Claim Specialist jobs at Selective Insurance - 1142 jobs
GL Claims Specialist-Remote
Selective Insurance Group, Inc. 4.9
Claim specialist job at Selective Insurance
About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year.
Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.
Overview
Selective is looking for a GL ClaimsSpecialist for this fully remote position to handle claims throughout Selective's footprint. It is preferred that the ideal candidate have experience handling GL claims for the Western jurisdictions.
The purpose of this position is to provide direct handling of the company's non- litigated and lower-level litigated general liability claims. Responsibilities of this position include basic coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. The individual in this position will also ensure claims are processed within company policies, procedures, and with the individual's prescribed authority with exceptional standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.
Responsibilities
* Investigate coverage and liability of claims through telephone, automated correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses, and others having pertinent information. Issue applicable coverage letters.
* Analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary.
* Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents on claim resolution.
* Evaluate, negotiate, and resolve claims within delegated authority. Handle general liability and auto liability files from start to finish. Assign appropriate counsel if needed to defend a claim.
* Update claims system on a continual basis to accurately reflect status of each assigned file and to initiate percentage of negligence on the part of the insured to determine "chargeability".
* Receive and approve expenses incurred to investigate, process, and handle a claim.
* Close claim by issuing check or denial and securing appropriate releases. Prepare check requisitions for all loss and expense payments.
* Explore contribution on all claims assigned.
* Prepare for and participate in claims review and settlement conferences.
* Analyze information, including depositions, expert reports, attorney evaluations, and medical reports, gained from discovery during litigation in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations.
Qualifications
Knowledge and Requirements
* Effective verbal and written communication skills: Must demonstrate excellent communication skills through previous roles or certifications in communication.
* Strong time management and organizational skills: Proven ability to manage multiple claims simultaneously with documented success in meeting deadlines.
* Negotiation and claim disposition skills with proven problem-solving ability: Must have a track record of successful negotiations and claim resolutions, supported by specific examples or metrics.
* Strong judgment and decision-making skills: Demonstrated ability to make sound decisions in high-pressure situations, with examples of past decisions and their outcomes.
* Self-starter with ability to work independently: Must have experience working remotely or independently, with minimal supervision.
* Moderate proficiency with standard business-related software: Proficiency in claims management and business software (e.g., Microsoft Office Suite) is required.
Education and Experience
* College degree preferred: A degree in Business, Insurance, Risk Management, or a related field is highly preferred.
* Minimum of 3 years of prior Commercial General Liability claims experience with a primary insurance carrier: Experience must include handling a significant volume of claims independently.
* Experience handling GL Claims in the Western jurisdictions., preferred.
* Strong knowledge of insurance policies, procedures, and regulations:
* Must demonstrate in-depth knowledge through certifications (e.g., CPCU, AIC) or extensive work experience.
* Demonstrated ability to analyze complex coverage issues: Must provide examples of complex coverage issues handled and the resolutions achieved.
* Experience with Professional Liability claims is a plus but not required.
* Litigation experience is a plus but not required.
* Industry training/designations preferred: Designations such as CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims), or similar are preferred.
Total Rewards
Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page.
The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.
Pay Range
USD $72,000.00 - USD $109,000.00 /Yr.
Additional Information
Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.
For Massachusetts Applicants
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.
$72k-109k yearly 1d ago
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Associate APD Claims Representative
Amica Mutual Insurance 4.5
Phoenix, AZ jobs
Phoenix Regional
2075 W Pinnacle Peak Rd, Suite 110, Phoenix, AZ 85027
Thank you for considering Amica as part of your career journey, where your future is our business. Ready to Join Us?
Are you a detail-oriented professional with a passion for resolving complex issues and supporting customers in a time of need? We're looking for a Claims Representative who thrives in a fast-paced environment and is committed to delivering exceptional service. As an Associate Auto Physical Damage (APD) Claims Representative in our Phoenix Regional office, you will play a vital role in handling automobile insurance claims.
At Amica, we recruit the best talent and believe that an investment in our people is an investment in us. Our frontline customer service representatives carry out our guiding philosophy - that empathy is our best policy - to our valued customers every day.
We believe in promoting from within and providing our employees with opportunities for growth and advancement. This entry-level position offers a high level of growth potential, including the possibility to advance to team lead and supervisory roles. We are committed to helping our employees build long-term careers with us.
As a key member of our claims team, you will:
Own your caseload: Manage a backlog of claims using a diary system to ensure timely communication, monitoring, and reporting.
Investigate: Conduct in-depth research to evaluate coverage and determine claim outcomes.
Communicate effectively: Monitor claim-related communications and respond to customer's needs.
Collaborate and contribute: Build strong relationships across departments and help foster a culture of teamwork.
Stay informed: Develop a working knowledge of laws and regulations impacting claims handling.
Stay compliant: Maintain active licenses in designated states and complete continuing education as required.
Adapt and support: Take on additional responsibilities as needed to support team success.
What We're Looking For:
A high school diploma or equivalent - college coursework or additional training is a plus!
Willingness to obtain required state insurance licenses (Don't worry - we'll provide study materials, paid time to study and cover the exam costs!)
Prior experience in insurance or claims handling is helpful, but not required
Prior experience providing support to customers or clients is valued and can contribute to success in this role
Strong decision-making skills
A calm, empathetic communicator who can confidently support people during tough situations
Excellent written and verbal communication skills
Comfortable using Microsoft Word and Outlook
Compensation and Schedule:
Starting annual salary of $43,105, overtime is paid for any excess hours subject to manager approval
Annual Success Sharing Plan - Paid to eligible employees if the company meets or exceeds the combined ratio, growth and/or service goals.
