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Claims Specialist - Public Entity
Munich Re 4.9
Claims representative job in Princeton, NJ
All locations Chicago, United States; Atlanta, United States; Philadelphia, United States; Princeton, United States; We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients. The Company Welcome to Munich Re Specialty - North America, a leading specialty insurance provider dedicated to delivering exceptional underwriting, claims, and risk management expertise to our partners and customers. As a trusted industry expert, we offer a broad range of comprehensive and customized solutions, including casualty, professional lines, property, surety, and public entity coverages. With the financial strength and global resources of our A+ Superior (A.M. Best) rated organization, we provide unmatched stability and reliability. Our team is committed to superior service levels, a distinctive approach to specialty solutions, and a deep understanding of the complex risks our clients face. Join our team and be part of a dynamic and experienced organization that is shaping the future of specialty insurance in North America. The Opportunity Future focused and always one step ahead! The Claims Specialist is a critical role in our growing Public Entity team and will be responsible to direct all aspects of file handling on internal and third-party administered claims in the Public Entity line of business. The Claims Specialist will manage the claim investigation, analyze and determine coverage, evaluate the overall claim, and pursue risk transfer as warranted in a variety of public entity claims. The Claims Specialist will also direct the litigation process, strategically partner with counsel and vendors, and participate in mediations to drive optimal claim outcomes. Responsibilities Thorough investigation in claims for coverage, trigger (liability, wrongful act, breach), damages, and subrogation/contribution opportunities. In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims. Proactive management of claims, considering all aspects with a strategic vision for optimal claim outcome. Continual evaluation claim to set appropriate, timely reserves over the life of the claim to reflect changes in exposure. Strong technical claims proficiency through consistent execution of best claim practices. Strategically coordinate and manage outside counsel and vendors to obtain optimal claim outcome. Present high exposure claims to Claims Leadership and Key Stakeholders. Collaboration with internal and external business partners for client meetings, product development and improvement, and account audits. Innovative mindset - looks for ways to improve claim efficiencies and outcomes. Proactive management of claims with a strategic, total cost of claim mindset. Highly technical, analytical and critical thinking ability to properly determine coverage and liability. Qualifications Successful candidates will possess the following experience/skills/qualifications: 8+ years' experience of handling claims Experience in Public Entity or relevant lines of business. In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims. Strong technical claims proficiency through consistent execution of best claim practices. Highly collaborative and proactive with strong interpersonal skills Innovative mindset - looks for ways to improve property claim efficiencies and outcomes. Excellent verbal and writing skills for internal and external communication, presentations and reporting. Superior analytical thinking and negotiation skills. Ability to travel for mediations, settlement conferences, and client or account meetings. (25%) The Company is open to considering candidates in numerous locations, including Philadelphia (PA), Princeton (NJ), Chicago (IL), Atlanta (GA), and Hartford (CT). The salary range posted below reflects market variations across various locations. The offer will be adjusted per geography. The base salary range anticipated for this position is $99,700-$152,800, plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO). The salary estimate is adjusted to reflect the varying market conditions across different locations, with the with the higher end being more aligned with the Princeton, NJ job market. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range. We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits: Two options for your health insurance plan (PPO or High Deductible). Prescription drug coverage (included in your health insurance plan). Vision and dental insurance plans. Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary. Short and Long Term Disability coverage. Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children). Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity). In addition to the above insurance offerings, our employees also enjoy: A robust 401k plan with up to a 5% employer match A retirement savings plan that is 100% company funded. Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries. Eligibility to receive a yearly bonus as a Munich Re employee. A variety of health and wellness programs provided at no cost. Paid time off for eligible family care needs. Tuition assistance and educational achievement bonuses. A corporate matching gifts program that further enhances your charitable donation. Paid time off to volunteer in your community. At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. #LI-MB-1 Apply Now Save job
$99.7k-152.8k yearly 3d ago

