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  • Construction Project Director

    Blusky

    Columbus, OH

    BRIEF DESCRIPTION: BluSky Restoration wants to know if YOU are interested in being a Construction Project Director for our Central Ohio office in Columbus. Our Project Directors are crucial to our organizational success because they have the ability to estimate and close the sale. This role is vital to our success, as Project Directors are responsible for estimating projects, closing sales, and driving revenue. This is a highly compensated position with UNCAPPED commission potential. Base Salary Range is $70,000 - $100,000 Commission OTE is $70,000 - $200,000 Vehicle Allowance What does a Project Director do? They fix broken buildings! At BluSky, our core values are Excellence, Teamwork, Integrity, Innovation, Empathy, Passion, and most of all FUN! We are a culture of family. The construction Project Director is responsible for estimating, closing the sale of, and managing restoration projects. The Project Director works closely with owners and managers of commercial, multifamily, senior living, healthcare, hospitality, and residential properties damaged by man-made or natural disasters to develop cost estimates for restoration, renovation, environmental, and roofing services. The Project Director is the quarter back of the project, ensuring that budgets and projects are on track through completion. Principal Accountabilities Sales Revenue Profit Margins AR & Collections Managing near-term opportunities Business Development Activity Estimating Proficiency Customer Satisfaction Working with and coordinating with internal teams DUTIES & RESPONSIBILITIES: Sales: Meet or exceed monthly and yearly sales goals Negotiate and execute contracts on behalf of the company Selling all services that BluSky offers Convert opportunities into sales Track and Measure sales and sales opportunities in our CRM and Tracking Sheets Revenue: Oversee and expedite revenue production in accordance with monthly goals Work with all members of the project team to ensure timeliness of deposit, progress, and final billings Provide oversight and direction to the Project Manager in production of revenue Review and collaborate with Project Team on Project schedules Profit Margins: Develop and take ownership of the project budget in compliance with vertical target margins Ensure the accuracy of the budget and modify it during the course of the project, if conditions warrant Seek to improve project profitability by judicious use of vendors, in-house labor, and material suppliers Supervise and monitor project costs to ensure margin integrity AR & Collections: Intentional conversations at the beginning of each project outlining the AR process and setting expectations with the customer for collections Review and understand specific program's for invoicing, payment terms, conditions, and process Perform weekly collection calls on all accounts Weekly reviews for A/R Aging to proactively manage the accounts, monitor lien rights, and follow through on assignments Maintain DSO (Days Sale Outstanding) at or below 75 days Manage Near Term Opportunities: Work directly with clients & claims handling teams to close leads Maintain robust communication with clients to steer direction toward closing Document communication and curate all files in the BluSky CRM systems Business Development Activity: Schedule and attend two business development meetings a week with clients, adjusters, building consultants, etc. Participate in various special events to market BluSky - luncheons, trade shows, award dinners, etc. Entertain clients as necessary to drive business and close sales Partner with business development and Vice President in pursuit of all sales Estimating Proficiency: Accurate sketching of affected areas and use of Matterport technology. Time and Material (T&M) / Xactimate knowledge (need to be able to explain the T&M bill file & justify Xactimate line items) Ability to estimate a project to fit all target margins per the service provided Customer Satisfaction: Consistent weekly communication with all stakeholders (external and internal) Setting expectations upfront with the customer Holding teams accountable to provide updates Check in with the customer throughout the project Email communication should have all stakeholders on the thread Working and coordinating with internal teams: Mitigation Coordinate to get the work authorization signed so we can respond timely Walking the job with the technician team to define the scope of work Share client feedback/changes in scope Review daily T&M sheets with the Mitigation operations team Work directly with the Mitigation operations team Site visit at completion to confirm all work is completed per client expectations Reconstruction Project Kick Offs confirming scope of work and target budget / margin Constant communication with the Project Manager (PM) throughout the course of the project Work with the PM to get timely change orders submitted for approval Work with the PM to send weekly updates Business Development Communicate with the Business Development Manager (BD) about the new opportunity to get it into Salesforce timely Keep the BD on all email communication with the mutual client Update the BD on all changes to the project timely Help the BD update the NTO list that you are both working Project Accountants Oversee completed work authorizations so the PA can get the job into Vista Work with the PA to send out invoices Work with the PA to upload change orders QUALIFICATIONS & REQUIREMENTS: 5+ years of Recent marketing/business development and sales experience in the restoration or construction industry with a proven track record of sales growth Extensive Construction estimating and/or large loss and catastrophe experience Must be able to attend Business Development networking functions 2-3 evenings a week Intermediate-level Microsoft Office skills Experience utilizing Xactimate and other estimating software preferred Experience with social media platforms such as LinkedIn preferred Strong written and verbal communication skills required Strong knowledge of project management, financial processes, and administration required Strong business ethics, integrity, and the ability to perform in highly autonomous environments required OSHA 10 or 30, CPR and First Aid certifications preferred EDUCATION: Bachelor's degree or equivalent experience related to the role is preferred TRAVEL: Minimal out of state travel is required. Some out-of-area and overnight travel may be expected for training, meetings, or jobs. COMPENSATION: BluSky offers a competitive base salary, a bonus plan for qualified positions, auto allowance, and a comprehensive benefits package that includes: a matching 401(k) plan, health insurance (medical, dental, and vision), paid time off, disability, equipment appropriate to the position (i.e., laptop, smartphone, etc.), and corporate apparel allowance. BluSky also offers extended benefits such as: Employee Assistance Program (EAP), Accident & Critical Illness Coverage, LegalShield, Professional Development, Paid Referral Program, and more. WORK ENVIRONMENT AND PHYSICAL JOB DEMANDS: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. The noise level in the work environment is usually quiet. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. The employee must occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to sit, use hands and fingers, reach with hands and arms, talk, and hear. The employee is required to regularly move and walk around the office. EEOC: BluSky is dedicated to the principles of equal employment opportunity. BluSky prohibits unlawful discrimination against applicants or employees based on race, sex, color, religion, national origin, disability, genetic information, sexual orientation, or any other applicable status protected by Federal, State, or local law. It is and will continue to be the policy of BluSky that all persons are entitled to equal employment opportunity based on their individual qualifications, performance, and potential without regard for any protected status, as required by state and federal law.
    $70k-100k yearly 2d ago
  • Senior Manager, A&H Claims and Customer Service

