Medical Claims Analyst jobs at Crawford & Company - 26 jobs

Your Next Career Move Starts Here - Join Us! Content Claims Specialist - Field - Level I (Hybrid: Work from Home + Driving Role) What We're Looking For: Adjuster experience preferred, not required Open to candidates with restoration, roofing, customer service, or retail experience ️ Strong communication and problem-solving skills Ability to work independently and travel for inspections Secondary (High School) Diploma. College degree preferred. Minimum 6 months relevant work experience. Good verbal and written communication skills. Good attention to detail. Strong analytical and problem solving skills. Ability to work independently Strong computer skills (MS Office/Outlook/Excel, Etc) Excellent interpersonal skills including the ability to handle challenging situations and people. Must have a valid driver's license and pass a background check. This is a remote/work from home position. Employee must be able to provide: an adequate workspace, free of noise high speed internet service reliable personal vehicle and valid driver's license Company equipment including laptop will be provided. It is the employee's responsibility to care and maintain the equipment, as per policy Overnight travel required #LI-JC3 Communicate with adjusters/policyholders and industry vendors to explain their roles as Content Claims Specialists and their respective roles/contributions in the claims handling process. Complete physical inventory of the contents impacted by the covered loss. Identify claim type and apply appropriate methodology based on the circumstances of the contents loss. May be exposed to diverse conditions (cold, heat, rain, debris, etc.). Ensure consistent and quality/turnaround of all claims in accordance with the Company's productivity and performance standards and our client's SLA requirements. Work with the Field Support Department to organize resources (claims assistants, pricing representatives) required for completing the data entry and LKQ assessment of all damaged/destroyed total loss contents in an efficient and effective manner as per productivity standards. Independently manage claim load to promote/achieve the timely turnaround/closures of all claims. Communicate with all parties (adjusters/policyholders) in adherence with edjuster's commitment to timely and informative updates on the content claims process. Complete/submit detailed work/time logs on a daily basis, for all claims processed. Maintain claim related notes in the Company's Claims System/Web-application, exclaim, relating to incurred hours over productivity standards, as well as related to specific issues and other pertinent notes. Ensure timely and accurate completion/pricing of all outstanding items, which have not been priced via other channels, and following pricing Like, Kind and Quality (LKQ) standards. Maintains professional and technical knowledge through continuing education. Consistently promote edjuster's brand, image and reputation in a professional and positive manner. Upholds the Crawford Code of Business Conduct at all times. Participate in Special Projects, CAT response, or perform duties in other areas as requested.

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.

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

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.

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

Overview Workers' Compensation Claim Specialist Schedule: Monday-Friday, 8:00 AM-4:30 PM MST Salary Range: $85,000-$96,000 annually (Depending on experience) 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 looking for an experienced Workers' Compensation Claim Specialist to join our remote team supporting multiple California jurisdiction PEO accounts. At CCMSI, we hire professionals who show strong judgment, ownership, and pride in their work-people who understand that accuracy, empathy, and consistency are the foundation of exceptional claim handling. In this role, you'll be trusted to manage your files independently while contributing to a larger team focused on service excellence, compliance, and client partnership. This position offers the stability of dedicated clients, manageable caseloads, and regular collaboration with a team of seasoned WC professionals. A one-week, in-person onboarding and connection session at our Scottsdale office is available to help you integrate seamlessly into the team. Please note: This is not an HR, administrative, consulting, or advisory support role. This is a true adjusting position. Candidates must have proven experience conducting full investigation, evaluation, negotiation, and resolution of workers' compensation claims, with end-to-end file ownership and decision-making authority. Applicants without direct claims adjusting experience will not be considered. Responsibilities At CCMSI, we hire individuals who take ownership, ask the right questions, and stay ahead of the work. Your ability to organize, prioritize, and resume tasks seamlessly is essential for success. • Investigate, evaluate, and adjust California workers' compensation claims in compliance with state regulations, CCMSI handling standards, and client instructions. • Establish and maintain accurate reserves and thorough documentation within assigned authority levels. • Review, authorize, and process medical, legal, and indemnity payments. • Negotiate claim settlements aligned with jurisdictional guidelines and industry best practices. • Maintain consistent, professional communication with clients, claimants, attorneys, and providers. • Participate in claim reviews, quality audits, and team discussions to support consistency and compliance. • Deliver excellent client service through timely, detailed, and thoughtful claim handling. Qualifications Required: Minimum of 10 years of workers' compensation claim adjusting experience. Proficiency in Microsoft Office (Word, Excel, Outlook). Strong written and verbal communication skills. Proven ability to manage deadlines and multiple priorities effectively. California jurisdiction experience required. Preferred: California SIP certification. Claim review presentation experience. AIC, ARM, or CPCU designation. How We Measure Success Internal audit results and compliance metrics. Annual performance reviews. Timeliness, accuracy, and client satisfaction outcomes. 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 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 #WorkersCompensation #ClaimsAdjuster #RemoteJobs #CaliforniaJobs #InsuranceCareers #TransportationIndustry #LI-Remote We can recommend jobs specifically for you! Click here to get started.

