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Claims Analyst - Construction Claims - Pearl River NY
The LiRo Group 4.1
Claims representative job in Pearl River, NY
US-NY-Pearl River Type: Regular Full-Time # of Openings: 1 The LiRo Group We have an immediate need for a Construction Claims Analyst based in Pearl River NY or Albany NY. Come join our team! We are looking to build services and capabilities through the growth of our key asset- our staff. Ranked among the nation's top A/E firms by Engineering News-Record, LiRo-Hill provides construction management, engineering, environmental, architectural, and program management solutions. You can become part of an organization that has a strong track record and is looking to strengthen relationships and capabilities to continue being a trusted resource for our clients in the public and private sector. We are proud to be known as an
“Integrated Construction, Design and Technology Solutions”
firm and we have delivered on that label time and again.Recently, Global Infrastructure Solutions Inc. (GISI), the parent company of The LiRo Group and Hill International, Inc. consolidated a portion of the highly experienced staff of both LiRo and Hill in the Northeast to create a larger, more efficient, and cost-effective team to serve clients. LiRo-Hill is a 1100-person firm with offices in NYC, Long Island, Buffalo, Rochester, Boston and Metro Park, NJ.The client for this project is the NYS Office of General Services (OGS).
Responsibilities
Construction Claims Analyst The Construction Claims Analyst will focus on the careful review and analysis of construction delay claims filed against the NY State. This role is well-suited for someone who values independent, detail-oriented work and thrives in an environment where critical thinking and written analysis are essential.Key Responsibilities:
Evaluate contractors' delay claim notices for validity in accordance with contract requirements.
Review and interpret detailed schedule analyses using Primavera P6.
Conduct forensic delay analysis by examining project records, such as meeting minutes, schedules, and correspondence.
Track, document, and manage assigned delay claims with accuracy and consistency.
Facilitate fact-finding meetings with design and construction staff to gather information and ensure thorough review.
Audit claim costs-including certified payrolls and invoices-and prepare clear, well-documented recommendations; negotiate settlements when appropriate.
Prepare clear, concise reports on high-priority and problem projects for executive staff on a regular basis.
Qualifications
Education/Experience:
Bachelor's degree in Construction Management or a related field, or
Associate degree with 2+ years of experience in a similar role, or
4+ years of experience in a comparable position.
Experienced in Primavera 6 construction schedules, schedule analysis, and time impact analysis.
Experience in contracts, project management, and scheduling in a construction environment.
Ability to work independently, manage workload efficiently, and produce clear, well-documented analysis.
Strong attention to detail, critical thinking, and problem-solving skills.
Effective written communication skills for reports and documentation; comfortable participating in structured, focused meetings.
Construction project management or scheduling experience preferred.
OSHA 10 certification required.
At Liro-Hill we are committed to your success, and we invest in your growth and development to unlock your full potential. Our benefits include: Competitive Total Compensation PackageEmployee- Only Stock Purchase PlanMentoring programs Continuing Education ProgramEmployee referral bonus Compensation range for this role: Minimum: $100,000 to - $125,000 annually The range provided is the salary that the Firm in good faith believes at the time of this posting is willing to pay for the advertised position. Exact compensation will be determined on the individual candidates' qualifications and location #ID22#ZR22#LI-CM1
Compensation details: 100000-125000 Yearly Salary
PI3e5e85f63e71-26***********9
$100k-125k yearly Auto-Apply 12d ago
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Claims Adjuster
Network Adjusters, Inc. 4.1
Claims representative job in Farmingdale, NY
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.
$75k-100k yearly 5d ago
Claims Specialist, APH
Swiss Re 4.8
Claims representative job in Armonk, NY
Imagine a role where you can directly influence the profitability of a business, steer a diverse portfolio of claims, and build lasting relationships with clients. If you're a self-motivated individual who thrives on collaboration and career growth, this challenge is for you! If this sounds interesting, join us at Swiss Re, where we believe in fostering an environment that sparks the best ideas, maintaining a sensible work-life balance, and producing outstanding results through engaged employees. Together, we can help make the world more resilient.
About the Role
As a Reinsurance Claims Specialist at Swiss Re, you'll manage a portfolio of asbestos, pollution, and health hazard (APH) reinsurance claims across various lines of business for both active and runoff portfolios. This role offers a unique opportunity to collaborate across functions, develop broad knowledge about the insurance and reinsurance industry, and help steer the business through data-driven insights and strong client partnerships.
Key activities of the role include:
* Steer a diverse portfolio of multi-line reinsurance claims, ensuring strategic performance through data analysis and industry insight.
* Analyze contractual obligations, establish and monitor reserves, and approve payments within authority to ensure timely, effective resolution.
* Apply advanced data analytics and reporting tools to manage the portfolio and identify emerging trends.
* Collaborate with Underwriting, Actuarial, and other teams to provide portfolio insights that inform business strategy and decision-making.