    Integrated Specialty Coverages, LLC

    Remote job

    About Integrated Specialty Coverages Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial insurance wholesaler leading innovation in the market. Backed by one of the leading private equity firms, KKR, and led by a forward-thinking management team, ISC is combining the worlds of insurance and technology to create an Insurtech powerhouse. As a leading online distributor of insurance products for a range of industries and “Main Street USA”, we are looking for the right people to help us in our mission of achieving exponential growth. We strive to be the number one place to go for brokers and agents to source insurance. To accomplish this, we're building a digitally focused team that deeply understands the intersection between user experience, data, and AI/ML to optimize the way we engage with our customers and partners. Job Summary The Senior Manager, Accident and Health (“A&H”) Claims and Customer Service is a critical position reporting directly to the SVP, A&H. The role is responsible for leading the Customer Service team as well as developing and leading the relationship with our Travel Insurance Division (referred to as INF) TPA, Robin Assist. The role ensures compliant operations and collects critical input on product usage to provide insight and recommendations into plan benefits. The ideal candidate will combine industry expertise in A&H customer and claims insurance, global regulatory navigation skills, and a strong operational and execution-oriented mindset. Position Responsibilities Policy and Plan Expertise Serve as a subject matter expert (SME) for INF travel insurance policies and plans, ensuring deep knowledge of coverage, compliance, and product details. Train Customer Service Team on policy elements (refunds, cancellations, coverage types). Monitor customer feedback to provide recommendations for product and service enhancements. Support broker partners, resolving escalations and policy-related issues. Customer Experience & Escalation Management Resolve complex escalations with empathy and expertise; step in to deliver expert-level customer service when required. Ensure communication channels are effective, customer feedback is captured, and improvement opportunities are identified. Evaluate customer interactions for quality assurance and provide coaching to team members. Design and implement proactive service strategies that focus on preventing issues before they escalate. Leadership & People Development Lead, inspire, and motivate the Customer Service team (through third party agencies), ensuring alignment with ISC's values. Mentor and develop Team Leads, focusing on accountability, and performance improvement. Deliver reporting, prioritization, and execution of operational objectives. Build a collaborative, high-performance environment leveraging principles of The Great Game of Business. Assess team resource capacity and support the hiring of new team members to meet business needs. Foster a strong feedback culture by implementing continuous improvement and retrospective practices. Operational Excellence Collaborate with ISC's CEC to ensure centralized operational procedures are adhered to. Document and standardize core procedures and SOPs. Track team performance against KPIs. Analyze data to identify trends, risks, and areas for improvement, creating reports and recommendations. Oversee CRM implementation and management, including reports, KPIs, and staffing needs. Ensure adherence to quality assurance standards across customer interactions. Manage the relationship with INF's TPA, ensuring performance and adherence to contract terms. Establishes efficient and balanced workflows that maximize efficiency and produce high levels of service quality and customer satisfaction Provides support and input to SVP budgeting process and ongoing management of P&L Strategic & Cross-Functional Collaboration Collaborate with Product and Tech teams to troubleshoot platform issues and enable seamless digital customer experiences. Support Process Excellence initiatives, partnering with teams to optimize workflows and operations. Data-Driven Service Management Build reporting frameworks to measure performance, service consistency, and customer sentiment. Create scalable, data-driven processes that support long-term organizational growth and performance. Minimum Qualifications Bachelors Degree in related field Minimum 8 years of progressive experience in insurance operations, claims, or customer service management, preferably with travel or health insurance products with minimum 3 years experience managerial experience Experience with managing BPO arrangements on a global basis Exceptional leadership, team development, and coaching experience, with a track record of building high-performance teams. Demonstrated expertise in complex claims handling, policy administration, regulatory compliance, and escalation management. Proficiency with CRM platforms, data analytics tools, and reporting frameworks to drive operational efficiency and customer experience. Proven ability to collaborate cross-functionally-especially with Product, Tech, Compliance, and external partners (TPAs, brokers)-for continuous improvement. Excellent communication, negotiation, and stakeholder management skills, with the ability to represent the organization with clients, partners, and regulators. Agility, ownership, and focus to deliver high-impact results in dynamic environments. Travel Insurance Product Mastery: Proven expertise in travel insurance policies, coverage options, and regulatory compliance; ability to train internal teams and broker partners on product details and claims procedures. Customer Service Excellence: Demonstrated skill resolving complex customer and broker escalations with empathy, efficiency, and professionalism; adept at designing proactive service strategies to drive satisfaction. Quality Assurance and Coaching: Experience evaluating customer interactions, providing feedback, and coaching team members to high performance and consistent service standards. Leadership and Team Development: Strong ability to mentor, inspire, and develop Customer Service Leads and staff, driving accountability, change readiness, and a culture of collaboration and continuous improvement. Operational Management: Expertise in documenting and managing standard operating procedures, tracking KPIs, and overseeing centralized processes for claims and customer service. CRM and Technology Skills: Proficiency in CRM platforms (e.g., Salesforce, Zendesk) and digital customer service tools; skilled at data integrity, reporting, and supporting seamless digital experiences. Data Analysis and Reporting: Advanced ability to analyze customer, claims, and operational data to identify trends, risks, and actionable insights; experience developing scalable, data-driven processes and reporting frameworks. Cross-Functional Collaboration: Track record of successfully partnering with product, technology, compliance, and process excellence teams to optimize workflows and support strategic initiatives. Change Management and Adaptability: Skilled at championing change, driving operational improvements, and adapting team strategies in a dynamic, growth-oriented insurance environment. You are intellectually agile; a strategic thinker who can think deeply about business problems, break down the key issues, and implement solutions Willing to travel internationally to the Philippines This role also offers bonus pay. Your ISC Talent Acquisition representative will share more details about the bonus component should you advance in the interview process. The starting annual pay scale for this position is listed below. Actual starting pay will be based on factors such as skills, qualifications, training, and experience. In addition, the company offers comprehensive benefits including medical, dental and vision insurance, 401(k) plan with match, paid time off, and other benefits. ISC's salary ranges are determined by role and level. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations and could be higher or lower based on a multitude of factors, including job-related skills, experience, and relevant education or training. National Pay Range$150,000-$190,000 USD Benefits of Working at ISC Employee Ownership Program - every eligible employee shares in the financial rewards that grow when the company grows Professional development opportunities Owner Referral Program Work from home reimbursement for remote/hybrid roles Canary emergency financial assistance program Comprehensive medical, dental, vision Life/AD&D Insurance Confidential, Employee Assistance Program Health Savings Account, includes company contribution Short-term disability Voluntary benefits - supplemental accident, critical illness, hospital insurance Employee discounts 401(k) Plan with company match contribution Various Time Off Programs 11 company paid holidays Applicants may contact the ISC HR department via e-mail or phone to request and arrange for an accommodation that will allow the applicant to successfully complete the application process. Applicants needing assistance may request accommodation at any time. Please contact ISC at ************* or ************. ISC believes in creating long-term relationships by being responsive and relevant and by consistently delivering value to our community of customers. Specifically, we focus on attracting, developing, and retaining the best talent for our business, challenging our people, demonstrating a “can-do” attitude, and fostering a collaborative and mutually supportive environment. Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, gender, gender identity, sexual orientation, marital status, medical condition, genetic information, mental or physical disability, military or veteran status, or any other characteristic protected by local, state, or Federal law. **Must be legally authorized to work in the United States.** **ISC participates in the Federal E-Verify program**
    $150k-190k yearly Auto-Apply 13d ago
  • Long Term Disability Claims Case Manager I

