CoVerica Insurance jobs

Introduction At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they're free to grow, lead, and innovate. You'll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing a comprehensive overview of the risk landscape is at your fingertips. Here, you're not just improving clients' risk profiles, you're building trust. You'll find a culture grounded in teamwork, guided by integrity, and fueled by a shared commitment to do the right thing. We value curiosity, celebrate new ideas, and empower you to take ownership of your career while making a meaningful impact for the businesses we serve. If you're ready to bring your unique perspective to a place where your work truly matters; think of Gallagher. Overview Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts. Specializing in employee benefits, workers' compensation, loss control, financial services, and property & liability, Keenan is committed to delivering innovative solutions that protect and empower the communities we serve. As part of Gallagher, a global leader in insurance, risk management, and consulting, you'll be joining a team that's passionate about helping individuals and organizations thrive. The Vice President is responsible for the development, integration and operation of all aspects of our medical cost containment program. The essential functions of the position will be to differentiate the PRIME program in the marketplace; manage bill review and the nurse case managers including utilization review and case management functions. Ensure compliance of MPN with our business partner, design, develop and conduct training programs on medical case management; provide technical expertise to the Case Managers, and resolve complex procedural and medical issues. This is a remote position located in California. Must be willing to travel up to 25% throughout the state. How you'll make an impact Manage Bill Review and Managed Care units. Review and report on monthly financials for case management and bill review. Management liaison with Enlyte / Genex, Harbor Health, One Call. Review of medical management impact reports to all Mangers and Account Executives. Maintain competitive intelligence on all PRIME fees. Develop pricing matrixes to determine revenue for PRIME. Complete analysis of fees with based on information from competitive intelligence. Review pricing on an annual basis to determine if increases are needed, and provide analysis to the field with notification to the clients. Monitor copy service vendors/contracts and negotiate fees. Collaborate with vendor partners to improve programs. Assist with Client proposals and workshops. Completion of request for proposals. Provide overview presentations to potential partner carriers/on-site client visits. Assist Account Executives in program education/client interface. Coordinate bill review comparisons for new clients. . Development of branding/differentiation and best practices. Initiate and develop innovative, quality alternatives to traditional treatment plans and patient care services. Review complex cases that are referred by case management or claims personnel to identify and resolve problems. Design, develop and conduct training programs. Ensure that all training manuals, Policy and Procedure Manuals and other departmental manuals used by clinical and non-clinical staff are current. Keep current with medical technology and corresponding updates to medical practices and procedures. Other duties as assigned. About You Required: Bachelors Degree with a minimum of 10 years experience in claims line of business required. A minimum 5 years experience in claims management positions required. Comprehensive knowledge of industry best practices and procedures. Active California RN license required. Preferred: 15 plus years claims experience highly preferred. Relevant industry designations preferred. Behaviors: Demonstrated verbal and written communications skills, negotiation skills and influence management skills. Proven analytical and quantitative skills. Strategic thinker; able to make prompt, intelligent decisions based upon detailed analysis of complex issues. Strong service orientation to internal and external customers. Excellent interpersonal skills. Experience completing high impact projects effectively and efficiently. Able to multitask and work independently. Knowledge of Microsoft Office Suite tools. Experience with RMIS systems and data mining. Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you'll get, depending on your job level these benefits may improve: Medical/dental/vision plans, which start from day one! Life and accident insurance 401(K) and Roth options Tax-advantaged accounts (HSA, FSA) Educational expense reimbursement Paid parental leave Other benefits include: Digital mental health services (Talkspace) Flexible work hours (availability varies by office and job function) Training programs Gallagher Thrive program - elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing Charitable matching gift program And more... **The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it's embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees' diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Product Configuration Analyst: Sapiens Products The Configuration Analyst will be responsible for configuring, maintaining, and supporting Sapiens PolicyPro, BillingPro, ProducerPro, AuthorityPro, and ClaimsPro software solutions to meet business requirements. This role serves as a key liaison between business users, IT, and the Sapiens technical team, ensuring that system configurations deliver optimal performance and align with organizational objectives. The ideal candidate will possess a strong understanding of insurance processes, excellent analytical skills, and hands-on experience with Sapiens platforms. Key Responsibilities In collaboration with the Director of Solutions Delivery, analyze business requirements and translate them into Sapiens system configurations and solutions. Work closely with business stakeholders, Solutions Delivery Leads, and the broader IT team to document configuration specifications based on documented business requirements. Design, test, implement, and maintain configuration changes in Sapiens software to support business operations and process improvements. Troubleshoot and resolve configuration-related issues, providing timely support to end-users and technical teams. Document configuration procedures, changes, and system enhancements for future reference and compliance. Assist in system upgrades and integration projects as needed. Stay updated with Sapiens product improvements, best practices, and industry trends to ensure system configurations remain current and effective. Required Qualifications Bachelor's degree in Information Technology, Computer Science, Business, or a related field (or equivalent experience). At least five(5) years experience working in a technical capacity with Sapiens CoreSuite for North America or a similar application, including an understanding of the data model, configuration version management principles, and familiarity with co-configuration/co-development practices. Strong XSLT experience and comfort working with application integrations and external APIs. Creative problem-solving skills and a drive to examine the end-to-end impacts when analyzing reported issues and requested enhancements. Understanding of insurance or financial services processes and terminology. Proficiency in analyzing business needs and configuring enterprise software solutions. Excellent problem-solving, analytical, and communication skills, including the ability to communicate not just the “what,” but the “how” and the “why” of system behaviors. Ability to work collaboratively in a team environment and manage multiple priorities. Willingness to complete configuration/design reviews and provide guidance to junior configurators and other members of the Solutions Delivery team. Preferred Qualifications Experience with business process mapping and documentation. Solid understanding of the BillingPro and/or ClaimsPro application architecture and core functionality, including asynchronous processing. Knowledge of SQL, XML, or other data management/query tools. Comfort acting in a consultative role when working with stakeholders; a willingness to challenge assumptions and ensure the implications of changes are fully understood before implementing. Work Environment & Reporting This hybrid position is based in Chicago, IL or Frisco, TX, and reports to the Director of Solutions Delivery. A fully remote arrangement based outside of these areas may be considered for the right candidate. The role may require occasional travel or after-hours support during critical deployments or issue resolution. About Tokio Marine Highland Tokio Marine Highland Insurance Services (TMH) is a leading property and casualty underwriting agency. We offer a broad suite of tailored specialty risk management solutions, including private flood, fine art and lender-placed products. At TMH, it's all about our clients. Nationwide, our customers rely on our trusted, industry-leading coverages, supported by compliance expertise, superior claims management and the highest caliber of service. Founded in 1962, TMH is a wholly owned company of Tokio Marine Kiln, one of the largest carriers in the Lloyd's of London insurance market and a member of the Tokio Marine Group. TMH has operating centers in Chicago, Il, Frisco, Texas, Miami, Fla., and South Pasadena, Calif. If you're looking to advance your career, TMH is the perfect professional home. At TMH, you'll have a chance to innovate with the world's leading businesses, put your expertise into action on major projects, and work on game-changing initiatives. You'll also make long-lasting professional connections through sharing different perspectives, and you'll be inspired by the best. Tokio Marine Highland, LLC (TMH) is an Equal Opportunity Employer. TMH's success depends heavily on the effective utilization of qualified people, regardless of their race, ancestry, religion, color, sex, national origin, sexual orientation, gender identity and/or expression, disability, veteran status, or any characteristic protected by law. As a company, we adhere to and promote equal employment opportunities for all. Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is TMH's policy to provide reasonable accommodation when requested by qualified individuals with disabilities during the recruitment process, unless such accommodation would cause an undue hardship. To make an accommodation request, please contact *****************************.

