Claims Analyst jobs at FM Global

Network Adjusters is seeking an experienced first party property damage Claims Supervisor to join our expanding team. As a Property Claims Supervisor, you will play a critical role in our claims department, overseeing the entire claims process in a fast-paced environment to ensure all compliance and service guidelines are met. You will manage a team of Adjusters who specialize in handling Commercial Property losses, ensuring each member of your team is properly investigating, documenting, and resolving their assigned claims. You will offer guidance and support to staff on claims-related technical matters and oversee adherence to department protocols and expectations when dealing with first-party and third-party claims. You will strive to exceed customer service benchmarks, take charge of continued education, and nurture the growth of your team, actively contributing to their career advancement. Become a part of our dynamic, energetic workforce in which you can make a difference. We are committed to encouraging your professional growth through a variety of development opportunities. QUALIFICATIONS: Minimum of five (5) years handling first party property claims; prior claim supervision & commercial claims experience preferred. Strong leadership skills, with ability to motivate and develop a team. Superior working knowledge of case law, statutes, and procedures impacting the handling and value of claims. Ability to prioritize workload and handle multiple tasks. Analytical and problem-solving abilities, with a keen attention to detail. Desire to work in a fast-paced environment. Excellent evaluation and strategic skills required. Strong claim negotiation skills. Proficient in MS Office Suite and other business-related software. Polished and professional written and verbal communication skills. Bachelor's degree in a relevant field or equivalent work experience. RESPONSIBILITIES: Supervise a Team: Manage a team of claims adjusters, providing guidance, training, and support to ensure high-quality claim assessments and exceptional customer service. Coverage Analysis: Examine claim forms, policies, and other records to determine insurance coverage. Claims Processing: Oversee the entire claims process, including the evaluation of damages, determination of loss, settlement negotiations and resolution, while ensuring all compliance regulations are adhered to. Quality Assurance: Implement and monitor quality control measures (Best Practices) to ensure accurate and consistent claims handling in compliance with company guidelines and industry standards. Customer Service: Collaborate with carriers, attorneys, claimants, and internal policyholders to address inquiries, resolve disputes, and ensure a positive claims experience. Performance Metrics : Track and analyze key performance metrics to identify areas for improvement, set performance targets, and implement strategies to meet or exceed goals. Reporting: Generate and present regular reports to senior management and clients, highlighting department performance, trends, and areas for improvement. Compliance: Stay current with industry regulations and best claims practices to ensure that claims processes are compliant with all legal requirements. BENEFITS: · 401(k) with company match / Retirement planning · Paid time off / Company paid holidays · Comprehensive health plans including dental and vision coverage · Flex Spending Account · Company paid life insurance · Company paid long term disability · Supplemental life insurance · Opportunity to buy into short term disability · Family leave · Employee Assistance Program About Network Adjusters, Inc. Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for almost seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York and Denver to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities. Please be advised this position is an in-office role located in Denver, CO. No remote opportunities are available at this time. The starting salary for this position is $85,000 - $110,000; factors such as licensing, certifications, work, and relative experience will be taken into consideration.

Claims Clerk Full TimeSME/Specialist Oakbrook Terrace, IL, US Salary Range:$50,500.00 To $57,500.00 Annually The Claims Clerk will be responsible for accurate, timely screening and distribution of incoming electronic claims correspondence. This role will aid the Analysts in timely processing of the claims and help secure a manageable turnaround time for the entire Claims Department. This position will report to the Claims Manager. Essential Elements Manage the Secure File Transfer Portal (SFTP) site ensure all reporting received is processed in a timely manner Download and pivot reports from Power BI, to locate all possible medical and prescription claims. Identify and review claims data ensuring data integrity Distributing claim requests for processing Convert the PDF claims received into an Excel Template for the Claims Analyst to upload and process Additional duties as assigned Requirements Education and Certifications Associates degree or commensurate experience required Experience Excel, Microsoft Office Suite, Power BI, Clerical functions Travel Required May need to travel to the home office quarterly Hybrid workplace

This is a hybrid position; the work location will be determined based on the selected candidate's proximity to one of our offices. Duties/Responsibilities + Provides customer service support to lenders, borrowers, insureds, claimants and all internal and customers. + On occasion, takes claim information via telephone, fax, e-mail, or regular mail and creates a record of loss in the appropriate claim system. + Verifies the claim coverage and reviews submitted claim forms for completeness and accuracy. + Sends instructions to the field personnel regarding claim file issues. + Utilizes the claim systems to assist customers with inquiries. + Enters notes into the claim system regarding conversations or incidences with customers. + Directs the efforts of the field adjuster. + Provides any required functions relating to the Claims Department at the direction of management. + Reviews reports from the field adjusters to ensure that the information and interpretation of the policy language are correct. + Corrects any errors seen in the field reports. + Interprets policy language and applies that policy language to loss situations. + Enters claim and expense payments into the systems that are within their authority. + Composes denial letters based upon the facts of the files as it relates to potential coverage issues. + Provides any required functions relating to the Claims Department at the direction of management. + Participation in audits of claim files. + Works with other departmental internal personnel on special projects. + Will be required to manage their own pending/case load. Required Skills & Experience + 4-8 years of relevant claims handling experience + Proper licensing + Strong customer service skills, including the ability to manage demanding requests + Experience in commercial property preferred + Willingness to help others on our team About Tokio Marine Highland Tokio Marine Highland Insurance Services (TMH) is a leading property and casualty underwriting agency. We offer a broad suite of tailored specialty risk management solutions, including private flood, fine art and lender-placed products. At TMH, it's all about our clients. Nationwide, our customers rely on our trusted, industry-leading coverages, supported by compliance expertise, superior claims management and the highest caliber of service. Founded in 1962, TMH is a wholly owned company of Tokio Marine Kiln, one of the largest carriers in the Lloyd's of London insurance market and a member of the Tokio Marine Group. TMH has operating centers in Chicago, Il, Frisco, Texas, Miami, Fla., and South Pasadena, Calif. If you're looking to advance your career, TMH is the perfect professional home. At TMH, you'll have a chance to innovate with the world's leading businesses, put your expertise into action on major projects, and work on game-changing initiatives. You'll also make long-lasting professional connections through sharing different perspectives, and you'll be inspired by the best. Tokio Marine Highland, LLC (TMH) is an Equal Opportunity Employer. TMH's success depends heavily on the effective utilization of qualified people, regardless of their race, ancestry, religion, color, sex, national origin, sexual orientation, gender identity and/or expression, disability, veteran status, or any characteristic protected by law. As a company, we adhere to and promote equal employment opportunities for all. Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is TMH's policy to provide reasonable accommodation when requested by qualified individuals with disabilities during the recruitment process, unless such accommodation would cause an undue hardship. To make an accommodation request, please contact *****************************.