Overview Workers' Compensation Claim Specialist Schedule: Monday-Friday, 8:00 AM-4:30 PM MST Salary Range: $85,000-$96,000 annually (Depending on experience) 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 looking for an experienced Workers' Compensation Claim Specialist to join our remote team supporting multiple California jurisdiction PEO accounts. At CCMSI, we hire professionals who show strong judgment, ownership, and pride in their work-people who understand that accuracy, empathy, and consistency are the foundation of exceptional claim handling. In this role, you'll be trusted to manage your files independently while contributing to a larger team focused on service excellence, compliance, and client partnership. This position offers the stability of dedicated clients, manageable caseloads, and regular collaboration with a team of seasoned WC professionals. A one-week, in-person onboarding and connection session at our Scottsdale office is available to help you integrate seamlessly into the team. Please note: This is not an HR, administrative, consulting, or advisory support role. This is a true adjusting position. Candidates must have proven experience conducting full investigation, evaluation, negotiation, and resolution of workers' compensation claims, with end-to-end file ownership and decision-making authority. Applicants without direct claims adjusting experience will not be considered. Responsibilities At CCMSI, we hire individuals who take ownership, ask the right questions, and stay ahead of the work. Your ability to organize, prioritize, and resume tasks seamlessly is essential for success. • Investigate, evaluate, and adjust California workers' compensation claims in compliance with state regulations, CCMSI handling standards, and client instructions. • Establish and maintain accurate reserves and thorough documentation within assigned authority levels. • Review, authorize, and process medical, legal, and indemnity payments. • Negotiate claim settlements aligned with jurisdictional guidelines and industry best practices. • Maintain consistent, professional communication with clients, claimants, attorneys, and providers. • Participate in claim reviews, quality audits, and team discussions to support consistency and compliance. • Deliver excellent client service through timely, detailed, and thoughtful claim handling. Qualifications Required: Minimum of 10 years of workers' compensation claim adjusting experience. Proficiency in Microsoft Office (Word, Excel, Outlook). Strong written and verbal communication skills. Proven ability to manage deadlines and multiple priorities effectively. California jurisdiction experience required. Preferred: California SIP certification. Claim review presentation experience. AIC, ARM, or CPCU designation. How We Measure Success Internal audit results and compliance metrics. Annual performance reviews. Timeliness, accuracy, and client satisfaction outcomes. 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 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 #WorkersCompensation #ClaimsAdjuster #RemoteJobs #CaliforniaJobs #InsuranceCareers #TransportationIndustry #LI-Remote

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.

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 building a talent pipeline for upcoming Property Claims Adjuster positions. If you are an experienced claims professional with expertise in handling commercial and/or residential property claims, we would like to connect with you. Locations: These position require in-office presence. We are seeking candidates in Phoenix, AZ and Alpharetta, GA. 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. * Familiar with ISO Commercial Property (CP) and Business Owners Policy (BOP) forms. 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!

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!

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!

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!

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.

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.

Your Next Career Move Starts Here - Join Us in Georgia! 🌟 Content Claims Specialist - Field - Level I (Hybrid: Work from Home + Driving Role) 🏠🚗 What We're Looking For: 📝 Adjuster experience preferred, not required 🔨 Open to candidates with restoration, roofing, customer service, or retail experience 🗣️ Strong communication and problem-solving skills 🧭 Ability to work independently and travel for inspections Secondary (High School) Diploma. College degree preferred. Minimum 6 months relevant work experience. Good verbal and written communication skills. Good attention to detail. Strong analytical and problem solving skills. Ability to work independently Strong computer skills (MS Office/Outlook/Excel, Etc) Excellent interpersonal skills including the ability to handle challenging situations and people. Must have a valid driver's license and pass a background check. This is a remote/work from home position. Employee must be able to provide: an adequate workspace, free of noise high speed internet service reliable personal vehicle and valid driver's license Company equipment including laptop will be provided. It is the employee's responsibility to care and maintain the equipment, as per policy Overnight travel required #LI-JC3 Communicate with adjusters/policyholders and industry vendors to explain their roles as Content Claims Specialists and their respective roles/contributions in the claims handling process. Complete physical inventory of the contents impacted by the covered loss. Identify claim type and apply appropriate methodology based on the circumstances of the contents loss. May be exposed to diverse conditions (cold, heat, rain, debris, etc.). Ensure consistent and quality/turnaround of all claims in accordance with the Company's productivity and performance standards and our client's SLA requirements. Work with the Field Support Department to organize resources (claims assistants, pricing representatives) required for completing the data entry and LKQ assessment of all damaged/destroyed total loss contents in an efficient and effective manner as per productivity standards. Independently manage claim load to promote/achieve the timely turnaround/closures of all claims. Communicate with all parties (adjusters/policyholders) in adherence with edjuster's commitment to timely and informative updates on the content claims process. Complete/submit detailed work/time logs on a daily basis, for all claims processed. Maintain claim related notes in the Company's Claims System/Web-application, exclaim, relating to incurred hours over productivity standards, as well as related to specific issues and other pertinent notes. Ensure timely and accurate completion/pricing of all outstanding items, which have not been priced via other channels, and following pricing Like, Kind and Quality (LKQ) standards. Maintains professional and technical knowledge through continuing education. Consistently promote edjuster's brand, image and reputation in a professional and positive manner. Upholds the Crawford Code of Business Conduct at all times. Participate in Special Projects, CAT response, or perform duties in other areas as requested.