37.5-hour schedule, Monday through Friday, 8:45 a.m. to 5 p.m.
Potential to work holidays for additional pay
Work from home up to two days per week once trained to work independently
We've Got the Whole Package:
Medical, dental, vision coverage, short- and long-term disability, and life insurance
Paid Vacation - you will receive at least 13 vacation days in the first 12 months; amounts could be greater depending on the role. While able to use prior to accrual, vacation time will accrue monthly.
Holidays - 14 paid holidays observed
Sick time - 6 days sick time at hire, 6 additional days sick time at 90 days of employment
Generous 401k with company match and immediate vesting. Additionally, annual 3% non-elective employer contribution
Annual Success Sharing Plan - Paid to eligible employees if the company meets or exceeds combined ratio, growth and/or service goals
Generous leave programs, including paid parental bonding leave
Student Loan Repayment and Tuition Reimbursement programs
Generous fitness and wellness reimbursement
Employee community involvement
Strong relationships, lifelong friendships
Opportunities for advancement in a successful and growing company
Why Amica?
Our People Are Our Priority: We're a mutual company where people come first, including empathetic employees who represent the diversity of our policyholders. That's why we welcome employees who represent differences in opinion, life experience and perspectives, who enrich a culture where everyone can contribute and grow.
The Opportunities Are Wide Open: We know growth isn't always linear. We encourage our employees to be curious about their career at Amica and explore the options available to them. We believe that what's best for our employees is best for the company.
Commitment Goes Both Ways: What employees get in return for what they bring to Amica includes compensation and benefits of a Total Rewards package. But it goes further to include flexible work environments and opportunities to advance their careers. The support we offer is designed to help you build a stable and fulfilling career that's uniquely Amica.
Our dedication to diversity, equity, and inclusion ensures that every employee feels a true sense of belonging. Want to learn more about our commitment to diversity, equity, and inclusion? Visit our DEI page to read about it!
Amica conducts background checks which includes a review of criminal, educational, employment and social media histories, and if the role involves use of a company vehicle, a motor vehicle or driving history report. The background check will not be initiated until after a conditional offer of employment is made and the candidate accepts the offer. Qualified applicants with arrest or conviction records will be considered for employment.
The safety and security of our employees and our customers is a top priority. Employees may have access to employees' and customers' personal and financial information in order to perform their job duties. Candidates with a criminal history that imposes a direct or indirect threat to our employees' or customers' physical, mental or financial well-being may result in the withdrawal of the conditional offer of employment.
About Amica
Amica Mutual Insurance Company is America's oldest mutual insurer of automobiles. A direct national writer, Amica also offers home, marine and umbrella insurance. Amica Life Insurance Company, a wholly owned subsidiary, provides life insurance and retirement solutions. Amica was founded on the principles of creating peace of mind and building enduring relationships for and with our exceptionally loyal policyholders, a mission that thousands of employees in offices nationwide share and support
Equal Opportunity Policy: All qualified applicants who are authorized to work in the United States will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, family status, ethnicity, age, national origin, ancestry, physical and/or mental disability, mental condition, military status, genetic information or any other class protected by law. The Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are 40 years of age or older. Employees are subject to the provisions of the Workers' Compensation Act.
Amica Mutual Insurance Company is committed to protecting job seekers from recruitment fraud. We never request sensitive personal information or payment during the interview process. All legitimate job opportunities are listed on our official careers site: ************************** Learn more in the "Is Amica hiring?" section of our FAQ.
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$43.1k yearly 4d ago
Claims Representative, Auto Property Damage - Independent Agent Channel
Plymouth Rock Assurance 4.7
Parsippany-Troy Hills, NJ jobs
The Auto Property Damage Claims Representative is responsible for managing Auto Property Damage claims within our โAuto PD Claim Unit.โ This role demands a high level of customer service, patience, and professionalism while working in a fast-paced environment with significant phone interaction. Strong customer service, organizational, verbal, and written communication skills are essential. The ability to navigate adversarial situations with professionalism is critical. Comparative negligence claim handling experience is a plus but not required.
RESPONSIBILITIES
Policy Analysis:
Investigate and interpret policy provisions, endorsements, and conditions to determine coverage for automobile property claims.
Identify and investigate contested coverage claims that may require a roundtable discussion.
Claim Investigation:
Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties.
Secure and analyze pertinent records, documentation, and loss scene information to determine proximate cause, negligence, and damages.
Claims Management:
Evaluate and adjust reserves as necessary.
Prepare dispatch instructions for field personnel to inspect vehicles.
Negotiate and settle claims within individual authority limits and seek supervisor approval for claims exceeding authority or requiring additional guidance.
Maintain effective follow-up systems on pending files, advising insureds, claimants, and brokers on claim status.
Act as an intermediary between the company, preferred vendors, and customers to resolve disputes.
Ensure adherence to privacy guidelines, laws, and regulations in claims handling.
Subrogation and Legal Handling:
Investigate and initiate subrogation processes when applicable.
Handle and respond to special civil part lawsuits or intercompany arbitrations related to auto property damage claims.
Administrative Duties:
Manage a customer-focused phone environment by answering calls, returning voicemails, and responding to emails and text correspondence promptly.
Process incoming and outgoing mail timely and in accordance with state guidelines.
Complete other duties as assigned.
QUALIFICATIONS
Bachelor's degree required.