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Claims Coordinator
Alpha Business Solutions
Claims representative job in Philadelphia, PA
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.
$31k-40k yearly est. 3d ago
Claims Service Sales Representative
CWA Recruiting
Claims representative job in Montgomery, PA
Property & Casualty Insurance Montgomery County, Pennsylvania As a sales representative, your role involves taking initiative and providing guidance throughout the recovery journey. Your support will help build trust, making it easier to finalize the sale. Our skilled team will handle all the necessary paperwork, while you play a crucial role on the front lines, assisting homeowners and business owners as they navigate the aftermath of disasters like fire, water, or storms. Familiarity with the Xactimate system would be beneficial, along with strong writing abilities. The ideal candidate should not only understand property claims but also possess the ability to persuade clients effectively. It is essential to live within the designated territory, which includes Allentown, NE PA, Schuylkill, Lebanon, Reading, Bucks, and Montgomery counties, among others. Since 1964, our company has employed 20 staff members. Candidates must have a clear background, a valid driver's license, and a willingness to obtain an adjuster's license. Availability is required on both weekdays and weekends. We strive for a quick resolution, responding to emergencies, referrals, and opportunities with speed and efficiency.
$34k-40k yearly est. 2d ago
Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations
Stout 4.2
Claims representative job in Philadelphia, PA
At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.What You'll DoAs an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include: Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations. Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies. Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic. Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning. Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives. Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support. Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations. Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery. Continue developing technical, analytical, and consulting skills while building credibility with clients. Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement. Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team. What You Bring Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred. Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles. Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance. Epic Resolute or other hospital billing system experience preferred; Epic certification a plus. Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required. Additional certifications such as CHC, CFE, or AHFI preferred. Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization. Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred. Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act. Willingness to travel up to 25%, based on client and project needs. How You'll Thrive Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions. Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships. Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time. Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment. Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility. Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
$27k-33k yearly est. 1d ago
Claims Representative
Mid Atlantic Retina 3.9
Claims representative job in Plymouth Meeting, PA
This position is eligible for Mid Atlantic Retina's $1,000 Hiring Incentive! The hired candidate will receive $500 after successful completion of 90 days of employment and $500 after successful completion of 1 year of employment! Available to new hires only- not available to agency hires, internal transfers, or re-hires. Sign On Bonus Eligible: Yes Job Type: Full Time Qualifications 3-5 years medical billing experience in a physician practice or third-party billing company preferred Previous experience with claims processing and working with a clearinghouse. Experience with CPT, ICD10 and Microsoft Office Suite required. Job Description The Claims Representative is responsible for submitting both electronic and paper claims to insurance companies. This position ensures that all accounts are billed appropriately and meet all regulatory and compliance requirements. The Claims Representative is also responsible for reviewing daily claim edit reports and working with other departments to resolve the claim edits. Essential Functions 1. Pulls daily Claim Edit report from Nextgen to review red edits for errors. 2. Collaborates with Front Desk and Clinic to correct errors. 3. Submits corrected report through clearinghouse via EDI file or uploading. 4. Complete paper claims by reviewing account, attaching needed information, and mailing out to responsible payer. 5. Ensures correct processing of all accounts. 6. Acts as customer service representative in person and by telephone. Promptly responds to patient and corresponding payor questions regarding accounts. 7. Maintains up to date billing knowledge of insurance carriers to act as a resource for other departments within MAR. 8. Attends regular staff meetings. 9. Works overtime as needed. 10. Travels to other MAR locations as needed. 