Claim Specialist jobs at MetLife

- 835 jobs

Long Term Disability Claims Specialist II 1 26 26
Metlife, Inc. 4.4
Claim specialist job at MetLife
At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The LTD Claims Specialist II evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims Specialist II is required to exercise independent judgment, critical thinking skills, exemplary customer service skills as well as effective inventory management skills. Location: Fully Virtual Key Responsibilities: * Virtual roles predominately work from a home office with periodic visits to the assigned office as needed for team events, meetings, training, business continuity, etc. * Effectively manages with minimal oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active reviews. The LTD CS will be evaluated for increases in their authority levels as they become more experienced in their decision-making and demonstrate consistency in meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations. * Develop actions plans and identify return to work potential * Provides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are used to gather essential details regarding medical condition(s) and treatment, occupational demands, financial information and any other information that may be pertinent to the evaluation of the claim. Once telephone calls are completed, you will be required to document the conversation within the claim file in a timely manner utilizing the appropriate level of detail and professional writing skills * Interacts and communicates effectively with claimants, customers, attorneys, brokers, and family members during claim evaluations * Compiles file documentation and correspondence requiring extensive policy and factual detail. Analyzes information to determine if additional information is needed to make a reasonable and logical claims determination based off the information available * Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions. * Clarifies and reconciles inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed * Proficiently calculates monthly benefits due after elimination period, to include COLA, Social Security Offsets, and Rehab Return to Work benefits, and other non-routine payments * Provides timely and detailed written communication during the claim evaluation process which outlines the status of the evaluation and/or claim determination. * Addresses and resolves escalated customer complaints in a timely and thorough manner. Identifies and refers appropriate matters to our appeals, complaint, or litigation support areas. Essential Business Experience and Technical Skills: Required: * New hires should live a commutable distance from the site the role is posted in. * High school diploma * Prior experience with independent judgement and decision making while relying on the available facts * Be able to demonstrate the use of critical thinking and analysis when reviewing the information * Creative problem-solving abilities and the ability to think outside the box * Excellent interpersonal and communication skills in both verbal and written form * Excellent customer service skills proven through internal and external customer interactions * Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively * Organizational and time management skills * Minimum 1 year LTD/IDI Insurance Claims experience Preferred: * Bachelor's degree Business Category Operations - Claims Travel Not applicable At MetLife, we're leading the global transformation of an industry we've long defined. United in purpose, diverse in perspective, we're dedicated to making a difference in the lives of our customers. The expected salary range for this position is $41,600 - $59,000. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms. Benefits We Offer Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more! About MetLife Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible. Join us! MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics"). If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities. $41,600 - $59,000
$41.6k-59k yearly 37d ago
Senior Long Term Disability Claims Specialist 1 5 26
Metlife, Inc. 4.4
Claim specialist job at MetLife
Role Value Proposition: At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Senior LTD Claims Specialist evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent judgment, critical thinking skills, exemplary customer service skills as well as effective inventory management skills. Location: Fully Virtual Key Responsibilities: * Effectively and independently manages an assigned caseload of moderately complex claims which consists of pending and ongoing/active reviews * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations * Provides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are used to gather essential details regarding medical condition(s) and treatment, occupational demands, financial information and any other information that may be pertinent to the evaluation of the claim. Once telephone calls are completed, you will be required to document the conversation within the claim file in a timely manner utilizing the appropriate level of detail and professional writing skills * Interacts and communicates effectively with claimants, customers, health care providers, attorneys, brokers, and family members during claim evaluations * Compiles file documentation and correspondence requiring extensive policy and factual detail. Analyzes information to determine if additional information is needed to make a reasonable and logical claims determination based off the information available * Collaborates effectively with both external and internal resources, such as physicians, attorneys, clinical and vocational consultants, as needed, to gather data such as medical/occupational information in order to ensure reasonable, thorough decision * Clarifies and reconciles inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed. Essential Business Experience and Technical Skills: Required: * Prior experience with independent judgement and decision making while relying on the available facts * Be able to demonstrate the use of critical thinking and analysis when reviewing the information * Creative problem-solving abilities and the ability to think outside the box * Excellent interpersonal and communication skills in both verbal and written form * Excellent customer service skills proven through internal and external customer interactions * Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively * Organizational and time management skills * Ability to effectively manage multiple systems and technology resources * 3+ years of LTD/IDI Insurance Claims experience Preferred: * Bachelor's degree * Knowledge of STD/FML, state leave laws, worker's compensation, ERISA, and Social Security Salary Grade 8M Travel 0-10% Business Category GCSO At MetLife, we're leading the global transformation of an industry we've long defined. United in purpose, diverse in perspective, we're dedicated to making a difference in the lives of our customers. The expected salary range for this position is $41,600 - $68,100. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms. Benefits We Offer Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more! About MetLife Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible. Join us! MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics"). If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities. $41,600 - $68,100
$41.6k-68.1k yearly 50d ago
Cybersecurity GRC Specialist
Hyundai Capital America 4.6
Irvine, CA jobs
Who We Are Through our service brands Hyundai Motor Finance, Genesis Finance, and Kia Finance, Hyundai Capital America offers a wide range of financial products tailored to meet the needs of Hyundai, Genesis, and Kia customers and dealerships. We provide vehicle financing, leasing, subscription, and insurance solutions to over 2 million consumers and businesses. Embodying our commitment to grow, innovate, and diversify, we strive to reimagine the customer and dealer experience and launch innovative new products that broaden our market reach. We believe that success comes from within and are proud to support our team members through skill development and career advancement. Hyundai Capital America is an Equal Opportunity Employer committed to creating a diverse and inclusive culture for our workforce. We are a values-driven company dedicated to supporting both internal and external communities through volunteering, philanthropy, and the empowerment of our Employee Resource Groups. Together, we strive to be the leader in financing freedom of movement. We Take Care of Our People Along with competitive pay, as an employee of HCA, you are eligible for the following benefits: Medical, Dental and Vision plans that include no-cost and low-cost plan options Immediate 401(k) matching and vesting Vehicle purchase and lease discounts plus monthly vehicle allowances Paid Volunteer Time Off with company donation to a charity of your choice Tuition reimbursement What to Expect The Cybersecurity Governance Manager plays a critical role in the organization's second line of defense, ensuring policies, governance frameworks, and regulatory adherence in cybersecurity governance, risk and compliance across the organization. This role establishes oversight mechanisms, monitors compliance with industry regulations, and ensures access-related risks are effectively managed. In addition, this role ensures governance and compliance strategies are aligned with business objectives and security standards. What You Will Do 1. Cybersecurity Governance and Risk Management Manage, maintain and enforce security policies, standards and guidelines related to Cybersecurity governance processes. Develop, implement, maintain and execute a Cybersecurity Risk Register, Policy Risk Exception Process, and Procedures. Conduct risk assessments and impact analyses to identify risks, manage remediations, to ensure compliance across business systems, IT Infrastructure, and network operating environments. 