Specialist jobs at Jimcor Agencies

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Substance Abuse Specialist
VNS Health 4.1
New York, NY jobs
Licensed Behavioral Health Clinicians provide supportive counseling, advocacy, education, and care management to help patients and their families navigate mental illness, access community resources, and manage symptoms to help them remain safely in the community This is a senior, master's level, licensed social services role that provides direct care as part of a team. Join us in building on our 130-year history and become a part of the Future of Care that is strengthening communities with high quality, integrated behavioral health programs. VNS Health Behavioral Health team members provide vital client-centered behavioral health care to New Yorkers most in need, across all stages of life and mental well-being. We deliver care wherever our clients are, including outpatient clinics, clients' homes, and the community. Our short- and long-term service models include acute, transitional, and intensive care management programs that impact the most vulnerable populations, from children, to adolescents, to aging adults. As part of our fast-growing Behavioral Health team, you'll have an opportunity to develop and advance your skills, whether you're early in your career or an experienced professional. What We Provide Attractive sign-on bonus and referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, CEU credits, and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do Utilizes approved assessments to identify clients/members needs and family needs; develops initial and ongoing clinical plan of care. Updates plan at specified intervals, and as needed based on changes in client/member condition or circumstances Performs and maintains effective care management for assigned caseload of clients/members. Leads the care coordination for complex psychiatric clinical cases. Tracks and monitors progress; maintains detailed, accurate and timely progress notes and other documentation Provides supportive counseling and/or supportive therapy as well as ongoing mental health services Collaborates and refers to appropriate agencies as required. Addresses any client/member concerns to ensure satisfaction with overall services provided and uses motivational interviewing techniques to foster behavioral changes Develops inventory of resources that meet the clients/members needs as identified in the assessment Provides linkage, coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case conferences with all providers serving the clients/members Provides information and assistance through advocacy and education to clients/members and family on availability and eligibility of entitlements and community services. Arranges transportation and accompanies clients/members to appointments as necessary Assists clients/members and/or families in the development of a sustainable network of community-based supports, utilizing identified strengths and tools designed to prevent future participant crises and/or reduce the negative impact if a crisis does occur Participates in initial and ongoing trainings as necessary to maintain and enhance clinical and professional skills Maintains updated case records in program EMR. Maintains case records in accordance with program policies/procedures, VNS Health standards and regulatory requirements Participates and consults with team supervisor in case conferences, staff meetings, utilization review and discharge planning meetings to determine if client/member requires an alternate level of care or is appropriate for discharge Participates in 24/7 on-call coverage schedule and performs on-call duties, as required Acts as liaison with other community agencies Provides short term counseling (coping skills, trauma informed, decision making) and Risk Health Assessment/Safety Planning Collects and reports data, as required while adhering to productivity standards Leads and participates in “Network Meetings” with client, client/ member's personal support network and other team members using the Open Dialogue Model Qualifications Master's Degree in Social Work, Psychology, Mental Health Counseling, Family Therapy or related degree Minimum of two years of mental health work experience providing direct services to clients/members with Serious Mental Illness (SMI), developmental disabilities, substance use disorders and/or chronic medical conditions required Effective oral/written/interpersonal communication skills required Bilingual skills may be required as determined by operational needs License and current registration to practice as a Mental Health Counselor, Marriage and Family Therapist , Social Worker, Clinical Social Worker or related license in New York State Valid NYS ID or NYS driver's license may be required as determined by operational needs. Pay Range USD $63,800.00 - USD $79,800.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
$63.8k-79.8k yearly 4d ago
Help Desk Specialist
The Phoenix Group 4.8
New York, NY jobs
This role is a fantastic opportunity to gain global exposure working for a top international law firm and to learn the unique approach that a truly global organization brings to Information Technology. Key Relationships The Service Desk is the first point of contact for both internal staff and external clients; it is essential for the Analyst to deliver a high level of service to both groups. Works closely with Support Team Managers to deliver an efficient and effective service. Collaborates with other IT Service Management teams to ensure seamless support, service, and security. Context The Analyst is primarily responsible for resolving customer issues raised via phone or email. This role involves being a reliable point of contact for users, escalating issues when necessary, and maintaining strong customer relationships. The IT function is crucial to the firm's daily success, and this role plays an essential part in that model. Role and Responsibilities Act as a single point of contact for users via phone, email, or self-service portal for IT issues and queries. Take responsibility for incident resolution, ensuring as many as possible are resolved at first line. Maintain effective working knowledge across all IT support areas to maximize first-call resolution. Log, assign, track, and respond to incidents and requests in line with agreed standards and procedures. Provide timely updates to customers and escalate appropriately when required. Ensure accurate records are maintained in the IT Service Management System. Deliver a “white glove” level of service to users. Escalate incidents and requests to management or second/third-line teams when necessary, ensuring users are updated throughout the process. Build and maintain strong customer relationships. Promote awareness and compliance with Information Security policies and complete required annual training. Team This position reports directly to the Service Desk Manager and works closely with other members of the regional and global IT teams. Key Requirements Minimum of 3 years' experience in a Service Desk role, including support calls and working with a ticketing system (law firm experience preferred but not required). Knowledge of iManage Work, Windows 10, and Apple iOS. Strong knowledge of Microsoft technologies (Office 365, Teams, OneDrive, etc.). Experience with Remote Support tools (SCCM, TeamViewer) and Active Directory. Ability to work well under pressure. Excellent communication skills. Flexible, customer-focused approach to service delivery. Strong team player, willing to share knowledge with others. Ability to work independently when needed.