11. Performs other duties as assigned. Benefits Health Insurance Dental Insurance Vision Insurance Paid Sick Time Paid Vacation Time Company Bonuses twice a year (after 1 year of employment) 7 Paid Company Holidays 401K Profit Sharing Company Paid Life Insurance Physical and Cognitive Demands The physical and cognitive demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. This is largely a sedentary role; however, some filing may be required. This would require the ability to occasionally lift files, bend, stoop, crouch, reach, and stand on a stool as necessary. Ability to lift or move up to 15 pounds at times. Work with data by calculating and manipulating numbers, processing data on a computer, classify, record, store and retrieve information. Use words to communicate ideas, read with comprehension and explain abstract or complex ideas in more basic terms. The employee will use hands to operate equipment such as a computer mouse, show manual or finger dexterity, handle things with precision or speed, use muscular coordination and physical stamina. While performing the duties of this job, the employee is regularly required to talk, communicate verbally one to one, in front of groups, over the telephone or with a headset and in email. This position requires listening to verbal communication using a telephone or with a headset and processing the information while entering the data into a computer system, processing auditory information, and responding verbally back in an appropriate manner. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus with or without corrective lenses. Ability to follow through on plans or instructions.
$31k-40k yearly est. 1d ago
Professional Liability Adjuster
Berkshire Hathaway 4.8
Claims representative job in Conshohocken, PA
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
$42k-51k yearly est. Auto-Apply 3d ago
Claims Adjuster
City of Philadelphia, Pa 4.6
Claims representative job in Philadelphia, PA
WHO WE ARE As an employer, the City of Philadelphia values inclusion, integrity, innovation, empowerment, and hard work above all else. We offer a vibrant work environment, comprehensive health care and benefits, and the experience you need to grow and excel. If you're interested in working with a passionate team of people who care about the future of Philadelphia, start here. What We Offer: Impact - The work you do here matters to millions. Growth - Philadelphia is growing, why not grow with it? Diversity & Inclusion - Find a career in a place where everyone belongs. Benefits - We care about your well-being. The City of Philadelphia is a Public Service Loan Forgiveness Program qualified employer. Learn more here: *************************************************************************** Equal Access to Civil Service Testing The City of Philadelphia is an Equal Opportunity employer and does not permit discrimination based on race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, source of income, familial status, genetic information or domestic or sexual violence victim status. If you believe you were discriminated against, call the Philadelphia Commission on Human Relations at ************ or send an email to *****************. For more information, go to: **************************** The City of Philadelphia is committed to ensuring access to Civil Service examinations by providing appropriate accommodation for candidates with documented medical or religious reasons. Candidates may request accommodation for a Civil Service examination by contacting the Office of Human Resources (OHR) at ************ or by email at *************************. The accommodation process is interactive and requires cooperation and communication between the applicant and OHR. Decisions will be made on a case-by-case basis using the required documentation that is submitted. Requests are to be made in a timely manner prior to the scheduled date of the Civil Service examination. Only an on-line application will be accepted for this exam. Paper applications will not be accepted. Computers are available in the 3-1-1 Walk-In Center located in Room 167 of City Hall (Weekdays from 9 AM to 5 PM) and at your local Philadelphia Free Library branch. For inquiries regarding City employment, contact the Office of Human Resources Monday through Friday between 8 AM and 4 PM by telephone at ************ or by email at ******************** Information concerning employment with the City of Philadelphia may be found at: * work.phila.gov * ************************************************************************************ * ************************* * ************************ * ************************* * *********************************
$39k-49k yearly est. 2d ago
Complex Casualty Claims Specialist - MidAtlantic Region
Liberty Mutual 4.5
Claims representative job in Marlton, NJ
Join Our Team as a Senior Claims Resolution Specialist - MidAtlantic Region Are you ready to take your claims expertise to the next level? Personal Lines Casualty Complex is seeking a dedicated and experienced Senior Claims Resolution Specialist to lead the handling of challenging auto and homeowner's casualty claims across our MidAtlantic Region. In this pivotal role, you'll take ownership of complex, high-exposure cases, diving deep into investigations, evaluations, and strategic resolutions. This is your opportunity to make a real impact, handling severe and catastrophic injury claims that demand both skill and compassion. If you thrive in a fast-paced environment where your expertise drives meaningful outcomes, we want to hear from you! Preference for candidates who reside within Eastern or Central Time Zones. There is an in-office requirement twice a month if you live within 50 miles of one of our Hub locations. 10% travel may be required for mediations, arbitrations, trials and in-person events. Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory. Responsibilities: Manages, investigates, and resolves auto and homeowner's casualty claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority. Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status. Confers with trial counsel and prepares trial reports. Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports. Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority. Accountable for security of financial processing of claims, as well as security information contained in claims files. Responsible for managing the practices and billing activities of outside and in-house counsel. May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies. May be involved in special projects and/or mentoring at the direction of local management. Ideal experience includes: 5+ years of casualty and litigation experience Expert knowledge of handling personal lines complex claims with severe to catastrophic injuries and fatalities Qualifications Must have an advanced knowledge of coverage, liability, and complex claims handling procedures. Must be knowledgeable of state and federal laws in the adjuster's jurisdiction. A full working knowledge of claims operations and procedures is required. Strong written and oral communication skills required as well as strong interpersonal, analytical, investigative, and negotiation skills. The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 5-7 years of directly related experience. Ability to obtain proper licensing as required. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
$86k-117k yearly est. Auto-Apply 10d ago
Complex Liability Adjuster
Guard Insurance Group
Claims representative job in Conshohocken, PA
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! * Competitive compensation * Healthcare benefits package that begins on first day of employment * 401K retirement plan with company match * Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays * Up to 6 weeks of parental and bonding leave * Hybrid work schedule (3 days in the office, 2 days from home) * Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) * Tuition reimbursement after 6 months of employment * Numerous opportunities for continued training and career advancement * And much more! Responsibilities Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Liability Adjuster, where you'll play a crucial role in managing Complex commercial general liability claims with precision and expertise. Key Responsibilities: * Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments. * Review and analyze evidence, reports, and medical records to establish damages and reserves. * Process payments efficiently, ensuring timely resolution of claims. * Interview insureds, claimants, and witnesses to gather essential information and build strong cases. * Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively. Qualifications * Juris Doctor (JD) degree preferred or Bachelor's degree with prior experience adjusting liability claims and a proven track record in litigation. * Licensing: Active TX All Lines License, or willingness to obtain one at company's expense. * Exceptional written and verbal communication skills. * Strong organizational and computer skills. * Excellent time management skills with the ability to prioritize tasks effectively.
$47k-69k yearly est. Auto-Apply 60d+ ago
Public Adjuster Solicitor
The Misch Group
Claims representative job in Philadelphia, PA
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.
$47k-69k yearly est. 25d ago
Indemnity Claims Specialist
Insight Global
Claims representative job in Norristown, PA
Insight Global is looking for a Senior Indemnity Adjuster to join our client's team. Responsibilities will include managing complex workers' compensation claims, ensuring fair and efficient resolution while maintaining compliance with state regulations. The ideal candidate will have extensive experience handling indemnity claims, negotiating settlements, and collaborating with medical and legal professionals. This candidate will handle a desk with at least 50-70% litigation and would only have a small amount of med only files. Claims total would be around 135. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements Indemnity Claims Experience; specifically litigation claims Minimum 3 years of Complex Claims Experience Experience with NJ, PA and DE Claims
$40k-72k yearly est. 13d ago
Ambulatory Care Capacity Analyst - Jefferson Medical Group - Center City
Kennedy Medical Group, Practice, PC
Claims representative job in Philadelphia, PA
Job Details The Ambulatory Care Capacity Analyst provides strategic support for provider access initiatives across the Jefferson Medical Group (JMG). This role provides internal schedulers and patients a standard, comprehensive approach to appointment availability across the enterprise. Job Description Essential Functions: Responsible for building, maintaining, and modifying centralized scheduling templates for all scheduling providers, including resource providers · Ensure all approved template changes follow change management procedures and protocols and align with Jefferson's template strategy guidelines Provide impact analysis for master template changes Report, review, and reschedule patient appointments as indicated by the Reschedule List Collaborate with Ambulatory practice administrative and clinical leadership on template optimization through the use of Epic Cadence functionality and advise on best practices Participate in department meetings that address patient access-related metrics Identify potential access limiting factors and develop possible solutions for department collaboration Monitor the effectiveness of access-related initiatives using data analysis via Qlik Reporting, Epic Reporting Workbench, and excel Strategize operational and technical methodologies to enhance patient self-scheduling for both patients and the ambulatory practices Present, demonstrate, and train internal staff on access and capacity strategies and initiatives On-board providers on scheduling decision tree and open scheduling platforms Rotate with peers for on-call schedule Education and Experience: High School Diploma Required; Bachelor's Degree preferred. Epic Cadence or other Epic application certification - plus. Minimum 2-3 years experience in an ambulatory care or IT setting preferred. Prior scheduling template management experience preferred. Work Shift Workday Day (United States of America) Worker Sub Type Regular Employee Entity Jefferson University Physicians Primary Location Address 1101 Market, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educa tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance. For more benefits information, please click here