    Guardian Life 4.4company rating

    Columbus, OH

    The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned claims through proactive case management according to the plan provisions, state and federal guidelines, and established protocols. This position consults with other team members, as well as, the Professional Resource Team to assist claimants with return to work efforts when the capability and opportunity exist. The LTD Claims Case Manager can be located in multiple locations including Bethlehem, PA; Plano, TX; Holmdel, NJ or remote. **You will** This position utilizes problem solving, analytical, written and verbal communication skills to deliver timely and appropriate disability claim decisions while providing superior customer service to all internal and external customers. This position partners with coworkers to broaden and enhance their knowledge of complex claim handling. The LTD Claims Case Manager administers claims within a variety of group sizes ranging from small (2+ lives) to large market (1000+ lives). This position is responsible for determining integrated income to ensure appropriate financial risk and accurate payments are made. The LTD Claims Case Manager is responsible for ensuring all plan provisions are met through the duration of the claim. The LTD Claims Case Manager consults with legal, investigative resources, and financial specialists. A selected incumbent may be assigned to the Stable and Mature block as well. **You have** + 4 year college degree preferred or equivalent work/education experience + Regulatory and Compliance experience a plus **Functional Skills** + Excellent written and verbal communication skills + Ability to exercise independent & sound judgment in decision making + Ability to analyze evidence for discrepancies + Ability to conduct research using multiple techniques + Excellent time management & organizational skills + Multitasking with the ability to manage continually changing priorities and ability to prioritize work based on customer service needs and departmental regulations + Self-motivated & able to work independently + Ability to work collaboratively with multiple professional disciplines and with diverse populations + Basic computer skills & knowledge, including Microsoft office + Understanding of medical terminology and medical conditions helpful **Leadership Behaviors** + Continuously strives to provide superior products and customer service + Expresses oneself in an open and honest manner + Demonstrates self-awareness and embraces feedback + Consult with the Professional Resource Team area to assess functionality and return to work potential by utilizing available resources + Perform and complete timely change in definition investigations by utilizing the Professional Resource Team and outside vendor assistance + Partner with the Short Term Disability team on large group claims for early interventions when claims are identified as having potential to transition to Long Term Disability in order to reduce potential risk exposure **Salary Range:** $41,880.00 - $62,820.00 The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation. **Our Promise** At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. **Inspire Well-Being** As part of Guardian's Purpose - to inspire well-being - we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at *********************************************** . _Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits._ **Equal Employment Opportunity** Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law. **Accommodations** Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact applicant_accommodation@glic.com . **Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.** Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being - mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com . Visa Sponsorship: Guardian Life is not currently or in the foreseeable future sponsoring employment visas. In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship.
    $41.9k-62.8k yearly 20d ago
  • Agency Onboarding Associate (Remote, US)