A minimum of 1 year of related PD claim experience is welcomed but not required.
Proficiency in personal computer skills, including Microsoft Office Suite.
Ability to prioritize and manage multiple tasks effectively.
Excellent communication, organizational, and customer service skills.
SALARY RANGE
The pay range for this position is $47,000 to $55,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
PERKS & BENEFITS
4 weeks accrued paid time off, 8 paid national holidays per year, and 2 floating holidays
Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
Annual 401(k) Employer Contribution
Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
Robust health and wellness program and fitness reimbursements
Various Paid Family leave options including Paid Parental Leave
Tuition Reimbursement
ABOUT THE COMPANY
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of โA-/Excellentโ.
$47k-55k yearly 3d ago
Claims Adjuster
Network Adjusters, Inc. 4.1
Farmingdale, NY jobs
Network Adjusters is seeking skilled Bodily Injury and Property Claims Adjusters to join our third-party administrative claims handling team. This role focuses on the investigation, evaluation, negotiation, and resolution of complex commercial bodily injury and property damage claims while delivering consistent, high-quality claims management in alignment with industry best practices.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Bodily Injury and/or Property Claims Adjusters are responsible for managing commercial bodily injury and/or property damage claims from inception through closure. Claims may include complex commercial auto and general liability exposures with higher severity and specialization. In this role, you will investigate losses, analyze policy language, evaluate damages, negotiate settlements, and handle litigated matters while exercising a high level of independent judgment.
Adjusters routinely take statements, review medical records and police reports, collaborate with legal counsel when necessary, and ensure all claim activity complies with state-specific regulations and Network Adjusters' quality standards and Best Claims Practices. This is a desk-based role.
Responsibilities
Handle complex Commercial Auto and General Liability bodily injury and/or property damage claims from inception to closure
Investigate, evaluate, negotiate, and manage claims involving higher severity and exposure
Provide superior customer service to insureds, claimants, carrier clients, and internal stakeholders
Conduct comprehensive interviews, secure statements, and gather evidence from claimants, witnesses, medical providers, and law enforcement agencies
Analyze insurance contracts and policy language to determine coverage applicability
Review medical records, police reports, and related documentation to evaluate injuries and liability
Establish, monitor, and adjust reserve requirements throughout the life of the claim
Determine settlement values using independent judgment, applicable limits, deductibles, and collaboration with legal counsel when necessary
Handle litigated matters and negotiate settlements within assigned authority
Prepare professional written correspondence summarizing coverage analysis and claim decisions
Communicate claim decisions and sensitive developments with clarity, confidence, and empathy
Maintain accurate, up-to-date claim files, diaries, and documentation
Ensure compliance with applicable regulations and Network Adjusters' quality standards and Best Claims Practices
Qualifications
Minimum 3 years of claims handling experience in either bodily injury or property damage claims
Strong verbal and written communication skills
Proficiency in MS Word, Outlook, Excel, and standard business software
Strong customer service skills with demonstrated empathy
Advanced analytical, investigative, negotiation, and decision-making abilities
Excellent organizational and time management skills with the ability to manage complex workloads
High attention to detail and commitment to accuracy
Ability to maintain confidentiality
College or technical degree, or equivalent business experience preferred
Ability to obtain and maintain required adjuster licenses, including continuing education
Knowledge of the security industry and/or rideshare industry is beneficial
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: Starting from $70,000+ annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
๐ Farmingdale, NY
This role is on-site only; remote or hybrid arrangements are not available.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$70k yearly 22h ago
General Liability Claims Supervisor
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking an experienced General Liability and/or Construction Defect Claims Supervisor to join our third-party administrative insurance handling team. This leadership role is ideal for professionals who thrive in fast-paced claims environments and are passionate about team development, technical excellence, and delivering strong customer service outcomes.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
General Liability Claims Supervisors oversee the full lifecycle of claims handling while ensuring compliance, service standards, and industry best practices are consistently met. In this role, you will hire, onboard, train, and develop a team of adjusters specializing in general liability and construction defect claims, providing both strategic and technical guidance throughout the claims process.
You will play a key role in maintaining departmental protocols, supporting complex claim resolution, and delivering strong customer service outcomes for carriers, clients, and internal stakeholders. This is a desk-based role.
Responsibilities
Supervise and manage a team of claims adjusters, providing guidance, training, and ongoing support to drive performance and professional development
Hire, onboard, train, and develop staff as needed
Review and analyze coverage, policies, claim forms, and supporting documentation to ensure accurate and compliant claim handling
Oversee the full claims lifecycle, including damage evaluation, loss determination, settlement negotiations, and resolution
Ensure compliance with all regulatory requirements, company guidelines, and industry Best Practices
Implement and monitor quality control standards and QA/QC measures to ensure consistency, accuracy, and efficiency in claims handling
Collaborate with carriers, attorneys, claimants, and internal stakeholders to resolve disputes and provide a positive claims experience
Track and analyze team and departmental performance metrics, establish targets, and implement strategies to meet or exceed goals
Prepare and present reports to senior management and clients, highlighting performance trends, risks, and improvement opportunities
Stay current on industry regulations, case law, statutes, and evolving claims best practices
Qualifications
Minimum 5 years of claims handling experience in General Liability or Construction Defect claims
Minimum 3 years of supervisory or managerial experience, preferably within insurance claims
Strong leadership skills with the ability to mentor, motivate, and develop a team
Superior knowledge of case law, statutes, and procedures impacting claim handling and valuation
Excellent analytical, evaluation, strategic, and negotiation skills
Ability to prioritize workload and manage multiple tasks effectively in a fast-paced environment
Strong problem-solving skills with keen attention to detail
Proficiency in MS Office Suite and other standard business software
Polished written and verbal communication skills
Bachelor's degree in a relevant field or equivalent work experience
Compensation & Benefits
Salary: $110,000-$140,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
๐ Denver, CO
Remote opportunities may be available for experienced candidates who meet all required criteria.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$110k-140k yearly 22h ago
Claims Adjuster
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking experienced General Liability and/or Construction Defect Claims Adjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of third-party construction defect claims, including property damage and liability exposures, while delivering consistent, high-quality claims management in alignment with industry best practices.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Construction Defect Claims Adjusters are responsible for managing complex third-party claims related to construction projects from inception through closure. Claims may include third-party property damage, bodily injury, and other specialized construction-related exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, determine coverage, negotiate settlements, and handle litigated matters as needed while maintaining clear, professional communication with all involved parties.
