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Senior Claims Representative jobs at Liberty Mutual Insurance - 35 jobs

  • Senior Claims Representative

    Liberty Mutual 4.5company rating

    Senior claims representative job at Liberty Mutual Insurance

    Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available. As a Commercial Insurance Claims Representative, you will review and process simple and straightforward Commercial claims within assigned authority limits consistent with policy and legal requirements. In addition to a wide range of benefits, as a direct employee, your insurance education and training are paid by Liberty Mutual. The preference is for the candidates to be located close to a hub and be in the office a minimum of 2 days/week (Hubs: Plano, TX, Suwanee, GA, Westborough, MA, Hoffman Estates, IL, Indianapolis, IN and Eugene. OR, and Phoenix, AZ) although candidates from any location will be considered. Please note this policy is subject to change. Responsibilities: Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments. Extensive and timely direct interaction with Insured's, Claimants, Agent's and Internal Customers. Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues. Establishes claim reserve requirements and makes adjustments, as necessary, during the processing of the claims. Determines and negotiates settlement amount for damages claimed within assigned authority limits. Writes simple to moderately complex property damage estimates or review auto damage estimates. Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate. Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistent with established guidelines and expectations. Alerts Unit Leader to the possibility of fraud or subrogation potential for claims being processed. Qualifications Bachelor's Degree preferred. High school diploma or equivalent required. 1-2 years of experience. Claims handling skills preferred. Strong customer service and technology skills. Able to navigate multiple systems, strong organizational and communication skills. License may be required in multiple states by state law. 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. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. 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: *********************** Liberty 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 We can recommend jobs specifically for you! Click here to get started.
    $69k-113k yearly est. Auto-Apply 16d ago
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  • Senior Claims Specialist, Miscellaneous Medical Facilities & Long-Term Care Professional Liability

    Liberty Mutual 4.5company rating

    Senior claims representative job at Liberty Mutual Insurance

    Liberty Mutual has an immediate opening for an experienced claims professional with focus on Miscellaneous Medical Facilities (MMF) and/or Long-Term Care (LTC) Professional Liability. As a Senior Claims Specialist, you will handle a book of specialty lines MMF/LTC Professional Liability claims throughout the entire claim's life. In this role, you will be responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business. Responsibilities Analyzes, investigates, and evaluates MMF/LTC Professional Liability Claims from first notice of loss through resolution he loss to determine coverage and claim disposition. Utilizes CMS to document claims and to diary future events or follow-up. Within prescribed settlement authority for the line of business, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level. Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting. Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment. Monitors the case resolution process. Actively participates in mediations and arbitrations, within limit of settlement authority. Participates in Claims audit process. May provide claims marketing services by participating in meetings with brokers, risk managers and reinsurers. As required, maintains insurance adjuster licenses. *This position may have in-office requirements and other travel needs depending on candidate location. You will be required to go into an office twice a month if you reside within 50-miles of one of the following offices: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; or Westborough, MA. We are open to fill this position depending on related professional skills and experience as a Senior Claims Specialist or Complex Claims Specialist. The salary range reflects the varying pay scale that encompasses each of the Liberty Mutual regions, the salary for both levels, and the overall cost of labor for that region. Qualifications Bachelors' and/or advanced degree. JD is a plus, especially with experience litigating Professional Liability claims (MMF or LTC). 5+ years claims/legal experience, with substantive, hands-on Medical-related Professional Liability claims (Providers and/or facilities) Functional knowledge of claims handling Professional Liability concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge. Functional knowledge of law and insurance regulations in various jurisdictions common to Miscellaneous Medical Facilities and/or Long-Term Care Professional Liability. Proven analytical, negotiation and written/verbal communication skills; able to present complex clinical and coverage positions to Counsel, Underwriters, Senior Management, and other applicable parties. 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. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. 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: *********************** Liberty 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 We can recommend jobs specifically for you! Click here to get started.
    $76k-107k yearly est. Auto-Apply 1d ago
  • Subrogation Adjuster I

    Amtrust Financial 4.9company rating

    Cleveland, OH jobs

    Requisition ID JR1004586 Category Claims - Subrogation Type Regular Full-Time Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Subrogation Claims Investigator. The successful candidate will directly handle subrogation related claims. The This adjuster role is responsible for prompt and independent investigations and review of subrogation claims through effective coverage analysis and liability investigation. In this role, the adjuster is responsible for negotiations and interactions with insureds, claimants, adverse parties, and counsel. The successful candidate will evaluate risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed. This position reports to a line of business supervisor or manager. This position may require hybrid attendance in an AmTrust location. The expected salary range for this role is $46,600 - $60,000. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. Responsibilities * Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer. representatives, claimant or injured party, witnesses, producers, and adverse parties. * Documents strategy, action plan, and summary of correspondence in a clear, succinct, and fact-based manner. * Notifies all potential parties, legal representatives, and insurance companies of our subrogation interest. * Ensures quality and timely service is provided to all internal and external customers, whether directly or indirectly. * While working with internal or assigned Legal Counsel, will build strong relationships, and apply company principles and standards. * Effectively negotiates and resolves litigated and non-litigated subrogation claims, and leverages relationships to achieve optimal outcomes. * Manages and controls loss adjustment expenses while pursuing the best potential recovery outcomes. * Builds and leverages critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret, and understand key or root issues. * Effectively prioritizes work while driving claims resolution for the best potential outcome. * Escalates claims decisions regarding settlement determination when appropriate to management. * Performs other functional duties as assigned. Qualifications Minimum Qualifications *Bachelor's degree or equivalent experience. * State licensure as required. * Demonstrated proficiency with MS Office suites. * Demonstrated skills in loss investigations, evaluations, and negotiations. * Knowledge of insurance liability, theory, and practices. Preferred: * Multi-jurisdictional exposure preferred. * Ability to obtain licensure as required. * Some ability to travel may be required. Unique Minimum Qualifications: * Sound technical experience with negotiations and investigations. * Candidate should have knowledge of commercial general liability, commercial automobile, property and/or Workers' Compensation insurance coverages. * Ability to review and interpret contracts, legal documents, and medical records. * Knowledge of jurisdictional statutes and case law. * Ability to communicate effectively and clearly with many different parties both verbally and written. * Knowledge of claim procedures, policies, state and federal laws and insurance regulations. * Experience with litigation, mediation, and arbitration What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future. Connect With Us! Not ready to apply? Connect with us for general consideration.
    $46.6k-60k yearly 3d ago
  • Senior Complex Claim Specialist

