Post job

North American Risk Services jobs - 929 jobs

  • Medical Claims Representative - Workers' Compensation (Hybrid Las Vegas)

    Ccmsi 4.0company rating

    Remote or Las Vegas, NV job

    Workers' Compensation Medical Only Claim Representative Schedule: Monday-Friday, 8:00 a.m. - 4:30 p.m. (37.5 hours per week) Compensation: $22.50 - $25.00 per hour, commensurate with experience Hybrid Schedule: After training, work from home Monday, Tuesday, and every other Wednesday Build Your Career With Purpose at CCMSI At CCMSI, we don't just process claims-we support people. As one of the largest employee-owned Third Party Administrators in the country, CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary Join our Las Vegas claims team as a Workers' Compensation Medical Only Claim Representative, where you'll handle medical-only workers' compensation claims for multiple client accounts across various industries. This position offers structured training, mentorship, and the opportunity to develop foundational adjusting skills in a supportive and collaborative environment. You'll be responsible for the timely and accurate adjudication of medical-only claims in compliance with Nevada statutes, client expectations, and CCMSI's handling standards. This position may serve as a training role for future advancement to intermediate-level claim positions. Responsibilities Adjudicate medical-only workers' compensation claims timely and accurately in accordance with statutory, client, and CCMSI guidelines. Establish and maintain claim reserves within authority levels under direct supervision. Review, approve, and negotiate medical and miscellaneous invoices to ensure appropriate and related charges. Coordinate and monitor medical treatment in compliance with corporate claim standards. Document all claim activity, medical updates, and correspondence in the claim system. Close claim files when appropriate and assist with file maintenance as needed. Provide support to the broader claim team, including client service initiatives and administrative tasks. Maintain compliance with all Corporate Claim Standards and client-specific handling instructions. Qualifications Required: Associate degree or two (2) years of related business experience NV Adjuster's License or ability to obtain within 60 days of hire (must pass state licensing exam and background check) Proficiency in Microsoft Office (Word, Excel, Outlook) Preferred / Nice to Have: Previous workers' compensation or claim handling experience Knowledge of medical terminology Training & Development Training is tailored to each employee's needs and includes one-on-one instruction, group training sessions, and continuous mentoring and coaching throughout employment. How We Measure Success Audit scores and compliance with handling standards Meeting claim deadlines and accuracy benchmarks Client satisfaction and service responsiveness Demonstrated ability to comprehend and follow established procedures What We Offer 4 weeks PTO + 10 paid holidays in your first year • Medical, Dental, Vision, Life, and Disability Insurance • 401(k) and Employee Stock Ownership Plan (ESOP) • Internal training and advancement opportunities • A supportive, team-based work environment Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #CareerDevelopment #ClaimsTraining #WorkersCompensation #InsuranceCareers #LasVegasJobs #NowHiring #LearnAndGrow #HybridWork #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #AdjusterJobs #LI-Hybrid
    $22.5-25 hourly Auto-Apply 60d+ ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Multinational Service Consultant - Property

    Zurich Na 4.8company rating

    Remote or Atlanta, GA job

    128825 Zurich is currently looking for an Multinational Service Consultant (Property) for our Multinational Operations Team in our Atlanta Office. As a member of Zurich's Multinational Operation's Team you will enjoy the opportunity to fully apply and hone your communication and analytical skills. Specifically, you will consult with Account Teams to ensure the successful delivery of the Multinational Program servicing for complex accounts, including customer service requirements, service proposition and handling of various service delivery issues. Our Multinational Service Consultant is responsible for: + Manage the Multinational Program servicing end to end for complex accounts and is the point of contact for customer onboarding of assigned accounts, with input into the development of customer specific, value added services for existing and new customers. + Respond to customers service issues and coordinating with the appropriate business partner for resolution (i.e. claims adjusters, underwriters). + Create and implement the agreed service plan, including documented Service Level Agreement (SLA), and monitoring of the ongoing delivery of services. + May participate in projects that support the business development process, including development of marketing materials, demos, presentations, service scorecards, handbooks, manuals, etc. + Handle specific requests from Underwriting by reviewing service plan requests, determining feasibility of requests and implementing customer-focused service solutions. + Maintain contact with prospects and/or customers to resolve complex problems. + Evaluate loss potential due to Catastrophe, severity and/or frequency. + Rate policies and check previously rated policies for proper rating. + Assist in developing rates. + Coordinate data entry submitted to the third-party vendor and perform quality checks on the entry before information is sent to the network. + Business Travel, as required, up to 5% Basic Qualifications: + Bachelors Degree and 4 or more years of experience in the Service Delivery area OR + High School Diploma or Equivalent and 6 or more years of experience in the Service Delivery area AND + Knowledge of domestic and Multinational regulatory requirements, and Multinational manuscript wording + Knowledge of the business environment, finance, economics, reinsurance and fronting Preferred Qualifications: + Knowledge of Commercial Property insurance + Experience with Captive and Reinsurance programs + Excellent communication skills + Multi-lingual + Ability to multi-task + Strong time management and organizational skills + Excellent analytical planning skills with ability to effectively manage changing priorities Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us.The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $64,600.00 - $105,900.00, with short-term incentive bonus eligibility set at 10%. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .] **Why Zurich?** At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 . Join us for a brighter future-for yourself and our customers. Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code § 1033. **Please note:** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location(s): AM - Atlanta Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI-ASSOCIATE #LI-HYBRID EOE Disability / Veterans
    $31k-43k yearly est. 53d ago
  • Actuary

    Zurich Insurance Company Ltd. 4.8company rating

    Remote or Schaumburg, IL job

    Zurich North America is currently looking for an Actuary based out of our North American Headquarters in Schaumburg, Illinois or any US office. This role supports Zurich's Liability line of business and is a part of the Underwriting organization. The Underwriting, General Liability Pricing team is responsible for delivering the liability product pricing representing over two billion dollars of premium annually for Zurich North America. The General Liability Pricing Team works closely with other Actuarial teams as well as General Liability Product Management and Market Facing Underwriting teams to support achievement of Zurich's financial objectives. The Actuary is responsible for the following: * Detailed pricing analysis support including the development of rates, rating plans, and portfolio management strategies * Provide input and guidance to actuarial, statistical, and IT functions to support current and future pricing tools across multiple platforms. * Provide Lead support for Pricing Tools and related monitoring including working knowledge of underlying predictive models * Build new or adhere to existing governance and monitoring frameworks * Where appropriate, support "Virtuous Circle" meetings across the organization * Where appropriate, provide rate filing support including formal indications and evaluation of pricing levels * Establish and maintain excellent communication and collaboration within as well as between teams. Basic Qualifications: * Zurich Certified Insurance Apprentice, including Associates Degree OR * Bachelors Degree Bachelor's Degree in Mathematics/Statistics or Actuarial Sciences AND * 5 or more years of experience in the Actuarial area plus FCAS or equivalent international certification OR * 10 or more years of experience in the Actuarial area plus ACAS or equivalent international certification Preferred Qualifications: * Experience in multiple functional areas including pricing, reserving, and capital management * Proficiency in pricing studies: rate indications, trend studies, parameter analysis * Proficiency with Pricing Tools including development, deployment, and post-implementation monitoring. * Familiarity with Computer Science, Statistics or Mathematics and experience transforming data in the business analysis area and providing explanation and inputs to IT. * Familiarity with statistical and predictive modeling techniques including but not limited to decision trees, clustering, and GLMs. * Excellent verbal and written communication skills, particularly possessing the ability to share technical results and recommendations to audiences at varying levels of analytic understanding * Experience collaborating on cross-functional team projects Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $130,000.00 - $213,000.00, with short-term incentive bonus eligibility set at 15%. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.] Why Zurich? At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500. Join us for a brighter future-for yourself and our customers. Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code § 1033. Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location(s): AM - Schaumburg, AM - Chicago, AM - New York Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-JM1 #LI-ASSOCIATE #LI-HYBRID Nearest Major Market: Chicago
    $130k-213k yearly 18d ago
  • Workers' Compensation Claim Specialist - Dedicated Account (California Jurisdiction | Remote)