* Formulate, develop, and implement account management, including building and supporting client relationships.
* Participate in client meetings and audits to review claims, assess claims-handling practices, and support collaborative problem-solving.
* Deliver high-quality claims and client service, sharing industry knowledge and contributing to continuous improvement initiatives.
* Support internal stakeholders with research on claim topics, loss development, and contract wording issues, while ensuring compliance with governance, legal, and reporting requirements.
About the Team
You'll join a team of APH claims professionals known for deep technical expertise, collaborative spirit, and innovative problem-solving. We work closely with clients and internal partners to deliver exceptional claims management, identify potential exposures, and provide meaningful insights that shape our business. If you're curious, analytical, and motivated by teamwork and impact, this is the place for you.
About You
You excel in a dynamic environment, adept at juggling multiple priorities while maintaining professionalism. With strong interpersonal skills, you're confident communicating with clients, legal counsel, and senior management, and you bring curiosity and strategic thinking to every challenge.
Additional requirements include:
* Bachelor's degree required.
* At least 2-5 years of experience in claims, underwriting, insurance, reinsurance, or insurance-related legal work, including handling latent direct insurance claims.
* General understanding of and/or exposure to other insurance disciplines i.e., contract wording, accounting, underwriting.
* Ability and passion to manage a complex portfolio with critical analysis and innovative strategic thought.
* Confirmed ability to meet deliverables, implement plans, and conduct analysis.
* Excellent writing skills and proficiency in MS Office tools, claims systems and the ability and willingness to learn new systems.
* Excellent organizational and data analytics skills with openness for continued growth.
* Ability and willingness to learn new claims handling systems.
* Some business travel required.
The estimated base salary range for this position in Kansas City, MO is $84,000 to $140,000; for Armonk, NY is $90,000 to $150,000. The specific salary offered for this or any given role will take into account a number of factors including but not limited to job location, scope of role, qualifications, complexity/specialization/scarcity of talent, experience, education, and employer budget. At Swiss Re, we take a "total compensation approach" when making compensation decisions. This means that we consider all components of compensation in their totality (such as base pay, short-and long-term incentives, and benefits offered), in setting individual compensation.
About Swiss Re
Swiss Re is one of the world's leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world.
Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, race, ethnicity, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability.
If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience.
Keywords:
Reference Code: 136396
Nearest Major Market: White Plains
Nearest Secondary Market: New York City
Job Segment: Claims, Compliance, Accounting, Actuarial, Data Analyst, Insurance, Legal, Finance, Data
$90k-150k yearly 23d ago
Auto Claim Representative, I
The Travelers Companies 4.4
Claims representative job in Melville, NY
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$55,200.00 - $91,100.00
Target Openings
4
What Is the Opportunity?
This role is eligible for a sign on bonus up to $10,000
Be the Hero in Someone's Story
When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most.
As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner.
In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process.
What Will You Do?
* Provide quality claim handling of Auto claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations.
* Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates.
* Determine claim eligibility, coverage, liability, and settlement amounts.
* Ensure accurate and complete documentation of claim files and transactions.
* Identify and escalate potential fraud or complex claims for further investigation.
* Coordinate with internal teams such as investigators, legal, and customer service, as needed.
* Insurance License: In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
What Will Our Ideal Candidate Have?
* Bachelor's Degree.
* Three years of experience in insurance claims, preferably Auto claims.
* Experience with claims management and software systems.
* Strong understanding of insurance principles, terminology with the ability to understand and articulate policies.
* Strong analytical and problem-solving skills.
* Proven ability to handle complex claims and negotiate settlements.
* Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.
What is a Must Have?
* High School Diploma or GED required.
* A minimum of one year previous Auto claim handling experience or successful completion of Travelers Auto ClaimRepresentative training program is required.
What Is in It for You?
* Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
* Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
* Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
* Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
* Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
$55.2k-91.1k yearly 10d ago
Worker's Compensation Claims Supervisor
Highview National Insurance Company
Claims representative job in Spring Valley, NY
Worker's compensation insurance is a headache. We make it simple, smooth, and stress free. Join us in redefining workers' comp. Job Summary: The Workers' Compensation Claims Supervisor oversees a team of claims adjusters responsible for managing workers' compensation claims. This role ensures compliance with jurisdictional regulations, adherence to best practices, and attainment of performance targets. The Supervisor is responsible for technical guidance, training, quality assurance, and operational efficiency. Please note: This job description outlines general duties and expectations and is not intended to be exhaustive. Duties may change based on business needs.
Essential Job Functions:
Supervise daily activities of assigned workers' compensation claims adjusters.
Triage new files to ensure assignments are appropriate.
Review first diary within 7 days of assignment for coverage, compensability, damages, compliance, reserves, and plan of action.
Monitor caseload distribution monthly and ensure appropriate workloads.
Use appropriate metrics for Return to Work, New/Reopened claims, claim closures per month, penalties, and timely contact.