    Openly 4.1company rating

    Remote job

    Why Openly Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly Difference We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. The Price Difference: Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. The Experience Difference: From tailored claims handling to highly responsive customer service, we are focused on making the home insurance purchasing process a better overall experience. Welcome to your next adventure. At Openly, our people are just as important as our product. For us, collaboration, communication, and work-life balance are more than nice-to-haves- they're the must-haves that make us who we are. We believe a great company is the result of a shared set of values, so we look for these qualities in every candidate we hire. Integrity Empathy Teamwork Curiosity Urgency We've designed our hiring process with you, the candidate, in mind. At every step, you have the chance to present your strengths and learn more about what makes Openly a great place to work. We're committed to Diversity, Equity, & Inclusion We embrace individuality and believe diverse teams are winning teams. Our commitment to inclusion across race, gender, age, religion, identity, and experience drives us forward every day. Job Details The Agency Onboarding Associate is responsible for successfully onboarding new agency partners and getting them started from initial onboarding and training to fully credentialed, ramped, and premium producing. This role manages all of Openly's newly appointed agency partners during their first 90-days and ensures they are meeting or exceeding their required minimum production goals. Opportunities to join a team like this don't come up often, so if this sounds right up your alley, then keep reading and join our ever-growing team! Key Responsibilities Responsible for managing agency onboarding and training for new agencies and agents within existing agencies Drive meetings to work with agencies to set mutual growth & quality goals and track results Consistently engage with agency partners and producers via scheduled check-ins and daily outbound calls Leverage data within dashboards to keep agencies on track to perform in their first 90 days Keep detailed records of mutual goals with agencies Work alongside the existing ASM team to ensure appetite is well understood and state nuances are articulated during onboarding and education sessions with agents Track agency results with quoting, binds, Hearts, and other quality metrics that impact agency performance Partners with Product & Shared Services team on feedback from the field Objection handle with agencies on struggles and concerns during onboarding Passion for education and training new agency principals, agents, and support staff Identify areas of growth opportunity within the agency in the first 90 days and manage a smooth handoff to the ASM in the market. Agency first mindset. Set the agency up for success. Key Requirements Must be able to multitask and problem-solve 2+ years of Property & Casualty insurance carrier experience with a strong background in sales Passion for education and training new agency principals, agents, and support staff to success Strong organizational, negotiation, and value-based selling skills Strong oral and written communication with the ability to manage large and small audiences, whether remote or in-person A customer-centric mindset with the ability to quickly establish trust and credibility Insurance product knowledge and the ability to gather additional knowledge rapidly Proficiency with Microsoft and Google products along with experience working with a CRM Compensation & Benefits: The target salary range represents the budgeted salary range for this position. Actual compensation for this position will be determined based on the successful candidate's experience and skills. We are committed to providing a compensation package that not only reflects the responsibilities and requirements of the role, but also the unique expertise that the chosen candidate will bring to our team. Target Salary Range$59,520-$70,680 USD The full salary range shows the min to max salary range for this position. Actual compensation will be commensurate with experience and qualifications and determined based on various factors including the candidate's qualifications, skills, and experience. Full Salary Range$55,800-$93,000 USD Benefits & Perks Remote-First Culture - We supported #remotelife long before it was a given. We'll keep promoting it. Competitive Salary & Equity Comprehensive Medical, Dental, and Vision Plan Offerings Life and disability coverage including voluntary options Parental Leave - up to 8 weeks (320 hours) of paid parental leave based on meeting eligibility requirements (Birthing parents may be eligible for additional leave through STD) 401K Company Contribution - Openly contributes 3% of the employee's gross income, even if the employee does not contribute. Work-from-home stipend - We provide a $1,500 allowance to spend on setting up your home workplace Annual Professional Development Fund: Each employee has $2,000 in professional development (PD) funds to spend on activities or resources annually. We want each Openly employee to achieve personal and professional success and to feel supported, confident, and informed about improving their efficiency and productivity. Be Well Program - Employees receive $50 per month to use towards your overall well-being Paid Volunteer Service Hours Referral Program and Reward Depending on position, Employees generally are eligible for cash incentive compensation, including commissions for sales eligible roles. In all cases, eligibility for compensation and benefits is subject to applicable plan and policy terms in effect from time to time. U.S. Citizens, Green Card Holders, and those authorized to work in the U.S. for any employer and currently residing in the US will be considered. Openly is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law. Openly is an E-Verify Employer in the United States. Openly will make reasonable accommodations for qualified individuals with known disabilities under applicable law. We strive to provide an exceptional applicant and candidate journey when you engage with us. In an effort to respond to applicants in a timely manner, we leverage AI to organize applications and resumes based on required and applicable skills and experience. To allow our applicants to drive their initial interview experience with us, we may leverage an AI-supported scheduling tool so you can choose when to meet with our team. While AI assists with efficiency, all hiring decisions are made by our team members. Rest assured, your data is protected according to privacy laws and company policies. Contact our recruitment team with any questions about our AI-assisted hiring process.
    $59.5k-70.7k yearly Auto-Apply 32d ago
  • Experienced CA WC Adjuster - Remote - Multi-Industry (Trucking, Staffing, Valet)

