Claims Analyst jobs at FM Global - 1163 jobs

About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Overview Selective Insurance is seeking a Complex Claims Specialist for this remote position. The purpose of this position is to provide direct handling of the company's Specialty Claims - Management Liability (D&O, EPL, and Fiduciary). Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. Candidate must possess strong communication and litigation management skills to collaborate with insureds and defense counsel to direct litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. The individual in this position will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority with exceptional standards of performance. This individual should possess strategic thought process skills to effectively and efficiently manage loss exposures. Job duties will include communication and collaboration with key stakeholders, training, development and providing thought leadership where requested. The position may require travel to mediations, arbitrations, settlement conferences, trials, training or other proceedings which may account for up to 10% of the specialist time. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Responsibilities Effectively evaluate and resolve coverage issues for Directors & Officers, Employment Practices, and Fiduciary claims. Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information. Effectively and efficiently present claims and claim trends to Claim and Underwriting Leadership to include discussion of coverage, liability assessment and ultimate exposure to the insured and company. Timely analyze information in order to evaluate assigned claims to determine ultimate exposure to the insured and company. Effectively evaluate, negotiate and resolve claims within delegated authority utilizing the appropriate denials or releases. Provide required reports to claims, underwriting, reinsurance and actuarial on significant exposure cases. Report on all cases going to trial on a timely basis and attend portions of trials when warranted or requested by management. Ensure proper referrals and timely updates to appropriate Reinsurer(s). Qualifications Knowledge and Requirements Experience in coverage analysis and claim evaluations. Superior communication skills and strategic negotiation and claim disposition skills along with proven problem-solving skills. Excellent presentation skills. Moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint). Sufficient keyboarding proficiency to enter data accurately and efficiently. Must have valid state-issued driver's license in good standing and be able to drive an automobile. Education and Experience College degree required. JD (law degree) or MBA (Masters in Business Administration) preferred. 8+ years claims handling experience involving primary/duty to defend policies, with significant experience handling Directors & Officers, Employment Practices, and Fiduciary claims with a primary P&C carrier. Total Rewards Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $108,000.00 - USD $163,000.00 /Yr. Additional Information Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions. For Massachusetts Applicants It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Overview The purpose of this position is to provide direct handling of the company's Garage auto property damage claims with a focus on First and Third party claims including Garagekeeper coverage. The position will involve both attorney represented and non-represented claimants. Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. This position may also entail handling of bodily injury and general liability claims and/or willingness to learn same. The individual in this position will also ensure claims are processed within company policies, procedures, and within the individual's prescribed authority with exceptional standards of performance. Responsibilities Receives assigned auto claims and independently reviews/analyzes the policy forms and endorsements to determine applicable coverages, limits, deductibles and settlement calculations, as well as subrogation recovery opportunity. Investigate coverage and issue applicable coverage letters. Gathers appropriate documentation to support the claimed damages through phone/email contact with customers, vendors, and police departments (includes estimates, proof of ownership/value, required company forms, reports, invoices, etc.) Reviews damage documentation to determine loss amount. Negotiates settlements based on documentation presented, vendor contact/discussions, personal knowledge and experience, customer discussions and policy language. Documents claim files, establishes and updates reserves throughout the life of the claim, maintains suspense system, processes expenses, prepares checks, updates MCS, and sends appropriate letters based on state regulations and company directives. Explores salvage and subrogation potential, as well as arbitration opportunity. Continuously reviews and analyzes investigative information to determine if file is eligible for fraud/SIU handling. Enlists the assistance of vendors and/or other resources to help with remediation services or future analysis of auto damage or settlement values. Ensures compliance with company, state and federal regulations. Qualifications Knowledge and Requirements Adjuster licenses in states requiring same Effective verbal and written communication skills Strong time management and organizational skills Negotiation and claim disposition skills with proven problem-solving ability Strong judgment and decision making skills Self-starter with ability to work independently Moderate proficiency with standard business-related software Education and Experience College degree preferred 1-5 years of Commercial and or Personal Lines Auto experience preferred Industry training/designations preferred Understanding of Garage Auto/Auto Dealer policy language and endorsements preferred Total Rewards Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $72,000.00 - USD $109,000.00 /Yr. Additional Information Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions. For Massachusetts Applicants It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Overview Selective Insurance is seeking a Property Field Claims Specialist to cover the DC/Northern Virgina territory. This is a fully remote position and includes a company vehicle. No relocation assistance is offered with this role so you must reside in the nearby area or be willing to relocate at your own expense. It is the responsibility of this position to provide superior property claims service to all regions by handling Property and Inland Marine claims, generally with dollar exposures of $25,000 to $100,000. This person will investigate the claim, estimate the property damages, select and deploy experts, obtain appropriate claim documentation, and effect accurate settlement within the prescribed authority and standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Responsibilities Handles property/inland marine claims for assigned region with availability to assist as needed in all other regions. Evaluates and settles property-related damages (primarily) between $25,000 and $100,000 (aggregate). This position will occasionally handle losses that exceed $100,000 in aggregate claim value. Handles typical Business Income losses. This position will join the LLU as part of the corporate catastrophe team. As catastrophe needs arise throughout our claims organization, the PCS will serve as an initial responder for catastrophe claim events within the various regions. Responsible for all coverage determinations, negotiations, reserving and settlement within established authority. Provides coverage and/or estimating assistance to regional CMS' as may be required by management. Responds to all legal, regulatory or appeals situations or requests. Must be able to drive an automobile to travel within territory. Car travel represents approximately 75% of employee's time. Handles property/inland marine claims for the assigned region with availability to assist as needed in all other regions. Evaluates and settles property-related damages (primarily) between $25,000 and $100,000 (aggregate). This position will occasionally handle losses that exceed $100,000 in aggregate claim value. Handles typical Business Income losses. This position will join the LLU as part of the corporate catastrophe team. As catastrophe needs arise throughout our claims organization, the PCS will serve as an initial responder for catastrophe claim events within the various regions. Responsible for all coverage determinations, negotiations, reserving and settlement within established authority. Responds to all legal, regulatory or appeals situations or requests. Car travel represents approximately 75% of employee's time. Qualifications Knowledge and Requirements Must have the ability to work varying shifts. Have knowledge of and proficiency in standard business and claim-specific computer software programs and the ability to keyboard in an efficient and productive manner. Must have valid state-issued driver's license in good standing and be able to drive an automobile. Education and Experience College degree preferred. Prefer 5 years property claims experience, thorough knowledge of Commercial and Personal Lines coverages and computer-based damage estimating. Total Rewards Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $72,000.00 - USD $109,000.00 /Yr. Additional Information Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions. For Massachusetts Applicants It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2024 and certification as a Great Place to Work in 2024 for the fifth consecutive year. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Overview Selective Insurance is seeking a Property Field Claim Specialist to cover the Northern New Jersey area. This is a fully remote position, but the ideal candidate must reside in this area. Relocation assistance is not being offered for this role. It is the responsibility of this position to provide superior property claims service to all regions by handling Property and Inland Marine claims, generally with dollar exposures of $25,000 to $100,000. This person will investigate the claim, estimate the property damages, select and deploy experts, obtain appropriate claim documentation, and effect accurate settlement within the prescribed authority and standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Responsibilities Handles property/inland marine claims for assigned region with availability to assist as needed in all other regions. Evaluates and settles property-related damages (primarily) between $25,000 and $100,000 (aggregate). This position will occasionally handle losses that exceed $100,000 in aggregate claim value. Handles typical Business Income losses. This position will join the LLU as part of the corporate catastrophe team. As catastrophe needs arise throughout our claims organization, the PCS will serve as an initial responder for catastrophe claim events within the various regions. Responsible for all coverage determinations, negotiations, reserving and settlement within established authority. Provides coverage and/or estimating assistance to regional CMS' as may be required by management. Responds to all legal, regulatory or appeals situations or requests. Must be able to drive an automobile to travel within territory. Car travel represents approximately 75% of employee's time. Qualifications Knowledge and Requirements Must have the ability to work varying shifts. Have knowledge of and proficiency in standard business and claim-specific computer software programs and the ability to keyboard in an efficient and productive manner. Must have valid state-issued driver's license in good standing and be able to drive an automobile. Education and Experience College degree preferred. Prefer 5 years claims experience. Thorough knowledge of Commercial and Personal Lines coverages and computer-based damage estimating. Total Rewards Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and paid time off plans. Additional details about our total rewards package will be provided during the recruiting process. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $72,000.00 - USD $109,000.00 /Yr. Additional Information Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.