    Ccmsi 4.0company rating

    Remote or Irvine, CA job

    Overview Workers' Compensation Claim Specialist (California Jurisdiction - Remote) Schedule: Monday-Friday, 8:00 AM - 4:30 PM PST Compensation Range: $87,000 - $97,000 annually (based on experience) Work Type: Full-Time | Employee-Owned Company Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary As a Workers' Compensation Claim Specialist, you'll manage a caseload of mostly litigated and complex claims from start to finish (“cradle to grave”). You'll ensure timely benefit payments, coordinate medical treatment through MMI, evaluate reserves, and pursue fair settlements and closure. You'll also work closely with our client to provide exceptional claim outcomes and uphold CCMSI's commitment to quality and compliance. ⚠️ Please Note: This is an experienced insurance adjusting position. It is not an HR, consultant, or risk management role. We're seeking a skilled California workers' compensation adjuster experienced in litigated and complex claims. Applicants without hands-on adjusting experience will not be considered. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Investigate, evaluate, and adjust California workers' compensation claims in accordance with CCMSI standards and state laws. Manage medical treatment plans and ensure benefits are paid timely and accurately. Evaluate claim reserves and settlement potential; negotiate settlements within authority and client guidelines. Collaborate effectively with clients, attorneys, medical providers, and internal partners. Maintain accurate and timely claim documentation and diary management. Participate in regular file reviews and provide thoughtful updates to the client. Contribute to a supportive, high-performing team culture rooted in employee ownership. Qualifications Required: Proven experience handling California jurisdiction workers' compensation claims (litigated and/or complex). Strong communication, organization, and time management skills. Analytical mindset with sound judgment and decision-making. Proficiency in Microsoft Word and Excel. Preferred: SIP designation (or willingness to obtain). AIC, ARM, or CPCU certification a plus. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Candidates with less experience may be considered at a lower range within the posted salary band. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompensation #ClaimsAdjuster #CaliforniaJobs #RemoteWork #LI-Remote
    $87k-97k yearly Auto-Apply 59d ago
  • Claims IT Development - Subject Matter Expert (SME)

    Zurich North America 4.8company rating

    Remote or Schaumburg, IL job

    Zurich North America is looking for a Claims IT Development - Subject Matter Expert (SME) to work in our North America headquarters in Schaumburg, IL to develop, support and advise on the architecture and development of applications by understanding the requirements of customers and recommending application performance improvements to ensure alignment with business requirements. Key Accountabilities: Work with IT Leadership and stakeholders in the identification of improvement opportunities and prioritizing based on stakeholder needs and strategic direction Leverage AI and machine learning technologies to automated and streamline claim system processes Drives the execution of a number of initiatives that deliver IT Service Excellence and support the IT strategic direction. Build and maintain close working relationships with business partners and ensure alignment to group standards and policies. Sets strong precedent for innovation and demonstration of personal expertise in developing methods/techniques/solutions Understand customers' processes and products and how they fit within the goals of the function or business unit. Define solution architecture, engage in the reviews and validation of the detailed technical design for business applications provided by the supplier to ensure alignment with business requirements; validate suppliers estimates. Estimate Rough Order of Magnitude for the level of effort/cost of new application functionality. Perform quality review checks on project deliverables. Support and review the documentation of functional specifications. Make recommendations for application performance improvements. Act as liaison between the Business and IT, as assigned. Support the Portfolio Manager in building the Business Case, including cost / benefit analysis, risk assessment, project scope, and development of a high-level plan. Support the implementation activities, troubleshooting system environmental issues and providing training as required. Perform impact analysis of application changes across various components, holding an end-to-end view of the system. Specify / recommend Integration and Parallel testing criteria. Basic Qualifications: Bachelor's Degree AND 7 or more years of software product management or product development experience. 5 or more years of experience in software development defining desktop and web-based applications Experience with Microsoft Office, Microsoft Project and Visio OR High School Diploma or equivalent and 9 years of experience in software product management or product development area OR Zurich Certified Insurance Apprentice, including Associate's Degree and 7 or more years' experience in the product management or product development area Preferred Qualifications: P&C - Commercial Insurance, Claims system experience desired Practical experience in defining and implementing solutions for claim systems (Commercial Claim desired) Practical experience developing code for claim solutions (Java preferred) Practical experience solutioning and implementing AI capabilities (in claim systems preferred) Practical experience utilizing Agile / Scrum methodology to lead / deliver IT projects Practical experience utilizing JIRA or similar tooling software Strong verbal and written communication skills Vendor management experience At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please click here. Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply as they will be considered based on their experience, skills, and education. The compensation indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary range for this position is 113,100.00-185,100.00, with short-term incentive bonus eligibility set at 20%. As an insurance company, Zurich is subject to 18 U.S. Code § 1033. A future with Zurich. What can go right when you apply at Zurich? Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500 . Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please click here to learn more. Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission. Location(s): AM - Schaumburg Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LH1 #LI-DIRECTOR
    $108k-137k yearly est. 60d+ ago
  • Part-Time Utilization Review Nurse (Remote - Nevada RN)

