Claims representative jobs in Wilmington, DE

About the Role Job Title: Claims Examiner Schedule: Hybrid (4 days in office, 1 day remote) Hours: 9:00 AM - 5:00 PM (30-minute lunch break) Interview Process: Single-round interview Education & Experience • Minimum 5 years of experience as a licensed claims professional with specialised expertise in: o Litigation management o Complex coverage issues o High-exposure and/or long-term exposure claims o Coverage litigation • Law degree preferred, but not required.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Liability Adjuster, where you'll play a crucial role in managing Complex commercial general liability claims with precision and expertise. Key Responsibilities: Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments. Review and analyze evidence, reports, and medical records to establish damages and reserves. Process payments efficiently, ensuring timely resolution of claims. Interview insureds, claimants, and witnesses to gather essential information and build strong cases. Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively. Qualifications Juris Doctor (JD) degree preferred or Bachelor's degree with prior experience adjusting liability claims and a proven track record in litigation. Licensing: Active TX All Lines License, or willingness to obtain one at company's expense. Exceptional written and verbal communication skills. Strong organizational and computer skills. Excellent time management skills with the ability to prioritize tasks effectively.

Claims Specialist - TPA Liability United States Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of continuous improvement. You create an environment that fosters collaboration, customer service and colleague development. You build a team of passionate and innovative claims experts who see success as a reason to roll up their sleeves and drive for improvement. You will work closely with your manager, TPA's, fellow Claims Specialists, CAM's, and outside vendors to drive files to resolution and will interact and collaborate frequently with Regional Claims Practice Leaders and the Underwriting team. Together, you will be tasked with achieving the best possible outcomes for AXA XL and its clients by resolving and settling claims proactively. What you'll be doing What will your essential responsibilities include? Managing assigned claims across multiple jurisdictions, as well as setting the case strategy for these claims in partnership with our TPAs, Regional Claims Practice Leaders, Claims Legal and Claims management, as warranted. Overflow Frequency Reviews. Proactively managing the TPAs, and external counsel and setting litigation strategies when counsel is engaged on a claim. Coordinating and managing communication with internal and external stakeholders (e. g. CAM's, underwriting, brokers, reinsurers, external vendors, etc. ) to ensure the highest level of customer service. Consulting with Regional Claims Practice Leaders and Claims management on Large Losses and ensuring all steps are taken to achieve the best outcomes for the client and AXA XL. Documenting, as necessary, claim activity in our claims system in accordance with our Global Claim Handling Principles, which includes the establishment and maintenance of appropriate reserves. The production of internal reports. Identifying, monitoring, and reporting on emerging liability and coverage trends. You will report to the Manager of TPA Liability Claims What you will BRING We're looking for someone who has these abilities and skills: General Liability and commercial auto claims experience: Beginner to Intermediate level experience managing TPA Oversight claims and reviewing Frequency claims. Experience assessing and managing coverage issues and managing TPA's. Demonstrated experience negotiating and settling claim files. Excellent Communication: Excellent verbal and written communication, presentation, and negotiation skills. Able to communicate and negotiate effectively with internal and external stakeholders at various levels of sophistication. Collaborative approach: Develop productive working relationships with insured, brokers, TPA claim handlers, CAM's, underwriters, and legal counsel. Seek input from others as needed to achieve the best result possible. Capable of working and collaborating with a virtual team. Ethics: Handle responsibilities with integrity and the highest standards of professionalism. Passion for results: Approach tasks proactively and anticipate needs. Think quickly and prioritize multiple work streams without sacrificing quality. Act with a sense of urgency. Intellectual curiosity: Willing to ask questions and explore new ideas. Eager to learn and focused on continuously improving technical skills. Who WE are AXA XL, the P&C and specialty risk division of AXA, is known for solving complex risks. For mid-sized companies, multinationals and even some inspirational individuals we don't just provide re/insurance, we reinvent it. How? By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business − property, casualty, professional, financial lines and specialty. With an innovative and flexible approach to risk solutions, we partner with those who move the world forward. Learn more at axaxl. com What we OFFER Inclusion AXA XL is committed to equal employment opportunity and will consider applicants regardless of gender, sexual orientation, age, ethnicity and origins, marital status, religion, disability, or any other protected characteristic. At AXA XL, we know that an inclusive culture and enables business growth and is critical to our success. That's why we have made a strategic commitment to attract, develop, advance and retain the most inclusive workforce possible, and create a culture where everyone can bring their full selves to work and reach their highest potential. It's about helping one another - and our business - to move forward and succeed. Five Business Resource Groups focused on gender, LGBTQ+, ethnicity and origins, disability and inclusion with 20 Chapters around the globe. Robust support for Flexible Working Arrangements Enhanced family-friendly leave benefits Named to the Diversity Best Practices Index Signatory to the UK Women in Finance Charter Learn more at Inclusion & Diversity at AXA XL | AXA XL. AXA XL is an Equal Opportunity Employer. Total Rewards AXA XL's Reward program is designed to take care of what matters most to you, covering the full picture of your health, wellbeing, lifestyle and financial security. It provides competitive compensation and personalized, inclusive benefits that evolve as you do. We're committed to rewarding your contribution for the long term, so you can be your best self today and look forward to the future with confidence. Sustainability At AXA XL, Sustainability is integral to our business strategy. In an ever-changing world, AXA XL protects what matters most for our clients and communities. We know that sustainability is at the root of a more resilient future. Our 2023-26 Sustainability strategy, called "Roots of resilience", focuses on protecting natural ecosystems, addressing climate change, and embedding sustainable practices across our operations. Our Pillars: Valuing nature: How we impact nature affects how nature impacts us. Resilient ecosystems - the foundation of a sustainable planet and society - are essential to our future. We're committed to protecting and restoring nature - from mangrove forests to the bees in our backyard - by increasing biodiversity awareness and inspiring clients and colleagues to put nature at the heart of their plans. Addressing climate change: The effects of a changing climate are far-reaching and significant. Unpredictable weather, increasing temperatures, and rising sea levels cause both social inequalities and environmental disruption. We're building a net zero strategy, developing insurance products and services, and mobilizing to advance thought leadership and investment in societal-led solutions. Integrating ESG: All companies have a role to play in building a more resilient future. Incorporating ESG considerations into our internal processes and practices builds resilience from the roots of our business. We're training our colleagues, engaging our external partners, and evolving our sustainability governance and reporting. AXA Hearts in Action: We have established volunteering and charitable giving programs to help colleagues support causes that matter most to them, known as AXA XL's "Hearts in Action" programs. These include our Matching Gifts program, Volunteering Leave, and our annual volunteering day - the Global Day of Giving. For more information, please see Sustainability at AXA XL. Applicants for this role must be legally authorized to work in the United States without sponsorship now or in the future. The U. S. base salary range for this position is USD $92,500- $182,000. Actual pay will be determined based upon the individual's skills, experience and location. We strive for market alignment and internal equity with our colleagues' pay. At AXA XL, we know how important physical, mental, and financial health are to our employees, which is why we are proud to offer benefits such as a competitive retirement savings plan, health and wellness programs, and many other benefits. We also believe in fostering our colleagues' development and offer a wide range of learning opportunities for colleagues to hone their professional skills and to position themselves for the next step of their careers. For more details about AXA XL's benefits offerings, please visit US Benefits at a Glance 2025. Applicants for this role must be legally authorized to work in the United States without sponsorship now or in the future. AXA XL is an Equal Opportunity Employer.

Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we're dedicated to providing exceptional service and innovative solutions, and we're looking for passionate individuals to be part of our dynamic team. If you're eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere! MAJOR DUTIES & RESPONSIBILITIES: The ESIS Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Duties may include but are not limited to: Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies. Communication: Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process. Investigation: Conduct thorough investigations of claims, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability. Decision-Making: Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws. Documentation: Maintain detailed and organized claim files, documenting all activities, communications, and decisions in the claims management system. Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, while ensuring appropriate reserves are established and maintained. Compliance: Ensure adherence to state-specific workers' compensation laws, regulations, and reporting requirements. Customer Service: Provide exceptional service to clients by addressing inquiries, resolving issues, and delivering timely updates on claim status. Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes. Experience: Minimum of 2-3 years of experience handling workers' compensation claims; prior experience with ESIS or similar third-party administrators is a plus. Licensing: Knowledge of Pennsylvania Workers Compensation and active adjuster license or ability to obtain licensure within a specified timeframe. Skills: Strong analytical and problem-solving abilities. Excellent verbal and written communication skills. Proficiency in claims management systems and Microsoft Office Suite. Ability to manage multiple priorities and meet deadlines in a fast-paced environment. Knowledge: Familiarity with California workers' compensation laws, medical terminology, and claim handling best practices. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam. The pay range for the role is $60,700 to $93,000. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled. ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Liability Adjuster, where you'll play a crucial role in managing Complex commercial general liability claims with precision and expertise. Key Responsibilities: Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments. Review and analyze evidence, reports, and medical records to establish damages and reserves. Process payments efficiently, ensuring timely resolution of claims. Interview insureds, claimants, and witnesses to gather essential information and build strong cases. Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively. Qualifications Juris Doctor (JD) degree preferred or Bachelor's degree with prior experience adjusting liability claims and a proven track record in litigation. Licensing: Active TX All Lines License, or willingness to obtain one at company's expense. Exceptional written and verbal communication skills. Strong organizational and computer skills. Excellent time management skills with the ability to prioritize tasks effectively.

