Litigation Bodily Injury Claims Adjuster
Remote job
**WE ARE ACCEPTING ONLY THE APPLICANTS THAT CAN COMMUTE TO OUR CORAL GABLES, FLORIDA OFFICE. PLEASE APPLY IF YOU LIVE WITHIN THE MIAMI-DADE OR BROWARD COUNTY AREAS. NEW HIRE WILL BE ELIGIBLE FOR A HYBRID WORK SCHEDULE PROGRAM FOLLOWING A 90-DAY PROBATIONARY PERIOD PERFORMANCE EVALUATION. MUST HAVE LITIGATED CLAIMS EXPERIENCE. THIS IS NOT A REMOTE POSITION.
About the Company - Ascendant Claims Services LLC (an affiliate of Ascendant Commercial Insurance Inc.) is a third-party claims administrator committed to providing best-in-class claims adjudication solutions. According to the South Florida Business Journal, Ascendant is one of the top 100 largest Hispanic-owned businesses in South Florida. Excellence and professionalism in serving the needs of our agents and insureds is Ascendant's core operating philosophy.
Ascendant is looking for experienced Litigation Bodily Injury Claims Adjusters! We offer stability, excellent benefits, competitive compensation packages, and a flexible schedule. We have a strong emphasis on core values, integrity, employee relations, and customer service. Learn how you can become a dynamic part of Ascendant's Liability Claims team!
About the Role - The primary job responsibilities for this position include, but are not limited to, effectively managing an inventory of first-party physical damage and third-party liability claims by statutory regulations and Claims Best Practices standards. The Litigation Claims Adjuster will review and analyze litigated claim files to determine potential exposures, identify cases that should be recommended for settlement, and develop strategic plans that are efficient, cost-effective, and completed promptly.
Key Responsibilities:
Manage a caseload of litigated claims from inception through resolution, including arbitration, mediation, and trial preparation.
Analyze medical records, accident reports, and legal filings to establish liability and evaluate damages.
Collaborate with defense counsel on litigation strategy and case management.
Ensure strict compliance with established litigation guidelines for both in-house and outside defense firms, including, but not limited to, securing initial and subsequent case evaluations, as well as ensuring budgets are maintained up to trial.
Responsible for cost analysis review of files, comparing potential defense costs vs case settlement value
Approve or reject use of applicable vendors up to an established authority amount.
Attend and participate in mediations, depositions, settlement conferences, and trials as needed.
Ensure compliance with state-applicable insurance laws and company procedures.
Maintain accurate and timely documentation in claims systems to ensure efficient processing.
Communicate effectively with attorneys, claimants, insureds, and internal departments to ensure seamless collaboration and efficient resolution of claims.
Recommend reserves and settlement authority based on thorough analysis and policy terms.
Review information compiled via discovery to establish defensibility of claim.
Determine potential additional exposures and maintain the insured advised of the same.
Provide excellent customer service to all parties.
Responsible for following up with applicable parties to discuss liability and settlement negotiation in exchange for a release.
Responsible for submitting the reservation of rights and denial letter language as merited
Responsible for managing an average case load of 135-150 claim files in a timely, effective, and organized manner.
Responsible for special projects in the direction of management as needed.
Qualifications:
Minimum 4+ years of experience handling liability claims in the state of Florida, with a minimum of 2 years handling litigated cases.
Must have an active Florida all-lines adjuster license.
Complete understanding of liability claims investigations and claims processing.
Knowledge of the mechanics of bodily injury, medical terminology, and settlement negotiations.
Must be capable of working independently with minimal supervision
Proficiency with computer operations, web-based applications, and Microsoft Office.
Possess technical problem-solving skills.
Strong negotiation skills and able to apply updated comparative negligence laws.
Strong organizational skills.
Strong oral and written communication skills.
Must be able to work within a team environment, collaborate with other adjusters as needed to resolve exposures in the organization.
Remote Claims Adjusters, Examiners, and Investigators - AI Trainer ($60-$100 per hour)
Remote job
**Role Overview**Mercor is collaborating with a top-tier AI research group to model real-world claims workflows for property and casualty insurance. We are seeking experienced independent contractors-particularly claims adjusters, examiners, and investigators-to execute and evaluate a wide range of P&C insurance tasks.
This project supports the development of AI systems capable of understanding, simulating, and automating complex insurance operations.
It is a short-term, high-impact engagement ideal for professionals with strong technical and compliance knowledge.
**Key Responsibilities** - Execute full-cycle claims tasks including FNOL intake, coverage verification, reserve setting, and liability determination - Simulate real-world workflows using structured tools and mock systems such as Guidewire ClaimCenter and Xactimate - Review and synthesize third-party documentation including police reports, medical records, and vendor estimates - Draft structured outputs such as coverage memos, repair estimates, and liability assessments - Identify inconsistencies or red flags in claim statements and documentation - Evaluate claim compliance, document regulatory deadlines, and assess communication quality - Flag fraud indicators and recommend SIU referrals where applicable - Document all work clearly for auditability and quality review **Ideal Qualifications** - 5+ years handling property, auto, bodily injury, or general liability claims - Familiarity with systems such as Guidewire, Duck Creek, Xactimate, Hyland OnBase, or FileNet - Deep understanding of coverage interpretation, state compliance standards, and claims file documentation - Experience reviewing third-party documentation (e.
g.
, police reports, medical summaries, contractor estimates) - Strong written communication and analytical skills **More About the Opportunity** - Remote and asynchronous - control your own work schedule - **Expected commitment: min 30 hours/week** - **Project duration: ~6 weeks** **Compensation & Contract Terms** - $100-150/hour - Independent contractor arrangement - Paid weekly via Stripe Connect **Application Process** - Submit your resume followed by domain expertise interview and short form **About Mercor** - Mercor is a talent marketplace that connects top experts with leading AI labs and research organizations - Our investors include Benchmark, General Catalyst, Adam D'Angelo, Larry Summers, and Jack Dorsey - Thousands of professionals across domains like insurance, law, engineering, and research partner with Mercor to shape the next era of AI
We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established policies and procedures. Key responsibilities of this position include the following:
Adjudicate claims by following departmental policies, operating memos, and corporate guidelines.
Resolve claims and related issues in compliance with policy provisions.
Compare claims applications and provider statements with policy files and other records to ensure completeness and validity.
Process payments for claims that are approved.
Job Responsibilities:
Processes Professional and Facility claims for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while maintaining a high level of confidentiality.
Reviews claims to ensure compliance with proper billing standards and completeness of information.
Obtains additional information from appropriate person and/or agency as needed.
Maintains department quality standards.
Maintains established department turn-around processing time. Maintain and/or improves individual production rate standards and department quality standards.