    Amtrust Financial Services, Inc. 4.9company rating

    Remote

    Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Complex Claim Specialist. This position can be located in one of our claims offices with the possibility of working remotely. The successful candidate will directly handle complex professional liability claims with an emphasis on legal malpractice claims. The successful candidate will evaluate coverage, assess risk transfer opportunities, analyze liability and damages, manage litigation, negotiate and ensure all files are appropriately reserved. This position reports to a line of business executive. Responsibilities Recognize exposures and ensure reserving is appropriate and timely Evaluate coverage issues and risk transfer opportunities Complete a thorough, independent investigation with an understanding and utilization of available resources to fill in any gaps in understanding, i.e. internet, PACER, experts, etc. Manage litigation by proper selection, planning, budgeting and partnership with counsel Exhibit strong negotiation skills Effectively communicate exposures both internally and externally Responsible for formulating proper resolution strategy to ensure best claim outcome The position will require periodic travel to attend meditations, trials and / or other related meetings Perform other duties as assigned Qualifications Minimum of 7+ years of experience in the handling of professional liability claims Proficient computer skills required to navigate our paperless claim file system Possesses a high level of technical claim skills and legal knowledge Excellent communication skills, both written and oral Easily adapts to changing situations, requirements and priorities Ability to effectively influence others without damaging relationships Skillful negotiator Ability to work in a fast paced environment Good time management skills JD / CPCU / RPLU designation preferred The expected salary range for this role is $114K-$165K/year. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. #LI-BL1 #AmTrust What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future. Not ready to apply? Connect with us for general consideration.
    $114k-165k yearly Auto-Apply 1d ago
  • Liability Determination Adjuster - Remote

    Allstate 4.6company rating

    Remote

    At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description As a Liability Claims Adjuster, you'll help customers through some of their most stressful moments by guiding them after a single- or multi-vehicle accident. You'll communicate with policyholders, claimants, agents, witnesses, repair shops, and other partners using phone, email, and text. After completing hands-on training, you'll follow established processes to investigate what happened, evaluate claims, negotiate fair outcomes, and help customers move forward with confidence. Key Responsibilities: The Customer Service Expert - Show empathy and support in every interaction. You'll live our Claims Culture-caring, empowering, and restoring-by being clear, compassionate, and committed throughout each claim. The Investigator - Lead liability investigations by reviewing damage details, gathering information, and interpreting policy coverage to understand what's owed. The Effective Communicator - Connect with customers through phone, email, text, and sometimes video. Use their preferred communication method to explain the process, answer questions, and keep them updated on their claim from start to finish. The Negotiator - Work directly with customers, claimants, vendors, and other carriers to evaluate and negotiate fair settlements. You'll use sound judgment and negotiation strategies to navigate challenging situations. The Problem Solver - Use the tools and resources provided to make informed decisions in a fast-paced environment, applying strong critical thinking to resolve issues and keep claims moving forward. The Recorder - Protect the company and our customers by documenting your work clearly and accurately. You'll follow policy guidelines and maintain up-to-date claim records in our claims system. Notice of Licensing Requirement: As a condition of employment, you may be expected to obtain an adjuster's license in multiple markets. All required licenses must be obtained within 60 days of hire. You must maintain all licensing required for your role. This includes any continuing education and/or other state-affiliated requirements for licensing renewal. This role offers a $1,000 sign on bonus if you have an active adjuster license in TX, FL, or your resident state. Current employees and former employees seeking rehire at Allstate or its affiliated companies are not eligible for this sign-on bonus. Work Location: This position is a remote home-based role. Your home office does not need to be near an Allstate office, but it does need to be in the United States. This position is not available for California, Alaska, Washington, and Hawaii residents. You will be assigned a schedule between the hours of 8:00 AM and 5:30 PM Monday through Friday, with the potential for a Saturday rotation. What You Need: A dedicated workspace in your residence that is private and free from distractions. A minimum internet bandwidth of 50 MB down/5 MB up. Appropriate work surface and seating. What Allstate Provides: A technology bundle that includes all equipment needed to perform your work from home (laptop, monitor, headset, keyboard, mouse). Connectivity reimbursement of $80 per month to offset a portion of your internet costs. Preferred Qualifications: Strong communication and interpersonal skills, with a focus on delivering excellent customer service. Ability to manage multiple tasks, stay organized, and adjust priorities in a fast-paced environment. Attention to detail and solid critical-thinking skills to evaluate information and make sound decisions. Comfortable learning and using technology, including software and tools used in the claims process. Familiarity with insurance policies, claims handling, or related regulations is helpful but not required. Allstate Benefits: Allstate cares about you and your wellbeing. We offer a comprehensive total rewards package that includes pay, benefits, and programs to help you balance work with the rest of your life. You can choose whatever benefits are most important you. Here are some of our benefits: Medical, dental, and vision coverage Allstate pension plan and 401(k) savings plan Ayco financial coaching Spring Health mental and emotional wellbeing resources Paid parental leave Adoption reimbursement Paid time off Tuition reimbursement Wellness incentives Allstate Foundation donation match and grant opportunities #LI-AP2 Skills Compliance, Customer Service, Problem Solving, Results-Oriented, Time Management Compensation Compensation offered for this role is $22.84 - $26.45 hourly and is based on experience and qualifications. The candidate(s) offered this position will be required to submit to a background investigation. Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact. Allstate generally does not sponsor individuals for employment-based visas for this position. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
    $22.8-26.5 hourly Auto-Apply 4d ago
  • UM/UIM Represented Adjuster - Remote (CST/MST/PST)