Adjusters routinely conduct site inspections, gather statements from claimants, witnesses, and contractors, coordinate with external experts, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role.
Responsibilities
Apply in-depth knowledge of General Liability and Construction Defect claims to manage complex third-party property damage, bodily injury, and related losses
Deliver high-quality customer service to insureds, claimants, carrier clients, and internal stakeholders
Review and analyze coverage by applying policy conditions, provisions, exclusions, and endorsements, and address jurisdictional considerations such as negligence laws, immunity, and financial responsibility limits
Investigate claims to determine liability and potential sources of recovery by contacting, interviewing, and coordinating with appropriate parties and external experts
Effectively manage litigated claims, including coordination with defense and coverage counsel
Establish, document, and maintain appropriate claim and expense reserves in a timely manner
Develop and execute plans of action for claim resolution, including diary management and timely follow-up
Determine settlement values using independent judgment, applicable limits, and deductibles, and negotiate settlements within assigned authority
Draft denial letters, reservation of rights, tenders, and other routine or complex claim correspondence
Identify and pursue subrogation opportunities when applicable
Prepare client-specific reports and detailed claim analyses, and consult with senior technical staff to ensure proper file handling
Document all claim activity in accordance with established procedures and Best Practices
Ensure compliance with all state-specific regulatory requirements and quality standards
Manage multiple competing priorities to ensure timely payments, follow-up, and claim resolution
Qualifications
2-5 years of claims handling experience, preferably in third-party General Liability and/or Construction Defect
College or technical degree, or equivalent relevant business experience
Ability to obtain and maintain required adjuster licenses, including completion of continuing education
Strong analytical, investigative, decision-making, and negotiation skills, with the ability to manage conflict effectively
Excellent verbal and written communication skills, with a customer-focused and empathetic approach
Strong organizational and time management skills with the ability to multitask in a fast-paced environment
High attention to detail, accuracy, confidentiality, and sound judgment
Proficiency in MS Word, Outlook, Excel, and standard business software
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: $75,000-$100,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
๐ Denver, CO (On-site)
Remote opportunities may be available for experienced candidates who meet all required criteria.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$75k-100k yearly 22h ago
Claims Supervisor
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking an experienced First-Party Property Damage Claims Supervisor to join our third-party administrative insurance handling team. This leadership role is ideal for professionals who thrive in fast-paced claims environments and are passionate about team development, technical excellence, and delivering strong customer service outcomes.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Property Claims Supervisors oversee the full lifecycle of claims handling while ensuring compliance, service standards, and industry best practices are consistently met. In this role, you will hire, onboard, train, and develop a team of adjusters specializing in commercial property losses, providing both strategic and technical guidance throughout the claims process.
You will play a key role in maintaining departmental protocols, supporting complex claim resolution, and delivering strong customer service outcomes for carriers, clients, and internal stakeholders. This is a desk-based role.
Responsibilities
Supervise and manage a team of claims adjusters, providing guidance, training, and ongoing support to drive performance and professional development
Hire, onboard, train, and develop staff as needed
Review and analyze coverage, policies, claim forms, and supporting documentation to ensure accurate and compliant claim handling
Oversee the full claims lifecycle, including damage evaluation, loss determination, settlement negotiations, and resolution
Ensure compliance with all regulatory requirements, company guidelines, and industry Best Practices
Implement and monitor quality control standards and QA/QC measures to ensure consistency, accuracy, and efficiency in claims handling
Collaborate with carriers, attorneys, claimants, and internal stakeholders to resolve disputes and provide a positive claims experience
Track and analyze team and departmental performance metrics, establish targets, and implement strategies to meet or exceed goals
Prepare and present reports to senior management and clients, highlighting performance trends, risks, and improvement opportunities
Stay current on industry regulations, case law, statutes, and evolving claims best practices
Qualifications
Minimum 5 years of claims handling experience, including first-party property claims
Strong leadership skills with the ability to mentor, motivate, and develop a team
Superior knowledge of case law, statutes, and procedures impacting claim handling and valuation
Excellent analytical, evaluation, strategic, and negotiation skills
Ability to prioritize workload and manage multiple tasks effectively in a fast-paced environment
Strong problem-solving skills with keen attention to detail
Proficiency in MS Office Suite and other standard business software
Polished written and verbal communication skills
Bachelor's degree in a relevant field or equivalent work experience
Compensation & Benefits
Salary: $85,000-$110,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
๐ Denver, CO
This role is on-site only; remote or hybrid arrangements are not available.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$85k-110k yearly 22h ago
Claims Adjuster/Examiner
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking experienced Claims Adjusters to join our third-party administrative insurance handling team in a file review role. This is a high-visibility position reporting directly to executive management, ideal for professionals who thrive on complex claims, strategic problem-solving, and driving resolution.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Disposition Analysts supports two key initiatives:
Assisting with onboarding triage and review of new claim programs
Reviewing existing claim files for closure with current carrier partners
You'll work in a fast-paced environment reviewing high-exposure, complex claims, identifying resolution opportunities, and providing actionable feedback to leadership - all while ensuring compliance and service standards are met.