In this fast-paced role, the PIP Representatives adjusts first party personal injury claims according to state compliance requirements and guidelines. RESPONSIBILITIES will handle Personal Injury Protection claims in multiple states. The PIP Claim Representative will receive between 3 to 5 first reports a day with a priority on service, patient contact, and claim disposition. Daily duties include first reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction. Maintains an effective follow-up system on pending files, prioritize and handle multiple tasks simultaneously, adjust to fluctuating workload, advises injured parties as to the status of the claim. Investigates and interprets policy provisions and conditions to make a coverage determination. Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements is preferred but not necessary. The PIP Claim Representative must have the ability to multitask in time sensitive situations. Ensures that service, loss and expense control are maintained at all times. Adheres to privacy guidelines, law and regulations pertaining to claims handling. Candidates must have strong customer service, organization, verbal and written skills and have the ability to work in a small team environment. QUALIFICATIONS A Bachelor's Degree (B.A.) from a four-year college or university. Two (2) to four (4) years related claims experience and/or training. Basic personal computer skills including working knowledge of Microsoft Office Suite products. SALARY RANGE The pay range for this position is $50,000 to $68,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. PERKS & BENEFITS 4 weeks accrued paid time off + 9 paid national holidays per year Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision) Annual 401(k) Employer Contribution Free onsite gym at our Woodbridge Location Resources to promote Professional Development (LinkedIn Learning and licensure assistance) Robust health and wellness program and fitness reimbursements Various Paid Family leave options including Paid Parental Leave Tuition Reimbursement ABOUT THE COMPANY The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.

In this fast-paced role, the PIP Representatives adjusts first party personal injury claims according to state compliance requirements and guidelines. RESPONSIBILITIES will handle Personal Injury Protection claims in multiple states. The PIP Claim Representative will receive between 3 to 5 first reports a day with a priority on service, patient contact, and claim disposition. Daily duties include first reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction. Maintains an effective follow-up system on pending files, prioritize and handle multiple tasks simultaneously, adjust to fluctuating workload, advises injured parties as to the status of the claim. Investigates and interprets policy provisions and conditions to make a coverage determination. Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements is preferred but not necessary. The PIP Claim Representative must have the ability to multitask in time sensitive situations. Ensures that service, loss and expense control are maintained at all times. Adheres to privacy guidelines, law and regulations pertaining to claims handling. Candidates must have strong customer service, organization, verbal and written skills and have the ability to work in a small team environment. QUALIFICATIONS A Bachelor's Degree (B.A.) from a four-year college or university. Two (2) to four (4) years related claims experience and/or training. Basic personal computer skills including working knowledge of Microsoft Office Suite products. SALARY RANGE The pay range for this position is $47,500 to $65,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. PERKS & BENEFITS 4 weeks accrued paid time off + 9 paid national holidays per year Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision) Annual 401(k) Employer Contribution Resources to promote Professional Development (LinkedIn Learning and licensure assistance) Robust health and wellness program and fitness reimbursements Various Paid Family leave options including Paid Parental Leave Tuition Reimbursement ABOUT THE COMPANY The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Join a team where your expertise truly matters!Our Casualty Claims department is seeking a highly motivated and experienced Claims Supervisor (Bodily Injury). As a key leader within our Casualty organization, you will be responsible for empowering a team that handles attorney-represented automotive liability claims. Your team will manage: complex investigations coverage determinations liability assessments bodily injury claim resolutions-through both settlement and litigation. This role requires advanced knowledge of litigation processes and the ability to strategically support litigated and attorney-represented claims. If you're passionate about developing talent, driving results, and making an impact in the automotive liability space, we'd love to hear from you.Success in this role is built on the foundation of GEICO's core leadership behaviors: Ownership: You take responsibility for outcomes in all scenarios. Adaptability: You navigate dynamic environments with creativity and resilience. Leading People: You empower individuals and teams to achieve their best. Collaboration: You build and strengthen partnerships across organizational lines. Driving Value: You use data-driven insights to align actions with strategic goals. What You'll Do: Lead, mentor, and inspire a team of associates to deliver exceptional customer service while building trust. Leverage your property and casualty insurance expertise to guide team members in resolving complex customer inquiries and claims. Provide authority on evaluations that exceed your adjusters personal, assigned authority and work with others on claims that exceed your authority Personalize your leadership approach to develop team members' skills, fostering their growth and ensuring they consistently exceed customer expectations. Monitor and evaluate team performance using key performance indicators (KPIs) to enhance efficiency, customer satisfaction, and retention. Hold your team accountable for achieving results, maintaining compliance with insurance regulations, and delivering outstanding service. Address escalated customer concerns with professionalism and empathy, modeling GEICO's dedication to service excellence. Collaborate with leadership and cross-functional teams to identify and implement process improvements. Serve as a resource for team members on insurance-related questions providing mentorship and training to build their industry knowledge. What We're Looking For: Minimum of 2 years of leadership experience in Bodily Injury claims, including direct oversight of litigated cases. Active Adjuster license (required) Expertise in Casualty claims, including knowledge of industry regulations and best practices Strong ability to assess needs and guide associates in negotiating claim settlements as needed Experienced in the use of various claims tools with ability to assist associates Strong adherence to compliance and regulatory requirements Proven ability to motivate, inspire, and develop high-performing teams in a customer-centric environment Strong results orientation, with a history of meeting or exceeding performance goals Excellent interpersonal and communication skills, with the ability to adapt leadership styles to diverse individuals and situations Ability to analyze data and metrics to inform decision-making and improve customer outcomes Collaborative mindset with a commitment to fostering a culture of inclusivity and excellence Why Join GEICO? Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Inclusive Culture: Join a company that values diversity, collaboration, and innovation. Workplace Flexibility: This is a M-F, 8:00am - 4:30pm position offering a Hybrid work model based in Richardson, TX. GEICO reserves the right to adjust in-office requirements as needed to support the needs of the business unit. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Licensing and continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Increased Earnings Potential: Pay Transparency: The starting salary for this position is between $97,735 annually and $151,700 annually. Incentives and Recognition: Corporate wide bonus programs are in place to reward top performers. Beware of scams! As a recruiter, I will only contact you through ************ email address and will never ask you for financial information during the hiring process. If you think you are being scammed or suspect suspicious activity during the hiring process, please contact us at ...@geico.com. keywords: litigation, auto liability, liability claims#geico300#LI-AL2 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims Become familiar with insurance coverage by studying insurance policies, endorsements and forms Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary Ensure that claims payments are issued in a timely and accurate manner Handle investigations by phone, mail and on-site investigations Desired Skills & Experience Bachelor's degree or direct equivalent experience handling property and casualty claims A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims Field claims handling experience is preferred but not required Knowledge of Xactimate software is preferred but not required Above average communication skills (written and verbal) Ability to resolve complex issues Organize and interpret data Ability to handle multiple assignments Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage To be considered for this role, you must reside in one of the following counties: Westmoreland, Cambria, or Indiana Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.