    Allstate 4.6company rating

    Remote

    At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description This job is responsible for investigating complex, represented claims which typically will include: uninsured or underinsured motorist (UM/UIM) claims in single or multi car accidents, and represented moderate or major claims. The individual also may handle complex CPL claims or specialized claims (e.g., business interruption, loss of income, E&O policies, etc.). The individual takes recorded statements, resolves loss of use claims, makes payments to appropriate parties, and negotiates and settles or refers bodily injury issues that cannot be resolved. This position is for our Represented Litigation Casualty office with a focus on handling UM/UIM claims in the states of TX, CA, and UT. Qualifications: 3+ years experience in liability investigations, bodily injury claim evaluations, and negotiation Casualty UM/UIM claim handling experience Previous experience in bodily injury claims handling or a related field Proficient communication skills, especially over the phone, to establish rapport and assess claims accurately. Ability to work independently and remotely, while managing time efficiently Familiarity with insurance policies, coverage, and liability determination Strong critical thinking and problem-solving skills to evaluate and negotiate injury claims successfully Knowledge of innovative tools and platforms for effective claims evaluation You'll wear a few hats to fill a few roles throughout your day that all require a level of experience: The Customer Service Expert - you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Casualty claim. You lead with empathy, always. The Investigator - you'll confidently and independently investigate casualty (and applicable LOB (line of business)) claims by performing detailed reviews of damage and interpreting policies to determine coverage. The Effective Communicator - you'll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You'll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress. The Negotiator - you will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations. The Problem Solver - you'll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills. The Recorder - you'll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You'll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim. Remote Home-Based Work This position is a permanent remote home-based role. Your home office does not need to be near an Allstate office, but it does need to be in the United States. This position is not available for California, Alaska, Hawaii, or Puerto Rico residents. Schedule: Mon-Fri | 8am-4:30pm MST When you work from home full time, you'll need: A home office - a dedicated workspace in your residence that is private and free from distractions. A minimum internet bandwidth of 50 MB down/5 MB up. Appropriate work surface and seating. What will Allstate provide? A technology bundle that includes all equipment needed to perform your work from home (laptop, monitors, headset, keyboard, mouse). Connectivity reimbursement of $80 per month to off set some of the cost of internet. Notice of Licensing Requirement: As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license. If applicable, you will be required to secure license(s) within 60 days of hire. If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed. Sign-On Bonus: You may be eligible for a $1,000 Licensing Sign-On Bonus if you have the applicable active licenses needed for this role. This could include Home Resident Property & Casualty License, Designate Home State (DHS) Florida or Texas License, and/or applicable Appraiser License. * Candidates who have previously worked for and are seeking to be rehired at Allstate and its family of companies are not eligible for this sign-on bonus. * Allstate Benefits Being a part of Allstate means you receive a benefits package from Day 1 of employment. This includes time off, healthcare, retirement, and more. That is why as an Allstater, you'll enjoy a Total Rewards package that includes: Competitive pay with needed support for continuous development and career advancement. Flexibility in scheduling and a time off policy that helps support your work/life balance. Initial and ongoing training to get you proficient in your new role. Comprehensive benefits like a 401K/pension, education reimbursement, and programs to help you balance work with the rest of your life. Visit ************************ to learn more. Notes: The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job. #LI-JB3 Skills Bodily Injury Claims, Claims Evaluation, Communication, Critical Thinking, Liability Investigations, Problem Solving, Time Management Compensation Compensation offered for this role is 53,500.00 - 84,625.00 annually and is based on experience and qualifications. The candidate(s) offered this position will be required to submit to a background investigation. Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact. Allstate generally does not sponsor individuals for employment-based visas for this position. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
    $43k-54k yearly est. Auto-Apply 4d ago
  • Large Loss Adjuster