$58k-87k yearly est. 2d ago
Help Desk Specialist
The Phoenix Group 4.8
Boston, MA jobs
Key Responsibilities Act as the initial point of contact for all technology-related requests submitted via phone, email, or the ticketing platform. While the role is primarily remote (about 90%), the Analyst must be able to travel into the office when coverage is required for local IT personnel. Troubleshoot and resolve issues involving computers, mobile devices, printers, conferencing tools, and network connectivity. Provide support for essential firm applications, including Microsoft 365, Teams, Zoom, Citrix, VPN solutions, and legal tools such as iManage and Intapp. Offer high-touch, concierge-level assistance to attorneys, partners, and leadership to minimize downtime and ensure smooth client service. Handle setup, configuration, and maintenance of hardware for new employees, internal moves, and visiting legal staff; assist with conference room and AV equipment as needed. Record tickets, resolutions, and actions taken, and contribute to internal documentation by updating the Knowledge Base. Track and manage computers, peripherals, and loaner devices to support daily operations. Work closely with other IT team members to escalate advanced issues while remaining engaged until the matter is fully resolved. Participate in after-hours or on-call rotations to meet urgent business or client needs. Core Competencies Strong analytical and troubleshooting abilities, especially in time-sensitive situations. Exceptional customer service skills and the ability to communicate clearly and confidently. Works well independently and as part of a team while maintaining a high level of discretion. Anticipates user needs and delivers service with urgency and professionalism. Quickly learns new technologies and adapts to evolving tools and workflows. Explains technical problems in a straightforward, user-friendly manner. Demonstrates sound judgement when handling confidential or sensitive information. Collaborates effectively with IT peers and other departments. Preferred Background Three to five years of technical support experience within a law firm or similar professional environment. Solid understanding of Windows 10/11, Microsoft 365, Teams, Citrix, and VPN platforms. Knowledge of legal applications such as iManage and Intapp. Willingness to work extended hours or weekends when necessary. The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.
$52k-75k yearly est. 4d ago
Technical Support Analyst
The Cigna Group 4.6
Bloomfield, CT jobs
Contributes to the IT Support job family in a support capacity. Provides guidance, assistance, coordination and follow up on client questions, problems or malfunctions of all systems applications, hardware and software installed or maintained by IT. Responds to telephone inquiries concerning support, processing or request procedures, systems status and network connectivity, and a variety of hardware and software problems of all installed application hardware and software products supported by IT. Records inquiries, repair and service requests, resolves or directs requests to appropriate technical area or vendor, tracks status and follows up to ensure client satisfaction. Escalates to or consults with senior staff when solution is unclear. Reports problems with procedures and makes suggestions for improvements. Completes output (documents, analyses, product) in specific work area to appropriate time and quality targets. Works under own initiative, prioritizes own work, and meets agreed timescales. Work is subject to frequent review by more experienced professionals in IT Customer Support. .Strong knowledge of the following is preferred Microsoft operating systems and Microsoft Office. Networking switches and data networks. IP telecommunications systems. Capability to analyze problems and use sound judgement for determining solutions. Ability to clearly communicate with customers and other IT staff. At least 1 Year PC/LAN technical or equivalent experience preferred. Aptitude for providing strong customer service through interactions and communications, verbally and written. A likely candidate will be self-motivated, a team player, empathetic, innovative, and work with integrity. Willingness for continuing enhancement of technical skills through education/seminars and interaction with other IT discipline 1 to 3 years of experience required. Associate degree and/or equivalent work experience in the technology, hospitality, retail or customer focused field highly regarded. A+ certification or equivalent combination of education, training, and experience.
$37k-59k yearly est. 19h ago
Insurance Specialist I - Corporate Patient AR Mgmt - Full Time
Guthrie 3.3
Towanda, PA jobs
Responsible for non‐complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy, i.e. diagnosis and procedure codes are compatible and accurate. Makes charge corrections or follows up with appropriate parties as needed to ensure billing invoice is correct. Follows up with payers on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on more complex billing issues and cross training for other payers and tasks. Responds to a variety of questions from insurance companies, government agencies and all Guthrie Medical Group offices. Partners with CRC and other Guthrie departments to field billing inquiries. Answers all correspondence from insurance carriers including requests for supportive documentation. Education, License & Cert: High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Strong organizational and customer service skills a must. Experience with office software such as Word and Excel required. Previous experience performing in a high volume and fast paced environment. Essential Functions: 1. Works pre‐AR edits, paper claims, reports and work queues as assigned to ensure accurate and timely claim submission to individual payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on various payers and tasks to expand insurance billing knowledge and skills. 3. Follows up on rejected and/or non‐responded claims as assigned. Utilizes internal rejection protocols, coding knowledge, reimbursement policies, payer guidelines and other sources in order to research rejections to secure appropriate payment. 4. Provides back up to Central Charge Entry and Cash Applications. Manually enters charges, posts and distributes insurance and patient payments. 5. Promptly reports payer, system or billing issues. 6. Utilizes Epic system functions accurately to perform assigned tasks. Ex: charge corrections, invoice inquiry, billing edits, insurance eligibility. 7. Exports and prepares spreadsheets, manipulating data fields for project work. 8. Identifies and provides appropriate follow up for claims that require correction or appeal. 9. Provides timely resolution of credit balance as identified and/or assigned. 10. Requests adjustments on invoices that have been thoroughly researched and/or were unable to reach payment resolution. Documents support on request forms and performs adjustments within policy guidelines. Other Duties: 1. Provides feedback related to workflow processes in order to promote efficiency. 2. Answers phone calls and correspondence providing request information. Documents action taken and provides appropriate follow up. 3. Acquires and maintains knowledge of and performs within the compliance of the Guthrie Clinic's Corporate Revenue Cycle policies and insurance payer regulations and guidelines. 4. Demonstrates excellent customer service skills for both internal and external customers. 5. Maintains strict confidentiality related to patient health information in accordance with HIPAA regulations. 6. Assists with and completes projects and other duties as assigned.