Claims may include Commercial General Liability, Auto, Property Damage, Construction Bodily Injury, Construction Defect, D&O, Cyber, and Builder's Risk. Experience across all lines is not required; adaptability and a willingness to learn are essential. This is a desk-based role.
Responsibilities
Analyze coverage by reviewing policies, claim forms, and supporting documentation
Handle complex commercial and bodily injury claims, including in-depth file reviews, damage evaluation, settlement negotiation, and driving claims to resolution
Communicate and collaborate with carriers, attorneys, claimants, and internal stakeholders throughout the claims lifecycle
Prepare management and client reports, identifying claim trends and opportunities for improvement
Ensure compliance with regulatory requirements and industry best practices
Qualifications
3+ years of commercial bodily injury claims handling experience, including litigation
Strong working knowledge of case law, statutes, and claims procedures
Excellent analytical, evaluation, negotiation, and strategic decision-making skills
Ability to manage multiple priorities in a fast-paced, high-volume environment
Confident communicator with polished written and verbal communication skills
College or technical degree, or equivalent relevant business experience
Active Texas or Florida P&C Adjusting License (or ability to obtain within 90 days); ability to obtain New York P&C Adjusting License within 90 days
Proficiency in MS Office and standard business software
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: $70,000-$90,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
๐ Denver, CO
This role is on-site only; remote or hybrid arrangements are not available.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$70k-90k yearly 22h ago
Claims Adjuster
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking experienced Bodily Injury and Property Claims Adjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of moderate to complex commercial bodily injury claims while delivering consistent, high-quality claims management in alignment with industry best practices.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Bodily Injury and/or Property Claims Adjusters are responsible for managing commercial bodily injury and/or property damage claims from inception through closure. Claims may include commercial auto and general liability exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, negotiate settlements, and handle litigated matters while maintaining clear, professional communication with all involved parties.
Adjusters routinely take statements, review medical records and police reports, collaborate with legal counsel when necessary, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role.
Responsibilities
Handle Commercial Auto and General Liability bodily injury and/or property damage claims of varying complexity and severity
Investigate, evaluate, negotiate, and manage claims in compliance with state regulations and Network Adjusters' Best Claims Practices
Provide exceptional customer service to insureds, claimants, carrier clients, and internal stakeholders, using empathy and conflict-resolution skills
Conduct interviews and gather evidence from claimants, witnesses, medical providers, and law enforcement agencies
Analyze insurance contracts and policy language to determine coverage applicability
Review medical records, police reports, and related documentation to evaluate injuries and liability
Establish, monitor, and adjust reserves throughout the life of the claim
Determine settlement values using independent judgment, applicable limits, and deductibles, collaborating with legal counsel when appropriate
Handle litigated matters and negotiate settlements within assigned authority
Maintain accurate claim files, diaries, and documentation
Communicate claim decisions and key developments to policyholders, claimants, attorneys, and other involved parties
Qualifications
Minimum 1 year of bodily injury and/or property claims handling experience
Strong verbal and written communication skills
Proficiency in MS Word, Outlook, Excel, and standard business software
Demonstrated customer service skills with empathy and professionalism
Strong analytical, investigative, and decision-making skills
Excellent negotiation and conflict-management abilities
Strong organizational and time management skills, with the ability to multitask in a dynamic environment
High attention to detail and commitment to accuracy
Ability to maintain confidentiality
College or technical degree, or equivalent business experience preferred
Ability to obtain and maintain required adjuster licenses, including continuing education
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: Starting from $70,000+ annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
๐ Denver, CO (On-site)
Remote opportunities may be available for experienced candidates who meet all required criteria.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$70k yearly 22h ago
Claims Adjuster Trainee
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking motivated Claims Adjuster Trainees to join our third-party administrative insurance handling team. We support clients across a wide range of industries, including transportation, inland marine, ocean marine, cannabis, construction, security, and technology.
As a Claims Adjuster Trainee, you will begin your career learning to investigate and manage insurance claims from initial investigation through final disposition. Your day-to-day work will include policy interpretation, evaluation of damages, and collaboration with internal and external partners to achieve fair and timely claim resolution.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
The Claims Adjuster Trainee role is designed to build foundational claims-handling skills through hands-on experience and structured support. In this position, you will develop technical expertise and professional judgment by investigating claims, evaluating coverage, assessing damages, and working toward amicable settlements.
Network Adjusters is committed to advancing the careers of team members at an accelerated pace through mentorship, education, and dedicated support focused on rapid professional development. This is a desk-based role.
