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Farm and Ranch Claims Adjuster
Munich Re 4.9
Remote claims supervisor job
All locations Amelia, United States; Austin, United States; Atlanta, United States; Charlotte, United States; Columbus, United States; Dallas, United States; Denver, United States; Des Moines, United States; Houston, United States; Philadelphia, United States;
American Modern Insurance Group, Inc., a Munich Re company, is a widely recognized specialty insurance leader that delivers products and services for residential property - such as manufactured homes and specialty dwellings - and the recreational market, including boats, personal watercraft, classic cars, and more. We provide specialty product solutions that cover what the competition often can't.
Headquartered in Amelia, Ohio, and with associates located across the United States, we are part of Munich Re's Global Specialty Insurance division. Our employees receive boundless opportunity to grow their careers and make a difference every day. This position has a hybrid schedule, 40-50% of the time in the office in Amelia, OH. Remote working arrangements will be considered for qualified candidates in other geographical locations.
American Modern Insurance Group is developing a new Farm and Ranch division and we are looking for an experienced Adjuster to join our Virtual Desk team. In this role, you will have exposure to various kinds of claims such as Farm Auto, Farm Dwelling, Farm Equipment and Farm Structures.
We are looking for a highly motivated and detail-oriented individual to investigate, evaluate, and settle farm and ranch claims in accordance with company policies and procedures. The successful candidate will have a strong understanding of agricultural operations, insurance principles, and claims adjusting practices. This role requires excellent communication and interpersonal skills, as well as the ability to work independently and as part of a team.
Key Responsibilities:
Investigate and evaluate farm and ranch claims, including but not limited to:
Crop damage
Livestock losses
Equipment and property damage
Business interruption
Conduct virtual inspections and interviews with policyholders, witnesses, and other stakeholders.
Gather and analyze data, including financial records, agricultural reports, and other relevant documents.
Determine the extent of damages and losses, and calculate claim settlements in accordance with policy terms and conditions.
Communicate claim decisions and settlements to policyholders, agents, and other stakeholders.
Maintain accurate and detailed records of claims activity, including documentation of investigations, evaluations, and settlements.
Stay up-to-date with industry developments, regulatory changes, and company policies and procedures.
Qualifications
Bachelor's degree in a relevant field (e.g., business, construction management, or a related field).
At least two years of experience in farm and ranch claims adjusting
Strong knowledge of agricultural operations, including crop and livestock production
Familiarity with insurance principles, including policy terms, conditions, and exclusions
Excellent communication, interpersonal, and problem-solving skills
Ability to work independently and as part of a team
Strong analytical and organizational skills, with attention to detail and ability to prioritize tasks
Proficient in Microsoft Office, with ability to learn company-specific software and systems
We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits:
Two options for your health insurance plan (PPO or High Deductible).
Prescription drug coverage (included in your health insurance plan).
Vision and dental insurance plans.
Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary.
Short and Long Term Disability coverage.
Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children).
Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity).
In addition to the above insurance offerings, our employees also enjoy:
A robust 401k plan with up to a 5% employer match.
A retirement savings plan that is 100% company funded.
Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries.
Eligibility to receive a yearly bonus as a Munich Re employee.
A variety of health and wellness programs provided at no cost.
Paid time off for eligible family care needs.
Tuition assistance and educational achievement bonuses.
A corporate matching gifts program that further enhances your charitable donation.
Paid time off to volunteer in your community.
The salary range for this role is between $60,000 and $100,000 annually plus bonus and benefits mentioned above.
At American Modern, we see Diversity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and talent with a focus on providing our customers the most innovative products and services.
We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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$60k-100k yearly 3d ago
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Sr Field Claims Specialist
Argonaut Management Services, Inc.
Remote claims supervisor job
Argo Group International Holdings, Inc.and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.
Job Description
PURPOSE OF THE JOB:
The position assumes responsibility for handling property claims including high severity and complex losses within a specified territory.
ESSENTIAL FUNCTIONS:
Inspects the damage of the loss.
Determines the investigative needs to assess damages, the cause of the loss, and the coverage.
Interviews the claimants and witnesses.
Conducts additional research or identifies additional investigation needs and resources, as needed.
Identifies potential fraud indicators.
Assesses the salvage/subrogation potential and monitors to them to the conclusion.
Completes the risk evaluation for underwriting and claims purposes.
Verifies and interprets the policy coverage, deductibles, and liability; and analyzes what may be covered.
Reviews and documents the facts of the loss and estimates the cost of the repairs and/or replacements including detailed diagrams, reports and estimates.
Communicates and explains the process, estimates, etc., to the policyholder.
Negotiates with the insured, contractors, and vendors, as needed.
Maintains contact with claimants, agents, and attorneys, regarding the ongoing status of claims files.
QUALIFICATIONS:
High school diploma.
Five or more years of experience in insurance, construction or related field
State license and/or ability to obtain one.
SPECIAL POSITION REQUIREMENTS:
The position involves considerable physical exertion, such as regular climbing of ladders, lifting of heavy objects (up to 80 pounds) on a highly frequent basis and/or assuming awkward positions for long periods of time.
A person in this position is expected to make independent decisions in accordance with the company's policies and procedures.
Full time remote position
Travel required.
PREFERENCES:
Bachelor's Degree
Property Claims Handling Experience ideally including Commercial, Farm and Ranch experience
Field adjusting and estimating knowledge.
Insurance designations such as Chartered Property Casualty Underwriter (CPCU), Associate in Claims (AIC) or Senior Claim Law Associate (SCLA).
Salary range is $68100 - $125000
PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at .
Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.
We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.
The collection of your personal information is subject to our HR Privacy Notice
Benefits and Compensation
We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
$68.1k-125k yearly 2d ago
E&S Litigation Claims Manager - Remote
Selective Insurance 4.9
Remote claims supervisor job
About Us
At Selective, we don't just insure uniquely, we employ uniqueness.
Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year.
Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.
Overview
Selective Insurance is seeking a E&S Litigation Claims Manager who proactively manages a litigation claims unit in our Excess & Surplus Lines unit in accordance with Company claim policies, practices and procedures within delegated authority. Candidate is responsible for the management of the E&S Litigation Claims Specialist; driving optimum claims outcomes, supporting operational goals and objectives while delivering superior customer service to our policyholders and agents, all in support of our commitments to our stakeholders. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Candidate will be responsible for assisting staff with resolution of coverage issues and working with Legal and outside coverage counsel in the resolution of coverage litigation.
Responsibilities
Plans, controls and coordinates claims activity and workflow within claims unit/department in order to maintain the highest professional customer service and technical standards, and to ensure work is produced in a timely fashion and that all deadlines are met.
Ensures the timely settlement of claims and maintains acceptable closing ratios for the department.
Prepares operating budget for unit/department and monitors and controls expenses.
Recommends claims procedural changes and plans, organizes and implements these changes in accordance with company guidelines. Keeps current on all changes affecting work production.
Maintains override capability, authorizes settlements up to designated authority limits, and submits recommendations to designated officials for those claims in excess of authority level.
Oversees combined loss ratio and productivity numbers and ensures they are in compliance with company standards.
Oversees and controls allocated claims expenses.
Provides performance management activities for personnel measured against business objectives and claims activity.
Plans reviews and conducts claims reviews and settlement conferences. Mediates complaints and disputes regarding claim resolution.
Must be able to drive an automobile to travel within territory. Car travel represents approximately 0-10% of employee's time and a valid driver's license.
Qualifications
Knowledge and Requirements
Ability to lead a team of litigation claims specialist with varying degrees of experience.
Excellent people and management skills to properly performance manage staff and assist with training initiatives.
Ability to analyze reports and trend analysis to identify issues.
Experience in E&S claims, complex coverage analysis and significant large loss evaluations preferred.
Superior communication, strategic thinking and problem-solving skills.
Excellent presentation skills.
Moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint).
Sufficient keyboarding proficiency to enter data accurately and efficiently.
Must have valid state-issued driver's license in good standing and be able to drive an automobile.
Education and Experience
College degree preferred.
Law degree preferred, but not required,
10+ years claims experience and 3-5 year's claimssupervisory experience.
Experience handling or supervising E&S Claims and/or experience handling coverage litigation preferred.
Total Rewards
Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page.
The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.
Pay Range
USD $135,000.00 - USD $204,000.00 /Yr.
Additional Information
Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.
For Massachusetts Applicants
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
$135k-204k yearly 4d ago
Commercial Property Claims Examiner
CWA Recruiting
Remote claims supervisor job
Commercial Property Claims Examiner - Property & Casualty Insurance
Remote but must be in NYC
About the Role
Handle commercial property claims by investigating losses; managing and controlling independent adjusters and experts; interpreting the policy to make proper coverage determinations; addressing reserves; writing coverage letter and reports; and providing good customer service. Assure timely reserving and handling of a claim from assignment to completion by investigating that claim and interpreting coverage. Manage independent adjusters and experts. Inside desk adjusting role - 100% Remote for now - NYC based.