2. Cybersecurity Risk Assessment Perform Global Integrated Security Framework (GSIF) assessments, monitor and ensure remediations are following GSIF ISO 27001 standards across cross-functional departments. Collaborate with Cybersecurity Risk Management, Cybersecurity Engineering Operations, and IT to ensure security best practices are integrated within each project and system deployment. Cybersecurity Governance and Risk Reporting Develop metrics and reporting for senior management and stakeholders that identify security risks and provide actionable insights to address gaps. Develop and maintain the governance mechanisms and automation tools track the Risk Register, and compliance status across the organization. Develop and maintain dashboards and regular reporting to manage management performance metrics, risk metrics. Qualifications What You Will Bring Minimum 5-7 years progressive experience in cybersecurity governance, risk management, or compliance within financial services with a deep understanding of the IT systems. Bachelor's degree in Cybersecurity, Information Security, Risk Management or a related field Master's degree a plus. Certifications such as CISSP, CISM, CRISC, CGEIT, CISA, and ITIL are highly desirable. Working knowledge of Cybersecurity risk management frameworks, Governance, Risk, and Compliance process, IT general controls (e.g. asset classification, risk assessments, vulnerability and threat analysis, risk treatment, audit controls and remediation, vendor risk management, and IT risk management & reporting). Working knowledge of Information Security & Risk Frameworks including ISO 27001/2, ISO 31000:2009, ISO 27005:2008; NIST Special Publications and Methodologies (e.g. SP800-12, 30, 37, 39, 53,150, 161). Working knowledge of California Consumer Privacy Act (CCPA), Gramm-Leach-Bliley Act (GLBA), NYDFS Cybersecurity Regulation, PCI-DSS, FFIEC, SOX, and other relevant laws and regulations. Basic understanding of financial regulatory frameworks and cybersecurity best practices. Ability to communicate complex security concepts to business leaders and technical teams. Work Environment Employees in this class are subject to extended periods of sitting, standing and walking, and using a computer. Work is performed in an office environment. The posted salary range for this job takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; geographic location, and other business and organizational needs. Successful candidates may be hired anywhere in the salary range based on these factors. It is uncommon to hire candidates at or near the top of the range. California Privacy Notice This notice only applies to our applicants who reside in the State of California. The latest version of our Privacy Policy can be found here. This Privacy Policy provides you with notice, at or before the point of collection, about the categories of personal information to be collected from you, the purposes for which your personal information is collected or used, and whether that information is sold or shared, so that you can exercise meaningful control over our use of your personal information. We are providing this notice to comply with the California Consumer Privacy Act of 2018, as amended as amended by the California Privacy Rights Act of 2020 (“CCPA”). If you have any questions about CCPA regarding California residents or HCA team members, please contact the Privacy Team at Privacy2@hcs.com. Primary Location: United States-California-Irvine Work Locations: Headquarters 1 3161 Michelson Dr. Ste 1900, Irvine 92612 Job: Information Security Job Type: Regular Overtime Status: Exempt Schedule: Full-time Minimum Salary: $92,500.00 Maximum Salary: $143,500.00
$92.5k-143.5k yearly 2d ago
CHB Specialist
ASF 3.8
Savannah, GA jobs
About the Company We are the Human Standard in Global Logistics. Founded in 1999, with a singular idea: to bring integrity and honor to the freight forwarding market. Today, we are a leader in global logistics and got here because we have stayed true to our core values. About the Role The CHB Coordinator handles and arranges the customs clearance in all USA ports for all inbound goods for various import customers. The ideal candidate will be able to handle logistics flow from origin to final delivery to ensure maximum efficiency. This position requires working knowledge of customs regulations and compliance documentation. To succeed in this role, you should have organizational skills, attention to detail, and effective communication abilities. A customer-focused approach is an essential job function. Responsibilities Proficient in using import management software or systems. Provide import estimates and information regarding entries into the United States (via air, ocean, and truck). Provide customer service to internal departments and overseas affiliates/clients. Communications with customers, US Customs, PGA, truckers, steamship lines, airlines, freight forwarders, reading and answering all emails and phone calls or any other entity/request pertaining to the entry that may arise. File ISFs on a daily basis as received. Classify all entries, resolve customs problems, and Data entry. Ability to navigate through the various ocean carrier websites to track and trace shipments. Handle all post-entry amendments and internal audits of all entries that have been entered. Assist the CHB manager with projects as requested. Maintain communication with all customers ensuring all needs are covered. Other duties as assigned. Qualifications Ocean import/export experience required. Education: High school diploma required; associate or bachelor's degree in international business, logistics, or a related field is preferred. Experience: 1-3 years in customs brokerage, freight forwarding, or international logistics. Required Skills Organizational skills. Attention to detail. Effective communication abilities. Customer-focused approach. Preferred Skills Experience with import management software. Knowledge of customs regulations and compliance documentation. Pay range and compensation package Company-paid benefits available: Dental insurance Short-term and long-term disability 50,000 Group Term Life insurance policy (7) Paid holidays and (15) days PTO per calendar year 401(k) Retirement plan with employer matching. Employees are 100% vested at enrollment. Additional Benefits available for purchase: Blue Cross Blue Shield plan for employee and dependents Vision insurance Critical illness Accident Additional voluntary term life insurance.
$39k-72k yearly est. 3d ago
CHB Specialist
ASF 3.8
Mount Pleasant, SC jobs
About the Company We are the Human Standard in Global Logistics. Founded in 1999, with a singular idea: to bring integrity and honor to the freight forwarding market. Today, we are a leader in global logistics and got here because we have stayed true to our core values. About the Role The CHB Coordinator handles and arranges the customs clearance in all USA ports for all inbound goods for various import customers. The ideal candidate will be able to handle logistics flow from origin to final delivery to ensure maximum efficiency. This position requires working knowledge of customs regulations and compliance documentation. To succeed in this role, you should have organizational skills, attention to detail, and effective communication abilities. A customer-focused approach is an essential job function. Responsibilities Proficient in using import management software or systems. Provide import estimates and information regarding entries into the United States (via air, ocean, and truck). Provide customer service to internal departments and overseas affiliates/clients. Communications with customers, US Customs, PGA, truckers, steamship lines, airlines, freight forwarders, reading and answering all emails and phone calls or any other entity/request pertaining to the entry that may arise. File ISFs on a daily basis as received. Classify all entries, resolve customs problems, and Data entry. Ability to navigate through the various ocean carrier websites to track and trace shipments. Handle all post-entry amendments and internal audits of all entries that have been entered. Assist the CHB manager with projects as requested. Maintain communication with all customers ensuring all needs are covered. Other duties as assigned. Qualifications Ocean import/export experience required. Education: High school diploma required; associate or bachelor's degree in international business, logistics, or a related field is preferred. Experience: 1-3 years in customs brokerage, freight forwarding, or international logistics. Required Skills Organizational skills. Attention to detail. Effective communication abilities. Customer-focused approach. Preferred Skills Experience with import management software. Knowledge of customs regulations and compliance documentation. Pay range and compensation package Company-paid benefits available: Dental insurance Short-term and long-term disability 50,000 Group Term Life insurance policy (7) Paid holidays and (15) days PTO per calendar year 401(k) Retirement plan with employer matching. Employees are 100% vested at enrollment. Additional Benefits available for purchase: Blue Cross Blue Shield plan for employee and dependents Vision insurance Critical illness Accident Additional voluntary term life insurance.