Salary Range: $60,111 - $87,161 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status:Non-Exempt Department:Claims Reports To:Supervisor or Manager of Claims Employee Unit:Employees in this classification are represented by Service Employees International Union (SEIU) Local No. 521. GENERAL DESCRIPTION OF POSITION The Claims Analyst II analyzes, processes and adjusts routine and complex facility and professional claims for payment or denial to support the Claims Department operations in a manner that maintains compliance within the Medicare and Medi-Cal regulatory requirements and achieves Claims service-level objectives. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. 1. Follow established Health Plan policies and procedures and use available resources such as provider contracts, Medicare and/or Medi-Cal guidelines and Member Evidence of Coverage (EOC) to analyze, process and adjust routine and complex assigned claims in an accurate and timely manner. 2. Research, identify, resolve and respond to inquiries from internal Health Plan departments regarding outstanding claims-related issues. 3. Assist Claims Supervisor and Manager with pre-check run reports. 4. Maintain and organize all processes related to Third Party Liability (TPL) claims, including communication of relevant information to appropriate parties. 5. Participate in system testing and communicate newly-identified and potential issues to the Claims Supervisor and Manager and provide recommendations for improvement. 6. Process claims refund checks on a weekly basis to ensure accuracy/completeness of information and submit to the Finance Department in a timely manner. 7. Attend and actively participate in daily, weekly, and monthly departmental meetings, training and coaching sessions. 8. Perform other related duties as required or assigned. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. 1. High School Diploma or GED. (R) 2. Minimum two years of claims processing experience in a Health Plan Claims Department. (R) 3. Prior experience with managed care plans, Medi-Cal and/or Medicare programs, and working with underserved populations. (R) 4. Ability to analyze, process and adjust routine and complex assigned claims in an accurate and timely manner. (R) 5. Understanding of professional and hospital reimbursement methodologies, including medical terminology, and working knowledge of CPT, HCPCS, ICD-10, and ICD 9 codes. (R) 6. Understanding of the relationship between the health plans, IPAs, and DOFR. (R) 7. Ability to consistently meet Quality and Productivity Key Performance Indicators by participating in and achieving the Claims Quality standards. (R) 8. Ability to consistently meet Attendance Key Performance Indicator by being punctual and meeting the Claims standards in accordance with the team schedule. (R) 9. Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as Outlook, Word and Excel. (R) 10. Ability to use a keyboard with moderate speed and a high level of accuracy. (R) 11. Working knowledge of QNXT claims processing software. (D) 12. Excellent communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, providers and outside entities over the telephone, in person or in writing. (R) 13. Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) 14. Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R) 15. Ability to maintain confidentiality. (R) 16. Ability to comply with SCFHP's policies and procedures. (R) 17. Ability to perform the job safely with respect to others, to property, and to individual safety. (R) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: 1. Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) 2. Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) 3. Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) 4. Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) 5. Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) 6. Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels. EOE (function () { 'use strict'; social Share.init(); })();

About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Overview Selective Insurance is seeking an Auto Claims Specialist ideally to work hybrid from our Hamilton, NJ office. We will also consider remote for the right candidate. The purpose of this position is to provide direct handling of the company's non- litigated and lower-level litigated Auto and/or general liability claims. These claims should not involve any major coverage issues. Position may also handle non-litigated UM/UIM claims. Responsibilities of this position include basic coverage analysis, investigation, evaluation, negotiation, and disposition of assigned claims. The individual in this position will also ensure claims are processed within company policies, procedures, and with the individual's prescribed authority with exceptional standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Responsibilities Investigate coverage and liability of claims through telephone, automated correspondence, technology and/or personal contact with claimants, attorneys, insureds, witnesses, and others having pertinent information. Issue applicable coverage letters and written correspondence. Analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary. Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents on claim resolution. Evaluate, negotiate, and resolve claims within delegated authority. Handle general liability and auto liability files from start to finish. Assign appropriate counsel if needed to defend a claim. Update claims system on a continual basis to accurately reflect status of each assigned file and to initiate percentage of negligence on the part of the insured to determine "chargeability". Receive and approve expenses incurred to investigate, process, and handle a claim. Close claim by issuing check or denial and securing appropriate releases. Prepare check requisitions for all loss and expense payments. Explore contribution on all claims assigned. Prepare for and participate in claims review and settlement conferences. Analyze information, including depositions, expert reports, attorney evaluations, and medical reports, gained from discovery during litigation in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations. Investigate damages, coverage, and liability related to a claim through telephone, automated correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses, and others having pertinent information. Issue applicable letters based on state regulations and company directives, including coverage and status letters. Qualifications Knowledge and Requirements Effective verbal and written communication skills. Strong time management and organizational skills. Negotiation and claim disposition skills with proven problem-solving ability. Strong judgment and decision-making skills. Self-starter with ability to work independently. Moderate proficiency with standard business-related software. Education and Experience College degree preferred. Minimum of three years of Commercial and/or Personal Lines Auto claim handling experience preferred. Experience handling non-litigated auto PD and BI claims. Industry training/designations preferred. Total Rewards Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $72,000.00 - USD $99,000.00 /Yr. Additional Information Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions. For Massachusetts Applicants It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients. The Company Munich Re America Services (MRAS) is a shared service organization that delivers services to all Munich Re US P&C Companies and other group entities. As a member of Munich Re's US operations, we offer the financial strength and stability that comes with being part of the world's preeminent insurance and reinsurance brand. Our risk experts work together to assemble the right mix of products and services to help our clients stay competitive - from traditional reinsurance coverages, to niche and specialty reinsurance and insurance products. The Opportunity Future focused and always one step ahead! The Reinsurance Accounting & Claims Handling Analyst is responsible for the timely and accurate recording of client company contract, premium and loss related information into the Company's global reinsurance systems. Requires the ability to work with and analyze client reported data received in various levels of detail and formats. Responsibilities Responsibilities for this role will primarily focus on handling the following accounting related tasks with guidance and in accordance with agreed upon best practices, policies and procedures, and/or service level agreements: Record client account statements in a timely and accurate manner Investigate and resolve open payable/receivable balances Prepare result dependent condition calculations Processing payment transactions (incoming and outgoing) in accordance with contract terms Accurately capture terms and conditions into global systems with guidance Resolve quality assurance tasks or questions Research and reconcile accounting matters related to statements of account Participate in quarter close process Participate in projects when needed Qualifications Successful candidates will possess the following skills/capabilities: Bookkeeping and/or accounting experience Associates or Bachelor's Degree, preferably in Accounting, Finance, Mathematics, Computer Science, Data Science/Analytics or equivalent experience. Strong attention to detail, time management and decision-making skills Interpersonal skills including verbal and written communication, relationships and teamwork Solid math and analytic skills Proficiency with Microsoft Office (Outlook, Word, Excel) which includes the ability to learn new and complex computer system applications. Data manipulation and analysis. Excel required. The Company is open to considering candidates in Princeton, NJ. The salary range posted below applies to the Company's Princeton location. The base salary anticipated for this position is $56,000. plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO). The salary estimate displayed represents the typical salary range for candidates hired in this position in Princeton, NJ. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range. We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits: Two options for your health insurance plan (PPO or High Deductible). Prescription drug coverage (included in your health insurance plan). Vision and dental insurance plans. Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary. Short and Long Term Disability coverage. Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children). Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity). In addition to the above insurance offerings, our employees also enjoy: A robust 401k plan with up to a 5% employer match A retirement savings plan that is 100% company funded. Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries. Eligibility to receive a yearly bonus as a Munich Re employee. A variety of health and wellness programs provided at no cost. Paid time off for eligible family care needs. Tuition assistance and educational achievement bonuses. A corporate matching gifts program that further enhances your charitable donation. Paid time off to volunteer in your community. At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. #LI-MB1 Apply Now Save job