    Ccmsi 4.0company rating

    Remote or Carson City, NV job

    Overview Part-Time Utilization Review Nurse - Remote (Nevada License Required) Schedule: Monday-Friday, 8:00 AM-12:00 PM PST Compensation: $40,000-$45,000 annually (part-time, 20 hours/week) Travel: Once per year to Carson City, NV Reports To: Utilization Review Nurse Supervisor Bring Your Nursing Expertise to a Flexible, Part-Time Role at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We're seeking a Part-Time Utilization Review Nurse to conduct medical necessity reviews for treatment requests related to workers' compensation claims. This role is fully remote (Nevada-based) and ideal for a nurse who thrives in a structured, detail-driven environment and enjoys applying clinical judgment to ensure quality, appropriate care. You will review provider-submitted treatment requests, apply evidence-based guidelines, and issue determinations in accordance with Nevada's utilization review standards. Responsibilities Utilization Review concerns the quality of care provided to injured employees, including whether the service is appropriate and effective and the quality of treatment. Appropriate service is health care service that is medically necessary and reasonable, and based on objective, clinical findings. Pursuant to the NAC 616C.123 (1), the criteria or guidelines used in the UR Plan, are consistent with the ACOEM Practice guidelines adopted as standards for the provision of accident benefits to employees who have suffered industrial injuries or occupational diseases. Other Medical Criteria utilized include but are not limited to: Official Disability Guidelines The Medical Disability Guidelines NCM/UR shall use the Guidelines as minimum standards for evaluating and ensuring the quality of programs of treatment provided the injured employee who is entitled to accident benefits. Reports the diagnosis, ICD 9 code, medical appropriateness of the service, pertinent physical findings, diagnostic and therapeutic procedures, concurrent problems, follow‑up care and the injured employee's functional limitations. Authorize a determination based on the health care service request reviewed; based on the information provided, meets or does not meet the clinical requirements for medical necessity and reasonableness of said service in accordance with appropriate medical guidelines. The UR reviewer will process requests in accordance with the timelines specified in Nevada Revised Statute and Nevada Administrative Code. Qualifications Qualifications (Required) Active, unrestricted Nevada nursing license (RN). Nursing degree (Associate's or Bachelor's). Prior Utilization Review experience. Strong clinical background; ability to evaluate complex medical information. Excellent written and verbal communication skills. High attention to detail with the ability to shift priorities as needed. Proficiency with Microsoft Office and electronic documentation systems. Nice to Have Experience in trauma, orthopedics, occupational medicine, rehab therapy, med-surg, or workers' compensation. Exceptional organizational skills and the ability to work independently. Bilingual (English/Spanish) communications skills - This role may involve communicating with injured workers, employers, or vendors where Spanish-language skills are beneficial but not required. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire nurses who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #NurseJobs #NursingCareers #RemoteNurse #WorkFromHomeNurse #PartTimeNurse #UtilizationReviewNurse #HealthcareJobs #MedicalReview #WorkersCompensation #NurseLife #NevadaJobs #CarsonCityJobs #ClinicalReview #NurseHiring #NowHiringNurses #HealthcareCareers #RNJobs #NursingCommunity #HiringNow #WorkFromHomeJobs #PartTimeJobs #RemoteJobs #WorkInHealthcare #NursesOfLinkedIn #NursingProfessional #NurseRecruitment #NurseOpportunities #HealthcareAdministration #MedicalCaseManagement #ClinicalNurseSpecialist #NurseSupport #LI-Part Time #LI-Remote
    $40k-45k yearly Auto-Apply 37d ago
  • Experienced CA WC Adjuster - Remote - Multi-Industry (Trucking, Staffing, Valet)

    Ccmsi 4.0company rating

    Remote or Irvine, CA job

    Overview Workers' Compensation Claim Consultant (CA Jurisdiction Only) - Remote Salary: $77,000-$87,000 annually Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Experience Required: 5+ Years (Litigated & Some Complex Claims) 🚨 Please Note This is not an HR, risk management, or consulting position. This is an experienced California Workers' Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered. Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We're seeking an experienced Workers' Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries. This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI's best practice standards. You'll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Conduct timely 3-point contact per CCMSI best practices. Investigate, evaluate, and adjust California workers' compensation claims with independence and sound judgment. Establish, maintain, and justify detailed reserve levels. Administer indemnity and award payments in accordance with CA jurisdictional requirements. Negotiate settlements consistent with corporate standards, client instructions, and state law. Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met. Pursue subrogation recovery as applicable. Prepare claim status reports, reserve analyses, and updates for client meetings. Conduct claim reviews with clients and participate in discussions as needed. Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle. Ensure all documentation meets CCMSI best practice requirements. Qualifications Qualifications - Required 5+ years of California WC adjusting experience, including litigated files and some complex exposure. Adjuster designation required. Strong working knowledge of California WC laws, timelines, benefits, and litigation processes. Proficiency with Microsoft Office (Word, Excel, Outlook). Excellent written and verbal communication skills, critical thinking, and decision-making ability. Nice to Have SIP certification preferred. Strong documentation habits per CCMSI best practices. Experience presenting or conducting client reviews. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Work Environment & Travel Remote role reporting to the Irvine, CA branch. Occasional travel to the office may be required for rare mandatory in-office meetings. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompJobs #CaliforniaAdjuster #RemoteJobs #ClaimsConsultant #InsuranceCareers #AdjusterLife #NowHiring #LI-Remote
    $77k-87k yearly Auto-Apply 45d ago
  • Legal Collections Specialist

    Zurich Na 4.8company rating

    Remote or Schaumburg, IL job

    128634 Zurich is currently looking for a Legal Collections Specialist to work out of our North American headquarters in Schaumburg, Illinois. The Legal Collections Specialist performs complex finance operations tasks and monitor the day-to-day relationships between the Organization and suppliers to ensure financial goals are being met and third-party vendors operate in compliance with required policies and procedures. May perform collections and receivables management duties for the more complex accounts referred to special collections, including bankruptcies on accounts designated as legal collections. Additional responsibilities will include: + Perform as an initial point of escalation for Finance Operations Associate providing technical guidance and work direction + Respond to internal and external client's inquiries by providing technical advice in a professional, timely and accurate manner in complex situations + Proactively analyze performance of key performance indicators and communicate status and issues to management + Demonstrate an understanding of the customer's needs, reviews process and procedures; recommend and implement continuous improvement + Lead and collaborate on moderately complex ad hoc projects Basic Qualifications: + Bachelor's Degree and 4 or more years of experience in the Finance Operations area OR + High School Diploma or Equivalent and 6 or more years of experience in the Finance Operations area OR + Certified Zurich Insurance Apprentice, including Associates Degree and 4 or more years of experience in the Finance Operations area AND + Knowledge of financial (debt ?) collections practices and procedures + Knowledge of accounting standards and practice Preferred Qualifications: + Strong verbal and written and communication skills + Strong quantitative and analytical skills + Insurance industry experience Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us.The proposed Salary range for this position is $71,100.00 - $116,500.00, with short-term incentive bonus eligibility set at 10%. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .] **Why Zurich?** At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 . Join us for a brighter future-for yourself and our customers. Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code § 1033. **Please note:** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location(s): AM - Schaumburg Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-GR1 #LI-ASSOCIATE #LI-HYBRID EOE Disability / Veterans
    $34k-42k yearly est. 47d ago
  • Actuary

    Zurich Na 4.8company rating

    Remote or Chicago, IL job

    129839 Zurich North America is currently looking for an Actuary based out of our North American Headquarters in Schaumburg, Illinois or any US office. This role supports Zurich's Liability line of business and is a part of the Underwriting organization. The Underwriting, General Liability Pricing team is responsible for delivering the liability product pricing representing over two billion dollars of premium annually for Zurich North America. The General Liability Pricing Team works closely with other Actuarial teams as well as General Liability Product Management and Market Facing Underwriting teams to support achievement of Zurich's financial objectives. The Actuary is responsible for the following: + Detailed pricing analysis support including the development of rates, rating plans, and portfolio management strategies + Provide input and guidance to actuarial, statistical, and IT functions to support current and future pricing tools across multiple platforms. + Provide Lead support for Pricing Tools and related monitoring including working knowledge of underlying predictive models + Build new or adhere to existing governance and monitoring frameworks + Where appropriate, support "Virtuous Circle" meetings across the organization + Where appropriate, provide rate filing support including formal indications and evaluation of pricing levels + Establish and maintain excellent communication and collaboration within as well as between teams. Basic Qualifications: + Zurich Certified Insurance Apprentice, including Associates DegreeOR + Bachelors Degree Bachelor's Degree in Mathematics/Statistics or Actuarial SciencesAND + 5 or more years of experience in the Actuarial area plus FCAS or equivalent international certification OR + 10 or more years of experience in the Actuarial area plus ACAS or equivalent international certification Preferred Qualifications: + Experience in multiple functional areas including pricing, reserving, and capital management + Proficiency in pricing studies: rate indications, trend studies, parameter analysis + Proficiency with Pricing Tools including development, deployment, and post-implementation monitoring. + Familiarity with Computer Science, Statistics or Mathematics and experience transforming data in the business analysis area and providing explanation and inputs to IT. + Familiarity with statistical and predictive modeling techniques including but not limited to decision trees, clustering, and GLMs. + Excellent verbal and written communication skills, particularly possessing the ability to share technical results and recommendations to audiences at varying levels of analytic understanding + Experience collaborating on cross-functional team projects Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us.The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $130,000.00 - $213,000.00, with short-term incentive bonus eligibility set at 15%. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .] **Why Zurich?** At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 . Join us for a brighter future-for yourself and our customers. Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code § 1033. **Please note:** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location(s): AM - Schaumburg, AM - New York, AM - Chicago Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-JM1 #LI-ASSOCIATE #LI-HYBRID EOE Disability / Veterans
    $130k-213k yearly 2d ago
  • Complex Claims Specialist