$32k-60k yearly est. 5d ago
Escrow Specialist
Guardian Savings Bank 3.9
Cincinnati, OH jobs
Guardian Savings Bank is a large lender in Cincinnati, Northern Kentucky, Lexington and Louisville that puts people first. Our customers are part of a close-knit community and their banking needs are both met and serviced locally. Everything from opening an account, securing a home loan or getting advice on the best banking options, we're here for you. In a fast-paced world, you can count on Guardian Savings Bank to slow down and give you the attention you deserve. Guardian Savings Bank is looking for an Escrow Specialist to assist our borrowers with everyday tax and insurance needs. Purpose of the role The Escrow Specialist is the first line contact with borrowers to resolve complex escrow needs. From taxes, insurance, flood, PMI and beyond, the Escrow Specialist ensures timely payment of all escrowed items and works with borrowers to help them understand escrow needs and concerns. Essential Duties and Responsibilities Handle complex calls with customers related to escrow analysis, tax, insurance, PMI and FHA Assumes a high level of responsibility in resolving escalated research issues related to customer accounts Trains new employees and employees from other areas on various insurance, tax and analysis functions Responds to assessments from QC & compliance departments Works various monthly reports to ensure customers mortgage payments are adjusted in accordance with RESPA guidelines Review and document any accounts with payment increases or decreases that fall outside of the Established escrow parameters Complete monthly exception reports to clear any error that would prevent the annual analysis Work exception reports from escrow vendors to ensure the timely completion of payment processing for monthly transactions, monitored by FDICIA & Sarbanes Oxley Prepare wires to outsourced providers of tax and insurance Review, approve or deny & pay claims for tax provider that result in Guardian charge offs Work closely with vendors, customers, tax agencies, insurance companies & affiliates on customer services issues relating to escrow processing; make appropriate account adjustments to correct improper escrow line set-up issues Track & recover advances utilized to clear incorrect escrow payments Process daily correspondence & send to vendors in overnight transactions Complete customer requests to add, delete & reanalyze escrow accounts Clearly explain customer escrow analysis statements; involves detailed mathematical understanding and calculations Research insurance & tax issues that create overages & shortages on customer accounts Ensure monthly analysis checks & statements are mailed to customers in accordance with RESPA guidelines Work w/ customer solutions to ensure accounts coming out of bankruptcy & loan modifications are analyzed correctly Other duties as assigned Education/Experience Education and Experience High School Diploma required. Additional college credits and/or degrees preferred Job competencies 1-2 years of prior escrow experience desired Organized and dependable Basic mortgage documentation knowledge preferred Working knowledge of Microsoft products, including Excel, Word, Outlook Analytical and attention to detail Ability to problem solve and multi-task Verbal and Written Communication Self-Motivated Team Player Please note this job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required for this position. Duties, responsibilities and activities may change at any time; with or without notice. Guardian Savings Bank is an Equal Employment Opportunity and Affirmative Action Employer and will make all employment-related decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
$67k-92k yearly est. 2d ago
Environmental Claim Consultant or Specialist - Complex Claims Unit
The Hartford 4.5
Hartford, CT jobs
Specialist Claims - CH07DEConsultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. This position can be filled at either the Consultant or Specialist level, based on the candidate's experience. The Claim Specialist and Claim Consultant roles are advanced claim handler positions within the Environmental unit of The Hartford's Complex Claims Unit (CCU), responsible for the management of various complex claims brought against The Hartford's insureds. Claims in CCU are often associated with complex fact patterns and coverage issues that may involve multiple years and types of insurance coverage. CCU claims also commonly involve litigation, require subject matter expertise and can involve higher exposures. The Environmental Claim Specialist or Claim Consultant roles within CCU offer a high-impact opportunity for professionals to engage their problem-solving capabilities and navigate complex legal issues. This position focuses on managing legacy environmental and pollution claims, often involving historical contamination, chemical exposure, and long-tail liability, requiring detailed investigation, legal analysis, and strategic resolution. As part of a specialized team, you'll influence litigation strategies, manage significant financial exposures, and become a subject matter expert in environmental liability and insurance. Responsibilities: This position will be filled at either the Consultant or Specialist level, dependent upon the candidate's experience. At the Claim Specialist level, the candidate must be able to independently and timely manage all aspects of the most complex, high-value claims while exhibiting a detailed knowledge of the claim, a well-reasoned analytical focus and a clear strategy for resolution. The Claim Consultant would handle claims of similar complexity, but with additional managerial oversight and coaching. At both levels, the candidate must share their expertise and contribute to broader claim goals by participating in audits, projects and training initiatives. Other responsibilities include: Provide proactive communications to customers and business partners in the management and resolution of claims; Respond to inquiries from customers and provide superior customer service; Review and analyze multiple complex policies and coverage parts (including general liability, umbrella/excess liability and affirmative pollution coverages); Write and articulate clear, concise and accurate coverage positions; Conduct investigations regarding claims and/or lawsuits; Effectively manage litigation and counsel, inclusive of litigation planning/budgeting, and proactively position claims for resolution; Develop and persuasively articulate complex coverage, liability and damage assessments; Provide detailed impactful recommendations to leadership; Pursue and finalize coverage and liability risk transfer against other liable parties and insurance carriers; Conduct complex negotiations and articulate coverage/liability positions; Attend mediations and trials as necessary; Proactively manage accurate expense, reserve and financial transactions; Consistently maintain up-to-date claims metrics. Required Qualifications: 5+ years general liability claim handling experience; Consultant: Experience with commercial general liability claims; Specialist: Experience with environmental or other latent injury claims or claims under affirmative pollution coverages; Preferred Qualifications: Bachelor's degree strongly preferred 10+ years long-tail claim handling experience. JD, other advanced degree, or experience in an environmental consulting discipline (such as geology, hydrology, ecology, or environmental engineering) a plus. Experience in handling affirmative/defensive risk transfer; including additional insured tenders; Strong to Excellent verbal and written communication skills; Strong to Excellent analytical and critical thinking ability; Ability to present in a roundtable setting with a well-reasoned and analytical evaluation; Superior customer service skills and active listening skills; Proven track record of prioritizing and managing multiple responsibilities; Proven track record of effective negotiations/settlement of high-value general liability claims; Demonstrated negotiation and conflict resolution skills; Proficiency with MS Office, especially Word and Excel; Proficiency handling litigated claims; Active Property & Casualty State Insurance Adjuster license or ability to obtain licensing within 3 months of hire. Additional information: This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $84,000 - $159,600 The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience. Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us | Our Culture | What It's Like to Work Here | Perks & Benefits
$84k-159.6k yearly Auto-Apply 60d+ ago
Claims Specialist General Liability/Pollution Environmental Liability
The Hartford 4.5
Hartford, CT jobs
Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. This dynamic Claim Specialist role will be part of a team of professionals who support the Harford Global Specialty (HGS) Claims Division. Our ideal candidate will have expertise in: primary and excess claims (including general liability, excess auto liability, products liability, and pollution liability) on integrated general liability/pollution liability policies, contractor pollution liability and site-specific pollution liability policies. We are seeking a motivated, self-starter who would enjoy a fast-paced collaborative work environment! The Claim Specialist will handle a caseload of complex, high-exposure claims on Excess General Liability and Environmental policies from inception to final resolution. This team works closely with our underwriting, actuarial and legal partners to ensure the best possible result for our customers. The claim caseload will involve both primary and excess coverages with complex fact patterns requiring some knowledge of environmental regulations and response actions as well as analysis of contracts between parties to determine liability for risk transfer opportunities. Key responsibilities of this position include: + Conduct complex investigations and extensive claim file reviews on assigned cases + Determine coverage, draft position letters and communicate the coverage position(s) to insureds, business partners and legal counsel + Operate within prescribed authority levels to set appropriate expense and indemnity reserves + Regularly monitor indemnity reserves for any required adjustment + Present cases above authority level to leadership for expense/indemnity reserve and settlement authority + Develop and implement resolution strategies to achieve high quality outcomes + Pro-actively manage environmental consultants and/or litigation and counsel throughout the case lifecycle + Directly oversee the litigation planning, execution, budget and bill review + Attend trials and mediations as necessary + Positively contribute to our claim and enterprise goals by participating in ad hoc audits, projects and product development initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on: case developments, policy issues, industry trends, etc. + Collaborate with valued business partners to review and address claim trends + Address inquiries from agents and policyholders with a focus on providing superior customer service Qualifications: + Bachelor's Degree is required + Candidates with a JD license and specialization within environmental or construction case experience are preferred. + Minimum of 7 years of claims experience with strong preference for candidates who have handled general liability, pollution liability, site pollution, construction or product liability claims or environmental policies. + Prior experience handling both primary and excess policy coverages/claims + Working knowledge of environmental, coverage and tort laws + Strong coverage acumen with the ability to readily apply the terms and conditions found in manuscript policies to the facts of the claim + Familiarity with state specific environmental and insurance regulatory requirements + High level of discipline, results-orientation and ability to drive bottom line results + Superior analytical ability and organizational skills + Effective interpersonal communication skills in both verbal and written formats + Proven strategic reasoning and execution skills + Excellent negotiation and advanced technical claim handling skills + Full command of issues and medicals relative to high value bodily injury claims + Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity + Ability to effectively communicate in a highly-matrixed environment + Readily able to influence and drive successful, collaborative claim outcomes This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $106,400 - $159,600 Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us (************************************* | Our Culture (******************************************************* | What It's Like to Work Here (************************************************** | Perks & Benefits (********************************************* Every day, a day to do right. Showing up for people isn't just what we do. It's who we are - and have been for more than 200 years. We're devoted to finding innovative ways to serve our customers, communities and employees-continually asking ourselves what more we can do. Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable? That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined. And while how we contribute looks different for each of us, it's these values that drive all of us to do more and to do better every day. About Us (************************************* Our Culture What It's Like to Work Here (************************************************** Perks & Benefits Legal Notice (***************************************** Accessibility Statement Producer Compensation (************************************************** EEO Privacy Policy (************************************************** California Privacy Policy Your California Privacy Choices (****************************************************** International Privacy Policy Canadian Privacy Policy (**************************************************** Unincorporated Areas of LA County, CA (Applicant Information) MA Applicant Notice (******************************************** Hartford India Prospective Personnel Privacy Notice