Identifies potential coordination of benefits (COB), Workers Compensation, and Subrogation issues and adjudicates claims accordingly.
Investigates and resolves pending claims in accordance with established time frames. Identifies claims needing to be pended or suspended. Reviews pending claims timely and denies claims after established time frame is reached without resolution.
Monitors computerized system for claims processing errors and make corrections and/or adjustments as needed.
Keeps current on group contracts specifics, provider discounts, percentages and per diems, enrollee certificates and agreements, authorizations and other utilization management policies, etc.
Reviews home office claims for payment up to $18,000.00.
Reviews claims for re-pricing. Enters eligible claim data into appropriate WRAP network re-pricing website. Overrides claims allowed amounts to apply internal/external discounts.
Appropriately documents attributes and memos for pertinent information related to claims payment.
Processes specialty claims (transplant, URN, COB) to determine appropriate pricing according to external contract.
Performs other duties and responsibilities as assigned.
Skills
claims processing, claims adjudication, call center, medicaid, Coding
Top Skills Details
claims processing
Additional Skills & Qualifications
Job Requirements:
High school diploma or equivalent preferred.
2-4 years claims processing experience required
Knowledge of current procedural terminology (CPT) and international classification of diseases (ICD-9 and ICD-10). Medical terminology, COB processing, subrogation.
Past experience using QNXTTM Claims Workflow a plus
Prior experience with ACA, Medicaid, or similar health plans preferred.
Coding experience preferred.
Experience Level
Intermediate Level
Job Type & Location
This is a Contract to Hire position based out of Brookfield, WI.
Pay and Benefits
The pay range for this position is $19.25 - $19.25/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Dec 12, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Liability Claims Adjuster - San Diego
Remote job
Why work with us?
The North American branch of Generali Global Assistance offers a diverse and inclusive work environment while employees work towards making real difference in the lives of our clients. As an Organization, we pride ourselves with offering white glove service while being mindful of corporate responsibility and our environmental footprint.
Employees enjoy a plethora of benefits to include:
A diverse, inclusive, professional work environment
Flexible work schedules
Company match on 401(k)
Competitive Paid Time Off policy
Generous Employer contribution for health, dental and vision insurance
Company paid short term and long term disability insurance
Paid Maternity and Paternity Leave
Tuition reimbursement
Company paid life insurance
Employee Assistance program
Wellness programs
Fun employee and company events
Discounts on travel insurance
Who are we?
Generali Global Assistance is proudly part of the Europ Assistance Group brand and our products utilize a number of corporate and product brands. The brands for our North American team include the following:
CSA: US travel insurance brand for retail and lodging partners. Learn more here.
Generali Global Assistance (GGA): The primary Corporate brand in the United States for our travel insurance, travel assistance, identity and cyber protection, and beneficiary companion products. Learn more here.
GMMI: the industry standard for global medical cost containment and medical risk management solutions. Learn more here.
Iris, Powered by Generali: identity and digital protection solution. Learn more here.
Trip Mate: US travel insurance brand for tour operator, cruise and airline partners. Learn more here.
What you ll be doing.
Job Summary:
The Liability Claims Adjuster will be reporting to the Supervisor, Liability Claims. This position is responsible for analyzing and processing insurance claims to determine the extent of the insurance carrier s liability in a manner that supports the mission, values, and standards of the Company. Primary responsibilities include efficient adjudication of insurance claims, both phone and written communication with insureds, claimants, attorneys, medical facilities, and others, as well as maintaining all state Department of Insurance regulations for claims files.
Principal Duties and Responsibilities:
Moderate to severe complexity third-party bodily injury and property damage claims.
Responsible for the investigation and resolution of litigated and non-litigated claims.
Document claims files with findings of investigation, evaluate liability, and negotiate settlements.
Prepare releases of all interested parties, issue reservation of rights letters, and denials of liability.
Prepare Large Loss reports on Claims involving severe injuries.
Maintaining rapport and open communications with client.
Requirements:
5+ years of multi-line claims handling at an insurer or TPA.
5+ years working in liability claims
Experience with premises liability claims and injury evaluation.
Prior experience handling complex bodily injury claims.
Ideal candidate will have CPCU, AIC, SCLA or other industry related training or educational course work, a NYS claims adjuster license as well as other state adjusting licenses.
Excellent verbal and written communication, investigation, organization, and analytical skills.
An in-depth knowledge of commercial lines coverage and exposure as well as strong decision making, judgment and negotiating skills are needed.
Experience working with files in litigation and effective communication skills are a must.
Performs work under minimal supervision.
Handles complex issues and problems and refers only the most complex issues to higher-level staff.
Possesses comprehensive knowledge of subject matter.
Provides coaching and/or mentoring to less experienced employees.
Education/Certifications:
High School Diploma or Equivalent (GED) required.
6+ years liability claims adjusting experience.
Must have FL State Adjuster s License.
Must secure and maintain a multi-state adjuster license.
Salary Range: $55,000 - $100,000 annually
Where you ll be doing it.
This is a hybrid role based out of our San Diego office. As a hybrid role, you will be working onsite 2-3 days a week and working from home 2-3 days a week.
When you ll be doing it.
While there is some flexibility in the hours, this position will be Monday-Friday during regular business hours (approximately 8:00am-5:00pm). Occasional overtime may be required according to business need.
Apply today to begin your next chapter.
Don t meet every single requirement? At Generali Global Assistance, we are dedicated to building a diverse, inclusive and enriching workplace, so if you re excited about this role but your past experience doesn t align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.
California Residents - Privacy Notice for California Residents Seeking Employment with Generali Global Assistance is available here: ***************************************************************************************************
The Company is committed to providing equal employment opportunity in all our employment programs and decisions. Discrimination in employment on the basis of any classification protected under federal, state, or local law is a violation of our policy. Equal employment opportunity is provided to all employees and applicants for employment without regard age, race, color, religion, creed, sex, gender identity, gender expression, transgender status, pregnancy, childbirth, medical conditions related to pregnancy or childbirth, sexual orientation, national origin, ancestry, ethnicity, citizenship, genetic information, marital status, military status, HIV/AIDS status, mental or physical disability, use of a guide or support animal because of blindness, deafness, or physical handicap, or any other legally protected basis under applicable federal, state, or local law. This policy applies to all terms and conditions of employment, including, but not limited to, recruitment and hiring, classification, placement, promotion, termination, reductions in force, recall, transfer, leaves of absences, compensation, and training. Any employees with questions or concerns about equal employment opportunities in the workplace are encouraged to bring these issues to the attention of Human Resources. The Company will not allow any form of retaliation against individuals who raise issues of equal employment opportunity. All Company employees are responsible for complying with the Company s Equal Opportunity Policy. Every employee is to treat all other employees equally and fairly. Violations of this policy may subject an employee to disciplinary action, up to and including termination of employment.