$33k-52k yearly est. Auto-Apply 60d+ ago
Claims Specialist - Public Entity
Munich Re 4.9
Claims representative job in Philadelphia, PA
All locations Chicago, United States; Atlanta, United States; Philadelphia, United States; Princeton, United States; We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients. The Company Welcome to Munich Re Specialty - North America, a leading specialty insurance provider dedicated to delivering exceptional underwriting, claims, and risk management expertise to our partners and customers. As a trusted industry expert, we offer a broad range of comprehensive and customized solutions, including casualty, professional lines, property, surety, and public entity coverages. With the financial strength and global resources of our A+ Superior (A.M. Best) rated organization, we provide unmatched stability and reliability. Our team is committed to superior service levels, a distinctive approach to specialty solutions, and a deep understanding of the complex risks our clients face. Join our team and be part of a dynamic and experienced organization that is shaping the future of specialty insurance in North America. The Opportunity Future focused and always one step ahead! The Claims Specialist is a critical role in our growing Public Entity team and will be responsible to direct all aspects of file handling on internal and third-party administered claims in the Public Entity line of business. The Claims Specialist will manage the claim investigation, analyze and determine coverage, evaluate the overall claim, and pursue risk transfer as warranted in a variety of public entity claims. The Claims Specialist will also direct the litigation process, strategically partner with counsel and vendors, and participate in mediations to drive optimal claim outcomes. Responsibilities Thorough investigation in claims for coverage, trigger (liability, wrongful act, breach), damages, and subrogation/contribution opportunities. In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims. Proactive management of claims, considering all aspects with a strategic vision for optimal claim outcome. Continual evaluation claim to set appropriate, timely reserves over the life of the claim to reflect changes in exposure. Strong technical claims proficiency through consistent execution of best claim practices. Strategically coordinate and manage outside counsel and vendors to obtain optimal claim outcome. Present high exposure claims to Claims Leadership and Key Stakeholders. Collaboration with internal and external business partners for client meetings, product development and improvement, and account audits. Innovative mindset - looks for ways to improve claim efficiencies and outcomes. Proactive management of claims with a strategic, total cost of claim mindset. Highly technical, analytical and critical thinking ability to properly determine coverage and liability. Qualifications Successful candidates will possess the following experience/skills/qualifications: 8+ years' experience of handling claims Experience in Public Entity or relevant lines of business. In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims. Strong technical claims proficiency through consistent execution of best claim practices. Highly collaborative and proactive with strong interpersonal skills Innovative mindset - looks for ways to improve property claim efficiencies and outcomes. Excellent verbal and writing skills for internal and external communication, presentations and reporting. Superior analytical thinking and negotiation skills. Ability to travel for mediations, settlement conferences, and client or account meetings. (25%) The Company is open to considering candidates in numerous locations, including Philadelphia (PA), Princeton (NJ), Chicago (IL), Atlanta (GA), and Hartford (CT). The salary range posted below reflects market variations across various locations. The offer will be adjusted per geography. The base salary range anticipated for this position is $99,700-$152,800, plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO). The salary estimate is adjusted to reflect the varying market conditions across different locations, with the with the higher end being more aligned with the Princeton, NJ job market. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range. We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits: Two options for your health insurance plan (PPO or High Deductible). Prescription drug coverage (included in your health insurance plan). Vision and dental insurance plans. Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary. Short and Long Term Disability coverage. Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children). Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity). In addition to the above insurance offerings, our employees also enjoy: A robust 401k plan with up to a 5% employer match A retirement savings plan that is 100% company funded. Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries. Eligibility to receive a yearly bonus as a Munich Re employee. A variety of health and wellness programs provided at no cost. Paid time off for eligible family care needs. Tuition assistance and educational achievement bonuses. A corporate matching gifts program that further enhances your charitable donation. Paid time off to volunteer in your community. At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. #LI-MB-1 Apply Now Save job
