Claims Adjuster
Claims representative job in Farmingdale, NY
Network Adjusters is seeking skilled insurance claims adjusters with experience in General Liability and/or Construction Defect for a third-party liability Construction Defect Claims Adjuster position. In this role, you will manage third-party Construction Property Damage and Liability Insurance claims of varying complexity and severity, specifically within construction development and subcontractor programs.
CONSTRUCTION DEFECT ADJUSTER RESPONSIBILITES:
Knowledge of General Liability and Construction Defect claims.
Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clients.
Fulfill specific client requirements including reporting of claim details and analysis.
Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements.
Recognize and apply jurisdictional issues that impact the claim (i.e.: negligence laws, financial responsibility limits, immunity, etc.)
Investigate facts to determine liability, other sources of recovery as appropriate by contacting and interviewing appropriate parties.
Manage 3rd party property damages, bodily injury and other claims requiring specialized investigation and utilization of external experts in accordance with local laws.
Effectively manage litigated claims & assigned defense or coverage counsel.
Establish and maintain appropriate claim and expense reserves in a timely fashion.
Develop and continually update a plan of action for file resolution including maintaining an effective diary.
Document claim file activities in accordance with established procedures.
Write denial letters, reservation of rights, tenders and other routine and complex correspondence to insureds and claimants.
Confer with higher level technical claim personnel for guidance and direction to ensure files are handled properly.
Determine settlement amounts based on independent judgment, application of applicable limits and deductibles.
Negotiate settlements within authority limits.
Identify subrogation opportunities.
Meet all quality standards and expectations based on Best Practices.
Assure compliance with state specific regulations.
Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution.
CONSTRUCTION DEFECT ADJUSTER QUALIFICATIONS:
2-5 years of experience in claims handling (preferably 3rd party - general liability).
College/Technical degree or equivalent business experience.
Obtain Adjusters licenses as required to meet business need.
Complete continuing education to maintain licenses.
Strong verbal and written communication skills.
General software skills including MS Word, Outlook and Excel.
Customer service and empathy skills.
Solid analytical and decision-making skills in order to evaluate claims and make sound decisions.
Excellent negotiation skills and ability to effectively handle conflict.
Strong organization and time management skills.
Ability to multi-task and adapt to a changing environment.
Attention to detail, ensuring accuracy.
Strong investigative skills and creativity to achieve optimal results.
Ability to maintain confidentiality.
CONSTRUCTION DEFECT ADJUSTER BENEFITS:
Training/Development and growth opportunities
401(k) with company match / Retirement planning
Paid time off / Company paid holidays
Comprehensive health plans including dental and vision coverage
Flex spending account
Company paid life insurance
Company paid long term disability
Supplemental life insurance
Opportunity to buy into short term disability
Strong work/family and employee assistance programs
This role is located in Farmingdale, NY; no remote or hybrid offers are available at this time.
The starting salary for this position is $75,000 - $100,000, depending on factors such as licensure, certifications, and relevant experience. Become a part of a dynamic, energetic workforce in which you can make a difference.
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 of 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.
Auto Claim Representative, I
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 Claim Representative 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 ******************************************************** .
Claims Representative - Auto Property Damage
Claims representative job in Uniondale, NY
The Auto Property Damage Claims Representative is responsible for managing Auto Property Damage claims within our "Auto PD Claim Unit." This role demands a high level of customer service, patience, and professionalism while working in a fast-paced environment with significant phone interaction. Strong customer service, organizational, verbal, and written communication skills are essential. The ability to navigate adversarial situations with professionalism is critical. Comparative negligence claim handling experience is needed for this role.
Essential Functions and Responsibilities:
* Policy Analysis:
* Investigate and interpret policy provisions, endorsements, and conditions to determine coverage for automobile property claims.
* Identify and investigate contested coverage claims that may require a roundtable discussion.
* Claim Investigation:
* Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties.
* Secure and analyze pertinent records, documentation, and loss scene information to determine proximate cause, negligence, and damages.