Review claim files for quality assurance, reserve accuracy, and compliance.
Conduct quality assurance audits (5-7 claims per adjuster monthly) and reserve accuracy audits per jurisdiction.
Ensure all state forms are filed correctly and timely with zero penalties.
Provide coaching, mentoring, and technical guidance to adjusters through monthly one-on-ones.
Ensure timely and appropriate reserving and settlement authority adherence.
Facilitate regular file audits and roundtables on complex or high-exposure claims.
Coordinate training for new hires and continuing education for the team.
Develop training modules and onboarding tasks for new adjusters.
Serve as an escalation point for complex or litigated claims.
Authority level: $50,000 for reserve and settlement; roundtable claims with managers for amounts ≥ $100,000; settlements ≥ $50,000.
Communicate with insured and brokers on claims above $25,000 and work with the account manager to set up claim reviews.
Collaborate with internal departments (Legal, Compliance, Risk Management).
Generate reports for management including performance metrics and trends.
Conduct monthly one-on-ones with the manager to review team metrics, audit scores, trends, and staffing.
Identify process improvements to enhance claims efficiency and outcomes.
Maintain knowledge of applicable jurisdictional regulations (e.g., NY, NJ, PA).
Seek training opportunities with vendors and law firms to enhance knowledge and performance.
Required Skills/Abilities:
Excellent oral and written communication skills-able to convey complex information effectively.
Detail-oriented with a high accuracy rate, ensuring precision in claim processing.
Strong critical thinking and problem-solving skills to assess claims efficiently and make informed decisions.
Flexible and tech-savvy, comfortable navigating various software tools and adapting to new processes.
Highly adaptable, able to adjust to evolving laws and industry changes with ease.
Thrives in a dynamic environment-willing to embrace change and contribute to continuous improvement.
Self-motivated with excellent time management, capable of handling multiple priorities effectively.
Education and Experience:
Bachelor's degree preferred or equivalent work experience.
Minimum 5 years of experience in workers' compensation claims handling.
Prior leadership or supervisory experience 1-3 years preferred.
Strong understanding of state-specific WC laws and regulations.
Excellent communication, organization, and problem-solving skills.
Proficient in claims management systems and Microsoft Office.
Ability to use metrics as a tool to manage performance.
Physical Requirements:
Prolonged periods sitting at a desk and working on a computer.
Prolonged periods of standing, walking, and/or sitting and reaching with hands and arms.
Must be able to lift 10 pounds at a time.
Additional Requirements:
Due to the nature of our business, and urgency of our clients' needs, you may be required to participate in the company's on-call program and work on holidays/weekends according to the on-call schedule.
Additional Details:
This is a full-time in office position in Rockland County, NY.
We offer a competitive salary ranging from $110-165k with generous PTO and Benefits.
We are an Equal Opportunity Employer
We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. We intend that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.
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$110k-165k yearly 2d ago
Multi-line Adjuster
Geico Insurance 4.1
Claims representative job in Melville, NY
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Multi-Line Property Damage Adjuster - New York City and surrounding areas.
Salary: Starting pay rate varies based upon position and location. Ask your Recruiter for details!
We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Property Damage Adjuster! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, a customer's home or in a virtual estimating environment. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing boat, motorcycle, RV and other specialty claims.
Qualifications & Skills:
* Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits
* Must have a minimum of 1 year prior auto damage or estimating experience
* Willingness to be flexible with primary work location - position may require either remote or in-office work
* Solid computer, mechanical aptitude, and multi-tasking skills
* Effective attention to detail and decision-making skills
* Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
* Minimum of high school diploma or equivalent, college degree or currently pursuing preferred
Annual Salary
$32.05 - $57.49
The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
* Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
* Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
* Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
* Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
$32.1-57.5 hourly Auto-Apply 43d ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in Islandia, NY
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.
$51k-66k yearly est. Auto-Apply 31d ago
Insurance Claims Specialist
Ultimate Care Assisted Living Management
Claims representative job in Ronkonkoma, NY
Job Description
The Insurance Claims Specialist will work closely with the VP of Risk Management mitigating risks, promoting a safe environment for both residents and staff, supporting operational risk initiatives, and safeguarding company resources. This role is integral to supporting the financial health of the organization by collaborating closely with the finance team ensuring accurate invoicing, providing actionable data analysis, ensuring compliance and optimizing claims outcomes.
DUTIES AND KEY RESPONSIBILITIES:
Claims Management and Oversight
Manage and oversee workers' compensation, EPLI, GL, and PL claims from initial reporting through resolution.
Respond to inquiries and concerns regarding new and existing claims
Conduct timely and thorough investigations, coordinating with internal and external stakeholders, requesting/reviewing witness statements, video footage etc. and ensure all claims are accurately documented and supported.
Collaborate with claim and broker partners, build and maintain strong relationships to ensure effective claims handling and dispute resolution.