Symetra has an exciting opportunity to join our team as a Long-Term Disability Claims Analyst! About the role In this role, you'll make timely, accurate, and customer-focused claim decisions. You'll collaborate with clinical, vocational, financial, and employer resources to gather and analyze data, compare it to policy terms, and determine claim outcomes. You may also support claim settlement efforts and/or ongoing maintenance of claims, ensuring optimal outcomes and compliance with regulatory standards. What you will do Evaluate new and ongoing LTD claims promptly and accurately. Analyze medical, vocational, and financial information to determine liability and eligibility. Apply contract language and procedural guidelines to claim decisions. Document claim decisions thoroughly in the system. Maintain accurate record keeping of communications with claimants, providers, employers, and internal partners. Build and maintain claim management plans for optimal outcomes. Identify and support settlement opportunities as applicable. Collaborate with internal resources (e.g., Actuaries, CPAs, Medical Clinicians) to support claim adjudication. Ensure compliance with ERISA, HIPAA, Fair Claim Settlement Practices Acts, and other statutory regulations. Deliver empathetic, customer-first service throughout all interactions. Support training and mentoring of team members as needed. Assist in identifying needs for evaluations such as FCEs, IMEs, and peer consultations. Foster a collaborative and professional team environment. Why Work at Symetra Here's what some of our employees have to say about why they work at Symetra: "What I was searching for was a company that genuinely valued my voice-and I found that at Symetra. I truly enjoy working one-on-one with our customers, especially when they're going through life's toughest moments. Being able to offer support and hear their relief and gratitude when we help-it's deeply meaningful. That's what makes me proud to be part of the Symetra team." - Lilly H., Claims Team Lead "I chose Symetra because I heard it was a pro-employee company-and it's absolutely true. The work environment is supportive, the people are great, and the benefits are generous. Symetra truly cares about its employees. The relaxed atmosphere and opportunities to learn and grow-both within your role and beyond-make it a great place to build your career." - Alicia L., Claims Examiner What we offer you Benefits and Perks We don't take a "one-size-fits-all" approach when it comes to our employees. Our programs are designed to make your life better both at work and at home. Flexible full-time or hybrid telecommuting arrangements Plan for your future with our 401(k) plan and take advantage of immediate vesting and company matching up to 6% Paid time away including vacation and sick time, flex days and ten paid holidays Give back to your community and double your impact through our company matching Want more details? Check out our Symetra Benefits Overview Compensation Salary Range: $53,000 - $88,400 plus eligibility for annual bonus program Who You Are High School Diploma required; college degree preferred. 2+ years of LTD claims experience required. Experience with settlement claims highly preferred. Solid understanding of disability claim processes, medical terminology, and legal/regulatory frameworks. Proven analytical, negotiation, and conflict management skills. Strong written and verbal communication skills. Ability to work independently and as part of a team. Proficiency in the Microsoft Office Suite. Experience with Fineos a plus. Pursuing a NY Independent Adjuster license or industry designations (e.g., FLMI, CPDM) is a plus. Please review Symetra's Remote Network Minimum Requirements: As a remote-first organization committed to providing a positive experience for both employees and customers, Symetra has the following standards for employees' internet connection: Minimum Internet Speed:100 Mbps download and 20 Mbps upload, in alignment with the FCC's definition of "broadband." Internet Type:Fiber, Cable (e.g., Comcast, Spectrum), or DSL. Not Permissible:Satellite (e.g., Starlink), cellular broadband (hotspot or otherwise), any other wireless technology, or wired dial-up. When applying to jobs at Symetra you'll be asked to test your internet speed and confirm that your internet connection meets or exceeds Symetra's standard as outlinedabove. Identity Verification Symetra is committed to fair and secure hiring practices. For all roles, candidates will be required (after the initial phone screen) to be on video for all interviews. Symetra will take affirmative steps at key points in the process to verify that a candidate is not seeking employment fraudulently, e.g. through use of a false identity. Failure to comply with verification procedures may result in: Disqualification from the recruitment process Withdrawal of a job offer Termination of employment and other criminal and/or civil remedies, if fraud is discovered We empower inclusion At Symetra, we aspire to be the most inclusive insurance company in the country. We're building a place where every employee feels valued, respected, and has opportunities to contribute. Inclusion is about recognizing our assumptions, considering multiple perspective, and removing barriers. We accept and celebrate diverse experiences, identities, and perspectives, because lifting each other up fuels thought and builds a stronger, more innovative company. We invite you to learn more about our efforts here. Creating a world where more people have access to financial freedom Symetra is a national financial services company dedicated to helping people achieve their financial goals and feel confident about the future. In our daily work, we're guided by the principles of Value, Transparency and Sustainability. This means we provide products and services people need at a competitive price, we communicate clearly and openly so people understand what they're buying, and we design products-and operate our company-to stand the test of time. We're committed to showing up for our communities, lifting up our employees, and standing up for diversity, equity and inclusion (DEI). Join our team and help us create a world where more people have access to financial freedom. For more information about our careers visit: careers Work Authorization Employer work visa sponsorship and support are not provided for this role. Applicants must be currently authorized to work in the United States at hire and must maintain authorization to work in the United States throughout their employment with our company. #LI-NW1 #LI-Remote