$106.4k-159.6k yearly 22d ago
Claim Specialist - Complex Claims Unit
The Hartford 4.5
Hartford, CT jobs
Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, bodily injury, and construction related bodily injury claims from inception to final disposition. These claims will involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties to determine indemnity and contribution obligations and risk transfer opportunities. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required, as is prior experience handling bodily injury claims. Excess claims handling experience is recommended but not required. Responsibilities include, but are not limited, to: + Managing a caseload of litigated and non-litigated construction bodily injury claims under commercial general liability policies. + Conducting investigations and analyzing and evaluating the information learned. + Making coverage determinations and communicating written position(s) to insureds and other required parties. + Within prescribed authority levels, setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed adjustment. + Presenting cases to management for expense or indemnity reserve authority above established authority levels. + Developing and implementing resolution strategies to achieve high quality outcomes. + Proactively managing litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review. + Attending trials and mediations, as necessary. + Contributing to broader claim and enterprise goals by participating in audits, projects and product development initiatives. + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry trends, etc. + Working with business partners to evaluate and address claim trends and developments. + Addressing inquiries from agents and policyholders and providing superior customer service. Position Requirements: + Bachelor's degree preferred, law degree a plus or commensurate experience + Minimum of seven years handling complex litigated bodily injury claims + Familiarity with owner and contractor-controlled insurance policies and programs as well as wrap policies, is a plus + Experience handling New York Labor Law claims is a plus + High level of discipline, results-oriented and able to focus on bottom line results + Superior analytical ability and organizational skills + Excellent oral and written communication skills + Excellent strategic thinking ability and execution skills + Excellent negotiation and advanced technical claim handling skills, including knowledge of coverage and tort laws + Full command of damages issues relative to high value bodily injury and property damage claims + Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity + Ability to communicate thoughts clearly and concisely, and to influence and persuade others + Superior interpersonal skills + Ability to exceed expectations and influence others to do the same This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $106,400 - $159,600 The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience. Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us (************************************* | Our Culture (******************************************************* | What It's Like to Work Here (************************************************** | Perks & Benefits (********************************************* Every day, a day to do right. Showing up for people isn't just what we do. It's who we are - and have been for more than 200 years. We're devoted to finding innovative ways to serve our customers, communities and employees-continually asking ourselves what more we can do. Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable? That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined. And while how we contribute looks different for each of us, it's these values that drive all of us to do more and to do better every day. About Us (************************************* Our Culture What It's Like to Work Here (************************************************** Perks & Benefits Legal Notice (***************************************** Accessibility Statement Producer Compensation (************************************************** EEO Privacy Policy (************************************************** California Privacy Policy Your California Privacy Choices (****************************************************** International Privacy Policy Canadian Privacy Policy (**************************************************** Unincorporated Areas of LA County, CA (Applicant Information) MA Applicant Notice (******************************************** Hartford India Prospective Personnel Privacy Notice
$106.4k-159.6k yearly 60d+ ago
Claims Specialist Construction Defect
The Hartford 4.5
Hartford, CT jobs
Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and is a visible and important role. CCU is a highly specialized claim organization responsible for the management of construction defect and construction related claims involving bodily injury and property damage. Claims in CCU are often associated with complex fact patterns requiring contract analysis, and coverage issues that may involve multiple years and types of insurance coverage. CCU claims also commonly involve litigation, require subject matter expertise to manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to independently and timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim, a well-reasoned analytical focus, and a clear strategy for resolution. The Claim Specialist must also be willing to share their expertise and contribute to broader claim goals by participating in audits, projects and training initiatives. Other responsibilities include: + Provide proactive communications to customers and business partners in the management and resolution of claims + Respond to inquiries from customers and provide superior customer service + Review and analyze multiple complex policies and coverage parts (including general liability, contractors professional liability and wrap-up policies) + Write and articulate clear, concise and accurate coverage positions + Conduct investigations regarding claims and/or lawsuits + Effectively manage litigation and counsel, inclusive of litigation planning, budgeting, and proactively positioning claims for resolution + Develop complex coverage, liability and damage assessments and persuasively articulate them to leadership + Provide detailed impactful recommendations to leadership + Pursue and finalize coverage and liability risk transfer against other liable parties and insurance carriers + Conduct complex negotiations and articulate coverage/liability positions + Attend mediations and trials as necessary + Proactively manage accurate expense, reserve and financial transactions + Consistently maintain up to date claims metrics REQUIRED QUALIFICATIONS: + 5+ years construction defect claim handling experience + Experience handling complex construction defect coverage and liability issues on general liability and WRAP policies for general contractor, developer, owner, and construction manager claims + Experience in handling affirmative/defensive risk transfer, including tendering and responding to additional insured and contractual indemnity tenders + Excellent verbal and written communication skills + Excellent analytical and critical thinking ability + Ability to present in a roundtable setting with a well-reasoned and analytical evaluation + Experience in the creation and delivery of presentations + Superior customer service skills and active listening skills + Proven track record of prioritizing and managing multiple responsibilities simultaneously + Proven track record of effective negotiations/settlement of high-value construction defect liability claims + Demonstrated negotiation and conflict resolution skills + Proficiency with MS Office, especially Word and Excel + Active Property & Casualty State Insurance Adjuster license PREFERRED QUALIFICATIONS: + 10+ years construction defect claim handling experience + Bachelor's degree preferred. J.D. or CRIS designation a plus. + Experience in handling contractor professional and protective indemnity policies + Knowledge of surety, bond and builders risk policies + Active Property & Casualty State Insurance Adjuster license OTHER INFORMATION: This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $106,400 - $159,600 Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us (************************************* | Our Culture (******************************************************* | What It's Like to Work Here (************************************************** | Perks & Benefits (********************************************* Every day, a day to do right. Showing up for people isn't just what we do. It's who we are - and have been for more than 200 years. We're devoted to finding innovative ways to serve our customers, communities and employees-continually asking ourselves what more we can do. Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable? That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined. And while how we contribute looks different for each of us, it's these values that drive all of us to do more and to do better every day. About Us (************************************* Our Culture What It's Like to Work Here (************************************************** Perks & Benefits Legal Notice (***************************************** Accessibility Statement Producer Compensation (************************************************** EEO Privacy Policy (************************************************** California Privacy Policy Your California Privacy Choices (****************************************************** International Privacy Policy Canadian Privacy Policy (**************************************************** Unincorporated Areas of LA County, CA (Applicant Information) MA Applicant Notice (******************************************** Hartford India Prospective Personnel Privacy Notice
$106.4k-159.6k yearly 8d ago
Claim Specialist Major Case Unit - West
The Hartford 4.5
Hartford, CT jobs
Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. As a Claims Specialist, you will be responsible for handling a caseload of complex, high exposure, auto and general liability claims throughout the claim's life cycle. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required.Responsibilities: + Conducting investigations and analyzing and evaluating the information learned; + Making coverage determinations and communicating written position(s) to insureds and other required parties; + Within prescribed authority levels, setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed adjustment; + Presenting cases to management for expense or indemnity reserve authority above established authority levels; + Developing and implementing resolution strategies to achieve high quality outcomes; + Proactively managing litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review; + Attending trials and mediations as necessary; + Contributing to broader claim and enterprise goals by participating in audits, projects and product development initiatives; + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry trends, etc.; + Providing support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity; + Work with business partners to evaluate and address claim trends and developments; and strengthen agent and policyholder relationships by addressing inquiries, presenting claim status updates, and providing superior customer service. + Strengthen agent and policyholder relationships by addressing inquiries, presenting claims status updates and providing superior customer service. Qualifications: + Bachelor's degree strongly preferred; law degree a plus + Minimum of seven years handling Auto and General Liability complex litigated coverage and liability matters required + Dedicated to delivering exceptional customer service + Excellent oral and written communication skills + Excellent strategic thinking ability and execution skills + Excellent negotiation and advanced technical claim handling skills, including knowledge of coverage and tort laws + Bias for action and continuous improvement + Intellectually curious; ability to identify efficiency opportunities and develop actionable recommendations + Results oriented with the ability to leverage creative thinking and sound analytical skills to proactively solve problems + An ability to exceed expectations and influence others Additional Information: Travel required up to 20%. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $106,400 - $159,600 Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us (************************************* | Our Culture (******************************************************* | What It's Like to Work Here (************************************************** | Perks & Benefits (********************************************* Every day, a day to do right. Showing up for people isn't just what we do. It's who we are - and have been for more than 200 years. We're devoted to finding innovative ways to serve our customers, communities and employees-continually asking ourselves what more we can do. Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable? That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined. And while how we contribute looks different for each of us, it's these values that drive all of us to do more and to do better every day. About Us (************************************* Our Culture What It's Like to Work Here (************************************************** Perks & Benefits Legal Notice (***************************************** Accessibility Statement Producer Compensation (************************************************** EEO Privacy Policy (************************************************** California Privacy Policy Your California Privacy Choices (****************************************************** International Privacy Policy Canadian Privacy Policy (**************************************************** Unincorporated Areas of LA County, CA (Applicant Information) MA Applicant Notice (******************************************** Hartford India Prospective Personnel Privacy Notice
$106.4k-159.6k yearly 32d ago
Construction Defect - Claim Specialist
The Hartford 4.5
Hartford, CT jobs
Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, construction defect and construction related property damage claims from inception to final disposition. These claims will involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties to determine indemnity and contribution obligations and risk transfer opportunities. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required, as is prior experience handling construction defect and property damage claims. Excess claims handling experience is recommended, but not required. Responsibilities include, but are not limited, to: + Managing a caseload of litigated and non-litigated construction defect claims under commercial general liability policies. + Conducting investigations and analyzing and evaluating the information learned. + Making coverage determinations and communicating written position(s) to insureds and other required parties. + Within prescribed authority levels, setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed adjustment. + Presenting cases to management for expense or indemnity reserve authority above established authority levels. + Developing and implementing resolution strategies to achieve high quality outcomes. + Proactively managing litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review. + Attending trials and mediations as necessary. + Contributing to broader claim and enterprise goals by participating in audits, projects and product development initiatives. + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry trends, etc. + Working with business partners to evaluate and address claim trends and developments. + Addressing inquiries from agents and policyholders and providing superior customer service. Position Requirements: + Bachelor's degree preferred, law degree a plus or commensurate experience + Minimum of seven years handling complex litigated construction defect and property damage matters + Familiarity with owner and contractor controlled insurance policies and programs as well as wrap policies, is a plus + High level of discipline, results-oriented and able to focus on bottom line results + Superior analytical ability and organizational skills + Excellent oral and written communication skills + Excellent strategic thinking ability and execution skills + Excellent negotiation and advanced technical claim handling skills, including knowledge of coverage and tort laws + Full command of damages issues relative to high value construction defect and property damage claims + Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity + Ability to communicate thoughts clearly and concisely, and to influence and persuade others + Superior interpersonal skills + Ability to exceed expectations and influence others to do the same This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $106,400 - $159,600 The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience. Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us (************************************* | Our Culture (******************************************************* | What It's Like to Work Here (************************************************** | Perks & Benefits (********************************************* Every day, a day to do right. Showing up for people isn't just what we do. It's who we are - and have been for more than 200 years. We're devoted to finding innovative ways to serve our customers, communities and employees-continually asking ourselves what more we can do. Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable? That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined. And while how we contribute looks different for each of us, it's these values that drive all of us to do more and to do better every day. About Us (************************************* Our Culture What It's Like to Work Here (************************************************** Perks & Benefits Legal Notice (***************************************** Accessibility Statement Producer Compensation (************************************************** EEO Privacy Policy (************************************************** California Privacy Policy Your California Privacy Choices (****************************************************** International Privacy Policy Canadian Privacy Policy (**************************************************** Unincorporated Areas of LA County, CA (Applicant Information) MA Applicant Notice (******************************************** Hartford India Prospective Personnel Privacy Notice
$106.4k-159.6k yearly 60d+ ago
Claim Specialist - Complex Claims Unit
The Hartford 4.5
Windsor, CT jobs
Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, bodily injury, and construction related bodily injury claims from inception to final disposition. These claims will involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties to determine indemnity and contribution obligations and risk transfer opportunities. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required, as is prior experience handling bodily injury claims. Excess claims handling experience is recommended but not required. Responsibilities include, but are not limited, to: + Managing a caseload of litigated and non-litigated construction bodily injury claims under commercial general liability policies. + Conducting investigations and analyzing and evaluating the information learned. + Making coverage determinations and communicating written position(s) to insureds and other required parties. + Within prescribed authority levels, setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed adjustment. + Presenting cases to management for expense or indemnity reserve authority above established authority levels. + Developing and implementing resolution strategies to achieve high quality outcomes. + Proactively managing litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review. + Attending trials and mediations, as necessary. + Contributing to broader claim and enterprise goals by participating in audits, projects and product development initiatives. + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry trends, etc. + Working with business partners to evaluate and address claim trends and developments. + Addressing inquiries from agents and policyholders and providing superior customer service. Position Requirements: + Bachelor's degree preferred, law degree a plus or commensurate experience + Minimum of seven years handling complex litigated bodily injury claims + Familiarity with owner and contractor-controlled insurance policies and programs as well as wrap policies, is a plus + Experience handling New York Labor Law claims is a plus + High level of discipline, results-oriented and able to focus on bottom line results + Superior analytical ability and organizational skills + Excellent oral and written communication skills + Excellent strategic thinking ability and execution skills + Excellent negotiation and advanced technical claim handling skills, including knowledge of coverage and tort laws + Full command of damages issues relative to high value bodily injury and property damage claims + Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity + Ability to communicate thoughts clearly and concisely, and to influence and persuade others + Superior interpersonal skills + Ability to exceed expectations and influence others to do the same This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $106,400 - $159,600 The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience. Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us (************************************* | Our Culture (******************************************************* | What It's Like to Work Here (************************************************** | Perks & Benefits (********************************************* Every day, a day to do right. Showing up for people isn't just what we do. It's who we are - and have been for more than 200 years. We're devoted to finding innovative ways to serve our customers, communities and employees-continually asking ourselves what more we can do. Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable? That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined. And while how we contribute looks different for each of us, it's these values that drive all of us to do more and to do better every day. About Us (************************************* Our Culture What It's Like to Work Here (************************************************** Perks & Benefits Legal Notice (***************************************** Accessibility Statement Producer Compensation (************************************************** EEO Privacy Policy (************************************************** California Privacy Policy Your California Privacy Choices (****************************************************** International Privacy Policy Canadian Privacy Policy (**************************************************** Unincorporated Areas of LA County, CA (Applicant Information) MA Applicant Notice (******************************************** Hartford India Prospective Personnel Privacy Notice