    Athens Administrators 4.0company rating

    Remote or Lake Mary, FL job

    DETAILS Complex Claims Specialist - Property & Casualty Department: Property and Casualty Claims Reports To: Claims Supervisor FLSA Status: Exempt Job Grade: 14 Career Ladder: Next step in progression could include Claims Supervisor ATHENS ADMINISTRATORS Since our founding in 1976, Athens Administrators has been a recognized leader in third-party claims administration services. However, more important than what we do is how we do it. Athens employees provide service that translates into real and lasting benefits-every single day! With offices throughout the United States, Athens Administrators offers Workers' Compensation, Property & Casualty, Managed Care and Program Business solutions. Athens is proud to be a third-generation family-owned company and is dedicated to its core values of honesty and integrity, a commitment to service and results, and a caring family culture. We are so proud that our employees have consistently voted Athens as a Best Place to Work! POSITION SUMMARY Athens Administrators has an immediate need for a full-time Complex Claims Specialist to support our Property & Casualty department. Employees who live less than 26 miles from the Concord, CA, Orange, CA, San Antonio, TX, or Lake Mary, FL offices are required to work once a week in the office. The remaining days can be worked remotely if technical requirements are met, and the employee resides in a state Athens operates in (includes CA, CT, FL, GA, ID, IL, MA, NY, NC, NJ, OH, OK, OR, PA, SC, TN, TX, VA and WV). This position does allow for work from home if technical requirements are met. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday-Friday at 37.5 hours a week. The Complex Claim Specialist is responsible for the review, investigation, analysis, and processing of complex claims within assigned authority limits and consistent with policy and legal requirements. These claims are typically high exposure and often entail litigation and complex coverage. There is particular emphasis on runoff program claims for this desk. The goal of the position is to ensure the delivery of quality service to customers while protecting their interests. Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. We are totally unique in that we focus only on commercial business specialization across multiple coverage lines. PRIMARY RESPONSIBILITIES Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned: Advanced knowledge in the following areas: 1) Complex Auto or General Liability claims handling concepts, practices and techniques, to include but not limited to complex coverage issues, and product line knowledge, 2) advanced, functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated advanced analytical, decision making and negotiation skills. Analyze, investigate, and evaluate losses to determine appropriate layers of coverage, settlement value and disposition strategy, including claim merits or denial of liability Within prescribed settlement authority for line of business, establish appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Make recommendations to set reserves at appropriate level for claims outside of authority level Prepare comprehensive reports as required. Identify and communicate specific claim trends and account and/or policy issues to clients and senior level management Manage the litigation process through the retention of selected counsel. Adhere to the line of business litigation guidelines to include budget, bill review and payment Document and manage claims (i.e.: statements, diaries, write reports) from inception to closure Ensure appropriateness of all coverage memorandums and payments Coordinate and work with dedicated vendor services such as law professionals, industry experts, county officials and client executives to manage professional claims and communications Facilitate interactions between insured entities, claimants, client contacts, and attorneys in resolution of severe and complex claims Lead and conduct comprehensive claim reviews and case analysis discussions with various committees or district level authorities Provide superior customer service to all layers of authorities within the county Meet with clients, attend hearings, and assist senior management with planning, forecasting and new business opportunities that may arise in the servicing of the account. May assist management in hiring other account dedicated examiners Provide guidance and serve as a technical expert to less experienced examiners May conduct meetings or training sessions to help develop less experienced examiners Attend all required meetings and educational seminars for professional development Maintain required licenses ESSENTIAL POSITION REQUIREMENTS The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations. High School Diploma or equivalent (GED) required for all positions AA/AS or BA/BS preferred but not required Possesses a license from your domiciled (state you live in or designated home state) state and a minimum of one license in any of the following states: NY, TX, or FL preferred Additional State Adjuster License(s), may be required within 180 days Maintain licenses and continuing education requirements in all states Relies on extensive experience and judgement to plan and accomplish goals with a minimum of 10 years complex/major claims experience, including proficiency in investigation and resolution of severe to major casualty and general liability claims Experience with relevant insurance laws, codes, and procedures Experience with property and casualty insurance policies, insurance tort laws, codes, and procedures Understanding Auto and General Liability exposure and unique coverage endorsements Understanding of medical, legal terminology and liability concepts Proficiency in investigation and resolution of severe to major level casualty claims Time Management and project management skills Strong negotiation and litigation management skills Well-developed verbal and written communication skills with strong attention to detail Excellent organizational skills and ability to multi-task Ability to type quickly, accurately and for prolonged periods Proficient in Microsoft Office Suite Ability to learn additional computer programs Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization Seeks to include innovative strategies and methods to provide a high level of commitment to service and results Ability to be demonstrate care and concern for fellow team members and clients in a professional and friendly manner Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor Athens' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company. Must be able to reliably commute to meetings and events as required by this position APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at *********************************************** Feel free to include a cover letter if you'd like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: ************************************************************************************************** This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training. Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. THANK YOU! We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don't forget to check out our website at ******************* as well as our LinkedIn, Glassdoor, and Facebook pages! Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at *************************************************
    $53k-80k yearly est. 5d ago
  • Part-Time Utilization Review Nurse (Remote - Nevada RN)