As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: Promptly investigates all assigned claims with minimal supervision, including those of a more complex nature Determines coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alerts Supervisor and Special Investigations Unit to potentially suspect claims Ensures timely denial or payment of benefits in accordance with jurisdictional requirements Within granted authority, establishes appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure Negotiates claims settlements within granted authority Establishes and implements appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition Works collaboratively with PMA nurse professionals to develop and execute return to work strategies Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome Maintains a working knowledge of New York jurisdictional requirements and applicable case law for each state serviced Demonstrates technical proficiency through timely, consistent execution of best claim practices Communicates effectively, verbally and in writing with internal and external parties on a wide variety of claims and account issues Provides a high degree of customer service to clients, including face to face interactions during claims reviews, stewardship meetings and similar account-specific sessions Authorizes treatment based on the practiced protocols established by statute or the PMA Managed Care department Assists PMA clients by suggesting panel provider information in accordance with applicable state statutes. Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. #LI-Remote Requirements: Requirements: Must possess CA License and experience Bachelor's degree and/or four or more years of equivalent work experience required in an insurance related industry required SIP certification preferred, ability to obtain required Associate in Claims (AIC) Designation or similar professional designation desired License required or ability to obtain license within 90 days of employment in mandated states Familiarity with medical terminology and/or Workers' Compensation Working knowledge of Workers Compensation regulations, preferably jurisdiction-specific Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details Compensation: PMA is providing applicants with the anticipated wage range for this position in compliance with state regulations. The wage range for this role is $71,300 to $82,600. Wage ranges are based on national market data and may cover a wide range of geographies. Applicants may be paid above, within or below this range based on a variety of factors.

Symetra has an exciting opportunity to join our team as a Claims Examiner! About the role Responsible for timely adjudication of group life and AD&D claims, verifying eligibility and making the initial claim decision based on the policy. Responsible for making accurate payments to the correct beneficiaries. Strong desire to provide world class service to both internal and external customers. What you'll do in this role Reviews, investigates and determines eligibility pursuant to policy provisions while meeting regulatory, statutory, department and company requirements. Requires ability to appropriately interpret and apply contract provisions. Reaches out to the policyholder and beneficiaries regarding outstanding requirements. Consults with manager regarding potential referrals to Legal Department and medical resources when needed. Maintains claim records and documents claims in a manner defensible in court. Communicates claim status and decisions to policyholders, insureds, beneficiaries and other interested parties in accordance with internal guidelines, regulatory and statutory requirements. Demonstrate proficient use of the claim system and associated systems. Maintains performance at or above departmental metrics. Determines correct payee and accurately issues payments with next level approvals. Educates and coaches the policyholder, brokers/agents and internal Symetra partners on proper policy administration when needed. Identify issues and take ownership of problems. Find solutions and see them through to resolution. Has flexibility, collaboration and support for a positive work environment both within the team and across all departments Be an active agent for change and identify opportunities within our processes and procedures to improve What we offer you "Just do it! Even if you feel like you may not be 100% qualified, apply. Sometimes we see potential in others that they cannot see in themselves. You may be overqualified, or you may be the "something special" we are looking for to bring a unique, fresh approach to our company." - Ruby S., Associate EDX Analyst If you want to work for a company that is always considering its employees while working towards sustainable growth this is that company. Within Symetra, there is always innovation, empowerment, and growth opportunities, all while providing us with a great work/life balance and incredible benefits for a very reasonable cost!" - Cindy J. G., Sr. Product Owner "Symetra is truly a great place to work. The positive work climate, strong sense of team, and the resources available make it feel like one cohesive family. What stands out most to me is the company's deep commitment to diversity, equity, and inclusion-it's not just a statement, it's an active and ongoing priority that's felt throughout the organization." -Charlotte G., Sr. Underwriter - Consultant Stop Loss Benefits and Perks We don't take a "one-size-fits-all" approach when it comes to our employees. Our programs are designed to make your life better both at work and at home. Flexible full-time or hybrid telecommuting arrangements Plan for your future with our 401(k) plan and take advantage of immediate vesting and company matching up to 6% Paid time away including vacation and sick time, flex days and ten paid holidays Give back to your community and double your impact through our company matching Want more details? Check out our Symetra Benefits Overview Compensation Hourly Salary Range: $24.62- $41.04 plus eligibility for annual bonus program Who you are: You are a recognized expert within the organization, both within the business unit/division and beyond own function. Applies an expert level and diversified knowledge of a field of specialization. We empower inclusion At Symetra, we aspire to be the most inclusive insurance company in the country. We're building a place where every employee feels valued, respected, and has opportunities to contribute. Inclusion is about recognizing our assumptions, considering multiple perspective, and removing barriers. We accept and celebrate diverse experiences, identities, and perspectives, because lifting each other up fuels thought and builds a stronger, more innovative company. We invite you to learn more about our efforts here. Creating a world where more people have access to financial freedom Symetra is a national financial services company dedicated to helping people achieve their financial goals and feel confident about the future. In our daily work, we're guided by the principles of Value, Transparency and Sustainability. This means we provide products and services people need at a competitive price, we communicate clearly and openly so people understand what they're buying, and we design products--and operate our company--to stand the test of time. We're committed to showing up for our communities, lifting up our employees, and standing up for diversity, equity and inclusion (DEI). Join our team and help us create a world where more people have access to financial freedom. For more information about our careers visit: careers Work Authorization Employer work visa sponsorship and support are not provided for this role. Applicants must be currently authorized to work in the United States at hire and must maintain authorization to work in the United States throughout their employment with our company. Please review Symetra's Remote Network Minimum Requirements: As a remote-first organization committed to providing a positive experience for both employees and customers, Symetra has the following standards for employees' internet connection: Minimum Internet Speed:100 Mbps download and 20 Mbps upload, in alignment with the FCC's definition of "broadband." Internet Type:Fiber, Cable (e.g., Comcast, Spectrum), or DSL. Not Permissible:Satellite (e.g., Starlink), cellular broadband (hotspot or otherwise), any other wireless technology, or wired dial-up. When applying to jobs at Symetra you'll be asked to test your internet speed and confirm that your internet connection meets or exceeds Symetra's standard as outlined above. Identity Verification Symetra is committed to fair and secure hiring practices. For all roles, candidates will be required (after the initial phone screen) to be on video for all interviews. Symetra will take affirmative steps at key points in the process to verify that a candidate is not seeking employment fraudulently, e.g. through use of a false identity. Failure to comply with verification procedures may result in: Disqualification from the recruitment process Withdrawal of a job offer Termination of employment and other criminal and/or civil remedies, if fraud is discovered #LI-OR1 #LI-Remote