Who are we? A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway's insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character. We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty and specialty lines insurance company in the world? Learn more about our unique culture and history. Job Opportunity: Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a Senior Claims Examiner on our Architects & Engineers (A&E) Professional Liability team. At BHSI, our claims professionals are an integral part of our business. Every claim is handled with the utmost skill by seasoned and dedicated claims professionals. We are seeking an experienced professional to join our growing team in the Atlanta, Boston, Chicago, New York, or Plymouth Meeting office. This position is a great opportunity for practicing lawyers looking to transition out of a law firm as well as claim professionals with professional liability claims experience. In this role, the Senior Claims Examiner will have a unique opportunity to handle and adjust all facets of Architects & Engineers Professional Liability claims in a highly collaborative team environment, dedicated to best in class claims handling. Duties & Responsibilities: * Manage and adjust Architects & Engineers Professional Liability claims impacting primary and excess policies while ensuring the highest level of customer service and technical claim file quality. * Proactively handle claims from first notice of loss through ultimate resolution while advising internal partners and meeting with clients and brokers * Collaborate and partner with the insured and broker in the handling and adjudication of claims. * Analyze and draft coverage letters as appropriate and communicate coverage positions effectively. * Conduct, coordinate, and proactively handle the investigation process and ensure timely resolution of claims. * Directly and closely monitor assignments to experts and defense counsel as necessary. * Evaluate information related to coverage, liability, and damages to determine the extent of exposure to the insured and the company. * Draft reports, set reserves within authority, or make claim recommendations concerning reserve changes. * Travel to conferences, mediations, and trials as necessary. Qualifications, Skills and Experience: * College degree required. JD preferred. * 5+ years of professional liability claim handling experience or matching equivalency; and be able to demonstrate techincal competence in the handling of specialized claims. * Ability to work independently and assimilate learning materials on many different subjects from various sources. * Excellent interpersonal, communication, investigative and negotiation skills. * Ability and willingness to work effectively in a team environment and handle multiple tasks simultaneously. * Experience in handling and adjusting claims in multiple jurisdictions and must possess, or be willing to obtain, the required licenses. BHSI Offers: * A competitive package and exciting growth opportunities for career-oriented teammates. * A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates, and our other stakeholders. * A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework. * Benefits that support your life and well-being, which include: * Comprehensive Health, Dental and Vision benefits * Disability Insurance (both short-term and long-term) * Life Insurance (for you and your family) * Accidental Death & Dismemberment Insurance (for you and your family) * Flexible Spending Accounts * Health Reimbursement Account * Employee Assistance Program * Retirement Savings 401(k) Plan with Company Match * Generous Holiday and Paid Time Off * Tuition Reimbursement * Paid Parental Leave The base salary range for this position is from $120,000.00 to $140,000.00, along with annual bonus eligibility; a candidate's salary is determined by their relevant skills and experience. We value our teammates - both their capabilities and character - as demonstrated by our amazing culture. NOTE: Compensation will be commensurate with experience. This job description is not intended to be all-inclusive. Team Member may perform other related duties as negotiated to meet the ongoing needs of the organization.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! * Competitive compensation * Healthcare benefits package that begins on first day of employment * 401K retirement plan with company match * Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays * Up to 6 weeks of parental and bonding leave * Hybrid work schedule (3 days in the office, 2 days from home) * Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) * Tuition reimbursement after 6 months of employment * Numerous opportunities for continued training and career advancement * And much more! Responsibilities The Senior Liability Adjuster is responsible for conducting office investigations and adjusting commercial general liability claims that are largely litigated and exposures up to and over policy limits within our Major Case Unit. The Adjuster is also responsible for, but not limited to: * Handling large and catastrophic losses * Analyzing construction and other contracts * Analyzing policies of insurance * Addressing risk transfer strategies and priority of coverage * Proactive approach towards negotiating claims towards resolution * Investigating losses and identifying coverage issues * Analyzing coverage and identifying covered and uncovered claims * Assigning panel counsel to defend our insured(s) * Working with counsel to develop litigation plan to resolve underlying claim * Obtaining and reviewing evidence, reports, and medical records * Establishing indemnity and expense reserves * Processing payments * Taking statements from insured's, claimants, and witnesses Qualifications * At least 10 years of prior experience adjusting commercial general liability (CGL) and businessowners' policies (BOP) liability claims * Bachelor's degree required, Attorney license preferred * Able to understand coverage * Ability to analyze policies of insurance and relevant contracts to address priority of coverage and explore risk transfer strategies * Excellent written and verbal communication skills * Strong organizational and computer skills * Excellent time management skills with the ability to prioritize * Able to occasionally travel to hearings, mediations, trials, and conferences