$99.7k-152.8k yearly 3d ago
Associate, Wage and Hour - Disputes, Claims & Investigations
Stout 4.2
Claims representative job in Philadelphia, PA
At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. Associate - DCI (Disputes, Claims & Investigations), Wage & Hour Stout is seeking an Associate with 2-5 years of experience to join our Disputes, Claims & Investigations (DCI) Wage and Hour practice. This is a full-time role offering comprehensive benefits, a 401(k), and eligibility for annual bonuses. Stout brings deep expertise supporting clients in high-stakes business litigation and economic consulting matters. Associates work closely with experienced professionals and subject-matter experts to analyze complex data and deliver independent, thoughtful analyses. Impact You'll Make This role plays a critical part in delivering high-quality analytical support on complex wage and hour matters. Your work will directly contribute to successful client outcomes and the effectiveness of project teams. Execute and support complex data analyses related to wage and hour disputes and investigations. Contribute to the development of sound methodologies and analytical approaches that support defensible conclusions. Help ensure projects are completed on time, within scope, and with a high standard of quality. Build strong working relationships across project teams to drive collaboration and efficiency. Support client-facing deliverables that clearly communicate findings and insights. What You'll Do These responsibilities reflect the day-to-day work required to support engagements and achieve project objectives. Review, organize, and analyze large and complex datasets to support litigation and consulting engagements. Support multiple concurrent projects, anticipating scope, timing, and budget considerations. Assist in developing work plans, methodologies, and resource needs to optimize project outcomes. Collaborate closely with team members to meet deadlines and manage competing client expectations. Support written analyses, reports, and presentations prepared for clients and other stakeholders. Apply creative problem-solving techniques to manage risks and address analytical challenges. What You Bring This section outlines the qualifications and technical skills needed to succeed in the role. Bachelor's degree from an accredited college or university, preferably in Economics, Mathematics, or a related field. 2-5 years of experience in wage and hour consulting or a closely related field. Working knowledge of advanced data management and analytical tools such as SAS, SQL, STATA, R, or similar platforms. Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Access. Strong written and verbal communication skills with the ability to present complex information clearly. Demonstrated ability to manage multiple projects simultaneously and work effectively with cross-functional teams. How You'll Thrive These competencies and behaviors will help you excel and grow within Stout's collaborative culture. Maintain flexibility and adaptability in response to changing project requirements and timelines. Demonstrate strong organizational skills and rigorous attention to detail. Exhibit intellectual curiosity, self-motivation, and a commitment to quality control. Collaborate effectively with colleagues while managing competing priorities. Uphold Stout's core values and deliver Relentless Excellence in both client service and internal teamwork. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $74,000.00 - $135,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
$33k-39k yearly est. 1d ago
Complex Casualty Claims Specialist - MidAtlantic Region
Liberty Mutual 4.5
Claims representative job in Marlton, NJ
Join Our Team as a Senior Claims Resolution Specialist - MidAtlantic Region Are you ready to take your claims expertise to the next level? Personal Lines Casualty Complex is seeking a dedicated and experienced Senior Claims Resolution Specialist to lead the handling of challenging auto and homeowner's casualty claims across our MidAtlantic Region. In this pivotal role, you'll take ownership of complex, high-exposure cases, diving deep into investigations, evaluations, and strategic resolutions. This is your opportunity to make a real impact, handling severe and catastrophic injury claims that demand both skill and compassion. If you thrive in a fast-paced environment where your expertise drives meaningful outcomes, we want to hear from you! Preference for candidates who reside within Eastern or Central Time Zones. There is an in-office requirement twice a month if you live within 50 miles of one of our Hub locations. 10% travel may be required for mediations, arbitrations, trials and in-person events. Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory. Responsibilities: * Manages, investigates, and resolves auto and homeowner's casualty claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority. Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office. * Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. * Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status. * Confers with trial counsel and prepares trial reports. * Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. * Responds to various written and telephone inquiries including status reports. * Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority. * Accountable for security of financial processing of claims, as well as security information contained in claims files. * Responsible for managing the practices and billing activities of outside and in-house counsel. * May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies. * May be involved in special projects and/or mentoring at the direction of local management. Ideal experience includes: * 5+ years of casualty and litigation experience * Expert knowledge of handling personal lines complex claims with severe to catastrophic injuries and fatalities Qualifications * Must have an advanced knowledge of coverage, liability, and complex claims handling procedures. * Must be knowledgeable of state and federal laws in the adjuster's jurisdiction. * A full working knowledge of claims operations and procedures is required. * Strong written and oral communication skills required as well as strong interpersonal, analytical, investigative, and negotiation skills. * The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 5-7 years of directly related experience. * Ability to obtain proper licensing as required. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco
$86k-117k yearly est. Auto-Apply 8d ago
Complex Liability Adjuster - CGL & BOP Specialist
Berkshire Hathaway 4.8
Claims representative job in Philadelphia, PA
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Complex Liability Adjuster, where you'll play a crucial role in managing Commercial General Liability (CGL) and Business Owners Policy (BOP) claims with precision and expertise. We're looking for someone who thrives in high-stakes environments, communicates with confidence, and knows how to navigate the legal landscape with precision. Key Responsibilities: Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments. Review and analyze evidence, reports, and medical records to establish damages and reserves. Interview insureds, claimants, and witnesses to gather essential information and build strong cases. Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively. Manage litigated claims involving CGL and BOP policies, including coordination with defense counsel, litigation strategy development, and resolution planning. Process payments efficiently, ensuring timely resolution of claims. Qualifications Prior experience adjusting Commercial General Liability claims with a proven track record in litigation is required. Juris Doctorate (JD) preferred, reflecting the value we place on strong legal acumen in managing complex liability claims. Licensing: Active TX All Lines License, or willingness to obtain one at company's expense. Exceptional written and verbal communication skills. Strong organizational and computer skills. Excellent time management skills with the ability to prioritize tasks effectively.
$42k-51k yearly est. Auto-Apply 7d ago
Public Adjuster
The Misch Group
Claims representative job in Philadelphia, PA
Department Insurance & Financial Services Employment Type Full Time Location Pennsylvania Workplace type Hybrid Compensation $90,000 - $170,000 / year Key Responsibilities Skills, Knowledge and Expertise Benefits About The Misch Group Stone Hendricks Group is a direct-hire search firm that brings together years of experience and a diverse range of talent to connect businesses with exceptional job candidates. With a focus on timely and effective recruitment, we understand the power of a well-formed employee base in helping businesses achieve their goals. We offer our services to businesses of all sizes, providing qualified candidates for blue- and grey-collar roles, as well as white-collar and executive positions. The success of our direct-hire search process is driven by our advanced training, proprietary technology, and extensive network across industries. At Stone Hendricks Group, we value integrity and prioritize connectedness, commitment, and candor in our interactions with both employers and job seekers. Our clients consider us trusted advisors, relying on the highly personalized service we provide and our ability to find candidates that are an ideal fit for their unique needs. Choose Stone Hendricks Group for unsurpassed direct-hire search services that match successful organizations with talented job candidates.
$47k-69k yearly est. 58d ago
Trucking Claims Specialist
Guard Insurance Group
Claims representative job in Philadelphia, PA
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 Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking Claims Specialist to join our P&C Claims Casualty team. This role will report to the AVP of Claims and is responsible for investigating and resolving commercial auto liability and physical damage claims, with a focus on trucking exposures. The ideal candidate will bring strong analytical skills, sound judgment, and a commitment to delivering high-quality claims service. Key Responsibilities * Investigate and resolve commercial auto liability and physical damage claims involving trucking exposures. * Review and interpret policy language to determine coverage and consult with coverage counsel when needed. * Manage a caseload of moderate to high complexity and exposure, applying effective resolution strategies. * Communicate with insureds, claimants, attorneys, body shops, and law enforcement to gather relevant information. * Collaborate with defense counsel and vendors to support litigation strategy and recovery efforts. * Ensure claims are handled accurately, efficiently, and in alignment with service and regulatory standards. * Participate in file reviews, team meetings, and ongoing training to support continuous learning. Qualifications * Minimum of 3 years of trucking claims experience. * Experience with bodily injury and/or cargo exposures. * Familiarity with trucking operations, FMCSA/DOT regulations, and multi-jurisdictional claims practices. * Strong analytical and negotiation skills, with the ability to manage multiple priorities. * Proven ability to manage sensitive and high-stakes situations with accuracy and professionalism. * Possession of applicable state adjuster licenses. * Juris Doctor (JD) preferred; alternatively, a bachelor's degree or equivalent experience in insurance, risk management, or a related field.