    Cannon Cochran Management 4.0company rating

    Remote or Carson City, NV job

    Overview Part-Time Utilization Review Nurse - Remote (Nevada License Required) Schedule: Monday-Friday, 8:00 AM-12:00 PM PST Compensation: $40,000-$45,000 annually (part-time, 20 hours/week) Travel: Once per year to Carson City, NV Reports To: Utilization Review Nurse Supervisor Bring Your Nursing Expertise to a Flexible, Part-Time Role at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We're seeking a Part-Time Utilization Review Nurse to conduct medical necessity reviews for treatment requests related to workers' compensation claims. This role is fully remote (Nevada-based) and ideal for a nurse who thrives in a structured, detail-driven environment and enjoys applying clinical judgment to ensure quality, appropriate care. You will review provider-submitted treatment requests, apply evidence-based guidelines, and issue determinations in accordance with Nevada's utilization review standards. Responsibilities Utilization Review concerns the quality of care provided to injured employees, including whether the service is appropriate and effective and the quality of treatment. Appropriate service is health care service that is medically necessary and reasonable, and based on objective, clinical findings. Pursuant to the NAC 616C.123 (1), the criteria or guidelines used in the UR Plan, are consistent with the ACOEM Practice guidelines adopted as standards for the provision of accident benefits to employees who have suffered industrial injuries or occupational diseases. Other Medical Criteria utilized include but are not limited to: Official Disability Guidelines The Medical Disability Guidelines NCM/UR shall use the Guidelines as minimum standards for evaluating and ensuring the quality of programs of treatment provided the injured employee who is entitled to accident benefits. Reports the diagnosis, ICD 9 code, medical appropriateness of the service, pertinent physical findings, diagnostic and therapeutic procedures, concurrent problems, follow‑up care and the injured employee's functional limitations. Authorize a determination based on the health care service request reviewed; based on the information provided, meets or does not meet the clinical requirements for medical necessity and reasonableness of said service in accordance with appropriate medical guidelines. The UR reviewer will process requests in accordance with the timelines specified in Nevada Revised Statute and Nevada Administrative Code. Qualifications Qualifications (Required) Active, unrestricted Nevada nursing license (RN). Nursing degree (Associate's or Bachelor's). Prior Utilization Review experience. Strong clinical background; ability to evaluate complex medical information. Excellent written and verbal communication skills. High attention to detail with the ability to shift priorities as needed. Proficiency with Microsoft Office and electronic documentation systems. Nice to Have Experience in trauma, orthopedics, occupational medicine, rehab therapy, med-surg, or workers' compensation. Exceptional organizational skills and the ability to work independently. Bilingual (English/Spanish) communications skills - This role may involve communicating with injured workers, employers, or vendors where Spanish-language skills are beneficial but not required. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire nurses who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #NurseJobs #NursingCareers #RemoteNurse #WorkFromHomeNurse #PartTimeNurse #UtilizationReviewNurse #HealthcareJobs #MedicalReview #WorkersCompensation #NurseLife #NevadaJobs #CarsonCityJobs #ClinicalReview #NurseHiring #NowHiringNurses #HealthcareCareers #RNJobs #NursingCommunity #HiringNow #WorkFromHomeJobs #PartTimeJobs #RemoteJobs #WorkInHealthcare #NursesOfLinkedIn #NursingProfessional #NurseRecruitment #NurseOpportunities #HealthcareAdministration #MedicalCaseManagement #ClinicalNurseSpecialist #NurseSupport #LI-Part Time #LI-Remote We can recommend jobs specifically for you! Click here to get started.
    $40k-45k yearly Auto-Apply 11d ago
  • Multinational Service Consultant - Property

    Zurich Insurance Company Ltd. 4.8company rating

    Remote or Atlanta, GA job

    Zurich is currently looking for an Multinational Service Consultant (Property) for our Multinational Operations Team in our Atlanta Office. As a member of Zurich's Multinational Operation's Team you will enjoy the opportunity to fully apply and hone your communication and analytical skills. Specifically, you will consult with Account Teams to ensure the successful delivery of the Multinational Program servicing for complex accounts, including customer service requirements, service proposition and handling of various service delivery issues. Our Multinational Service Consultant is responsible for: * Manage the Multinational Program servicing end to end for complex accounts and is the point of contact for customer onboarding of assigned accounts, with input into the development of customer specific, value added services for existing and new customers. * Respond to customers service issues and coordinating with the appropriate business partner for resolution (i.e. claims adjusters, underwriters). * Create and implement the agreed service plan, including documented Service Level Agreement (SLA), and monitoring of the ongoing delivery of services. * May participate in projects that support the business development process, including development of marketing materials, demos, presentations, service scorecards, handbooks, manuals, etc. * Handle specific requests from Underwriting by reviewing service plan requests, determining feasibility of requests and implementing customer-focused service solutions. * Maintain contact with prospects and/or customers to resolve complex problems. * Evaluate loss potential due to Catastrophe, severity and/or frequency. * Rate policies and check previously rated policies for proper rating. * Assist in developing rates. * Coordinate data entry submitted to the third-party vendor and perform quality checks on the entry before information is sent to the network. * Business Travel, as required, up to 5% Basic Qualifications: * Bachelors Degree and 4 or more years of experience in the Service Delivery area OR * High School Diploma or Equivalent and 6 or more years of experience in the Service Delivery area AND * Knowledge of domestic and Multinational regulatory requirements, and Multinational manuscript wording * Knowledge of the business environment, finance, economics, reinsurance and fronting Preferred Qualifications: * Knowledge of Commercial Property insurance * Experience with Captive and Reinsurance programs * Excellent communication skills * Multi-lingual * Ability to multi-task * Strong time management and organizational skills * Excellent analytical planning skills with ability to effectively manage changing priorities Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $64,600.00 - $105,900.00, with short-term incentive bonus eligibility set at 10%. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.] Why Zurich? At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500. Join us for a brighter future-for yourself and our customers. Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code § 1033. Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location(s): AM - Atlanta Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI-ASSOCIATE #LI-HYBRID Nearest Major Market: Atlanta
    $31k-43k yearly est. 54d ago
  • Claims IT Development - Subject Matter Expert (SME)

    Zurich Insurance Company Ltd. 4.8company rating

    Remote or Schaumburg, IL job

    Zurich North America is looking for a Claims IT Development - Subject Matter Expert (SME) to work in our North America headquarters in Schaumburg, IL to develop, support and advise on the architecture and development of applications by understanding the requirements of customers and recommending application performance improvements to ensure alignment with business requirements. Key Accountabilities: * Work with IT Leadership and stakeholders in the identification of improvement opportunities and prioritizing based on stakeholder needs and strategic direction * Leverage AI and machine learning technologies to automated and streamline claim system processes * Drives the execution of a number of initiatives that deliver IT Service Excellence and support the IT strategic direction. * Build and maintain close working relationships with business partners and ensure alignment to group standards and policies. * Sets strong precedent for innovation and demonstration of personal expertise in developing methods/techniques/solutions * Understand customers' processes and products and how they fit within the goals of the function or business unit. * Define solution architecture, engage in the reviews and validation of the detailed technical design for business applications provided by the supplier to ensure alignment with business requirements; validate suppliers estimates. * Estimate Rough Order of Magnitude for the level of effort/cost of new application functionality. * Perform quality review checks on project deliverables. * Support and review the documentation of functional specifications. * Make recommendations for application performance improvements. * Act as liaison between the Business and IT, as assigned. * Support the Portfolio Manager in building the Business Case, including cost / benefit analysis, risk assessment, project scope, and development of a high-level plan. * Support the implementation activities, troubleshooting system environmental issues and providing training as required. * Perform impact analysis of application changes across various components, holding an end-to-end view of the system. * Specify / recommend Integration and Parallel testing criteria. Basic Qualifications: * Bachelor's Degree AND * 7 or more years of software product management or product development experience. * 5 or more years of experience in software development defining desktop and web-based applications * Experience with Microsoft Office, Microsoft Project and Visio OR * High School Diploma or equivalent and 9 years of experience in software product management or product development area OR * Zurich Certified Insurance Apprentice, including Associate's Degree and 7 or more years' experience in the product management or product development area Preferred Qualifications: * P&C - Commercial Insurance, Claims system experience desired * Practical experience in defining and implementing solutions for claim systems (Commercial Claim desired) * Practical experience developing code for claim solutions (Java preferred) * Practical experience solutioning and implementing AI capabilities (in claim systems preferred) * Practical experience utilizing Agile / Scrum methodology to lead / deliver IT projects * Practical experience utilizing JIRA or similar tooling software * Strong verbal and written communication skills * Vendor management experience At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please click here. Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply as they will be considered based on their experience, skills, and education. The compensation indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary range for this position is 113,100.00-185,100.00, with short-term incentive bonus eligibility set at 20%. As an insurance company, Zurich is subject to 18 U.S. Code § 1033. A future with Zurich. What can go right when you apply at Zurich? Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please click here to learn more. Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission. Location(s): AM - Schaumburg Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LH1 #LI-DIRECTOR Nearest Major Market: Chicago
    $108k-137k yearly est. 60d+ ago
  • Workers' Compensation Claim Specialist - Dedicated Account (California Jurisdiction | Remote)