Network Adjusters is seeking skilled insurance claims adjusters with experience in General Liability and/or Construction Defect for a third-party liability Construction Defect Claims Adjuster position. In this role, you will manage third-party Construction Property Damage and Liability Insurance claims of varying complexity and severity, specifically within construction development and subcontractor programs. CONSTRUCTION DEFECT ADJUSTER RESPONSIBILITES: Knowledge of General Liability and Construction Defect claims. Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clients. Fulfill specific client requirements including reporting of claim details and analysis. Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements. Recognize and apply jurisdictional issues that impact the claim (i.e.: negligence laws, financial responsibility limits, immunity, etc.) Investigate facts to determine liability, other sources of recovery as appropriate by contacting and interviewing appropriate parties. Manage 3rd party property damages, bodily injury and other claims requiring specialized investigation and utilization of external experts in accordance with local laws. Effectively manage litigated claims & assigned defense or coverage counsel. Establish and maintain appropriate claim and expense reserves in a timely fashion. Develop and continually update a plan of action for file resolution including maintaining an effective diary. Document claim file activities in accordance with established procedures. Write denial letters, reservation of rights, tenders and other routine and complex correspondence to insureds and claimants. Confer with higher level technical claim personnel for guidance and direction to ensure files are handled properly. Determine settlement amounts based on independent judgment, application of applicable limits and deductibles. Negotiate settlements within authority limits. Identify subrogation opportunities. Meet all quality standards and expectations based on Best Practices. Assure compliance with state specific regulations. Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution. CONSTRUCTION DEFECT ADJUSTER QUALIFICATIONS: 2-5 years of experience in claims handling (preferably 3rd party - general liability). College/Technical degree or equivalent business experience. Obtain Adjusters licenses as required to meet business need. Complete continuing education to maintain licenses. Strong verbal and written communication skills. General software skills including MS Word, Outlook and Excel. Customer service and empathy skills. Solid analytical and decision-making skills in order to evaluate claims and make sound decisions. Excellent negotiation skills and ability to effectively handle conflict. Strong organization and time management skills. Ability to multi-task and adapt to a changing environment. Attention to detail, ensuring accuracy. Strong investigative skills and creativity to achieve optimal results. Ability to maintain confidentiality. CONSTRUCTION DEFECT ADJUSTER BENEFITS: Training/Development and growth opportunities 401(k) with company match / Retirement planning Paid time off / Company paid holidays Comprehensive health plans including dental and vision coverage Flex spending account Company paid life insurance Company paid long term disability Supplemental life insurance Opportunity to buy into short term disability Strong work/family and employee assistance programs This role is located in Farmingdale, NY; no remote or hybrid offers are available at this time. The starting salary for this position is $75,000 - $100,000, depending on factors such as licensure, certifications, and relevant experience. Become a part of a dynamic, energetic workforce in which you can make a difference. Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers. Company Culture We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health. Honest Transparent Communication: be open and clear in all interactions without withholding crucial information Integrity: ensure accuracy in reporting, work outputs and any tasks assigned Truthfulness: provide honest feedback and report any issues or challenges as they arise Trustworthiness: build and maintain trust by consistently demonstrating reliable behavior Ethical Fair Decision Making: ensure all actions and decisions respect company policies and values Accountability: own up to mistakes and take responsibility for rectifying them Respect: treat colleagues, clients and partners with fairness and dignity Confidentiality: safeguard sensitive information and avoid conflicts of interest Hardworking Consistency: meet or exceed deadlines, maintaining high productivity levels Proactiveness: take initiative to tackle challenges without waiting to be asked Willingness: voluntarily offer to assist in additional projects or tasks when needed Adaptability: work efficiently under pressure or in changing environments Summary: Government Claims Processor/Examiners are a key part of the department's successful operation. Processor/Examiners are in daily contact with team members, clients and providers. This position reports to the Supervisor, Government Operations. A cheerful, competent and compassionate attitude will directly impact the productivity of the team. Attendance can also directly impact the satisfaction level of our clients and retention of our accounts. Responsibilities: Process claims accurately, efficiently and within production requirements Exhibit an attention to detail and a strong work ethic Ability to access research tools for accurate claims entry Be organized and able to manage time and resources efficiently and effectively Thorough knowledge of coding structures (CPT, HCPCS, Rev codes, ICD 9/10 etc) Ability to perform arithmetic calculations Knowledgeable of COB Familiarity with benefits and benefit calculations Ability to handle many types of claims pricing (Network, Medicare, UCR etc) Performs duties in a HIPAA compliant manner Participate as a Team Member to ensure the smooth operation of the entire department Maintain guidelines and notes with detail to enable accurate claims examination Maintain production goals regarding the number of claims entered and accuracy percentages. Qualifications: Proficient in the use of desktop computer software. Excellent communication via written, telephonic and personal Ability to manage and follow through consistently and accurately Attention to detail Completion of all responsibilities in a timely manner Highly organized work habits Equal Employment Opportunity Policy Statement Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.