The Auto Property Damage Claims Representative is responsible for managing Auto Property Damage claims within our “Auto PD Claim Unit.” This role demands a high level of customer service, patience, and professionalism while working in a fast-paced environment with significant phone interaction. Strong customer service, organizational, verbal, and written communication skills are essential. The ability to navigate adversarial situations with professionalism is critical. Comparative negligence claim handling experience is a plus but not required. RESPONSIBILITIES Policy Analysis: Investigate and interpret policy provisions, endorsements, and conditions to determine coverage for automobile property claims. Identify and investigate contested coverage claims that may require a roundtable discussion. Claim Investigation: Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties. Secure and analyze pertinent records, documentation, and loss scene information to determine proximate cause, negligence, and damages. Claims Management: Evaluate and adjust reserves as necessary. Prepare dispatch instructions for field personnel to inspect vehicles. Negotiate and settle claims within individual authority limits and seek supervisor approval for claims exceeding authority or requiring additional guidance. Maintain effective follow-up systems on pending files, advising insureds, claimants, and brokers on claim status. Act as an intermediary between the company, preferred vendors, and customers to resolve disputes. Ensure adherence to privacy guidelines, laws, and regulations in claims handling. Subrogation and Legal Handling: Investigate and initiate subrogation processes when applicable. Handle and respond to special civil part lawsuits or intercompany arbitrations related to auto property damage claims. Administrative Duties: Manage a customer-focused phone environment by answering calls, returning voicemails, and responding to emails and text correspondence promptly. Process incoming and outgoing mail timely and in accordance with state guidelines. Complete other duties as assigned. QUALIFICATIONS Bachelor's degree required. A minimum of 1 year of related PD claim experience is welcomed but not required. Proficiency in personal computer skills, including Microsoft Office Suite. Ability to prioritize and manage multiple tasks effectively. Excellent communication, organizational, and customer service skills. SALARY RANGE The pay range for this position is $47,000 to $55,000 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, 8 paid national holidays per year, and 2 floating holidays 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”.

All locations Chicago, United States; Atlanta, United States; Philadelphia, United States; Princeton, United States; We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients. The Company Welcome to Munich Re Specialty - North America, a leading specialty insurance provider dedicated to delivering exceptional underwriting, claims, and risk management expertise to our partners and customers. As a trusted industry expert, we offer a broad range of comprehensive and customized solutions, including casualty, professional lines, property, surety, and public entity coverages. With the financial strength and global resources of our A+ Superior (A.M. Best) rated organization, we provide unmatched stability and reliability. Our team is committed to superior service levels, a distinctive approach to specialty solutions, and a deep understanding of the complex risks our clients face. Join our team and be part of a dynamic and experienced organization that is shaping the future of specialty insurance in North America. The Opportunity Future focused and always one step ahead! The Claims Specialist is a critical role in our growing Public Entity team and will be responsible to direct all aspects of file handling on internal and third-party administered claims in the Public Entity line of business. The Claims Specialist will manage the claim investigation, analyze and determine coverage, evaluate the overall claim, and pursue risk transfer as warranted in a variety of public entity claims. The Claims Specialist will also direct the litigation process, strategically partner with counsel and vendors, and participate in mediations to drive optimal claim outcomes. Responsibilities Thorough investigation in claims for coverage, trigger (liability, wrongful act, breach), damages, and subrogation/contribution opportunities. In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims. Proactive management of claims, considering all aspects with a strategic vision for optimal claim outcome. Continual evaluation claim to set appropriate, timely reserves over the life of the claim to reflect changes in exposure. Strong technical claims proficiency through consistent execution of best claim practices. Strategically coordinate and manage outside counsel and vendors to obtain optimal claim outcome. Present high exposure claims to Claims Leadership and Key Stakeholders. Collaboration with internal and external business partners for client meetings, product development and improvement, and account audits. Innovative mindset - looks for ways to improve claim efficiencies and outcomes. Proactive management of claims with a strategic, total cost of claim mindset. Highly technical, analytical and critical thinking ability to properly determine coverage and liability. Qualifications Successful candidates will possess the following experience/skills/qualifications: 8+ years' experience of handling claims Experience in Public Entity or relevant lines of business. In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims. Strong technical claims proficiency through consistent execution of best claim practices. Highly collaborative and proactive with strong interpersonal skills Innovative mindset - looks for ways to improve property claim efficiencies and outcomes. Excellent verbal and writing skills for internal and external communication, presentations and reporting. Superior analytical thinking and negotiation skills. Ability to travel for mediations, settlement conferences, and client or account meetings. (25%) The Company is open to considering candidates in numerous locations, including Philadelphia (PA), Princeton (NJ), Chicago (IL), Atlanta (GA), and Hartford (CT). The salary range posted below reflects market variations across various locations. The offer will be adjusted per geography. The base salary range anticipated for this position is $99,700-$152,800, plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO). The salary estimate is adjusted to reflect the varying market conditions across different locations, with the with the higher end being more aligned with the Princeton, NJ job market. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range. We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits: Two options for your health insurance plan (PPO or High Deductible). Prescription drug coverage (included in your health insurance plan). Vision and dental insurance plans. Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary. Short and Long Term Disability coverage. Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children). Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity). In addition to the above insurance offerings, our employees also enjoy: A robust 401k plan with up to a 5% employer match A retirement savings plan that is 100% company funded. Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries. Eligibility to receive a yearly bonus as a Munich Re employee. A variety of health and wellness programs provided at no cost. Paid time off for eligible family care needs. Tuition assistance and educational achievement bonuses. A corporate matching gifts program that further enhances your charitable donation. Paid time off to volunteer in your community. At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. #LI-MB-1 Apply Now Save job

In this role, you will manage, investigate, and resolve assigned Property Contents Claims that present high exposure or more complex under limited supervision. You will inspect, compile and value inventory of damaged/lost contents associated with property claims and provide policyholders with exceptional customer service. You may assist Claims Representatives with in-person inspection/policyholder contact where necessary, and act as technical resource for other Contents Specialists. Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory. Employees may apply for a new role after completing 12 months of employment in their current position. This is a field position and the ideal candidate must reside within the territories mentioned. Responsibilities: Handles a majority of large loss claims assigned under little supervision. Investigates, determines coverage of loss, and adjusts all elements of Property Loss claims of high severity. Performs full on-site inventory inspection and scope of damages and able to communicate such to both policyholders and vendors. Provides quality customer service. Provides insured with policy information to include coverage, limitations, and able to explain settlement effectively. Oversees coordination of contents vendors, some which are third-party -including contractors, emergency repair teams, and cleaning services, negotiates service scopes and estimates, monitors performance, and ensure compliance with contract terms and safety standards. May be asked to perform field assist on files handled by other property departments with in-person inspection and/or policyholder contact when needed. Takes initiative to stay current on personal‑property standards, market trends, and products through continuing education, seminars, and industry publications. Qualifications Strong written and oral communications skills required. Good interpersonal, analytical and negotiation skills required Effective negotiation skills. Customer service experience preferred Knowledge of coverages provided within various homeowner policies. Ability to effectively and independently manage workload while exhibiting good judgment. Experience in interior design, electronics, appliances, antique-collectibles, clothing and furniture retail preferred. The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience Ability to obtain proper licensing as required. Completion of advanced property training. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally.At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow.We are dedicated to fostering an inclusive environment where employees from all backgrounds can build long and meaningful careers. By actively seeking employee feedback and amplifying the voices of our seven Employee Resource Groups (ERGs), which are open to all, we create an environment where every individual can make a meaningful impact so we continue to meet the evolving needs of our customers.We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ****************************** Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco #J-18808-Ljbffr