    Ccmsi 4.0company rating

    Remote job

    Overview Workers' Compensation Claim Consultant (CA Jurisdiction Only) - Remote Salary: $77,000-$87,000 annually Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Experience Required: 5+ Years (Litigated & Some Complex Claims) 🚨 Please Note This is not an HR, risk management, or consulting position. This is an experienced California Workers' Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement. Build Your Career With Purpose at CCMSI At CCMSI, we don't just adjust claims-we support people. As one of the nation's largest employee-owned Third Party Administrators and a certified Great Place to Work , we empower our employee-owners with manageable caseloads, meaningful work, and opportunities to grow. When you join us, you join a team that values collaboration, client care, and long-term career development. 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 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. 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. Performance Metrics Your success in this role is measured by: Quality and accuracy of claim handling. Meeting deadlines and maintaining current diary/workflows. Consistent adherence to best practice standards. Ability to collaborate and communicate effectively with clients, team members, and claim stakeholders. What We Offer Employee Ownership: As an Employee-Owned Company (ESOP), every employee has a stake in our success. Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays. Comprehensive Benefits: Medical, Dental, Vision, Life, Short- and Long-Term Disability, Critical Illness, and 401(k). Career Growth: Robust internal training and professional development opportunities. Supportive Culture: We believe in manageable caseloads, collaboration, and maintaining a healthy work-life balance. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompJobs #CaliforniaAdjuster #RemoteJobs #ClaimsConsultant #InsuranceCareers #AdjusterLife #NowHiring #LI-Remote
    $77k-87k yearly Auto-Apply 18d ago
  • Operations Manager, Disputes

    Upstart 4.0company rating

    Columbus, OH

    Upstart is the leading AI lending marketplace partnering with banks and credit unions to expand access to affordable credit. By leveraging Upstart's AI marketplace, Upstart-powered banks and credit unions can have higher approval rates and lower loss rates across races, ages, and genders, while simultaneously delivering the exceptional digital-first lending experience their customers demand. More than 80% of borrowers are approved instantly, with zero documentation to upload. Upstart is a digital-first company, which means that most Upstarters live and work anywhere in the United States. However, we also have offices in San Mateo, California; Columbus, Ohio; Austin, Texas; and New York City, NY (opening Summer 2026). Most Upstarters join us because they connect with our mission of enabling access to effortless credit based on true risk. If you are energized by the impact you can make at Upstart, we'd love to hear from you! The Team: Upstart's Disputes team is responsible for managing all aspects of the customer dispute process. This includes handling direct and indirect credit disputes. The team ensures compliance with all regulatory requirements, maintains service level agreements (SLAs), and delivers high-quality, timely resolutions for every customer interaction. As the Operations Manager, Disputes at Upstart, you will lead a high-performing team responsible for managing all incoming disputes and related claims. You'll oversee daily operations, guide the team through complex workflows, and partner cross-functionally to enhance efficiency, maintain compliance, and improve the customer experience. You will play a pivotal role in ensuring Upstart upholds its commitment to accuracy, fairness, and timeliness in all dispute-related matters. How you'll make an impact Lead and manage the day-to-day operations of the Disputes team, supporting a group of 10 specialists. Act as the primary escalation point for complex or sensitive disputes, ensuring timely and compliant resolution. Oversee and streamline workflows for credit disputes to meet internal and regulatory SLAs. Implement process improvements to increase operational efficiency and accuracy. Partner with the product team to create automation where possible. Collaborate cross-functionally with Compliance, Legal, Credit Reporting, and Customer Operations teams to align on policies and escalations. Monitor Quality assurance metrics and provide coaching, feedback, and professional development to team members to foster growth and engagement. Track and analyze dispute trends to identify root causes, mitigate risks, and inform process or policy updates. Ensure adherence to Fair Credit Reporting Act (FCRA). Minimum Qualifications Bachelor's degree in Business, Finance, Operations Management, or a related field, or equivalent practical experience. 4+ years of experience in operations, credit disputes, or consumer lending environments. Minimum of 4 years experience in an operations management role, including at least 2 years focused exclusively managing and leading a dispute and fraud operations team. Strong understanding of FCRA, SCRA, and identity theft claim handling requirements. Proven track record of meeting SLAs and driving performance through metrics and process improvement. Demonstrated success in revamping and leading a fraud or identity theft investigations team, including implementation of process improvements that resulted in measurable gains in efficiency and risk reduction. Extensive experience with various identity theft typologies (e.g., synthetic ID, account takeover, new account fraud). Strong understanding of Metro 2 Reporting Standards. Expertise in fraud claim validation best practices. Preferred Qualifications Experience working in fintech, banking, or a credit reporting environment. e-Oscar expertise and managing indirect disputes received from the credit reporting agencies. Skilled in process optimization, workflow automation, and root cause analysis. Knowledge of credit reporting systems and dispute management tools. Ability to interpret and apply regulatory requirements to operational processes. Excellent written and verbal communication skills with the ability to communicate complex information clearly. Demonstrated ability to lead through change and foster a culture of accountability and continuous improvement. Position location This role is available in the following locations: Remote. Time zone requirements The team operates on the East/West coast time zones. Travel requirements As a digital first company, the majority of your work can be accomplished remotely. The majority of our employees can live and work anywhere in the U.S but are encouraged to to still spend high quality time in-person collaborating via regular onsites. The in-person sessions' cadence varies depending on the team and role; most teams meet once or twice per quarter for 2-4 consecutive days at a time. What you'll love: Competitive Compensation (base + bonus & equity) Comprehensive medical, dental, and vision coverage with Health Savings Account contributions from Upstart 401(k) with 100% company match up to $4,500 and immediate vesting and after-tax savings Employee Stock Purchase Plan (ESPP) Life and disability insurance Generous holiday, vacation, sick and safety leave Supportive parental, family care, and military leave programs Annual wellness, technology & ergonomic reimbursement programs Social activities including team events and onsites, all-company updates, employee resource groups (ERGs), and other interest groups such as book clubs, fitness, investing, and volunteering Catered lunches + snacks & drinks when working in offices #LI-REMOTE #LI-Associate At Upstart, your base pay is one part of your total compensation package. The anticipated base salary for this position is expected to be within the below range. Your actual base pay will depend on your geographic location-with our “digital first” philosophy, Upstart uses compensation regions that vary depending on location. Individual pay is also determined by job-related skills, experience, and relevant education or training. Your recruiter can share more about the specific salary range for your preferred location during the hiring process. In addition, Upstart provides employees with target bonuses, equity compensation, and generous benefits packages (including medical, dental, vision, and 401k). United States | Remote - Anticipated Base Salary Range$75,900-$105,000 USD Upstart is a proud Equal Opportunity Employer. We are dedicated to ensuring that underrepresented classes receive better access to affordable credit, and are just as committed to embracing diversity and inclusion in our hiring practices. We celebrate all cultures, backgrounds, perspectives, and experiences, and know that we can only become better together. If you require reasonable accommodation in completing an application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please email candidate_accommodations@upstart.com ************************************************
    $75.9k-105k yearly Auto-Apply 34d ago
  • LTC Technical Claims Consultant