* Claims Management:
* Evaluate and adjust reserves as necessary.
* Prepare dispatch instructions for field personnel to inspect vehicles.
* Negotiate and settle claims within individual authority limits and seek supervisor approval for claims exceeding authority or requiring additional guidance.
* Maintain effective follow-up systems on pending files, advising insureds, claimants, and brokers on claim status.
* Act as an intermediary between the company, preferred vendors, and customers to resolve disputes.
* Ensure adherence to privacy guidelines, laws, and regulations in claims handling.
* Backup to Commercial Claims handling.
* Subrogation and Legal Handling:
* Investigate and initiate subrogation processes when applicable.
* Handle and respond to special civil part lawsuits or intercompany arbitrations related to auto property damage claims.
* Administrative Duties:
* Manage a customer-focused phone environment by answering calls, returning voicemails, and responding to emails and text correspondence promptly.
* Process incoming and outgoing mail timely and in accordance with state guidelines.
* Complete other duties as assigned.
Qualifications and Education:
* Bachelor's degree required.
* A minimum of 2 year of related PD claim experience is required.
* Licensed in CT, NH, RI and other foreign states is preferred.
* Proficiency in personal computer skills, including Microsoft Office Suite.
* Ability to prioritize and manage multiple tasks effectively.
* Excellent communication, organizational, and customer service skills.
Perks and Benefits:
* 4 weeks accrued paid time off + 9 paid national holidays per year
* Tuition Reimbursement
* Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
* Robust health and wellness program and fitness reimbursements
* Auto and home insurance discounts
* Matching gift opportunities
* Annual 401(k) Employer Contribution (up to 7.5% of your base salary)
* Various Paid Family leave options including Paid Parental Leave
* Resources to promote Professional Development (LinkedIn Learning and licensure assistance
Salary Range: $50,000-65,000 a year. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
About the Company
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent".
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Auto-ApplyClaims - Field Claims Representative
Claims representative job in White Plains, NY
Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person.
If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.
Build your future with us
The Field Claims department is currently seeking Field Claims Representatives to service the territory surrounding: White Plains, New York. The candidate is required to reside within the territory.
This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements.
Be Ready to:
* complete thorough claim investigations
* interview insureds, claimants, and witnesses
* consult police and hospital records
* evaluate claim facts and policy coverage
* inspect property and auto damages and write repair estimates
* prepare reports of findings and secure settlements with insureds and claimants
* use claims-handling software, company car and mobile applications to adjust loss in a paperless environment
* provide superior and professional customer service
* once eligible, become a certified and active Arbitration Panelist
To be an Entry Level Claims Representative:
Salary: The pay range for this position is $55,000 - $76,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.
Be equipped with:
* be available and communicative during your regular business hours
* a desire to learn about the insurance industry and provide a great customer experience
* the ability to work unsupervised
* excellent verbal and written communication skills
* strong interpersonal skills
* excellent problem-solving, negotiation, organizational and prioritization skills
* preparedness to follow-up with others in a timely manner
* a valid driver's license
Bring education or experience from:
* a bachelor's degree
* AINS, AIC, or CPCU designations preferred
Benefits in addition to compensation include:
* company car
* company stock options, including Restricted Share Units and Incentive based stock options
* paid time off (PTO)
* 401K with 6% company match
To be an Experienced Claims Representative:
Salary: The pay range for this position is $62,000- $108,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.
Be equipped with:
* be available and communicative during your regular business hours
* multi-line claims experience preferred
* ability to completely assess auto, property, and bodily injury type damages
* capacity to work unsupervised
* excellent verbal and written communication skills
* strong interpersonal skills
* excellent problem-solving, negotiation, organizational, and prioritization skills
* preparedness to follow-up with others in a timely manner
* a valid driver's license
Bring education or experience from:
* one or more years of claims handling experience
* AINS, AIC, or CPCU designations preferred
* bachelor's degree or equivalent experience required
Benefits in addition to compensation include:
* company car
* company stock options, including Restricted Share Units and Incentive based stock options
* paid time off (PTO)
* 401K with 6% company match
Enhance your talents
Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career.