Responsibilities
Investigate losses
Manage and control independent adjusters and experts
Interpret the policy to make proper coverage determinations
Address reserves
Write coverage letters and reports
Provide good customer service
Assure timely reserving and handling of a claim from assignment to completion
Manage independent adjusters and experts
Qualifications
Bachelor's degree is required
Required Skills
3-5 years of first party property claims handling is required
Experience with Microsoft Office 365 is required
Preferred Skills
Experience with ImageRight is a plus
Availability to work extended hours in a CAT situation
$35k-65k yearly est. 1d ago
Claims Examiner
Firstsource 4.0
Remote claims supervisor job
Job Title:Medical Claims Examiner-Work From Home
Job Type:Full Time
FLSA Status:Non-Exempt/Hourly
Grade:H
Function/Department:Health Plan and Healthcare Services
Reporting to:Team Lead/Supervisor - Operations
Role Description:The Claims Examiner evaluates insurance claims to determine whether their validity and how much compensation should be paid to the policyholder. The Claims Examiner is responsible for reviewing all aspects of the claim, including reviewing policy coverage, damages, and supporting documentation provided by the policyholder.
Roles & Responsibilities
* Review insurance claims to assess their validity, completeness, and adherence to policy terms and conditions.
* Collect, organize, and analyze relevant documentation, such as medical records, accident reports, and policy information.
* Ensure that claims processing aligns with the company's insurance policies and relevant regulatory requirements.
* Conduct investigations, when necessary, which may include speaking with claimants, witnesses, and collaborating with field experts.
* Analyze policy coverage to determine the extent of liability and benefits payable to claimants.
* Evaluate the extent of loss or damage and determine the appropriate settlement amount.
* Communicate with claimants, policyholders, and other stakeholders to explain the claims process, request additional information, and provide status updates.
* Make recommendations for claims approval, denial, or negotiation of settlements, and ensure timely processing.
* Maintain accurate and organized claim files and records.
* Stay updated on industry regulations and maintain compliance with legal requirements.
* Provide excellent customer service, addressing inquiries and concerns from claimants and policyholders.
* Strive for high efficiency and accuracy in claims processing, minimizing errors and delays.
* Stay informed about industry trends, insurance products, and evolving claims management best practices.
* Generate and submit regular reports on claims processing status and trends.
* Perform other duties as assigned.
Top of Form
Qualifications
The qualifications listed below are representative of the background, knowledge, skill, and/or ability required to perform their duties and responsibilities satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
Top of Form
Top of FormEducation
* High School diploma or equivalent required
Work Experience
* Medical claims processing experience required, including use of claims processing software and related tools
Competencies & Skills
* Highly-motivated and success-driven
* Exceptional verbal and written communication and interpersonal skills, including negotiation and active-listening skills
* Exceptional analytical and problem-solving skills
* Strong attention to detail with a commitment to accuracy
* Ability to adapt to change in a dynamic fast-paced environment with fluctuating workloads
* Basic mathematical skills
* Intermediate typing skills
* Basic computer skills
* Knowledge of medical terminology, ICD-9/ICS-10, CPT, and HCPCS coding, and HIPAA regulations preferred
* Knowledge of insurance policies, regulations, and best practices preferred
Additional Qualifications
* Ability to download 2-factor authentication application(s) on personal device, in accordance with company and/or client requirements
* Ability to pass the required pre-employment background investigation, including but not limited to, criminal history, work authorization verification and drug test
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position may work onsite or remotely from home.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. Must be able to occasionally stand and walk, climb stairs, and lift equipment up to 25 pounds.
Firstsource is an Equal Employment Opportunity employer. All employment decisions are based on valid job requirements, without regard to race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other characteristic protected under federal, state or local law.
Firstsource also takes Affirmative Action to ensure that minority group individuals, females, protected veterans, and qualified disabled persons are introduced into our workforce and considered for employment and advancement opportunities.
About Firstsource
Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.
We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.
Our clientele includes Fortune 500 and FTSE 100 companies.
Job Type: Full-time
Benefits:
401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Referral program
Vision insurance
Work Location: Remote
$27k-37k yearly est. 2d ago
Supervisor, Claims | California
EIG Services
Remote claims supervisor job
Supervisor, Claims - California| 100% Remote (WFH) Opportunity
The Workers' Compensation ClaimsSupervisor is responsible for leading a team to successfully and proactively analyze and manage work comp claims assigned to the unit. The supervisor monitors and directs team effectiveness, guiding compliance with work comp state statutes within best practices to ensure claims move efficiently to closure. Participates in establishing team goals and objectives, participates in strategic and budgetary planning; monitors team effectiveness and supervises personnel and provides direct oversight on issues exceeding their authority. Successfully supports, coordinates and delegates objectives that support the company's mission and financial success.
Preference given to those candidates with experience in the California
Essential Duties and Responsibilities
Leads, supervises and manages a Workers' Compensation claims team to achieve company objectives and department goals by promoting and ensuring compliance with Company procedures and guidelines.
Demonstrates leadership by creating an environment that fosters teamwork, values diversity, and supports and respects all team and company staff members, internal and external customers, and vendors.
Responsible for managing, developing, coaching, and motivating your work comp claims team. Conducts regular performance reviews.
Communicates effectively and assists with the interpretation and practical implementation of processes, workflows and systems. Provides technical and jurisdictional guidance to the team.
Responsible for monitoring the quality and quantity of work produced and coaching towards improved performance.
Fosters inter-departmental collaboration to build relationships throughout the organization to help drive success through partnership. Works closely with Corporate Claims and Quality Assurance for compliance.
Participates in the recruitment, selection and hiring of team members and facilitates training of new hires.
Exemplifies excellent customer service and models this for the team. Conduct business at all times with the highest standards of personal, professional and ethical conduct. Ability to maintain confidentiality.
Participates in conference calls, meetings with adjusters, insureds, and agents.
Provides superior customer service by addressing inquiries from agents and policyholders.
Reviews and approves reserves, settlements, payments and other assigned tasks within level of authority.
Performs regular claim reviews based upon best practices, procedures and guidelines. Collaborates with the team for proactive claims management.
Other duties as assigned.
Requirements
Must have a minimum of 10 years of technical claims experience in Workers' Compensation to include claim, coverage and compensability investigation, claim reserving, settlement negotiation and litigation management, regulatory compliance, and mentoring, training and developing adjusters.
At least two years of which must have been in a supervisory capacity.
Demonstrated business knowledge including effective communication, customer focus, the ability to collect and analyze information, problem solving and decision making in accordance with policies and regulations.
Demonstrated computer proficiency and comfortable using an internet-based claims system, reports, spreadsheets and databases.
Strong interpersonal skills and ability to create and maintain mutually beneficial relationships with insurance company partners, customers, and other departments within the company.
Previous formal presentation experience.
Demonstrated technical PC skills to include MS Word, Excel, PowerPoint, and Windows, strong interpersonal skills and ability to create and maintain mutually beneficial relationships with insurance company partners, clients, and other departments within the company.
Certification
Active, current California Adjuster license
Insurance designation preferred (WCCP, ARM, AIC, CPCU, etc.) preferred.
Education
Bachelor's Degree preferred or equivalent industry experience
Work Environment:
Remote: This role is remote, and only open to candidates currently located in the United States and able to work without sponsorship.
It requires a suitable space that provides a private and quiet workplace.
Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
Travel: May be required to travel to off-site location(s) to attend meetings, as necessary
Salary Range: $80,000 - $120,000 and a comprehensive benefits package, please follow the link to our benefits page for details! *********************************************************
About EMPLOYERS
As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!
We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS!
Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees.
We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other!
At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As “America's small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote
$80k-120k yearly 24d ago
Supervisor, Claims | California
Employers Holdings, Inc.
Remote claims supervisor job
Supervisor, Claims - California| 100% Remote (WFH) Opportunity The Workers' Compensation ClaimsSupervisor is responsible for leading a team to successfully and proactively analyze and manage work comp claims assigned to the unit. The supervisor monitors and directs team effectiveness, guiding compliance with work comp state statutes within best practices to ensure claims move efficiently to closure. Participates in establishing team goals and objectives, participates in strategic and budgetary planning; monitors team effectiveness and supervises personnel and provides direct oversight on issues exceeding their authority. Successfully supports, coordinates and delegates objectives that support the company's mission and financial success.