    Northwestern Mutual 4.5company rating

    Remote job

    Provides technical expertise for assigned product line(s) in the handling of complex, contestable, sensitive and large benefit amount claims. Primary Duties & Responsibilities: Responsible for providing technical expertise to applicable product line claims division in the handling of complex, contestable, sensitive and large benefit amount claims. This includes responsibility for claims administration, compliance with applicable laws and regulations, ensuring claim handling standards/best practices and administration of claims in accordance with the company's claim philosophy. Uses extensive financial, medical, legal, claims and/or state requirement knowledge to provide technical assistance and direction to the staff in interpreting and analyzing pertinent facts associated with large dollar and contestable claims referrals by claims staff. Provides technical, consultation to staff to assist with their review of claims, appeals and complaints. Responsible for facilitating, case clinics, rounding, review of claim denials, appeals, depositions and claim settlements Provides prompt case review and initiates decisive action on claim approvals, denials and appeals of denied claims referred from the teams. Serves as a liaison with the Law Department, initiating and reviewing requests for legal opinions and assisting the staff in the application of legal opinions that are received. This may include assistance in preparing for Alternate Dispute Resolution or litigation and gathering and presenting evidence and/or providing deposition or appearing as a court witness. Assists in the continued development of Claims Analysts, Specialists and Consultants by providing technical guidance, training, feedback, recognition and encouraging empowerment, aimed at enhancing their expertise in claims analysis. Proactively works to influence and motivate others while creating a climate that fosters customer focus and continuous learning and improvement. Participates in other departmental projects and in the department's management of assigned product line(s) claim unit. Serves as product line subject matter expert for new contract introductions, regulatory routings and projects impacting claims handling. Continuous Improvement and Innovation Participate in continuous improvement initiatives to enhance claims processes, reduce turnaround times, and improve accuracy. Assist with special projects to support the business. Embrace and advocate for new technology, educating beneficiaries and field representatives. Support digital capabilities and adapt positively to changing environments and new situations. Qualifications College degree or equivalent combination of education and experience five+ years' experience working with medical and or claims/underwriting. In depth knowledge and understanding of the high dollar and contestable claims. Ability to think clearly, logically and exhibit sound judgment in high stress situations. Strong working knowledge of one of more of the following areas: disability income and life waiver of premium claims, death claims or long term care claims, including policies and products, guidelines and regulatory requirements related to the specific product line. Excellent judgment and decision-making skills. Excellent verbal and written communication skills. Proven ability to lead others formally or informally, work effectively outside of silos with others, mentor and develop others. Consummate skill in the techniques of claim administration. Ability to analyze multiple facts surfacing in contestable and controversial claims and arrive at a logical conclusion based on those facts. Possesses broad to extensive knowledge of medical terminology, legal terminology, familiarity with underwriting principals and procedures, basic accounting principles and other current developments in claim administration Required Skills: Change Management (NM) - Intermediate Attention to Detail (NM) - Expert Problem Management (NM) - Advanced Learning Agility & Critical Thinking (NM) - Advanced Information Gathering (NM) - Advanced Data Application (NM) - Advanced Claims Acumen (NM) - Advanced Coaching & Mentoring (NM) - Intermediate Business Acumen (NM) - Intermediate Training, Educating & Awareness (NM) - Intermediate Change Adaptability (NM) - Advanced Adaptive Communication (NM) - Advanced Analytical Thinking (NM) - Advanced Legal Collaboration (NM) - Advanced Prioritization (NM) - Advanced Insurance Acumen (NM) - Advanced Insurance Contract Management (NM) - Advanced Decision Making (NM) - Expert Empathetic Communication (NM) - Advanced Customer Centricity (NM) - Expert This position has been classified as an Associated Person under NMIS guidelines and requires fingerprinting and completion of required form.Non-Registered Fingerprinted - FINRA Compensation Range: Pay Range - Start: $76,650.00 Pay Range - End: $142,350.00 Geographic Specific Pay Structure: Structure 110: $84,350.00 USD - $156,650.00 USD Structure 115: $88,130.00 USD - $163,670.00 USD We believe in fairness and transparency. It's why we share the salary range for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process. The standard pay structure is listed but if you're living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click here to learn more. Grow your career with a best-in-class company that puts our clients' interests at the center of all we do. Get started now! Northwestern Mutual is an equal opportunity employer who welcomes and encourages diversity in the workforce. We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.
    $76.7k-163.7k yearly Auto-Apply 6d ago
  • Liability Supervisor