$106.4k-159.6k yearly 60d+ ago
Construction Defect - Claim Specialist
The Hartford 4.5
Windsor, CT jobs
Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, construction defect and construction related property damage claims from inception to final disposition. These claims will involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties to determine indemnity and contribution obligations and risk transfer opportunities. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required, as is prior experience handling construction defect and property damage claims. Excess claims handling experience is recommended, but not required. Responsibilities include, but are not limited, to: + Managing a caseload of litigated and non-litigated construction defect claims under commercial general liability policies. + Conducting investigations and analyzing and evaluating the information learned. + Making coverage determinations and communicating written position(s) to insureds and other required parties. + Within prescribed authority levels, setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed adjustment. + Presenting cases to management for expense or indemnity reserve authority above established authority levels. + Developing and implementing resolution strategies to achieve high quality outcomes. + Proactively managing litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review. + Attending trials and mediations as necessary. + Contributing to broader claim and enterprise goals by participating in audits, projects and product development initiatives. + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry trends, etc. + Working with business partners to evaluate and address claim trends and developments. + Addressing inquiries from agents and policyholders and providing superior customer service. Position Requirements: + Bachelor's degree preferred, law degree a plus or commensurate experience + Minimum of seven years handling complex litigated construction defect and property damage matters + Familiarity with owner and contractor controlled insurance policies and programs as well as wrap policies, is a plus + High level of discipline, results-oriented and able to focus on bottom line results + Superior analytical ability and organizational skills + Excellent oral and written communication skills + Excellent strategic thinking ability and execution skills + Excellent negotiation and advanced technical claim handling skills, including knowledge of coverage and tort laws + Full command of damages issues relative to high value construction defect and property damage claims + Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity + Ability to communicate thoughts clearly and concisely, and to influence and persuade others + Superior interpersonal skills + Ability to exceed expectations and influence others to do the same This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $106,400 - $159,600 The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience. Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us (************************************* | Our Culture (******************************************************* | What It's Like to Work Here (************************************************** | Perks & Benefits (********************************************* Every day, a day to do right. Showing up for people isn't just what we do. It's who we are - and have been for more than 200 years. We're devoted to finding innovative ways to serve our customers, communities and employees-continually asking ourselves what more we can do. Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable? That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined. And while how we contribute looks different for each of us, it's these values that drive all of us to do more and to do better every day. About Us (************************************* Our Culture What It's Like to Work Here (************************************************** Perks & Benefits Legal Notice (***************************************** Accessibility Statement Producer Compensation (************************************************** EEO Privacy Policy (************************************************** California Privacy Policy Your California Privacy Choices (****************************************************** International Privacy Policy Canadian Privacy Policy (**************************************************** Unincorporated Areas of LA County, CA (Applicant Information) MA Applicant Notice (******************************************** Hartford India Prospective Personnel Privacy Notice
$106.4k-159.6k yearly 60d+ ago
Claim Specialist Major Case Unit - West
The Hartford 4.5
Windsor, CT jobs
Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. As a Claims Specialist, you will be responsible for handling a caseload of complex, high exposure, auto and general liability claims throughout the claim's life cycle. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required.Responsibilities: + Conducting investigations and analyzing and evaluating the information learned; + Making coverage determinations and communicating written position(s) to insureds and other required parties; + Within prescribed authority levels, setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed adjustment; + Presenting cases to management for expense or indemnity reserve authority above established authority levels; + Developing and implementing resolution strategies to achieve high quality outcomes; + Proactively managing litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review; + Attending trials and mediations as necessary; + Contributing to broader claim and enterprise goals by participating in audits, projects and product development initiatives; + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry trends, etc.; + Providing support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity; + Work with business partners to evaluate and address claim trends and developments; and strengthen agent and policyholder relationships by addressing inquiries, presenting claim status updates, and providing superior customer service. + Strengthen agent and policyholder relationships by addressing inquiries, presenting claims status updates and providing superior customer service. Qualifications: + Bachelor's degree strongly preferred; law degree a plus + Minimum of seven years handling Auto and General Liability complex litigated coverage and liability matters required + Dedicated to delivering exceptional customer service + Excellent oral and written communication skills + Excellent strategic thinking ability and execution skills + Excellent negotiation and advanced technical claim handling skills, including knowledge of coverage and tort laws + Bias for action and continuous improvement + Intellectually curious; ability to identify efficiency opportunities and develop actionable recommendations + Results oriented with the ability to leverage creative thinking and sound analytical skills to proactively solve problems + An ability to exceed expectations and influence others Additional Information: Travel required up to 20%. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $106,400 - $159,600 Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us (************************************* | Our Culture (******************************************************* | What It's Like to Work Here (************************************************** | Perks & Benefits (********************************************* Every day, a day to do right. Showing up for people isn't just what we do. It's who we are - and have been for more than 200 years. We're devoted to finding innovative ways to serve our customers, communities and employees-continually asking ourselves what more we can do. Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable? That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined. And while how we contribute looks different for each of us, it's these values that drive all of us to do more and to do better every day. About Us (************************************* Our Culture What It's Like to Work Here (************************************************** Perks & Benefits Legal Notice (***************************************** Accessibility Statement Producer Compensation (************************************************** EEO Privacy Policy (************************************************** California Privacy Policy Your California Privacy Choices (****************************************************** International Privacy Policy Canadian Privacy Policy (**************************************************** Unincorporated Areas of LA County, CA (Applicant Information) MA Applicant Notice (******************************************** Hartford India Prospective Personnel Privacy Notice
$106.4k-159.6k yearly 32d ago
Claims Specialist General Liability/Pollution Environmental Liability
The Hartford 4.5
Windsor, CT jobs
Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. This dynamic Claim Specialist role will be part of a team of professionals who support the Harford Global Specialty (HGS) Claims Division. Our ideal candidate will have expertise in: primary and excess claims (including general liability, excess auto liability, products liability, and pollution liability) on integrated general liability/pollution liability policies, contractor pollution liability and site-specific pollution liability policies. We are seeking a motivated, self-starter who would enjoy a fast-paced collaborative work environment! The Claim Specialist will handle a caseload of complex, high-exposure claims on Excess General Liability and Environmental policies from inception to final resolution. This team works closely with our underwriting, actuarial and legal partners to ensure the best possible result for our customers. The claim caseload will involve both primary and excess coverages with complex fact patterns requiring some knowledge of environmental regulations and response actions as well as analysis of contracts between parties to determine liability for risk transfer opportunities. Key responsibilities of this position include: + Conduct complex investigations and extensive claim file reviews on assigned cases + Determine coverage, draft position letters and communicate the coverage position(s) to insureds, business partners and legal counsel + Operate within prescribed authority levels to set appropriate expense and indemnity reserves + Regularly monitor indemnity reserves for any required adjustment + Present cases above authority level to leadership for expense/indemnity reserve and settlement authority + Develop and implement resolution strategies to achieve high quality outcomes + Pro-actively manage environmental consultants and/or litigation and counsel throughout the case lifecycle + Directly oversee the litigation planning, execution, budget and bill review + Attend trials and mediations as necessary + Positively contribute to our claim and enterprise goals by participating in ad hoc audits, projects and product development initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on: case developments, policy issues, industry trends, etc. + Collaborate with valued business partners to review and address claim trends + Address inquiries from agents and policyholders with a focus on providing superior customer service Qualifications: + Bachelor's Degree is required + Candidates with a JD license and specialization within environmental or construction case experience are preferred. + Minimum of 7 years of claims experience with strong preference for candidates who have handled general liability, pollution liability, site pollution, construction or product liability claims or environmental policies. + Prior experience handling both primary and excess policy coverages/claims + Working knowledge of environmental, coverage and tort laws + Strong coverage acumen with the ability to readily apply the terms and conditions found in manuscript policies to the facts of the claim + Familiarity with state specific environmental and insurance regulatory requirements + High level of discipline, results-orientation and ability to drive bottom line results + Superior analytical ability and organizational skills + Effective interpersonal communication skills in both verbal and written formats + Proven strategic reasoning and execution skills + Excellent negotiation and advanced technical claim handling skills + Full command of issues and medicals relative to high value bodily injury claims + Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity + Ability to effectively communicate in a highly-matrixed environment + Readily able to influence and drive successful, collaborative claim outcomes This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $106,400 - $159,600 Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us (************************************* | Our Culture (******************************************************* | What It's Like to Work Here (************************************************** | Perks & Benefits (********************************************* Every day, a day to do right. Showing up for people isn't just what we do. It's who we are - and have been for more than 200 years. We're devoted to finding innovative ways to serve our customers, communities and employees-continually asking ourselves what more we can do. Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable? That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined. And while how we contribute looks different for each of us, it's these values that drive all of us to do more and to do better every day. About Us (************************************* Our Culture What It's Like to Work Here (************************************************** Perks & Benefits Legal Notice (***************************************** Accessibility Statement Producer Compensation (************************************************** EEO Privacy Policy (************************************************** California Privacy Policy Your California Privacy Choices (****************************************************** International Privacy Policy Canadian Privacy Policy (**************************************************** Unincorporated Areas of LA County, CA (Applicant Information) MA Applicant Notice (******************************************** Hartford India Prospective Personnel Privacy Notice
$106.4k-159.6k yearly 22d ago
Claims Specialist II
Loancare 3.9
Remote
Looking for a career with purpose and reward? At LoanCare we help customers every day with what is for many their largest and most personal financial transaction: the purchase of their home. With the mission to simplify the complex with empathy and insight, we are constantly innovating and are a top provider in the mortgage services industry as a result. We are actively seeking to fill the role of Claims Specialist II. Our ideal candidate enjoys working with clients, both internal and external, eager to learn and maximize results, is detail oriented and driven to meet tight deadlines in a fast-paced environment. Background in the mortgage or real estate industry is a plus. If this sounds like you, and you are ready for a career and not just your next job, apply today! Responsibilities • Prepare mortgage insurance claims for two or more agencies- or investor-acquired properties. • Complete reconciliation of all advances to be included in the claim. • Assist in conducting internal department quality control audits of post claim activity. • Validate all the necessary supporting documents needed for the claim. • Maintain clear records and reports for management regarding daily production. • Assist with updating appropriate workstations for claim payments. • Follow up and track payment of filed claims. • Conduct miscellaneous research to complete daily tasks. • Conduct research for post-claim activities such as “missing documents and/or agency inquiries”. • Complete tasks queue and notate internal system accordingly. • All other duties as assigned. Qualifications 2-4 years of experience in default mortgage servicing and/or mortgage insurance claim and/or the legal field. Knowledge of accepted business practices in the mortgage industry and understanding of claims process. Proficient knowledge of foreclosure process and appropriate guidelines (FHD). LPS-MSP (Mortgage Servicing Platform) experience. Ability to manage time and priorities wisely. Ability to make sound decisions and resolve issues. Ability to work independently and effectively meet deadlines. Ability to communicate effectively in writing, in person, and by telephone. Ability to use Microsoft Office applications, specifically, Excel and Word. Ability to maintain strict confidentiality. Total Rewards LoanCare's Total Rewards Package offers a comprehensive blend of health and welfare, financial, lifestyle and learning benefits to support employee well-being and engagement. Highlights include: Health & Welfare Coverage: Optional medical, dental, vision, life, and disability insurance Time Off: Paid holidays, vacation, and sick leave Retirement & Investment: Matching 401(k) plan and employee stock purchase plan Wellness Programs: Access to mental health resources, including free Calm memberships, and initiatives that promote physical and emotional well-being Employee Recognition: Programs that celebrate achievements and milestones Lifestyle & Learning Perks: Enjoy discounts on gym memberships, pet insurance, and employee purchasing programs, plus access to a tuition reimbursement program that supports your continued education and professional growth. Compensation Range: $17.88 - $26.73 hourly. Actual compensation may vary within the range provided, depending on a number of factors, including qualifications, skills and experience. Build Your Future with LoanCare At LoanCare, we don't just service mortgage loans-we serve people. As a leading full-service mortgage loan subservicer, we deliver excellence to banks, credit unions, independent mortgage companies, investors, and the homeowners they support. Backed by the strength and stability of Fidelity National Financial (NYSE: FNF), a Fortune 500 company, we offer a career foundation built on integrity, innovation, and collaboration. Here, you'll find: A culture that helps you thrive, with resources and support to fuel your growth Flexibility to work remotely, while staying connected through virtual engagement Opportunities to make a real impact in an industry that touches millions of lives If you're ready to grow your career in a place that values your contributions and empowers your success, we invite you to join our team. About Remote Employment We provide the necessary equipment; all you need is a quiet, private place in your home and a high-speed internet connection with a minimum network download speed of 25 megabits per second (MBPS) and a minimum network upload speed of 10 MBPS. Work Conditions Able to attend work and be productive during normal business hours and to work early, late or weekend hours as needed for successful job performance. Overtime required as necessary. Physical Demands Sitting up to 90% of the time Walking and standing up to 10% of the time Occasional lifting, stooping, kneeling, crouching, and reaching Equal Employment Opportunity LoanCare, its affiliates and subsidiaries, is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, protected veteran status, national origin, sexual orientation, gender identity or expression (including transgender status), genetic information or any other characteristic protected by applicable law.
$17.9-26.7 hourly Auto-Apply 47d ago
Complex Claims Specialist - Workers' Compensation (Central)
Berkshire Hathaway Direct Insurance Company 4.8
Remote
Berkshire Hathaway Direct Insurance Company (BHDIC) is the home of commercial small business insurance products bi Berk Business Insurance and THREE by Berkshire Hathaway. Our Claims Department is looking for an experienced claims specialist with a strong background in complex Workers' Compensation claims. This role handles a caseload of highly complex/high-severity Workers' Compensation claims and requires a comprehensive knowledge of Workers' compensation regulations, laws, and best practices. This role will report to the Workers' Compensation Complex Claims Team Lead. Multi-state experience handling Workers' Compensation claims in the following jurisdictions is preferred: Michigan, Indiana, Kentucky, Tennessee, Alabama, Mississippi, Florida, Georgia, Louisiana, Arkansas, Illinois, Missouri, Kansas, Nebraska, South Dakota, Minnesota, Wisconsin. Location: This is a full-time remote position. This position may require occasional travel to attend mediations, trainings, and/or other related department meetings. Job Responsibilities The Complex Claims Specialist will be responsible for, but not limited to: Investigate coverage, determine compensability, and manage a pending of high exposure Workers' Compensation claims involving catastophic injuries and complex cases Proactively establish and update reserves throughout the life of the claim to reflect claim exposure and document supporting rationale Resolve claims within authority and make independent case value recommendations to senior leadership on cases which exceed authority Participate in reserving, pricing and strategy discussions with senior leadership Collaborate with outside defense counsel to effectively manage litigated files according to established litigation management guidelines Partner with medical providers, customers, and injured workers to facilitate appropriate medical treatment and ensure timely submission of medical bills Ensure compliance with state and federal Workers' Compensation regulations Provide exceptional customer service to policyholders, agents, injured workers, medical providers, legal, and vendors Follow escalation and reporting requirements on claims with significant exposure Develop creative resolution strategies to manage losses involving complex issues, effectively utilizing appropriate internal and external resources Document claim files in accordance with company and regulatory guidelines Identify subrogation potential and red flags that require SIU involvement Train new team members Act as a technical resource to less experienced claims representatives Maintain continuing education requirements Qualifications Knowledge and Experience: Active adjuster license required bilingual candidates strongly preferred (Spanish/English) 10+ years of experience handling complex workers' compensation claims Excellent organizational, leadership, communication and time management skills Experience with structured settlements and Medicare Set-Asides Ability to work in a fast-paced, collaborative, virtual office environment Strong analytical, organizational, and time management skills Excellent written and verbal communication skills Ability to work independently and meet assigned deadlines Strong negotiation skills Ability to multi-task and effectively prioritize tasks with frequent interruptions Proficiency with MS Word, Excel and internet applications Highly attentive to details Able to work under pressure and execute good judgment in sensitive situations Advanced verbal and written communication skills are essential for interacting with internal and external stakeholders Education: BA/BS degree required AIC, SCLA, CPCU or other industry designation a plus About Us bi Berk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. Our ultimate parent, Berkshire Hathaway Inc. (berkshirehathaway.com) is a holding company with diversified interests in a host of industries, including insurance, energy, transportation and manufacturing. Most policies issued through bi Berk.com will be underwritten by Berkshire Hathaway Direct Insurance Company ("BHDIC"), which is an AM Best rated A++ insurer. BHDIC is domiciled in Omaha, Nebraska. BHDIC and the team at bi Berk are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust. Some highlights of our benefits are: Great work environment with growth opportunity Subsidized downtown parking (for in-office positions) Competitive compensation Generous amounts of vacation and sick time Closed on major holidays 401(k) with company match A fantastic healthcare package Tuition reimbursement after 6 months of employment Service recognition after 5 years of employment In accordance with pay transparency laws and regulations, the following good faith compensation range estimate is being provided. The salary range for this position is $100,000 - $125,000 per year. Final compensation will be based on candidate qualifications, geographic location, and other considerations permitted by law.
