Senior Claims Representative jobs at Russell Tobin - 717 jobs

Adecco is assisting a local client recruiting for Claims Examiner Workers Compensation opportunities in ORANGE CA . This is an excellent opportunity to join a winning culture and get your foot in the third party claims administrator. They get hired to act as a claims administrator or claims adjuster by companies who are self-insured and don't have their own claims department. If Claims Examiner Workers Compensation sounds like something you would be interested in, and you meet the qualifications listed below, apply now! **Job Summary** The Workers' Compensation Claims Adjuster is responsible for analyzing and managing complex and technically challenging workers' compensation claims, including high-exposure and litigated files. This role ensures accurate benefit determination, timely claim resolution, compliance with statutory requirements, and adherence to client service standards and industry best practices. The adjuster will also identify and pursue subrogation opportunities and negotiate settlements within assigned authority. **Responsibilities:** Investigate, analyze, and process complex or high-exposure workers' compensation claims to determine compensability, liability, and financial exposure. Develop and execute strategic action plans to drive claims toward timely and appropriate resolution. Negotiate settlements and resolve claims within assigned authority levels. Establish, monitor, and adjust claim reserves, ensuring ongoing reserve adequacy throughout the life of the claim. Calculate and issue benefit payments accurately and timely; approve payment adjustments as applicable. Prepare and submit required state filings within statutory timelines. Manage litigated claims, coordinating with defense counsel and ensuring cost-effective resolution strategies. Coordinate vendor services related to investigations, medical management, and litigation support. Apply cost containment strategies, including effective use of vendor partnerships. Manage claim recoveries, including: Subrogation Second Injury Fund recoveries Social Security and Medicare offsets Report claims to excess carriers and respond to requests promptly and professionally. Communicate claim status and developments to claimants, clients, and internal stakeholders. Maintain accurate and compliant claim documentation and coding. Escalate complex issues or concerns to management as appropriate. **Required Skill** CA Workers' Compensation Adjuster Certification (required). 3+ years of relevant workers' compensation claims experience, including complex and/or litigated claims. Bachelor's degree from an accredited college or university (preferred). Strong knowledge of California workers' compensation laws and regulations. Travel as required. **What's in this Claims Examiner Workers Compensation position for you?** + Pay rate: $35/hr. + Location- ORANGE CA 92868 (Onsite) + Work Schedule: Mon - Fri 8AM - 5PM + Weekly paycheck. + Dedicated Onboarding Specialist & Recruiter. + Access to Adecco's Aspire Academy with thousands of free upskilling courses. This Claims Examiner Workers Compensation is being recruited by one of our Centralized Delivery Team and not our local Branch. For instant consideration for this Claims Examiner Workers Compensation position and other opportunities with Adecco in ORANGE CA apply today! **Pay Details:** $35.00 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to ********************************************** The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: + The California Fair Chance Act + Los Angeles City Fair Chance Ordinance + Los Angeles County Fair Chance Ordinance for Employers + San Francisco Fair Chance Ordinance **Massachusetts Candidates Only:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Responsibilities: Conduct in-depth investigations into complex bodily injury claims, determining coverage, establishing liability, and evaluating damages by analyzing medical records, police reports, and witness statements. Develop and execute effective negotiation strategies to achieve fair and timely settlements with claimants, attorneys, and other parties. Manage litigated files, including developing defense strategies, communicating with legal counsel, and attending mediations, arbitrations, and trials as necessary. Maintain meticulous and accurate claim file documentation in compliance with company standards and regulatory requirements. Provide exceptional customer service, guiding insureds and claimants through complex claim processes with professionalism and empathy. Candidate & SkillsTop 3-5 Skills: 5 + years of direct experience handling casualty claims, with a strong focus on bodily injury (BI) claims across various lines (Auto, Homeowners, Commercial). Proven ability to investigate, analyze, and evaluate complex BI claims, including understanding medical terminology and injury causation. Solid understanding of insurance policies, relevant state laws, and the litigation process. Strong negotiation and conflict resolution skills, with a track record of successful settlements. Takes ownership of files, even when litigation is involved. Soft Skills: Exceptional communication (verbal and written), interpersonal, and customer service skills. Ability to work independently, manage a challenging caseload, and make sound judgments. Strong analytical, problem-solving, and decision-making abilities. Meticulous attention to detail and excellent organizational skills. An eagerness to learn, adapt, and embrace new technologies Ability to work effectively both independently and as part