Enjoy benefits and amenities
Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities.
Embrace a diverse team
As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. All job applicants have rights under Federal Employment Laws. Please review this information to learn more about those rights.
Worker's Compensation Claims Supervisor
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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Claims Analyst - Disability/PFL leave
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.
Multi-line Adjuster
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
$36.63 - $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.
Auto-ApplyClaims Setup Specialist
Claims representative job in Rutherford, NJ
Job DescriptionWe are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on the initial setup of claims, ensuring all information is accurately entered into the claims management system. You will play a key role in preparing claims for further processing by entering data, verifying policy details, and assigning claims to the appropriate adjusters. This position is a full-time, in-office position located at our Rutherford, NJ, headquarters.
Key Responsibilities:
Initial Claims Setup:
Review FNOL (First Notice of Loss) and ensure all necessary information is included (claimant info, loss date, incident description).
Enter claim details into the system, including policy info, loss type, incident description, and the claimant's description of the event.
Policy Verification:
Cross-check claim details against the policy to verify effective dates of coverage.
Confirm policy and coverage details are accurately entered into the system.
Confirm appropriate client contact is attached to the policy
Assign Adjuster & Set Diary Notifications:
Assign the claim to the appropriate adjuster and supervisor.
Set adjuster diaries with new claim notifications and necessary actions.
Claims Acknowledgement Letters:
Generate and send acknowledgement letters as per client instructions.
Skills and Qualifications:
High attention to detail for accurate data entry and policy verification.
Ability to assign claims and set appropriate reminders.
Familiarity with claims management systems (or willingness to learn).
Basic insurance knowledge is a plus but not required.
Strong organizational and time management skills.
Company Overview:
Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client's specific needs. As a claim's organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry!
As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and a “roll-up-your-sleeves, get it done” mentality. We are searching for experienced, energetic, creative, and self-reliant professionals for exciting career opportunities!
Benefits and Perks:
We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company.
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General Liability Claims Specialist
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 commercial claims with moderate to high complexity and exposure for a specific line of business. 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).
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
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-LG1
#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 ***************************.
Auto-ApplyField Property Claims Adjuster
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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Auto-ApplySr. Claims Examiner - PIP
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 Sr. Claims Examiner - PIP to join our team!
Summary:
Analyze insurance claims to determine extent of Insurer's obligations. Settle claims with first and third party claimants in accordance with policy provisions and applicable law.
A typical day will include the following:
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.
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.
Qualifications:
High School Diploma; Bachelor's degree from a four-year college or university preferred.
Five plus years related experience and/or training; or equivalent combination of education and experience.
Three plus years of PIC related experience and an AIC Designation will be considered for employees in good standing with excellent claim audit scores.
Compensation Range : $90,226.00 - $100,840.00
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 *****************************************
Auto-ApplyDaily Property Field Adjuster
Claims representative job in Stamford, CT
Job Description
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.
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Zhah11DaRz
Claims Response Technician
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:
***********************
Auto-ApplyCommercial Lines Claims Specialist
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".
Auto-ApplyRegulation E Claims Specialist
Claims representative job in Clifton, NJ
Responsibilities include but are not limited to: * Investigate customer claims related to unauthorized or erroneous electronic transactions (e.g., debit card, ACH, ATM) in accordance with Regulation E, EFTA, and NACHA guidelines. * Ensure all claims are processed within regulatory timeframes, including provisional credit issuance and final resolution.
* Communicate clearly and professionally with customers regarding claim status, required documentation, and resolution outcomes.
* Collaborate with internal departments such as Fraud, Risk, Compliance, Customer Service, and Retail to gather supporting evidence and ensure accurate claim adjudication.
* Document all investigative steps, findings, and communications in the bank's case management system.
* Monitor claim trends and escalate suspicious activity or potential fraud to the appropriate teams.
* Stay current on changes to Reg E, NACHA rules, and other relevant banking regulations.
* Participate in audits and compliance reviews related to claims handling and Reg E adherence.