Experienced WC Claim Adjuster - California ADR Program (CA | Remote | SIP Required)
Remote job
Workers' Compensation Claim Consultant
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 don't just process claims-we support people. As a leading Third Party Administrator and a certified Great Place to Work , we offer manageable caseloads, employee ownership, and a collaborative culture. Our employee-owners are empowered to grow, contribute, and make a meaningful impact.
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.
Performance is measured by accuracy, timeliness, and client satisfaction, with a focus on no penalties, current diary management, complete documentation, and timely payments.
Responsibilities
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
What We Offer
Employee Stock Ownership Plan (ESOP): We're employee-owned, so your success is our success.
Comprehensive Benefits Package: Includes medical, dental, vision, life insurance, disability, and 401(k).
Generous Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays.
Career Growth: Structured training, career progression pathways, and opportunities to advance within CCMSI.
Supportive Environment: Manageable caseloads and a collaborative, team-focused culture.
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, our Core Values guide how we work: integrity, client service, employee ownership, continuous improvement, collaboration, and enthusiasm for what we do.
#CaliforniaAdjuster #WorkersCompensation #ADRClaims #InsuranceCareers #ClaimsConsultant #CaliforniaJobs #RemoteAdjuster #SIPCertified #InsuranceProfessionals #ClaimsManagement #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote
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Auto-ApplyClaims Adjuster - Associate
Remote job
Established in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America.
We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands.
PetPartners, a subsidiary of IPH, is an ensemble of seasoned industry experts who are working to strip away all the complexities that don't add real value to pet insurance coverage. We're delivering solutions that make it easy for employers to offer this sought-after benefit in a way that's painless and worry-free - a truly one-of-a-kind approach to pet insurance.
Job Summary:
PetPartners is seeking a Claims Adjuster- Associate who will report to the Supervisor, Claims. The Claims Adjuster- Associate is responsible for investigating, evaluating, and settling insurance claims. This role also determines policy coverage for the claimed loss and appropriate compensation amount.
Job Location: Remote- USA
Main Responsibilities:
Works closely with veterinary hospitals, and policyholders to evaluate and review a pet's medical history to determine a baseline of health.
Investigates and processes assigned insurance claims, verifies coverage, and compensation amounts, per insurance policy.
Updates Explanation of Benefits (EOB), pays and closes claim.
May order medical records from providers.
May communicate with clients and providers during treatment.
Performs other duties and responsibilities as assigned.
Basic Qualifications:
1 year relevant experience working in a veterinary clinic
Education: Must meet one of the following requirements:
Associate's Degree or equivalent work experience (One-year relevant experience is equivalent to one year college); or
Certified Veterinary Technician (CVT)
Registered Veterinary Technician (RVT)
Licenses/Certifications
Must have and maintain Adjusters license or must obtain within 90 days of hire
Only United States residents will be considered for this role
Expected Hours of Work:
This is a full-time position: Days and hours to be determined by needs of business. Hours to be determined between employee and director.
#li-Remote
#PPI
All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following:
Comprehensive full medical, dental and vision Insurance
Basic Life Insurance at no cost to the employee
Company paid short-term and long-term disability
12 weeks of 100% paid Parental Leave
Health Savings Account (HSA)
Flexible Spending Accounts (FSA)
Retirement savings plan
Personal Paid Time Off
Paid holidays and company-wide Wellness Day off
Paid time off to volunteer at nonprofit organizations
Pet friendly office environment
Commuter Benefits
Group Pet Insurance
On the job training and skills development
Employee Assistance Program (EAP)
Auto-ApplyMedical Only Claims Adjuster | California
Remote job
Medical Only Workers' Compensation Claims Adjuster | 100% Remote Opportunity - California Must have experience in California Using claims system automation and capabilities, the Medical Only workers' compensation Claims Adjuster is responsible for timely and accurate management of a high volume of workers' compensation claims requiring minor or simple medical treatment and escalating them or moving them efficiently to closure.
Essential Duties and Responsibilities
* Receives and reviews information related to new work comp insurance claims involving no or minimal lost time from work. Under direct supervision, may handle a small amount of fast-track indemnity claims that have low exposure or complexity.
* Communicates with injured workers, employers, and medical providers to obtain necessary additional information and evaluate claims for exceptions or escalations.
* Confirms or determines coverage and compensability as needed within state statutes and claims best practices.
* Reviews and responds to mail, emails, telephone calls and faxes from employers, providers, and injured workers within 24 hours.
* Reviews and responds to mail, emails, telephone calls and faxes from employers, providers and injured workers. Takes action to handle communication within established best practices and statutory requirements. Maintains ongoing professional communications with all internal and external customers.
* Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed.
* Manages or coordinates medical treatment and communicates with providers in a timely manner to continue to move the claim forward. Reviews medical bills and makes appropriate determinations.
* Reviews case facts to identify and report possible fraud or abuse throughout course of claim.
* Reviews claims for closure and proactively takes action to guide claims in that direction.
Requirements
* Minimum of 1 year general office experience or equivalent combination of education and experience.
* Excellent written and oral communication, customer service and telephone skills.
* Knowledge of MS Office software and an imaged environment.
* Demonstrated ability to understand and adhere to statutes, regulations and company policies and practices.
* Demonstrated skills in multi-tasking and prioritizing, adhering to deadlines and completing assignments.
* Conducts business at all times with the highest standards of personal, professional and ethical conduct. Ability to maintain confidentiality.
* Claims industry experience preferred.
* Working knowledge of medical or insurance terminology preferred.
Education:
* High school diploma or equivalent required.
Certification
* If State certification or license is required, must meet certification within
Work Environment:
* Remote: This role is a remote (work from home (WFH) opportunity, and only open to candidates currently located in the United States and able to work without sponsorship.
* It requires a suitable space that provides a private and quiet workplace.
* Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
* Travel: May be required to travel to off-site location(s) to attend meetings, as necessary
Salary Range: $20.00 - $26.00/hr and a comprehensive benefits package, please follow the link to our benefits page for details! *********************************************************
About EMPLOYERS
As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!
We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS!
Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees.
We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other!
At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As "America's small business insurance specialist", we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote
Medical Only Work Comp Claims Adjuster | NV, TX, AZ, OK
Remote job
Medical Only Work Comp Claims Adjuster | 100% Remote Opportunity
Must have experience in one or more of the following states: Nevada, Texas, Arizona, Oklahoma
Using claims system automation and capabilities, the Medical Only workers' compensation Claims Adjuster is responsible for timely and accurate management of a high volume of workers' compensation claims requiring minor or simple medical treatment and escalating them or moving them efficiently to closure.
