experience in construction, personal property and loss of business claims. Experience to handle high-end large and complex losses for both homeowners and business owners.

United Envelope's Mount Pocono, PA facility is seeking candidates for full time Adjuster/Machinery Mechanic positions. Candidates will be responsible to handle machinery repairs and set-ups as required to complete production orders. Prior mechanical experience in a production setting and/or related field is required. On the job training will be provided in regards to machinery safety, set-up quality processes, machinery changeovers. Up to $30.86 per hour to start. Comprehensive benefit package includes medical, dental, vision, disability, 401(k)w/company match, paid life ins., and no limit on new hire referral bonuses up to $3000. Beginning pay of $22.02 up to $30.86 with $1.25 night shift add on. Union facility, paid vacation, sick days, 12 hour shifts with every other Friday, Saturday, and Sunday off, 24/7 schedule which results in an extra 80 days off per year. United Envelope is an EOE

Location: Ohio. This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The MyCare Ohio Plan program is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The Process Expert II supports the claims issue research and resolution for Home & Community Based Services (HCBS) by participating in project and process work. How you will make an impact Primary duties may include, but are not limited to: Researches operations workflow problems and system irregularities. Develops tests, presents process improvement solutions for new systems, new accounts and other operational improvements. Develops and leads project plans and communicates project status. Minimum Qualifications: Requires a BA/BS and minimum of 5 years experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing); or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly preferred. Claims issue research and resolution for Home & Community Based Services (HCBS) highly preferred. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $66,880.00 to $100,320.00. Location(s): Columbus, OH. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: BSP > Process Improvement Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job Opening: Claims Processing Specialist at Blackburn's Are you a detail-oriented professional with a passion for the healthcare industry? Blackburn's is looking for a Claims Processing Specialist to join our Corporate Claims department and perform third-party medical billing functions. If you thrive in a fast-paced environment and possess excellent organizational and communication skills, this could be the perfect opportunity for you! What You'll Do: Manage and verify third-party medical claims for accuracy and compliance. Collaborate with cross-functional teams to resolve billing discrepancies and insurance denials. Process claims efficiently while adhering to strict filing deadlines. Contribute to the improvement of billing processes to reduce denials and increase efficiency. Utilize your strong communication skills to work with internal teams and external clients. Why Join Us? At Blackburn's, we're committed to creating a positive impact in the healthcare industry by delivering quality products and services. As part of our team, you'll have access to in-house training, opportunities for career growth, and a collaborative work environment. We offer competitive pay, benefits, and the chance to be part of a company that values its employees. Work Hours: 8:00 a.m. - 4:30 p.m. or 8:30 a.m. - 5:00 p.m. If you have a passion for medical billing and enjoy working in a dynamic, fast-paced environment, we'd love to hear from you! Apply today and join us in making a difference at Blackburn's! Qualifications What We're Looking For: Prior experience in healthcare-related industries, preferably with third-party medical billing. Strong attention to detail, time management, and the ability to juggle multiple tasks. Excellent interpersonal skills, with the ability to work both independently and as part of a team. Proficiency in Microsoft Office, with knowledge of Word and Excel. Ability to work independently, prioritize workload, and adapt to changing environments.