Work Type: Full Time Regular Application Closes: Open Until Filled 2025-08-19 SHARE The Lead Distribution Sales Consultant will identify strategies to promote the sale and positioning of Group Supplemental Health Insurance products and services, partnering with Mutual of Omaha Group Sales offices to provide ongoing support and distribution management. Execute field initiatives to ensure competitive standing across both individual client and market levels. WHAT WE CAN OFFER YOU: Estimated Salary: $95,000 - $115,000 plus annual bonus opportunity. 401(k) plan with a 2% company contribution and 6% company match. Work-life balance with vacation, personal time and paid holidays. See our benefits and perks page for details. Applicants for this position must not now, nor at any point in the future, require sponsorship for employment. WHAT YOU'LL DO: Support the sale of Supplemental Health products by highlighting benefits, services, pricing, competitive advantages, and operations. Partner with assigned Mutual of Omaha Group Sales Representatives to meet performance standards and achieve voluntary sales goals, including new business, cross-selling opportunities, and renewal activity. Develop competitor strategies by creating tools and analyses to strengthen sales positioning. Identify, coordinate, and deliver field training for each product in collaboration with sales offices and internal departments. Create and execute sales support materials such as competitor comparisons, presentations, and marketing content. Lead office and broker visits as needed to support product sales. Assist with the development of finalist presentations to secure new business opportunities. Partner with internal departments to identify and implement product and process enhancements. Develop and maintain current knowledge of company's products, policies and services. WHAT YOU'LL BRING: Strong experience and extensive knowledge of Group Supplemental Health Insurance products, design, administration, and marketing. Specifically, Accident, Critical Illness, and Hospital Indemnity. Demonstrated success and ability to build relationships with sales personnel. Strong oral and written communication skills, presentation and negotiation skills, and ability to collaborate with teams. At least 3-5 years of Group Supplemental Health sales support or sales experience. Ability to travel up to 15% of the work period and a valid driver's license. Knowledge of competitors' products and positioning. PREFERRED: Accident and Health Insurance License We value diverse experience, skills, and passion for innovation. If your experience aligns with the listed requirements, please apply! If you have questions about your application or the hiring process , email our Talent Acquisition area at . Please allow at least one week from time of applying if you are checking on the status. Stay Safe from Job Scams Mutual of Omaha only accepts applications from . Legitimate communications will come from We never request sensitive information or extend job offers without conducting interviews. For more details, check our Hiring FAQs . Stay alert for scams and apply securely! Fair Chance Notices Need help? Email Us Apply Now Great place to work Together we achieve greatness. Not only is this a core value, but it's also representative of the kind of place we are - built by the strength and integrity of our employees. It's why we're named a "Great Place to Work". See All Awards An inclusive culture Surround yourself with an authentic and inclusive culture. Your strengths and differences will be valued and celebrated by a diverse community of co workers. Discover Our Culture Related Job Openings Financial Representative Trainee (Sales) - Springfield, MO Missouri 503751 Advisor Sales Manager - Houston, TX Texas 503932 Lead Distribution Sales Consultant - Dental/Vision Product - Remote Remote 504139

Introduction At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they're free to grow, lead, and innovate. You'll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing a comprehensive overview of the risk landscape is at your fingertips. Here, you're not just improving clients' risk profiles, you're building trust. You'll find a culture grounded in teamwork, guided by integrity, and fueled by a shared commitment to do the right thing. We value curiosity, celebrate new ideas, and empower you to take ownership of your career while making a meaningful impact for the businesses we serve. If you're ready to bring your unique perspective to a place where your work truly matters; think of Gallagher. Overview Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts. Specializing in employee benefits, workers' compensation, loss control, financial services, and property & liability, Keenan is committed to delivering innovative solutions that protect and empower the communities we serve. As part of Gallagher, a global leader in insurance, risk management, and consulting, you'll be joining a team that's passionate about helping individuals and organizations thrive. The Senior Claims Examiner will administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine claims without legal representation. This is a remote position located in California. How you'll make an impact Maintain current diary. Identify, prevent and mitigate potential penalties. Update claim notes in computer. Provide timely reporting of excess files to the Reinsurance Manager. Report SIU/Fraud. Identify and pursue subrogation. Complete Rehab forms/benefit notices/SJDB/RTW form. Refer all PRIME deletions only to office designee. Update reserves no later than 30 days of receipt of information modifying the financial exposure of a claim. Prepare for and attend file reviews. Accept or deny delayed claims within 90 days. Request settlement authorization/notification within 30 days of a final P&S report and prior to the MSC date. Complete Stipulation and/or Compromise and Release paperwork. Maintain 100% closing ratio on active accounts and reduce run off accounts by 25% annually. Prepare legal referrals, provide direction to and monitor defense attorney. Return all phone calls within 24 hours. Complete instruction sheets for Assistant/Technician/Claims entry clerk. Review mail daily. Correct error report daily. Maintain client/claimant satisfaction. Update Unit Stat forms. Oversee new set-ups, reserves and instruction sheets. Prepare cover letters to AME/defense QME, AOE/COE evaluations. Negotiate outstanding liens. Make 3-point contact. File Answer/Application. Interaction with nurse on case management. Other duties assigned. About You Required: High school diploma and 5 years related claims experience required. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Extensive knowledge of accepted industry standards and practices. Computer experience with related claims and business software. Preferred: Bachelor's degree preferred. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses. Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation. Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you'll get, depending on your job level these benefits may improve: Medical/dental/vision plans, which start from day one! Life and accident insurance 401(K) and Roth options Tax-advantaged accounts (HSA, FSA) Educational expense reimbursement Paid parental leave Other benefits include: Digital mental health services (Talkspace) Flexible work hours (availability varies by office and job function) Training programs Gallagher Thrive program - elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing Charitable matching gift program And more... **The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it's embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees' diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Customer Service Associate Representative Our Customer Service Associate Representatives are dedicated team members who excel at customer service, helping us elevate our patient care to new heights. In this crucial role, you are on the front lines with patients, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy. Performs Customer Service duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Main job functions include: helping patients understand their pharmacy benefits better by using knowledge gained from training, problem-solving skills and added support from your team to answer patient calls effectively. While on calls, you will use expert listening skills to address patient questions and concerns empathetically and document all interactions. Job functions also include assisting patients with prescription refills, scheduling shipments and addressing billing questions. What You Should Have: + High School Diploma / GED required + 1 year of relevant call center experience preferred + 1 year Previous medical insurance or pharmacy experience preferred + General PC knowledge including Microsoft Office and outlook + Excellent communication skills (verbal and written) + Empathetic and genuine customer service skills + Candidates must live on the island of Oahu **_This is a hybrid role and requires the ability to work in person._** If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

Healthcare Horizons™ is an industry-leading, solution-oriented healthcare audit and advisory firm, dedicated to protecting the financial health of our clients' benefit plans. As a trusted partner and strategic extension for employers, brokers, and payers, we combine proprietary methodologies and advanced algorithms with deep human expertise to identify complex issues often missed by automation. This integrated approach recovers overpayments, prevents future errors, and consistently delivers significant cost savings. Powered by a hybrid of human-centric philosophy and leveraging cutting-edge technology, we're transforming healthcare benefits management to achieve financial integrity through proactive, root-cause resolution. We are focused on setting new industry standards and providing lasting value, actionable insights, and reliable benefits for all stakeholders, ultimately improving patient care and driving synergistic value across the healthcare ecosystem. Position Overview: The CEO will provide leadership and oversee all operations for Healthcare Horizons while partnering with the board of directors on strategy and business development. This executive will be responsible for ensuring that the cultural and quality foundations are not only maintained but are the focus of decisions, driving business growth, and ensuring operational performance can match that growth. The CEO is also tasked with driving responsible but aggressive technology development and positioning the company as a leader in the healthcare claims auditing industry. This position reports to the board of directors. The ideal candidate will be a proven operations leader with the ability to scale our business while maintaining our reputation for delivering exceptional value to clients through rigorous claims auditing and benefits advising. They will have a passion for reducing healthcare costs and improving the healthcare system. This executive role offers the opportunity to make a significant impact in the healthcare claims auditing space and lead a growing company that is transforming how companies manage their healthcare spend. Responsibilities: Cultivate a positive company culture focused on integrity, excellence, and continuous improvement Provide input to and execute the company's strategic vision and long-term business plans as outlined by the board of directors Provide input, help define, lead and motivate the executive team to achieve organizational goals and initiatives Oversee all aspects of business including operations, client services, auditing, data, technology, finance, marketing and human resources Bring and build relationships with key clients, partners, and industry stakeholders Ensure the company delivers high-quality auditing services that provide relevant data and significant cost savings for self-insured employer clients Oversee technology strategy, including productization of proprietary audit methodologies, data infrastructure, and responsible use of AI to enhance scalability and defensibility. Monitor industry trends and competitive landscape to identify growth opportunities Manage P&L and ensure strong financial performance Qualifications: 15+ years of executive leadership experience, with experience in healthcare, insurance, or related industries Strong understanding of healthcare claims, billing, and reimbursement practices Strong business acumen and strategic planning skills Proven track record of driving revenue growth and profitability Experience leading teams and managing all aspects of business operations Excellent communication, relationship-building, and presentation skills Bachelor's degree required, MBA or advanced degree preferred Strong background in technology development and parallel human development Experience selling complex healthcare solutions to self-insured employers, brokers, consultants, or payers. Location: The position is a hybrid remote role with the flexibility to work from home. The incumbent would need to regularly travel to our company headquarters in Knoxville, TN. The ideal candidate would be located within driving distance or an easy flight to company headquarters. Benefits: Competitive salary Bonus Plan Long-Term Incentive pay Comprehensive health and wellness benefits package Retirement savings plan Opportunities for professional development and advancement Positive and collaborative work environment

The Company At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an “A” rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier. Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago. This role may be performed hybrid to our office in New Hartford, NY; Buffalo, NY; or Charlotte, NC. What you will do Conducts investigations of assigned claims suspected of insurance fraud and other irregularities with a focus on thoroughness, quality, with attention to detail, timeliness and cost control. High degree of integrity and confidentiality required handling information that is considered personal and confidential. Ensures assigned cases are investigated and reported back to SIU Manager within prescribed time allowance. Customer service and relationship/team building by maintaining contact during the course of investigation with the company's claim service, and underwriting departments. Encourages and participates in open communication with all Utica National in an effort to make claims operations more efficient and effective. Provides factual information gathered in investigations to Underwriting for purposes of evaluating risk. Maintains and fosters best possible relationship with the general public with special emphasis towards the following groups: policyholders, claimants, sales, and attorneys-at-law. Develops a network of resources within the community and maintains high degree of rapport and cooperation with federal, state, and local governmental agencies, as well as private information bureaus that can assist in investigative efforts. Testifies in civil and criminal courts. Maintains and pursues technical competency within area of specialization by attending insurance fraud seminars and other company-sponsored courses. Additional Responsibilities: May be responsible for guiding and training other investigators or claims staff with fraud training under the direction of the SIU Manager. May run special projects or initiatives with the planning and implementation responsibilities and accountability for outcome under the direction of the SIU Manager. Participates in professional organizations. Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company. Assist in security issues involving company personnel and fraud matters. Assist Law Enforcement agencies involving requests for information and documentation on criminal matters. Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company. Performs other duties as assigned. Conforms with all corporate policies and procedures. Education: Bachelor's degree in criminal justice or a related field, and/ or equivalent experience. SCLA designation preferred that includes completion of the Fraud Claims Law Associate courses. Should obtain SCLA Silver and Gold designations. Encouraged to pursue Auto Theft Investigator designations, Certified Fraud Examiner (CFE) designation and Certified Insurance Fraud Investigator (CIFI) designation and other acceptable insurance course work. Experience: 5-10 years of insurance claims investigation experience or professional investigation experience with law enforcement agencies. Salary Range: $73,600-$95,000 The final salary to be paid and position within the internal salary range will take into consideration the individual's work experience, geographic location, education, certification(s) or additional qualifications, and scope and responsibilities within the role. Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following: Medical and Prescription Drug Benefit Dental Benefit Vision Benefit Life Insurance and Disability Benefits 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) Health Savings Account (HSA) Flexible Spending Accounts Tuition Assistance, Training, and Professional Designations Company-Paid Family Leave Adoption/Surrogacy Assistance Benefit Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance Student Loan Refinancing Services Care.com Membership with Back-up Care, Senior Solutions Business Travel Accident Insurance Matching Gifts program Paid Volunteer Day Employee Referral Award Program Wellness programs Additional Information: This position is a full time salaried, exempt (non overtime eligible) position. Utica National is an Equal Opportunity Employer. Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. #LI-HL1

This is a range posting. Level offered will be based on candidate experience at manager discretion. This position may have in-office requirements depending on candidate location. The US Retail Markets Personal Lines Auto Product Delivery and Development team is hiring for a Senior Analyst/Consultant on the Auto Product Frontier Team. OneAuto is a key component of the Frontier strategy; a multi-year business and technology transformation effort that aims to radically simplify and accelerate how US Retail Market goes to market, powered by a modern, future-ready unified insurance platform. This position will be responsible for evaluating our legacy book migration strategy. The work is investigative and strategic: you will research legacy books, document coverage and rating logic, evaluate compatibility with OneAuto, and recommend whether and how each book should be migrated. Key responsibilities of the role include: Assess technical and product fit between each legacy book and the OneAuto/rating platform capabilities. Develop a recommended migration strategy for each book including rationale, estimated effort, risk, and business impact. Create clear decision artifacts and migration playbooks (impact analysis, acceptance criteria, mapping specifications, remediation tasks). Work with Product, Modeling, IT, Data, Legal/Compliance, and Delivery teams to evaluate feasibility and implement migration plans. Present findings and recommendations to stakeholders and drive consensus across business and technical partners. Track migration status, risks, dependencies, and escalate issues as appropriate. Support Frontier and OneAuto program priorities and timelines; adapt to changing scope and priorities. Required Qualifications Strong Auto insurance product knowledge (personal lines auto preferred); familiarity with policy forms, coverages,endorsements and rating concepts. 3+ years of relevant experience (product, rating, migration, business analysis, or similar) Comfortable working with technical teams; some hands-on technical aptitude required (data mapping, reading rating rules, ability to review configuration or rule code). Strong analytical skills and demonstrated ability to synthesize complex information into clear recommendations. Advanced Excel skills; experience with data analysis and reporting tools. Excellent written and verbal communication skills; ability to create concise decision documents and present to senior stakeholders. Strong organizational, planning, and project management skills; ability to manage multiple books/projects concurrently and work through ambiguity. Preferred Qualifications Experience with rating platforms or policy administration systems Familiarity with rating engines, rule engines, or rule configuration. Basic SQL or data query experience Prior experience evaluating legacy systems and defining migration approaches. Qualifications Bachelor's degree in mathematics, economics, statistics, or other quantitative field Minimum 4 year's relevant work experience, typically 6 years. Master's degree beneficial. Advanced proficiency in Excel, PowerPoint, and statistical software packages (e.g., SAS, Emblem). Must have strong planning, organizational, analytical, decision making and communication skills. Experience managing projects preferred. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

Job DescriptionAbout The Strickland Group: The Strickland Group is a family-driven, vision-first financial services agency helping families protect and build wealth through life insurance and retirement solutions. This is a 100% commission, remote role with flexible hours, mentorship, and a clear path to agency ownership. You'll meet with warm leads, uncover needs, present options, and help clients put protection in place. Training is provided; no experience required, but strong work ethic, coachability, and a desire to grow are musts.

Document Processor / Compliance Analyst (Full-Time - NJ) Business Credentialing Services, Inc. (BCS) is a fast-growing technology company in the insurance and risk management industries. We are growing our Operations department and are looking to hire a Document Processor to assist with data entry and customer support. Today, we have more than 70 employees and two office locations in Parsippany, NJ and Provo, UT. Our compliance and risk management platform helps companies reduce their risk exposure by systematically verifying Vendors/Suppliers they do business with. Blending professional services with web-based applications, BCS continues to maintain its foothold as one of the industry leaders. Job Type: Full-time Employee Pay: $19.50 per hour Responsibilities: Perform data entry tasks, including inputting and updating information in databases. Review incoming documentation to verify pertinent information for our clients. Send emails and make phone calls to provide feedback on the documents received. Assist with administrative tasks as needed. Attend team meetings/phone calls. Requirements: Strong data entry skills with a high level of accuracy and attention to detail. Strong written and verbal communication skills. Excellent organizational and time management skills. Ability to perform data entry tasks within our software platform quickly and accurately. Intermediate computer literacy is required. Bachelor's Degree required in any field. Employee Benefits and Additional Information: Starting Pay Rate: $19.50 per hour. Required to report to the office in Parsippany, NJ Monday - Friday. When an employee reaches six months of employment, they can work remotely one day per week. When an employee reaches three years of service, they can work remotely two days per week. Semi-Annual Pay Increases - Employee can earn up to a 2.5% pay rate increase every six months based on performance. Healthcare Benefits (Medical, Vision, Dental) are available for employees on their first day of employment. 401(k) / Retirement Benefits - An employee is eligible to participate in the BCS 401(k) program with company matching on their three-month anniversary. Paid Federal Holidays and Paid Time Off.

Product Configuration Analyst: Sapiens Products The Configuration Analyst will be responsible for configuring, maintaining, and supporting Sapiens PolicyPro, BillingPro, ProducerPro, AuthorityPro, and ClaimsPro software solutions to meet business requirements. This role serves as a key liaison between business users, IT, and the Sapiens technical team, ensuring that system configurations deliver optimal performance and align with organizational objectives. The ideal candidate will possess a strong understanding of insurance processes, excellent analytical skills, and hands-on experience with Sapiens platforms. Key Responsibilities In collaboration with the Director of Solutions Delivery, analyze business requirements and translate them into Sapiens system configurations and solutions. Work closely with business stakeholders, Solutions Delivery Leads, and the broader IT team to document configuration specifications based on documented business requirements. Design, test, implement, and maintain configuration changes in Sapiens software to support business operations and process improvements. Troubleshoot and resolve configuration-related issues, providing timely support to end-users and technical teams. Document configuration procedures, changes, and system enhancements for future reference and compliance. Assist in system upgrades and integration projects as needed. Stay updated with Sapiens product improvements, best practices, and industry trends to ensure system configurations remain current and effective. Required Qualifications Bachelor's degree in Information Technology, Computer Science, Business, or a related field (or equivalent experience). At least five(5) years experience working in a technical capacity with Sapiens CoreSuite for North America or a similar application, including an understanding of the data model, configuration version management principles, and familiarity with co-configuration/co-development practices. Strong XSLT experience and comfort working with application integrations and external APIs. Creative problem-solving skills and a drive to examine the end-to-end impacts when analyzing reported issues and requested enhancements. Understanding of insurance or financial services processes and terminology. Proficiency in analyzing business needs and configuring enterprise software solutions. Excellent problem-solving, analytical, and communication skills, including the ability to communicate not just the “what,” but the “how” and the “why” of system behaviors. Ability to work collaboratively in a team environment and manage multiple priorities. Willingness to complete configuration/design reviews and provide guidance to junior configurators and other members of the Solutions Delivery team. Preferred Qualifications Experience with business process mapping and documentation. Solid understanding of the BillingPro and/or ClaimsPro application architecture and core functionality, including asynchronous processing. Knowledge of SQL, XML, or other data management/query tools. Comfort acting in a consultative role when working with stakeholders; a willingness to challenge assumptions and ensure the implications of changes are fully understood before implementing. Work Environment & Reporting This hybrid position is based in Chicago, IL or Frisco, TX, and reports to the Director of Solutions Delivery. A fully remote arrangement based outside of these areas may be considered for the right candidate. The role may require occasional travel or after-hours support during critical deployments or issue resolution. About Tokio Marine Highland Tokio Marine Highland Insurance Services (TMH) is a leading property and casualty underwriting agency. We offer a broad suite of tailored specialty risk management solutions, including private flood, fine art and lender-placed products. At TMH, it's all about our clients. Nationwide, our customers rely on our trusted, industry-leading coverages, supported by compliance expertise, superior claims management and the highest caliber of service. Founded in 1962, TMH is a wholly owned company of Tokio Marine Kiln, one of the largest carriers in the Lloyd's of London insurance market and a member of the Tokio Marine Group. TMH has operating centers in Chicago, Il, Frisco, Texas, Miami, Fla., and South Pasadena, Calif. If you're looking to advance your career, TMH is the perfect professional home. At TMH, you'll have a chance to innovate with the world's leading businesses, put your expertise into action on major projects, and work on game-changing initiatives. You'll also make long-lasting professional connections through sharing different perspectives, and you'll be inspired by the best. Tokio Marine Highland, LLC (TMH) is an Equal Opportunity Employer. TMH's success depends heavily on the effective utilization of qualified people, regardless of their race, ancestry, religion, color, sex, national origin, sexual orientation, gender identity and/or expression, disability, veteran status, or any characteristic protected by law. As a company, we adhere to and promote equal employment opportunities for all. Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is TMH's policy to provide reasonable accommodation when requested by qualified individuals with disabilities during the recruitment process, unless such accommodation would cause an undue hardship. To make an accommodation request, please contact *****************************.

At Plymouth Rock Assurance, our Claims team embodies the traits of Understanding, Engaging, and Energetic, serving as the first point of contact for our policyholders who have experienced an automobile incident. As a Claims Representative, you will become part of a fast paced, rewarding, and diverse team that appreciates the importance of a healthy work/life balance. We are looking for high potential individuals to join our fast-track claims unit with an in-depth training program, so no prior insurance experience is needed for this role. Many of our Claims Representatives have benefited from internal growth opportunities and have secured more senior Claims or Supervisor level roles within our company. Apply now and start your career at Plymouth Rock! We are currently a Hybrid work environment- 4 days in the Boston office and 1 day work from home. Here Is What You Will Do Customer-centric employee: Conveying a calm, caring attitude, you will provide best-in-class service to customers while processing new claims. Understanding and providing Empathy is key to this role. Collaborative partner: Working with internal and external partners, you'll support policyholders while their claims are being processed. Energetic worker: In our fast-paced environment, you will handle customers' needs-quickly, effectively and in a friendly, caring manner. Problem solver: No day is predictable; you'll utilize out-of-the-box, creative thinking to resolve a wide variety of claims challenges and customer issues. Clear communicator: You'll provide policyholders with the information they need by clearly setting expectations and outlining next steps. Accessibility: Being available for customers via email, text, or phone to walk them step-by-step through the auto claim process and explain existing coverage. Here Is What You Will Bring To The Table A history of working customer service facing roles, hospitality, or retail, with previous call center experience a plus. Being on the phone consistently throughout the day is a requirement of the role. Excellent organizational and time management skills. Being able to pivot through different applications throughout the day. Prioritizing your day and staying organized is key. An associate or bachelor's degree preferred. Willingness to continue learning about products, procedures, and technical systems as you grow in this role. Why work for us Grow personally and professionally through our collaborative team environment Gain support and guidance to expedite proficiency through our mentor program 4 weeks accrued paid time off + 9 paid national holidays per year Onsite Free Parking LinkedIn Learning Courses 12-week Training Program Tuition Reimbursement Low cost and excellent coverage health insurance options (medical, dental, vision) Robust health and wellness program and fitness reimbursements Auto and home insurance discounts 2:1 Matching gift opportunities Annual 401(k) Employer Contribution (up to 7.5% of your base salary) Company sponsored social events Various Paid Family leave options including Paid Parental Leave Salary Range: The pay range for this position is $45,000 to $50,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. About The Company The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.

The Company At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an "A" rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier. Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago. This role may be performed hybrid to our office in New Hartford, NY; Buffalo, NY; or Charlotte, NC. What you will do * Conducts investigations of assigned claims suspected of insurance fraud and other irregularities with a focus on thoroughness, quality, with attention to detail, timeliness and cost control. * High degree of integrity and confidentiality required handling information that is considered personal and confidential. * Ensures assigned cases are investigated and reported back to SIU Manager within prescribed time allowance. * Customer service and relationship/team building by maintaining contact during the course of investigation with the company's claim service, and underwriting departments. * Encourages and participates in open communication with all Utica National in an effort to make claims operations more efficient and effective. * Provides factual information gathered in investigations to Underwriting for purposes of evaluating risk. * Maintains and fosters best possible relationship with the general public with special emphasis towards the following groups: policyholders, claimants, sales, and attorneys-at-law. * Develops a network of resources within the community and maintains high degree of rapport and cooperation with federal, state, and local governmental agencies, as well as private information bureaus that can assist in investigative efforts. * Testifies in civil and criminal courts. * Maintains and pursues technical competency within area of specialization by attending insurance fraud seminars and other company-sponsored courses. Additional Responsibilities: * May be responsible for guiding and training other investigators or claims staff with fraud training under the direction of the SIU Manager. * May run special projects or initiatives with the planning and implementation responsibilities and accountability for outcome under the direction of the SIU Manager. * Participates in professional organizations. * Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company. * Assist in security issues involving company personnel and fraud matters. * Assist Law Enforcement agencies involving requests for information and documentation on criminal matters. * Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company. * Performs other duties as assigned. * Conforms with all corporate policies and procedures. Education: * Bachelor's degree in criminal justice or a related field, and/ or equivalent experience. * SCLA designation preferred that includes completion of the Fraud Claims Law Associate courses. * Should obtain SCLA Silver and Gold designations. * Encouraged to pursue Auto Theft Investigator designations, Certified Fraud Examiner (CFE) designation and Certified Insurance Fraud Investigator (CIFI) designation and other acceptable insurance course work. Experience: * 5-10 years of insurance claims investigation experience or professional investigation experience with law enforcement agencies. Salary Range: $73,600-$95,000 The final salary to be paid and position within the internal salary range will take into consideration the individual's work experience, geographic location, education, certification(s) or additional qualifications, and scope and responsibilities within the role. Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following: * Medical and Prescription Drug Benefit * Dental Benefit * Vision Benefit * Life Insurance and Disability Benefits * 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) * Health Savings Account (HSA) * Flexible Spending Accounts * Tuition Assistance, Training, and Professional Designations * Company-Paid Family Leave * Adoption/Surrogacy Assistance Benefit * Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance * Student Loan Refinancing Services * Care.com Membership with Back-up Care, Senior Solutions * Business Travel Accident Insurance * Matching Gifts program * Paid Volunteer Day * Employee Referral Award Program * Wellness programs Additional Information: This position is a full time salaried, exempt (non overtime eligible) position. Utica National is an Equal Opportunity Employer. Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. #LI-HL1

Overview Workers' Compensation Claim Consultant (CA Jurisdiction Only) - Remote Salary: $77,000-$87,000 annually Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Experience Required: 5+ Years (Litigated & Some Complex Claims) 🚨 Please Note This is not an HR, risk management, or consulting position. This is an experienced California Workers' Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered. Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We're seeking an experienced Workers' Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries. This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI's best practice standards. You'll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Conduct timely 3-point contact per CCMSI best practices. Investigate, evaluate, and adjust California workers' compensation claims with independence and sound judgment. Establish, maintain, and justify detailed reserve levels. Administer indemnity and award payments in accordance with CA jurisdictional requirements. Negotiate settlements consistent with corporate standards, client instructions, and state law. Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met. Pursue subrogation recovery as applicable. Prepare claim status reports, reserve analyses, and updates for client meetings. Conduct claim reviews with clients and participate in discussions as needed. Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle. Ensure all documentation meets CCMSI best practice requirements. Qualifications Qualifications - Required 5+ years of California WC adjusting experience, including litigated files and some complex exposure. Adjuster designation required. Strong working knowledge of California WC laws, timelines, benefits, and litigation processes. Proficiency with Microsoft Office (Word, Excel, Outlook). Excellent written and verbal communication skills, critical thinking, and decision-making ability. Nice to Have SIP certification preferred. Strong documentation habits per CCMSI best practices. Experience presenting or conducting client reviews. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Work Environment & Travel Remote role reporting to the Irvine, CA branch. Occasional travel to the office may be required for rare mandatory in-office meetings. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompJobs #CaliforniaAdjuster #RemoteJobs #ClaimsConsultant #InsuranceCareers #AdjusterLife #NowHiring #LI-Remote We can recommend jobs specifically for you! Click here to get started.