Maintain clear, consistent communication with Vice President of Risk Management, various team members, business partners, and other stakeholders regarding claims handling and their resolutions.
Compliance and Reporting
Ensure all claims processes adhere to state regulations and company policies, maintaining compliance with industry standards.
Prepare and maintain regular reports on claims status, costs, and outcomes for internal review and regulatory purposes.
Monitor claim trends and identify risk mitigation opportunities.
Financial Coordination and Invoicing
Coordinate with the finance team to ensure accurate claims invoicing, payment tracking, and budgeting.
Support the finance team with forecasting and financial planning related to insurance claims and associated expenses.
Work with finance team to place and monitor appropriate reserves and allocate funds.
Data Analytics and Reporting
Analyze claims data to provide insights into claim trends, financial impact, and risk management strategies.
Develop and maintain dashboards and reporting tools to communicate claims data with key stakeholders.
Use data insights to recommend and implement improvements to claims processes and cost-saving initiatives.
Collaboration and Communication
Work closely with VP of Risk Management, finance, HR, and community leadership teams to streamline claims processing and minimize organizational risk.
Serve as a primary point of contact for insurance carriers, third-party administrators, and internal teams on claims-related matters.
Provide regular updates to management on claims status, strategic initiatives, and risk trends.
Educate team members and on-site staff about claim reporting procedures, documentation best practices, and risk mitigation strategies.
Assist in training sessions on safety and risk prevention, fostering a culture of proactive incident management.
QUALIFICATIONS:
3-5 years of experience in insurance claims management, preferably within the healthcare or assisted living industry.
Associate's degree required.
Excellent customer service skills
Strong analytical and problem-solving skills to investigate and diagnose claim driven issues
Aptitude to investigate complaints for facts and recommend resolutions in a timely manner
Exceptional interpersonal, verbal, and written communication skills
Proven customer relationship and conflict resolution skills
Ability to develop and maintain strong working relationships with internal and external parties
Strong attention to detail and accuracy in data entry and record keeping
Must be willing to travel to various community locations for meetings, investigations, and internal audits as required.
$43k-76k yearly est. 14d ago
Independent Insurance Claims Adjuster in Bridgeport, Connecticut
Milehigh Adjusters Houston
Claims representative job in Bridgeport, CT
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.
$50k-65k yearly est. Auto-Apply 60d+ ago
Claims Analyst - Disability/PFL leave
Human Hire
Claims representative job in White Plains, NY
We are seeking a Claims Analyst for a well-known insurance company in the White Plains area. The ideal candidate will have hands-on Disability and Paid Family Leave (PFL) claims experience and 1-2 years of billing, coding, or claims experience. This role focuses on reviewing, adjudicating, and processing health insurance claims with a strong emphasis on disability and PFL leaves, ensuring compliance with NYS regulations and company procedures.
Key Responsibilities:
Assist with incoming Disability, PFL, Critical Illness, and Accident claims, ensuring timely acknowledgment and processing.
Determine the correct product and fund (DBL, self-funded, voluntary, PFL, Critical Illness, Accident) and verify eligibility.
Apply knowledge of NYS DBL/PFL guidelines, self-funded plans, and voluntary policies to handle claims accurately.
Make precise claim determinations, including disability/PFL periods, maximum periods, and other criteria for payment or denial.
Requirements:
Hands-on experience with Disability and Paid Family Leave claims is required.
Basic proficiency in Microsoft Word and Excel.
Overview of Role:
This role involves reviewing and processing health insurance claims with a focus on Disability and PFL leaves. You will ensure claims meet all regulatory and company standards, investigate complex issues like coordination of benefits or pre-existing conditions, and communicate with claimants, employers, or healthcare providers as needed. Accurate record-keeping and clear member communications are key to success.
$42k-77k yearly est. 60d+ ago
Liability Claims Specialist (Construction Defect)
CNA Financial Corp 4.6
Claims representative job in Melville, NY
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
This individual contributor position works under moderate direction, and within defined authority limits, to manage third party liability construction defect commercial claims with moderate to high complexity and exposure. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).
JOB DESCRIPTION:
Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols.
* Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
* Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
* Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
* Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
* Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
* Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* May serve as a mentor/coach to less experienced claim professionals
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or above
Skills, Knowledge & Abilities
* Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed.
* Demonstrated ability to develop collaborative business relationships with internal and external work partners.
* Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
* Demonstrated investigative experience with an analytical mindset and critical thinking skills.
* Strong work ethic, with demonstrated time management and organizational skills.
* Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
* Developing ability to negotiate low to moderately complex settlements.
* Adaptable to a changing environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas
Education & Experience:
* Bachelor's Degree or equivalent experience.
* Typically a minimum four years of relevant experience, preferably in claim handling.
* Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Professional designations are a plus (e.g. CPCU)
#LI-KP1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
$54k-103k yearly Auto-Apply 15d ago
Claims Specialist 3- Staffing
Kgp Telecommunications 4.2
Claims representative job in Englewood Cliffs, NJ
Circet USA is the leading provider of Network Services in North America, and we're looking for talented professionals to join our team. We specialize in engineering and construction services delivering comprehensive solutions across Inside Plant, Outside Plant, and Wireless networks to meet the evolving infrastructure needs of our customers.
With nearly 50 years of industry experience, we work with major telecom service providers, MSOs, cloud service providers, and utilities. At Circet USA, you'll have the opportunity to make an impact by helping to create customized solutions that address our clients' unique challenges. If you're passionate about innovation and thrive in a dynamic environment, we'd love to hear from you.
Circet USA's benefits package includes the following:
Medical, Dental, and Vision insurance
Digital Health & Wellness Support
Critical Illness, Accident, & Hospital Insurance
Short-term & Long-term disability
Group term & Voluntary life insurance
Flexible Spending and Health Savings Accounts
Paid Time Off & 401K
Company Discount Website
Job Summary and Responsibilities
We are seeking a highly skilled and experienced Claims Specialist 3 to fulfill a staff augmentation role with Circet USA's customer. The primary objective of the Claims Specialist is to support Product Safety/Product Liability Department with operational activities including Direct Claim handling, customer contact & admin support, and overall claims management. The goal of the Claims Specialist is to support the Product Safety Team by handling Claims with professionalism, care and urgency, making sure claims are reported and being handled in a timely manner. To achieve the highest performance, the person in this position is expected to maintain effective and timely communication with key customers, claims adjusters, stakeholders and leaders within the department, team, and cross-department where applicable.
ESSENTIAL DUTIES & RESPONSIBILITIES include the following. Other duties may be assigned:
Collaborate with team members in the Product Safety department, PL Insurance Carrier, outside law firm and 3rd Party administrators.
Generate daily/weekly/monthly reports, with analysis and recommendations
Manage 4-7 ongoing and ad-hoc projects that may include KPIs and Metrics
Ensure that all projects have required documentation as they move through the project tollgates
Communicate to Product Liability leadership on project status and escalation/decision points
Works cross functionally with HQ teams in Korea (occasional evening conference call) and SEA operations to manage all possible risks.
Pending Claim Management, KPI & TAT Management - Claim registration to closure
Product Verification
Liability Assessment by reviewing diagnosis results
Reporting on high-profile claims to the leadership
Qualifications
Bachelor's Degree (or equivalent experience)
3-5 years of hands-on claims management & customer care experience
Expertise in MS, Excel, and PPT
Proven capability to analyze data and develop a course of action
Proven ability to prioritize and manage multiple projects, meet deadlines and drive to resolution
Process, procedure, strategic planning and project development experience
Experience working with and influencing cross-functional teams.
Experience working within the insurance and/or home appliance industry a plus
Experience with product development or testing a plus
Experience working in a complex and wide organization and department
Claims Adjuster License a plus
Takes project ownership and possess leadership qualities with an entrepreneurial approach
Circet USA is an Equal Opportunity Employer - Veteran/Disabled. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by law.
$60k-106k yearly est. Auto-Apply 28d ago
Claims Specialist - Auto
Philadelphia Insurance Companies 4.8
Claims representative job in Melville, NY
Marketing Statement:
Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.
We are looking for a Claims Specialist - Auto to join our team.
JOB SUMMARY
Investigate, evaluate and settle more complex first and third party commercial insurance auto claims.
JOB RESPONSIBILITIES
Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
Communicates with all relevant parties and documents communication as well as results of investigation.
Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts.
Travel is required to attend customer service calls, mediations, and other legal proceedings.
JOB REQUIREMENTS
High School Diploma; Bachelor's degree from a four-year college or university preferred.
10 plus years related experience and/or training; or equivalent combination of education and experience.
• National Range : $82,800.00 - $97,300.00
• Ultimate salary offered will be based on factors such as applicant experience and geographic location.
EEO Statement:
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Benefits:
We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
$82.8k-97.3k yearly Auto-Apply 60d+ ago
Property Field Adjuster - Long Island, NY
RYZE Claim Solutions 4.1
Claims representative job in Islandia, NY
We are seeking experienced Independent Field Adjusters to investigate and evaluate daily property claims on behalf of our clients. This role involves delivering timely, accurate, fair, and professional service while managing a high volume of claims independently. Contractors are expected to uphold the highest standards of service and professionalism, representing both the client and company with integrity.
Essential Responsibilities
Promptly and effectively manage all assigned claims with minimal oversight.
Make claim decisions within delegated authority per company and carrier policies.
Accurately interpret policy coverages and apply appropriate claims practices.
Establish and communicate reserves in alignment with carrier expectations.
Maintain up -to -date knowledge of insurance policies, guidelines, and industry practices.
Understand local construction methods, pricing, and repair standards.