Preference given to those candidates with experience in the California
Essential Duties and Responsibilities
* Leads, supervises and manages a Workers' Compensation claims team to achieve company objectives and department goals by promoting and ensuring compliance with Company procedures and guidelines.
* Demonstrates leadership by creating an environment that fosters teamwork, values diversity, and supports and respects all team and company staff members, internal and external customers, and vendors.
* Responsible for managing, developing, coaching, and motivating your work comp claims team. Conducts regular performance reviews.
* Communicates effectively and assists with the interpretation and practical implementation of processes, workflows and systems. Provides technical and jurisdictional guidance to the team.
* Responsible for monitoring the quality and quantity of work produced and coaching towards improved performance.
* Fosters inter-departmental collaboration to build relationships throughout the organization to help drive success through partnership. Works closely with Corporate Claims and Quality Assurance for compliance.
* Participates in the recruitment, selection and hiring of team members and facilitates training of new hires.
* Exemplifies excellent customer service and models this for the team. Conduct business at all times with the highest standards of personal, professional and ethical conduct. Ability to maintain confidentiality.
* Participates in conference calls, meetings with adjusters, insureds, and agents.
* Provides superior customer service by addressing inquiries from agents and policyholders.
* Reviews and approves reserves, settlements, payments and other assigned tasks within level of authority.
* Performs regular claim reviews based upon best practices, procedures and guidelines. Collaborates with the team for proactive claims management.
* Other duties as assigned.
Requirements
* Must have a minimum of 10 years of technical claims experience in Workers' Compensation to include claim, coverage and compensability investigation, claim reserving, settlement negotiation and litigation management, regulatory compliance, and mentoring, training and developing adjusters.
* At least two years of which must have been in a supervisory capacity.
* Demonstrated business knowledge including effective communication, customer focus, the ability to collect and analyze information, problem solving and decision making in accordance with policies and regulations.
* Demonstrated computer proficiency and comfortable using an internet-based claims system, reports, spreadsheets and databases.
* Strong interpersonal skills and ability to create and maintain mutually beneficial relationships with insurance company partners, customers, and other departments within the company.
* Previous formal presentation experience.
* Demonstrated technical PC skills to include MS Word, Excel, PowerPoint, and Windows, strong interpersonal skills and ability to create and maintain mutually beneficial relationships with insurance company partners, clients, and other departments within the company.
Certification
* Active, current California Adjuster license
* Insurance designation preferred (WCCP, ARM, AIC, CPCU, etc.) preferred.
Education
* Bachelor's Degree preferred or equivalent industry experience
Work Environment:
* Remote: This role is remote, and only open to candidates currently located in the United States and able to work without sponsorship.
* It requires a suitable space that provides a private and quiet workplace.
* Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
* Travel: May be required to travel to off-site location(s) to attend meetings, as necessary
Salary Range: $80,000 - $120,000 and a comprehensive benefits package, please follow the link to our benefits page for details! *********************************************************
About EMPLOYERS
As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!
We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS!
Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees.
We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other!
At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As "America's small business insurance specialist", we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote
$80k-120k yearly 25d ago
Commercial Auto Liability Claims Supervisor
CBCS 4.0
Remote claims supervisor job
Cottingham & Butler Claims Services was built upon driven, ambitious people like yourself. “Better Every Day” is not just a slogan, it is a promise we make to ourselves and our clients. We are looking to add an experienced ClaimsSupervisor to our team. As a ClaimsSupervisor, you will be responsible for:
Management - supervising a team of Auto/Liability Adjusters, coordinating their training and development, and ensuring they develop to their fullest capabilities and provide the same high level of service.
Compliance - ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
Claims - investigating, taking statements, estimating damages, determining liability, denying claims, subrogation, litigation, etc.
The ideal candidate for this position will have 5+ years of commercial auto liability adjusting experience and 1-5 years of management experience.
Do you think this might be a fit for you? Send us your resume - we'd love to talk!
Pay & Benefits
Salary - Flexible based on your experience level.
Most Benefits start Day 1
Medical, Dental, Vision Insurance
Flex Spending or HSA
401(k) with company match
Profit-Sharing/ Defined Contribution (1-year waiting period)
PTO/ Paid Holidays
Company-paid ST and LT Disability
Maternity Leave/ Parental Leave
Company-paid Term Life/ Accidental Death Insurance
About the company
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To ensure we keep that promise, we hold ourselves to a set of principles that we believe position our clients and our company for long-term success. Our Guiding Principles are not just words on paper, they are a promise we make to ourselves and our clients.
These principles have become a driving force of our culture and share many common themes with the values of our clients. First, we hire and develop amazing people that have an insatiable desire to succeed, are committed to learning, and thrive on challenges. Secondly, we pride ourselves on serving our clients' best interests through quality service, innovative solutions, and constantly evaluating our performance. Third, we have embraced and are guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday. Ultimately, we get more energy from the future we are creating for our people, our clients, and our company than from our past success.
As an organization, we are very optimistic about the future and have incredibly high expectations for our people and our performance. We also understand that our growth is fueled by becoming better, not bigger - growth funds investments in new resources to better serve our clients and provide the career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
$64k-98k yearly est. Auto-Apply 36d ago
Claims Supervisor
Aspire General Insurance Company
Remote claims supervisor job
Full-time Description
Aspire General Insurance Company and its affiliated general agent, Aspire General Insurance Services, are on a mission to deliver affordable specialty auto coverage to drivers without compromising outstanding service.
Our company values can best be described with ABLE: to always do the right thing, be yourself, learn and evolve, and execute. Join our team where every individual takes pride in driving their role for shared success.
What You'll Do
Under moderate supervision of Management, the ClaimsSupervisor performs the essential functions of the position, which includes but is not limited to supervising a team of Claims Representatives and Claims Support Specialists. Ensure that the team meets service standards and performs essential functions at or above the quality and service standards of Aspire General Insurance Company.
DUTIES AND RESPONSIBILITIES:
· Review of automobile claim investigations.
· Make handling recommendations and provide directions to subordinates.
· Ensure ongoing adjudication of claims within company standards and industry best practices and regulations.
· Determine, recommend and grant authority for settlement and payment processes.
· Responsible for overall file handling and work product quality of subordinates.
· Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation.
· Assist in the operations of the claims department, including making recommendations and implementing an organizational structure adequate for achieving the department's goals and objectives.
· Maintain a documented system of claims policies, systems, procedures and workflows to ensure smooth operations.
· Provide feedback to Management on process and system improvement initiatives for the department.
· Report to Management as soon as there is an awareness of any issues or concerns which may be detrimental to the department or Company; recommend policies and procedures to Management regarding quality issues that may arise.
· Staff Training-Foster a highly focused training and development environment within the Claims Department.
· Complies with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follows and enforces Aspire General Insurance Company and partner's policies, procedure and work rules.
· Communicate and provide timely notification to the Human Resources Department for all things related to employee attendance, punctuality or possible leave related situations.
· Provide timely and thorough documentation for all things related to employee performance, training, recognition and/or coaching.
· Evaluate subordinates' performance and administer personnel actions as required in coordination with human resources department.
Ensure the Department has adequate scheduling, including time-off requests, work shift management, etc
Assist to identify, recruit, hire and develop top talent.
· Ability to achieve targeted performance goals
Maintain that sensitive information regarding employees and the Company is kept confidential
Regular and predictable punctuality and attendance.
· Other duties as necessary.
Requirements
· Three plus years' experience in Property and Casualty insurance industry.
· Must have a clear understanding of insurance industry practices, standards and terminology.
· Experience in handling subrogation, property damage and injury claims required.
· Must be able to pass a background check.
· Must have the ability to work in a high volume, fast-paced environment while managing multiple priorities.
· Must have a disciplined approach to all job-related activities.
· Must have a solid foundation of personal organization, sound decision making and analytical skills, strong interpersonal and customer service skills.
· Must have strong keyboard skills as well as proficiency in Windows and MS Office products.
INTER-RELATIONSHIP COMPONENT:
Ability to develop excellent working relationships with Staff, Partners, Clients and outside agencies.
Ability to communicate with others in an effective and friendly manner, one that is conducive to being a conscientious team member, fostering a spirit of goodwill, indicative of a professional environment and atmosphere.
Ability to be a team player and work cohesively with other Aspire General Insurance and Partner Companies' staff to achieve company goals.
Able to represent the Company in a professional manner and contribute to the corporate image.
Able to consistently provide excellent service.
WORKING CONDITIONS:
This is an exempt position which complies with an alternative work schedule when applicable.
This work environment is fast-paced, and accuracy is essential to successful task completion.
The office is that of a highly technical company supporting a paperless environment.
Travel may be required.