Job Title: Technical Financial Analyst (Workday) Compensation: $125,000-$140,000 base + 9% annual bonus Schedule: Full-time, Hybrid About the Role We are supporting a leading organization in Atlanta seeking a Technical Financial Analyst with strong Workday Financials expertise. This role bridges finance and technology, ensuring business processes are optimized through effective Workday configuration, reporting, and integrations. You'll partner with finance and technology teams to deliver scalable solutions and drive process improvements. Key Responsibilities Configure Workday Financials modules supporting Q2C, OTC, P2P, and RTR processes. Develop reports, dashboards, and calculated fields to meet business needs. Perform and manage EIB imports while ensuring data integrity. Collaborate across teams to gather requirements, design solutions, and support enhancements. Document workflows and manage tasks using Jira, Confluence, SharePoint, and Visio. Provide support, training, and troubleshooting for Workday Financials. Stay current on Workday releases and recommend improvements. Qualifications 5+ years of experience in a Financial or Technical Analyst role with a focus on Workday Financials. Strong understanding of finance processes (Q2C, OTC, P2P, RTR). Hands-on experience with Workday configuration, reporting, and EIB imports. Proficiency with Jira, Confluence, SharePoint, Visio, and MS Office. Excellent communication and stakeholder management skills. Workday certifications preferred but not required. What's in it for You Base salary of $125,000-$140,000 plus 9% annual bonus. Hybrid schedule (3 days onsite, 2 remote). Collaborative environment with professional growth opportunities. Oscar Associates Limited (US) is acting as an Employment Agency in relation to this vacancy.