    Cannon Cochran Management 4.0company rating

    Remote or Irvine, CA job

    Overview Workers' Compensation Claim Specialist (California Jurisdiction - Remote) Schedule: Monday-Friday, 8:00 AM - 4:30 PM PST Compensation Range: $87,000 - $97,000 annually (based on experience) Work Type: Full-Time | Employee-Owned Company Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary As a Workers' Compensation Claim Specialist, you'll manage a caseload of mostly litigated and complex claims from start to finish (“cradle to grave”). You'll ensure timely benefit payments, coordinate medical treatment through MMI, evaluate reserves, and pursue fair settlements and closure. You'll also work closely with our client to provide exceptional claim outcomes and uphold CCMSI's commitment to quality and compliance. ⚠️ Please Note: This is an experienced insurance adjusting position. It is not an HR, consultant, or risk management role. We're seeking a skilled California workers' compensation adjuster experienced in litigated and complex claims. Applicants without hands-on adjusting experience will not be considered. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Investigate, evaluate, and adjust California workers' compensation claims in accordance with CCMSI standards and state laws. Manage medical treatment plans and ensure benefits are paid timely and accurately. Evaluate claim reserves and settlement potential; negotiate settlements within authority and client guidelines. Collaborate effectively with clients, attorneys, medical providers, and internal partners. Maintain accurate and timely claim documentation and diary management. Participate in regular file reviews and provide thoughtful updates to the client. Contribute to a supportive, high-performing team culture rooted in employee ownership. Qualifications Required: Proven experience handling California jurisdiction workers' compensation claims (litigated and/or complex). Strong communication, organization, and time management skills. Analytical mindset with sound judgment and decision-making. Proficiency in Microsoft Word and Excel. Preferred: SIP designation (or willingness to obtain). AIC, ARM, or CPCU certification a plus. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Candidates with less experience may be considered at a lower range within the posted salary band. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompensation #ClaimsAdjuster #CaliforniaJobs #RemoteWork #LI-Remote We can recommend jobs specifically for you! Click here to get started.
    $87k-97k yearly Auto-Apply 9d ago
  • Commercial Auto Property Damage Adjuster (Hybrid or Remote - LA)

    Cannon Cochran Management 4.0company rating

    Remote or Metairie, LA job

    Overview Multi-Line Claim Representative II (LA, TX, MS, AL, FL, GA) Schedule: Monday - Friday, 8:00 AM to 4:30 PM Salary Range: $50,000 - $65,000 annually Travel: Minimal, except for one week of in-office training for remote hires Overview Build your career with purpose at CCMSI, one of the largest independent Third Party Administrators in the nation-and a 100% employee-owned company. We're known for our outstanding culture, long-term stability, and client partnerships built on trust and service excellence. We're seeking an experienced Multi-Line Liability Claim Representative II to join our Metairie, LA team. This is a Property Damage / Auto Liability adjusting position supporting multiple accounts in the commercial trucking industry. The ideal candidate brings proven expertise in litigated auto, general liability, and premises liability claims-and a passion for delivering exceptional client and claimant experiences. Job Summary As a Claim Representative II, you'll handle complex property damage and auto liability claims across multiple jurisdictions (LA, TX, MS, AL, FL, GA). You'll investigate, evaluate, and resolve claims within your authority while maintaining compliance with client service standards and CCMSI claim best practices. This role requires an employee-ownership mindset-someone who takes pride in the quality of their work, communicates clearly and compassionately, and thrives in a collaborative, team-based environment. Responsibilities Investigate, evaluate, and adjust assigned liability claims in accordance with jurisdictional laws and CCMSI procedures Handle auto property damage and commercial trucking liability claims, including subrogation and negotiation with claimants, attorneys, and carriers Establish reserves, authorize payments, and negotiate settlements within authority Manage litigation and coordinate with defense counsel Prepare detailed reports on claims, reserves, and settlements Ensure compliance with all client and regulatory requirements Contribute to a positive, solutions-oriented team culture that values service, integrity, and ownership Qualifications Required Active home-state adjuster's license with reciprocity in listed jurisdictions (LA, TX, MS, AL, FL, GA) 5+ years of experience adjusting auto property damage and liability claims for commercial clients Proven ability to handle litigated claims and negotiate settlements Strong communication, organization, and documentation skills Proficiency with Microsoft Office (Word, Excel, Outlook) Preferred Prior experience handling commercial trucking or multi-jurisdictional liability claims Background with a TPA or insurance carrier environment How We Measure Success Quality of claim handling and documentation Timely resolution and compliance with client service commitments Audit scores and supervisor review Collaborative contribution to team and client satisfaction Important - Please Read Before Applying This is not an HR, benefits, safety, or employer-side risk management position. We are seeking an insurance claims professional with direct experience investigating, reserving, litigating, and settling auto, general liability, or premises liability claims. Candidates without this background will not be considered. What We Offer 4 weeks PTO + 10 paid holidays in your first year • Medical, Dental, Vision, Life, and Disability Insurance • 401(k) and Employee Stock Ownership Plan (ESOP) • Internal training and advancement opportunities • A supportive, team-based work environment Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #ClaimsJobs #LiabilityAdjuster #InsuranceCareers #AutoClaims #TruckingClaims #LI-Hybrid #LI-Remote We can recommend jobs specifically for you! Click here to get started.
    $50k-65k yearly Auto-Apply 60d+ ago
  • Legal Collections Specialist

    Zurich Insurance Company Ltd. 4.8company rating

    Remote or Schaumburg, IL job

    Zurich is currently looking for a Legal Collections Specialist to work out of our North American headquarters in Schaumburg, Illinois. The Legal Collections Specialist performs complex finance operations tasks and monitor the day-to-day relationships between the Organization and suppliers to ensure financial goals are being met and third-party vendors operate in compliance with required policies and procedures. May perform collections and receivables management duties for the more complex accounts referred to special collections, including bankruptcies on accounts designated as legal collections. Additional responsibilities will include: * Perform as an initial point of escalation for Finance Operations Associate providing technical guidance and work direction * Respond to internal and external client's inquiries by providing technical advice in a professional, timely and accurate manner in complex situations * Proactively analyze performance of key performance indicators and communicate status and issues to management * Demonstrate an understanding of the customer's needs, reviews process and procedures; recommend and implement continuous improvement * Lead and collaborate on moderately complex ad hoc projects Basic Qualifications: * Bachelor's Degree and 4 or more years of experience in the Finance Operations area OR * High School Diploma or Equivalent and 6 or more years of experience in the Finance Operations area OR * Certified Zurich Insurance Apprentice, including Associates Degree and 4 or more years of experience in the Finance Operations area AND * Knowledge of financial (debt ?) collections practices and procedures * Knowledge of accounting standards and practice Preferred Qualifications: * Strong verbal and written and communication skills * Strong quantitative and analytical skills * Insurance industry experience Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The proposed Salary range for this position is $71,100.00 - $116,500.00, with short-term incentive bonus eligibility set at 10%. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.] Why Zurich? At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500. Join us for a brighter future-for yourself and our customers. Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code § 1033. Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location(s): AM - Schaumburg Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-GR1 #LI-ASSOCIATE #LI-HYBRID Nearest Major Market: Chicago
    $34k-42k yearly est. 48d ago
  • Multi-Line Claim Specialist - Bodily Injury & Property Damage (Hybrid)