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.

At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance, AIGI has an opening within our Claims Division on MidCorp Entertainment team as a Senior Claims Examiner, Entertainment to manage a wide range of complex claims across film, television, live events, motorsports, and more. This role involves investigating, evaluating, and resolving claims related to property, equipment, contingency, and third-party damage, while ensuring compliance with internal guidelines. You'll collaborate with underwriters, brokers, and external adjusters, drive subrogation and salvage efforts, and support new business onboarding Responsibilities * Proactively investigate, evaluate, negotiate and resolve Entertainment claims including Real Property and Business Personal Property, Time Element, Contingency, Miscellaneous Equipment, Theater, Third Party Property Damage and Props Sets & Wardrobe. * Entertainment claims include Motion Picture Film and Television, Commercial productions, Touring, Motorsports, Live Events, Theater. * Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis * Develop and implement strategy related to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care * Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures * Maintain contact with any/all associated claims carrier(s)' claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary * Investigate claims and review the insureds' materials, pleadings, and other relevant documents * Identify and review each jurisdiction's applicable statutes, rules, and case law * Review litigation materials including depositions and expert's reports * Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues * Retain counsel when necessary and direct counsel in accordance with resolution strategy * Analyze coverage, liability and damages for purposes of assessing and recommending reserves * Prepare and present written/oral reports to senior management setting forth all issues influencing evaluations and recommending reserves * Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter * Negotiate resolution of claims * Select and utilize structure brokers * Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims Experience & Required Skills * 5-7+ years of work experience at an insurance company and/or insurance claims loss adjustment service provider managing property claims process supporting commercial accounts * Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Strong time management and organizational skills * Demonstrated ability to take part in active strategic discussions * Demonstrated ability to work well independently and in a team environment * Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word * Willing and able to travel 10% * Multi-lingual is a plus Education * Bachelor's degree required. * Proper & active adjuster licensing in all applicable states #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $97,100 - $131,130/year * Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. * Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. 14400 Arch Insurance Group Inc.

As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: * Promptly investigates all assigned claims with minimal supervision, including those of a more complex nature * Determines coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) * Alerts Supervisor and Special Investigations Unit to potentially suspect claims * Ensures timely denial or payment of benefits in accordance with jurisdictional requirements * Within granted authority, establishes appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure * Negotiates claims settlements within granted authority * Establishes and implements appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition * Works collaboratively with PMA nurse professionals to develop and execute return to work strategies * Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome * Maintains a working knowledge of New York jurisdictional requirements and applicable case law for each state serviced * Demonstrates technical proficiency through timely, consistent execution of best claim practices * Communicates effectively, verbally and in writing with internal and external parties on a wide variety of claims and account issues * Provides a high degree of customer service to clients, including face to face interactions during claims reviews, stewardship meetings and similar account-specific sessions * Authorizes treatment based on the practiced protocols established by statute or the PMA Managed Care department * Assists PMA clients by suggesting panel provider information in accordance with applicable state statutes. * Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. #LI-Remote * Bachelor's degree and/or four or more years of equivalent work experience required in an insurance related industry required * CA experience is required; AZ experience is a plus * Associate in Claims (AIC) Designation or similar professional designation desired * License required or ability to obtain license within 90 days of employment in mandated states * Familiarity with medical terminology and/or Workers' Compensation * Working knowledge of Workers Compensation regulations, preferably jurisdiction-specific * Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously * Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details * Strong verbal, written communication skills and customer service skills gained through previous work experience * Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint * Ability to travel for business purposes, approximately less than 10%.