    Allstate 4.6company rating

    Remote

    National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. Job Description The Lead Consultant is responsible for management and oversight of Home Office Claim Department referrals. The individual grants settlement authority on the most complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, approving requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. We are seeking an experienced Large Loss Adjuster with commercial large loss and/or litigated BI claims experience. This role manages high-exposure claims ranging from $250k plus. The team handles both commercial and personal auto BI claims. Commercial claims primarily involve trucking and homeowner's losses, with homeowners claims experience considered a strong plus. Experience attending trials and handling extra-contractual claims is preferred. If you are ready to grow your career with a stable organization apply today! Key Responsibilities • Reviews and provides approval on cases which the MCO plans to take to trial • Reviews coverage, liability, and/or damages on the most complex cases referred for authorization and collaborates with Field leadership on additional steps to be taken and other feedback and direction • May serve as specialist and subject matter expert on projects as needed • Performs file reviews for various highly complex projects or for cases in litigation, analyzes data, and reports findings • Reviews cases to determine if CWP is appropriate given gross tort value exposure • Supports the Field with discretionary referrals on the most complex coverage issues and engages Home Office Claim litigation for involvement and direction, as needed • Collaborates with Frontline Performance Experts (FPEs), Frontline Performance Leaders (FPLs), and Claim Process Specialists (CPSs) to share experience and trends identified in referred cases • Works with Product, Protection, Law, and Claims on new products introduced to the Field and the sales force, and develops Claim Bulletins to provide new forms and/or endorsements that impact claim handling practices #LI-KR1 Compensation Base compensation offered for this role is $98,100 - $150,500 and is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role. Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A- (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Companies & Partners Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident. Benefits National General Holdings Corp. is an Equal Opportunity (EO) employer - Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at **************.
    $43k-54k yearly est. Auto-Apply 16d ago
  • Claims - Field Claims Representative

    Cincinnati Financial Corporation 4.4company rating

    Dayton, OH jobs

    Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person. If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow. Build your future with us Our Field Claims department is currently seeking field claims representatives to service the territory surrounding: Dayton, Ohio. The candidate is required to reside within the territory. This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements. Be ready to: * complete thorough claim investigations * interview insureds, claimants, and witnesses * consult police and hospital records * evaluate claim facts and policy coverage * inspect property and auto damages and write repair estimates * prepare reports of findings and secure settlements with insureds and claimants * use claims-handling software, company car and mobile applications to adjust loss in a paperless environment * provide superior and professional customer service * once eligible, become a certified and active Arbitration Panelist To be an Entry Level Claims Representative: The pay range for this position is $55,000 - $76,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance. Be equipped with: * be available and communicative during your regular business hours * a desire to learn about the insurance industry and provide a great customer experience * the ability to work unsupervised * excellent verbal and written communication skills * strong interpersonal skills * excellent problem-solving, negotiation, organizational and prioritization skills * preparedness to follow-up with others in a timely manner * a valid driver's license Bring education or experience from: * a bachelor's degree * AINS, AIC, or CPCU designations preferred Benefits in addition to compensation include: * company car * company stock options, including Restricted Share Units and Incentive based stock options * paid time off (PTO) * 401K with 6% company match To be an Experienced Claims Representative: The pay range for this position is $62,000 - $90,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance. Be equipped with: * be available and communicative during your regular business hours * multi-line claims experience preferred * ability to completely assess auto, property, and bodily injury type damages * capacity to work unsupervised * excellent verbal and written communication skills * strong interpersonal skills * excellent problem-solving, negotiation, organizational, and prioritization skills * preparedness to follow-up with others in a timely manner * a valid driver's license Bring education or experience from: * one or more years of claims handling experience * AINS, AIC, or CPCU designations preferred * bachelor's degree or equivalent experience required Benefits in addition to compensation include: * company car * company stock options, including Restricted Share Units and Incentive based stock options * paid time off (PTO) * 401K with 6% company match Enhance your talents Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career. Enjoy benefits and amenities Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities. Embrace a diverse team As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. All job applicants have rights under Federal Employment Laws. Please review this information to learn more about those rights.
    $62k-90k yearly 43d ago
  • Property Adjuster I