    Ccmsi 4.0company rating

    Remote or Scottsdale, AZ job

    Multi-Line Claim Specialist (Hybrid) - Scottsdale, AZ Salary Range: $70,000-$80,000 annually (DOE) Schedule: Monday-Friday, 8:00 AM-4:30 PM MST Work Model: Hybrid (1 mandatory weekly office day + additional in-office time for team meetings, trainings, and claim reviews as needed) Reports To: Claim Supervisor Account: Single dedicated account Build Your Career With Purpose at CCMSI At CCMSI, we don't just adjust claims-we support people. As one of the largest employee-owned Third Party Administrators in the country and a certified Great Place to Work , we offer manageable caseloads, a collaborative culture, and the stability of employee ownership. Here, you'll have the autonomy to do meaningful work-and the support to grow your career. Job Summary We are seeking an experienced Multi-Line Claim Specialist, to join our Scottsdale liability team. This hybrid role is ideal for a high-performing claim professional skilled in managing bodily injury (BI) and property damage (PD) claims, including mid-level injuries, represented and unrepresented claimants, and files that may be in suit. You will independently handle a caseload files for a single dedicated Waste Management industry account, delivering high-quality service, thorough investigations, and timely resolutions. This position offers growth potential and may serve as an advanced training pathway toward senior-level claim roles. Responsibilities Investigate, evaluate, and adjust multi-line claims in accordance with CCMSI standards, jurisdictional laws, and client requirements. Handle bodily injury and property damage claims involving mid-level injuries, represented and unrepresented claimants, and files in suit. Establish reserves and make recommendations within assigned authority levels. Review and approve medical, legal, and vendor invoices for relatedness and reasonableness; negotiate disputed charges. Authorize payments and negotiate settlements in alignment with client expectations, state regulations, and corporate standards. Coordinate and oversee external vendors such as defense counsel, surveillance, and case management when required. Maintain claim documentation, diary entries, and communication logs in the claim system. Assess and monitor subrogation opportunities. Prepare status reports, reserve updates, and client-facing documentation as requested. Attend mediations, hearings, and informal conferences as appropriate. Participate in claim reviews and training sessions with internal stakeholders and the client. Uphold CCMSI's Core Values through client service excellence and collaborative team engagement Qualifications Qualifications - Required 5+ years of multi-line liability claim experience (PD/BI). Experience handling represented and unrepresented claimants and files with mid-level injuries. Ability to manage 125 active files with accuracy, organization, and timely follow-up. At least one valid home state adjuster license (additional licenses a plus). Strong written and verbal communication skills. Solid analytical, investigative, and negotiation abilities. Proficiency with Microsoft Office and ability to learn claim system platforms. Reliable and consistent attendance during client service hours. Nice to Have Prior experience with Waste Management or transportation-related accounts. Strong technical BI evaluation skills. Comfort participating in client presentations or claim reviews. Training & Support Training Duration: As long as needed-tailored to your experience level. You will join a large, supportive claim organization of 80+ team members, with ~40 dedicated to liability. You'll have access to peer support, leadership guidance, technical resources, and client interaction opportunities that strengthen your long-term growth path. How We Measure Success Audit results Claim review performance File quality and timeliness Client satisfaction Annual performance evaluation Compensation & Compliance Compensation: $70,000-$80,000 annually, based on experience. Visa Sponsorship: CCMSI is unable to provide visa sponsorship for this position. ADA Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Equal Opportunity Employer: CCMSI is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Our Core Values At CCMSI, our Core Values guide how we work: integrity, client service, employee ownership, continuous improvement, collaboration, and enthusiasm for what we do. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CCMSICareers #CCMSIWesternLiability #EmployeeOwned #ESOP #MultiLineClaims #GreatPlaceToWorkCertified #RemoteWork #CargoClaims #APDClaims #InsuranceJobs #ClaimsAdjuster #LiabilityAdjuste #LI-Hybrid
    $70k-80k yearly Auto-Apply 37d ago
  • Claims IT Development - Subject Matter Expert (SME)

    Zurich Na 4.8company rating

    Remote or Schaumburg, IL job

    122364 Zurich North America is looking for a Claims IT Development - Subject Matter Expert (SME) to work in our North America headquarters in Schaumburg, IL to develop, support and advise on the architecture and development of applications by understanding the requirements of customers and recommending application performance improvements to ensure alignment with business requirements. Key Accountabilities: + Work with IT Leadership and stakeholders in the identification of improvement opportunities and prioritizing based on stakeholder needs and strategic direction + Leverage AI and machine learning technologies to automated and streamline claim system processes + Drives the execution of a number of initiatives that deliver IT Service Excellence and support the IT strategic direction. + Build and maintain close working relationships with business partners and ensure alignment to group standards and policies. + Sets strong precedent for innovation and demonstration of personal expertise in developing methods/techniques/solutions + Understand customers' processes and products and how they fit within the goals of the function or business unit. + Define solution architecture, engage in the reviews and validation of the detailed technical design for business applications provided by the supplier to ensure alignment with business requirements; validate suppliers estimates. + Estimate Rough Order of Magnitude for the level of effort/cost of new application functionality. + Perform quality review checks on project deliverables. + Support and review the documentation of functional specifications. + Make recommendations for application performance improvements. + Act as liaison between the Business and IT, as assigned. + Support the Portfolio Manager in building the Business Case, including cost / benefit analysis, risk assessment, project scope, and development of a high-level plan. + Support the implementation activities, troubleshooting system environmental issues and providing training as required. + Perform impact analysis of application changes across various components, holding an end-to-end view of the system. + Specify / recommend Integration and Parallel testing criteria. Basic Qualifications: + Bachelor's Degree AND + 7 or more years of software product management or product development experience. + 5 or more years of experience in software development defining desktop and web-based applications + Experience with Microsoft Office, Microsoft Project and Visio OR + High School Diploma or equivalent and 9 years of experience in software product management or product development area OR + Zurich Certified Insurance Apprentice, including Associate's Degree and 7 or more years' experience in the product management or product development area Preferred Qualifications: + P&C - Commercial Insurance, Claims system experience desired + Practical experience in defining and implementing solutions for claim systems (Commercial Claim desired) + Practical experience developing code for claim solutions (Java preferred) + Practical experience solutioning and implementing AI capabilities (in claim systems preferred) + Practical experience utilizing Agile / Scrum methodology to lead / deliver IT projects + Practical experience utilizing JIRA or similar tooling software + Strong verbal and written communication skills + Vendor management experience At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please clickhere (****************************************** . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply as they will be considered based on their experience, skills, and education. The compensation indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary range for this position is 113,100.00-185,100.00, with short-term incentive bonus eligibility set at 20%. As an insurance company, Zurich is subject to 18 U.S. Code § 1033. A future with Zurich. What can go right when you apply at Zurich? Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500 . Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere (********************************* to learn more. Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission. Location(s): AM - Schaumburg Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LH1 #LI-DIRECTOR EOE Disability / Veterans
    $108k-137k yearly est. 60d+ ago
  • Experienced CA WC Adjuster - Remote - Multi-Industry (Trucking, Staffing, Valet)