Submit supplemental reports as needed (e.g., severe incident reports, ITV reports).
Provide exceptional customer service to all insureds, clients, and stakeholders.
Maintain high standards of professional conduct throughout all assignments.
Perform additional responsibilities as assigned.
RequirementsQualifications
High school diploma or equivalent required; associate's or bachelor's degree preferred
Minimum 2 years of experience handling property claims
Minimum 2 years of experience using Xactimate and Symbility estimating software
Strong understanding of insurance policies, practices, and procedures
General construction knowledge strongly preferred
BenefitsImportant: This is a 1099 Independent Contractor Opportunity
This opportunity is classified as an independent contractor role under the IRS and applicable state laws, including New York. By applying, you acknowledge and agree to the following:
You will not be classified as an employee of Ryze Claim Solutions, and no employer -employee relationship exists.
You are responsible for your own taxes, insurance, and business expenses.
You control the manner, timing, and method of completing your work, consistent with client expectations.
You may provide services to other clients or entities, subject to applicable confidentiality or non -compete terms.
To qualify as a 1099 contractor under the ABC test:
(A) You must be free from company control and direction in how work is performed.
(B) The work must be performed outside the usual course of our business.
(C) You must be customarily engaged in an independently established trade or business.
If you do not meet all three criteria, you may not be eligible for this engagement
$49k-71k yearly est. 60d+ ago
Claims Specialist 3- Staffing
Circet USA
Claims representative job in Englewood Cliffs, NJ
Job Description
Circet USA is the leading provider of Network Services in North America, and we're looking for talented professionals to join our team. We specialize in engineering and construction services delivering comprehensive solutions across Inside Plant, Outside Plant, and Wireless networks to meet the evolving infrastructure needs of our customers.
With nearly 50 years of industry experience, we work with major telecom service providers, MSOs, cloud service providers, and utilities. At Circet USA, you'll have the opportunity to make an impact by helping to create customized solutions that address our clients' unique challenges. If you're passionate about innovation and thrive in a dynamic environment, we'd love to hear from you.
Circet USA's benefits package includes the following:
Medical, Dental, and Vision insurance
Digital Health & Wellness Support
Critical Illness, Accident, & Hospital Insurance
Short-term & Long-term disability
Group term & Voluntary life insurance
Flexible Spending and Health Savings Accounts
Paid Time Off & 401K
Company Discount Website
Responsibilities
We are seeking a highly skilled and experienced Claims Specialist 3 to fulfill a staff augmentation role with Circet USA's customer. The primary objective of the Claims Specialist is to support Product Safety/Product Liability Department with operational activities including Direct Claim handling, customer contact & admin support, and overall claims management. The goal of the Claims Specialist is to support the Product Safety Team by handling Claims with professionalism, care and urgency, making sure claims are reported and being handled in a timely manner. To achieve the highest performance, the person in this position is expected to maintain effective and timely communication with key customers, claims adjusters, stakeholders and leaders within the department, team, and cross-department where applicable.
ESSENTIAL DUTIES & RESPONSIBILITIES include the following. Other duties may be assigned:
Collaborate with team members in the Product Safety department, PL Insurance Carrier, outside law firm and 3rd Party administrators.
Generate daily/weekly/monthly reports, with analysis and recommendations
Manage 4-7 ongoing and ad-hoc projects that may include KPIs and Metrics
Ensure that all projects have required documentation as they move through the project tollgates
Communicate to Product Liability leadership on project status and escalation/decision points
Works cross functionally with HQ teams in Korea (occasional evening conference call) and SEA operations to manage all possible risks.
Pending Claim Management, KPI & TAT Management - Claim registration to closure
Product Verification
Liability Assessment by reviewing diagnosis results
Reporting on high-profile claims to the leadership
Qualifications
Bachelor's Degree (or equivalent experience)
3-5 years of hands-on claims management & customer care experience
Expertise in MS, Excel, and PPT
Proven capability to analyze data and develop a course of action
Proven ability to prioritize and manage multiple projects, meet deadlines and drive to resolution
Process, procedure, strategic planning and project development experience
Experience working with and influencing cross-functional teams.
Experience working within the insurance and/or home appliance industry a plus
Experience with product development or testing a plus
Experience working in a complex and wide organization and department
Claims Adjuster License a plus
Takes project ownership and possess leadership qualities with an entrepreneurial approach
Circet USA is an Equal Opportunity Employer - Veteran/Disabled. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by law.
$44k-79k yearly est. 14d ago
Field Property Claims Adjuster
Liberty Mutual 4.5
Claims representative job in White Plains, NY
Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner's property. This is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support.
The Field Property Claims Adjuster will be traveling locally to insured homes within White Plains, NY (10603) and surrounding areas. To be successful within the role, candidates should live within or near this area.
Sign-On Bonus Available! We're offering a sign-on bonus for experienced and actively licensed new hires.