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Join a team where your expertise truly matters!Our Casualty Claims department is seeking a highly motivated and experienced Claims Supervisor (Bodily Injury). As a key leader within our Casualty organization, you will be responsible for empowering a team that handles attorney-represented automotive liability claims. Your team will manage: complex investigations coverage determinations liability assessments bodily injury claim resolutions-through both settlement and litigation. This role requires advanced knowledge of litigation processes and the ability to strategically support litigated and attorney-represented claims. If you're passionate about developing talent, driving results, and making an impact in the automotive liability space, we'd love to hear from you.Success in this role is built on the foundation of GEICO's core leadership behaviors: Ownership: You take responsibility for outcomes in all scenarios. Adaptability: You navigate dynamic environments with creativity and resilience. Leading People: You empower individuals and teams to achieve their best. Collaboration: You build and strengthen partnerships across organizational lines. Driving Value: You use data-driven insights to align actions with strategic goals. What You'll Do: Lead, mentor, and inspire a team of associates to deliver exceptional customer service while building trust. Leverage your property and casualty insurance expertise to guide team members in resolving complex customer inquiries and claims. Provide authority on evaluations that exceed your adjusters personal, assigned authority and work with others on claims that exceed your authority Personalize your leadership approach to develop team members' skills, fostering their growth and ensuring they consistently exceed customer expectations. Monitor and evaluate team performance using key performance indicators (KPIs) to enhance efficiency, customer satisfaction, and retention. Hold your team accountable for achieving results, maintaining compliance with insurance regulations, and delivering outstanding service. Address escalated customer concerns with professionalism and empathy, modeling GEICO's dedication to service excellence. Collaborate with leadership and cross-functional teams to identify and implement process improvements. Serve as a resource for team members on insurance-related questions providing mentorship and training to build their industry knowledge. What We're Looking For: Minimum of 2 years of leadership experience in Bodily Injury claims, including direct oversight of litigated cases. Active Adjuster license (required) Expertise in Casualty claims, including knowledge of industry regulations and best practices Strong ability to assess needs and guide associates in negotiating claim settlements as needed Experienced in the use of various claims tools with ability to assist associates Strong adherence to compliance and regulatory requirements Proven ability to motivate, inspire, and develop high-performing teams in a customer-centric environment Strong results orientation, with a history of meeting or exceeding performance goals Excellent interpersonal and communication skills, with the ability to adapt leadership styles to diverse individuals and situations Ability to analyze data and metrics to inform decision-making and improve customer outcomes Collaborative mindset with a commitment to fostering a culture of inclusivity and excellence Why Join GEICO? Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Inclusive Culture: Join a company that values diversity, collaboration, and innovation. Workplace Flexibility: This is a M-F, 8:00am - 4:30pm position offering a Hybrid work model based in Richardson, TX. GEICO reserves the right to adjust in-office requirements as needed to support the needs of the business unit. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Licensing and continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Increased Earnings Potential: Pay Transparency: The starting salary for this position is between $97,735 annually and $151,700 annually. Incentives and Recognition: Corporate wide bonus programs are in place to reward top performers. Beware of scams! As a recruiter, I will only contact you through ************ email address and will never ask you for financial information during the hiring process. If you think you are being scammed or suspect suspicious activity during the hiring process, please contact us at ...@geico.com. keywords: litigation, auto liability, liability claims#geico300#LI-AL2 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Network Adjusters is seeking skilled insurance claims adjusters with experience in General Liability and/or Construction Defect for a third-party liability Construction Defect Claims Adjuster position. In this role, you will manage third-party Construction Property Damage and Liability Insurance claims of varying complexity and severity, specifically within construction development and subcontractor programs. CONSTRUCTION DEFECT ADJUSTER RESPONSIBILITES: Knowledge of General Liability and Construction Defect claims. Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clients. Fulfill specific client requirements including reporting of claim details and analysis. Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements. Recognize and apply jurisdictional issues that impact the claim (i.e.: negligence laws, financial responsibility limits, immunity, etc.) Investigate facts to determine liability, other sources of recovery as appropriate by contacting and interviewing appropriate parties. Manage 3rd party property damages, bodily injury and other claims requiring specialized investigation and utilization of external experts in accordance with local laws. Effectively manage litigated claims & assigned defense or coverage counsel. Establish and maintain appropriate claim and expense reserves in a timely fashion. Develop and continually update a plan of action for file resolution including maintaining an effective diary. Document claim file activities in accordance with established procedures. Write denial letters, reservation of rights, tenders and other routine and complex correspondence to insureds and claimants. Confer with higher level technical claim personnel for guidance and direction to ensure files are handled properly. Determine settlement amounts based on independent judgment, application of applicable limits and deductibles. Negotiate settlements within authority limits. Identify subrogation opportunities. Meet all quality standards and expectations based on Best Practices. Assure compliance with state specific regulations. Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution. CONSTRUCTION DEFECT ADJUSTER QUALIFICATIONS: 2-5 years of experience in claims handling (preferably 3rd party - general liability). College/Technical degree or equivalent business experience. Obtain Adjusters licenses as required to meet business need. Complete continuing education to maintain licenses. Strong verbal and written communication skills. General software skills including MS Word, Outlook and Excel. Customer service and empathy skills. Solid analytical and decision-making skills in order to evaluate claims and make sound decisions. Excellent negotiation skills and ability to effectively handle conflict. Strong organization and time management skills. Ability to multi-task and adapt to a changing environment. Attention to detail, ensuring accuracy. Strong investigative skills and creativity to achieve optimal results. Ability to maintain confidentiality. CONSTRUCTION DEFECT ADJUSTER BENEFITS: Training/Development and growth opportunities 401(k) with company match / Retirement planning Paid time off / Company paid holidays Comprehensive health plans including dental and vision coverage Flex spending account Company paid life insurance Company paid long term disability Supplemental life insurance Opportunity to buy into short term disability Strong work/family and employee assistance programs We have openings in Denver, Colorado; Farmingdale, New York; and Covington, Kentucky. Remote work may be available for experienced candidates who meet the required criteria. The starting salary for this position is $75,000 - $100,000, depending on factors such as licensure, certifications, and relevant experience. Become a part of a dynamic, energetic workforce in which you can make a difference. Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.

Network Adjusters is seeking experienced claims adjusters with at least 3 years of insurance claims handling experience to join our Disposition Team in a file review role. The Disposition Analyst has two main objectives: assisting in onboarding triage and reviewing new claim programs and reviewing files for closure with the current companies pending. The Disposition Team reports directly to executive management and works aggressively to review files, determine opportunity for resolution and provide feedback to management. In this role, you'll review complex, high-exposure claims, develop creative solutions, and manage multiple files in a fast-paced environment while ensuring compliance and service standards are consistently met. The ideal candidate is energetic, driven, and proactive, with the ability to manage a wide range of claim types-including Commercial General Liability, Auto, Property Damage, Construction Bodily Injury, Construction Defect, Directors & Officers (D&O), Cyber, and Builder's Risk. While experience in all areas isn't required, you should be a quick learner who can adapt to changing business needs. DISPOSITION ANALYST RESPONSIBILITIES: Coverage Analysis: Examine claim forms, policies, and other records to determine insurance coverage. Claims Processing: Deep dive into complex claim files, evaluating damages, determining losses, negotiating settlements, and driving resolutions while upholding all compliance and regulatory standards. Customer Service: Collaborate with carriers, attorneys, claimants, and internal policyholders to address inquiries, resolve disputes, and ensure a positive claims experience. Negotiation: Communicate with related parties to discuss, negotiate and resolve claims. Reporting: Generate and present regular reports to senior management and clients, highlighting trends and areas for improvement. Compliance: Stay current with industry regulations and best claims practices to ensure that claims processes are compliant with all legal requirements. DISPOSITION ANALYST QUALIFICATIONS: Commercial claims handling experience is required Minimum of three years handling bodily injury insurance claims Litigation experience Active or able to obtain Texas OR Florida Property & Casualty Adjusting License within first 90 days of employment Able to obtain New York Property & Casualty Adjusting License within first 90 days of employment Superior working knowledge of case law, statutes, and procedures impacting the handling and value of claims Ability to prioritize workload and handle multiple tasks Analytical and problem-solving abilities, with a keen attention to detail Ability to drive conversations with a firm stance Excellent evaluation and strategic skills required Strong claim negotiation skills Proficient in MS Office Suite and other business-related software Polished and professional written and verbal communication skills DISPOSITION ANALYST BENEFITS: Training, development, and growth opportunities 401(k) with company match and retirement planning Paid time off and company paid holidays Comprehensive health plans including dental and vision coverage Flex spending account Company paid life insurance Company paid long term disability Supplemental life insurance Opportunity to buy into short term disability Strong work/family and employee assistance programs This role is located in Denver, CO; no remote or hybrid offers are available at this time. The starting salary for this position is $70,000 - $90,000, depending on factors such as licensure, certifications, and relevant experience. Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for almost seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York and Denver to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.