Required Skills:
* Strong understanding of banking operations, fraud detection, and consumer protection laws.
In-depth understanding of Regulation E, EFTA, and electronic payment systems.
Familiarity with banking platforms, dispute resolution systems, and fraud detection tools.
Strong analytical, problem-solving, and decision-making skills.
Excellent written and verbal communication skills.
Ability to manage multiple cases and meet strict deadlines.
Required Experience:
* High School diploma or GED and minimum of 2 years of experience in banking operations, fraud investigations, or claims processing.
Preferred Experience:
* Bachelor's degree in a related field and direct experience handling Reg E claims.
Bodily Injury Claims Adjuster
Claims representative job in Farmingdale, NY
Network Adjusters is seeking skilled bodily injury insurance claims adjusters for a liability claims adjuster position. As a bodily injury adjuster, you will handle primarily commercial auto and general liability injury claims with varying degrees of complexity and severity. This will include taking statements, analyzing policy language, handling litigated matters and negotiating settlements as needed. Our adjusters handle claims from inception to closure, communicating claim decisions and key developments to policyholders, claimants, attorneys and other involved parties.
CLAIMS ADJUSTER RESPONSIBILITIES:
Provide superior customer service to meet the needs of the insured, claimant, and all internal and external customers (including carrier clients)
Investigate, negotiate, and manage bodily injury claim investigations
Conduct comprehensive interviews, secure testimonies and gather evidence from claimants, witnesses, medical providers, and law enforcement agencies while determining and establishing reserve requirements
Evaluate claims against insurance contracts to interpret how the policy applies and write professional correspondence to involved parties summarizing your analysis
Determine settlement amounts based on independent judgment, application of applicable limits and deductibles, and collaborating with legal counsel when necessary
Review medical records, police reports, and other relevant documents to determine the extent of injuries and liability
Assure compliance with state specific regulations along with meeting all quality standards and expectations based on Network Adjusters' best practices
Ability to work autonomously while maintaining accurate and up-to-date claim files, diaries, and documentation
Utilize conflict resolution and customer service skills to deliver claims decisions with empathy and confidence
CLAIMS ADJUSTER QUALIFICATIONS:
Minimum of 3 years handling bodily injury claims
Strong verbal and written communication skills
General software skills including MS Word, Outlook and Excel
Customer service and empathy skills
Solid analytical and decision-making skills in order to evaluate claims and make sound decisions
Excellent negotiation and investigative skills with ability to effectively handle conflict to achieve optimal results
Strong organization and time management skills
Ability to multi-task and adapt to a changing environment
Attention to detail, ensuring accuracy
Ability to maintain confidentiality
College or technical degree or equivalent business experience (preferred)
Obtain adjusters licenses as required to meet business needs & continuing education to maintain licenses
Knowledge of security industry and/or rideshare industry is beneficial
CLAIMS ADJUSTER BENEFITS:
Training, development, and growth opportunities
401(k) with company match and retirement planning
Paid time off and company paid holidays
Comprehensive health plans including dental and vision coverage
Flex spending account
Company paid life insurance
Company paid long term disability
Supplemental life insurance
Opportunity to buy into short term disability
Strong work/family and employee assistance programs
This role is located in Farmingdale, NY; no remote or hybrid offers available at this time.
The starting salary for this position is $75,000 and up, depending on factors such as licensure, certifications, and relevant experience.
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 of 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.
Bodily Injury Claims Supervisor
Claims representative job in Uniondale, NY
Are you a dynamic leader with extensive experience in casualty claims management? We are seeking a Bodily Injury Claims Supervisor to oversee a dedicated team of Claims Representatives in our Uniondale, NY office, whose primary responsibility will be handling Massachusetts (MA) casualty and bodily injury claims, but could include other states if the business need arises. In this role, you will drive the professional growth of your team, enhance operational efficiency, and ensure the delivery of exceptional service to our customers.
Responsibilities:
* Supervise and mentor a team of Bodily Injury Claims Representatives, supporting their professional development through targeted training programs and individualized growth plans.