Experienced claims professionals expand your growth supporting The General business line! NSA claim investigations, liability decisions, and settlement negotiations. This role will be filled following our hybrid work model at our Goldsboro, NC; Tampa, FL; El Paso, TX; Nashville, TN; Davenport, IA; Madison, WI; or Stevens Point, WI offices. This role is NOT available for remote work. Area of support: CST What You'll Do As an Associate Claims Representative-Liability, you will have the opportunity to grow on your already established claims foundation by conducting the following duties: Support customers with empathy and understanding, assisting them through difficult situations and effectively communicating the claims process, the ongoing claim status, and decisions, including the reasoning behind them. Verify coverage and reasonable payments by thoroughly reviewing the policy, reviewing accident details, and other pertinent information related to the claim. Investigative claims by taking and reviewing recorded statements from involved parties and witnesses, reviewing policy reports and other pertinent evidence Apply knowledge to evaluate claims exposure appropriately, establishing timely reserves. Comply with industry regulations, legal requirements, and internal company policies through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim. What it Takes Bachelor's degree or equivalent work experience Ability to obtain and maintain state specific property and casualty claims licensing as required Previous experience working with Auto Liability Claims strongly preferred Solid knowledge and understanding of each phase of the claim handling process, or other equivalent knowledge. Solid knowledge and understanding of policies and endorsements related to casualty coverages, or other equivalent knowledge. Demonstrated experience handling moderately complex claims, or other equivalent experience. Demonstrated experience handling 1st and 3rd party, multi-line claims across our operating territories, or other equivalent experience. Demonstrated experience providing customer-driven solutions, support, or service. What You'll Receive At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you'll receive. Sentry is happy to offer flexibility through a scheduled Hybrid work model. Monday and Friday work from home if you choose to, Tuesday through Thursday you'll work in office. As a Sentry associate, you will have an in-office workspace and materials for your home office. In addition to the laptop, you will receive prior to your start, Sentry will provide equipment for your home office. 401(K) plan with a dollar-for-dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future. Continue your education and career development through Sentry University (SentryU) and utilize our Tuition Reimbursement program. Generous Paid-Time Off plan for you to enjoy time out of the office as well as Volunteer-Time off. Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness benefits to encourage a healthy lifestyle. Well-being and Employee Assistance programs. Sentry Foundation gift matching program to encourage charitable giving. About Sentry We take great pride in making Forbes' list of America's Best Midsize Employers. A lot of different factors go into that honor, many of which contribute to your job satisfaction. Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we're one of the largest and financially strongest mutual insurance companies in the United States. We're rated A+ by A.M. Best, the industry's leading rating authority. Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth. Get ready to own your future at Sentry. Opportunities await! Talent Acquisition Specialist Shea Supa Equal Employment Opportunity Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.

All locations Chicago, United States; Atlanta, United States; Philadelphia, United States; Princeton, United States; We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients. The Company Welcome to Munich Re Specialty - North America, a leading specialty insurance provider dedicated to delivering exceptional underwriting, claims, and risk management expertise to our partners and customers. As a trusted industry expert, we offer a broad range of comprehensive and customized solutions, including casualty, professional lines, property, surety, and public entity coverages. With the financial strength and global resources of our A+ Superior (A.M. Best) rated organization, we provide unmatched stability and reliability. Our team is committed to superior service levels, a distinctive approach to specialty solutions, and a deep understanding of the complex risks our clients face. Join our team and be part of a dynamic and experienced organization that is shaping the future of specialty insurance in North America. The Opportunity Future focused and always one step ahead! The Claims Specialist is a critical role in our growing Public Entity team and will be responsible to direct all aspects of file handling on internal and third-party administered claims in the Public Entity line of business. The Claims Specialist will manage the claim investigation, analyze and determine coverage, evaluate the overall claim, and pursue risk transfer as warranted in a variety of public entity claims. The Claims Specialist will also direct the litigation process, strategically partner with counsel and vendors, and participate in mediations to drive optimal claim outcomes. Responsibilities Thorough investigation in claims for coverage, trigger (liability, wrongful act, breach), damages, and subrogation/contribution opportunities. In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims. Proactive management of claims, considering all aspects with a strategic vision for optimal claim outcome. Continual evaluation claim to set appropriate, timely reserves over the life of the claim to reflect changes in exposure. Strong technical claims proficiency through consistent execution of best claim practices. Strategically coordinate and manage outside counsel and vendors to obtain optimal claim outcome. Present high exposure claims to Claims Leadership and Key Stakeholders. Collaboration with internal and external business partners for client meetings, product development and improvement, and account audits. Innovative mindset - looks for ways to improve claim efficiencies and outcomes. Proactive management of claims with a strategic, total cost of claim mindset. Highly technical, analytical and critical thinking ability to properly determine coverage and liability. Qualifications Successful candidates will possess the following experience/skills/qualifications: 8+ years' experience of handling claims Experience in Public Entity or relevant lines of business. In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims. Strong technical claims proficiency through consistent execution of best claim practices. Highly collaborative and proactive with strong interpersonal skills Innovative mindset - looks for ways to improve property claim efficiencies and outcomes. Excellent verbal and writing skills for internal and external communication, presentations and reporting. Superior analytical thinking and negotiation skills. Ability to travel for mediations, settlement conferences, and client or account meetings. (25%) The Company is open to considering candidates in numerous locations, including Philadelphia (PA), Princeton (NJ), Chicago (IL), Atlanta (GA), and Hartford (CT). The salary range posted below reflects market variations across various locations. The offer will be adjusted per geography. The base salary range anticipated for this position is $99,700-$152,800, plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO). The salary estimate is adjusted to reflect the varying market conditions across different locations, with the with the higher end being more aligned with the Princeton, NJ job market. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range. We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits: Two options for your health insurance plan (PPO or High Deductible). Prescription drug coverage (included in your health insurance plan). Vision and dental insurance plans. Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary. Short and Long Term Disability coverage. Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children). Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity). In addition to the above insurance offerings, our employees also enjoy: A robust 401k plan with up to a 5% employer match A retirement savings plan that is 100% company funded. Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries. Eligibility to receive a yearly bonus as a Munich Re employee. A variety of health and wellness programs provided at no cost. Paid time off for eligible family care needs. Tuition assistance and educational achievement bonuses. A corporate matching gifts program that further enhances your charitable donation. Paid time off to volunteer in your community. At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. #LI-MB-1 Apply Now Save job