Essential Duties and Responsibilities
Receives and reviews information related to new work comp insurance claims involving no or minimal lost time from work. Under direct supervision, may handle a small amount of fast-track indemnity claims that have low exposure or complexity.
Communicates with injured workers, employers, and medical providers to obtain necessary additional information and evaluate claims for exceptions or escalations.
Confirms or determines coverage and compensability as needed within state statutes and claims best practices.
Reviews and responds to mail, emails, telephone calls and faxes from employers, providers, and injured workers within 24 hours.
Reviews and responds to mail, emails, telephone calls and faxes from employers, providers and injured workers. Takes action to handle communication within established best practices and statutory requirements. Maintains ongoing professional communications with all internal and external customers.
Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed.
Manages or coordinates medical treatment and communicates with providers in a timely manner to continue to move the claim forward. Reviews medical bills and makes appropriate determinations.
Reviews case facts to identify and report possible fraud or abuse throughout course of claim.
Reviews claims for closure and proactively takes action to guide claims in that direction.
Requirements
Minimum of 1 year general office experience or equivalent combination of education and experience.
Excellent written and oral communication, customer service and telephone skills.
Knowledge of MS Office software and an imaged environment.
Demonstrated ability to understand and adhere to statutes, regulations and company policies and practices.
Demonstrated skills in multi-tasking and prioritizing, adhering to deadlines and completing assignments.
Conducts business at all times with the highest standards of personal, professional and ethical conduct. Ability to maintain confidentiality.
Claims industry experience preferred.
Working knowledge of medical or insurance terminology preferred.
Education:
High school diploma or equivalent required.
Certification
If State certification or license is required, must meet certification within
Work Environment:
Remote: This role is a remote (work from home (WFH) opportunity, and only open to candidates currently located in the United States and able to work without sponsorship.
It requires a suitable space that provides a private and quiet workplace.
Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
Travel: May be required to travel to off-site location(s) to attend meetings, as necessary
Salary Range: $20.00 - $26.00/hr and a comprehensive benefits package, please follow the link to our benefits page for details! *********************************************************
About EMPLOYERS
As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!
We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS!
Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees.
We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other!
At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As “America's small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote
Sr. Desk Property Adjuster
Remote job
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
As a dedicated Senior Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members' life events, as appropriate.
This hybrid role requires an individual to be in the office 3 days per week. Typical work schedules are 9:00 am - 5:30 pm (local time) Monday to Friday and may include some weekends. This position can be based in one of the following office locations: San Antonio, TX, Phoenix, AZ, Chesapeake, VA, or Tampa, FL. Relocation assistance is not available for this position.
The Inside Sr. Property Adjuster role is a call center environment with a high volume of calls. This is an hourly, non-exempt position with paid overtime available.
Tasks:
Proactively manage assigned claims caseload comprised of claims with moderate complexity damages that require commensurate knowledge and understanding of claims coverage.
Partner with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
Investigate claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.
Identify coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing investigation information involving moderate complexity policy terms and contingencies.
Determine and negotiates moderate complexity claims settlement. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes.
Maintain accurate, thorough, and current claim file documentation throughout the claims process.
Apply proficient knowledge of estimating technology platforms and virtual inspection tools; Utilizes platforms and tools to prepare claims estimates to manage moderate complexity property insurance claims.
Apply working knowledge of industry standards of inspection, damage mitigation and restoration techniques.
Serve as an informal resource for team members.
Recognize and addresses jurisdictional challenges such as applicable legislation and construction considerations.
Support workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
May be assigned CAT deployment travel with minimal notice during designated CATs.
Work various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
High School Diploma or General Equivalency Diploma.
2 years relevant property adjusting and/or claims adjusting experience handling moderately complex claims or construction related industry/insurance experience.
Developing knowledge of residential construction.
Working knowledge of estimating losses using Xactimate or similar tools and platforms.
Demonstrated negotiation, investigation, communication, and conflict resolution skills.
Working knowledge of property claims contracts and interpretation of case law and state laws and regulations.
Proficient in prioritizing and multi-tasking, including navigating through multiple business applications.
May need to travel up to 50% of the year (local & non-local) and/or work catastrophe duty when needed.
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
What sets you apart:
Experience desk adjusting property claims involving Dwelling, Other Structures, Loss of Use, and Contents using virtual technologies (Hosta, Hover, Xactimate, ClaimsX)
Experience handling large loss complex claims (i.e., water, vandalism, malicious mischief, foreclosures, earth movement, appraisal, collapse, etc.)
Experience handling water loss claims including water mitigation, water loss estimating and reconciliation
Experience with full file ownership
Insurance industry designations such as AINS, CPCU, AIC, SCLA (or actively pursuing)
Xactimate Level 1 and/or Level 2 certification
Experience in a call center environment
Currently hold an active Adjuster License
Bachelor's degree
US military experience through military service or a military spouse/domestic partner
Compensation range: The salary range for this position is: $63,590 - $117,990.
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA 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, or status as a protected veteran.
Auto-ApplyCommercial Auto Liability Claims Supervisor
Remote job
Cottingham & Butler Claims Services was built upon driven, ambitious people like yourself. “Better Every Day” is not just a slogan, it is a promise we make to ourselves and our clients. We are looking to add an experienced Claims Supervisor to our team. As a Claims Supervisor, you will be responsible for:
Management - supervising a team of Auto/Liability Adjusters, coordinating their training and development, and ensuring they develop to their fullest capabilities and provide the same high level of service.
Compliance - ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
Claims - investigating, taking statements, estimating damages, determining liability, denying claims, subrogation, litigation, etc.
The ideal candidate for this position will have 5+ years of commercial auto liability adjusting experience and 1-5 years of management experience.
Do you think this might be a fit for you? Send us your resume - we'd love to talk!
Pay & Benefits
Salary - Flexible based on your experience level.
Most Benefits start Day 1
Medical, Dental, Vision Insurance
Flex Spending or HSA
401(k) with company match
Profit-Sharing/ Defined Contribution (1-year waiting period)
PTO/ Paid Holidays
Company-paid ST and LT Disability
Maternity Leave/ Parental Leave
Company-paid Term Life/ Accidental Death Insurance
About the company
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To ensure we keep that promise, we hold ourselves to a set of principles that we believe position our clients and our company for long-term success. Our Guiding Principles are not just words on paper, they are a promise we make to ourselves and our clients.