* Lead and manage MA claims operations, ensuring thorough investigations, accurate reserve setting, effective cost control, and resolution of claims in alignment with quality assurance standards.
* Collaborate with internal and external legal counsel to strategize and manage litigation files, including participation in committee reviews, strategy meetings, arbitrations, and mediations to achieve optimal outcomes.
* Identify and evaluate significant claim exposures, preparing and presenting comprehensive large-loss analyses to senior management.
* Monitor and optimize performance metrics at both individual and team levels, using data insights to improve claims-handling strategies.
* Conduct detailed claim reviews through diary management and reporting, providing actionable guidance to enhance claims outcomes.
* Respond to inquiries from independent agents and internal departments, partnering with product, marketing, and actuarial teams when needed.
* Perform regular self-audits against industry best practices, offering constructive feedback and coaching to team members based on audit findings.
Qualifications:
* Bachelor's degree or a combination of relevant education and experience.
* 5-8 years of comprehensive casualty claims experience, including litigation handling.
* Minimum of 2 years in a supervisory or managerial role.
* Advanced communication and presentation skills, with a proactive, innovative, and growth-oriented mindset.
* Strong technical expertise in Bodily Injury, Litigation, UM, and UIM claims.
* Massachusetts claims experience is preferred but not required.
* Proficiency in Tableau, Data Analytics, and the Microsoft Office Suite (Outlook, PowerPoint, Excel, OneNote, Teams).
Join our Uniondale team and become part of a collaborative, growth-focused environment where your leadership and expertise will strengthen our claims operations and support the ongoing professional development of your team.
Salary Range:
The pay range for this position is $100,000 to $135,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
Benefits & Perks:
* Paid time off
* Free onsite gym at our Boston location
* Tuition reimbursement
* Low cost and excellent health insurance coverage options that start on Day 1 (medical, dental, vision)
* Robust health and wellness programs
* Auto and home insurance discounts
* Matching donation opportunities
* Annual 401(k) employer contribution
* Various Paid Family leave options including Paid Parental Leave
* Resources to promote professional development
* Convenient locations and pre-tax commuter benefits
Auto-ApplyGeneral Liability & Commercial Auto Claims Representative
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 direct supervision, and within defined authority limits, to manage commercial claims with low to moderate complexity and exposures for a specific line of business. 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 accounts(s).
JOB DESCRIPTION:
Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:
Manages an inventory of low to moderate complexity and exposure commercial claims by following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit.
Contributes to customer satisfaction 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, estimating potential claim valuation, and following company's claim handling protocols.
Exercises judgement to determine liability and compensability by conducting investigations to gather pertinent information, taking recorded statements from insureds, witnesses and working with experts to verify the facts of the claim.
Works with appropriate internal and external partners, suppliers and experts by identifying and effectively collaborating with necessary resources to facilitate best claim outcomes.
Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
Developing ability to manage expenses 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 Claim, 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 perform additional duties as assigned.
Reporting Relationship
Typically Manager or above
Skills, Knowledge & Abilities
Developing basic knowledge of the commercial insurance industry, products and claim practices.
Good verbal and written communication skills with the ability to demonstrate empathy while providing exceptional customer service.
Ability to develop collaborative business relationships with both internal and external work partners.
Able to exercise independent judgement, solve basic problems and make sound business decisions.
Analytical mindset with critical thinking skills.
Strong work ethic, with demonstrated time management and organizational skills.
Ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
Knowledge of Microsoft Office Suite and ability to learn business-related software.
Adaptable to a changing environment
Ability to value diverse opinions and ideas
Education & Experience:
High school Diploma required. Associates or Bachelor's Degree preferred.
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
Prior claim handling, or business experience in the insurance industry and/or customer service is preferred.
#LI-AR1
#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,
t
he national base pay range for this job level is $47,000 to $78,000 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 ***************************.
Auto-ApplyField Property Claims Adjuster
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
Auto-ApplyDaily Property Field Adjuster
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.
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