Location: Ohio. This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The MyCare Ohio Plan program is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The Process Expert II supports the claims issue research and resolution for Home & Community Based Services (HCBS) by participating in project and process work. How you will make an impact Primary duties may include, but are not limited to: * Researches operations workflow problems and system irregularities. * Develops tests, presents process improvement solutions for new systems, new accounts and other operational improvements. * Develops and leads project plans and communicates project status. Minimum Qualifications: * Requires a BA/BS and minimum of 5 years experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing); or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: * Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly preferred. * Claims issue research and resolution for Home & Community Based Services (HCBS) highly preferred. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $66,880.00 to $100,320.00. Location(s): Columbus, OH. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: BSP > Process Improvement Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As an auto damage claims adjuster, you'll serve as Progressive's point of contact with customers - directing and making decisions regarding the repair process from beginning to end. Managing your own inventory while working independently, you'll work closely with body shops and others to negotiate repair pricing and assess liability. Ideal candidates will possess leadership and conflict management skills, along with strong attention to detail and a passion for providing excellent customer service. This is a field position with access to a company car and frequent driving within your assigned geographical area. We assess our workload collectively, which means you may cover assignments outside your geographical area. You may also be required to report into an office occasionally. Duties and responsibilities * Complete vehicle inspections, write estimates, determine total loss evaluations, and set clear expectations and timelines * Negotiate repair process with body shops * Document information related to the claim and make decisions consistent with claims standards and local laws * Evaluate and handle claim payments and resolution of claims without payments * Review and determine validity of any supplement requests Must-have qualifications * A minimum of four years of relevant work experience with one year appraisal/estimatics or insurance experience * {OR} Associate's degree and a minimum of three years relevant work experience with one year appraisal/estimatics or insurance experience * {OR} Bachelor's degree and a minimum of one year appraisal/estimatics or insurance experience * Valid driver's license, auto insurance, and compliance with Progressive's driving standards and/or policies Compensation * $67,000 - $81,200/year, depending on experience * Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance Location * The position covers the assigned geographical area of Jamestown, NY. We assess our workload collectively, which means you may cover assignments outside your geographical area as well. Benefits * 401(k) with dollar-for-dollar company match up to 6% * Medical, dental & vision, including free preventative care * Wellness & mental health programs * Health care flexible spending accounts, health savings accounts, & life insurance * Paid time off, including volunteer time off * Paid & unpaid sick leave where applicable, as well as short & long-term disability * Parental & family leave; military leave & pay * Diverse, inclusive & welcoming culture with Employee Resource Groups * Career development & tuition assistance Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership. Equal Opportunity Employer For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at **************************************************************** Share: Email X Facebook LinkedIn Apply Now

Network Adjusters is seeking skilled Bodily Injury Claims Adjusters to join our liability claims team. This role focuses on the investigation, evaluation, negotiation, and resolution of complex commercial bodily injury claims while delivering consistent, high-quality claims management in alignment with industry best practices. This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities. About the Role Bodily Injury Claims Adjusters are responsible for managing commercial bodily injury claims from inception through closure. Claims may include complex commercial auto and general liability exposures with higher severity and specialization. In this role, you will investigate losses, analyze policy language, evaluate damages, negotiate settlements, and handle litigated matters while exercising a high level of independent judgment. Adjusters routinely take statements, review medical records and police reports, collaborate with legal counsel when necessary, and ensure all claim activity complies with state-specific regulations and Network Adjusters' quality standards and Best Claims Practices. This is a desk-based role. Responsibilities Handle complex Commercial Auto and General Liability bodily injury claims from inception to closure Investigate, evaluate, negotiate, and manage claims involving higher severity and exposure Provide superior customer service to insureds, claimants, carrier clients, and internal stakeholders Conduct comprehensive interviews, secure statements, and gather evidence from claimants, witnesses, medical providers, and law enforcement agencies Analyze insurance contracts and policy language to determine coverage applicability Review medical records, police reports, and related documentation to evaluate injuries and liability Establish, monitor, and adjust reserve requirements throughout the life of the claim Determine settlement values using independent judgment, applicable limits, deductibles, and collaboration with legal counsel when necessary Handle litigated matters and negotiate settlements within assigned authority Prepare professional written correspondence summarizing coverage analysis and claim decisions Communicate claim decisions and sensitive developments with clarity, confidence, and empathy Maintain accurate, up-to-date claim files, diaries, and documentation Ensure compliance with applicable regulations and Network Adjusters' quality standards and Best Claims Practices Qualifications Minimum 3 years of bodily injury claims handling experience Strong verbal and written communication skills Proficiency in MS Word, Outlook, Excel, and standard business software Strong customer service skills with demonstrated empathy Advanced analytical, investigative, negotiation, and decision-making abilities Excellent organizational and time management skills with the ability to manage complex workloads High attention to detail and commitment to accuracy Ability to maintain confidentiality College or technical degree, or equivalent business experience preferred Ability to obtain and maintain required adjuster licenses, including continuing education Knowledge of the security industry and/or rideshare industry is beneficial Bilingual proficiency preferred but not required Compensation & Benefits Salary: Starting from $75,000+ annually (based on licensure, certifications, and experience) Training, development, and career growth opportunities 401(k) with company match and retirement planning Paid time off and company-paid holidays Comprehensive medical, dental, and vision insurance Flexible Spending Account (FSA) Company-paid life insurance and long-term disability Supplemental life insurance and optional short-term disability Strong work/family and employee assistance programs Employee referral program Location 📍 Farmingdale, NY This role is on-site only; remote or hybrid arrangements are not available. About Network Adjusters Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.