    TWAY Trustway Services

    Remote job

    At AssuranceAmerica , we are more than a unique blend of insurance assets. We believe in creating a culture where every associate can learn and grow. We strive to create a work environment to meet associate needs and we are determined to achieve excellence in everything we do. This is an opportunity to join a dynamic team in a company that is a leader in the minimum limits auto insurance space and functions with a small company, entrepreneurial style. This position will require someone with an understanding that one needs to have a “roll up your sleeves” attitude to help make things happen. Job Summary: As a Liability Supervisor, you are responsible for the overall quality and success of the team you supervise. You will lead and mentor the team, providing direction and guidance on both non-complex and complex Bodily Injury Claims and create a positive, goal-oriented environment. Job Responsibilities: • Guides and manages the performance and professional development through coaching and mentoring of technical staff, including performance evaluations and salary reviews. • Performs regular file reviews and audits to determine compliance with best practices. • Facilitates and promotes consistent, positive Department financial results by actively strategizing with and providing appropriate guidance and authority to technical staff. • Monitor claim compliance as it pertains to claims practices and company policy • Provide authority and guidance on all bodily injury claims regarding coverage, liability and damages • Identify potential risk that could have an adverse impact on departmental and company results • Assist senior management in the development and implementation of training as needed to ensure compliance and proper claim handling • Vendor management ensuring work product and expenses are in accordance with company guidelines • May be called upon to perform additional duties as needed Qualifications: Required At least seven (7) years of non-standard personal lines casualty claims handling experience. At least three (3) years of leadership, supervision, and training of others within a claims organization. Preferred Bachelor's degree. Nonstandard auto claims handling experience. Core Competencies: Communication and analytical ability at a level to interact with associates, managers, agents, and vendors. Demonstrated team building and coordination skills. Must possess strong interpersonal skills and the ability to present critical information to senior management. Ability to manage multiple priorities and work independently. Must meet company guidelines for attendance and punctuality and professional appearance/decorum.
    $40k-71k yearly est. Auto-Apply 26d ago
  • Motor Truck Cargo Adjuster

    Engle Martin 4.2company rating

    Remote job

    TITLE: Motor Truck Cargo Adjuster DEPARTMENT: Specialty Marine & Transportation (SM&T) REPORTS TO: VP, Specialty Marine & Transportation or Practice Leader STATUS: Regular, full-time; exempt SUMMARY OF JOB PURPOSE The Motor Truck Cargo Adjuster serves the unique needs of specialized Engle Martin clients, effectively determining the extent of loss or damage associated with commercial property and liability claims in a variety of business classes. The Motor Truck Cargo Adjuster assists the insurer in fulfilling its obligation to policyholders and helps safeguard the insurer's reputation and efficacy. The incumbent in this role frequently manages large, complex loss or damage assessments requiring an advanced level of expertise in cargo, heavy equipment, and the related market. PRIMARY JOB RESPONSIBILITIES Investigates highly specialized insurance claims including, but not limited to cargo, trucking, heavy equipment, specialty agricultural, or inland marine losses or damages resulting from such events as accidents, vandalism, inclement or catastrophic weather, earthquakes, or fire. Uses a broad and in-depth knowledge of specialized equipment and property, and knowledge of the specific industry or business affected, personally conducts property inspections and photographs claim sites as necessary to depict and substantiate losses or damage, or the lack thereof; manages the work of experts. Maintains a sufficient network of independent sub-contractor expertise for assignment to claims as necessary; prepares and presents a final work product to customers that meets Engle Martin standards for quality and timeliness. Through interviewing or other methods, obtains necessary information from the claimant and from subject matter experts such as mechanics, engineers, law enforcement officials, accountants, and others to assess the extent of the loss fully and accurately. Works cooperatively with expert witnesses, attorneys, public adjusters, and carrier's examiners as needed to conduct investigations, confirm findings, and support evaluations. Applies an advance level of understanding of insurance policies and policy interpretation, establishing appropriate loss estimates based on all relevant information and findings. Demonstrates advanced understanding of a variety of coverage and loss types; applies knowledge of property claim law and jurisdictional issues as required; applies knowledge of losses involving quota share and layered programs, inclusive of reporting to broad, geographically dispersed market. Recommends the reasonable and proper amount the insurance company should pay on a claim. Ensures the accuracy of information collected and reported, and guards against fraudulent claims. Communicates via telephone, electronic, and face-to-face, as necessary to obtain relevant information and documents interactions, services, and findings clearly and promptly. Prepares accurate, clear, thorough, and concise reports and letters to insurance carriers, including reports on complex and/or highly detailed claims, providing conclusions and recommendations. Follows established policies, procedures, and processes in preparing information, exercising sound judgment in applying these to potentially unusual or complicated situations, and submits reports and documents in a timely manner and in accordance with insurer's standards and expectations. Effectively uses software systems as necessary to help produce accurate estimates. Maintains accurate and thorough field notes, journal entries, and time and expense records as required. Submits reimbursement reports in keeping with organization and client policies, procedures, and practices and with accepted industry standards. Applies knowledge of both time-and-expense and fee-for-service procedures, according to the stipulations of the agreement with the insurer. Obtains guidance from the Vice President, Specialty Marine & Transportation or designated cargo or Team Leader in handling extraordinary claims; follows EM policy and practice, incorporates expert judgment in formulating recommendations and completing evaluations and reports. Functions as an effective member of the team, assisting co-workers as needed and learning from colleagues and supervisors; supports the goals of the department, division, and organization; participate in special assignments and activities as required or approved. Establishes and maintains positive working relationships with other members of the organization across departments, divisions, and locations. Maintains the confidentiality of proprietary and sensitive information, exercising sound judgment and discretion in any disclosure of information related to EM and its endeavors. Upholds the values of Engle Martin and Our Foundation. Adheres to all applicable State Insurance Regulation requirements and other applicable laws, regulations, and standards; assumes personal responsibility for maintaining the requisite state licensure for the state(s) assigned. REQUIRED EDUCATION & EXPERIENCE Bachelor's degree in a related field or demonstrated equivalent experience At least six years of experience in related claims handling preferred, including extensive experience and successful track record in specialty equipment loss adjusting Active license or ability to obtain such in multiple jurisdictions DESIRED KNOWLEDGE, SKILLS & ABILITIES Proficiency in a variety of office software, including Microsoft Office Suite (including but not limited to Word, Excel, PowerPoint, Outlook, and Adobe) Skills in using word-processing, spreadsheet, and database software Thorough understanding of the claims adjudication processes as applied to specialty equipment Thorough knowledge of commercial cargo, trucking, inland marine, or other niche client industries Advanced knowledge of automotive, transportation, cargo, or heavy equipment industry Sophisticated knowledge of property claim law and jurisdictional issues Sound judgement and objectivity Negotiation, conflict resolution, and persuasion skills Skills in analyzing, interpreting, synthesizing, prioritizing, and reporting pertinent information, discerning the essential from the non-essential Skills in managing complicated losses and the ability to grasp complexity of unusual or complicated cases Sound written and oral communication skills Excellent time management and organization skills Basic mathematical and statistical skills Ability to interpret policies and other written technical information Trustworthiness, integrity, and personal accountability and adherence to standards of ethical behavior and professional conduct Commitment to confidentiality and ability to discretely handle sensitive information Keen service orientation and customer service skills Detail-oriented, and the ability to research, investigate and problem solve Commitment to professional and personal growth and development Team-oriented work style WORKING CONDITIONS Frequently requires work to be performed at the site of the damage or loss, including locations where disasters or catastrophes have occurred; may require evening, overnight work and weekend travel; incumbent may be subject to outside weather and environmental conditions, including, but not limited to, extreme heat, cold, and precipitation; incumbent may be exposed to noise, vibrations, proximity to moving mechanical parts, electrical current, chemicals, fumes, odors, dusts, mists, gases, or poor ventilation. The incumbent may be required to work in close quarters, crawl spaces, small enclosed rooms, narrow aisles, passageways, or other enclosed areas, requiring physical agility and resistance to claustrophobia. The incumbent may be required to work in high areas such as roofs or scaffolding, requiring physical agility, balance, and resistance to acrophobia. PHYSICAL ACTIVITIES AND REQUIREMENTS In addition to the working conditions and associated physical activities and requirements above, the incumbent may be required to climb, balance, stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, finger, grasp, or feel, especially in the course of investigating and assessing property damage; these requirements may include the need to lift weights of up to 50 pounds, including a ladder. Periodic driving is required with the ability to safely operate a motor vehicle in a work capacity; close visual acuity, with or without correction, to prepare reports containing words, symbols, and numerical figures; the incumbent is required to view a computer terminal, use a keyboard, read printed documents, make detailed visual inspections, perceive color, perceive depth, and have a sufficient field of vision to carry out all inspection and related duties. The incumbent must be able to speak clearly, and, on occasion, loudly. The incumbent must be able to perceive the nature of sounds at normal speaking levels with or without correction and to receive and impart detailed information through oral communication, making fine discriminations in sound.
    $29k-42k yearly est. Auto-Apply 60d ago
  • Claims Team Lead, General Liability