These principles have become a driving force of our culture and share many common themes with the values of our clients. First, we hire and develop amazing people that have an insatiable desire to succeed, are committed to learning, and thrive on challenges. Secondly, we pride ourselves on serving our clients' best interests through quality service, innovative solutions, and constantly evaluating our performance. Third, we have embraced and are guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday. Ultimately, we get more energy from the future we are creating for our people, our clients, and our company than from our past success.
As an organization, we are very optimistic about the future and have incredibly high expectations for our people and our performance. We also understand that our growth is fueled by becoming better, not bigger - growth funds investments in new resources to better serve our clients and provide the career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Auto-ApplyClaims Adjuster
Remote job
Fetch Pet Insurance, a tech-enabled pet wellness company, has consistently been an innovative leader in the pet insurance industry, offering the most extensive and all-inclusive pet insurance and health advice.
Put simply, Fetch makes vet bills affordable. We offer a comprehensive product that does not have any restrictions based on breed, age, or size. We are believers in helping pets get through their bad days but also focus on extending the good days. How do we do that? - through a wide portfolio of products + offerings, which include Fetch Health Forecast, our pet health and lifestyle blog, The Dig, and our partnerships with Project Street Vet and animal no-kill shelters across North America.
Our business is growing and we are looking for compassionate professionals that want to join a team that works hard and celebrates success! You will have an opportunity to hone your skills and develop new skills as you learn the ins-and-outs of Fetch pet insurance and support our pet parents. Your success is our success!
RESPONSIBILITIES.
Adjudicate assigned claims in accordance with the Terms & Conditions of the individual pet's policy
Review medical records, lab results, invoices, and claims forms for complete and thorough assessment
Process claims determinations to include assessment and payment for submitted claims
Verify claims coverage through in-depth knowledge of policy Terms & Conditions
Consult with treating veterinary practices regarding medical records evaluation and necessary documentation
Maintain an average quality assurance score above department minimums
Complete assigned tasks within compliance deadlines
Maintain an average productivity rate above department minimums
Provide feedback on process opportunities to further strengthen SOPs
REQUIRED SKILLS.
Comprehensive understanding of disease processes and veterinary medical terminology
Ability to read and interpret veterinary medical records and invoices
Ability to identify chronic and acute medical conditions
Adapt quickly in a fast-paced, ever-changing environment and operate multiple computer systems simultaneously
Work independently in a remote capacity, while also fostering teamwork and collaborating with others
Superior communication skills for collaboration with team members and support from managers
Demonstrated problem solving skills and ability to work through complex medical/vet-related scenarios affecting a pet's diagnosis and/or treatment plan
QUALIFICATIONS.
Minimum of five years experience as a veterinary technician
Bachelor's degree in veterinary science OR CVT or equivalent preferred
Property and Casualty Adjuster license in good standing preferred
Complete and pass state adjuster licensing
Be reliable with good attendance
Able to work a minimum of 42 hours per week, with occasional weekends and extra hours as needed
WORK-FROM-HOME SET-UP.
Subscription to reliable high-speed internet connection (minimum of 100 Mbps download and 30 Mbps upload speed)
A quiet, dedicated place to work in your home that is not easily disrupted by background noises or distractions
Office workspace must be large enough to accommodate two 19” dual monitors, laptop, mouse, keyboard, and headset
Ability to set up and connect (with instructions and remote IT team assistance) equipment that is shipped to your home
-ABOUT FETCH-
Fetch is a high-growth, Warburg-Pincus portfolio company. We are a passionate group of 200+ employees and partners across the U.S. and Canada dedicated to helping pets live their best lives. We have two offices (New York City, NY, and Winnipeg, Canada), and we currently provide security to over 360,000 pet parents.
We don't just accept differences - we celebrate it, we support it, and we thrive on it for the benefit of our employees, our products, and our community. We are proud to be an equal opportunity employer. We recruit, hire, pay, grow and promote no matter of gender, race, color, sexual orientation, religion, age, protected veteran status, physical and mental abilities, or any other identities protected by law.
Property Claims Adjuster
Remote job
At Honeycomb, we're not just building technology , we're reshaping the future of insurance.
In 2025, Honeycomb was ranked by Newsweek as one of “America's Greatest Startup Workplaces,” and Calcalist named it as a “Top 50 Israel startup.”
How did we earn these honors?
Honeycomb is a rapidly growing global startup, generously backed by top-tier investors and powered by an exceptional team of thinkers, builders, and problem-solvers. Dual-headquartered in Chicago and Tel Aviv (R&D center), and with 5 offices across the U.S., we are reinventing the commercial real estate insurance industry, an industry long overdue for disruption. Just as importantly, we ensure every employee feels deeply connected to our mission and one another.
With over $55B in insured assets, Honeycomb operates across 18 major states, covering 60% of the U.S. population and increasing its coverage.
If you're looking for a place where innovation is celebrated, culture actually means something, and smart people challenge you to be better every day - Honeycomb might be exactly what you've been looking for.
What You'll Do
The Property Adjuster is responsible for managing and evaluating property insurance claims from an office environment. This position will assess damages by reviewing photos, documentation, and estimates provided by policyholders or third-party vendors. This position will analyze and process claims, determine coverage, review contracts and negotiate settlements according to policy guidelines and regulatory standards.
Key Responsibilities:
Review Claims Documentation: Examine photos, estimates, reports, contracts and other documentation submitted by policyholders, contractors, or field adjusters to assess damage and determine the extent of loss.
Assess Property Damage: Analyze claims for accuracy and determine the cause of damage, ensuring compliance with policy terms and conditions.
Estimate Costs: Collaborate with vendors to estimate repair or replacement costs based on the damage reported.
Process Claims: Manage claims through the full lifecycle, from initial report to settlement, ensuring all required documentation is collected and all deadlines are met.
Negotiate Settlements: Communicate with policyholders, contractors, and service providers to negotiate fair settlements.
Provide Customer Service: Act as a primary point of contact for policyholders, responding to questions, clarifying policy coverage, and resolving issues related to claims.
Maintain Detailed Records: Document all communications, decisions, and actions taken throughout the claims process to ensure accurate claim files.
Ensure Compliance: Follow company procedures, legal requirements, and industry regulations when processing claims, ensuring that all actions taken are in line with regulatory standards.
Review Policies: Ensure accurate interpretation of insurance policies, terms, and conditions while processing claims.
Skills and Qualifications:
Licensure: Independent Adjustor License in home state or a designated home state required, Texas or California Preferred
Education: Bachelor's degree preferred.
Experience: Previous experience in property claims handling required. Experience handling commercial property claims involving Condominium Associations or Rentals is highly preferred.
Knowledge: Strong understanding of property insurance policies, claims processes, and damage estimation.
Attention to Detail: Ability to accurately review claims documentation and identify inconsistencies or issues with the claim.