$34k-47k yearly est. 1d ago
Service Center Specialist
Plymouth Rock Assurance 4.7
Woodbridge, NJ jobs
The Service Center Specialist is responsible for supporting and retaining our personal lines insurance customers on behalf of our independent agency partners by delivering exceptional service, providing expert guidance, and maintaining a thorough understanding of our core products, including auto, homeowners, and umbrella. RESPONSIBILITIES Develop and maintain in-depth product knowledge of core personal lines of products (Auto, Homeowner, Umbrella) across all states we operate (NJ, PA, MA, CT, NY, NH). Accurately enter and update policy information in various processing systems. Respond to customer inquiries regarding coverage, premiums, and policy changes via phone and other channels. Provide first-call resolution with minimal customer effort, ensuring a seamless experience. Work effectively under pressure and adapt to changing priorities. Consistently meet or exceed customer and agent expectations by delivering professional, knowledgeable, and efficient service. Quote and sell personal lines products to both new and existing clients Conduct renewal reviews and recommend appropriate policy adjustments based on customer needs. Support onboarding of new team members and development of peers through coaching and guidance. Support de-escalating calls Perform policy research and initiate corrections or updates using sound judgment and established procedures. Identify and resolve potential underwriting concerns for both new and existing policies. Perform other duties as assigned. QUALIFICATIONS Excellent interpersonal, listening, communication, and organizational skills. Strong decision-making ability and problem-solving skills. Intermediate MS Office skills required. Ability to manage multiple tasks in a fast-paced, high-volume environment. Capable of handling a high volume of inbound and outbound calls professionally and efficiently. Strong attention to detail and accuracy in all tasks. Flexibility to work full-time schedules that may change based on department needs. Availability during operational hours: Monday-Friday, 8:00 AM to 7:00 PM. Sales-related experience preferred. Bachelor's degree (B. A.) from a four-year college or university preferred. 1-3 years experience in personal lines insurance or equivalent education/training preferred. Property and Casualty license required. SALARY RANGE The pay range for this position is $54,000 to $72,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. PERKS & BENEFITS 4 weeks accrued paid time off + 9 paid national holidays per year Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision) Annual 401(k) Employer Contribution Free onsite gym at our Woodbridge Location Resources to promote Professional Development (LinkedIn Learning and licensure assistance) Robust health and wellness program and fitness reimbursements Various Paid Family leave options including Paid Parental Leave Tuition Reimbursement ABOUT THE COMPANY The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
$54k-72k yearly 19h ago
Personal Lines Account Specialist
The Yurconic Agency 2.8
Williamsport, PA jobs
About Us Since 1969, The Yurconic Agency has been focused on protecting what matters most to their Greater Lehigh Valley community, with a wide array of personal, business, life & health, and specialty insurance, including vehicle registration and driver's license services. Headquartered in Allentown, PA, The Yurconic Agency has been one of the leading insurance providers for residents and businesses across Pennsylvania, New Jersey, New York, and Florida for over 50 years. The Yurconic Agency is first and foremost a family business. Our founders believed that they could improve the insurance industry and do better. Our employees continue this tradition by caring about the customer's needs and doing the right thing. The Yurconic Agency does our work the right way, always, to ensure a smooth experience for you. Personal Lines Account Specialist The primary function of this role is to drive new business growth through high-volume sales of personal lines insurance products. This role focuses on engaging prospective clients through inbound calls, walk-ins, and appointments, while delivering knowledgeable and consultative service that meets clients' insurance needs. The successful candidate combines strong sales acumen with technical expertise, ensuring policy recommendations are accurate, compliant, and aligned with agency standards. The Account Specialist plays a key role in supporting agency growth objectives and strengthening client relationships. Key Responsibilities: Sales and Customer Acquisition Responsible for high-volume personal lines insurance sales to new customers Answer incoming sales calls and assist walk-in clients, with or without scheduled appointments Present and explain insurance coverages to prospective clients, aligning options with their needs and budget Analyze insureds' current policies and counsel on coverage improvements Quoting and Application Processing Gather necessary information to generate accurate quotations for customer application submissions Ensure all client documentation is collected, verified, and submitted in accordance with underwriting guidelines Client and Carrier Communication Interface with carrier representatives and customers to facilitate effective communication Ensure all necessary information is shared with all parties in a timely and complete manner Follow up with clients and carriers to ensure timely binding, issuance, and policy delivery Administrative Support and Compliance Maintain detailed records of client interactions and sales activity in the agency management system Adhere to internal procedures and state insurance laws and regulations Assist with other departmental duties as assigned by the Personal Lines Department Manager Qualifications: High School Diploma required Valid Pennsylvania Property & Casualty License (Resident or Non-Resident) required Minimum of 3 years of personal lines insurance sales and/or account management experience Thorough understanding of brokerage operations procedures and applicable insurance laws/codes Familiarity with agency management systems, preferably AMS360 and ImageRight Proficiency in Microsoft Office Suite, carrier portals, document management tools, and phone systems Strong sales orientation and ability to work independently in a target-driven environment Thorough understanding of brokerage operations and applicable insurance laws and codes Outgoing personality with strong interpersonal and networking abilities Excellent communication skills, both verbal and written Occasionally lift and/or move up to 25 pounds Minimal travel may be required Hours: Monday-Friday, 9:00am-5:00pm EST (3 days), 9:00am-6:00pm EST (2 days), and one rotating Saturday per month, 9:00am-1:00pm EST Office Location: 1036 Washington Blvd., Williamsport, PA 17701 (WR Sims Agency) Benefits: Competitive Compensation plus quarterly commissions Health Insurance Plans (PPO, HSA, Copay Options) Dental Insurance Vision Insurance Company Paid Disability Insurance Supplemental Insurance including Critical Illness, Accident, Legal, Pet Insurance 401(k) with Safe Harbor Match Paid Time Off Paid Holidays No Solicitation Notification to Agencies: Please note that Keystone Agency Partners and our Partner Agencies do not accept unsolicited resumes or calls from third-party recruiters or employment agencies. In the absence of a signed Master Service Agreement and approval from HR to submit resumes for a specific requisition, Keystone Agency Partners will not consider or approve payment to any third parties for hires made.