What you'll do
Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include accessing roofs by ladder, inspecting attics, crawl spaces and basements in search of damage.
Handle moderate to complex claims independently while managing your workload, from first notice of loss to final closure.
Be expected to work in a vehicle in the field daily while occasionally handling assignments from the desk.
Explain coverage of loss, assist policyholders with itemization of damages, emergency repairs and additional living arrangements.
Work with and coordinate a few vendor services such as contractors, emergency repair, cleaning services and various replacement services.
May be called upon for catastrophe duty.
Position details
Territory-based work: Most workdays will be spent in the field within your assigned local territory, giving you the opportunity to work directly with customers and gain hands-on experience.
Training & support: To set you up for success, you'll participate in a comprehensive 5-month training program, which includes:
Primarily virtual and on-the-job learning.
Two short in-person training sessions (Weeks 4 and 7) at our Lewisville, TX office.
Limited overnight travel for training and team meetings (typically less than 10%).
Mileage Reimbursement: This role offers mileage reimbursement. You may qualify for a company-provided vehicle once mileage requirements are met. Additional details will be provided if you advance in the selection process.
Qualifications
Working knowledge of claims handling procedures and operations.
Proven ability to provide exceptional customer service.
Effective negotiation skills.
Ability to effectively and independently manage workload while exhibiting good judgment.
Strong written/oral communication and interpersonal skills.
Computer skills with the ability to work with multi-faceted systems.
The capabilities, skills and knowledge required through a bachelor's degree or equivalent experience and at least 1 year of directly related experience.
Ability to obtain proper licensing as required.
The ability to handle multiple competing priorities and organize your day.
Strong time management and organizational skills.
Demonstrated understanding of building construction principles.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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$54k-66k yearly est. Auto-Apply 6d ago
Part-Time Commercial Lines Claims Specialist
Bridge Specialty Group
Claims representative job in Somers, NY
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
Brown & Brown is Seeking a Commercial Lines Claims Specialist to join our growing team in Somers, NY.
Part-Time Claims position. Accept and oversee all types of Commercial Auto Claims for accounts assigned. Assist in servicing consulting contracts. Provide prompt, accurate and courteous claim service to the Agency's customers, both internal and external.
How You Will Contribute
Acceptance of claims, making assignments to companies and/or independent services.
Research coverage, leases and contracts and participate in discussions with Account Mangers and producers regarding same.
Reading, analyzing, and processing of litigation paperwork.
Reserve monitoring and communication with Companies regarding evaluation of same.
Ongoing assistance in claims management of company claims.
Maintain diary system relating to first party losses, claims in subrogation, and Select Top 100 losses.
Completion of reports and suit activities as department policy dictates.
Assist underwriting staff with claim information relating to policies qualifying for experience rating and/or workers' compensation dividend plans.
Complete monthly report to clients which includes loss run and tracking of the physical damage claims.
Complete monthly billing to clients for services.
Preparation of claims management reports and experience modification reports as required by account size.
Skills & Experience to Be Successful
Minimum of two years college required.
Two to four years claims adjusting experience, preferably commercial lines involving both first- and third-party claims.
Arbitration forums participation
Valid Driver's license.
This position requires routine or periodic travel which may require the teammate to drive their own vehicle or a rental vehicle. Acceptable results of a Motor Vehicle Record report at the time of hire and periodically thereafter, and maintenance of minimum acceptable insurance coverages are a requirement of this position.
College degree.(preferred)
#LI-DA1
Pay Range
$30.00 - $39.00 Hourly
The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.
Teammate Benefits & Total Well-Being
We go beyond standard benefits, focusing on the total well-being of our teammates, including:
Health Benefits
: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
Financial Benefits
: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
Mental Health & Wellness
: Free Mental Health & Enhanced Advocacy Services
Beyond Benefits
: Paid Time Off, Holidays, Preferred Partner Discounts and more.
Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.
The Power To Be Yourself
As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
$30-39 hourly Auto-Apply 8d ago
Daily Property Field Adjuster
Alacrity Solutions
Claims representative job in Stamford, CT
Alacrity Solutions
Independent Contractor
Daily Property Field Adjuster
Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Our staffing capabilities, temporary housing services, managed repair network, and subrogation services support a fully integrated solution for all your needs from first notice of loss through completion of repairs. By assembling the best service providers through strategic acquisitions and relying on the right talent, Alacrity Solutions provides consistent, professional, and scalable services throughout the entire claim handling and resolution process. To learn more, visit **************************
The objective of a Daily Property Field Adjuster is to provide excellent claim handling services for our clients regarding daily claim work within your area which can include multiple perils.
Contract Requirements Include:
A contract will be issued within 24 hours of accepting your first claim assignment with Alacrity. This IA contract will include pay details and other pertinent information regarding your work as an independent contract with Alacrity. A completed contract is required to issue pay.
Skills & Requirements/Licensure:
MUST live within 50-100 miles of posted location and willing to travel to location.