Responsibilities
Lead claim investigations, including securing testimony from involved parties and coordinating experts such as engineers, forensic analysts, and attorneys to determine liability and claim value
Evaluate claims against insurance contracts to interpret policy application and prepare professional correspondence summarizing coverage and liability analysis
Utilize conflict resolution and customer service skills to communicate claim decisions with empathy and confidence
Work independently on claim investigations while collaborating with team members to support knowledge-sharing and continued growth
Negotiate settlements within assigned authority
Qualifications
Strong interest in building a career in insurance claims handling
Ability to learn and apply policy interpretation and claims investigation principles
Strong verbal and written communication skills
Customer-focused mindset with the ability to communicate confidently and professionally
Solid organizational skills with attention to detail and accuracy
Ability to work independently while collaborating effectively within a team environment
Proficiency with standard business software and office technology preferred
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: Starting from $57,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
๐ Denver, CO
This role is on-site only; remote or hybrid arrangements are not available.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$57k yearly 4d ago
ITM Specialist
Windsor Federal Bank 4.0
Windsor, CT jobs
Under the direction of the Customer Care Center/ITM Manager, the ITM Specialist plays an integral role in ensuring that an exceptional customer experience is achieved in each banking interaction. In this role, the ITM Specialist assists customers and processes transactions via video, through our Customer Care Center and Interactive Teller Machines (ITMs). The ITM Specialist enhances customer relationships by providing tailored and accurate service through multiple delivery channels. The ITM Specialist is responsible for engaging with current customers, providing exceptional service and addressing inquiries professionally via the telephone and online. Flexibility to work extended hours and Saturdays is required.
ESSENTIAL FUNCTIONS:
Facilitates routine transactions using an ITM. Processes allowable financial transactions for customers which may include deposits, withdrawals, loan payments, and cashing checks. Verifies customer deposit requests, including proper payee and endorsement of checks. May provide certain transaction exceptions, within policy or procedural guidelines.
Effectively communicates with and assists internal and external customers in a professional, positive, and composed manner while using effective listening abilities to resolve customer inquiries and requests. Provides resolutions and creative solutions to non-traditional banking inquiries.
Services all banking inquiry types, including customer accounts and ATM/debit card research and maintenance, navigation and technical support for electronic services, fraud research and disputes.
Has extensive knowledge of all products and is proficient in navigating required electronic product delivery systems. Aids internal and external customers with electronic delivery inquiries and demonstrates research, problem resolution and technical expertise for electronic products and services. Assists customers in navigating and troubleshooting our electronic products.
Identifies and pursues opportunities to build and deepen consumer and business customer relationships by actively listening and engaging with the customer to cross-sell products and services and understand their current and future financial needs and priorities. Offers needs-based solutions and educates customers on products, promotions, and digital services to assist the customer in reaching their financial goals.
Maintains a discerning ability to strongly authenticate callers over the phone and mitigate risk by recognizing and reacting to covert and overt attempts of illicit activity. Makes sound judgements balancing customer service and risk to the Bank and provides first-level approval authority for certain transaction exceptions, within policy or procedural guidelines. Provides service escalation to management, as necessary.
Maintains knowledge of and compliance with applicable federal, state, and local laws and regulations governing the activities of the Bank, as well as a well-rounded knowledge of both front end and back-office operations. Understands when to escalate a problem or situation to management or another department/branch. Owns any customer issues from beginning until resolution while making sure to keep customer informed throughout the process.
Is cross trained in all basic Customer Care Center procedures and all verbal and written delivery channels, including phone system, chat, email, and ITM.
Directs calls to appropriate Bank departments and associates.
Adheres to all Bank, security, and regulatory policies and procedures, including but not limited to, Bank Secrecy Act requirements, currency reporting requirements, check processing and funds availability guidelines, and all other position-related regulations, policies, and best practices. Reports any discrepancies to the supervisor. Adheres to all operational policies and procedures.
Participates in Bank promotions and community events to increase outreach and foster new business opportunities.
Applies new technology, serves as a subject matter expert on ITMs and stays up to date on process improvements and technology enhancements.
Performs other related duties as required.
REQUIRED EDUCATION / EXPERIENCE / SKILLS:
High school diploma or equivalent is required, along with a minimum of one (1) to three (3) years of banking experience. Call center or retail banking experience is preferred.
Strong critical thinking skills - ability to assist others, sound decision making skills.
Strong customer service and sales skills, as well as strong written communication skills are required.
Proficient verbal and numerical aptitudes are required.
Must be able to work in a high-volume setting and must demonstrate an ability to quickly learn and adapt to changing systems, applications, policies, and procedures.
Maintains a professional appearance while communicating effectively through on-screen technology.
Possesses working knowledge of financial institution policies, procedures, services, and products.
Detail oriented and able to assist customers through the ITM process.
Ability to prioritize several daily responsibilities; must be highly organized and possess the ability to meet deadlines as required.
Ability to perform a variety of duties, often changing from one desk to another of a different nature without loss of efficiency or composure. It is required that the employee in this position can work independently and as part of a team, with the ability to easily transition between jobs based on Bank and department needs.
Ability to work flexible/extended hours including Saturdays.
Ability to receive guidance and supervision, follow work rules and work procedures; meet deadlines, punctuality, and attendance standards.
Ability to interpret ideas and facts, while also analyzing and interpreting federal and state laws and/or regulations.
Windsor Federal Bank, an Equal Opportunity Employer, offers a competitive compensation and benefits package including vacation, personal days, paid sick time, holidays, participation in a 401(k) plan, and profit sharing.