Start Your Journey in Claims - Join Us in Houston! 🌟 Content Claims Specialist - Field (Level I) 📦 What We're Looking For: 📝 6+ months of related experience 🔍 Strong attention to detail and communication skills 🧭 Ability to work independently and travel for field inspections Secondary (High School) Diploma. College degree preferred. Minimum 6 months relevant work experience. Good verbal and written communication skills. Good attention to detail. Strong analytical and problem solving skills. Ability to work independently Strong computer skills (MS Office/Outlook/Excel, Etc) Excellent interpersonal skills including the ability to handle challenging situations and people. Must have a valid driver's license and pass a background check. This is a remote/work from home position. Employee must be able to provide: an adequate workspace, free of noise high speed internet service reliable personal vehicle and valid driver's license Company equipment including laptop will be provided. It is the employee's responsibility to care and maintain the equipment, as per policy Overnight travel required #LI-JC3 Communicate with adjusters/policyholders and industry vendors to explain their roles as Content Claims Specialists and their respective roles/contributions in the claims handling process. Complete physical inventory of the contents impacted by the covered loss. Identify claim type and apply appropriate methodology based on the circumstances of the contents loss. May be exposed to diverse conditions (cold, heat, rain, debris, etc.). Ensure consistent and quality/turnaround of all claims in accordance with the Company's productivity and performance standards and our client's SLA requirements. Work with the Field Support Department to organize resources (claims assistants, pricing representatives) required for completing the data entry and LKQ assessment of all damaged/destroyed total loss contents in an efficient and effective manner as per productivity standards. Independently manage claim load to promote/achieve the timely turnaround/closures of all claims. Communicate with all parties (adjusters/policyholders) in adherence with edjuster's commitment to timely and informative updates on the content claims process. Complete/submit detailed work/time logs on a daily basis, for all claims processed. Maintain claim related notes in the Company's Claims System/Web-application, exclaim, relating to incurred hours over productivity standards, as well as related to specific issues and other pertinent notes. Ensure timely and accurate completion/pricing of all outstanding items, which have not been priced via other channels, and following pricing Like, Kind and Quality (LKQ) standards. Maintains professional and technical knowledge through continuing education. Consistently promote edjuster's brand, image and reputation in a professional and positive manner. Upholds the Crawford Code of Business Conduct at all times. Participate in Special Projects, CAT response, or perform duties in other areas as requested.

This is a role focused on technical claim handling for Chubb's Commercial Direct Handle Claims Team. In this role you will manage auto and general liability claims, both litigated and non-litigated, under both primary and excess policies. This role requires an individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement or trial strategies. This position will require some travel, as well as coordinating with and servicing both internal and external business partners. You will represent the company at meetings with management and business partners, as well as at mediations, arbitrations, settlement conferences and trials. Responsibilities Manage an inventory of claims involving moderate severity exposures and coverage issues. Conduct, coordinate, and direct investigation into loss facts, damages and risk transfer opportunities. Evaluate coverage, liability, and damages to determine the exposure to the insured and the policy. Analyze coverage and communicate coverage positions, as warranted, within assigned authority. Demonstrate and implement effective defense, resolution and claim strategies. Provide superior customer service to insureds, agents, and internal business partners. Adhere to Best Practices Guidelines. Adhere to individual authority grants, all statutory and regulatory requirements, fair claim practices and local compliance requirements, including examiner licensing. Travels to conferences, mediations, and trials as necessary. Seven or more years of experience as a casualty claim professional with a high degree of specialized and technical competence in the handling of high exposure construction claims with emphasis on hands-on file and litigation management. Experience with primary and excess bodily injury, property damage, and personal injury claims. Strong background and demonstrated ability in dealing with significant coverage matters. Working knowledge of industry best practices and procedures. An ability to work independently and assimilate learning materials on many different subjects from various sources. Excellent interpersonal communications and negotiation skills; and an ability to deal with customers and business partners in a professional manner. Ability to make prompt, intelligent decisions based upon detailed analyses of complex issues. Demonstrated strong relational skills particularly in adverse or high-pressure situations. A law degree is not necessary but helpful.

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.

Your Next Career Move Starts Here - Join Us in Georgia! Content Claims Specialist - Field - Level I (Hybrid: Work from Home + Driving Role) What We're Looking For: Adjuster experience preferred, not required Open to candidates with restoration, roofing, customer service, or retail experience ️ Strong communication and problem-solving skills Ability to work independently and travel for inspections