Requires extended periods of computer use and sitting.
This is a remote position.
Benefits: Medical, Dental, Vision, HSA*, PTO, 401k, Company observed Holidays
Individuals seeking employment at Aspire General Insurance Services LLC are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation in accordance with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.
*Dependent on plan selected
Compensation may vary based on several factors, including candidate's individual skills, relevant work experience, location, etc.
Salary Description $80,000-$100,000 Annually
$80k-100k yearly 60d+ ago
Lead Claims Supervisor - remote
Jobgether
Remote claims supervisor job
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a ClaimsSupervisor - REMOTE. In this role, you will oversee a team responsible for handling claims efficiently while ensuring adherence to quality standards and enhancing customer service. The role plays a crucial part in achieving the department's goals, requiring dedication and a supportive approach to team management. Your leadership will foster a high-performance environment, providing ongoing training and performance evaluations. As a ClaimsSupervisor, your expertise in claims procedures will significantly impact the overall effectiveness of the claims team.Accountabilities
Supervises claims staff in their day-to-day operations
Assists in recruitment, interviewing, and onboarding new staff
Ensures compliance with Workers' Compensation laws and regulations
Facilitates team performance through training and coaching
Provides technical guidance on claims issues
Acts as a liaison for resolution of claim-specific requests
Participates in customer claim reviews and presentations
Completes additional duties as assigned
Requirements
Minimum of 3-5 years of workers compensation claims handling experience
Bachelor's degree or equivalent experience
Excellent communication skills, both written and verbal
Strong leadership and motivational abilities
Demonstrated customer service skills under pressure
Proficient in MS Office and technical aptitude
Effective time management and organizational skills
Knowledge of claims administration and case management
Benefits
Comprehensive benefits package including medical, dental, and vision
401K and ROTH 401K options
Flexible spending account options
Paid time off
Opportunity for career advancement
Supportive work culture
Why Apply Through Jobgether? We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.#LI-CL1We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
$50k-85k yearly est. Auto-Apply 2d ago
Manager, Claims Operations
Healthcare Management Administrators 4.0
Remote claims supervisor job
HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service.
We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results.
What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven.
What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: **************************
How YOU will make a Difference:
The Claims Operations Manager will oversee the end-to-end processing of healthcare claims. The manager is responsible for leading the HMA Claims Operations staff and their daily work requirements. Leveraging metrics and forecasts; they prioritize workload and resourcing to maximize operational production in partnership with vendor resources and liaisons. The manager will lead a team responsible for claims intake, pricing, adjudication, coordination of benefits and issue resolution while driving operational excellence
What YOU will do:
Direct supervisory responsibilities: Manages and coaches individual contributor's performance and quality.
Assess and manages claims inventory: Tracks and manages inventory trends and proactively adjusts resource levers as needed to maximize productivity
Manage daily operations of claims processing, ensuring accuracy, timeliness, and compliance with healthcare policies and federal guidelines
Create daily updates for management team flagging production rates, critical issues and areas of escalation in real time
Monitor and resolve pricing discrepancies impacting claims adjudication and provider payments.
Lead initiatives to improve pricing workflows, automation, and system performance.
Vendor auditing &QA: Leads vendor audits and manages reporting to ensure vendor quality.
Apply subject matter expertise to the business of claims processing and operations
Manage to vendor agreements, proactively identify and flag issues, escalate appropriately
Develop and maintain workflows and documentation specific to claims processing.
Train and coach staff and vendors on claims processes as needed
Motivate talent: Ability to motivate and lead team members and vendors in accordance with HMA values and objectives
Talent planning: Proactively review and assess talent. Continually develop and/or recruit talent to meet objectives
Requirements
Knowledge, Experience and Attributes:
Bachelor's Degree or equivalent work experience
Minimum 5 years' of claims operations experience, self-funded health plan experience is a plus
Minimum 2 years' of people leading experience
Experience with claims platforms such as HealthEdge, Mphasis, or Facets
Knowledge of CPT, HCPCS, ICD-10 coding, and reimbursement methodologies.
Strong understanding of provider contract terms, fee schedules, and pricing models (e.g., DRG, APC, RBRVS).
Proven ability to manage and develop a team of highly skilled staff
Proven ability to manage and interact with vendors to support execution of work within the SLA's established
Benefits
Compensation:
The base salary range for this position in the greater Seattle area is $100,000-$123,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available.
Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law.
In addition, HMA provides a generous total rewards package for full-time employees that includes:
Seventeen (IC) days paid time off (individual contributors)
Eleven paid holidays
Two paid personal and one paid volunteer day
Company-subsidized medical, dental, vision, and prescription insurance
Company-paid disability, life, and AD&D insurances
Voluntary insurances
HSA and FSA pre-tax programs
401(k)-retirement plan with company match
Annual $500 wellness incentive and a $600 wellness reimbursement
Remote work and continuing education reimbursements
Discount program
Parental leave
Up to $1,000 annual charitable giving match
How we Support your Work, Life, and Wellness Goals
At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party.
We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.)
HMA requires a background screen prior to employment.
Protected Health Information (PHI) Access
Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures.
HMA is an Equal Opportunity Employer.
For more information about HMA, visit
$100k-123k yearly Auto-Apply 60d+ ago
Commercial Property Claims Supervisor | Remote
King's Insurance Staffing 3.4
Remote claims supervisor job
Our client, a leading A-rated Insurance Carrier, is seeking to add a Commercial Property ClaimsSupervisor to oversee a team of Inside Commercial Property Claims Examiners. This individual will be responsible for supervising daily claim operations, providing technical guidance, supporting adjuster development, and ensuring high-quality handling of mid-to-complex Commercial Property losses. The Supervisor will also assist with escalated files, conduct quality audits, and ensure adherence to company best practices. Experience with Xactimate or Symbility is required. This is a remote position!
Supervise a team of Commercial Property Examiners handling mid-to-complex losses from inception to close.
Provide ongoing coaching, mentorship, and technical guidance to adjusters.
Review, analyze, and approve adjuster estimates, coverage recommendations, and settlement proposals.
Manage team performance, conduct file audits, and ensure compliance with department Best Practices.
Assist with escalated claims, complex coverage issues, and high-severity losses as needed.
Oversee workload distribution, monitor productivity, and ensure timely file handling.
Communicate effectively with policyholders, agents, contractors, and internal leadership.
Identify opportunities for cost containment, loss mitigation, and subrogation recovery.
Provide timely and accurate reporting to management regarding team performance and claim activity.
Consistently promote exceptional customer service and support a positive team culture.
Requirements:
7 to 10 years of Commercial Property claims experience
2 - 5+ years in a Team Lead / Supervisor capacity.
Must have experience working directly for an Insurance Carrier handling or overseeing Commercial Property claims.
Proficiency in Xactimate or Symbility.
Strong leadership, communication, organizational, and interpersonal skills.
Bachelor's Degree preferred but not required.
Salary/Benefits:
$110,000 to $150,000 annual base salary plus bonus up to 8 - 12%
Company vehicle provided (Truck/SUV)
Extremely competitive Medical, Dental, Vision, and Life plans
Employer matching 401(k) plan
Generous PTO policy
Clear opportunities for advancement within a growing organization
$29k-38k yearly est. 57d ago
Senior Claims Manager (Remote) - Professional Liability Program
Washington University In St. Louis 4.2
Remote claims supervisor job
Scheduled Hours 40 Analyzes and evaluates complex incident reports and lawsuits, reviews medical records and interviews involved individuals to obtain needed information. Prepares complex investigative analytical reports for Director and Legal Counsel regarding potentially compensable incidents covered by the Self-Insured Professional Liability Program, and other reports as requested by Senior Management. Coordinates case development, case management, and participates in office management.
Job Description
Primary Duties & Responsibilities:
* Conducts internal claims investigations, plans defense strategies and negotiates disposition of assigned files with guidance of legal counsel. Conducts meetings with physicians, analyzes medical record information and event reports; directs approved legal counsel and other legal personnel involved in the defense; evaluates liability and financial exposure, approves expert witness reviews; responds to discovery requests and answers interrogatories; coordinates witness preparations; makes recommendations for resolution of claim; and coordinates meetings with Director, defense counsel and Office of General Counsel to perform decision tree analysis to determine case value. Attends mediation, arbitration, and/or trial.
* Prepares and submits required reports to Department Heads, Office of General Counsel, Director of Risk Management, excess insurance carriers, and when applicable, coordinates with external agency investigations, i.e., professional Board inquiries. Responds to general claim inquiries.
* Establishes indemnity and expense reserves based on the reserving policy. Negotiates settlements within authority. Reviews and approves defense counsel related invoices and expenses.