of a supportive team. Certifications/Licenses/Education: Active Adjuster License in CT, MA, RI - willing to get additional licenses as needed (company to assist) A bachelor's degree is preferred, or equivalent work experience. Pay Range: $80,000-$100,000 We understand salary is an important factor in your job search and encourage you to apply even if your desired compensation falls outside this range. The final rate is determined based on several factors including relevant experience, education, certifications, and market conditions. Benefits: Our comprehensive benefits package includes: o Medical insurance o Dental insurance o Vision insurance o 401(k) retirement savings plan Contact: Justine Haley ************************ Refer a Colleague: Do you know someone who would be interested in this project? Submit your referral directly by emailing the Jacobson contact listed above or submitting them through this form. If your referral is hired for a contract assignment and meets all other eligibility criteria, you will receive a referral bonus! Equal Opportunity Employer: The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law. We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs. If you require a reasonable accommodation to complete the application process or participate in an interview, please contact us at ********************* or ***************** to make a request.

Vehicle Claims Adjuster 📍 On-site | Full-Time 🚗 From the dealership or shop floor to the office - without leaving automotive behind. We're hiring a Vehicle Claims Adjuster to join our in-office claims team. This role is ideal for professionals with experience as a Service Advisor, Technician, Warranty Administrator, or Claims Adjuster who want to leverage their automotive knowledge in a stable, professional claims environment. In this role, you'll evaluate mechanical failures, review repair estimates, and determine coverage under vehicle service contracts (VSCs), while working closely with repair facilities, dealerships, inspectors, and internal teams. What You'll Do Investigate, evaluate, and adjudicate mechanical and vehicle service contract (VSC) claims Review shop diagnostics, repair estimates, inspections, labor times, and parts pricing Determine coverage based on contract terms and service guidelines Authorize or deny repairs within settlement authority; escalate complex claims with recommendations Communicate professionally with customers, repair facilities, dealerships, agents, and inspectors Negotiate labor times, parts pricing, and scope of repairs when needed Ensure repairs and costs align with industry standards and contract limitations Accurately document claim decisions across multiple claims and estimating systems Identify and escalate gray-area or complex coverage issues Support service-level goals while delivering a positive customer and dealer experience Additional Responsibilities Participate in quality audits, peer reviews, and calibration sessions Assist with onboarding and training of new or junior adjusters Provide feedback on claim trends, cost drivers, and process improvements Support volume spikes, new program launches, or system migrations Collaborate with underwriting, compliance, product, and leadership teams on escalated claims Complete special projects and reporting as assigned What We're Looking For High school diploma or equivalent required; Bachelor's degree or equivalent experience preferred 2-4+ years of experience in automotive claims, VSC/extended warranty claims, warranty administration, or insurance adjusting Strong automotive background, including experience in: Automotive repair or diagnostics Dealership service roles (Service Advisor, Technician, Warranty Administrator) Fleet maintenance, parts management, or service writing Working knowledge of automotive diagnostics, repair procedures, labor times, and parts pricing Experience in a high-volume or call-based claims environment preferred Comfortable navigating multiple systems and platforms Preferred Qualifications ASE Certifications, factory training, or other automotive industry certifications Experience with Vehicle Service Contracts (VSCs), extended warranties, or TPAs Spanish / bilingual skills a plus Skills & Competencies Strong analytical and decision-making skills Excellent verbal and written communication Professional negotiation and conflict-resolution abilities High attention to detail and documentation accuracy Ability to interpret technical repair information and contract language Strong time management and schedule adherence Customer-focused mindset Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity. Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law

Verify claim information to determine if the customer's concern, diagnosis, and failure justify the repair approval within the terms of the contract. Verify repair costs are performed within industry standards. Verify repair information to determine if coverage was within the limits of the service contract. Interface with customers, agents, dealers to complete all investigations of claims. Complete a fair settlement of the claim. Contribute to team effort by accomplishing related results as needed. Verify claims are processed following the policy and procedure established by Smart Autocare Periodic Job Functions Participate in any projects, reports, documentation, tasks or objectives assigned Skills & Competencies Required Parts and Labor Guide familiarity. Intermediate knowledge of Windows-based computer programs. Exceptional customer service and communication skills. Ability to read, analyze and interpret general business correspondence or technical procedures. Ability to solve practical problems and deal with a variety of concrete variables in situations where limited standardization exists Spanish fluency/Bilingual a plus Adhere closely to a posted schedule