Network Adjusters is seeking skilled insurance claims adjusters with experience in General Liability, Professional Liability, or Employment & Public Officials Liability for a third-party claims adjuster position. As a claims adjuster you will investigate, evaluate, determine liability, negotiate, and settle assigned multi-line commercial claims in accordance with Network Adjusters' Best Practices. This position provides quality claim handling and exceptional customer service throughout the entire claims process while engaging in indemnity, expense & diary management. CLAIMS ADJUSTER JOB DESCRIPTION: Handle primarily third-party liability damage insurance claims with varying degrees of complexity and severity under General Liability, Professional Liability, and Employment Liability & Public Officials Liability coverages. This includes but is not limited to, third party property damage, bodily injuries, wrongful employment practices, wrongful acts, and professional liability claims handling. CLAIMS ADJUSTER RESPONSIBILITES: Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clients. Fulfill specific client requirements including reporting of claim details and analysis. Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements. Recognize and apply jurisdictional issues that impact the claim (i.e.: negligence laws, financial responsibility limits, immunity, etc.) Investigate facts to establish negligence, determine liability, other sources of recovery as appropriate by contacting and interviewing appropriate parties. Manage liability and other claim types requiring specialized investigation and utilization of external experts in accordance with local laws. Establish and maintain appropriate claim and expense reserves in a timely fashion. Develop and continually update a plan of action for file resolution including maintaining an effective diary. Document claim file activities in accordance with established procedures. Write denial letters, reservation of rights, tenders and other routine and complex correspondence to insureds and claimants. Confer with higher level technical claim personnel for guidance and direction to ensure files are handled properly. Determine settlement amounts based on independent judgment, application of applicable limits and deductibles. Negotiate settlements within authority limits. Identify subrogation opportunities. Meet all quality standards and expectations based on Best Practices. Assure compliance with state specific regulations. Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution. CLAIMS ADJUSTER QUALIFICATIONS: College/Technical degree or equivalent business experience. Minimum of 3 years of claims handling experience in either General Liability, Professional Liability, Employment Liability or Public Officials Liability. Obtain Adjusters licenses as required to meet business need. Complete continuing education to maintain licenses. Strong verbal and written communication skills. General software skills including MS Word, Outlook and Excel. Customer service and empathy skills. Solid analytical and decision-making skills in order to evaluate claims and make sound decisions. Excellent negotiation skills and ability to effectively handle conflict. Strong organization and time management skills. Ability to multi-task and adapt to a changing environment. Attention to detail, ensuring accuracy. Strong investigative skills and creativity to achieve optimal results. Ability to maintain confidentiality. Knowledge of Security Industry and/or Elevator Industry is beneficial. CLAIMS ADJUSTER BENEFITS: Training/Development and growth opportunities 401(k) with company match / retirement planning Paid time off / company paid holidays Comprehensive health plans including dental and vision coverage Flex spending account Company paid life insurance Company paid long term disability Supplemental life insurance Opportunity to buy into short term disability Strong work/family and employee assistance programs We have openings in Farmingdale, New York; Denver, Colorado; and Covington, Kentucky. Remote work may be available for experienced candidates who meet the required criteria. The starting salary for this position is $85,000 and up, depending on factors such as licensure, certifications, and relevant experience. Become a part of a dynamic, energetic workforce in which you can make a difference. We are committed to encouraging your professional growth through a variety of training and development opportunities. Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for almost seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York and Denver to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.

We are First Chicago Insurance Company! We currently have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we have a new Claims office in Oak Brook, IL! If you are an experienced Non-Standard Auto CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL!! We are seeking experienced Non-Standard Auto Liability Claims Specialist to join our new office in Oak Brook! This talented individual must possess previous experience in the investigation, determination of coverage, prompt evaluation of both First- and Third-Party auto property damage claims with an eye towards prompt, courteous and economical resolution of both First and Third Party related property damage claims. DUTIES & RESPONSIBILITIES: Review and determine course of action on each file assigned, utilizing technical knowledge and experience for the purpose of supporting final disposition of a loss Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage liability, status and damages that are applicable for each claim Honor/decline/negotiate first and third-party liability claims upon completion of coverage/policy investigation and analysis of damages and liability Work directly with internal and external customers to develop evidence and establish facts on assigned claims Organize, plan and prioritize work activities to keep up with current assignments and to ensure prompt conclusion of claims Prepare and present claim evaluations for the appropriate settlement authority Notify the Underwriting Department of any adverse information uncovered in the course of the investigation Familiarity with unfair claim practices in states where we do business Conduct business with vendors in a professional manner while maintaining a reasonable expense factor and upholding the company's reputation for quality service Provide customer service both to internal and external customers Handle other duties as assigned QUALIFICATIONS REQUIRED: Minimum 2-3 years previous auto insurance or other auto related experience A MUST! Non-Standard Auto claims handling experience a plus! Excellent analytical, organizational, interpersonal and communication (verbal, written, phone) skills General working knowledge of policies, file procedures, state rules and regulations Ability to pass written examinations where required by state statutes to become a licensed Claims Adjuster Preferred: Prior claims experience Ability to use on-line claims system Bi-lingual a plus! First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive: Competitive Salaries Flexible Work Schedules Remote and Hybrid Commitment to your Training & Development Medical and Dental Telemedicine Benefit 401k with a generous company match Paid Time Off and Paid Holidays Tuition Reimbursement Training Programs Wellness Program Fun company sponsored events And so much more!