* Provides consultation and guidance on healthcare issues such as medical record release, subpoena responses, termination/transfer of care, patient complaints, and physician billing issues including accounts in litigation. Arrange for attorneys to attend depositions with physicians when necessary. Mentors less experienced claims managers.
* Performs other duties as assigned.
Working Conditions:
Job Location/Working Conditions
* Normal office environment
Physical Effort
* Typically sitting at a desk or a table
Equipment
* Office equipment
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.
Required Qualifications
Education:
Bachelor's degree
Certifications/Professional Licenses:
No specific certification/professional license is required for this position.
Work Experience:
Analyzing Or Interpreting Medical Or Other Technical Evidence That Compares In Level Of Complexity To Medical Treatment (5 Years)
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.
More About This Job
Preferred Qualifications:
* Analytical ability to evaluate facts and formulate questions in order to define problems and critical events in the medical care rendered.
* General knowledge of The Joint Commission and patient safety standards, diagnosis and treatment of human disease and injury, medical therapies, procedures and standard of medical care.
* Knowledge of methods and techniques of individual case study, recording and file maintenance.
* Seven years' experience in medical malpractice claims management.
Preferred Qualifications
Education:
No additional education unless stated elsewhere in the job posting.
Certifications/Professional Licenses:
No additional certification/professional licenses unless stated elsewhere in the job posting.
Work Experience:
No additional work experience unless stated elsewhere in the job posting.
Skills:
Analytical Thinking, Defining Problems, Detail-Oriented, Disease Diagnosis, Disease Management, Group Presentations, Injury Treatment, Joint Commission Regulations, Organizational Savvy, Patient Safety, Report Preparation
Grade
G13
Salary Range
$65,900.00 - $112,700.00 / Annually
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.
Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email **************************** or call the dedicated accommodation inquiry number at ************ and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.
Benefits Statement
Personal
* Up to 22 days of vacation, 10 recognized holidays, and sick time.
* Competitive health insurance packages with priority appointments and lower copays/coinsurance.
* Take advantage of our free Metro transit U-Pass for eligible employees.
* WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
* Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
* We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered.
* WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: ******************************
EEO Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.
Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
$29k-43k yearly est. Auto-Apply 51d ago
Senior Claims Examiner (remote)
Switch'd
Remote claims supervisor job
*5 years WC experience combined in WC *Remote (Must live in CA) *California License SIP not needed but is a plus *4850 (if not can train) *Bilingual (Not necessarty but a plus) $80-$94k
$80k-94k yearly 60d+ ago
(Remote) Senior Claims Examiner
Efinancial 4.7
Remote claims supervisor job
The Senior Claims Examiner works in conjunction with Fidelity Life's third-party administrator and the Claims Manager to analyze, evaluate, and settle incontestable life, contestable life and accidental death benefit (ADB) claims. The Senior Claims Examiner is expected to review and adjudicate claims in accordance with established departmental and statutory guidelines.
Key Responsibilities:
* Communicate effectively and respectfully with customers, attorneys, and co-workers via phone, e-mail, online chat, and in person.
* Review newly reported claims and log them on the pending claims log.
* Document each claim file thoroughly in accordance with departmental procedures, including notes on claim review, information obtained, and final decisions.
* Review and interpret insurance policy provisions to ensure accurate and timely claim decisions.
* Review any adverse decisions, and decisions outside authority limit, with the Claims Manager. Consult with the Legal Department as needed.
* On claims within the Senior Claims Examiner's authority limit (500,000), confirm benefits and statutory interest are calculated correctly.
* Respond to inquiries from customers and attorneys regarding claim matters, consulting with the Claim Director and/or Legal Department as needed.
* Work with Fidelity Life's Underwriting Department on contestable claim referrals and other complex claims as needed.
* Handle and log specific State and NAIC policy locator searches.
* Mentor and support third-party claims administration staff.
* Monitor trends in claims experience, escalate issues to management, and recommend or implement corrective actions. Keep management abreast of any trends in claims experience, unfavorable or otherwise.
* Work on special projects and other duties as assigned by the Claims Manager.
* Perform quarterly claim audits focusing on third-party claim handling.
* Assist FLA Sarbanes-Oxley audit team, internal audit team, external reinsurance representatives and external state regulators with claim audits or market conduct exams.
* Handle Department of Insurance claim complaints or requests in a timely and professional manner.
* Stay current on all laws, regulations, and industry updates that impact claim handling and compliance
* Support FLA actuarial or Finance teams in reserve setting, claims trend analyses or other requests.
* Participate in continuous improvement initiatives and suggest proactive changes to operations based on data-driven insights
* Help track and analyze claim durations, denial rates, appeal outcomes, and financial impact
* Support M&A activity, if applicable
Qualifications:
* 5+ years of life claims experience, with proven proficiency in adjudicating contestable and/or accidental death benefit claims (preferred).
Skills:
* Demonstrate knowledge of medical terminology, regulatory compliance including but not limited to unfair claims practices, and privacy requirements.
* Ability to meet deadlines while performing multiple functions.
* Proficient in MS Office applications and the Internet.
* Ability to proactively analyze and resolve problems.
* Attention to detail.
* Flexibility and willingness to adapt to changing responsibilities.
* Excellent written communication, interpersonal and verbal skills.
* Ability to perform basic mathematical calculations including addition, subtraction, multiplication, division and percentages.
* Proactive and outside-the-box thinker.
* Independent and organized work style.
* Ability to maintain strong performance while working remotely and independently, if applicable.
* Strong judgment and discretion when handling highly confidential business, employee, and customer information.
* Team player and creative, critical thinker highly desired.
Licenses + Certifications:
* Completion of LOMA courses and/or courses offered by the ICA Claims Education program is preferred but not required.
* Legal or Paralegal Certifications optional but useful
Essential Functions:
* This position primarily involves remote desk work, requiring the ability to remain in a stationary position (e.g., sitting at a computer) for extended periods of time.
* Regular use of standard office equipment such as a computer, keyboard, mouse, and video conferencing tools is essential.
* Must be able to communicate effectively in both virtual and in-person settings, including the ability to participate in video calls, phone calls, and written correspondence.
* Occasional travel (estimated at 1-3 times per year) is required for in-person meetings, conferences, or vendor visits. Travel may involve transportation by air, train, or car, and may require overnight stays.
* When traveling or attending events, the employee may need to navigate various environments, including office buildings, hotels, or convention centers.
* Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role.
Compensation & Benefits:
We believe in taking care of our employees and their families. We offer a comprehensive benefits package designed to support your health, well-being, and financial future. Here's a look at what we provide:
* Salary Range: $70,720 - $91,520
* Medical Insurance: Choose from a variety of plans to fit your healthcare needs.
* Dental Insurance: Coverage for preventive, basic, and major dental services.
* Employer-Paid Vision: Comprehensive eye care coverage at no cost to you.
* Employer-Paid Basic Life and AD&D Insurance: Peace of mind and additional protection.
* Employer-Paid Short-Term and Long-Term Disability Insurance: Financial support in case of illness or injury.
* 401(k) Plan: Save for your future with a company match to help you grow your retirement savings.
* PTO and Sick Time accrue each pay period: Take time off when you need it
* Annual Bonus Program: Performance-based bonus to reward your hard work.
EEOC/Other: eFinancial/Fidelity Life Association is an equal opportunity employer and supports a diverse workplace. As an eFinancial/Fidelity Life employee, you will be eligible for Medical and Dental Insurance, Health Savings Accounts, Flexible Spending Accounts (Health, Dependent Care & Transit), Vision Care, 401(K), Short-term and Long-term Disability, Life and AD&D coverages.
Remote work is not available in the following States:
California, Colorado, Connecticut, and New York.
#FidelityLifeAssociation #hiring #LI-Remote #IND-Corporate
$70.7k-91.5k yearly 39d ago
(Remote) Senior Claims Examiner
Your Journey Starts Here
Remote claims supervisor job
The Senior Claims Examiner works in conjunction with Fidelity Life's third-party administrator and the Claims Manager to analyze, evaluate, and settle incontestable life, contestable life and accidental death benefit (ADB) claims. The Senior Claims Examiner is expected to review and adjudicate claims in accordance with established departmental and statutory guidelines.
Key Responsibilities:
Communicate effectively and respectfully with customers, attorneys, and co-workers via phone, e-mail, online chat, and in person.
Review newly reported claims and log them on the pending claims log.
Document each claim file thoroughly in accordance with departmental procedures, including notes on claim review, information obtained, and final decisions.
Review and interpret insurance policy provisions to ensure accurate and timely claim decisions.
Review any adverse decisions, and decisions outside authority limit, with the Claims Manager. Consult with the Legal Department as needed.