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Complex Casualty Adjuster **PRIMARY PURPOSE** **:** **Are you looking for a** **FULLY REMOTE** **opportunity to join a top-notch complex claims team?** In this role, you'll take ownership of complex and technically sophisticated claims across automobile, homeowner, and excess liability lines. You'll navigate intricate coverage questions, analyze detailed evidence, assess liability and damages, and apply sound judgment to resolve cases with confidence. All while delivering an exceptional, empathetic customer experience that reflects our commitment to excellence. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts claims that arise on Automobile, Homeowner and Excess Liability policies. + Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws. + Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues. + Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability. + Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims. + Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage. + Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials. + Maintains proper reserves on all pending claims. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Travel as required **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. State mandated adjusting licenses as required. Insurance designations such as CPCU, AIC, ARM preferred. **Experience** Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required. Experience with commercial lines claims and litigation in multiple states preferred. **Skills & Knowledge** + Exposure to and knowledge of affluent market segment + Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management + Excellent oral and written communication skills, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent interpersonal skills + Excellent negotiating skills + Ability to create and complete comprehensive, accurate and constructive written reports + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($85,000 - $120,000 USD annually). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Complex Casualty Adjuster **PRIMARY PURPOSE** **:** **Are you looking for a** **FULLY REMOTE** **opportunity to join a top-notch complex claims team?** In this role, you'll take ownership of complex and technically sophisticated claims across automobile, homeowner, and excess liability lines. You'll navigate intricate coverage questions, analyze detailed evidence, assess liability and damages, and apply sound judgment to resolve cases with confidence. All while delivering an exceptional, empathetic customer experience that reflects our commitment to excellence. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts claims that arise on Automobile, Homeowner and Excess Liability policies. + Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws. + Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues. + Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability. + Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims. + Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage. + Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials. + Maintains proper reserves on all pending claims. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Travel as required **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. State mandated adjusting licenses as required. Insurance designations such as CPCU, AIC, ARM preferred. **Experience** Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required. Experience with commercial lines claims and litigation in multiple states preferred. **Skills & Knowledge** + Exposure to and knowledge of affluent market segment + Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management + Excellent oral and written communication skills, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent interpersonal skills + Excellent negotiating skills + Ability to create and complete comprehensive, accurate and constructive written reports + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($85,000 - $120,000 USD annually). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

Fleet Response's mission is to provide innovative and effective service to our clients and to maintain a high standard of professionalism and partnership in an environment that fosters opportunity, integrity, and excellence. Our mission would not be possible without an environment that is created from mutual trust and respect, coupled with a commitment to diversity, equity & inclusion Our commitment to diversity, equity & inclusion aligns with our corporate values and is supported at the highest levels in the Company. Diversity helps to drive new business, fuel innovation, and attract and retain the best employees. It makes a difference in the workplace, marketplace, and community advancing the way we live and work. Are you interested in joining a fast growing and customer focused company that is constantly rated as one of the Top Workplaces in Northeast Ohio? Do you feel that hard work should pay off and you value things like workplace flexibility, career advancement opportunities, a positive culture, and a genuine feeling that you belong to a team? If so, you would be perfect for Fleet Response. Fleet Response specializes in providing services to corporations who self-insure physical damages to their fleets. Built from an insurance