For consideration for this position, send resume to: *********************************
Windsor Federal Bank, 270 Broad Street Windsor, CT 06095
An Equal Opportunity Employer
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)
๐จ 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
โข Compliance & audit performance - adherence to jurisdictional and client standards
โข Timeliness & accuracy - purposeful file movement and dependable execution
โข Client partnership - proactive communication and strong follow-through
โข Professional judgment - owning outcomes and solving problems with integrity
โข 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
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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)
๐จ 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
โข Compliance & audit performance - adherence to jurisdictional and client standards
โข Timeliness & accuracy - purposeful file movement and dependable execution
โข Client partnership - proactive communication and strong follow-through
โข Professional judgment - owning outcomes and solving problems with integrity
โข 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 60d+ ago
Multi-line Adjuster
Geico Insurance 4.1
Houston, TX jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Multi-line Adjuster - Corpus Christi and surrounding areas.
* Starting pay rate varies based upon position and location. Ask your Recruiter for details!
This is a remote position but will have to go into the field and travel as needed
We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Adjuster! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, a customer's home or in a virtual estimating environment. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing boat, motorcycle, RV and other specialty claims.
Qualifications & Skills:
Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits
Willingness to be flexible with primary work location - position may require either remote or in-office work
Solid computer, mechanical aptitude, and multi-tasking skills
Effective attention to detail and decision-making skills
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
Minimum of high school diploma or equivalent, college degree or currently pursuing preferred
Requirements:
Experience appraising automobiles - 2 years minimum
Preferred experience appraising motorcycles and RV's
Strong Customer Service skills - Ability to interact with customers and repair facilities
Must be able to obtain Texas all line adjusters license
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
* Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
* Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
* Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
* Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
$46k-54k yearly est. Auto-Apply 15d ago
PIP Appeal and Litigation Adjuster
NJM Insurance Group 4.7
Hammonton, NJ jobs
NJM's General Claims Legal department is seeking a PIP Appeal and Litigation (PAL) Adjuster who will be responsible for conducting a complete and thorough investigation on assigned claims and manage those claims through their life cycle.
Job Responsibilities:
Review, evaluate and process incoming Pre-Litigation Appeals in accordance with the PIP Internal Appeal Procedures.
Review, manage and update litigated files to maximize litigation resources and ensure legal outcomes consistent with NJM litigation strategy.
Evaluate and process all claims, settlements and awards consistent with the proper regulatory, statutory and NJM guidelines for the governing time periods.
Communicate timely and effectively with defense counsel in preparing for trial/arbitration and attend legal proceedings as appropriate.
Collaborate and communicate cross-departmentally regarding claims and appeals handling related to pending litigation.
Required Skills & Qualifications:
Minimum 3 years' experience working in a previous role dealing with PIP Regulations and Statutes
Arbitration experience is a plus
Must have strong attention to detail and ability to read, analyze and assess data
Strong written and verbal communication skills
Must be open to change and be able to rapidly adapt to new information or unexpected obstacles.
Must be able to demonstrate strong problem-solving skills and the ability to make sound decisions
Ability to multi-task
Bachelor's Degree is a plus but not required
Proficient skills in Microsoft, Word, Excel and Outlook.
Working knowledge of all or any of the following is a plus: Guidewire Claim Center, Mitchell Decision Point, OnBase Unity Client, Agile Point
Compensation: This role may be filled at PAL Adjuster, or PAL Adjuster, Senior level based on skills, experience and credentials.
PAL Adjuster: $59,744 - $75,360
PAL Adjuster, Sr: $79,129 - $91,833
Compensation: Salary is commensurate with experience and credentials.
Pay Range: $61,256-$77,255
Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.
Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.
$79.1k-91.8k yearly Auto-Apply 21d ago
1099 Adjuster Apply Here!
Capstone ISG 3.7
Remote
Requirements
2+ years handling property insurance claims required
Candidate must have an active Xactimate account
Can handle partial and full assignments
Commercial and personal lines experience preferred
A qualified candidate must have their own transportation, equipment and software
Good writing and technology skills
$43k-61k yearly est. 60d+ ago
Complex Auto Claims Specialist - Remote
Selective Insurance Group, Inc. 4.9
Claim specialist job at Selective Insurance
About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year.
Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.
Overview
Selective Insurance is seeking a Complex ClaimsSpecialist, which is a fully remote position.
The purpose of this position is to provide direct handling of the company's most complex and challenging Auto claims. Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. Candidate must possess strong litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. The individual in this position will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority with exceptional standards of performance. This individual should possess strategic thought process skills to effectively and efficiently manage loss exposures. Job duties will include communication and collaboration with key stakeholders, training, development and providing thought leadership where requested. In addition, this position may require travel to mediations, arbitrations, settlement conferences, trials or other proceedings which may account for up to 20% of the specialist's time. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.
Responsibilities
* Effectively evaluate, analyze, articulate and resolve coverage issues for all auto-related lines of business and all liability claim types.
* Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information. Experience managing complex loss investigations including evidence preservation involving large commercial vehicles.
* Effectively and efficiently manage vendors and expenses.
* Timely analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary.
* Effectively evaluate, negotiate and resolve claims within delegated authority (commonly exceeding $500,000) utilizing the appropriate settlement agreements.
* Provide required written reports to claims, underwriting, reinsurance and actuarial on significant exposure cases.
* Report on all cases going to trial on a timely basis and attend portions of trials when warranted or where requested by management.
* Ensure proper referrals and timely updates to appropriate Reinsurer(s).
* Must be able to drive an automobile to travel within territory. Car travel represents approximately 10-25% of employee's time and a valid driver's license.
Qualifications
Knowledge and Requirements
* Experience in complex coverage analysis and significant large loss evaluations;
* Superior communication and strategic negotiation and claim disposition skills along with proven problem-solving skills;
* Excellent presentation skills;
* Moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint.