On claims within the Senior Claims Examiner's authority limit (500,000), confirm benefits and statutory interest are calculated correctly.
Respond to inquiries from customers and attorneys regarding claim matters, consulting with the Claim Director and/or Legal Department as needed.
Work with Fidelity Life's Underwriting Department on contestable claim referrals and other complex claims as needed.
Handle and log specific State and NAIC policy locator searches.
Mentor and support third-party claims administration staff.
Monitor trends in claims experience, escalate issues to management, and recommend or implement corrective actions. Keep management abreast of any trends in claims experience, unfavorable or otherwise.
Work on special projects and other duties as assigned by the Claims Manager.
Perform quarterly claim audits focusing on third-party claim handling.
Assist FLA Sarbanes-Oxley audit team, internal audit team, external reinsurance representatives and external state regulators with claim audits or market conduct exams.
Handle Department of Insurance claim complaints or requests in a timely and professional manner.
Stay current on all laws, regulations, and industry updates that impact claim handling and compliance
Support FLA actuarial or Finance teams in reserve setting, claims trend analyses or other requests.
Participate in continuous improvement initiatives and suggest proactive changes to operations based on data-driven insights
Help track and analyze claim durations, denial rates, appeal outcomes, and financial impact
Support M&A activity, if applicable
Qualifications:
5+ years of life claims experience, with proven proficiency in adjudicating contestable and/or accidental death benefit claims (preferred).
Skills:
Demonstrate knowledge of medical terminology, regulatory compliance including but not limited to unfair claims practices, and privacy requirements.
Ability to meet deadlines while performing multiple functions.
Proficient in MS Office applications and the Internet.
Ability to proactively analyze and resolve problems.
Attention to detail.
Flexibility and willingness to adapt to changing responsibilities.
Excellent written communication, interpersonal and verbal skills.
Ability to perform basic mathematical calculations including addition, subtraction, multiplication, division and percentages.
Proactive and outside-the-box thinker.
Independent and organized work style.
Ability to maintain strong performance while working remotely and independently, if applicable.
Strong judgment and discretion when handling highly confidential business, employee, and customer information.
Team player and creative, critical thinker highly desired.
Licenses + Certifications:
Completion of LOMA courses and/or courses offered by the ICA Claims Education program is preferred but not required.
Legal or Paralegal Certifications optional but useful
Essential Functions:
This position primarily involves remote desk work, requiring the ability to remain in a stationary position (e.g., sitting at a computer) for extended periods of time.
Regular use of standard office equipment such as a computer, keyboard, mouse, and video conferencing tools is essential.
Must be able to communicate effectively in both virtual and in-person settings, including the ability to participate in video calls, phone calls, and written correspondence.
Occasional travel (estimated at 1-3 times per year) is required for in-person meetings, conferences, or vendor visits. Travel may involve transportation by air, train, or car, and may require overnight stays.
When traveling or attending events, the employee may need to navigate various environments, including office buildings, hotels, or convention centers.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role.
Compensation & Benefits:
We believe in taking care of our employees and their families. We offer a comprehensive benefits package designed to support your health, well-being, and financial future. Here's a look at what we provide:
Salary Range: $70,720 - $91,520
Medical Insurance: Choose from a variety of plans to fit your healthcare needs.
Dental Insurance: Coverage for preventive, basic, and major dental services.
Employer-Paid Vision: Comprehensive eye care coverage at no cost to you.
Employer-Paid Basic Life and AD&D Insurance: Peace of mind and additional protection.
Employer-Paid Short-Term and Long-Term Disability Insurance: Financial support in case of illness or injury.
401(k) Plan: Save for your future with a company match to help you grow your retirement savings.
PTO and Sick Time accrue each pay period: Take time off when you need it
Annual Bonus Program: Performance-based bonus to reward your hard work.
EEOC/Other: eFinancial/Fidelity Life Association is an equal opportunity employer and supports a diverse workplace. As an eFinancial/Fidelity Life employee, you will be eligible for Medical and Dental Insurance, Health Savings Accounts, Flexible Spending Accounts (Health, Dependent Care & Transit), Vision Care, 401(K), Short-term and Long-term Disability, Life and AD&D coverages.
Remote work is not available in the following States:
California, Colorado, Connecticut, and New York.
#FidelityLifeAssociation #hiring #LI-Remote #IND-Corporate
$70.7k-91.5k yearly 37d ago
Claims Manager - Professional Liability
Counterpart International 4.3
Remote claims supervisor job
Claims Manager (Professional Liability)
Counterpart is an insurtech platform reimagining management and professional liability for the modern workplace. We believe that when businesses lead with clarity and confidence, they become more resilient, more innovative, and better prepared for what's ahead. That's why we built the first Agentic Insurance™ system - where advanced AI and deep insurance expertise come together to proactively assess, mitigate, and manage risk. Backed by A-rated carriers and trusted by brokers nationwide, our platform helps small businesses grow with confidence. Join us in shaping a smarter future, helping businesses Do More With Less Risk .
As a Claims Manager (Professional Liability), you will be responsible for managing a large and diverse caseload of professional liability claims. In this role, you will apply and further develop your expertise by investigating, evaluating, and resolving claims in a way that reinforces our brand and values. You will also play a vital part in supporting the advancement of our systems and processes through ongoing feedback and collaboration with internal partners. In addition, you will be a key feedback provider for our active claims management processes and systems. Your input will help to shape and improve how we fulfill our mission of providing world-class service through tightly managing legal costs, making data-driven decisions when analyzing a claim's value, and ensuring that other potentially responsible parties pay their fair share.
YOU WILL
Achieve or exceed claims management case load and goals, applying sound judgment and legal knowledge to produce efficient and fair outcomes.
Complete accurate and timely investigations into the coverage, liability, and damages for each claim assigned to you.
Actively manage each claim assigned to you in a way that produces the most timely and cost-effective resolution.
Build and maintain positive and productive working relationships with internal and external customers, including policyholders, brokers, carrier partners, and Risk Engineers (underwriters).
Direct and monitor assignments to experts and outside counsel, and hold those vendors accountable for meeting or exceeding our service standards.
Support our data collection efforts and models by effectively using our Agentic Claim Experience (ACE) system to fully and accurately capture critical details about each claim assigned to you.
Identify and escalate insights into emerging claims trends across industries, geographies, and key business segments.
Offer user-level feedback and insights to support the continuous improvement of our claim handling processes, guidelines, and systems.
Ensure that every touchpoint with our insureds and brokers is representative of our brand, mission, and vision.
YOU HAVE
At least 10 years of professional experience, with at least 5 years of experience litigating or managing professional liability claims. Previous carrier experience is a plus.
Bachelor's degree required; law degree (J.D.) and professional designations (RPLU, AIC, etc.) highly preferred.
Must possess all required state claim adjuster licenses, or be able to obtain them within 90 days of hire.
Proven ability to work both independently on complex matters and collaboratively as a team player to assist others as needed.
High level of personal initiative and leadership skills.
Exceptional time management, problem solving and organizational skills.
Comfort and skill operating in a paperless claims environment. Familiarity with Google Workplace is preferred, but not required.
Willingness to quickly adapt to change and use creative thinking and data-driven insights to overcome obstacles to resolution.
Strong communication skills, both verbal and written.
Ability to succeed in a full remote workplace environment, and travel as necessary (approximately 10-15%).
WHO YOU WILL WORK WITH
Eric Marler, Head of Claims: An industry veteran, Eric has more than 20 years of experience working with or for insurers offering management liability solutions. He is a licensed attorney who began his career in private practice before transitioning in-house. Prior to joining Counterpart, Eric held leadership roles at Great American Insurance Group and The Hanover Insurance Group.
Jaclyn Vogt, Senior Claims Manager: Jaclyn is a licensed adjuster with over 15 years of experience handling Employment Practices Liability, Management Liability and Workers Compensation claims. Jaclyn received her bachelor's degree from Centre College.
Katherine Dowling, Claims Manager: Katherine is a licensed attorney, mediator and adjuster with over a decade of experience handling professional liability and management liability litigation and claims. Katherine practiced law for several years with two of Atlanta's largest insurance defense firms prior to joining a wholesale specialty insurance carrier where she managed complex Professional Liability and Commercial General Liability claims.
WHAT WE OFFER
Stock Options: Every employee is able to participate in the value that they create at Counterpart through our employee stock option plan.
Health, Dental, and Vision Coverage: We care about your health and that of your loved ones. We cover up to 100% of your monthly contributions for health, dental, and vision insurance and up to 80% coverage for family members.
401(k) Retirement Plan: We value your financial health and offer a 401(k) option to help you save for retirement.