Minimum 2-3 years property field adjusting experience.
Independent adjusting license in your home state (area of work), or a designated home state license if residing in a non-licensing state.
Experienced in wind, hail, theft, fire, water losses and other perils preferred.
Have reliable transportation, computer, digital camera, ladder, and other miscellaneous items necessary to perform adjuster responsibilities.
Willing and able to climb roofs.
Computer and Phone System Requirements:
Smart Cell Phone able to access to internet.
Xactimate and/or Symbility proficient with current subscription
Working Laptop computer with reliable high-speed internet
Digital camera and other miscellaneous items necessary to perform adjuster responsibilities.
Working Conditions / Physical & Mental Demands:
The physical demands described here are representative and must be met by the independent contractor to successfully perform this job.
100% travel is required within designated working territory based on the location of assignments received.
Normal office or field claims environment. Ability to operate a motor vehicle for up to 8 hours daily, repeatedly entering and exiting the vehicle. Must be able to make physical inspections of auto loss sites. Must be able to work outdoors in all types of weather. Available to work catastrophic loss events. A willingness to work irregular hours and to travel with possible overnight requirements a plus.
Why Choose Alacrity?
Flexibility: Self-determined Scheduling
Diversity Statement
Alacrity is an equal opportunity employer and is committed to providing employees with a work environment free of discrimination and harassment. All decisions pertaining to an employee's employment are made without regard to race, color, religion, sex (including sexual orientation, pregnancy, childbirth), gender, gender identity or expression, age, national origin, ancestry, physical or mental disability, medical condition, reproductive health decisions, veteran's status, genetic information, creed, marital status, disability, citizenship status, or any other characteristic protected by applicable law.
How Long We Retain Personal Information:
We will keep your personal information for as long as necessary to fulfill legitimate business purposes and in accordance with applicable laws.
$50k-71k yearly est. Auto-Apply 60d+ ago
Claims Response Technician
Heritage Mga LLC
Claims representative job in Plainview, NY
Cleans and restores damage to residences due to water and/or mold. Conducts detailed inspections, independently determines, and executes mitigation plan. Upon assignment, may act as the field adjuster on behalf of the Claims department.
Responsibilities:
Communicates with co-workers, management, clients, vendors, and others in a courteous and professional manner
Participates in special projects as assigned
Maintains the integrity of the company and products offered by complying with federal and state regulations as well as company policies and procedures
Conducts initial onsite inspection to determine extent and scope of damage
Identifies hazards and source of damage; evaluates flooring and structure materials and/or contents and documents pre-existing conditions
Takes and labels photos; measures and sketches affected rooms
Determines best restoration process and establish drying goals
Removes excess water by mopping and/or extraction
Sets air movers, dehumidifiers and/or specialty equipment. Monitors and documents temperature and humidity readings
As needed, pulls baseboards, drywall, insulation, carpet/carpet pad, flooring, cabinetry, etc.
As needed, set-up containment areas and hepa-vacuums affected areas. Treats areas with anti-microbial, as needed
Schedules follow-up and clearance tests
Obtains Customer Service Report and Certificate of Satisfaction upon completion of job
Completes and submits in a timely manner all required paperwork
Communicates with co-workers, management, clients, vendors, and others in a courteous and professional manner
Supports workload surges and/or Catastrophe operations as needed to include working significant overtime during designated CATs
Participates in special projects as assigned
Maintains the integrity of the company and products offered by complying with federal and state regulations as well as company policies and procedures
Qualifications:
High School Diploma or equivalent and an active Driver's License with clear driving record are required
6 months relevant experience. Experience in restoration or construction preferred
WRT, ASD, AMRT certification a strong plus
Ability to climb, kneel, and crawl required; may worked in confined spaces. Ability to lift and move items up to 30lbs alone; more with assistance from a partner
Basic computer proficiency; comfortable working with internet-based tools
Demonstrated customer service focus / superior customer service skills
Excellent communication skills and ability to interact on a professional level with internal and external personnel
Results driven with strong problem solving and analytical skills
Ability to work in a fast-paced environment; and manages changing priorities effectively
Detail-oriented and exceptionally organized
Collaborative partner: ability to contribute to a positive work environment
Must be available on call and weekends
This position is based within an assigned region; travel throughout the region is required with occasional travel to locations beyond the assigned region.
Company paid pre-employment drug test and health screening required
Home Base for this position would be
49 North Mall, Plainview, NY 11803
Please check out or website for more information:
**********************************
Apply online to any of our open positions at:
***********************
$40k-51k yearly est. Auto-Apply 55d ago
Bodily Injury Claims Adjuster
Network Adjusters, Inc. 4.1
Claims representative job in Farmingdale, NY
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.
How much does a claims representative earn in New Canaan, CT?
The average claims representative in New Canaan, CT earns between $32,000 and $75,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.
Average claims representative salary in New Canaan, CT