* Sufficient keyboarding proficiency to enter data accurately and efficiently
* Multi-State licensing with strong understanding of Medicare reporting & compliance preferred.
* Must have valid state-issued driver's license in good standing and be able to drive an automobile.
Education and Experience
* College degree preferred.
* 8+ Casualty claims handling experience.
* Minimum of 5 years handling cases of a complex nature with a primary P&C carrier.
Total Rewards
Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page.
The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.
Pay Range
USD $108,000.00 - USD $148,000.00 /Yr.
Additional Information
Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.
For Massachusetts Applicants
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.
$46k-73k yearly est. 6d ago
1099 Adjuster Apply Here!
Capstone ISG Inc. 3.7
Virginia Beach, VA jobs
Job DescriptionDescription:
Capstone ISG is one of the nation's fastest growing Independent Adjustment firms. As we continue to grow our business, we look for people who offer inspiration and innovation, as well as have an internal drive for results. Our team members are focused on customer service and are dedicated to making Capstone a fun and rewarding place to work. We are currently accepting applications for independent (1099) property adjusters in the locations below. Other locations may be considered.
Louisville, KYPIttsburgh, PAEastern Shore, MDMinneapolis, MNMemphis, TNNorthern New JerseyFlorence, SC
This is a contract (1099) position.
ยท Conducts prompt, thorough and fair investigations by obtaining relevant facts to determine coverage, origin, and extent of loss.
ยท Documents damage and prepares written estimates using Xactimate software.
ยท Keeps the client and the insured informed about the claim status with clear, timely and accurate written/oral communication.
Requirements:
2+ years handling property insurance claims required
Candidate must have an active Xactimate account
Can handle partial and full assignments
Commercial and personal lines experience preferred
A qualified candidate must have their own transportation, equipment and software
Good writing and technology skills
$44k-59k yearly est. 23d ago
Claims Processing Expert
The Strickland Group 3.7
Phoenix, AZ jobs
Join Our Team as a Claims Processing Expert!
Are you a data-driven marketer who thrives on turning insights into impactful strategies? We are looking for a Claims Processing Expert to analyze key performance metrics, optimize marketing campaigns, and drive data-backed decision-making.
Why You'll Love This Role:
๐ Data-Driven Impact - Play a critical role in shaping marketing strategies through analytics.
๐ Career Growth - Access professional development and leadership opportunities.
โฐ Work-Life Balance - Enjoy a flexible schedule with full-time opportunities.
๐ฐ Competitive Compensation - Earn a stable income with performance-based incentives.
Your Responsibilities:
Analyze marketing campaign performance, customer behavior, and market trends.
Develop and track key performance indicators (KPIs) to measure marketing effectiveness.
Provide data-driven insights and recommendations to optimize marketing strategies.
Work with cross-functional teams to ensure data accuracy and consistency.
Utilize analytics tools (Google Analytics, Tableau, etc.) to generate reports and dashboards.
A/B test campaigns and refine strategies based on data insights.
What We're Looking For:
Proven experience in marketing analytics, data analysis, or a related field.
Proficiency in analytics tools such as Google Analytics, Tableau, or SQL.
Strong analytical and problem-solving skills.
Ability to translate complex data into actionable marketing strategies.
Experience with digital marketing metrics, reporting, and performance optimization.
Perks & Benefits:
Professional development and continuous learning opportunities.
Health insurance and retirement plans.
Performance-based bonuses and recognition programs.
Leadership growth and career advancement opportunities.
๐ Ready to Turn Data into Growth?
If you're passionate about leveraging data to drive marketing success, apply today! Join us and help shape data-driven marketing strategies that make an impact.
Your journey as a Claims Processing Expert starts here-let's optimize for success together!
$29k-36k yearly est. Auto-Apply 60d+ ago
Claims Processing Expert
The Strickland Group 3.7
Raleigh, NC jobs
Join Our Dynamic Insurance Team - Unlock Your Potential!
Are you ready to take control of your future and build a career in one of the most stable and lucrative industries? We are seeking driven individuals to join our thriving insurance team, where you'll receive top-tier training, support, and unlimited income potential.
NOW HIRING:
โ Licensed Life & Health Agents
โ Unlicensed Individuals (We'll guide you through the licensing process!)
We're looking for our next leaders-those who want to build a career or an impactful part-time income stream.
Is This You?
โ Willing to work hard and commit for long-term success?
โ Ready to invest in yourself and your business?
โ Self-motivated and disciplined, even when no one is watching?
โ Coachable and eager to learn?
โ Interested in a business that is both recession- and pandemic-proof?
If you answered YES to any of these, keep reading!
Why Choose Us?
๐ผ Work from anywhere - full-time or part-time, set your own schedule.
๐ฐ Uncapped earning potential - Part-time: $40,000 - $60,000 /month | Full-time: $70,000 - $150,000+++/month.
๐ No cold calling - You'll only assist individuals who have already requested help.
โ No sales quotas, no pressure, no pushy tactics.
๐ง ๐ซ World-class training & mentorship - Learn directly from top agents.
๐ฏ Daily pay from the insurance carriers you work with.
๐ Bonuses & incentives - Earn commissions starting at 80% (most carriers) + salary
๐ Ownership opportunities - Build your own agency (if desired).
๐ฅ Health insurance available for qualified agents.
๐ This is your chance to take back control, build a rewarding career, and create real financial freedom.
๐ Apply today and start your journey in financial services!
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Results may vary. Your success depends on effort, skill, and commitment to training and sales systems.
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