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Join a team where your expertise truly matters!Our Casualty Claims department is seeking a highly motivated and experienced Claims Supervisor (Bodily Injury). As a key leader within our Casualty organization, you will be responsible for empowering a team that handles attorney-represented automotive liability claims. Your team will manage: complex investigations coverage determinations liability assessments bodily injury claim resolutions-through both settlement and litigation. This role requires advanced knowledge of litigation processes and the ability to strategically support litigated and attorney-represented claims. If you're passionate about developing talent, driving results, and making an impact in the automotive liability space, we'd love to hear from you.Success in this role is built on the foundation of GEICO's core leadership behaviors: Ownership: You take responsibility for outcomes in all scenarios. Adaptability: You navigate dynamic environments with creativity and resilience. Leading People: You empower individuals and teams to achieve their best. Collaboration: You build and strengthen partnerships across organizational lines. Driving Value: You use data-driven insights to align actions with strategic goals. What You'll Do: Lead, mentor, and inspire a team of associates to deliver exceptional customer service while building trust. Leverage your property and casualty insurance expertise to guide team members in resolving complex customer inquiries and claims. Provide authority on evaluations that exceed your adjusters personal, assigned authority and work with others on claims that exceed your authority Personalize your leadership approach to develop team members' skills, fostering their growth and ensuring they consistently exceed customer expectations. Monitor and evaluate team performance using key performance indicators (KPIs) to enhance efficiency, customer satisfaction, and retention. Hold your team accountable for achieving results, maintaining compliance with insurance regulations, and delivering outstanding service. Address escalated customer concerns with professionalism and empathy, modeling GEICO's dedication to service excellence. Collaborate with leadership and cross-functional teams to identify and implement process improvements. Serve as a resource for team members on insurance-related questions providing mentorship and training to build their industry knowledge. What We're Looking For: Minimum of 2 years of leadership experience in Bodily Injury claims, including direct oversight of litigated cases. Active Adjuster license (required) Expertise in Casualty claims, including knowledge of industry regulations and best practices Strong ability to assess needs and guide associates in negotiating claim settlements as needed Experienced in the use of various claims tools with ability to assist associates Strong adherence to compliance and regulatory requirements Proven ability to motivate, inspire, and develop high-performing teams in a customer-centric environment Strong results orientation, with a history of meeting or exceeding performance goals Excellent interpersonal and communication skills, with the ability to adapt leadership styles to diverse individuals and situations Ability to analyze data and metrics to inform decision-making and improve customer outcomes Collaborative mindset with a commitment to fostering a culture of inclusivity and excellence Why Join GEICO? Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Inclusive Culture: Join a company that values diversity, collaboration, and innovation. Workplace Flexibility: This is a M-F, 8:00am - 4:30pm position offering a Hybrid work model based in Richardson, TX. GEICO reserves the right to adjust in-office requirements as needed to support the needs of the business unit. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Licensing and continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Increased Earnings Potential: Pay Transparency: The starting salary for this position is between $97,735 annually and $151,700 annually. Incentives and Recognition: Corporate wide bonus programs are in place to reward top performers. Beware of scams! As a recruiter, I will only contact you through ************ email address and will never ask you for financial information during the hiring process. If you think you are being scammed or suspect suspicious activity during the hiring process, please contact us at ...@geico.com. keywords: litigation, auto liability, liability claims#geico300#LI-AL2 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

JOB TITLE:Claims Advocate FLSA CLASSIFICATION:Salaried - Exempt The Claims Advocate plays an essential role in mitigating BBSI's risk related to workers' compensation claims. This role requires exceptional business and customer service acumen and significant experience in workers' compensation claims, including claims handling. This role will coordinate the essential duties related to the claims advocacy program. Duties and related issues by assisting in the monitoring of new loss intake to confirm an appropriate beginning to each claim, assisting injured workers in navigating the claims process and communicating with external client customers and internal personnel. REPORTING RELATIONSHIPS: This position reports to the Corporate Claims Manager and interacts with the Corporate Claims team and local branch personnel. DUTIES AND RESPONSIBILITIES: Maintain clear focus on mitigating BBSI's financial risk associated with workers' compensation claims. Understand and articulate BBSI's business objectives internally and with key partners Written communication with injured workers when new claims are received. value workers compensation claims. Serve as a resource responding to questions and concerns from internal and external customers, vendor partners, and injured workers. Serve as back up to Claim Consultants members. activity. Approve reserve activity within authority. workers compensation claims, including status of the claims. Provide claims information for the coordination of human resource and safety efforts and requirements. relative to workers compensation. by third parties administrators CORE TRAITS/COMPETENCIES: Exceptional business acumen Customer service acumen Flexibility and adaptability Innately curious Highly developed interpersonal and communication skills QUALIFICATIONS: Four-year college degree is preferred, as well as 2-5 years of directly relevant claims experience Customer service acumen Bi-lingual (Spanish) would be preferred or familiarity with translation vendors Multi-Jurisdictional Workers' Compensation experience preferred Salary and Other Compensation: The starting hourly rate for this position is between 87,500-95,000. Factors which may affect starting pay within this range may include geography, skills, education, experience, certifications, and other qualifications of the candidate. This position is also eligible for annual incentive pay equal to 8% of annual regular pay, prorated in the first year, in accordance with the terms of the Company's plan. Benefits: The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, health savings account, flexible savings account, dental insurance, vision insurance, 401(k) retirement plan, accidental death and dismemberment, life insurance, voluntary life insurance, voluntary disability insurance, voluntary accident, voluntary critical care, voluntary hospital indemnity, legal, identity & fraud protection, commuter benefits, pet insurance, employee stock purchase program, and an employee assistance program. Paid Time Off: Accrued sick leave of 1 hour for every 40 hours of work, with maximum based on state or regional requirements; vacation accrues up to 80 hours in the first year, up to 120 hours in years 2-4, and up to 160 hours in the fifth year; 6 paid holidays annually, 4 paid volunteer days annually. Diversity and Inclusion are critical parts of our corporate culture. BBSI strives to create a workplace where everyone feels included and empowered to bring their full, authentic selves to work, and is treated fairly. BBSI is an equal opportunity employer and makes employment decisions on the basis of merit. If you meet the above requirements, we welcome the opportunity to learn more about you. For more information, visit us at www. bbsi.com Please apply via this posting and not by contacting our local or corporate offices. Click here to review the BBSI Privacy Policy: ***********************************