background with an eye for detail, Fleet Response prides itself on offering a variety of customized services to all our clients. Fleet Response is currently seeking qualified candidates to work virtually or at our corporate office, for the following position: Third Party Sr. Claims Representative. The Third Party Sr. Claims Representative is responsible for the day to day management of client accident claims from assignment through completion. The Third Party Sr. Claims Representative typically manages 3 rd party claims, including repair and rental management, claimant communication, and client communication. Confirms coverage and liability are properly in order prior to assisting 3 rd party customers with repairs and/or rental and proactively works with client. Provides operational input and guidance as needed to teammate and works with the Claims Supervisor and Claims Manager to ensure client and customer parameters and expectations are consistently met by the team. Job Summary: Fleet Response is currently seeking qualified candidates to work virtually or at our corporate office, for the following position: Third Party Sr. Claims Representative. A Third-Party Sr. Claims Representative manages the most complex, high-exposure claims, requiring significant independent judgment, a strategic mindset, advanced technical expertise, and exceptional negotiation skills. They manage claims with complex coverage, liability, damage issues, often involving sensitive customer interactions filed by a third-party claimant against our clients from initiation to closure. This role often involves mentoring the Third Party Claims Specialist. Essential Duties and Responsibilities Includes, but is not limited to, the following: First Notice of Loss (FNOL): Review and send loss notices to clients per client parameters. Administrative Support: Performing general administrative tasks such as mailing documents, creating documents, uploading documents, gathering documents, setting up tows & handling a shared inbox. Information Gathering: Contacting various parties to obtain missing or additional information required for claim processing & verification. Verify Coverage: Review the claim to ensure that the claim is covered. Investigate & Determine Liability: Conduct thorough investigations to establish fault, or liability, for an incident. This includes interviewing the client, claimant, witnesses, and other involved parties, and reviewing police reports and other documentation. Identify Potential Fraud: watch for any signs of fraudulent activity, such as staged accidents or overstated claims, and refer suspicious cases to a Special Investigation Unit (SIU). Mitigating Cost: It is a fundamental duty aimed at controlling expenses while ensuring fair and prompt resolution of claims. Assess Damages: Evaluate the extent of damage, which can include property damage, repairs, total loss, loss of wages, loss of use, rental, towing, diminished value & out-of-pocket expenses. Determine Total Loss vs Repair: Evaluate if the cost of repairs exceeds the value of the vehicle or property and handle the claim toward a total loss settlement if necessary. Manage Repairs: Monitor the progress of repairs to ensure the repairs are being completed timely and accurately. Manage Total Loss Claims: Perform detailed market research to determine the actual cash value (ACV) of a totaled vehicle. This involves analyzing vehicle history, local market comparable, and salvage value. Manage Rentals: verify coverage, explain terms, initiate rental arrangements, advise on non-covered events, rental duration, authorize extensions. Review and Authorize Supplements: Review additional repair costs submitted and approve payment while following guidelines. Ensure Compliance: Adhere to all federal and state laws and regulations governing the claims process. Maintaining Licensing: Maintain insurance adjuster licensing as required in all states. Communication: This requires clear, professional communication and strong interpersonal skills with all parties involved in the claim, including but not limited to peers & leadership. Negotiate Settlements: Determine an appropriate settlement amount based on liability and damage assessment, then negotiate a resolution with the claimant, client or legal counsel. Maintain Claim Files: Ensure that all claim activity, notes, and correspondence are thoroughly and accurately documented. Set Reserves: Set and maintain appropriate financial reserves for each claim to ensure funds are available for potential settlement payments. Process Payments: Process timely & accurate payments for vehicle repairs, total loss settlements, and other covered expenses. Workload and Metrics: Effectively manage a high volume of claims and meet key performance indicators (KPIs), such as average claim processing time, closure rates, and customer satisfaction scores. Finalize & Close Claims: Ensure all necessary steps are completed, and all paperwork is filed before finalizing and closing the claim. Developing: Responsible for actively accepting, acting on, and implementing coaching and feedback to improve professional performance and development. Mentor & Train: Responsibilities may include mentoring a team member and assisting in training. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education/Experience: Associate degree (A.A.) or equivalent from a two-year college or technical school, or 2-4 years of related experience; combination of education and experience may be considered. Industry Experience: Prior experience in automotive, fleet management, claims management, or vehicle re-marketing strongly preferred. Third-party claims handling experience preferred. Licensing: Ability to obtain and maintain insurance adjuster licensing as required in all states. Key Skills & Competencies: Strong oral and written communication, including the ability to simplify complex information and negotiate effectively with claimants, attorneys, and clients. Ability to analyze liability, assess damages, and evaluate complex claims accurately. Customer service and empathy, maintaining professionalism in difficult or emotional situations. Attention to detail with meticulous documentation and record-keeping. Proficiency with claims management systems and Microsoft Office. Strong investigative, analytical, and problem-solving skills. Ability to multi-task, prioritize, and manage a high volume of claims effectively. Knowledge of insurance principles, coverage, and legal/regulatory compliance is a plus. Mathematical/Analytical Skills: Calculate property depreciation, repair/replacement costs, and claimant lost wages. Evaluate multiple bids or vendor quotes to ensure fair settlements. Physical Requirements: Primarily sedentary work with occasional light lifting (up to 10 lbs). Close visual acuity for computer work, reading, and documentation. Ability to communicate clearly in person and via phone. Preferred Traits: Strong initiative and self-motivation. Dependable, punctual, and team-oriented. Adaptable to changing regulations, processes, and claim scenarios. Work Schedule A variety of flexible work arrangement schedules are available, with the ability to work from home as part of your schedule, after completion of training. This position works Monday through Friday, 8:00 AM until 5:00 PM. Additional Benefits: Competitive compensation and PTO 401(k) with employer contribution Medical, dental, vision, life, and disability insurance Several voluntary benefit options A flexible work environment with remote options post-probation

Job Title: WC Sr Claims Specialist RESPONSIBILITIES: The Sr. Claims Specialist manages complex and high-profile Workers' Compensation claims. Reviews policy coverages and determines validity and compensability of the claim, files necessary documents with state agencies. Collaborate with case managers to create action plans and outcomes to reduce overall cost of claim. Communicates claim status with the customer, claimant and client. Work with attorneys, manage subrogation, negotiate settlements and handle recoveries. Meets or exceeds performance competencies and adheres to client and carrier guidelines QUALIFICATIONS: TOP QUALIFICATIONS * 3 years managing complex Workers' Compensation claims in Il and KY jurisdiction. Will consider MI and IN, if worked extensively in those states. * A home state license that is reciprocal (ex, Florida or Texas) * Knowledge of the Workers' Compensation administration, case management and cost containment solutions. * Strong communication skills - verbal and written * Strong interpersonal, time management and organizational skills * Mentor team members to build knowledge and understanding of claims practices TECHNICAL SKILLS * MS Office - Outlook, Word, Excel, Teams, SharePoint * Multiple screens/monitors EDUCATION * Bachelor's degree or a combination of education and related experience CERTIFICATE/LICENSE * Experienced Examiner - State Certified in IL and Licensed in MI, IN, KY or Licensed in a reciprocal state (e.g., TX, FL, or equivalent) * Self-Insured Certificate

Job Title: WC Sr Claims Specialist (Remote or Hybrid IL) RESPONSIBILITIES: The Sr. Claims Specialist manages complex and high-profile Workers' Compensation claims. Reviews policy coverages and determines validity and compensability of the claim, files necessary documents with state agencies. Collaborate with case managers to create action plans and outcomes to reduce overall cost of claim. Communicates claim status with the customer, claimant and client. Work with attorneys, manage subrogation, negotiate settlements and handle recoveries. Meets or exceeds performance competencies and adheres to client and carrier guidelines QUALIFICATIONS: TOP QUALIFICATIONS * 3 years managing complex Workers' Compensation claims in Il and KY jurisdiction. Will consider MI and IN, if worked extensively in those states. * A home state license that is reciprocal (ex, Florida or Texas) * Knowledge of the Workers' Compensation administration, case management and cost containment solutions. * Strong communication skills - verbal and written * Strong interpersonal, time management and organizational skills * Mentor team members to build knowledge and understanding of claims practices TECHNICAL SKILLS * MS Office - Outlook, Word, Excel, Teams, SharePoint * Multiple screens/monitors EDUCATION * Bachelor's degree or a combination of education and related experience CERTIFICATE/LICENSE * Experienced Examiner - State Certified in IL and Licensed in MI, IN, KY or Licensed in a reciprocal state (e.g., TX, FL, or equivalent) * Self-Insured Certificate