Parental Leave: Birthing parents may take up to 12 weeks of parental leave at 100% of their regular pay following the birth of the employee's child, and can choose to take an additional 4 unpaid weeks. Non-birthing parents will receive 8 weeks of parental leave at 100% of their regular pay.
Unlimited Vacation: We offer flexible time off, allowing you to take time when you need it.
Work from Anywhere: Counterpart is a fully distributed company, meaning there is no office. We allow employees to work from wherever they do their best work, and invite the team to meet in person a couple times per year.
Home Office Allowance: As a new employee, you will receive a $300 allowance to set up your home office with the necessary equipment and accessories.
Wellness stipend: $100 per month to spend toward an item or service that supports your wellness (i.e. massage or gym membership, meditation app subscription, etc.)
Book stipend: To support your intellectual development, we offer a book stipend that allows you to purchase books, e-books, or educational materials relevant to your role or professional interests.
Professional Development Reimbursement: We provide up to $500 annually for you to invest in relevant courses, workshops, conferences, or certifications that will enhance your skills and expertise.
No working birthdays: Take your birthday off, giving you the opportunity to relax, enjoy your special day, and spend time with loved ones.
Charitable Contribution Matching: For every charitable donation you make, we will match it dollar for dollar, up to a maximum of $150 per year. This allows you to amplify your charitable efforts and support causes close to your heart.
COUNTERPART'S VALUES
Conjoin Expectations - it is the cornerstone of autonomy. Ensure you are aware of what is expected of you and clearly articulate what you expect of others.
Speak Boldly & Honestly - the only failure is not learning from mistakes. Don't cheat yourself and your colleagues of the feedback needed when expectations aren't being met.
Be Entrepreneurial - control your own destiny. Embrace action over perfection while navigating any obstacles that stand in the way of your ultimate goal.
Practice Omotenashi (“selfless hospitality”) - trust will follow. Consider every interaction with internal and external partners an opportunity to develop trust by going above and beyond what is expected.
Hold Nothing As Sacred - create routines but modify them routinely. Take the time to reflect on where the business is today, where it needs to go, and what you have to change in order to get there.
Prioritize Wellness - some things should never be sacrificed. We create an environment that stretches everyone to grow and improve, which is fulfilling, but is only one part of a meaningful life.
Our estimated pay range for this role is $150,000 to $180,000. Base salary is determined by a variety of factors, including but not limited to, market data, location, internal equitability, and experience.
We are committed to being a welcoming and inclusive workplace for everyone, and we are intentional about making sure people feel respected, supported and connected at work-regardless of who you are or where you come from. We value and celebrate our differences and we believe being open about who we are allows us to do the best work of our lives.
We are an Equal Opportunity Employer. We do not discriminate against qualified applicants or employees on the basis of race, color, religion, gender identity, sex, sexual preference, sexual identity, pregnancy, national origin, ancestry, citizenship, age, marital status, physical disability, mental disability, medical condition, military status, or any other characteristic protected by federal, state, or local law, rule, or regulation.
$150k-180k yearly Auto-Apply 60d+ ago
Sr Claims Examiner- MSI
The Baldwin Group 3.9
Remote claims supervisor job
Why MSI? We thrive on solving challenges.
As a leading MGA, MSI combines deep underwriting expertise with insurer and reinsurer risk capacity to create specialized insurance solutions that empower distribution partners to meet customers' unique needs.
We have a passion for crafting solutions for the important risks facing individuals and businesses. We offer an expanding suite of products - from fully-digital embedded renters coverage to high-value homeowners insurance to sophisticated commercial coverages, such as cyber liability and habitational property - delivered through agents, brokers, wholesalers and other brand partners.
Our partners and customers count on us to deliver exceptional service through a dedicated team that makes rapid resolutions a priority. We simplify the insurance experience through our advanced technology platform that supports every phase of the policy lifecycle.
Bring on your challenges and let us show you how we build insurance better.
The Sr Claims Examiner is considered an expert in managing insurance claims for our policyholders, handling claims with high severity and complexity. The Sr Claims Examiner must have technical knowledge in insurance claims handling and the skills needed to provide superior service for our customers. The ability to develop relationships and effectively communicate with a diverse range of clients, carriers and colleagues is a key success factor in this role. Strategic vision coupled with tactical execution to achieve results in accordance with goals and objectives is also critical to the overall success of this position. The Sr Claims Examiner must be able to work with little to minimal supervision
PRIMARY RESPONSIBILITIES:
• Analyzes insurance policies and other documents to determine insurance coverage.
• Investigates and analyzes claim information to determine extent of liability.
• Handles claims 1st Party Property Claims with complex to major severity.
• Assist in suits, mediations and arbitrations. Works with Counsel in the defense of litigation.
• Sets timely, adequate reserves in compliance with the company's reserving philosophy.
• Engages experts to assist in the evaluation of the claim.
• Monitors vendor performance and controls expense costs.
• Evaluates, negotiates and determines settlement values.
• Communicates with all interested parties throughout the life of the claim. Proactively discusses coverage decisions, the need for additional information, and settlement amounts with interested parties.
• Handles all claims in accordance with Best Practices.
• Responsible for monitoring and completing assigned claims inventory.
• Acquire and maintain a state adjuster's license and meet state continuing education requirements.
• Provides Best-In-Class customer service for insureds and agents.
• Develops and maintains relationships with external and internal stakeholders.
• Acts as a mentor for less experienced Claims Examiners.
• Updates and maintains the claim file.
• Identifies opportunities for subrogation and ensures recovery interests are protected.
• Identifies fraud indicators and refers files to SIU for further investigation.
• Participates in claims audits, internal and external.
• Provides oversight of TPAs
• Assists with special projects
KNOWLEDGE, SKILLS & ABILITIES:
EDUCATION & EXPERIENCE:
High School/GED
10+ year's experience in claims
Must have Property & Casualty Insurance License
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#LI-REMOTE
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The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.
$44k-65k yearly est. Auto-Apply 2d ago
Claims Manager II, Hospital Professional Liability
Liberty Mutual 4.5
Remote claims supervisor job
Ready to lead and shape Hospital Professional Liability claims strategy? Apply to this senior-level claims leader position, Claims Manager II. Join a high-performing team leading the Hospital Professional Liability claims unit for IronHealth/NAS Claims. We're looking for a seasoned Claims Manager with deep Hospital Professional Liability experience who wants to lead a technical team, shape claims strategy, and drive measurable improvements across a portfolio of complex and high-severity matters consistent with the standards of Liberty International Underwriters.
* This position may have in-office requirements and other travel needs depending on candidate location. You will be required to go into an office twice a month if you reside within 50-miles of one of the following offices: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; or Westborough, MA. This policy is subject to change.
The salary range reflects the varying pay scale that encompasses each of the Liberty Mutual regions, and the overall cost of labor for that region, and based on you location you may not qualify for the top salary listed in the range.
Responsibilities
* Responsible for performance, development and coaching of staff (including hiring, terminating, performance and salary management). Serve as technical resource not only for claims staff, but also cross-functional partners, including Underwriting (UW), Actuarial, Finance and Operations.
* Work with claims team and external attorneys to review coverages, investigate claims, analyze liability and damages, establish adequate indemnity and expense reserves, develop strategies and resolve claims, including, but not limited to direct participation in mediation and arbitration and active participation in settlement discussions.
* Perform quality assurance reviews/observations and provide feedback to team as well as action plan for development of team, where necessary.
* Actively pursue all avenues of recovery including, but not limited to timely recovery of deductibles from insureds and manage subrogation activities.
* Provide regular reports to claims management regarding losses either exceeding or likely to exceed the authority level in accordance with best practices. Must be able to present effectively, produce appropriate reports and develop team and train team in these skills
* Partner with underwriting managers/team to provide excellent customer service and to market and meet with brokers, risk managers and reinsurers. Serve as external face claims leader for product line and demonstrate ability to forge and maintain relationships with external customers, effectively resolving concerns where necessary. Ability to effectively articulate the claims value proposition in claims advocacy meetings, account renewals and new business prospecting. Present at industry conferences or publishes external industry content.
* Lead short to medium-term strategic claims activities/priorities for the product line, with alignment with the strategic priorities of IronHealth and NAS Claims. Oversee projects assigned by the department head.
* Direct and manage the Claims participation and content for multidisciplinary reviews, monthly UW connectivity meetings, and quarterly actuarial meetings. Ensure timely feedback to senior management, underwriting and actuaries regarding relevant losses, account issues, and trends.
* Assist and coordinate with underwriting team regarding new policy forms, product development and/or product rollouts and provide timely feedback to senior management and underwriting regarding recommendations.
* Ability to achieve fluency in Loss Triangle interpretation and Product Level Profitability Understanding/Awareness.
* Other duties as assigned, including delivery on established operational goals and objectives.
Qualifications
Qualifications - what will make you successful!
* Bachelors' degree or equivalent training; advanced degrees or certifications preferred.
* A minimum of 8+ years of relevant and progressively more responsible work experience required, including at least 2 years of supervisory experience.
* At least 5 years claims handling within a technical specialty. Requires advanced knowledge of claims handling concepts, practices, procedures and techniques, including, but not limited to coverage issues, product lines, marketing, computers and product competition within the marketplace.
* Requires advanced knowledge of a technical specialty. Knowledge of law and insurance regulations in various jurisdictions.
* The ability to effectively interact with brokers and internal departments is also required. Strong verbal and written communications and organizational skills.
* Strong negotiation, analytical and decision-making skills also required.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
* California
* Los Angeles Incorporated
* Los Angeles Unincorporated
* Philadelphia
* San Francisco
$86k-132k yearly est. Auto-Apply 25d ago
Liability Claims Adjuster
Porch Group 4.6
Remote claims supervisor job
Porch Group is a leading vertical software and insurance platform and is positioned to be the best partner to help homebuyers move, maintain, and fully protect their homes. We offer differentiated products and services, with homeowners insurance at the center of this relationship. We differentiate and look to win in the massive and growing homeowners insurance opportunity by 1) providing the best services for homebuyers, 2) led by advantaged underwriting in insurance, 3) to protect the whole home.
As a leader in the home services software-as-a-service (“SaaS”) space, we've built deep relationships with approximately 30 thousand companies that are key to the home-buying transaction, such as home inspectors, mortgage companies, and title companies.
In 2020, Porch Group rang the Nasdaq bell and began trading under the ticker symbol PRCH. We are looking to build a truly great company and are JUST GETTING STARTED.
Job Title: Liability Claims Examiner
Location: United States
Workplace Type: Remote
Homeowners of America is a provider of Personal Lines Insurance products. We're always looking to add talented and passionate people to our team. We value the knowledge that comes from experienced individuals with diverse backgrounds and strengths that can contribute to the various departments within our company. Our shared values are no jerks, no egos, be ambitious, solve each problem, care deeply and together we win.
Summary
The Liability Claims Examiner is responsible for managing complex and litigated 3rd party claims arising under homeowners' insurance policies. This role involves investigating losses, evaluating coverage, assessing liability exposures, and directing litigation strategies to achieve fair and timely resolution of claims. The examiner will work closely with insureds, claimants, field adjusters, defense counsel, experts, and internal stakeholders ensuring compliance with company guidelines and regulatory requirements while mitigating risk and controlling costs. Liability Claims Examiners are responsible for requesting payments, documenting files, and preparing and issuing claim payment letters or denial letters when appropriate.
What you Will Do As A Liability Claims Examiner
Responsibilities: May include any or all the following. Other duties may be assigned.
Investigate and Evaluate Claims:
Review policy language, coverage issues, and liability exposures.
Analyze incident reports, statements, expert opinions, and other evidence to determine liability and damages.
Handles claims from all types of policies, including homeowners, dwelling fire, tenant, condo, and renters.
Confers with legal counsel on claims involving coverage, legal, or complex matters
Effectively manage difficult or emotional customer situations
Litigation Management:
Direct and oversee defense counsel in litigated matters, including strategy development, budgeting, and case progression.
Attend mediations, settlement conferences, and trials as needed.
Evaluate litigation reports and provide recommendations for resolution.
Negotiation and Settlement:
Negotiate settlements within authority limits to achieve equitable outcomes.
Collaborate with legal counsel to resolve complex coverage and liability disputes.
Financial Oversight:
Establish and adjust reserves based on claim developments and litigation exposure.
Monitor litigation costs and ensure adherence to budget guidelines.
Seeking out and utilizing top vendors that build quality, increase efficiency, and reduce cost
Communication and Documentation:
Maintain accurate and detailed claim files, including litigation plans and correspondence.
Communicate effectively with insureds, claimants, attorneys, and internal teams.
Enters claims payments when applicable and maintains clean, concise, and accurate file documentation
Manages correspondence and communication with various parties involved in the claim
Draft and prepare letters and other correspondence related to the claim
Compliance and Best Practices:
Ensure adherence to claims handling guidelines, regulatory requirements, and ethical standards.
Identify opportunities for process improvement and cost containment.
Take on assignments and duties as requested by the management team
What you Will Bring As A Liability Claims Examiner
Bachelor's degree or equivalent experience
Minimum 5+ years of liability claims experience, with a strong focus on litigated 3rd party claims
Appropriate state adjuster license and continuing education credits
In-depth knowledge of homeowners liability and med pay coverage, policy language, and litigation processes
Strong negotiation, analytical, and decision-making skills
Excellent written and verbal communication skills
Ability to manage multiple complex cases and meet deadlines in a fast-paced environment
Proficiency in claims management systems and Microsoft Office suite (Outlook, Word, Excel, PowerPoint)
Works with integrity and ethics
Exceptional customer service skills
Effectively manages difficult or emotional customer situations
Ability to read, write, and interpret routine correspondence, policies, and reports
Makes decisions and completes activities in a confident and timely manner
Follows Claims Handling Guidelines, policies and procedures
Maintains confidentiality
Works independently, with the ability to assess workload and plan accordingly to meet competing deadlines
Cultivates environment of teamwork and collaboration
Comprehensive and up-to-date knowledge of General Liability and P&C insurance, contractual policy language requirements and the implications of that language as it pertains to denial of claims
Demonstrated commitment to continuing education in the industry through licensing or designations applicable to property and liability insurance field is preferred.
Certificates, Licenses, Registrations
Appropriate state adjuster license and continuing education credits.
The application window for this position is anticipated to close in 2 weeks (10 business days) from December 17th, 2025. Please know this may change based on business and interviewing needs.
At this time, Porch Group does not consider applicants from the following states for remote positions: Alaska, Arkansas, Delaware, Hawaii, Iowa, Maine, Mississippi, Montana, New Hampshire, and West Virginia.
What You Will Get As A Porch Group Team Member
Pay Range*: Annually$67,500.00 - $94,500.00
*Please know your actual pay at Porch will reflect a number of factors among which are your work experience and skillsets,
job-related knowledge, alignment with market and our Porch employees, as well as your geographic location.
Our benefits package will provide you with comprehensive coverage for your health, life, and financial wellbeing.
Our traditional healthcare benefits include three (3) Medical plan options, two (2) Dental plan options, and a Vision plan from which to choose.
Critical Illness, Hospital Indemnity and Accident plans are offered on a voluntary basis.
We offer pre-tax savings options including a partially employer funded Health Savings Account and employee Flexible Savings Accounts including healthcare, dependent care, and transportation savings options.
We provide company paid Basic Life and AD&D, Short and Long-Term Disability benefits. We also offer Voluntary Life and AD&D plans.
Both traditional and Roth 401(k) plans are available with a discretionary employer match.
Headspace is part of our employer paid wellbeing program and provides employees and their families access to on demand guided meditation and mindfulness exercises, mental health coaching, clinical care and online access to confidential resources including will preparation.
Brio Health is another employer paid wellbeing tool that offers quarterly wellness challenges and prizes.
LifeBalance is a free resource to employees and their families for year-round discounts on things like gym memberships, travel, appliances, movies, pet insurance and more.
Our wellness programs include flexible paid vacation, company-paid holidays of typically nine per year, paid sick time, paid parental leave, identity theft program, travel assistance, and fitness and other discounts programs.
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#LI-Remote
What's next?
Submit your application and our Porch Group Talent Acquisition team will be reviewing your application shortly! If your resume gets us intrigued, we will look to connect with you for a chat to learn more about your background, and then possibly invite you to have virtual interviews. What's important to call out is that we want to make sure not only that you're the right person for us, but also that we're the right next step for you, so come prepared with all the questions you have!
Porch is committed to building an inclusive culture of belonging that not only embraces the diversity of our people but also reflects the diversity of the communities in which we work and the customers we serve. We know that the happiest and highest performing teams include people with diverse perspectives that encourage new ways of solving problems, so we strive to attract and develop talent from all backgrounds and create workplaces where everyone feels seen, heard and empowered to bring their full, authentic selves to work.
Porch is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected veteran status, or any other characteristic protected by applicable laws, regulations, and ordinances.
Porch Group is an E-Verify employer. E-Verify is a web-based system that allows an employer to determine an employee's eligibility to work in the US using information reported on an employee's Form I-9. The E-Verify system confirms eligibility with both the Social Security Administration (SSA) and Department of Homeland Security (DHS). For more information, please go to the USCIS E-Verify website.