The Medical Review Claims Analyst is responsible and accountable for timely and accurate non-clinical reviews of Blue Cross and Blue Shield, National & Special, State, Federal, ITS claims and CSC inquiries to support corporate timeline goals. Responsible for accurate and timely responses to internal and external inquiries involving requests for explanation of contract coverage, coding, and claims payment. Responsible for identifying aberrant provider activity and opportunities for provider education and refer for appropriate intervention. "This position is eligible to work onsite, remote or hybrid (9 or more days a month on site) in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment." Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas. Why Join Us * Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans. * Family Comes First: Total rewards package that promotes the idea of family first for all employees. * Professional Growth Opportunities: Advance your career with ongoing training and development programs. * Dynamic Work Environment: Collaborate with a team of passionate and driven individuals. * Flexibility: options to work onsite, hybrid or remote available * Balance: paid vacation and sick leave with paid maternity and paternity available immediately upon hire Compensation $23.58 - $29.40 hourly Non-Exempt 12 * Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts. What you'll do * Responsible for independent non-clinical review of claims and inquiries using contracts, medical policies, internal guides, and desk process. * Ensure claims and inquiries are processed timely and accurately according to contract, corporate, and federal guidelines. * Responsible for identifying when a non-clinical review should be elevated to a higher level of review, i.e., nurse consultant, management, consultants. * Responsible for researching history, identifying appropriate guidelines, and formatting clear concise question(s) for claims needing nurse, management, or outside consultant review. * Responsible for providing support to internal staff (i.e., Marketing, Hotline, CSC), regarding questions about coding, claim processing, and pricing issues. * Responsible for maintaining current knowledge regarding coding, contract language, system editing, and pricing guidelines. * Responsible for identifying areas of aberrant utilization for provider education, guideline, and system changes. * Participates in department and cross-divisional teams. * Must follow URAC standards as required for essential job functions. What you need Knowledge/Skills/Abilities * Must be able to comply with and implement corporate information security policies, standards, and guidelines relative to access control. * Must be self-directed with the ability to make independent decisions and prioritize personal and employee production activities. * Must have strong computer skills in order to operate effectively with company systems and programs. * Proficient in Excel, WORD, OneNote, and other department used systems. * Must be able to maintain a productive and professional relationship with multiple cross departmental and divisional teams. * Must be able to maintain an excellent record of attendance. * Must have a strong analytical background. * Must be able to use medical terminology/medical diagnostic and procedure information, ICD-10, CPT, HCPCS coding to accurately review and complete claims activity. Education and Experience * High school graduate or equivalent - required. * At least three years of BCBSKS Claims or CSC experience AND/OR American Academy of Professional Coders certification with at least 2 years of coding experience or at least 3 years of medical coding experience - required. * Thorough knowledge of multiple product lines, contracts, and related operating policies with preference to FEP, Blue Choice, State of Kansas, and Interplan Teleprocessing System (ITS) - Preferred. * Thorough knowledge of CSI, Reimbursement Schedules, Ask Oz, ACEs, Claims XTen, Imaging, BlueConnect, and Outlook - preferred. * CPC certified or obtain certification by American Academy of Professional Coders within three years of hire. Physical Requirements * 90-100% sedentary work setting using a computer. Benefits & Perks * Base pay is only one component of your competitive Total Rewards package * Incentive pay program (EPIP) * Health/Vision/Dental insurance * 6 weeks paid parental leave for new mothers and fathers * Fertility/Adoption assistance * 2 weeks paid caregiver leave * 5% 401(k) plan matching * Tuition reimbursement * Health & fitness benefits, discounts and resources Our Commitment to Connection and Belonging At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.

POSITION MISSION: Provide prompt contact, investigation, and coverage determinations of assigned claims while demonstrating a high level of customer service. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Contact insureds, claimants, and all other relevant parties to facilitate the processing of claims. Investigate claims promptly according to policy provisions while promoting a high level of customer service. Demonstrates a comprehensive knowledge of insurance policies and Rockingham guidelines to provide coverage determination through policy interpretations. Identify claims having potential for increased exposure, such as third-party bodily injury claims, referring to Claims Supervisor as applicable. Provide policyholders and claimants guidance throughout the claim process. Maintain an effective claim diary system through accurate documentation of all claim activities in accordance with established procedures. OTHER DUTIES: Support claims supervisor as requested Other duties as assigned KNOWLEDGE, SKILLS, AND ABILITIES: The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform each essential duty satisfactorily. Ability to work comfortably and grow in a fast-paced high volume call environment Experience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities Demonstrate the ability to multitask across multiple platforms routinely Demonstrates personal computer literacy and effectively uses all relevant company automation. CORE COMPETENCIES: Attention to detail Critical thinking Time management Organization Communication skills QUALIFICATIONS: High school diploma or GED required; undergraduate degree preferred. One year of experience working in the insurance industry preferred. Proficiency in Microsoft Office products Strong oral and written communication skills displaying professionalism in language, tone, and style to understand client needs and feedback. Projects a positive, professional image knowing they represent the company to the customer. PHYSICAL DEMANDS: Position operates in a professional office environment and routinely uses standard office and mobile equipment such as computers, phones, and photocopiers. Largely sedentary role with majority of work performed using a computer and phone. Please note, this position description is not designed to cover a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. PI54d082a75481-31181-39236173