$38k-49k yearly est. 2d ago
Complex Liability Claims Specialist - Auto (hybrid)
Utica National Insurance Group 4.8
New Hartford, NY jobs
The Company At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an "A" rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier. Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago. What you will do: The Specialist will be responsible for the management and effective resolution of higher exposure, complex auto claims. The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. This role is hybrid to our Utica, NY; Buffalo, NY; or Charlotte, NC office locations. Key responsibilities: * Responsible for thorough evaluation of coverage and proactive investigation, reserving, negotiating and managing the defense of complex auto claims in multiple jurisdictions. * Manage all claims in accordance with Utica National's established claim procedures. * Draft and present claim reviews to supervisor and upper management that provide full evaluation of coverage, liability and damages associated with claim, proposed plan to resolve claim and sufficient basis and support for authority requests above the Complex Liability Claims Specialist's individual monetary authority level. * Maintain timely and accurate claim reserves in accordance Utica National's reserving philosophy. * Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel's work product and working with defense counsel to efficiently and fairly resolve claims. * Participate as appropriate in litigation activities including settlement negotiations, depositions, conferences, hearings, alternative dispute resolution sessions and trials. * Maintain effective communications with insureds, claimants, agents, and other representatives involved in the claims cycle. * Achieve the service standard of "excellent" during all phases of claims handling. * Stay abreast of legal trends, case law, and jurisdictional environment and its impact on handling claims within the jurisdiction. * Responsible for analyzing and communicating changes in law, regulation, and custom to ensure consistent quality claim handling. What you need: * Four year degree or equivalent experience required; JD preferred. * Minimum of 5 years of commercial casualty claims handling experience working with high complexity litigated claims. * Knowledge of additional insured considerations and complex coverage determinations. * Proven experience negotiating claims and active participation in alternative dispute resolution practices. Licensing: Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment. Salary range: $103,300 - $132,000 The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications. Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following: * Medical and Prescription Drug Benefit * Dental Benefit * Vision Benefit * Life Insurance and Disability Benefits * 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) * Health Savings Account (HSA) * Flexible Spending Accounts * Tuition Assistance, Training, and Professional Designations * Company-Paid Family Leave * Adoption/Surrogacy Assistance Benefit * Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance * Student Loan Refinancing Services * Care.com Membership with Back-up Care, Senior Solutions * Business Travel Accident Insurance * Matching Gifts program * Paid Volunteer Day * Employee Referral Award Program * Wellness programs Additional Information: This position is a full time salaried, exempt (non-overtime eligible) position. Utica National is an Equal Opportunity Employer. Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. #LI-HL1
$103.3k-132k yearly 18d ago
Complex Liability Claims Specialist - Auto (hybrid)
Utica National Insurance Group 4.8
New York jobs
The Company At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an "A" rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier. Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago. What you will do: The Specialist will be responsible for the management and effective resolution of higher exposure, complex auto claims. The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. This role is hybrid to our Utica, NY; Buffalo, NY; or Charlotte, NC office locations. Key responsibilities: * Responsible for thorough evaluation of coverage and proactive investigation, reserving, negotiating and managing the defense of complex auto claims in multiple jurisdictions. * Manage all claims in accordance with Utica National's established claim procedures. * Draft and present claim reviews to supervisor and upper management that provide full evaluation of coverage, liability and damages associated with claim, proposed plan to resolve claim and sufficient basis and support for authority requests above the Complex Liability Claims Specialist's individual monetary authority level. * Maintain timely and accurate claim reserves in accordance Utica National's reserving philosophy. * Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel's work product and working with defense counsel to efficiently and fairly resolve claims. * Participate as appropriate in litigation activities including settlement negotiations, depositions, conferences, hearings, alternative dispute resolution sessions and trials. * Maintain effective communications with insureds, claimants, agents, and other representatives involved in the claims cycle. * Achieve the service standard of "excellent" during all phases of claims handling. * Stay abreast of legal trends, case law, and jurisdictional environment and its impact on handling claims within the jurisdiction. * Responsible for analyzing and communicating changes in law, regulation, and custom to ensure consistent quality claim handling. What you need: * Four year degree or equivalent experience required; JD preferred. * Minimum of 5 years of commercial casualty claims handling experience working with high complexity litigated claims. * Knowledge of additional insured considerations and complex coverage determinations. * Proven experience negotiating claims and active participation in alternative dispute resolution practices. Licensing: Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment. Salary range: $103,300 - $132,000 The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications. Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following: * Medical and Prescription Drug Benefit * Dental Benefit * Vision Benefit * Life Insurance and Disability Benefits * 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) * Health Savings Account (HSA) * Flexible Spending Accounts * Tuition Assistance, Training, and Professional Designations * Company-Paid Family Leave * Adoption/Surrogacy Assistance Benefit * Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance * Student Loan Refinancing Services * Care.com Membership with Back-up Care, Senior Solutions * Business Travel Accident Insurance * Matching Gifts program * Paid Volunteer Day * Employee Referral Award Program * Wellness programs Additional Information: This position is a full time salaried, exempt (non-overtime eligible) position. Utica National is an Equal Opportunity Employer. Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. #LI-HL1
$103.3k-132k yearly 18d ago
Commercial Lines Claims Specialist - Commercial General Liability (hybrid)
Utica National Insurance Group 4.8
New Hartford, NY jobs