$41k-72k yearly est. Auto-Apply 60d+ ago
RI Accounting & Claims Handling Analyst
Munich Re 4.9
Claims representative job in Princeton, NJ
We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients. The Company Munich Re America Services (MRAS) is a shared service organization that delivers services to all Munich Re US P&C Companies and other group entities. As a member of Munich Re's US operations, we offer the financial strength and stability that comes with being part of the world's preeminent insurance and reinsurance brand. Our risk experts work together to assemble the right mix of products and services to help our clients stay competitive - from traditional reinsurance coverages, to niche and specialty reinsurance and insurance products. The Opportunity Future focused and always one step ahead! The Reinsurance Accounting & Claims Handling Analyst is responsible for the timely and accurate recording of client company contract, premium and loss related information into the Company's global reinsurance systems. Requires the ability to work with and analyze client reported data received in various levels of detail and formats. Responsibilities Responsibilities for this role will primarily focus on handling the following accounting related tasks with guidance and in accordance with agreed upon best practices, policies and procedures, and/or service level agreements: Record client account statements in a timely and accurate manner Investigate and resolve open payable/receivable balances Prepare result dependent condition calculations Processing payment transactions (incoming and outgoing) in accordance with contract terms Accurately capture terms and conditions into global systems with guidance Resolve quality assurance tasks or questions Research and reconcile accounting matters related to statements of account Participate in quarter close process Participate in projects when needed Qualifications Successful candidates will possess the following skills/capabilities: Bookkeeping and/or accounting experience Associates or Bachelor's Degree, preferably in Accounting, Finance, Mathematics, Computer Science, Data Science/Analytics or equivalent experience. Strong attention to detail, time management and decision-making skills Interpersonal skills including verbal and written communication, relationships and teamwork Solid math and analytic skills Proficiency with Microsoft Office (Outlook, Word, Excel) which includes the ability to learn new and complex computer system applications. Data manipulation and analysis. Excel required. The Company is open to considering candidates in Princeton, NJ. The salary range posted below applies to the Company's Princeton location. The base salary anticipated for this position is $56,000. plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO). The salary estimate displayed represents the typical salary range for candidates hired in this position in Princeton, NJ. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range. We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits: Two options for your health insurance plan (PPO or High Deductible). Prescription drug coverage (included in your health insurance plan). Vision and dental insurance plans. Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary. Short and Long Term Disability coverage. Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children). Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity). In addition to the above insurance offerings, our employees also enjoy: A robust 401k plan with up to a 5% employer match A retirement savings plan that is 100% company funded. Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries. Eligibility to receive a yearly bonus as a Munich Re employee. A variety of health and wellness programs provided at no cost. Paid time off for eligible family care needs. Tuition assistance and educational achievement bonuses. A corporate matching gifts program that further enhances your charitable donation. Paid time off to volunteer in your community. At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. #LI-MB1 Apply Now Save job
$56k yearly 5d ago
Public Adjuster Solicitor
The Misch Group
Claims representative job in Philadelphia, PA
Public Adjuster Solicitor (Outside Sales Representative) About 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. Qualifications 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. What's Offered High earning 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. Benefits may Include 401K Health Insurance Paid time-off
$47k-69k yearly est. 60d+ ago

Learn more about claims representative jobs

How much does a claims representative earn in Lower Makefield, PA?

The average claims representative in Lower Makefield, PA earns between $30,000 and $71,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.

Average claims representative salary in Lower Makefield, PA

$47,000

$30,00010%

$47,000Median

$71,00090%

What are the biggest employers of Claims Representatives in Lower Makefield, PA?

The biggest employers of Claims Representatives in Lower Makefield, PA are:

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Claims Representative Lower Makefield, PA Jobs

Claims representative jobs in Lower Makefield, PA - 118 jobs

Claims Specialist - Public Entity

Claims Coordinator

Claims Service Sales Representative

Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations