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Claim Specialist jobs at Crawford & Company - 23 jobs

  • Claims Specialist-WC

    Crawford 4.7company rating

    Claim specialist job at Crawford & Company

    Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority. College degree or the equivalent of education and experience. Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc). Demonstrates a thorough working knowledge of claim processing and claim policies and procedures. Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions Demonstrates effective and diplomatic oral and written communication skills. Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others. Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level. Must possess a valid driver's license. Must complete continuing education requirements as outlined by Crawford Educational Services. Additional courses may be required by jurisdiction for maintenance of license. #LI-ET1 Conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages. Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims. Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim. Identifies wage loss expenses and wage exposures on medical claims. Documents receipt and contents of medical reports. Interacts frequently with claimant to understand nature and extent of injury and medical conditions. Reviews and handles other correspondence within authority including material from the team members, and/or clients. Approves payments of medical bills on lost time disability claims within area of payment authority up to, but not exceeding, $2,500 after compensability has been determined. Evaluates medical claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations. Keeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction. With the team managers guidance, provides input on the completion of status reports, initiate's activity checks and/or widow's statement of dependency forms. Completes all reporting forms and file documentation. Adheres to client and carrier guidelines and prepares written updates for supervisor to review. Performs other related duties as required or requested.
    $42k-65k yearly est. Auto-Apply 1d ago
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  • Claim Examiner- Liab

    Crawford 4.7company rating

    Claim specialist job at Crawford & Company

    Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned lines of business promptly and equitably under general supervision. Bachelor's degree or equivalent experience required. Comprehensive claims investigations/settling experience with 1-3 years experience in Claims or similar organization. Ability to work independently while assimilating various technical subjects. Good verbal and written communication skills. Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action. Strong ability to identify, analyze and solve problems. Effective interpersonal skills to be capable of dealing with external sources and all levels of employees. Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU. License Requirements: Per State or Jurisdictional requirements. •; Receives claim assignment, confirms policy coverages and directs acknowledgement of claims. •; Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted. •; Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required. •; Analyzes claims activity and prepares reports for clients/carriers and management. •; Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. •; Make settlement decisions promptly and equitably and issues company drafts in payments for claims within authority limits. •; Develops subrogation and third party recovery potential and follows reclaim procedures. •; Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews
    $41k-60k yearly est. Auto-Apply 11d ago
  • Claims Specialist II

    Mercury Insurance Services 4.8company rating

    Los Angeles, CA jobs

    Join an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employers for 2024! Training consists of 8 weeks of paid training. Monday through Friday from 8:00am-4:45pm PST. After training we offer a fixed schedule of 40 hours per week Monday through Friday from 8:00am-4:45pm PST. Geo-Salary Information An in-person interview may be required during the hiring process State specific pay scales for this role are as follows: $29.33 per hour (CA, NJ, NY, WA, HI, AK, MD, CT, RI, and MA) $26.92 per hour (NV, OR, AZ, CO, WY, TX, ND, MN, MO, IL, WI, FL, GA, MI, OH, VA, PA, DE, VT, NH, and ME). $24.52 per hour (UT, ID, MT, NM, SD, NE, KS, OK, IA, AR, LA, MS, AL, TN, KY, IN, SC, NC, and WV) This position is a work from home position that requires a dedicated workspace, free from distractions Responsibilities Position Overview If you're passionate about helping people restore their lives when the unexpected happens, and providing high-quality customer experiences, then our Mercury Insurance Claims team could be the place for you! We offer dynamic and challenging opportunities to those who want to make a meaningful impact. With ongoing guidance and support, the Claims Specialist II takes the lead in guiding customers through the claims process. You will investigate and process claims for damage to vehicles and other property as well as moderate bodily injury claims. You will focus on accurate and efficient claims to prevent unnecessary expense to the Company and policyholders. You will provide excellent customer service to ensure our customers have a positive experience and feel valued and supported. At Mercury, we believe in nurturing growth, making time to have fun, and working together to make great things happen. Key Responsibilities: Customer Interaction and Claims Process Management: Review and explain coverage details and the claims process to customers. Set reserves for anticipated expenses and arrange vehicle inspections and rental authorizations. Address customer inquiries and concerns throughout the claim process to ensure satisfaction and retention. Investigation and Evidence Gathering: Utilize various communication methods (phone calls, emails, texts, letters) to obtain information from involved parties, including witnesses. Review law enforcement reports and seek out additional evidence (dash cam, surveillance video) to assess the facts of loss and determine liability. Risk Assessment and File Management: Identify and escalate high-risk files with significant indemnity exposure or suspected fraud to supervisors for further review or investigation. Bodily Injury Claims Management: Analyze medical records to evaluate, negotiate, and settle moderate bodily injury claims with legal counsel for represented claimants and unrepresented parties. Cross-Department Collaboration: Serve as the primary point of contact for customers, coordinating with other departments to ensure a smooth claims experience and complete customer satisfaction. Team Collaboration: Collaborate with a team to address the needs of shared customers when necessary. Qualifications High school diploma or equivalent, Bachelor's degree preferred 6 months' customer service experience in a high-volume work environment or equivalent combination of education and experience 6-12 months' claims adjusting experience, preferred Prior experience working in a remote environment is a plus Physical Requirements Continuously (66%-100%): • Must be able to maintain a sedentary position for extended periods. • Must be able to communicate (electronically and telephonically) with team members, customers, and external parties. • Must be able to operate and type on a computer, laptop, and/or other Company-issued electronic device for extended periods of time. • Must be able to access and operate Company computer system, including preparing documents, entering data into computer system, and reading documents from a computer database or email system. Occasionally (Up to 33%): • Must be able to bend, stoop, reach, climb, and/or stand to access files, documents, and other equipment. • Must be able to grasp, open, and close drawers, filing cabinets, and other equipment. About the Company Why choose a career at Mercury? At Mercury, we have been guided by our purpose to help people reduce risk and overcome unexpected events for more than 60 years. We are one team with a common goal to help others. Everyone needs insurance and we can't imagine a world without it. Our team will encourage you to grow, make time to have fun, and work together to make great things happen. We embrace the strengths and values of each team member. We believe in having diverse perspectives where everyone is included, to serve customers from all walks of life. We care about our people, and we mean it. We reward our talented professionals with a competitive salary, bonus potential, and a variety of benefits to help our team members reach their health, retirement, and professional goals. Learn more about us here: ********************************************** Mercury Insurance is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by federal, state, or local law. Perks and Benefits At Mercury, we seek a better way to serve our customers, own every interaction, do the right thing in every situation, and move quickly to deliver exceptional results. Join our team and make an impact today! We offer many great benefits, including: · Competitive compensation · Flexibility to work from anywhere in the United States for most positions · Paid time off (vacation time, sick time, paid Company holidays, volunteer hours) · Incentive bonus programs (potential for holiday bonus, referral bonus, and performance-based bonus) · Medical, dental, vision, life, and pet insurance · 401 (k) retirement savings plan with company match · Engaging work environment · Promotional opportunities · Education assistance · Professional and personal development opportunities · Company recognition program · Health and wellbeing resources, including free mental wellbeing therapy/coaching sessions, child and eldercare resources, and more. Pay Range USD $43,382.00 - USD $75,982.00 /Yr.
    $43.4k-76k yearly Auto-Apply 4d ago
  • Claims Specialist II

    Chubb 4.3company rating

    Remote

    The Claim Adjuster is an individual contributor role responsible for successfully and compliantly adjudicating claims, meeting claim execution targets, and delivering a WoW! experience to our Pet Parents every day. Responsibilities: • Adjudicating claims • Meeting or exceeding daily claim targets • Providing guidance, oversight, and final approval authority to non-licensed claims processors from GenPact, AdStrat, or Healthy Paws • Obtaining and maintains advanced adjuster licenses according to state and municipality requirements • Ensuring claims are compliantly processed and adjudicated following standard operating procedures and processes • Identifying process improvement opportunities and implementing solutions • Be a licensed Claim Adjuster or have the experience to become a licensed Claim Adjuster within six months • Property and Casualty License • Ability to effectively communicate with pet parents • Problem solving and decision-making skills • Organizational and time management skills • Basic IT skills - To be successful in this fully remote role, it's important that they feel confident managing basic functions independently-such as attaching files to emails, editing shared documents, troubleshooting simple issues like screensharing, and knowing when to escalate tech concerns to the right person-since all job duties are conducted online. • Outlook, Word, Access and Power Point skills • Experience with ERP or CRM systems a plus Education and experience: • Veterinary knowledge or experience evaluating medical records a plus • 2+ years of customer service or call center experience • High school diploma or equivalent work experience
    $77k-110k yearly est. Auto-Apply 60d+ ago
  • Regional Liability Adjuster-Major Case Unit

    Hanover Insurance Group, Inc. 4.9company rating

    New York, NY jobs

    Our major case unit is currently seeking a Regional Liability Adjuster to join our growing team. This is a remote position. Fully responsible for the investigation, evaluation, negotiation, and resolution of claims which are the most complex in coverage and represent the company's largest damage exposures. The claims could originate anywhere in the country. Claims include but will not be limited to commercial auto, general liability (including bodily injury/property damage/personal and advertising injury), product liability, and liquor liability. May also work indirectly with various TPA (third party administrators) as needs arise. This is a full time/exempt role. IN THIS ROLE YOU WILL: Must possess or secure and maintain appropriate state adjuster license(s) and continuing education credits. Works with high authority limits on assignments reflecting a very high degree of technical complexity and coordination. Possesses a high and extensive level of technical knowledge and skills including product and industry. Negotiate settlements, mitigate losses, and control expenses on our company's largest losses. Maintain a high level of communication with leadership. Responsible to provide consultation and participation in the development of large claim strategies handled by both independent and staff adjusters. May co-adjust cases to facilitate learning and to impact file. Recognized as the company consultant in a field providing technical guidance, assistance, and training to lower level associates May have regional, zone or companywide scope. WHAT YOU NEED TO APPLY: Typically has 8-10 years professional experience Bachelor's degree or equivalent experience. Higher level degree may be desired Dedicated to meeting the expectations and requirements of internal and external customers Makes decisions in an informed, confident and timely manner Maintains constructive working relationships despite differing perspectives Strong organizational and time management skills Ability to negotiate skillfully in difficult situations with both internal and external groups Demonstrates ability to win concessions without damaging relationships. Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication. Understanding of applicable statutes, regulations and case law Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner. Easily adapts to new or different changing situations, requirements or priorities. Cultivates an environment of teamwork and collaboration Operates with latitude for un-reviewed action or decision. Computer experience (MS Office, excels, word, etc.) Proficient using Claims systems (i.e. CSS, PMS, etc.) Physical demands & work environment: Ability to use a personal computer and other standard office equipment Ability to travel as necessary. Ability to sit and/or stand for extended periods
    $50k-71k yearly est. 7d ago
  • Regional Liability Adjuster-Major Case Unit

    Hanover Insurance Group, Inc. 4.9company rating

    Connecticut jobs

    Our major case unit is currently seeking a Regional Liability Adjuster to join our growing team. This is a remote position. Fully responsible for the investigation, evaluation, negotiation, and resolution of claims which are the most complex in coverage and represent the company's largest damage exposures. The claims could originate anywhere in the country. Claims include but will not be limited to commercial auto, general liability (including bodily injury/property damage/personal and advertising injury), product liability, and liquor liability. May also work indirectly with various TPA (third party administrators) as needs arise. This is a full time/exempt role. IN THIS ROLE YOU WILL: Must possess or secure and maintain appropriate state adjuster license(s) and continuing education credits. Works with high authority limits on assignments reflecting a very high degree of technical complexity and coordination. Possesses a high and extensive level of technical knowledge and skills including product and industry. Negotiate settlements, mitigate losses, and control expenses on our company's largest losses. Maintain a high level of communication with leadership. Responsible to provide consultation and participation in the development of large claim strategies handled by both independent and staff adjusters. May co-adjust cases to facilitate learning and to impact file. Recognized as the company consultant in a field providing technical guidance, assistance, and training to lower level associates May have regional, zone or companywide scope. WHAT YOU NEED TO APPLY: Typically has 8-10 years professional experience Bachelor's degree or equivalent experience. Higher level degree may be desired Dedicated to meeting the expectations and requirements of internal and external customers Makes decisions in an informed, confident and timely manner Maintains constructive working relationships despite differing perspectives Strong organizational and time management skills Ability to negotiate skillfully in difficult situations with both internal and external groups Demonstrates ability to win concessions without damaging relationships. Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication. Understanding of applicable statutes, regulations and case law Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner. Easily adapts to new or different changing situations, requirements or priorities. Cultivates an environment of teamwork and collaboration Operates with latitude for un-reviewed action or decision. Computer experience (MS Office, excels, word, etc.) Proficient using Claims systems (i.e. CSS, PMS, etc.) Physical demands & work environment: Ability to use a personal computer and other standard office equipment Ability to travel as necessary. Ability to sit and/or stand for extended periods
    $49k-69k yearly est. 14d ago
  • Experienced CA WC Adjuster - Remote - Multi-Industry (Trucking, Staffing, Valet)

    Cannon Cochran Management 4.0company rating

    Irvine, CA jobs

    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.
    $77k-87k yearly Auto-Apply 11d ago
  • Experienced CA WC Adjuster - Remote - Multi-Industry (Trucking, Staffing, Valet)

    Ccmsi 4.0company rating

    Irvine, CA jobs

    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
    $77k-87k yearly Auto-Apply 46d ago
  • Experienced WC Claim Adjuster - California ADR Program (CA | Remote | SIP Required)

    Cannon Cochran Management 4.0company rating

    Irvine, CA jobs

    Experienced WC Claim Adjuster - California ADR Program (CA | Remote | SIP Required) Schedule: Monday-Friday, 8:00 AM-4:30 PM PT Salary Range: $80,000-$85,000 annually 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 The Workers' Compensation Claim Consultant is responsible for handling California workers' compensation claims for a single dedicated Alternate Dispute Resolution (ADR) client account. This role requires California jurisdiction experience and an active CA Adjuster's License, along with the Self-Insurance Administrator Certificate (SIP). You'll join a team of 10 adjusters and play a key role in ensuring quality claim handling through compliance with client guidelines, state laws, and CCMSI claim standards. Important - Please Read Before Applying This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. 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. 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. Investigate, evaluate, and adjust assigned California workers' compensation claims in compliance with jurisdictional requirements and ADR processes. Establish and monitor reserves, authorize claim payments, and negotiate settlements within authority and client guidelines. Review medical, legal, and vendor invoices to confirm accuracy and appropriateness. Maintain thorough documentation and diary updates in the claim system. Communicate effectively with clients, claimants, and involved parties throughout the claim process. Participate in claim reviews, hearings, and mediations as needed. Ensure compliance with state laws, CCMSI claim handling standards, and client-specific requirements. Qualifications Required Three or more years of experience adjusting California workers' compensation claims California Adjuster's License Self-Insurance Administrator Certificate (SIP) Strong written and verbal communication skills Proficiency with Microsoft Office Suite (Word, Excel, Outlook) Nice to Have Experience with Alternate Dispute Resolution (ADR) claims Strong organization, multitasking, and customer service skills Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. 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 hourly rate 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. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. 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. #CaliforniaAdjuster #WorkersCompensation #ADRClaims #InsuranceCareers #ClaimsConsultant #CaliforniaJobs #RemoteAdjuster #SIPCertified #InsuranceProfessionals #ClaimsManagement #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote We can recommend jobs specifically for you! Click here to get started.
    $80k-85k yearly Auto-Apply 11d ago
  • Experienced WC Claim Adjuster - California ADR Program (CA | Remote | SIP Required)

    Ccmsi 4.0company rating

    Irvine, CA jobs

    Experienced WC Claim Adjuster - California ADR Program (CA | Remote | SIP Required) Schedule: Monday-Friday, 8:00 AM-4:30 PM PT Salary Range: $80,000-$85,000 annually 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 The Workers' Compensation Claim Consultant is responsible for handling California workers' compensation claims for a single dedicated Alternate Dispute Resolution (ADR) client account. This role requires California jurisdiction experience and an active CA Adjuster's License, along with the Self-Insurance Administrator Certificate (SIP). You'll join a team of 10 adjusters and play a key role in ensuring quality claim handling through compliance with client guidelines, state laws, and CCMSI claim standards. Important - Please Read Before Applying This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. 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. 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. Investigate, evaluate, and adjust assigned California workers' compensation claims in compliance with jurisdictional requirements and ADR processes. Establish and monitor reserves, authorize claim payments, and negotiate settlements within authority and client guidelines. Review medical, legal, and vendor invoices to confirm accuracy and appropriateness. Maintain thorough documentation and diary updates in the claim system. Communicate effectively with clients, claimants, and involved parties throughout the claim process. Participate in claim reviews, hearings, and mediations as needed. Ensure compliance with state laws, CCMSI claim handling standards, and client-specific requirements. Qualifications Three or more years of experience adjusting California workers' compensation claims California Adjuster's License Self-Insurance Administrator Certificate (SIP) Strong written and verbal communication skills Proficiency with Microsoft Office Suite (Word, Excel, Outlook) Nice to Have Experience with Alternate Dispute Resolution (ADR) claims Strong organization, multitasking, and customer service skills Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. 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 hourly rate 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. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. 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. #CaliforniaAdjuster #WorkersCompensation #ADRClaims #InsuranceCareers #ClaimsConsultant #CaliforniaJobs #RemoteAdjuster #SIPCertified #InsuranceProfessionals #ClaimsManagement #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote
    $80k-85k yearly Auto-Apply 60d+ ago
  • Marine Claims Adjuster

    Engle Martin 4.2company rating

    Remote

    TITLE: Marine Claims Consultant DEPARTMENT: EIMC REPORTS TO: Team Leader or Director of Marine Claims STATUS: Regular, full-time; exempt SUMMARY OF JOB PURPOSE EIMC, an Engle Martin company, is an independent marine consulting services company providing supply chain loss control and claims investigation expertise to insurers, brokers, 3PLs and industrial partners. The Marine Consultant effectively determines and communicates the extent of loss or damage associated with ocean marine claims in a variety of business classes. PRIMARY JOB RESPONSIBILITIES Independently opens and handles assigned cases within basic limits of complexity. Identifies, recommends, and pursues appropriate mitigation strategy with supervisory oversight as necessary. Expands knowledge base to include broader analysis of terms, clauses, and coverage. Independently selects appropriate company templates as required based on independent recognition of client requirements. Routinely produces clear, concise, and grammatically correct reports which require minimal review/editing; defers to senior level team members for assistance. Engages in peer review with others as directed. Reviews time and expenses with attention paid to estimates and client intent. Pursues and completes Lloyds Agency Module 3: Cargo Claims & Recoveries credentialing. Develops a higher-level understanding of market levers and influences. Granted supervised authority to communicate with clients beyond routine case correspondence; demonstrates timely reliability to clients. Attends company meetings and trainings with enthusiasm. Identifies potentially valuable case studies from personal field experience and works with management to share those cases through supervised contributions to presentations. Establishes and maintains positive working relationships with other members of the organization across departments, divisions, and locations. Maintains the confidentiality of proprietary and sensitive information, exercising sound judgment and discretion in any disclosure of information related to EM, EIMC, and its endeavors. Adheres to all applicable State Insurance Regulation requirements and other applicable laws, regulations, and standards. REQUIRED EDUCATION & EXPERIENCE Bachelor's degree preferred Prior experience in ocean marine claim adjusting or other insurance-related work preferred DESIRED KNOWLEDGE, SKILLS & ABILITIES Ability to understand claims adjudication process Excellent written and verbal communication skills Ability to manage multiple priorities and meet deadlines Passionate about providing exceptional customer service Skilled in analyzing, interpreting, and reporting pertinent information, discerning the essential from the non-essential Strong research and investigative skills Conflict resolution and persuasion abilities Organized and detail oriented Excellent problem solving and critical thinking skills Ability to work both independently and as part of a team WORKING CONDITIONS Work is conducted primarily in a remote location or in an indoor office environment with protection from weather conditions and with exposure to noise typical of an office or administrative setting. PHYSICAL ACTIVITIES AND REQUIREMENTS Work requires light lifting (10 - 20 lbs.), standing, walking, stooping, kneeling, reaching, fingering (keyboarding) and repetitive hand motion, grasping, talking, and hearing at normal speaking levels. Work requires visual acuity to read and prepare data and figures, type words and numbers, view information on a computer terminal, read, operate office machines, and determine the accuracy and thoroughness of work.
    $45k-57k yearly est. Auto-Apply 60d+ ago
  • Claims Specialist- Liab

    Crawford 4.7company rating

    Claim specialist job at Crawford & Company

    Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only claims. Documents and monitors open case inventory to ensure proper/timely closing and billing of files. Makes decisions on claims within delegated limited authority. College degree or the equivalent education and experience. Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc). Demonstrates a thorough working knowledge of claim processing and claim policies and procedures. Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions Demonstrates effective and diplomatic oral and written communication skills. Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others. Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level. Must possess a valid driver's license. Must complete continuing education requirements as outlined by Crawford Educational Services. Additional courses may be required by jurisdiction for maintenance of license. Conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages. Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims. Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves within designed authority, as necessary, during the processing of the claim. Identifies applicable wage loss expenses and wage exposures. Documents receipt and contents of claim documents including medical reports, police reports etc. Interacts frequently with claimant to understand nature and extent of injury and medical conditions. Reviews and handles other correspondence within authority including material from the team members, and/or clients. Approves payments within scope of payment authority Evaluate claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations. Keep Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refer matters beyond limits of authority and expertise to Team Manager for direction. With the team managers' guidance, provides input on the completion of status reports, initiate's activity checks and/or widow's statement of dependency forms. Completes all reporting forms and file documentation. Adheres to client and carrier guidelines and prepares written updates for supervisor to review. Develops subrogation/third party recovery potential and follows recovery procedures Participates in claim reviews as applicable. Performs other related duties as required or requested.
    $42k-65k yearly est. Auto-Apply 20d ago
  • Workers' Compensation Adjuster - California Jurisdiction (Dedicated Account, Remote)

    Cannon Cochran Management 4.0company rating

    Irvine, CA jobs

    Workers' Compensation Claim Specialist (Mid to Senior Level) Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Salary Range: $70,000-$95,000 annually 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 are seeking an experienced Workers' Compensation Claim Specialist to manage a dedicated client account within California jurisdiction. This remote role requires strong technical expertise and the ability to handle claims from onset through resolution, including litigation management. Caseloads are capped at 125 claims to ensure quality and balance. If you thrive in a fast-paced environment and value autonomy, this is an excellent opportunity to join a supportive, employee-owned organization. This position is a true Workers' Compensation adjusting role. It is not an HR, consulting, or administrative position. The role requires full responsibility for the investigation, evaluation, negotiation, and resolution of Workers' Compensation claims in accordance with state laws and client handling instructions. 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. • Handle California WC claims from initial investigation through resolution • Calculate and issue benefits accurately and timely • Document all file activity and maintain compliance with state regulations • Investigate claims and manage litigation processes • Communicate effectively with clients, claimants, and attorneys Qualifications What You'll Bring Required: • Minimum 5 years of California WC claims adjusting experience • SIP designation or California Claims Certificate • Strong analytical, documentation, and negotiation skills Nice to Have: Excellent customer service and time management skills Familiarity with ADR processes and litigation handling Professional designations such as AIC, ARM, or CPCU Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Why You'll Love Working Here 4 weeks PTO (Paid time off that accrues throughout the year in accordance with company policy) + 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. This role may also qualify for bonuses or additional forms of pay. CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents. CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws. 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. Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws. 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. #NowHiring #WorkersCompensationJobs #ClaimsCareers #InsuranceJobs #RemoteWork #CaliforniaJobs #EmployeeOwned #GreatPlaceToWork #CareerWithPurpose #JoinOurTeam #TPACareers #CCMSICareers #LI-Remote We can recommend jobs specifically for you! Click here to get started.
    $70k-95k yearly Auto-Apply 11d ago
  • Senior Claim Specialist

    Chubb 4.3company rating

    Georgia jobs

    We are seeking Senior Claim Specialists to join our Property Catastrophe Claims Team. The ideal candidate will have experience in handling personal and commercial property claims, particularly those related to natural disasters and catastrophic events. As part of our team, you will play a crucial role in assessing property damage, investigating claims, and providing excellent customer service to policyholders. This is a work from office position. Preferred location is Alpharetta GA. Responsibilities Manage personal and commercial property claims for CAT response and contingency support. Ensure thorough investigations with prompt identification of available coverages, recovery potential, fraudulent claim indicators, and loss exposure amounts. Utilize cost effective tools and resources, including evolving transformative digital technology options, to enhance client experiences and improve accuracy in claim outcomes. Conduct virtual inspections, through utilization of approved vendors and tools to assess and adjust a variety of personal and commercial property claim types. Effectively control the use, work product, and expenses when retaining any outside vendors. Maintain proactive action plans with utilization of effective diary practices that advance claims to accurate and timely resolution. Establish and maintain accurate and timely reserves, claim data, and file documentation throughout the life of the claim. Effectively evaluate relevant claim facts, contract language, and supporting documentation to make appropriate claim determinations and drive successful recovery outcomes. Adhere to all statutory and regulatory fair claims practices. Develop and maintain strong business relationships with internal and external customers. Successfully contribute to delivery of the team's goals, objectives, and results. Provide superior client service while supporting workload surges in various business need areas, working weekends and/or extra hours on weekdays as needed. Complete desk re-inspections, subro reviews, and other duties as required. Full knowledge of personal and commercial insurance contracts, investigation techniques, legal requirements, and insurance regulations. An aptitude for evaluating, analyzing, and interpreting information. Excellent verbal and written communication skills. Innovative thinker with ability to multi-task, prioritize, and stay organized to meet objectives. Superior customer service skills, including strong ability to demonstrate empathy. Prior experience handling complex claims with large exposures. Demonstrated ability to successfully operate in multiple systems handling various claim types, while readily adapting to transformative practices and changes in technology. Ability to work well both independently and in effectively partnering with others to meet objectives in a team supportive environment. A 4-year college degree and / or demonstrated proficiency in property claim handling is required. Must be able to work extended weekdays, weekends, and extended hours during peak periods. Must have ability to secure the Property and Casualty Adjusters license within 6 months of employment.
    $85k-121k yearly est. Auto-Apply 60d+ ago
  • Sr. Claim Specialist-Westchester Property

    Chubb 4.3company rating

    Alpharetta, GA jobs

    We are seeking a Senior Claim Specialist to join our Westchester Property Claims Unit. Westchester, a division of Chubb, is one of the largest and most diverse excess and surplus lines commercial property and casualty insurance underwriters in the United States. Focused on the wholesale distribution channel, Westchester provides innovative specialty products for property, specialty casualty, environmental, professional risk, inland marine, product recall, small business, binding and programs. This “individual contributor” adjuster position will service first-party property claims throughout the United States, for our Digital, Programs and Middle Market business units by utilizing Independent Adjusters to determine cause of loss, coverage provided under the policy, and scope and repair value of damage. Adjustment will be done by promptly contacting clients; promptly and properly developing the claims file to provide accurate and timely investigation and loss analysis; maintaining an active diary; monitoring a diary claims system to achieve timely development of file and timely disposition of the claim; recognizing and pursuing recovery where possible; adhering to all statutory regulations and unfair claim practices act; establishing accurate and timely reserves; and effectively communicating with all internal and external customers. Key functions of the role include proper evaluation of coverage and valuation of claim settlements, appropriate use of experts, ensuring the adequacy of reserves, providing high level of customer service, while delivering quality claim results. Education: College degree preferred or equivalent in education and experience. Competencies/Tech Skills: We are seeking a candidate with 3-5 years of experience handling first-party property commercial claims. The ideal candidate will have a strong understanding of insurance contracts, industry trends, claim severity, and Chubb's systems, procedures, and philosophy. Key qualifications include: Proven ability to collaborate effectively across teams and build strong relationships with Claims and Underwriting partners. Excellent verbal and written communication skills, with the ability to engage and address diverse audiences. Service- and results-driven mindset, with strong analytical and decision-making abilities. Innovative thinker with ability to multitask, prioritize, and stay organized to meet objectives. Advanced organizational and time management skills, with the flexibility to adapt to a dynamic business environment. Strategic and innovative problem-solving skills to deliver creative solutions and achieve business objectives. This role requires a proactive approach to coordinating, deploying, and delivering exceptional claim service. If you do not already have one, you will be required to obtain an applicable resident or designated home state adjuster's license within six months of employment. The pay range for the role is $76,400 to $129,800. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
    $76.4k-129.8k yearly Auto-Apply 60d+ ago
  • Senior Claims Specialist-Westchester Property

    Chubb 4.3company rating

    Alpharetta, GA jobs

    We are seeking a Senior Claim Specialist to join our Westchester Property Claims Unit. Westchester, a division of Chubb, is one of the largest and most diverse excess and surplus lines commercial property and casualty insurance underwriters in the United States. Focused on the wholesale distribution channel, Westchester provides innovative specialty products for property, specialty casualty, environmental, professional risk, inland marine, product recall, small business, binding and programs. This “individual contributor” adjuster position will service first-party property claims throughout the United States, for our Digital, Programs and Middle Market business units by utilizing Independent Adjusters to determine cause of loss, coverage provided under the policy, and scope and repair value of damage. Adjustment will be done by promptly contacting clients; promptly and properly developing the claims file to provide accurate and timely investigation and loss analysis; maintaining an active diary; monitoring a diary claims system to achieve timely development of file and timely disposition of the claim; recognizing and pursuing recovery where possible; adhering to all statutory regulations and unfair claim practices act; establishing accurate and timely reserves; and effectively communicating with all internal and external customers. Key functions of the role include proper evaluation of coverage and valuation of claim settlements, appropriate use of experts, ensuring the adequacy of reserves, providing high level of customer service, while delivering quality claim results. Qualifications Education: College degree preferred or equivalent in education and experience. Competencies/Tech Skills: We are seeking a candidate with 3-5 years of first-party commercial property claim handling experience. The ideal candidate will have a strong understanding of insurance contracts, industry trends, claim severity, and Chubb's systems, procedures, and philosophy. Key qualifications include: Proven ability to collaborate effectively across teams and build strong relationships with Claims and Underwriting partners. Excellent verbal and written communication skills, with the ability to engage and address diverse audiences. Service- and results-driven mindset, with strong analytical and decision-making abilities. Innovative thinker with ability to multitask, prioritize, and stay organized to meet objectives. Advanced organizational and time management skills, with the flexibility to adapt to a dynamic business environment. Strategic and innovative problem-solving skills to deliver creative solutions and achieve business objectives. This role requires a proactive approach to coordinating, deploying, and delivering exceptional claim service. If you do not already have one, you will be required to obtain an applicable resident or designated home state adjuster's license within six months of employment.
    $85k-121k yearly est. Auto-Apply 60d+ ago
  • Claims Processor - Property Fast Track(French Speaking)

    Chubb 4.3company rating

    Georgia jobs

    We have an exciting opportunity for a Property Claims Processor - French Speaker to join our EMEA Claims Centre, based in Madrid. In this role, you will ensure the accurate assessment and proactive management of property claims from first notification through to settlement, in accordance with policy conditions, Chubb procedures, and agreed Service Level Agreements (SLAs) for both internal and external customers. You will independently handle a varied portfolio of property and technical risk claims (including glass breakage, vandalism, machinery breakdown, car impact, storm/hail/snow, electrical damages, loss of refrigerated goods, water damages, all risks, theft, fire, and natural events/CAT), within your delegated authority limits. A key focus of this role is delivering outstanding customer service to our key brokers, ensuring clear, professional, and timely communication through written correspondence, telephone calls, and meetings. You will support brokers and clients throughout the claims process, ensuring their needs are met with care and efficiency. You will be part of a truly international and multicultural team, with more than 25 nationalities represented and over 20 languages spoken in the Madrid EMEA Claims Centre. This environment offers a unique opportunity to collaborate with colleagues from diverse backgrounds and gain valuable experience in a global insurance organization. As a team player, you will provide support to colleagues as required and participate fully in individual and shared project work, contributing to the continuous improvement of the team and claims function. If you are eager to advance your career in a dynamic and diverse international environment while making a meaningful impact on our operations and delivering exceptional customer service, we encourage you to apply! Key Responsibilities: * Independently manage a portfolio of property and technical risk claims up to €20,000, ensuring accurate assessment, proactive management, and timely settlement. * Efficiently handle incoming email/call enquiries and deliver outstanding customer service to key brokers and clients, ensuring clear and professional communication through written correspondence, telephone calls, and meetings. * Support brokers and clients throughout the claims lifecycle, addressing their needs and concerns promptly and effectively. * Ensure timely completion of daily tasks, work within established deadlines (SLAs), and proactively identify and manage process exceptions in collaboration with the Team Leader, Operations Coordinators, and colleagues in a dynamic and agile environment. * Maintain accurate and complete claims records, including data entry, indexing, file upload, and documentation integrity in all used systems. * Diligently adhere to Chubb policies, procedures, Madrid Claims Centre SOP(s), and EMEA claims regional guidelines and best practices. * Deliver a professional service to customers at all times. * Identify and respond to complaints or customer dissatisfaction. * Effectively prioritize and manage your workload to meet deadlines and SLAs. * Collaborate with team members, providing support and sharing knowledge as required. * Participate in individual and team projects to enhance claims processes and service delivery. * Continuously develop technical knowledge and expertise in property claims and relevant market conventions (Conventions France Assureurs). * Build and maintain strong client relationships, addressing issues such as late claims notification and case progress within SLAs. * Identify and escalate complex or high-value claims to the appropriate authority. Key Requirements: * Language Skills: Native or bilingual proficiency in French and advanced English skills, with proven ability in written and verbal communication, including telephony calls and meetings. * Technical Expertise: Demonstrated experience handling a wide range of property coverages, including car impact without identified third party, glass breakage, vandalism, electrical damages, machinery breakdown, damages to electrical devices/computer equipment, storm/hail/snow, theft/property damages, fire, water damages, natural events/CAT, all risks, and costs & expenses coverage. * Insurance Conventions & Legal Knowledge: Strong knowledge of French insurance conventions and inter-insurer agreements (e.g., IRSI, CIDECOP, Theft and consecutive damages, Handling and settling claims in a condominium building), as well as legal principles such as indemnity, average clause, coverage exclusions, limitation periods, and main liability rules. * Customer Service & Soft Skills: Outstanding customer service skills, with a focus on supporting key brokers and clients through all channels. Well-developed soft skills including teamwork, organization, curiosity, rigor, dynamism, relationship management, training capabilities, and understanding of broker roles and profiles. * Education & Experience: Bac +2 (or equivalent) in insurance/Legal/Law Degree. Minimum 2 years' experience in property claims handling. Experience in a broker or insurance experience is preferred. * Professional Development: Commitment to ongoing professional development and staying current with property claims trends and conventions. * Process Improvement: Experience contributing to process improvement or project work is an advantage. * Systems: Experience using claims management systems is preferred. What we offer in return: * 30+ days of vacation a year * 2 days working from home option + additional flexible days * Working from home allowance * Entry time flexibility * Private medical insurance * Life and accident insurance * Meal allowance * Pension plan * Stock purchase plan * Flexible compensation scheme * Gympass * Employee assistance program Comprehensive Learning & Development offer * Comprehensive learning and development opportunities Integrity. Client Focus. Respect. Excellence. Teamwork Our core values dictate how we live and work. We're an ethical and honest company that's wholly committed to its clients. A business that's engaged in mutual trust and respect for its employees and partners. A place where colleagues perform at the highest levels. And a working environment that's collaborative and supportive. Diversity & Inclusion At Chubb, we consider our people our chief competitive advantage and as such we treat colleagues, candidates, clients, and business partners with equality, fairness and respect, regardless of their age, disability, race, religion or belief, gender, sexual orientation, marital status or family circumstances. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Equal Opportunity Statement It is our policy to provide equal employment opportunity in all of our employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for positions with Chubb Spain must be legally authorized to work in Spain.
    $41k-59k yearly est. Auto-Apply 26d ago
  • Property Claim Examiner

    Chubb 4.3company rating

    Alpharetta, GA jobs

    Join Our Talent Pipeline for Property Claims Adjuster Opportunities at Chubb!!! Are you passionate about helping clients navigate the complexities of property claims? Chubb is looking to build a talent pipeline for upcoming Property Claims Adjuster positions! If you are dedicated to providing exceptional service through thorough analysis and investigation, we want to connect with you. Overview: The Property Claims Adjuster is responsible for managing and resolving residential and commercial property claims. This role requires conducting comprehensive analyses and investigations, promptly following up with insured parties and claimants, evaluating policy contracts, and maintaining accurate claims files. You will also establish reserves, recognize recovery opportunities, and ensure compliance with statutory and regulatory fair claims practices, including identifying potential fraudulent claims. Key Responsibilities: Analyze Initial Reports: Promptly reach out to insured parties and claimants to initiate the claims process. Evaluate Contract Language: Effectively identify coverage issues by thoroughly reviewing policy contracts. Develop Claims Files: Create timely and accurate claims files for in-depth investigation and loss analysis. Maintain File Diary: Keep an active file diary to facilitate the efficient resolution of claims. Establish Reserves: Set and monitor accurate reserves for each claim. Identify Recovery Opportunities: Recognize and pursue applicable recovery options. Ensure Compliance: Adhere to all statutory and regulatory fair claims practices. Recognize Fraud: Identify and assess potential fraudulent claims. Manage Vendor Workflow: Oversee the workflow, outputs, and expenses associated with outside vendors. Negotiate Settlements: Critically evaluate claim facts and negotiate settlements successfully. Build Relationships: Sustain strong business relationships with both internal teams and external customers. Mentorship: Serve as a technical resource and mentor for less experienced adjusters on the team. Contribute to Team Goals: Actively engage in achieving team objectives and overall results. Support During Surge Events: Assist during workload surges and catastrophe operations, including potential overtime during designated events. Experience & Education Requirements: Minimum 1 year of professional work experience, ideally in residential and commercial property claims. Minimum 1 year of customer service experience in a corporate environment is required. Comprehensive understanding of insurance contracts, investigation techniques, legal requirements, and regulations. Ability to work collaboratively in teams and engage effectively with diverse individuals. Strong aptitude for evaluating, analyzing, and interpreting complex information. Desired Skills: Exceptional customer service Proficient investigation techniques Strong organizational skills Effective time management and multitasking ability Excellent verbal and written communication Negotiation and reserving skills Innovative thinking with a problem-solving mindset Licensure Requirement: If you do not already have one, you will be required to obtain the applicable resident or designated home state adjuster's license and possibly additional state licensure. Company Benefits Highlights: At Chubb, we foster a collaborative in-office environment with the flexibility to support our employees' needs. Our comprehensive benefits package includes: Competitive compensation and performance-based bonuses Medical, dental, and vision coverage starting on your first day of employment Generous paid time off (PTO) 10 paid holidays each year Up to 9% 401(k) contribution from Chubb Tuition reimbursement to support your ongoing education Employee stock purchase plan Ready to Join Our Talent Pipeline? If you are excited about the opportunity to help clients navigate property claims and are ready to enhance the claims experience at Chubb, we invite you to submit your resume and express your interest in future Property Claims Adjuster opportunities. Why wait? Apply and join our talent pipeline today! We look forward to connecting with you!
    $41k-59k yearly est. Auto-Apply 60d+ ago
  • Casualty Claim Examiner

    Chubb 4.3company rating

    Alpharetta, GA jobs

    Join Our Talent Pipeline for Casualty Claims Examiner Opportunities at Chubb!!! Are you an experienced claims adjuster with a passion for managing bodily injury and general liability claims? Chubb is looking to build a talent pipeline for upcoming Casualty Claims Examiner positions! If you have expertise in personal and commercial auto claims, structural damages, as well as general liability cases, we want to connect with you. Locations: These position require in-office presence. We are seeking candidates in Phoenix, AZ, Chesapeake, VA, Alpharetta, GA, and O'Fallon, MO. Overview: As a Casualty Claims Examiner, you will play a crucial role in managing injury and damage claims across various domains, ensuring that our clients receive exceptional service and support. Key Responsibilities: Analyze Initial Reports: Review and assess the nature of loss, coverage provided, and the scope of injury or damage in both personal and commercial auto, as well as general liability cases. Conduct Comprehensive Investigations: Dive deep into all aspects of reported claims, including the identification of potential fraud, while securing and verifying supporting documentation for accuracy and completeness. Manage Injury Claims: Handle first and third-party injury claims related to No-Fault/Med Pay and liability exposures. Apply Jurisdictional Knowledge: Utilize your understanding of regulations and case law applicable to all territories managed. Negotiate Effectively: Engage in negotiations for liability and damages when appropriate, ensuring favorable outcomes for the company and clients. Monitor Claims Progress: Manage and oversee cases to ensure timely development and resolution of claims inventory. Collaborate with Management: Work alongside department management, delivering presentations, conducting meetings, and serving as a technical resource. Experience & Education Requirements: Experience: Minimum of 2 years of experience in liability insurance claims adjusting, including litigation. Education: Bachelor's Degree or equivalent experience. Desired Skills: Comprehensive understanding of insurance contracts, investigation techniques, legal requirements, and regulations. Strong aptitude for evaluating, analyzing, and interpreting contracts and other complex information. Excellent verbal and written communication skills. Licensure Requirement: Candidates must obtain an applicable resident or designated home state adjuster's license and possibly additional state licensure if not already held. Company Benefits Highlights: At Chubb, we foster a collaborative in-office environment with the flexibility to meet our employees' needs. Our comprehensive benefits package includes: Competitive compensation and performance-based bonuses Medical, dental, and vision coverage starting on your first day Generous paid time off (PTO) and 10 paid holidays each year Up to 9% 401(k) contribution from Chubb Tuition reimbursement to support your ongoing education Employee Stock Purchase Plan Ready to Join Our Talent Pipeline? If you're enthusiastic about the challenges of this role and want to contribute to our team's success, we encourage you to connect with us! By joining our talent pipeline, you'll be one of the first to hear about upcoming opportunities for Casualty Claims Examiners at Chubb. To express your interest, please apply today. We look forward to building a brighter future together!
    $41k-59k yearly est. Auto-Apply 31d ago
  • Auto Claim Examiner

    Chubb 4.3company rating

    Alpharetta, GA jobs

    Join Our Talent Pipeline at Chubb!!! Chubb is continuously seeking talented and experienced Auto Claims Adjusters in Personal Lines, Commercial Lines, and Total Loss to join our dynamic team. If you're passionate about delivering exceptional service and want to be part of a world leader in the insurance industry, we want to hear from you! Why Chubb? At Chubb, our mission is to provide superior insurance solutions that foster resilience and security for our clients. Join us in our commitment to excellence, integrity, and respect, and help us make a positive difference in the lives of our clients and communities. Together, we can shape a safer, more secure world. Locations: These position require in-office presence. We are seeking candidates in Phoenix, AZ, Alpharetta, GA, Chesapeake, VA and O'Fallon, MO. What We're Looking For: We are building a pipeline of qualified candidates for upcoming positions in Auto Claims Adjusting. Ideal candidates will have experience in: Personal Auto Claims Commercial Auto Claims Total Loss Claims Key Responsibilities Will Include: Promptly analyzing first reports and contacting insureds/claimants. Evaluating contract language and identifying coverage issues. Developing action plans for timely investigations and loss analyses. Maintaining active file diaries to ensure efficient case resolution. Establishing accurate reserves and managing files toward quick recovery. Adhering to compliance requirements and identifying potential fraudulent claims. Negotiating claim settlements based on factual evaluation. Cultivating strong relationships with internal and external stakeholders. Experience and Skills Needed: Bachelor's Degree or equivalent experience. Minimum of 1 year of Auto Claims Adjusting experience required in Personal, Commercial and/or Total Loss. Strong understanding of insurance contracts, legal requirements, and regulations. Excellent skills in customer service, investigation techniques, and negotiation. Ability to prioritize multiple tasks and work both in-person and remotely. Join Our Talent Pool If you're interested in future opportunities with Chubb, we encourage you to connect with us and submit your resume. By joining our talent pipeline, you'll be among the first to hear about exciting new openings that match your skills and experience! Benefits of Working at Chubb: We offer a best-in-class benefits package that includes: Competitive compensation and performance-based bonuses Medical, dental, and vision coverage starting on your first day Generous paid time off (PTO) and 10 paid holidays each year Up to 9% 401(k) contribution from Chubb Tuition and education reimbursement Professional training and development programs Employee Stock Purchase Plan Ready to take the next step in your career? Apply today, submit your resume and join our talent pipeline. Let's shape the future of insurance together at Chubb!
    $41k-59k yearly est. Auto-Apply 31d ago

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