$33k-41k yearly est. Auto-Apply 60d+ ago
Claim Specialist
Essex Mortgage 4.2
Ocala, FL jobs
Job Details Experienced Ocala, FL (In-Office) - Ocala, FL Full TimeJob Description is fully on-site located at our Ocala, FL office. Work Schedule: Monday through Friday 8:30am - 5:00pm The Claims Specialist in Mortgage Servicing is responsible for preparing, filing, and managing claims on FHA, USDA, VA, and Conventional loans to maximize reimbursement and ensure compliance with loan guidelines. This role requires expertise in various claim types, including FHA Part A, Part B, and supplemental claims, along with loss mitigation claims such as modifications and partial claims. The Specialist will monitor critical deadlines, gather necessary documentation, and may also handle vendor coordination for REO claims and process invoices for recoverable default expenses. Core Competencies: Maintains highest level of professional behavior at all times even in stressful situations. Avoids behaviors, comments, and conversations that harm morale, productivity, customer satisfaction and teamwork. Meets confidentiality requirements related to company, customer and financial information. Communicates in writing, verbally and via email in a clear and positive way. Meets policy requirements governing communication content. Meets high-productivity requirements and constantly evaluates and prioritizes work throughout the day to meet frequent deadlines. Takes ownership of work and completes tasks projects accurately. Reviews and proofreads work thoroughly. Works well in a fast-paced team environment and communicates regularly with other team members to ensure deadlines are met. Remains up to date on best practices relevant to the position and uses work hours productively. Essential Duties: Claims Management with Leadership: Prepare and file claims on FHA, USDA, VA, and Conventional loans, demonstrating leadership by ensuring each claim meets loan-specific requirements and supports high standards in servicing. Documentation Assembly with Transparency: Collect and organize all necessary documentation for claim packages (foreclosure deeds, extensions, invoices, over-allowable approvals), maintaining transparency throughout the documentation process to ensure compliance and clarity. Expert Claims Knowledge for High Performance: Apply specialized knowledge to manage and optimize various claim types, including: Foreclosure Claims: FHA Part A and Part B, CWCOT, PFS; VA TOC, 1874; USDA; FNMA and FHLMC Initial/Final Claims; and Mortgage Insurance (MI) Claims. Loss Mitigation Claims: FHA Modifications, Partial Claims, and Special Forbearance; VA Modifications, Partial Claims, and Refunding; FNMA Modifications, Reinstatements, PIFs, and Deferments; FHLMC Modifications, Reinstatements, PIFs, and Deferments. Supplemental Claims: Manage various supplemental claims as required. Proactive Deadline Monitoring: Ensure timely submissions by monitoring critical timelines for claim filings, embodying a high-performance mindset and taking the initiative to meet all deadlines. Invoice Processing with Accountability: Review and process invoices related to default items, verifying their recoverability and compliance, reinforcing transparency and accuracy in all financial transactions. Vendor Coordination for Raving Fans: Collaborate with REO claim vendors to manage REO-related claims efficiently, fostering strong vendor relationships and enhancing service quality to create "raving fans." Data Management for Operational Excellence: Pull, review, and post claims data from loss mitigation files, ensuring data integrity and accuracy to support high-performance operations. Administrative Support and Adaptability: Complete administrative tasks and other assigned duties to contribute to the team's goals, maintaining flexibility and high performance in a dynamic servicing environment. Education and Experience Education: High School Diploma or equivalent required. Associate's or Bachelor's degree in Business, Finance, or a related field preferred. Experience: Minimum of 2 years in mortgage servicing, with a focus on claims management, foreclosure, or loss mitigation. Direct experience with FHA, VA, USDA, and Conventional loan claims is strongly preferred. Familiarity with claim processes for Part A, Part B, CWCOT, PFS, and supplemental claims is a plus. Demonstrated knowledge of invoice processing and vendor coordination in mortgage servicing, with an emphasis on recoverable default expenses. Computer and Equipment Skills Intermediate in Microsoft Office programs (Word, Excel, PowerPoint) Word processing (speed and accuracy) MSP or FICS' Mortgage Servicer a plus Email Internet software Use typical office equipment (computers, fax, phones, copiers, scanners, projectors, etc.) Physical Requirement: Vision (with or without correction) sufficient to read a computer screen and to operate office equipment Clear speaking voice on the telephone, in person, and recorded Hearing within normal ranges in noise environments typical of office Able to sit for long periods of time at computer or other work-station and in meetings Able to use computers and operate equipment Able to lift 10 pounds occasionally unassisted Work Authorization: Must be able to verify identity and employment eligibility to work in the U.S. without a visa sponsorship. EEO Statement: As part of our dedication to the diversity of our workforce, Essex Mortgage is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, national origin or ancestry, sex, gender, gender identity, gender expression, sexual orientation, age, physical or mental disability, medical condition, marital/domestic partner status, military and veteran status, genetic information or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances.
$34k-57k yearly est. 60d+ ago
Trucking Claims Specialist
Berkshire Hathaway 4.8
Rancho Cordova, CA jobs
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking Claims Specialist to join our P&C Claims Casualty team. This role will report to the AVP of Claims and is responsible for investigating and resolving commercial auto liability and physical damage claims, with a focus on trucking exposures. The ideal candidate will bring strong analytical skills, sound judgment, and a commitment to delivering high-quality claims service. Key Responsibilities Investigate and resolve commercial auto liability and physical damage claims involving trucking exposures. Review and interpret policy language to determine coverage and consult with coverage counsel when needed. Manage a caseload of moderate to high complexity and exposure, applying effective resolution strategies. Communicate with insureds, claimants, attorneys, body shops, and law enforcement to gather relevant information. Collaborate with defense counsel and vendors to support litigation strategy and recovery efforts. Ensure claims are handled accurately, efficiently, and in alignment with service and regulatory standards. Participate in file reviews, team meetings, and ongoing training to support continuous learning. Salary Range $95,000.00-$145,000.00 USD The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. Qualifications Minimum of 3 years of trucking industry experience. Experience with bodily injury and/or cargo exposures. Familiarity with trucking operations, FMCSA/DOT regulations, and multi-jurisdictional claims practices. Strong analytical and negotiation skills, with the ability to manage multiple priorities. Proven ability to manage sensitive and high-stakes situations with accuracy and professionalism. Possession of applicable state adjuster licenses. Juris Doctor (JD) preferred; alternatively, a bachelor's degree or equivalent experience in insurance, risk management, or a related field.
$35k-40k yearly est. Auto-Apply 16d ago

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Updated December 11, 2025

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