    Erie Insurance 4.6company rating

    Pennsylvania jobs

    Division or Field Office: Claims II Division Property Damage Dept Work from: Home (within territory) Salary Range: 55,261.00 - 88,274.00 * salary range is for this level and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment. At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits That Go Beyond The Basics We strive to be Above all in Service to our customers-and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including: Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. Low contributions to medical and prescription premiums. We currently pay up to 97% of employees' monthly premium costs. Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service. 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave. Career development. Including a tuition reimbursement program for higher education and industry designations. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. Position Summary Exercises independent discretion or judgment in handling property claims within designated level of authority. Also responsible for servicing assigned territory and may handle litigated claims. This is a remote/work from home (within the listed territory) position. Strong preference will be given to applicants that reside in Dauphin, Cumberland, Lancaster, Adams, Lebanon, Perry, and York Counties. The successful candidate will ideally reside within the Harrisburg Branch territory, which includes the following counties: Adams, Berks, Bradford, Centre, Columbia, Clinton, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Lycoming, Mifflin, Montour, Northumberland, Perry, Potter, Schuylkill, Snyder, Sullivan, Tioga, Union, York or the close surrounding areas A company car and equipment to work from home will be provided The hiring manager will also consider candidates for Property Adjuster II. Level of position offered will be based upon the depth and breadth of selected candidate's experience and qualifications. Good time management and organization skills preferred Ability to drive/travel regularly within the assigned territory Duties and Responsibilities Contacts Policyholders regarding property claims within level of authority. Conducts investigations, interviews insureds and witnesses, inspects damage and prepares estimates. Evaluates and makes recommendations regarding coverage of claims. Handles property claims within designated authority. Sets and maintains adequate reserves. Obtains and reviews reports, statements, records and related materials as required. Evaluates information to determine coverage and total value of claim. Determines payments and issues checks or declines payment as required. Documents claim files and submits final report to file for closure. Identifies subrogation situations and initiates appropriate action. Services assigned territory and brings assigned claims to conclusion. Interacts with Agents and district sales managers on matters of mutual concern. Handles property claims involving damages or coverage. May handle litigated claims, including negotiating with plaintiff attorney, or coordinates litigation with defense counsel as required. Develops and applies a working knowledge of estimating practices and procedures relating to the adjustment of property claims. Attends industry-related training programs and attends other training sessions to stay current on policy changes, interpretation or new legislation. Successfully completes Technical Learning Center Training within one year of hire date. Participates on Catastrophe Team when required. Duties and Responsibilities (cont'd if applicable) The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished. This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become clear. Capabilities Values Diversity Nimble Learning Self-Development Collaborates Customer Focus Information Management Skills Cultivates Innovation Optimizes Work Processes (IC) Job-Specific Knowledge Instills Trust Ensures Accountability Decision Quality Qualifications Minimum Educational and Experience Requirements High School Diploma or GED and two years of claims handling experience, or equivalent required; or High School Diploma or GED and successful completion of ERIE sponsored formal education; or Bachelor's Degree required. Additional Experience Incumbent must live in territory assigned unless a change is approved by the company. Position requires incumbent to serve on catastrophe duty, which may include travel on short notice to other locations for periods in excess of two consecutive weeks. Designations and/or Licenses Willingness to pursue and complete Technical Learning Center Training required. Successful completion of AIC 33 and AIC 35 preferred. Willingness to obtain and maintain any required licenses. Valid driver's license and good driving record required. Physical Requirements Use of Personal Protective Equipment (PPE) is required for this role. Ability to move over 50 lbs using lifting aide equipment; Often (20-50%) Climbing/accessing heights; Rarely Driving; Frequent (50-80%) Lifting/Moving 0-20 lbs; Often (20-50%) Lifting/Moving 20-50 lbs; Often (20-50%) Manual Keying/Data Entry/inputting information/computer use; Often (20-50%) Pushing/Pulling/moving objects, equipment with wheels; Occasional (
    $53k-65k yearly est. 60d+ ago
  • Associate Claim Representative - Workers Compensation

    The Travelers Companies 4.4company rating

    Cleveland, OH jobs

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $52,600.00 - $86,800.00 Target Openings 2 What Is the Opportunity? Travelers' Claim Organization is at the heart of our business by providing assurance to our customers and their employees in their time of need. The Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as medically appropriate. As an Associate Claim Rep, Workers Compensation, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. This position focuses on developing your skills and knowledge to successfully manage workers compensation claims. This program can typically last up to 12 months and upon successful completion of this program you will have the skills needed to handle claims independently and progress toward full claims handling responsibility. As part of the hiring process, this position will require the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. What Will You Do? * Actively participate in structured training classes covering insurance policies, specific claim processes, systems, and procedures, including virtual, classroom, and on-the-job training. * Assist in reviewing, investigating, and documenting Workers Compensation claims under close supervision. * Investigate, develop, and evaluate action plans for claim resolution. Assess coverage and determine if a claim is compensable under Workers Compensation including evaluating claims for potential fraud. * Participate in Telephonic and/or onsite File Reviews. * Learn how to determine coverage, compensability, and exposure based on policy terms and claim facts. * Gather information from policyholders, claimants, witnesses, and third-party providers. * Communicate and apprise all parties regarding claim status which may include our business customers, injured employees, medical providers, and legal counsel. * Maintain accurate records of claim activity in claim management systems. * Achieve a positive result by returning an injured party to work when appropriate. This may include coordinating medical treatment in collaboration with internal or external resources. * Demonstrate openness to continuous learning, particularly in AI and digital transformation. * Acquire and maintain relevant Insurance License(s) to comply with state and Travelers' requirements within three months of starting the job. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Previous internship or work experience in insurance, finance, or customer service. * Strong attention to detail and organizational skills. * Ability to manage multiple tasks and prioritize effectively. * Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants. * Ability to exercise sound judgement and make effective decisions. * Strong verbal and written communication skills with the ability to convey information clearly and professionally. What is a Must Have? * High School Diploma or GED. * One year of customer service experience OR Bachelor's Degree. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************
    $52.6k-86.8k yearly 2d ago
  • Senior Claims Specialist I

    Liberty Mutual 4.5company rating

    Senior claims representative job at Liberty Mutual Insurance

    The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads. Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Refers to claim to subrogation group or Special Investigations Unit as appropriate. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim. Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company. Acts as senior technical professional on team, assisting team members with escalated issues. Mentors and trains new team members. Participates in Quality Review process. Participates in conducting Suit Committees, Roundtables, Arbitrations, Mediations, field investigations and may assist in conducting closed file reviews. Performs other duties as assigned. Qualifications Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required. Leadership ability and demonstrated time management skills to delegate work appropriately and organize resources effectively. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state`s tort laws as normally acquired through a bachelor`s degree (or equivalent training) plus 3 to 5 years directly related work experience. Required to obtain and maintain all applicable licenses. 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. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. 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: *********************** Liberty 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 We can recommend jobs specifically for you! Click here to get started.
    $76k-107k yearly est. Auto-Apply 1d ago
  • Senior/Complex Claims Specialist, Financial Lines Management Liability