The Company At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. Utica National Insurance Group is an "A" rated $1.7B award-winning, nationally recognized property & casualty insurance carrier. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations including Buffalo, Boston, Charlotte, NYC, Atlanta, Dallas, Columbus, Richmond, and Chicago. What you will do You'll be responsible for investigating, evaluating, negotiating, and resolving primarily New York commercial general liability claims with moderate complexity. With skills in detail orientation and analysis, you will interpret coverage and prepare coverage letters as well as handle risk transfer. Consultation with supervisors on more complex coverage will occur as needed and this role will provide exposure to litigated claims. This position requires strong claims handling acumen with an understanding of state laws and requirements. Key responsibilities * Investigate, evaluate, negotiate and resolve commercial general liability claims in a fair and timely manner. * Thoroughly evaluate and analyze coverage and draft comprehensive coverage position letters. * Manage the defense of more complex regional commercial general liability claims in multiple jurisdictions in accordance with leading practices. * Manage non-litigated and some litigated claims. * Operate on an independent basis with little supervision and settle claims within assigned authority. * Effectively manage expenses. * Attend mediations, trials and hearings as needed to include interaction with insureds, agents, and legal representatives. * Review court decisions, laws and coverage interpretations and have a broad knowledge and understanding of the law and claim practices. * Able to work independently and serve as a mentor to lesser experienced team members. What you need * Four year degree or equivalent experience. * 5+ years of claim handling experience with commercial general liability experience preferred. * Experience in handling litigated files preferred. * Knowledge of NY venues strongly preferred. Licensing Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment. Salary range: $75,000-$109,500 The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications. Benefits We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following: * Medical and Prescription Drug Benefit * Dental Benefit * Vision Benefit * Life Insurance and Disability Benefits * 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) * Health Savings Account (HSA) * Flexible Spending Accounts * Tuition Assistance, Training, and Professional Designations * Company-Paid Family Leave * Adoption/Surrogacy Assistance Benefit * Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance * Student Loan Refinancing Services * Care.com Membership with Back-up Care, Senior Solutions * Business Travel Accident Insurance * Matching Gifts program * Paid Volunteer Day * Employee Referral Award Program * Wellness programs Additional information This position is a full time salaried, exempt (non overtime eligible) position. Utica National is an Equal Opportunity Employer. Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. #LI-HL1
$75k-109.5k yearly 2d ago
Commercial Lines Claims Specialist - Commercial General Liability (hybrid)
Utica National Insurance Group 4.8
New York jobs
The Company At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. Utica National Insurance Group is an "A" rated $1.7B award-winning, nationally recognized property & casualty insurance carrier. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations including Buffalo, Boston, Charlotte, NYC, Atlanta, Dallas, Columbus, Richmond, and Chicago. What you will do You'll be responsible for investigating, evaluating, negotiating, and resolving primarily New York commercial general liability claims with moderate complexity. With skills in detail orientation and analysis, you will interpret coverage and prepare coverage letters as well as handle risk transfer. Consultation with supervisors on more complex coverage will occur as needed and this role will provide exposure to litigated claims. This position requires strong claims handling acumen with an understanding of state laws and requirements. Key responsibilities * Investigate, evaluate, negotiate and resolve commercial general liability claims in a fair and timely manner. * Thoroughly evaluate and analyze coverage and draft comprehensive coverage position letters. * Manage the defense of more complex regional commercial general liability claims in multiple jurisdictions in accordance with leading practices. * Manage non-litigated and some litigated claims. * Operate on an independent basis with little supervision and settle claims within assigned authority. * Effectively manage expenses. * Attend mediations, trials and hearings as needed to include interaction with insureds, agents, and legal representatives. * Review court decisions, laws and coverage interpretations and have a broad knowledge and understanding of the law and claim practices. * Able to work independently and serve as a mentor to lesser experienced team members. What you need * Four year degree or equivalent experience. * 5+ years of claim handling experience with commercial general liability experience preferred. * Experience in handling litigated files preferred. * Knowledge of NY venues strongly preferred. Licensing Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment. Salary range: $75,000-$109,500 The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications. Benefits We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following: * Medical and Prescription Drug Benefit * Dental Benefit * Vision Benefit * Life Insurance and Disability Benefits * 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) * Health Savings Account (HSA) * Flexible Spending Accounts * Tuition Assistance, Training, and Professional Designations * Company-Paid Family Leave * Adoption/Surrogacy Assistance Benefit * Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance * Student Loan Refinancing Services * Care.com Membership with Back-up Care, Senior Solutions * Business Travel Accident Insurance * Matching Gifts program * Paid Volunteer Day * Employee Referral Award Program * Wellness programs Additional information This position is a full time salaried, exempt (non overtime eligible) position. Utica National is an Equal Opportunity Employer. Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. #LI-HL1
$75k-109.5k yearly 2d ago
Regulatory Reporting Business Specialist
Amerihealth Caritas 4.8
Newtown, PA jobs
Under the general supervision of the Director of Regulatory Reporting, the Regulatory Reporting Business Specialist is responsible for ensuring that all state reporting requirements are identified and interpreted and a business solution is developed while ensuring accurate and timely compliance with all state reporting requirements/deadlines. **Work Arrangement** + This is a 100% Remote position but you must live in EST or CST time zones **Responsibilities** + Provides leadership and oversight in the development and implementation of business and technical solutions utilized to complete reporting requirements while ensuring that the report completion process remains both accurate and efficient + Through report review or verification process, identifies and implements process or system enhancements that may lead to improved data integrity, efficiencies, or consistencies. Identifies appropriate internal or external contacts and coordinates the development of work groups and plans of action to ensure successful resolution and implementation of enhancements identified + Participates in inter-departmental teams to ensure that Regulatory Reporting needs are communicated and data is not compromised when business procedures are modified and, if affected, works with the team to develop alternate solutions to ensure data integrity is not impacted + Develops and maintains a strong working relationship with regulatory agencies, joint venture contacts or subcontractors by attending required meetings and/or on-site visits + Proactively maintains relationships with plan and/or ASA/MSA customers to ensure their Regulatory Reporting requirements are met. Acts as a resource to local office management regarding Regulatory matters + Reviews and approves reporting, presents reporting, and obtains necessary approvals from the Director, Regulatory Reporting, or other business owners as required + In conjunction with the Director of Regulatory Reporting, develop and implement a formalized Regulatory Reporting staff training program. Training to include the development and maintenance of a procedure and reference manual, formalized group training plan for new staff and ongoing training of existing staff on new policies/procedures and reporting requirements + Reviews, researches, and coordinates prompt responses to correspondence and inquiries from stakeholders, clients, or regulatory agencies + Develops and maintains a strong knowledge of all data sources (including, but not limited to, the Data Warehouse, the Facets System, and the Reports Database) available for reporting + Reviews, researches, and interprets Request for Proposals (RFPs) and other contractual