Communication Skills: Excellent verbal and written communication skills, with the ability to explain complex insurance terminology and procedures to policyholders and vendors.
Analytical Skills: Strong problem-solving skills and the ability to analyze claims and make decisions based on the information provided.
Technology Proficiency: Proficiency in claims management software, Microsoft Office, and other relevant technology tools for managing claims and estimating damages.
Customer Service: Ability to manage customer expectations and handle challenging situations with professionalism.
Work Environment: The Property Adjuster primarily works in an office setting and handles claims remotely, without field visits. This role involves working with various departments, including claims, underwriting, and customer service teams, to ensure smooth claim processing. This position is remote unless located within a reasonable commute from one of our offices (Chicago, Austin, Denver, Roseville). If near an office hub, the position is hybrid 3x / week (Normally in office Tuesday - Thursday).
Physical Requirements:
Ability to work at a desk for extended periods.
Minimal travel may be required for training or occasional meetings.
Benefits & Compensation:
Salary range: $80,000 - $105,000, plus a target 5% annual bonus
ISO stock options
Medical, dental, and vision coverage for you and your dependents
HSA with company contributions
401(k) (non-matching)
Flexible time off
10 company-paid holidays
Paid family leave
Auto-ApplyLarge Loss Commercial Property Adjuster
Remote job
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.
About the role
As a Large Loss/Complex Commercial Property Adjuster at Reserv, you'll play a critical role in redefining the claims experience for high-value, high-complexity commercial property losses. You'll manage some of the most challenging and high-stakes claims in our portfolio, often involving intricate coverage questions, business interruption, and significant property damage. You'll work closely with internal teams, insureds, brokers, and vendors to thoroughly investigate losses, assess damages, and resolve claims swiftly and accurately - all while leveraging our cutting-edge platform and data-driven tools.
Who you are
Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org.
Passionate adjuster who cares about the customer and their experience.
Empathetic. You exercise empathy and patience towards everyone you interact with.
Sense of urgency - at all times. That does not mean working at all hours.
Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured's best interest.
Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational.
Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution.
Anti-status quo. You don't just wish things were done differently, you action on it.
Communicative. (we'd love to know what this means to you)
And did we mention, you have a sense of humor. Claims are hard enough as it is.
What we need
Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests
Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action
Manage an inventory of claims, including large and/or complex risks, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim
Investigates, determines coverage of loss and adjusts all elements of commercial property loss claims
Ability to write appraisals for dwelling repairs or coordinate with a team of field appraisers to review accuracy of appraisal written by IA
Explains coverage of loss including coinsurance, assists policyholders with itemization of damages, and mitigation steps. Experienced with business interruption claims
Ensure compliance with specific state regulations, policy provisions, and standard operating procedures
Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority
Provide input for continuous development of claims guidelines, best practices, and process improvements
Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim
Requirements
Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)
Active insurance adjuster's license by way of a designated home state, or home state
Minimum of 5 years of experience with property claims
Commercial property claims experience
Desk and/or field appraisal experience
Willing to obtain all licenses within 60 days, including completing state required testing
Knowledge of state regulations, policy provisions, and standard operating procedures
Ability to analyze and evaluate complex data and make sound decisions based on established guidelines, policies, and procedures
Curious and motivated by problem solving and questioning the status quo
Desire to engage in learning opportunities and continuous professional development
Willingness to travel for client and claims needs
Benefits
Generous health-insurance package with nationwide coverage, vision, & dental
401(k) retirement plan with employer matching
Competitive PTO policy - we want our employees fresh, healthy, happy, and energized!
Generous family leave policy
Work from anywhere to facilitate your work life balance
At Reserv, we value diversity and believe that a variety of perspectives leads to innovation and success. We are actively seeking candidates who will bring unique perspectives and experiences to our team. We welcome applicants from all backgrounds and encourage those from underrepresented groups to apply. If you believe you are a good fit for this role, we would love to hear from you!
Auto-ApplyClaims Fast Track Adjuster
Remote job
As a Claims Fast Track Adjuster, you must provide efficient and effective adjudication of claims through timely investigation, evaluation, and negotiation. Under moderate supervision using company guidelines, makes appropriate decisions regarding coverage and settlement. The adjuster in this role will provide exemplary customer service. The person in this role takes ownership of their personal brand, stays professional and works well individually within a dynamic team atmosphere.
Ready to get in the driver's seat? Join us!
What you'll do
Maintains high availability for insureds and colleagues
Manges their workflow and jumps in to help the team as needed
Makes timely and appropriate contacts with necessary parties, determines, and completes appropriate level of investigation for coverage determination.
Determines exposure, establishes adequate initial reserves, and makes timely adjustments to reserve(s) as required.
Determines settlement value and negotiates proper settlement of claims within authority. Provides recommendations for settlement and disposition of claims exceeding authority level.
Completes appropriate level of investigation to determine coverage
Takes recorded statements from 1st party claimants
Writes coverage letters
Pursues subrogation when appropriate.
Handles first party auto property damage losses
Provide backup assistance to claim representatives handling calls in the phone queue.
Demonstrates stellar attitude & performance
Must be able to put in extra time if/as needed
Maintaining excellent customer service tracked through Company measurements
Meets or exceeds individual goals to help the department reach its targets
Making appropriate coverage and/or settlement decisions
Setting timely reserves
Consistently produces quality work product
Pursues recovery as applicable
Fuels engagement within the team and department
Quick cycle time and efficient pending management
NPS targets
Quality audit scores
This might describe you
Must already be licensed in your Resident State/Designated State and NY
Must be detail oriented and show an elevated level of accuracy
Excellent verbal and written communication skills
Knowledgeable in insurance products and expertise
Exercise decisiveness and execution within their authority
Must have ability to work individually and as a team
Ability to maintain confidential information
Strong problem-solving skills
Strong time management and organizational ability
Must possess a keen interest in self-development
Needs to be reliable, accountable, and trustworthy
Must be able to stay motivated and positive within a high production role
Demonstrate proficiencies with computer software & multitasking
Must maintain impeccable attendance
Familiarity of public company requirements, including Sarbanes Oxley and key regulations, if applicable.
Other things to note
This position is open to U.S. remote work.
Say hello to Hagerty
Hagerty is an automotive enthusiast brand and the world's largest membership organization. Along with being a best-in-class provider of specialty insurance for enthusiasts, Hagerty is also home to the Hagerty Drivers Foundation, Garage + Social, Hagerty Drivers Club, Marketplace and so much more. Committed to saving driving for future generations, each and every thing Hagerty does is dedicated to the love of the automobile.
Hagerty is a rapidly growing company that values a winning culture. We provide meaningful work for and invest in every single team member.