    Cannon Cochran Management 4.0company rating

    Remote or Irvine, CA job

    Overview Workers' Compensation Claim Consultant (CA Jurisdiction Only) - Remote Salary: $77,000-$87,000 annually Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Experience Required: 5+ Years (Litigated & Some Complex Claims) 🚨 Please Note This is not an HR, risk management, or consulting position. This is an experienced California Workers' Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered. Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We're seeking an experienced Workers' Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries. This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI's best practice standards. You'll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Conduct timely 3-point contact per CCMSI best practices. Investigate, evaluate, and adjust California workers' compensation claims with independence and sound judgment. Establish, maintain, and justify detailed reserve levels. Administer indemnity and award payments in accordance with CA jurisdictional requirements. Negotiate settlements consistent with corporate standards, client instructions, and state law. Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met. Pursue subrogation recovery as applicable. Prepare claim status reports, reserve analyses, and updates for client meetings. Conduct claim reviews with clients and participate in discussions as needed. Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle. Ensure all documentation meets CCMSI best practice requirements. Qualifications Qualifications - Required 5+ years of California WC adjusting experience, including litigated files and some complex exposure. Adjuster designation required. Strong working knowledge of California WC laws, timelines, benefits, and litigation processes. Proficiency with Microsoft Office (Word, Excel, Outlook). Excellent written and verbal communication skills, critical thinking, and decision-making ability. Nice to Have SIP certification preferred. Strong documentation habits per CCMSI best practices. Experience presenting or conducting client reviews. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Work Environment & Travel Remote role reporting to the Irvine, CA branch. Occasional travel to the office may be required for rare mandatory in-office meetings. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompJobs #CaliforniaAdjuster #RemoteJobs #ClaimsConsultant #InsuranceCareers #AdjusterLife #NowHiring #LI-Remote We can recommend jobs specifically for you! Click here to get started.
    $77k-87k yearly Auto-Apply 9d ago
  • Multi-Line Claim Specialist - Bodily Injury & Property Damage (Hybrid)

    Cannon Cochran Management 4.0company rating

    Remote or Scottsdale, AZ job

    Multi-Line Claim Specialist (Hybrid) - Scottsdale, AZ Salary Range: $70,000-$80,000 annually (DOE) Schedule: Monday-Friday, 8:00 AM-4:30 PM MST Work Model: Hybrid (1 mandatory weekly office day + additional in-office time for team meetings, trainings, and claim reviews as needed) Reports To: Claim Supervisor Account: Single dedicated account Build Your Career With Purpose at CCMSI At CCMSI, we don't just adjust claims-we support people. As one of the largest employee-owned Third Party Administrators in the country and a certified Great Place to Work , we offer manageable caseloads, a collaborative culture, and the stability of employee ownership. Here, you'll have the autonomy to do meaningful work-and the support to grow your career. Job Summary We are seeking an experienced Multi-Line Claim Specialist, to join our Scottsdale liability team. This hybrid role is ideal for a high-performing claim professional skilled in managing bodily injury (BI) and property damage (PD) claims, including mid-level injuries, represented and unrepresented claimants, and files that may be in suit. You will independently handle a caseload files for a single dedicated Waste Management industry account, delivering high-quality service, thorough investigations, and timely resolutions. This position offers growth potential and may serve as an advanced training pathway toward senior-level claim roles. Responsibilities Investigate, evaluate, and adjust multi-line claims in accordance with CCMSI standards, jurisdictional laws, and client requirements. Handle bodily injury and property damage claims involving mid-level injuries, represented and unrepresented claimants, and files in suit. Establish reserves and make recommendations within assigned authority levels. Review and approve medical, legal, and vendor invoices for relatedness and reasonableness; negotiate disputed charges. Authorize payments and negotiate settlements in alignment with client expectations, state regulations, and corporate standards. Coordinate and oversee external vendors such as defense counsel, surveillance, and case management when required. Maintain claim documentation, diary entries, and communication logs in the claim system. Assess and monitor subrogation opportunities. Prepare status reports, reserve updates, and client-facing documentation as requested. Attend mediations, hearings, and informal conferences as appropriate. Participate in claim reviews and training sessions with internal stakeholders and the client. Uphold CCMSI's Core Values through client service excellence and collaborative team engagement Qualifications Qualifications - Required 5+ years of multi-line liability claim experience (PD/BI). Experience handling represented and unrepresented claimants and files with mid-level injuries. Ability to manage 125 active files with accuracy, organization, and timely follow-up. At least one valid home state adjuster license (additional licenses a plus). Strong written and verbal communication skills. Solid analytical, investigative, and negotiation abilities. Proficiency with Microsoft Office and ability to learn claim system platforms. Reliable and consistent attendance during client service hours. Nice to Have Prior experience with Waste Management or transportation-related accounts. Strong technical BI evaluation skills. Comfort participating in client presentations or claim reviews. Training & Support Training Duration: As long as needed-tailored to your experience level. You will join a large, supportive claim organization of 80+ team members, with ~40 dedicated to liability. You'll have access to peer support, leadership guidance, technical resources, and client interaction opportunities that strengthen your long-term growth path. How We Measure Success Audit results Claim review performance File quality and timeliness Client satisfaction Annual performance evaluation Compensation & Compliance Compensation: $70,000-$80,000 annually, based on experience. Visa Sponsorship: CCMSI is unable to provide visa sponsorship for this position. ADA Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Equal Opportunity Employer: CCMSI is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Our Core Values At CCMSI, our Core Values guide how we work: integrity, client service, employee ownership, continuous improvement, collaboration, and enthusiasm for what we do. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CCMSICareers #CCMSIWesternLiability #EmployeeOwned #ESOP #MultiLineClaims #GreatPlaceToWorkCertified #RemoteWork #CargoClaims #APDClaims #InsuranceJobs #ClaimsAdjuster #LiabilityAdjuste #LI-Hybrid We can recommend jobs specifically for you! Click here to get started.
    $70k-80k yearly Auto-Apply 5d ago

Learn more about North American Risk Services jobs

Jobs from similar companies

Jobs from similar companies you might want to view.

Most common jobs at North American Risk Services

Zippia gives an in-depth look into the details of North American Risk Services, including salaries, political affiliations, employee data, and more, in order to inform job seekers about North American Risk Services. The employee data is based on information from people who have self-reported their past or current employments at North American Risk Services. The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies. Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. While we have made attempts to ensure that the information displayed are correct, Zippia is not responsible for any errors or omissions or for the results obtained from the use of this information. None of the information on this page has been provided or approved by North American Risk Services. The data presented on this page does not represent the view of North American Risk Services and its employees or that of Zippia.

North American Risk Services may also be known as or be related to NORTH AMERICAN RISK SERVICES, North American Risk Services and North American Risk Services, Inc.