agreements to ensure effective identification of all regulatory requirements. Related issues are identified, escalated, and resolutions or workaround plans formulated + Ensures the Director of Regulatory Reporting is informed of reporting compliance and related issues via weekly status updates, ad-hoc discussions/meetings, or written correspondence + Oversees the testing of each reporting solution developed to ensure the accuracy of the data reported and works with staff to ensure that the report completion criteria and process are documented in a user-friendly manner **Education and Experience** + Bachelor's Degree or equivalent + At least six (6) years of Data Analysis, Reporting, Claims, Managed Care, or Healthcare environment required + At least two (2) years of Project Management preferred + Proficiency in Microsoft Access, Excel, Word, and Relational Database Design; Basic knowledge of SQL or VBA programming a plus + Thorough understanding of business computer programs, applications and systems, database structures, and data files required + Ability to train staff in all aspects of Regulatory Reporting and to provide continued updates as policies and procedures change + Complete understanding of reporting or data analysis processes + Strong communication (both written and verbal), analytical, and problem-solving skills + Strong organizational skills with the ability to coordinate several projects simultaneously + Understanding of claims processing, clinical coding, and basic business practices is preferred **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
$71k-95k yearly est. 8d ago
Complex Liability Claims Specialist - Primarily NY / New York Labor Law
Utica National Insurance Group 4.8
New Hartford, NY jobs
The Company At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an "A" rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier. Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago. What you will do The Specialist will be responsible for the management and effective resolution of high exposure, complex liability claims in primarily New York venues, inclusive of New York Labor Law claims. The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Experience handling complex commercial general liability is required. Key responsibilities * Responsible for thorough evaluation of coverage and proactive investigation, reserving, negotiating and managing the defense of complex liability claims in primarily New York jurisdictions. * Manage all claims in accordance with Utica National's established claim procedures. * Draft and present claim reviews to supervisor and upper management that provide full evaluation of coverage, liability and damages associated with claim, proposed plan to resolve claim and sufficient basis and support for authority requests above the Complex Liability Claims Specialist's individual monetary authority level. * Maintain timely and accurate claim reserves in accordance Utica National's reserving philosophy. * Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel's work product and working with defense counsel to efficiently and fairly resolve claims. * Participate as appropriate in litigation activities including settlement negotiations, depositions, conferences, hearings, alternative dispute resolution sessions and trials. * Maintain effective communications with insureds, claimants, agents, and other representatives involved in the claims cycle. * Achieve the service standard of "excellent" during all phases of claims handling. * Stay abreast of legal trends, case law, and jurisdictional environment and its impact on handling claims within the jurisdiction. * Responsible for analyzing and communicating changes in law, regulation, and custom to ensure consistent quality claim handling. What you need * Four year degree or equivalent experience preferred. * Minimum of 5 years of commercial casualty claims handling experience working with high complexity litigated casualty claims. * Proven experience negotiating claims and active participation in alternative dispute resolution practices. * Experience with general liability, additional insured considerations and complex coverage determinations. * Experience with New York Labor Law Claims strongly preferred. Licensing Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment. Salary range: $103,300 - $136,400 The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications. Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following: * Medical and Prescription Drug Benefit * Dental Benefit * Vision Benefit * Life Insurance and Disability Benefits * 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) * Health Savings Account (HSA) * Flexible Spending Accounts * Tuition Assistance, Training, and Professional Designations * Company-Paid Family Leave * Adoption/Surrogacy Assistance Benefit * Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance * Student Loan Refinancing Services * Care.com Membership with Back-up Care, Senior Solutions * Business Travel Accident Insurance * Matching Gifts program * Paid Volunteer Day * Employee Referral Award Program * Wellness programs Additional Information: This position is a full time salaried, exempt (non-overtime eligible) position. Utica National is an Equal Opportunity Employer. Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. #LI-HL1
$103.3k-136.4k yearly 2d ago
Complex Liability Claims Specialist - Commercial General Liability
Utica National Insurance Group 4.8
New York jobs
The Company At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an "A" rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier. Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago. What you will do The Specialist will be responsible for the management and effective resolution of high exposure, complex liability claims in multiple jurisdictions. The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Experience handling complex commercial general liability is required. Key responsibilities * Responsible for thorough evaluation of coverage and proactive investigation, reserving, negotiating and managing the defense of complex liability claims in multiple jurisdictions. * Manage all claims in accordance with Utica National's established claim procedures. * Draft and present claim reviews to supervisor and upper management that provide full evaluation of coverage, liability and damages associated with claim, proposed plan to resolve claim and sufficient basis and support for authority requests above the Complex Liability Claims Specialist's individual monetary authority level. * Maintain timely and accurate claim reserves in accordance Utica National's reserving philosophy. * Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel's work product and working with defense counsel to efficiently and fairly resolve claims. * Participate as appropriate in litigation activities including settlement negotiations, depositions, conferences, hearings, alternative dispute resolution sessions and trials. * Maintain effective communications with insureds, claimants, agents, and other representatives involved in the claims cycle. * Achieve the service standard of "excellent" during all phases of claims handling. * Stay abreast of legal trends, case law, and jurisdictional environment and its impact on handling claims within the jurisdiction. * Responsible for analyzing and communicating changes in law, regulation, and custom to ensure consistent quality claim handling. What you need * Four year degree or equivalent experience preferred. * Minimum of 5 years of commercial casualty claims handling experience working with high complexity litigated casualty claims. * Proven experience negotiating claims and active participation in alternative dispute resolution practices. * Experience with general liability, additional insured considerations and complex coverage determinations. Licensing Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment. Salary range: $103,300 - $136,400 The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications. Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following: * Medical and Prescription Drug Benefit * Dental Benefit * Vision Benefit * Life Insurance and Disability Benefits * 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) * Health Savings Account (HSA) * Flexible Spending Accounts * Tuition Assistance, Training, and Professional Designations * Company-Paid Family Leave * Adoption/Surrogacy Assistance Benefit * Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance * Student Loan Refinancing Services * Care.com Membership with Back-up Care, Senior Solutions * Business Travel Accident Insurance * Matching Gifts program * Paid Volunteer Day * Employee Referral Award Program * Wellness programs Additional Information: This position is a full time salaried, exempt (non-overtime eligible) position. Utica National is an Equal Opportunity Employer. Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. #LI-HL1