At Hagerty, we share the road. We are an inclusive automotive community where all are welcomed, valued and belong regardless of race, gender, age, or car preference. We are united by our shared passion for driving, our commitment to preserve car culture for future generations and our desire to make a positive impact in the world.
If you reside in the following jurisdictions: Illinois, Colorado, California, District of Columbia, Hawaii, Maryland, Minnesota, Nevada, New York, or Jersey City, New Jersey, Cincinnati or Toledo, Ohio, Rhode Island, Vermont, Washington, British Columbia, Canada please email
**********************
for compensation, comprehensive benefits and the perks that set us apart.
#LI-Remote
EEO/AA
US Benefits Overview
Canada Benefits Overview
UK Benefits Overview
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplySenior Property Claims Adjuster, Complex
Remote job
If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we're hiring. SageSure, a leader in catastrophe-exposed property insurance, is seeking a Senior Property Claims Adjuster - Complex. A qualified candidate can comfortably and independently handle high severity and complexity losses, usually involving litigation. You'll be able to effectively communicate and negotiate across multiple parties, including customers, contractors, defense attorneys and public adjusters. This is a desk-based adjusting position. If you're interested in joining our growing Claims team, we'd love to hear from you.
What you'd be doing:
Investigate and document property claims involving liability exposures and litigation proceedings,
Conduct detailed policy/coverage reviews, take recorded statements, assign inspections, actively manage reserves, prepare or review estimates and negotiate settlements on high severity or complex losses.
Communicate claim updates and decisions verbally and in writing
Handle claims in compliance with all applicable regulations and internal processes
Provide technical expertise and serve as an SME for Claims-related projects
Act as a resource for less experienced staff
Support catastrophe response as needed, to include potential overtime and deployment
Any other duties needed to help drive our purpose and fulfill our values
We're looking for someone who has:
7+ years of property claims experience
3+ years of property liability & litigation claim handling experience
Excellent written and verbal communication skills
Strong organizational abilities
Empathetic interpersonal skills
Estimating skills
Adjuster licensed in home state or holds a non-resident license if license not required; meets requirements for licensing in additional states as needed
Highly preferred candidates also have:
10+ years of property claim handling experience
5+ years of commercial & personal lines liability experience
Field claims experience
Experience in catastrophe-focused environments
Professional designations
About SageSure:
Named among the Best Places to Work in Insurance by Business Insurance for four years in a row (2020-2023), SageSure is one of the largest managing general underwriters (MGU) focused on catastrophe-exposed markets in the US. Since its founding in 2009, SageSure has experienced exceptional growth while generating underwriting profits for carrier partners through hurricanes, wildfires, and hail. Available in 16 states, SageSure offers more than 50 competitively priced home, flood, earthquake, and commercial products on behalf of its highly rated carrier partners. Today, SageSure manages more than $1.9 billion of inforce premium and helps protect 640,000 policyholders.
SageSure has more than 1000 employees working remotely or in-office across nine offices: Cheshire, Connecticut; Chicago, Illinois; Cincinnati, Ohio; Houston, Texas; Jersey City, New Jersey; Mountain View, California; Marlton, New Jersey; Tallahassee, Florida; and Seattle, Washington.
SageSure offers generous health benefits and perks, including tuition reimbursement, wellness allowance, paid volunteer time off, a matching 401K plan, and more.
SageSure is a proud Equal Opportunity Employer committed to building a workforce that reflects the spectrum of perspectives, experiences, and abilities of the world we live in. We recognize that our differences make us strong, and we actively seek out diverse candidates through partnerships with organizations, institutions and communities that represent various backgrounds. We champion belonging and inclusion for all identities, including, but not limited to, race, ethnicity, religion, sexual orientation, age, veteran status, ability status, gender, and country of origin, striving to create a culture where all individuals feel valued, respected, and empowered to bring their authentic selves to work.
Our nimble, highly responsive culture nurtures critical thinkers who run toward problems and engineer solutions. We relentlessly pursue better outcomes by investing in the technology, talent, and tools that position us to succeed in demanding markets. Come join our team! Visit sagesure.com/careers to find a position for you.
Auto-ApplySIU Field Investigator II
Remote job
Job Details Corporate Office - Boca Raton, FL Fully Remote Full Time DayDescription
The SIU department encompasses low to moderately complex claims investigations of suspicious and fraudulent claims investigation. The unit reports information to and coordinates with law enforcement or state fraud bureaus for regulatory compliance and criminal prosecutions.
The position is responsible for conducting in-depth field investigations of suspicious property insurance claims that vary in complexity. These investigations may be of suspicious or unlawful activity by policyholders, vendors and others and are conducted in a prompt, expeditious and ethical manner.
Essential Functions:
Prioritize assignments and conduct necessary field work exercising independent judgment, initiative and decision-making skills.
Analyze facts and data, telephonic interviews, and a review of claim documents.
Drafting thorough detailed investigative reports to include developing the appropriate investigative action that justifies a proper recommendation to claims adjusters and management.
SIU supports its independent IA firms and internal departments, when needed, that may include identifying training needs; participation in developing and presenting training to raise the awareness of potential fraud.
Regularly meet with claims management to keep them informed of trends that may have an impact on claims in a specific assigned region/territory.
Develop and maintain industry, federal, state, and local government contacts involved in fraud investigation, detection, and prevention.
Maintain and pursue technical competency by continuous learning in fraud education with an emphasis on insurance fraud seminars and other company sponsored courses at the direction of the SIU Manager. Attend monthly meeting facilitated by regulatory agencies and other fraud related organizations
Conduct Field investigations to include neighborhood canvasses, interviewing vendors, scene photos, business inquiries, asset recovery, etc.
Aid our legal team in preparation for litigation or subrogation, skip trace for witnesses, etc.
Travel 50% -70%
Qualifications
Required Education and Experience:
Experience in SIU and/or investigative work in property/casualty claims
Candidate must possess a professional demeanor characterized by integrity, good character, and mutual respect.
Knowledge of Florida Statutes and Administrative Code
Excellent verbal and written communication skills.
Ability to work independently with minimal supervision
Strong interpersonal skills, including experience taking written and oral statements and evidence gathering techniques
Strong organizational and time management skills to manage a high volume of assignments.
Excellent analytical and problem-solving skills, independently motivated and strong attention to detail.
Proficient in MS Office, including Word, Excel, PowerPoint, and Outlook.