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims system. + Reviews survey reports and insurance policies to determine insurance coverage. + Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Appropriate state adjuster license is required. **Experience** 3 years or more of Marine Adjusting preferred. **Skills & Knowledge** + Strong oral and written communication skills + PC literate, including Microsoft Office products + Good customer service skills + Good organizational skills + Demonstrated commitment to timely reporting + Ability to work independently and in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity **Auditory/Visual** **:** Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims system. + Reviews survey reports and insurance policies to determine insurance coverage. + Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Appropriate state adjuster license is required. **Experience** 3 years or more of Marine Adjusting preferred. **Skills & Knowledge** + Strong oral and written communication skills + PC literate, including Microsoft Office products + Good customer service skills + Good organizational skills + Demonstrated commitment to timely reporting + Ability to work independently and in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity **Auditory/Visual** **:** Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster **Embark on an Exciting Career Journey with Sedgwick Specialty** **Job Location** **: USA, Mexico, Brazil and strategic locations globally** **Job Type** **: Permanent** **Remuneration** **: Salaries can range from** **_$40,000.00USD to $250,000.00USD_** **taking into account skills, experience and qualifications.** **We have a number of fantastic opportunities for Specialty Loss Adjusters across the US, Mexico and Brazil and a number of key locations** We are looking for a variety of skill sets at all levels. Whether you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your skills and grow with a company that values innovation, excellence, and employee satisfaction. Are you ready to be a part of providing a differentiated and best of class proposition to clients whilst working with like-minded colleagues? Sedgwick Specialty is thrilled to announce that we are investing in growth across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals who are passionate about making a difference to the Adjusting industry. **As a member of the Specialty platform, you will have the opportunity to:** + Work with a wide range of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team of professionals who are dedicated to delivering exceptional results + Utilise state-of-the-art technology and resources to streamline processes and enhance efficiency + Receive ongoing training and development opportunities to further enhance your skills and knowledge in the marine industry + Enjoy a flexible work arrangement that allows you to maintain a healthy work-life balance while contributing to our global success **The skills you will have when you apply:** + **Qualified** : it is important to us that you are either accredited, on your way to be accredited or qualified by experience + **Insurance claims experience:** it is imperative that you have experience working on insurance claims within you respective field. Full claims life cycle experience is a must + **Great communicator:** you will be constantly working with policy holders, brokers, carriers and various third parties, so being able to communicate accurately important. Providing an excellent customer service with our clients in mind. Able to approach issues empathetically + **Commercially minded:** An understanding of how the industry operates and where the role of a Loss Adjuster fits in. Being able to negotiate. Understanding how to market your services is a big advantage **What we'll give you for this role:** As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the annual salaries can range from _$40,000.00 to $250,000.00USD._ Bonus eligible role. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always Accepting Applications. **This isn't just a position, it's a pivotal role in shaping our industry** At Sedgwick, you won't just build your career; you'll cultivate a team of experts. Our Sedgwick University offering empowers you to excel as well as your team members, with the most comprehensive training program in the industry which includes more than 15,000 courses on demand, training specific to roles, and opportunities to continue formal education. Together, we're not only reshaping the insurance landscape, we're building a legacy of talent. Come and be a catalyst for change within our industry. **Next steps for you:** **Think we'd be a great match? Apply now -** ** we want to hear from you.** As part of our commitment to you, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation. After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person). \#LI-HYBRID Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

We are looking for an experienced Property Claims Adjuster to join our client's team. This is a direct hire position with a P&C insurance company based out of Connecticut that has been in operation for almost 200 years. They offer a good work-life balance and lightened caseloads, focusing on quality over quantity. It will be a hybrid work schedule out of their office in Connecticut. Responsibilities: Investigate, evaluate and negotiate first-party property claims (e.g. homeowners, dwelling fire) efficiently and fairly. Communicate clearly and empathetically with policyholders, explaining coverage, process and settlement details. Analyze claim documentation, including photos, estimates and reports, to determine coverage and assess damages. Maintain meticulous records of all claim activity in company systems. Opportunity to obtain your FAA Part 107 drone pilot license (company-sponsored!) and utilize drone technology for property inspections. Requirements: 1+ years of experience in personal and/or commercial property claims Ability to pick up a file, value it, provide a reserve recommendation and negotiate Takes ownership of files, even when litigation is involved Guidewire (full suite), H Marley (SMS program), Insurtech, predictive analytics, data