$103.3k-136.4k yearly 2d ago
NationalLink Post Close Specialist
Servicelink 4.7
Moon, PA jobs
Post Close Specialist is responsible for assisting and supporting team with all aspects involved with post close functions such as auditing incoming and outgoing client documentation packages, reviewing recordable documents for accuracy, handling reject issues, shipping, scanning, uploading, and any additional clerical functions within the department. Working with the team making sure all daily audits, rejections, and recordings are completed in a timely manner consistent with established Company standards for service and quality. **Please note: this is an in-office position, applicants should be within reasonable commuting distance to Pittsburgh (Moon Township, PA) office.** Applicants must be currently authorized to work in the United States on a full-time basis and must not require sponsorship for employment visa status now or in the future. Responsibilities Maintains familiarity with state and county requirements Prioritizes work based on daily workflow Communicates with outside agencies, clients and borrower Researches and resolves discrepancies Maintains accurate records and logs Review executed closing packages, title clearance, lender closing instructions, incoming closing packages for accuracy Knowledge of client, vendor and borrower requirements Perform duties and responsibilities in a timely manner consistent with established Company guidelines for quality and service Maintain open communication with team members, team lead and managers Address inquires from clients, borrowers, agents, and internal staff professionally and in a timely manner consistent with established Company standards All other duties as assigned Qualifications High School diploma or equivalent Demonstrated communication skills, written and verbal Proven customer service skills Strong attention to detail Strong organizational skills, ability to multi-task Ability to effectively organize, plan, and prioritize work Ability to be assertive Proficiency with personal computer operation, including use of Microsoft Outlook, Word and Excel. We can recommend jobs specifically for you! Click here to get started.
$50k-72k yearly est. Auto-Apply 6d ago
Client Setup Specialist (Entry-Level)
Raphael and Associates 3.6
Rutherford, NJ jobs
Job Description We are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on the initial setup of claims, ensuring all information is accurately entered into the claims management system. You will play a key role in preparing claims for further processing by entering data, verifying policy details, and assigning claims to the appropriate adjusters. Key Responsibilities: Initial Claims Setup: Review FNOL (First Notice of Loss) and ensure all necessary information is included (claimant info, loss date, incident description). Enter claim details into the system, including policy info, loss type, incident description, and the claimant's description of the event. Policy Verification: Cross-check claim details against the policy to verify effective dates of coverage. Confirm policy and coverage details are accurately entered into the system. Confirm appropriate client contact is attached to the policy Assign Adjuster & Set Diary Notifications: Assign the claim to the appropriate adjuster and supervisor. Set adjuster diaries with new claim notifications and necessary actions. Claims Acknowledgement Letters: Generate and send acknowledgement letters as per client instructions, Skills and Qualifications: High attention to detail for accurate data entry and policy verification. Ability to assign claims and set appropriate reminders. Familiarity with claims management systems (or willingness to learn). Basic insurance knowledge is a plus, but not required. Strong organizational and time management skills. Why Join Us? Great opportunity to start your career in the insurance industry. A supportive, team-oriented environment. Competitive salary and benefits. If you are organized, detail-focused, and looking for a role where you can make a real impact from the start, we'd love to hear from you! Powered by JazzHR aDmzTcVOjy
$44k-63k yearly est. 15d ago
Claims Specialist - Auto
Philadelphia Insurance Companies 4.8
Pennsylvania jobs
Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first and third party commercial auto insurance claims. A typical day will include the following: Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts. Communicates with all relevant parties and documents communication as well as results of investigation. Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Travel is required to attend customer service calls, mediations, and other legal proceedings. Job Requirements: High School Diploma; Bachelor's degree from a four-year college or university preferred. 10 plus years related experience and/or training; or equivalent combination of education and experience. • National Range : $82,800.00 - $97,300.00 • Ultimate salary offered will be based on factors such as applicant experience and geographic location. EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law. Benefits: We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
$82.8k-97.3k yearly Auto-Apply 60d+ ago
Claims Specialist - Auto
Philadelphia Insurance Companies 4.8
Harrisburg, PA jobs
Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. We are looking for a Claims Specialist - Auto to join our team. JOB SUMMARY Investigate, evaluate and settle more complex first and third party commercial insurance auto claims. JOB RESPONSIBILITIES Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with all relevant parties and documents communication as well as results of investigation. Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts. Travel is required to attend customer service calls, mediations, and other legal proceedings. JOB REQUIREMENTS High School Diploma; Bachelor's degree from a four-year college or university preferred. 10 plus years related experience and/or training; or equivalent combination of education and experience. • National Range : $82,800.00 - $97,300.00 • Ultimate salary offered will be based on factors such as applicant experience and geographic location. EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law. Benefits: We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
$82.8k-97.3k yearly Auto-Apply 60d+ ago
Property Product UW Specialist ll
Tokio Marine Group 4.5
Jersey City, NJ jobs