    Liberty Mutual 4.5company rating

    Senior claims representative job at Liberty Mutual Insurance

    Liberty Mutual has an immediate opening for a Senior Claims Specialist, Financial Lines Management Liability position. In this role, with minimal supervision, the Senior Claims Specialist, Financial Lines Management Liability handles a book of Private Company and Not-For-Profit Directors & Officers Liability claims and Employment Practices liability claims throughout the entire claim's life cycle. The selected person will be responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business. Please note, you will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Westborough, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Boston, MA; Las Vegas, NV; Plano, TX; Suwanee, GA; Tampa, FL; or Weatogue, CT. Please note this policy is subject to change. We are able to consider candidates in a Senior Claims Specialist or a Complex Claims Specialist role, depending on experience. The requirements and salary reflected in this posting are for the Senior Claims Specialist role. Responsibilities investigates, and evaluates the loss to determine coverage and claim disposition. Utilizes CMS to document claims and to diary future events or follow-up. Within prescribed settlement authority for line of business, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level. Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting. Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment. Pro-actively manages the case resolution process. Actively participates in mediations and arbitrations, within limit of settlement authority. Participates in the claims audit process. Provides claims marketing services by meeting with brokers, risk managers and re-insurers, as necessary. As required, maintains insurance adjuster licenses. Qualifications Bachelors' and/or advanced degree 5+ years claims/legal experience; or in a related field Functional knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge Functional knowledge of law and insurance regulations in various jurisdictions Demonstrated strong verbal and written communications skills Demonstrated strong negotiation skills 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. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. 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: *********************** Liberty 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 We can recommend jobs specifically for you! Click here to get started.
    $76k-107k yearly est. Auto-Apply 15d ago
  • Auto Claims Representative

    Auto-Owners Insurance 4.3company rating

    Lima, OH jobs

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products Learn and comply with Company claim handling procedures Develop entry-level claim negotiation and settlement skills Build skills to effectively serve the needs of agents, insureds, and others Meet and communicate with claimants, legal counsel, and third-parties Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience Bachelor's degree or direct equivalent experience with property/casualty claims handling Ability to organize data, multi-task and make decisions independently Above average communication skills (written and verbal) Ability to write reports and compose correspondence Ability to resolve complex issues Ability to maintain confidentially and data security Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNP #LI-Hybrid#IN-DNI
    $32k-40k yearly est. Auto-Apply 45d ago
  • Field Claims Representative

    Auto-Owners Insurance 4.3company rating

    Lima, OH jobs

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims Become familiar with insurance coverage by studying insurance policies, endorsements and forms Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary Ensure that claims payments are issued in a timely and accurate manner Handle investigations by phone, mail and on-site investigations Desired Skills & Experience Bachelor's degree or direct equivalent experience handling property and casualty claims A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims Field claims handling experience is preferred but not required Knowledge of Xactimate software is preferred but not required Above average communication skills (written and verbal) Ability to resolve complex issues Organize and interpret data Ability to handle multiple assignments Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI #IN-DNI
    $32k-40k yearly est. Auto-Apply 45d ago
  • Auto Claims Representative

    Auto-Owners Insurance Company 4.3company rating

    Akron, OH jobs

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products Learn and comply with Company claim handling procedures Develop entry-level claim negotiation and settlement skills Build skills to effectively serve the needs of agents, insureds, and others Meet and communicate with claimants, legal counsel, and third-parties Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience Bachelor's degree or direct equivalent experience with property/casualty claims handling Ability to organize data, multi-task and make decisions independently Above average communication skills (written and verbal) Ability to write reports and compose correspondence Ability to resolve complex issues Ability to maintain confidentially and data security Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNP #LI-Hybrid#IN-DNI
    $32k-42k yearly est. Auto-Apply 60d+ ago
  • Bodily Injury Claim Representative - Auto

    The Travelers Companies 4.4company rating

    Independence, OH jobs

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $67,000.00 - $110,600.00 Target Openings 1 What Is the Opportunity? This position is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment process. This may include interpreting and applying laws and statutes for multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. What Will You Do? * Customer Contacts/Experience: * Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follow-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions. * Coverage Analysis : * Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for moderate complexity Bodily Injury liability claims in assigned jurisdictions. Verifies the benefits available, the injured party's eligibility and the applicable limits. Addresses proper application of any deductibles, co-insurance, coverage limits, etc. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration issues such as Social Security, Workers Compensation or others relevant to the jurisdiction. Consults with Unit Manager on use of Claim Coverage Counsel. * Investigation/Evaluation: * Investigates each claim to obtain relevant facts necessary to determine coverage, the extent of liability, damages, and contribution potential with respect to the various coverages provided through prompt contact with appropriate parties (e.g. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts). This may also include investigation of wage loss and essential services claims. Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Takes recorded statements as necessary. Utilizes evaluation documentation tools in accordance with department guidelines. * Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings. * Recognizes cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit. * Reserving: * Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities in accordance with established procedures to resolve claim in a timely manner. * Negotiation/Resolution: * Determines settlement amounts, negotiates and conveys claim settlements within authority limits to claimants or their representatives. Recognizes and implements alternate means of resolution. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to claimants. * Handles both unrepresented and attorney represented claims. May manage litigated claims on appropriately assigned cases. Develops litigation plan with staff or panel counsel, track and control legal expenses. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. * Insurance License: * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Bachelor's Degree. * 2 years bodily injury liability claim handling experience. * General knowledge and skill in claims handling and litigation. * Basic working level knowledge and skill in various business line products. * Demonstrated ownership attitude and customer centric response to all assigned tasks. * Demonstrated good organizational skills with the ability to prioritize and work independently. * Attention to detail ensuring accuracy. * Keyboard skills and Windows proficiency, including Excel and Word - Intermediate. * Verbal and written communication skills - Intermediate. * Analytical Thinking- Intermediate. * Judgment/Decision Making- Intermediate. * Negotiation- Intermediate. * Insurance Contract Knowledge- Intermediate. * Principles of Investigation- Intermediate. * Value Determination- Intermediate. * Settlement Techniques- Intermediate. * Medical Knowledge- Intermediate. What is a Must Have? * One-year bodily injury liability claim handling experience or comparable liability claim handling experience, or successful completion of Travelers Claim Representative training program is required. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************
    $33k-48k yearly est. 7d ago
  • Subrogation Adjuster I