The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises claims staff in their day-to-day operations * Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions * Ensures staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements * Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval) * Provides technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues and service account instructions * Acts as a liaison by recommending and executing final resolutions for clients and employees concerning claim-specific, procedural, or special requests * Participate in customer claim reviews and presentations * Ability to travel overnight and attend meetings if required * Additional duties as assigned KNOWLEDGE & SKILLS: * Excellent written and verbal communication skills * Ability to assist team members to develop knowledge and understanding of claims practice * Effective quantitative, analytical and interpretive skills * Strong leadership, management and motivational skills * Demonstrated, strong customer service skills * Maintains composure under pressure and communicates diplomatically across various channels, including telephone, email, and written correspondence * Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets * Strong interpersonal, time management and organizational skills * Ability to work both independently and within a team environment * Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation EDUCATION & EXPERIENCE: * Bachelor's degree or a combination of education and related experience * Demonstrated public speaking skills * Minimum of 5 years' claims handling experience * Knowledge of WC required * Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel * Self-Insured Certificate preferred * State Certification as an experienced Examiner PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $71, 696 - $110,701 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity General Liability claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence. Responsibilities: Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution Review and analyze supporting damage documentation Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions Establish appropriate loss and expense reserves with documented rationale Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines Experience & Qualifications Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word Knowledge of ImageRight preferred Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines Ability to work well independently and in a team environment Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date. Education Bachelor's degree preferred 3-5 years' experience handling the process of commercial insurance claims #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $71,900 - $97,110/year Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. For Colorado Applicants - The deadline to submit your application is: May 17, 202614400 Arch Insurance Group Inc.

The Billing and Claims Specialist will be responsible for managing all aspects of customer billing, including preparing invoices, reconciling accounts, claims and resolving billing discrepancies. The ideal candidate will have a minimum of 3 years of experience in billing or accounts receivable within a fast-paced environment. Key Responsibilities: Prepare, review, and process accurate customer invoices in a timely manner. Reconcile billing statements and resolve discrepancies with internal teams and customers. Maintain accurate and organized billing and claims records. Collaborate with operations and sales teams to ensure proper billing for services rendered. Respond to customer inquiries regarding billing issues professionally and promptly Continuously identify and implement process improvements in billing operations. Identify process improvements to streamline billing and claims management. Qualifications: Minimum of three (3) years billing or accounts receivable experience, preferably in logistics or warehousing. Strong attention to detail and accuracy. Proficiency in Microsoft Office, especially Excel. Experience with billing software is a plus. Excellent communication and customer service skills. Ability to work independently and as part of a team. Strong organizational and time-management skills. Schedule: Full-time, Monday - Friday (with flexibility).

Our Property Claims department is seeking a Senior Outside Property Adjuster in the New York tri-state area territory. This is a remote Full-time/Exempt role with field investigations. Senior outside property adjusters handle property claims requiring field investigations and/or inspections. They must establish rapport with our insureds and maintain relationships with our agents, underwriters, contractors, restoration vendors, and experts. They are expected to know their territory, including the geography; regulations and the law as pertains to property claims; state and local public safety and regulatory agencies and officials; the insurance and legal climate; and public adjusters. Outside property adjusters may use a company claims office location as their base of operations, or they may work out of their homes. IN THIS ROLE, YOU WILL: Handle complex personal and commercial property claims requiring outside field investigations and/or inspections. Handle claims between $150k-$500k at a lower case load volume. Use discretion and independent judgment in claim handling. Possess demonstrated technical knowledge and skills, including product and industry, reflective of successful progression through various job family levels. Identify possibly suspicious claims. Claims handled will be of greater complexity, severity, and exposures, including litigation, and will require a higher level of investigation, analysis, evaluation and negotiation including interpretation of commercial coverage. Authority levels are higher in recognition of the higher proficiency associated with this level. May be used as a technical resource by adjusters; may represent the company at mediation, arbitration and trials. May be responsible for all aspects of each claim, including informal hearings, arbitrations, and claims litigation and maintaining a high level of productivity, confidentiality and customer service. May provide training and mentoring to adjusters. Assignments are broad in nature, usually requiring originality and ingenuity. WHAT YOU NEED TO APPLY: 7+ years of adjusting experience. Experience handling claims between $150k-500k. Xactimate certification. Must have or secure and maintain appropriate states adjuster license(s) and continuing education credits. Must have valid driver's license. Required to have and maintain sufficient home-based internet connection. Dedicated to meeting the expectations and requirements of internal and external customers. Makes decisions in an informed, confident and timely manner. Maintains constructive working relationships despite differing perspectives. Strong organizational and time management skills. Ability to negotiate skillfully in difficult situations with both internal and external groups. Demonstrates ability to win concessions without damaging relationships. Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication. Understanding of applicable statutes, regulations and case law. Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner. Easily adapts to new or different changing situations, requirements or priorities. Cultivates an environment of teamwork and collaboration. Operates with latitude for un-reviewed action or decision. Proficient using MS Office (Excel, Word, etc). Proficient using Claims systems (i.e. CSS, PMS, etc). Ability to use a personal computer and other standard office equipment. Ability to travel as necessary. Ability to sit and/or stand for extended periods. Ability to operate a motor vehicle 4-5 hours per day and to get in and out of the vehicle numerous times during the day. Ability to load and unload equipment and supplies weighing up to 30 pounds from a motor vehicle as needed to perform field work. Ability to bend, walk, and climb for several consecutive hours while inspecting damaged buildings, often with utilities turned off or inoperable. Ability to use a ladder safely to get onto and off of roofs, and maintain balance while inspecting roofs. Ability to perform field work in adverse weather. This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform.