Preferred Qualifications:
Claims Adjusting experience, 620 license a plus
Industry certification (CIFI, CFE, FCLS)
Experience in criminal justice, investigations, or related field
Private Investigator certification is a plus
Remote General Liability Adjuster
Remote job
We are looking for a SR. General Liability Adjuster for a FULLY REMOTE ROLE role in the State of Missouri! Job Title: Senior General Liability Adjuster , MUST RESIDE IN THE STATE OF MISSOURI!) Salary Range: Up to $100,000 per year (depending on experience and qualifications)
Overview
We're seeking an experienced Senior General Liability Adjuster to join our insurance claims team. As a seasoned professional, you'll manage complex general liability claims, guide less experienced adjusters, and help maintain our reputation for fair, efficient claim resolution.
Key Responsibilities
Investigate, evaluate, and settle general liability claims-covering premises, operations, product liability, etc.-efficiently and fairly
Analyze policy language and coverage, assess damages and exposure, and determine appropriate reserves
Negotiate settlements with claimants, legal representatives, and others to reach favorable outcomes
Mentor and support junior adjusters; provide guidance and share best practices
Manage high claim volumes while ensuring timeliness and accuracy in documentation
Work effectively with legal counsel, vendors, and internal stakeholders
Stay current on industry regulations, legal developments, and emerging trends in claims handling
Qualifications
Required:
5+ years of general liability claims handling experience (insurance industry)
Strong analytical, investigative, and negotiation skills
Proficiency in claims management systems and Microsoft Office
Excellent communication, organization, and multitasking abilities
Attention to detail and commitment to high-quality documentation
Preferred (but not required):
CPCU, AIC, ARM, or similar industry certifications
Experience handling complex or catastrophic liability claims
Supervisory or mentorship experience
Why Join Us
Challenging and rewarding work environment
Competitive salary (up to $82k) with potential for bonuses or benefits
Opportunity to mentor and influence teams professionally
Growth opportunities and continued professional development
General Liability Adjuster - NY License Required
Remote job
Parker Loss Consultants, LLC
To know more, visit us at *************************************
We are looking for an experienced Liability Adjuster to manage a caseload of moderate to high complexity liability claims from investigation to resolution. The ideal candidate has a deep understanding of legal liability concepts, strong negotiation skills, and the ability to work independently while meeting company and industry standards.
Key Responsibilities:
Investigate, evaluate, and resolve liability claims in a timely and efficient manner.
Determine coverage, liability, and damages by reviewing documentation, interviewing involved parties, and analyzing relevant facts.
Maintain accurate and organized claim files and documentation in accordance with regulatory and company guidelines.
Communicate effectively with insureds, claimants and attorneys
Negotiate settlements within authority limits and make sound recommendations for reserves and settlements on complex files.
Collaborate with internal departments including underwriting, legal, and risk management.
Stay updated on relevant laws, regulations, and industry best practices.
Qualifications:
NY License
Minimum of 5 years of experience handling liability claims (general, auto, or professional liability preferred).
Strong knowledge of insurance policy language, claim handling processes, and applicable legal regulations.
Exceptional analytical, communication, and negotiation skills.
Ability to manage a high-volume workload and prioritize effectively.
Proficiency in claims management software and Microsoft Office Suite.
Relevant adjuster's license(s) as required by state regulations.
Preferred:
Bachelor's degree or equivalent work experience.
Designations such as AIC, CPCU, or similar certifications are a plus.
Auto-ApplyField Large Loss Commercial Property Adjuster | Remote
Remote job
Job DescriptionOur client, a leading A-rated Insurance Carrier, is seeking to add a Field Large Loss Commercial Property Adjuster to their team. This individual will be responsible for handling complex Commercial Property and some Residential losses from inception to close. The position is fully remote, with occasional travel as needed for inspections. The ideal candidate will have extensive experience managing high-severity Commercial Property claims and be well versed in Xactimate, coverage analysis, and large-loss settlement negotiation. Preferences is for the candidate to reside in PA, NJ, MD, VA, or DC.Key Responsibilities:
Handle large and complex Commercial Property losses, including estimating, evaluating, drafting coverage position letters, and settling claims efficiently and accurately.
Very manageable caseload receiving 2-3 new losses per month
Conduct inspections (in-person or virtual) as needed to evaluate scope and cause of loss.
Manage an active caseload while maintaining consistent communication with policyholders, contractors, attorneys, and internal stakeholders.
Provide detailed file documentation, coverage analysis, and timely status updates to management and home office teams.
Identify and pursue cost containment, loss mitigation, and subrogation opportunities.
Deliver high-quality customer service and uphold department best practices at all times.
Requirements:
7 - 15+ years of Field Property claims experience, with a strong background in handling large or complex losses.
5+ years of Commercial Property field experience.
Prior experience as a Staff Adjuster with an Insurance Carrier required.
Proficient in Xactimate and property policy interpretation.
Strong organizational, negotiation, and interpersonal skills.
Bachelor's degree preferred but not required.
Salary/Benefits:
$100,000 to $145,000 annual base salary plus 10-15% bonus
Company vehicle provided (Truck/SUV)
CAT Pay Differential
Comprehensive Medical, Dental, Vision, and Life plans
Lucrative Employer-matching 401(k) plan
Generous PTO policy
Excellent opportunities for professional growth
Auto Damage Field Appraiser
Remote job
Job Description
We are a leading Commercial TPA providing performance-based damage appraisal solutions dedicated to partnering with our customers to increase the efficiency of the overall claim process.
As an Auto Damage Field Appraiser under moderate supervision, this remote position will appraise the value and cost of damage to autos, trucks, and heavy equipment. The position will manage appraisals to completion and provide quality customer service throughout the appraisal process while maintaining compliance with internal and external quality standards and state-specific regulations.
Compensation:
$70,000 - $82,500 yearly
Responsibilities:
Inspect, photograph, and appraise damage to autos, trucks, and equipment that have been damaged in an accident or weather-related loss.
Provide quality customer service and ensure appraisal quality, timely inspections, and communication with claims adjusters and insureds.
Complete auto repair facility and independent re-inspections, supplements as warranted to verify damage and confirm repairs are completed.
Provide technical advice on vehicle repair, parts costs, and garage or body shop expertise.
Apply established appraisal protocols and metrics to all estimates, document the rationale for any departure from applicable protocols and metrics, with or without assistance.
Evaluate all claims for subrogation and salvage recovery potential. Document and communicate the potential to the assigned claim adjuster.
Approximately 25% travel, which may require some overnight stays.
Qualifications:
Auto Physical Damage Appraisal experience.
Must have body shop experience and/or be familiar with the field appraiser/insurance industries.
On-site Catastrophe appraisal experience preferred.
About Company
Our mission is to organically grow our independent agency to assist as many clients as possible and mitigate risk. We execute at the highest level from day one to every day moving forward. We set the gold standard in success, continuously raising the bar as we change the way the industry thinks about products and services.