The Opportunity As a Property & Casualty Client Specialist at M3, you'll be instrumental in bolstering our sales and client management endeavors. Your role is pivotal, focusing on policy accuracy and nurturing robust client relations through timely service and adept communication. Dive into a dynamic environment where your attention to detail and proactive approach will shine. Key responsibilities encompass policy management, client responsiveness, and project collaboration. If you're a detail-oriented communicator who thrives in fast-paced settings, join us and be at the forefront of shaping exceptional client experiences! How You Will Make an Impact * Provide support to our Property and Casualty service and sales teams. * Ensure clients' needs are promptly and accurately addressed, fostering trust and satisfaction. * Efficiently handle policy tasks such as certificates, audits, and reviews, adhering to our high service standards. * Navigate our agency management system, Epic, with finesse to process policy changes seamlessly. * Offer project assistance to our Client Managers as required, contributing to team synergy and success. What You Will Need to Succeed * High school diploma or equivalent is required. * Property and Casualty insurance license preferred or willing to obtain upon hire. * Minimum of one year administrative/clerical experience and/or training is required. * Demonstrated proficiency in professional verbal and written communication. * Knowledgeable about insurance products, markets, sales processes, and workflow procedures. * Team player mentality, delegating effectively and fostering trust among colleagues. * Demonstrated proficiency in Microsoft Windows-based software applications, including Word, Excel, and PowerPoint required. Join Us Your role at M3 won't be about the boundaries presented in a job description - it's about the possibilities that you can envision once you walk through the doors on your first day. We're looking for people ready to take control of their career and excited to make a real impact with their position. Who We Are As an insurance broker, M3 helps you manage risk, purchase insurance, and provide benefits to your employees. We partner with clients on everything from property & casualty and employee benefits to personal lines, executive benefits, and employer-sponsored retirement plans. And, we're privately owned and independent which means we're doing what's best for our clients - not what's best for Wall Street or private equity. What Draws People to M3 Autonomy- Being able to work towards a common goal, but how you get there is an open book. Immediate Impact- Every M3er can make an impact, from day one in any role. Powered by Team- Be a part of a close-knit group of team members with whom you build trust and share responsibility. People- Every M3er is unique in their own way, M3 is a collection of unique achievers. At M3 Insurance experience the best of both worlds with our dynamic flexible work environment. Enjoy the flexibility to work remotely while still fostering collaboration and innovation in our office spaces. We prioritize work-life balance and empower our employees to thrive in a supportive and inclusive atmosphere. Benefits as an M3er Joining the M3 team means gaining access to a host of exceptional benefits and perks. Our benefits package is continuously evolving to cater to the needs of our team members. From flexible time-off and paid parental leave to employee appreciation events and volunteering opportunities, we prioritize the well-being and satisfaction of our employees. Additionally, our profit-sharing program ensures that every member of our team shares in the success of our organization. These enticing benefits showcase our commitment to nurturing and retaining top talent within our organization. Diversity, Equity & Inclusion M3 is building a culture focused on learning and progression, where M3ers are empowered by education, inclusive conversations, and real action that supports the future we envision. Equal Employment Opportunity M3 is committed to providing equal employment opportunity for all qualified individuals regardless of their age, sex, color, race, creed, national origin or ancestry, religion, marital status, military status, sexual orientation, disability/handicap, family responsibilities, non-relevant arrest or conviction records, or any other basis protected by law. In addition, we are committed to fully observing all relevant non-discrimination laws, including those regarding veterans' status, and will make reasonable accommodations for otherwise qualified individuals as appropriate. This commitment is reflected in all M3's practices and policies regarding hiring, training, promotions, transfers, rates of pay, and layoff, as well as in all forms of compensation, granting leaves of absence and in any other conditions of employment. All matters relating to employment are based upon ability to perform the job. In the best interests of M3 and all of its employees, every employee is to make every effort to avoid bias or prejudice in the workplace with regard to the above categories.

Introduction At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they're free to grow, lead, and innovate. You'll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing a comprehensive overview of the risk landscape is at your fingertips. Here, you're not just improving clients' risk profiles, you're building trust. You'll find a culture grounded in teamwork, guided by integrity, and fueled by a shared commitment to do the right thing. We value curiosity, celebrate new ideas, and empower you to take ownership of your career while making a meaningful impact for the businesses we serve. If you're ready to bring your unique perspective to a place where your work truly matters; think of Gallagher. Overview Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts. Specializing in employee benefits, workers' compensation, loss control, financial services, and property & liability, Keenan is committed to delivering innovative solutions that protect and empower the communities we serve. As part of Gallagher, a global leader in insurance, risk management, and consulting, you'll be joining a team that's passionate about helping individuals and organizations thrive. The Senior Claims Examiner will administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine claims without legal representation. This is a remote position located in California. How you'll make an impact Maintain current diary. Identify, prevent and mitigate potential penalties. Update claim notes in computer. Provide timely reporting of excess files to the Reinsurance Manager. Report SIU/Fraud. Identify and pursue subrogation. Complete Rehab forms/benefit notices/SJDB/RTW form. Refer all PRIME deletions only to office designee. Update reserves no later than 30 days of receipt of information modifying the financial exposure of a claim. Prepare for and attend file reviews. Accept or deny delayed claims within 90 days. Request settlement authorization/notification within 30 days of a final P&S report and prior to the MSC date. Complete Stipulation and/or Compromise and Release paperwork. Maintain 100% closing ratio on active accounts and reduce run off accounts by 25% annually. Prepare legal referrals, provide direction to and monitor defense attorney. Return all phone calls within 24 hours. Complete instruction sheets for Assistant/Technician/Claims entry clerk. Review mail daily. Correct error report daily. Maintain client/claimant satisfaction. Update Unit Stat forms. Oversee new set-ups, reserves and instruction sheets. Prepare cover letters to AME/defense QME, AOE/COE evaluations. Negotiate outstanding liens. Make 3-point contact. File Answer/Application. Interaction with nurse on case management. Other duties assigned. About You Required: High school diploma and 5 years related claims experience required. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Extensive knowledge of accepted industry standards and practices. Computer experience with related claims and business software. Preferred: Bachelor's degree preferred. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses. Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation. Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you'll get, depending on your job level these benefits may improve: Medical/dental/vision plans, which start from day one! Life and accident insurance 401(K) and Roth options Tax-advantaged accounts (HSA, FSA) Educational expense reimbursement Paid parental leave Other benefits include: Digital mental health services (Talkspace) Flexible work hours (availability varies by office and job function) Training programs Gallagher Thrive program - elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing Charitable matching gift program And more... **The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it's embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees' diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Job DescriptionDocument Processor / Compliance Analyst (Full-Time - NJ) Business Credentialing Services, Inc. (BCS) is a fast-growing technology company in the insurance and risk management industries. We are growing our Operations department and are looking to hire a Document Processor to assist with data entry and customer support. Today, we have more than 70 employees and two office locations in Parsippany, NJ and Provo, UT. Our compliance and risk management platform helps companies reduce their risk exposure by systematically verifying Vendors/Suppliers they do business with. Blending professional services with web-based applications, BCS continues to maintain its foothold as one of the industry leaders. Job Type: Full-time Employee Pay: $19.50 per hour Responsibilities: Perform data entry tasks, including inputting and updating information in databases. Review incoming documentation to verify pertinent information for our clients. Send emails and make phone calls to provide feedback on the documents received. Assist with administrative tasks as needed. Attend team meetings/phone calls. Requirements: Strong data entry skills with a high level of accuracy and attention to detail. Strong written and verbal communication skills. Excellent organizational and time management skills. Ability to perform data entry tasks within our software platform quickly and accurately. Intermediate computer literacy is required. Bachelor's Degree required in any field. Employee Benefits and Additional Information: Starting Pay Rate: $19.50 per hour. Required to report to the office in Parsippany, NJ Monday - Friday. When an employee reaches six months of employment, they can work remotely one day per week. When an employee reaches three years of service, they can work remotely two days per week. Semi-Annual Pay Increases - Employee can earn up to a 2.5% pay rate increase every six months based on performance. Healthcare Benefits (Medical, Vision, Dental) are available for employees on their first day of employment. 401(k) / Retirement Benefits - An employee is eligible to participate in the BCS 401(k) program with company matching on their three-month anniversary. Paid Federal Holidays and Paid Time Off.