analytics (preferred) Active adjuster license in residency state (CT, MA or RI) and willingness to get additional licenses as needed (company to assist) Bachelor's degree (preferred) or equivalent work experience Exceptional communication (verbal and written), interpersonal and customer service skills Strong analytical, problem-solving and decision-making abilities Meticulous attention to detail and excellent organizational skills Eagerness to learn, adapt and embrace new technologies Ability to work effectively both independently and as part of a supportive team Pay Range: The anticipated pay range for this position is $70,000-80,000 annually. We understand salary is an important factor in a job search, and we encourage you to apply even if you feel that your desired compensation may fall outside of the listed range. The final pay for this position is determined based on several factors including but not limited to, relevant experience, skills and certifications, education and training, geographic location, market conditions, and internal equity. We are committed to finding the right candidate for this role and are open to discussing how your unique qualifications align with our needs. Benefits: PTO 401(k) with matching Health, Life, Dental, and Vision Insurance Flexible Spending Account Contact: Rebecca Sami ************ *********************** Refer a Colleague: Do you know someone who would be interested in this project? Submit your referral directly by emailing the Jacobson contact listed above or submitting them through this form. If your referral is hired for a contract assignment and meets all other eligibility criteria, you will receive a referral bonus! Equal Opportunity Employer: The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law. We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs. If you require a reasonable accommodation to complete the application process or participate in an interview, please contact us at ******************** or ***************** to make a request.

Residuals Department Onsite and based in Los Angeles, CA Who We Are As the collective voice of more than 19,000 members, the Directors Guild of America (DGA) helps empower directors and their teams to protect and enhance their creative and economic rights and strengthen their ability to develop meaningful, successful careers. Our members work in film, television, commercials, news, sports, and new media. What You'll Do Essential duties & responsibilities: The Assistant Claims Representative monitors, researches and analyzes the use and reuse of DGA Pictures to ensure the timely and proper payment of residuals. The Assistant Claims Representative assists in the filing and pursuit of claims payments when necessary. The Assistant Claims Representative also monitors entertainment industry trends and developments and analyzes their residuals implications. Additional duties include: Investigate potential violations of the residuals provisions of the DGA collective bargaining agreements. Research and analyze various agreements, including but not limited to member contracts, assumption agreements and distribution agreements. Analyze financial records and residuals history to prepare detailed Excel spreadsheets/schedules of residuals owed. Communicate with directors and companies throughout the investigation and resolution of the case. Write letters and other correspondence to relevant people to resolve claims. Other duties as assigned. What You'll Need Ability to confidently discuss provisions of the Basic Agreements and residuals issues with outside attorneys, studio personnel, production companies, payroll house staff, and Labor Relations executives is also required. Comprehend, analyze and interpret collective bargaining agreements, employment contracts, licensing and distribution agreements, financial statements and distribution reports. Ability to communicate effectively, both orally & in writing, with all levels of staff and management. Adaptable and receptive to training. Ability to handle competing priorities. Well organized and detail oriented. Proficient in Microsoft Word, Outlook and Excel. Resourceful Ability to successfully work independently, as well as part of a team. Minimum qualifications: Education and/or Experience. Familiarity with Terms & Conditions or Collective Bargaining Agreements and/or Familiarity with Residuals formulas and concepts. What You'll Get Generous Medical, Dental and Vision Insurance 401(k) plan Pension Plan Flexible Spending Account Life Insurance Short and long-term disability Company-paid holidays Designated parking spot The DGA is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims system. + Reviews survey reports and insurance policies to determine insurance coverage. + Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Appropriate state adjuster license is required. **Experience** 3 years or more of Marine Adjusting preferred. **Skills & Knowledge** + Strong oral and written communication skills + PC literate, including Microsoft Office products + Good customer service skills + Good organizational skills + Demonstrated commitment to timely reporting + Ability to work independently and in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity **Auditory/Visual** **:** Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Complex Casualty Adjuster PRIMARY PURPOSE: Handles complex, technically challenging claims on automobile, homeowner, and excess liability policies. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Adjusts claims that arise on Automobile, Homeowner and Excess Liability policies. Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws. Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues. Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability. Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims. Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage. Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials. Maintains proper reserves on all pending claims. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travel as required QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. State mandated adjusting licenses as required. Insurance designations such as CPCU, AIC, ARM preferred. Experience Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required. Experience with commercial lines claims and litigation in multiple states preferred. Skills & Knowledge Exposure to and knowledge of affluent market segment Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Excellent negotiating skills Ability to create and complete comprehensive, accurate and constructive written reports Ability to work in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($85,000 - $120,000 USD annually). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

IMMEDIATE CUSTOMER SERVICE/CLAIMS REPRESENTATIVE NEEDED, START NEXT WEEK OPPORTUNITY TO WORK WITH ONE OF THE LARGEST INSURANCE/RETIREMENT BENEFIT ORGANIZATIONS IN THE AREA MONDAY - FRIDAY 11AM-8PM SHIFT WHITE PLAINS, NY (IN OFFICE, NOT REMOTE) $21/HR Qualifications: + 1 year of call center customer service experience or claims experience + Microsoft office proficient + Type 35 WPM Responsibilities: -Field calls from clients & customers regarding pension plans, healthcare plans, and financial information -Receive upward of 100-150 calls per day -Enter customer info/conversation info into database while fielding inbound call -Field calls with the utmost level of customer service -Inbound phone calls -Pension plans, Disability, -High volume calls -Enter customer information - Answer and direct incoming calls in a high volume of call switchboard environment - Ability to answer with a defined script and an enthusiastic manner and time - Multi-tasking and clerical support as assigned by department Job Type & Location This is a Contract to Hire position based out of White Plains, NY. Pay and Benefits The pay range for this position is $18.00 - $20.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in White Plains,NY. Application Deadline This position is anticipated to close on Feb 4, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Rec Marine Adjuster PRIMARY PURPOSE: To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement. Receives and reviews new claims and maintains data integrity in the claims system. Reviews survey reports and insurance policies to determine insurance coverage. Prepares settlement documents and requests payment for the claim and expenses. Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Appropriate state adjuster license is required. Experience 3 years or more of Marine Adjusting preferred. Skills & Knowledge Strong oral and written communication skills PC literate, including Microsoft Office products Good customer service skills Good organizational skills Demonstrated commitment to timely reporting Ability to work independently and in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Must be able to stand and/or walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and/or cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching/working overhead Be able to lift/carry up to 50 pounds Be able to push/pull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity Auditory/Visual: Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Job Description About the Role: We are seeking a highly motivated and detail-oriented Claims Representative to join our team in Minnesota, MN. As a Remote Claims Representative, you will be responsible for investigating, evaluating, and resolving insurance claims related to property and auto damages. You will work closely with clients, insurance adjusters, and other stakeholders to ensure timely and accurate claims processing. Your goal will be to provide exceptional customer service and achieve positive outcomes for our clients. Minimum Qualifications: 3+ years of experience in insurance claims handling Strong knowledge of property and auto claims processes and regulations Excellent communication and interpersonal skills Ability to work independently and as part of a team Preferred Qualifications: Experience with subrogation and claims resolution Knowledge of personal lines insurance Experience with claims processing software Responsibilities: Investigate and evaluate insurance claims related to property and auto damages Communicate with clients, insurance adjusters, and other stakeholders to gather information and resolve issues Process claims in accordance with company policies and procedures Maintain accurate records of claims and related activities Provide exceptional customer service throughout the claims process Skills: As a Claims Representative, you will use your strong analytical and problem-solving skills to investigate and evaluate insurance claims. You will also need excellent communication and interpersonal skills to effectively communicate with clients, insurance adjusters, and other stakeholders. Your ability to work independently and as part of a team will be crucial in ensuring timely and accurate claims processing. Additionally, your knowledge of property and auto claims processes and regulations, as well as experience with claims processing software, will be essential in performing your daily tasks.