All locations Chicago, United States; Atlanta, United States; Philadelphia, United States; Princeton, United States; We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients. The Company Welcome to Munich Re Specialty - North America, a leading specialty insurance provider dedicated to delivering exceptional underwriting, claims, and risk management expertise to our partners and customers. As a trusted industry expert, we offer a broad range of comprehensive and customized solutions, including casualty, professional lines, property, surety, and public entity coverages. With the financial strength and global resources of our A+ Superior (A.M. Best) rated organization, we provide unmatched stability and reliability. Our team is committed to superior service levels, a distinctive approach to specialty solutions, and a deep understanding of the complex risks our clients face. Join our team and be part of a dynamic and experienced organization that is shaping the future of specialty insurance in North America. The Opportunity Future focused and always one step ahead! The Claims Specialist is a critical role in our growing Public Entity team and will be responsible to direct all aspects of file handling on internal and third-party administered claims in the Public Entity line of business. The Claims Specialist will manage the claim investigation, analyze and determine coverage, evaluate the overall claim, and pursue risk transfer as warranted in a variety of public entity claims. The Claims Specialist will also direct the litigation process, strategically partner with counsel and vendors, and participate in mediations to drive optimal claim outcomes. Responsibilities Thorough investigation in claims for coverage, trigger (liability, wrongful act, breach), damages, and subrogation/contribution opportunities. In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims. Proactive management of claims, considering all aspects with a strategic vision for optimal claim outcome. Continual evaluation claim to set appropriate, timely reserves over the life of the claim to reflect changes in exposure. Strong technical claims proficiency through consistent execution of best claim practices. Strategically coordinate and manage outside counsel and vendors to obtain optimal claim outcome. Present high exposure claims to Claims Leadership and Key Stakeholders. Collaboration with internal and external business partners for client meetings, product development and improvement, and account audits. Innovative mindset - looks for ways to improve claim efficiencies and outcomes. Proactive management of claims with a strategic, total cost of claim mindset. Highly technical, analytical and critical thinking ability to properly determine coverage and liability. Qualifications Successful candidates will possess the following experience/skills/qualifications: 8+ years' experience of handling claims Experience in Public Entity or relevant lines of business. In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims. Strong technical claims proficiency through consistent execution of best claim practices. Highly collaborative and proactive with strong interpersonal skills Innovative mindset - looks for ways to improve property claim efficiencies and outcomes. Excellent verbal and writing skills for internal and external communication, presentations and reporting. Superior analytical thinking and negotiation skills. Ability to travel for mediations, settlement conferences, and client or account meetings. (25%) The Company is open to considering candidates in numerous locations, including Philadelphia (PA), Princeton (NJ), Chicago (IL), Atlanta (GA), and Hartford (CT). The salary range posted below reflects market variations across various locations. The offer will be adjusted per geography. The base salary range anticipated for this position is $99,700-$152,800, plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO). The salary estimate is adjusted to reflect the varying market conditions across different locations, with the with the higher end being more aligned with the Princeton, NJ job market. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range. We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits: Two options for your health insurance plan (PPO or High Deductible). Prescription drug coverage (included in your health insurance plan). Vision and dental insurance plans. Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary. Short and Long Term Disability coverage. Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children). Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity). In addition to the above insurance offerings, our employees also enjoy: A robust 401k plan with up to a 5% employer match A retirement savings plan that is 100% company funded. Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries. Eligibility to receive a yearly bonus as a Munich Re employee. A variety of health and wellness programs provided at no cost. Paid time off for eligible family care needs. Tuition assistance and educational achievement bonuses. A corporate matching gifts program that further enhances your charitable donation. Paid time off to volunteer in your community. At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. #LI-MB-1 Apply Now Save job

All locations Chicago, United States; Atlanta, United States; Philadelphia, United States; Princeton, United States; We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients. The Company Welcome to Munich Re Specialty - North America, a leading specialty insurance provider dedicated to delivering exceptional underwriting, claims, and risk management expertise to our partners and customers. As a trusted industry expert, we offer a broad range of comprehensive and customized solutions, including casualty, professional lines, property, surety, and public entity coverages. With the financial strength and global resources of our A+ Superior (A.M. Best) rated organization, we provide unmatched stability and reliability. Our team is committed to superior service levels, a distinctive approach to specialty solutions, and a deep understanding of the complex risks our clients face. Join our team and be part of a dynamic and experienced organization that is shaping the future of specialty insurance in North America. The Opportunity Future focused and always one step ahead! The Claims Specialist is a critical role in our growing Public Entity team and will be responsible to direct all aspects of file handling on internal and third-party administered claims in the Public Entity line of business. The Claims Specialist will manage the claim investigation, analyze and determine coverage, evaluate the overall claim, and pursue risk transfer as warranted in a variety of public entity claims. The Claims Specialist will also direct the litigation process, strategically partner with counsel and vendors, and participate in mediations to drive optimal claim outcomes. Responsibilities Thorough investigation in claims for coverage, trigger (liability, wrongful act, breach), damages, and subrogation/contribution opportunities. In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims. Proactive management of claims, considering all aspects with a strategic vision for optimal claim outcome. Continual evaluation claim to set appropriate, timely reserves over the life of the claim to reflect changes in exposure. Strong technical claims proficiency through consistent execution of best claim practices. Strategically coordinate and manage outside counsel and vendors to obtain optimal claim outcome. Present high exposure claims to Claims Leadership and Key Stakeholders. Collaboration with internal and external business partners for client meetings, product development and improvement, and account audits. Innovative mindset - looks for ways to improve claim efficiencies and outcomes. Proactive management of claims with a strategic, total cost of claim mindset. Highly technical, analytical and critical thinking ability to properly determine coverage and liability. Qualifications Successful candidates will possess the following experience/skills/qualifications: 8+ years' experience of handling claims Experience in Public Entity or relevant lines of business. In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims. Strong technical claims proficiency through consistent execution of best claim practices. Highly collaborative and proactive with strong interpersonal skills Innovative mindset - looks for ways to improve property claim efficiencies and outcomes. Excellent verbal and writing skills for internal and external communication, presentations and reporting. Superior analytical thinking and negotiation skills. Ability to travel for mediations, settlement conferences, and client or account meetings. (25%) The Company is open to considering candidates in numerous locations, including Philadelphia (PA), Princeton (NJ), Chicago (IL), Atlanta (GA), and Hartford (CT). The salary range posted below reflects market variations across various locations. The offer will be adjusted per geography. The base salary range anticipated for this position is $99,700-$152,800, plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO). The salary estimate is adjusted to reflect the varying market conditions across different locations, with the with the higher end being more aligned with the Princeton, NJ job market. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range. We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits: Two options for your health insurance plan (PPO or High Deductible). Prescription drug coverage (included in your health insurance plan). Vision and dental insurance plans. Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary. Short and Long Term Disability coverage. Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children). Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity). In addition to the above insurance offerings, our employees also enjoy: A robust 401k plan with up to a 5% employer match A retirement savings plan that is 100% company funded. Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries. Eligibility to receive a yearly bonus as a Munich Re employee. A variety of health and wellness programs provided at no cost. Paid time off for eligible family care needs. Tuition assistance and educational achievement bonuses. A corporate matching gifts program that further enhances your charitable donation. Paid time off to volunteer in your community. At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. #LI-MB-1 Apply Now Save job