The Company At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an "A" rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier. Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago. This role may be performed hybrid to our office in New Hartford, NY; Buffalo, NY; or Charlotte, NC. What you will do * Conducts investigations of assigned claims suspected of insurance fraud and other irregularities with a focus on thoroughness, quality, with attention to detail, timeliness and cost control. * High degree of integrity and confidentiality required handling information that is considered personal and confidential. * Ensures assigned cases are investigated and reported back to SIU Manager within prescribed time allowance. * Customer service and relationship/team building by maintaining contact during the course of investigation with the company's claim service, and underwriting departments. * Encourages and participates in open communication with all Utica National in an effort to make claims operations more efficient and effective. * Provides factual information gathered in investigations to Underwriting for purposes of evaluating risk. * Maintains and fosters best possible relationship with the general public with special emphasis towards the following groups: policyholders, claimants, sales, and attorneys-at-law. * Develops a network of resources within the community and maintains high degree of rapport and cooperation with federal, state, and local governmental agencies, as well as private information bureaus that can assist in investigative efforts. * Testifies in civil and criminal courts. * Maintains and pursues technical competency within area of specialization by attending insurance fraud seminars and other company-sponsored courses. Additional Responsibilities: * May be responsible for guiding and training other investigators or claims staff with fraud training under the direction of the SIU Manager. * May run special projects or initiatives with the planning and implementation responsibilities and accountability for outcome under the direction of the SIU Manager. * Participates in professional organizations. * Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company. * Assist in security issues involving company personnel and fraud matters. * Assist Law Enforcement agencies involving requests for information and documentation on criminal matters. * Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company. * Performs other duties as assigned. * Conforms with all corporate policies and procedures. Education: * Bachelor's degree in criminal justice or a related field, and/ or equivalent experience. * SCLA designation preferred that includes completion of the Fraud Claims Law Associate courses. * Should obtain SCLA Silver and Gold designations. * Encouraged to pursue Auto Theft Investigator designations, Certified Fraud Examiner (CFE) designation and Certified Insurance Fraud Investigator (CIFI) designation and other acceptable insurance course work. Experience: * 5-10 years of insurance claims investigation experience or professional investigation experience with law enforcement agencies. Salary Range: $73,600-$95,000 The final salary to be paid and position within the internal salary range will take into consideration the individual's work experience, geographic location, education, certification(s) or additional qualifications, and scope and responsibilities within the role. Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following: * Medical and Prescription Drug Benefit * Dental Benefit * Vision Benefit * Life Insurance and Disability Benefits * 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) * Health Savings Account (HSA) * Flexible Spending Accounts * Tuition Assistance, Training, and Professional Designations * Company-Paid Family Leave * Adoption/Surrogacy Assistance Benefit * Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance * Student Loan Refinancing Services * Care.com Membership with Back-up Care, Senior Solutions * Business Travel Accident Insurance * Matching Gifts program * Paid Volunteer Day * Employee Referral Award Program * Wellness programs Additional Information: This position is a full time salaried, exempt (non overtime eligible) position. Utica National is an Equal Opportunity Employer. Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. #LI-HL1

Overview Workers' Compensation Claim Consultant (CA Jurisdiction Only) - Remote Salary: $77,000-$87,000 annually Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Experience Required: 5+ Years (Litigated & Some Complex Claims) 🚨 Please Note This is not an HR, risk management, or consulting position. This is an experienced California Workers' Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered. Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We're seeking an experienced Workers' Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries. This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI's best practice standards. You'll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Conduct timely 3-point contact per CCMSI best practices. Investigate, evaluate, and adjust California workers' compensation claims with independence and sound judgment. Establish, maintain, and justify detailed reserve levels. Administer indemnity and award payments in accordance with CA jurisdictional requirements. Negotiate settlements consistent with corporate standards, client instructions, and state law. Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met. Pursue subrogation recovery as applicable. Prepare claim status reports, reserve analyses, and updates for client meetings. Conduct claim reviews with clients and participate in discussions as needed. Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle. Ensure all documentation meets CCMSI best practice requirements. Qualifications Qualifications - Required 5+ years of California WC adjusting experience, including litigated files and some complex exposure. Adjuster designation required. Strong working knowledge of California WC laws, timelines, benefits, and litigation processes. Proficiency with Microsoft Office (Word, Excel, Outlook). Excellent written and verbal communication skills, critical thinking, and decision-making ability. Nice to Have SIP certification preferred. Strong documentation habits per CCMSI best practices. Experience presenting or conducting client reviews. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Work Environment & Travel Remote role reporting to the Irvine, CA branch. Occasional travel to the office may be required for rare mandatory in-office meetings. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompJobs #CaliforniaAdjuster #RemoteJobs #ClaimsConsultant #InsuranceCareers #AdjusterLife #NowHiring #LI-Remote