Marketing Statement About Tokio Marine: Tokio Marine has been conducting business in the U.S. market for over a century and we are licensed in all states, Puerto Rico and the District of Columbia, and write all major lines of Commercial Property and Casualty Insurance. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work with major brokers and leading independent insurance agents throughout the United States to serve the world's largest and most distinguished organizations. We are committed to creating value for our customers by providing ANSHIN (safety, security and peace of mind). We strive to be creative and passionate as we work towards our long-term success. Tokio Marine Holdings is Japan's oldest, and one of the largest property and casualty insurers. Founded in 1879, TMNF operates worldwide in 47 countries. With annual revenues of approximately $50 billion and an A.M. Best rating of A++, one of the highest in the industry, we are one of the top 20 insurance providers worldwide. Job Summary: Assisting CUW Property Product staff in developing, managing and/or updating underwriting, pricing and product strategy that positions Tokio Marine to meet clients' needs, build company revenues and achieve our corporate profit and return on risk objectives. As a Property Products Specialists II, you will be a member of the Corporate Underwriting team and will work with the property staff on specific assigned property lines of business to promote profitable growth. The Corporate Underwriting team is responsible for product development, risk management, underwriting governance and compliance strategies that conform to our risk appetite. In this position, you will participate in developing guidelines, processes, products, rates, rules, tools and controls that business segments will utilize in their day-to-day decisions. You will conduct ongoing analysis, monitor results and communicate those results to key distribution and underwriting partners. Collaborating with others to share product performance will be key to success. You will be responsible for developing and managing underwriting, pricing and product strategy that positions Tokio Marine to meet clients' needs, build company revenues and achieve our corporate objectives. This includes the development and execution of lines of business strategies, growth and enhancing the underwriting expertise within the company. Essential Job Functions: Assist management in the assessment of the portfolio to ensure profitability Monitors rate adequacy, works with the Actuarial team on profitability analysis, pricing of new coverages and products and assists in the development of a pricing strategy Participate in product development including associated pricing and underwriting tools and reviewing policy forms with Claims and Legal Development of Underwriting guidelines and rules for execution by Field Underwriting Provides general expertise to TMA Field Underwriting on rate, rule and form issues. Collaborates with the Exposure Management team on catastrophe data, modeling and reports, assisting the Product Managers with treaty data and working with Field Underwriting business segments. Conduct Underwriting Reviews of Field Business Segments and supports internal audits and Market Conduct exams. Collaborates and maintains strong relationships with all internal departments Collaborate in the implementation of compliance specifications including the development of tools and resources necessary to maintain compliance requirements Assists the CUW and TMA Executive leadership in initiatives, projects and general areas for assigned lines. Designs and supports training as needed Collaborates, designs, reviews and/or recommends policies, procedure and technology to improve operational efficiency, underwriting profitability and regulatory compliance. Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at Company. Qualifications College Degree or equivalent preferred CPCU or equivalent Professional designation preferred Minimum of 5+ Years in insurance Experience in Underwriting preferred Knowledge of ISO, AAIS, NCCI and independent state bureau requirements Experience with Underwriting Audits preferred Extensive Personal Computer skills Excellent verbal and written Communication skills Positive team participation and attributes preferred Salary range of $100k-130k. Ultimate salary offered will be based on factors such as applicant experience and geographic location. Our company offers a competitive benefits package and bonus eligibility on top of base. TMA believes the perfect candidate is more than just a resume. If you don't meet every single requirement, but are still interested in the job, we encourage you to apply. Benefits: We offer a comprehensive benefit package, which includes a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. EEO Statement Tokio Marine Management is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, or sexual orientation.
$100k-130k yearly Auto-Apply 36d ago
Debris Specialist
Hagerty 4.7
New York jobs
Hagerty Consulting Inc Hagerty is the nations leading emergency management and homeland security consulting firm Known for its public spirit innovative thinking problem solving and exceptional people Hagerty is sought after to work on some of the largest and most complex crisis and emergency management issues We serve our clients across the nation to enhance their preparedness programs; create more resilient and sustainable communities; provide innovative solutions to enhance their response; and obtain and manage grants and loans to support their recovery This is not for immediate hire Candidates for the Debris Specialist position will be considered for our internal Recovery Cadre pipeline Individuals we have added to this internal Recovery Cadre pipeline will receive first consideration for future openings that align with their skillset and interests If you are interested in active open positions where we would be looking at immediate hire please review the other openings on our website The Debris Specialist will be responsible for providing support to clients post disaster with debris operations including related needs associated with the Federal Emergency Management Agency FEMA Public Assistance PA Program andor other special programs crafted as needed to meet Debris requirements A successful candidate for this role should be subject matter experts within FEMA PA Debris Operations as this professional will help guide clients in all things post disaster related to Debris Responsibilities for the Debris Specialist include Support local government clients with their comprehensive recovery from natural disasters Drive project formulation support for debris removal related projects including collecting related documentation and contributing to well crafted FEMA PA Project Worksheets PWsUnderstand and advise clients on how other federal recovery programs could impact FEMA PA debris removal eligibility Work with clients on pursuing Alternative Procedures for debris removal Advise clients on documentation requirements for tree limb and stump removal activities as well as waterways and flood control works Qualifications for the Debris Specialist include A Bachelors Degree in a related field eg business public administration finance construction management emergency managementA minimum of two 2 years of experience supporting the FEMA PA Program focusing on developing Category A Debris Removal projects Detailed understanding of FEMA PA Policy eg Public Assistance Program and Policy Guide PAPPG version 4 and Category A Debris Removal projects requirements Strong communication skills including written and verbal to clients Proficiency in Microsoft Excel eg pivot tables VLOOKUP and Microsoft WordKnowledge of other disaster recovery program funding particularly those that intersect with FEMA PA Category A projects eg Natural Resources Conservation Service Emergency Watershed Protection NRCS EWP Federal Highway Administration Emergency Relief FHWA ER ProgramCompensation for the Debris Specialist Includes Salary range of 70000 125000 Compensation decisions depend on a wide range of factors including but not limited to skills experience and training licensure and certifications internal equity location travel requirements and other business and organizational needs Comprehensive benefits program including healthdentalvision insurance 401k retirement plan flexible spending accounts FSA for health and transitparking short and long term disability insurance life insurance paid time off holidays sick leave and more Hagerty Consulting is an Equal Opportunity Employer We welcome applications from a wide range of candidates and all qualified applicants will receive consideration for employment without regard to race color ethnicitynational origin gender sexual orientation gender identity or expression pregnancy religion age disability marital status military status genetic information or any other status characteristic or condition protected by local state or federal law We promote equal opportunity in all our employment decisions including but not limited to recruitment hiring compensation training promotion demotion transfer lay off and termination and all other terms and conditions of employment For our privacy notice to California residents regarding the collection of personal information please click here
$47k-87k yearly est. 13d ago