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. Powered by JazzHR dF6dE3s7es

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 Newark, DE (19711) 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

The Epic Tapestry Claims Analyst serves as the primary support for configuration around the AP claims, benefits, contracts, and vendor modules in an Epic environment. They are expected to possess extensive knowledge of the organization's policies, procedures, and business operations. This role involves coordinating all issues that may occur during installation, maintenance, troubleshooting, and upgrades within their area of application responsibility. The Analyst is responsible for implementing, configuring, and maintaining the application modules to support payer workflows. This role requires a deep understanding of healthcare interoperability, heath plan operations, Epic applications, and data structures. Key Responsibilities Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson Implements and configures Epic Payer Platform modules to JHP requirements Develops content and documentation tools for implementing systems changes and other tasks and provides input for training materials Performs in‐depth analysis of workflows, data collection, report details, and other technical issues associated with application Works closely with stakeholders to gather requirements, design solutions, and configure the system Provides support and troubleshooting for issues, working closely with end users, Jefferson IS&T teams, and external partners Maintains system and process documentation Promotes adoption of best practices Configures and maintain interfaces for heath data exchange to meet requirements Ensures compliance with all regulatory agencies Required Qualifications Bachelor's degree (or equivalent work experience) Epic Certification(s) Minimum 3 years of experience in a relevant field or role(s) Understanding of IT security principles, HIPAA compliance, and healthcare systems support Excellent troubleshooting, documentation, and communication skills Proficiency in Microsoft Office Suite Preferred Qualifications Experience working in a large health system, academic medical center, or health plan Epic Payer Platform Certification Epic Tapestry, Cheers, Healthy Planet, or MyChart Certification(s) Experience supporting interoperability workflows Work Shift Workday Day (United States of America) Worker Sub Type Regular Employee Entity Primary Location Address 1101 Market, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educa tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance. For more benefits information, please click here

Job Description RG/2 is seeking a Claims Analyst who will be responsible for handling data entry of claimant information, claim review, report processing and reconciliation, updating and maintaining the firm's database and document management systems, electronic and telephonic communication with claimants, claim payment distribution activities, and assisting in the preparation of periodic reports to courts and counsel. Successful candidate should be highly detail-oriented and have a demonstrated ability to work independently in a fast paced and high-volume environment. Strong sense of responsibility and cooperative attitude are critical attributes, as well as excellent interpersonal and communication (oral and written) skills. Candidate will perform a variety of assignments and must be motivated and willing to learn and apply new concepts. We believe balanced judgment, common sense, initiative and the capacity to confront a variety of situations are essential traits of a successful employee. Requirements Post-secondary education or 3 years of direct experience working in a claims administration firm or legal support services. Proficient with MS Office Strong analytical skills Benefits RG/2 is passionate about creating an inclusive workplace that promotes and values diversity. More importantly, creating an environment where everyone, from any background, can do their best work. Our competitive salary commensurate with experience. Performance based bonus and a wide range of employee benefits and support programs that include: Business Casual Dress Code 401(k)/Employee's Pension Plan Employee Assistance Program Employee Resource Groups Global Fit / Walk My Mind Flexible Spending & Commuter Benefits Life/AD&D Insurance Long-term Disability Insurance Short-term Disability Insurance Generous PTO Medical / Dental / Vision Insurance Back-Up Advantage Program Telemed (MeMd) Pet Insurance We encourage you to apply if you are interested in contributing to the success of RG/2 while developing your career in a challenging and professional environment. When applying include a cover letter when uploading your resume. RG/2 is an Equal Opportunity Employer.