    Amtrust Financial Services, Inc. 4.9company rating

    Cleveland, OH jobs

    Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Subrogation Claims Investigator. The successful candidate will directly handle subrogation related claims. The This adjuster role is responsible for prompt and independent investigations and review of subrogation claims through effective coverage analysis and liability investigation. In this role, the adjuster is responsible for negotiations and interactions with insureds, claimants, adverse parties, and counsel. The successful candidate will evaluate risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed. This position reports to a line of business supervisor or manager. This position may require hybrid attendance in an AmTrust location. The expected salary range for this role is $46,600 - $60,000. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. Responsibilities * Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer. representatives, claimant or injured party, witnesses, producers, and adverse parties. * Documents strategy, action plan, and summary of correspondence in a clear, succinct, and fact-based manner. * Notifies all potential parties, legal representatives, and insurance companies of our subrogation interest. * Ensures quality and timely service is provided to all internal and external customers, whether directly or indirectly. * While working with internal or assigned Legal Counsel, will build strong relationships, and apply company principles and standards. * Effectively negotiates and resolves litigated and non-litigated subrogation claims, and leverages relationships to achieve optimal outcomes. * Manages and controls loss adjustment expenses while pursuing the best potential recovery outcomes. * Builds and leverages critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret, and understand key or root issues. * Effectively prioritizes work while driving claims resolution for the best potential outcome. * Escalates claims decisions regarding settlement determination when appropriate to management. * Performs other functional duties as assigned. Qualifications Minimum Qualifications * Bachelor's degree or equivalent experience. * State licensure as required. * Demonstrated proficiency with MS Office suites. * Demonstrated skills in loss investigations, evaluations, and negotiations. * Knowledge of insurance liability, theory, and practices. Preferred: * Multi-jurisdictional exposure preferred. * Ability to obtain licensure as required. * Some ability to travel may be required. Unique Minimum Qualifications: * Sound technical experience with negotiations and investigations. * Candidate should have knowledge of commercial general liability, commercial automobile, property and/or Workers' Compensation insurance coverages. * Ability to review and interpret contracts, legal documents, and medical records. * Knowledge of jurisdictional statutes and case law. * Ability to communicate effectively and clearly with many different parties both verbally and written. * Knowledge of claim procedures, policies, state and federal laws and insurance regulations. * Experience with litigation, mediation, and arbitration What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
    $46.6k-60k yearly Auto-Apply 60d+ ago
  • Subrogation Adjuster I

    Amtrust Financial Services, Inc. 4.9company rating

    Cleveland, OH jobs

    Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Subrogation Claims Investigator. The successful candidate will directly handle subrogation related claims. The This adjuster role is responsible for prompt and independent investigations and review of subrogation claims through effective coverage analysis and liability investigation. In this role, the adjuster is responsible for negotiations and interactions with insureds, claimants, adverse parties, and counsel. The successful candidate will evaluate risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed. This position reports to a line of business supervisor or manager. This position may require hybrid attendance in an AmTrust location. The expected salary range for this role is $46,600 - $60,000. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. Responsibilities · Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer. representatives, claimant or injured party, witnesses, producers, and adverse parties. · Documents strategy, action plan, and summary of correspondence in a clear, succinct, and fact-based manner. · Notifies all potential parties, legal representatives, and insurance companies of our subrogation interest. · Ensures quality and timely service is provided to all internal and external customers, whether directly or indirectly. · While working with internal or assigned Legal Counsel, will build strong relationships, and apply company principles and standards. · Effectively negotiates and resolves litigated and non-litigated subrogation claims, and leverages relationships to achieve optimal outcomes. · Manages and controls loss adjustment expenses while pursuing the best potential recovery outcomes. · Builds and leverages critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret, and understand key or root issues. · Effectively prioritizes work while driving claims resolution for the best potential outcome. · Escalates claims decisions regarding settlement determination when appropriate to management. · Performs other functional duties as assigned. Qualifications Minimum Qualifications ·Bachelor's degree or equivalent experience. · State licensure as required. · Demonstrated proficiency with MS Office suites. · Demonstrated skills in loss investigations, evaluations, and negotiations. · Knowledge of insurance liability, theory, and practices. Preferred: · Multi-jurisdictional exposure preferred. · Ability to obtain licensure as required. · Some ability to travel may be required. Unique Minimum Qualifications: · Sound technical experience with negotiations and investigations. · Candidate should have knowledge of commercial general liability, commercial automobile, property and/or Workers' Compensation insurance coverages. · Ability to review and interpret contracts, legal documents, and medical records. · Knowledge of jurisdictional statutes and case law. · Ability to communicate effectively and clearly with many different parties both verbally and written. · Knowledge of claim procedures, policies, state and federal laws and insurance regulations. · Experience with litigation, mediation, and arbitration What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future. Not ready to apply? Connect with us for general consideration.
    $46.6k-60k yearly Auto-Apply 1d ago
  • Return to Work - Workers Compensation Claim Representative