Symetra has an exciting opportunity to join our team as a Stop Loss Examiner! About the role The Claims Examiner is considered an entry level claims position within the stop loss department. Their expertise is considered foundational in the review, research, and resolution of specific stop loss claim situations. Duties include: the review and processing of claims; to include identifying and referring cases for cost-containment intervention and subrogation investigation, basic understanding of plan document review and policy provisions such as "experimental/investigational," "medically necessary", etc. This position has a fundamental understanding of the stop-loss claims adjudication process. Dollar authority from $0 - $75,000. What you'll do in this role Manage block of business, aligned with assigned RGM. Audit and make reimbursement determinations of Stop Loss claims in accordance with the provisions of the Policyholder's Plan Document and Stop Loss Policy. Adjudicate claim reimbursements within stated turnaround time goals. Provide ad-hoc and year-end review of Policyholder reimbursements. Maintain> 99% quality on claim procedures and financial accuracy which includes rudimentary documentation of pertinent claimants, plan, and policy information. Support or back-up of peers, as needed. Production standards are within 4% - 6% of claim volume. Maintain current pending claim files with consistent follow-up, documentation, and resolution or closure within defined timeframes. Interacts with administrator contacts and other internal/external resources to clearly communicate information needed to make reimbursement decision. Provide prompt turnaround when requested information is received for reimbursement or denial. Refine and increase knowledge of stop loss partners (other supporting departments), cost containment, best business practices, and providing and obtaining education in industry claim treads and cost containment solutions. Claims examiners may be more reactive and transactional with internal and external communications or requests. Special projects as identified by management. What we offer you "Just do it! Even if you feel like you may not be 100% qualified, apply. Sometimes we see potential in others that they cannot see in themselves. You may be overqualified, or you may be the "something special" we are looking for to bring a unique, fresh approach to our company." - Ruby S., Associate EDX Analyst If you want to work for a company that is always considering its employees while working towards sustainable growth this is that company. Within Symetra, there is always innovation, empowerment, and growth opportunities, all while providing us with a great work/life balance and incredible benefits for a very reasonable cost!" - Cindy J. G., Sr. Product Owner "Symetra is truly a great place to work. The positive work climate, strong sense of team, and the resources available make it feel like one cohesive family. What stands out most to me is the company's deep commitment to diversity, equity, and inclusion-it's not just a statement, it's an active and ongoing priority that's felt throughout the organization." -Charlotte G., Sr. Underwriter - Consultant Stop Loss Benefits and Perks We don't take a "one-size-fits-all" approach when it comes to our employees. Our programs are designed to make your life better both at work and at home. Flexible full-time or hybrid telecommuting arrangements Plan for your future with our 401(k) plan and take advantage of immediate vesting and company matching up to 6% Paid time away including vacation and sick time, flex days and ten paid holidays Give back to your community and double your impact through our company matching Want more details? Check out our Symetra Benefits Overview Compensation Hourly Salary Range: $23.92- $ 39.85 plus eligibility for annual bonus program Who you are Strong analytical and contract interpretation skills. Strong communication skills (oral and written). Objective decision-making skill. Ability to work with deadlines. Function effectively in a changing environment. Proficient in PC use. High School diploma or equivalent experience required Please review Symetra's Remote Network Minimum Requirements: As a remote-first organization committed to providing a positive experience for both employees and customers, Symetra has the following standards for employees' internet connection: Minimum Internet Speed: 100 Mbps download and 20 Mbps upload, in alignment with the FCC's definition of "broadband." Internet Type: Fiber, Cable (e.g., Comcast, Spectrum), or DSL. Not Permissible: Satellite (e.g., Starlink), cellular broadband (hotspot or otherwise), any other wireless technology, or wired dial-up. When applying to jobs at Symetra you'll be asked to test your internet speed and confirm that your internet connection meets or exceeds Symetra's standard as outlined above. Identity Verification Symetra is committed to fair and secure hiring practices. For all roles, candidates will be required (after the initial phone screen) to be on video for all interviews. Symetra will take affirmative steps at key points in the process to verify that a candidate is not seeking employment fraudulently, e.g. through use of a false identity. Failure to comply with verification procedures may result in: Disqualification from the recruitment process Withdrawal of a job offer Termination of employment and other criminal and/or civil remedies, if fraud is discovered We empower inclusion. AtSymetra,we aspire to be the most inclusive insurance company in the countrywe're building a place where every employee feels valued, respected, and has opportunities to contribute. Inclusion is about recognizing our assumptions, considering multiple perspectives, and removing barriers. We accept and celebrate diverse experiences, identities, and perspectives, because lifting each other up fuels thought and builds a stronger, more innovative company. We invite you to learn more about our effortshere. Creating a world where more people have access to financialfreedom. Symetra is a national financial services company dedicated to helping people achieve their financial goals and feel confident about the future. In our daily work, we're guided by the principles of Value, Transparency and Sustainability. This means we provide products and services people need at a competitive price, we communicate clearly and openly so people understand what they're buying, and we design products-and operate our company-to stand the test of time. We're committed to showing up for our communities, lifting up our employees, and standing up for diversity, equity and inclusion (DEI). Join our team and help us create a world where more people have access to financial freedom. For more information about our careers visit: careers Work Authorization Employer work visa sponsorship and support are not provided for this role. Applicants must be currently authorized to work in the United States at hire and must maintain authorization to work in the United States throughout their employment with our company. #LI-OR1 #LI-Remote

The Enrollment Analyst is responsible for all eligibility and enrollment functions related to membership enrollment and disenrollment including the processing of Electronic Data Interchange (EDI) files, analyzing error reports and trends ands and identifying solutions to ensure data accuracy and integrity. This position presents an integrated view of enrollment with all levels of Management and external partners while supporting the mission, vision, and value of the organization. Duties and Responsibilities: Responsibilities include, but are not limited to, the following: Processes enrollment data for membership with accuracy which may include researching membership eligibility through contract review and benefit criteria requirements. Analyzes data on Electronic Data Interchange (EDI) files by converting files through EDI power reader or Map Force into excel, and running macros to identify which members require updates and ensure eligibility reconciliation. Completes EDI reviews, identify discrepancies and research processing solutions. Generates Cognos reports and recommend updates for additional Cognos reporting through Business Analytics team to increase department efficiencies. Generates enrollment activity reports for both internal and external customers. Analyzes error reports and trends from 834 files against delegated entity membership. Provides FDR Eligibility oversight of delegated entities for EDI review through conversion of 834 files into readable format. Communicates with Executive Office of Health & Human Services (EOHHS); Department of Children, Youth & Family Services (DCYF); Health Source RI (HSR) and HP on a daily basis to resolve enrollment issues. Handles all functions related to Benefit Coordination, Outreach, Reporting and member disenrollment while identifying process improvement and workflow efficiencies. Additional responsibilities include: Perform quality audits for enrollment changes to maintain data integrity. This includes reporting births to EOHHA and COB Train new staff members and non-enrollment staff as required Performs other duties as assigned Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhoods Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agents Qualifications Qualifications Required: High School or GED Minimum of 3-5 years Health Plan/HMO experience. Previous position in Enrollment strongly preferred 1 year experience with EDI process and 834 benefit enrollment strongly preferred Excellent organizational, problem-solving and analytical skills Strong verbal and written communications skills for interaction with internal and external clients. Experience working independently, and as a team player while handling multiple responsibilities and meeting timelines Previous experience analyzing data and developing reports Proficiency in Microsoft Office Suite Preferred: Associates degree in Business or Health related area Experience working with EDI and/or 834 files Core Company-Wide Competencies: Communicate Effectively Respect Others & Value Diversity Analyze Issues & Solve Problems Drive for Customer Success Manage Performance, Productivity & Results Develop Flexibility & Achieve Change Job Specific Competencies: Collaborate & Foster Teamwork Influence & Negotiate Attend to Detail & Improve Quality Exercise Sound Judgement & Decision Making FDR Oversight: Business Lead Level: In the role of business lead for assigned FDR; incumbent is responsible to complete comprehensive oversight and monitoring of their vendor that incorporates the following elements: efficient and effective operations; compliance with laws, regulations, policies, procedures; and other company performance issues designed to reduce risk and add value to the company Salary Grade: D Neighborhood Health Plan of Rhode Island 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 veteran status.