    The Travelers Companies 4.4company rating

    Cleveland, OH jobs

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $67,000.00 - $110,600.00 Target Openings 1 What Is the Opportunity? Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues. The claim may involve minor sprains/ minor to moderate surgery The injured worker is working modified duty and receiving ongoing medical treatment. The injured worker as returned to work, reached Maximum Medical Improvement (MMI) and is receiving PPD benefits. File will close as soon as the PPD is paid out. With close to moderate supervision, may handle claims of greater complexity where Injured worker (IW) remains out of work and unlikely to return to position. Employer is unable to accommodate the restrictions. The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with permanent restrictions and there has been a change in the current position. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving moderate to complex offsets, permanent restrictions and/or fatalities. Claims on which a settlement should be considered. What Will You Do? * Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability * Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions. * Manage files with an emphasis on file quality (including timely contact and proper documentation and proactive resolution of outstanding issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical treatment.in collaboration with internal nurse resources where appropriate. * Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation). Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. * Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy. Prepare necessary letters and state filings within statutory limits. * Pursue all offset opportunities, including apportionment, contribution and subrogation. Evaluate claims for potential fraud.Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment. * Effectively manage litigation to drive files to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations. * Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for the jurisdiction. * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * 2 years Workers Compensation claim handling experience. * Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making. * Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. * Ability to effectively present file resolution to internal and/or external stakeholders. * Negotiation: Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise. * General Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract. * Principles of Investigation: Intermediate investigative skills including the ability to take statements. * Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss. * Value Determination: Intermediate ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves. * Settlement Techniques: Intermediate ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package. * Legal Knowledge: General knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. * Medical knowledge: Intermediate knowledge of the nature and extent of injuries, periods of disability, and treatment needed. * WC Technical: * Intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims. * Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state. * Intermediate knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. * Customer Service: * Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes. * Teamwork: * Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result. * Planning & Organizing: * Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals. * Maintain Continuing Education requirements as required or as mandated by state regulations. What is a Must Have? * High School Diploma or GED. * 1 year Workers Compensation claim handling experience or successful completion of the WC trainee program. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************
    $33k-49k yearly est. 2d ago
  • Bodily Injury Claim Representative - Auto

    The Travelers Companies 4.4company rating

    Cleveland, OH jobs

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $67,000.00 - $110,600.00 Target Openings 1 What Is the Opportunity? This position is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment process. This may include interpreting and applying laws and statutes for multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. What Will You Do? * Customer Contacts/Experience: * Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follow-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions. * Coverage Analysis : * Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for moderate complexity Bodily Injury liability claims in assigned jurisdictions. Verifies the benefits available, the injured party's eligibility and the applicable limits. Addresses proper application of any deductibles, co-insurance, coverage limits, etc. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration issues such as Social Security, Workers Compensation or others relevant to the jurisdiction. Consults with Unit Manager on use of Claim Coverage Counsel. * Investigation/Evaluation: * Investigates each claim to obtain relevant facts necessary to determine coverage, the extent of liability, damages, and contribution potential with respect to the various coverages provided through prompt contact with appropriate parties (e.g. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts). This may also include investigation of wage loss and essential services claims. Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Takes recorded statements as necessary. Utilizes evaluation documentation tools in accordance with department guidelines. * Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings. * Recognizes cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit. * Reserving: * Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities in accordance with established procedures to resolve claim in a timely manner. * Negotiation/Resolution: * Determines settlement amounts, negotiates and conveys claim settlements within authority limits to claimants or their representatives. Recognizes and implements alternate means of resolution. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to claimants. * Handles both unrepresented and attorney represented claims. May manage litigated claims on appropriately assigned cases. Develops litigation plan with staff or panel counsel, track and control legal expenses. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. * Insurance License: * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Bachelor's Degree. * 2 years bodily injury liability claim handling experience. * General knowledge and skill in claims handling and litigation. * Basic working level knowledge and skill in various business line products. * Demonstrated ownership attitude and customer centric response to all assigned tasks. * Demonstrated good organizational skills with the ability to prioritize and work independently. * Attention to detail ensuring accuracy. * Keyboard skills and Windows proficiency, including Excel and Word - Intermediate. * Verbal and written communication skills - Intermediate. * Analytical Thinking- Intermediate. * Judgment/Decision Making- Intermediate. * Negotiation- Intermediate. * Insurance Contract Knowledge- Intermediate. * Principles of Investigation- Intermediate. * Value Determination- Intermediate. * Settlement Techniques- Intermediate. * Medical Knowledge- Intermediate. What is a Must Have? * One-year bodily injury liability claim handling experience or comparable liability claim handling experience, or successful completion of Travelers Claim Representative training program is required. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************
    $33k-49k yearly est. 7d ago

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