    Reserv

    Remote job

    Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who want to work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claim's role sounds exciting, we can't wait to meet you. About the role As a Team Lead at Reserv, you will be a working leader providing support to a Claims Manager or Claims Director with leadership and claim technical responsibilities. Leadership responsibilities will include overseeing work done within the New York Labor Law and Commercial General Liability adjusting staff. We want your background and experience to deliver operational effectiveness, particularly in leveraging technology and analytics to drive better efficiencies and performance. You will serve a critical role with the team, the customers, and the client. This role will balance management responsibilities and individual contributor responsibilities when volume dictates the need for assistance with a claim. Who you are Highly motivated and growth-oriented, impactful and influential Claims professional - you are knowledgeable and have a track record of success in commercial claim adjudication, with a focus on Premises and Construction, including New York Labor Law, or other complex General Liability claims. Strong leader - through formal management experience or a proven track record of peer and project leadership, you have demonstrated the ability to motivate, support, and teach a team to help them excel in their roles. Tech-oriented - You are excited by the prospect of building a tech-driven claims organization while delivering an excellent service and have proven results leveraging technology and analytics. Passionate - Claims professional who cares about their team, the customer, and their experience Empathetic leader - You exercise empathy and patience towards everyone you interact with Sense of urgency - at all times. That does not mean working at all hours Creative - You challenge existing assumptions and find ways of leveraging technology and the talents of your team to address problems Curious - You want to know the whole story so you can make the right decisions early and be decisive when it counts. Problem solver - You have the ability to take a ‘deep dive' into the details of the business while staying focused on the big picture. Anti-status quo - You don't just wish things were done differently; you act on it Communicative - You are comfortable with and understand the importance of phone communications throughout the claims process. And did we mention a sense of humor? Claims are hard enough as it is! What we need We need you to do all the things typical to the role: Flexibility - you will need to be able to switch from claims handling to coaching and feedback Agility - you must have an agile mindset and the ability to pivot from focus to focus in a moment's notice Responsible for having direct reports Serve as backup/leader when the Manager is out of office Responsible for initial onboarding tasks / access and new hire cultural immersion SME for first-line questions, escalations, roundtable discussions Be consistently dependable in achieving or exceeding goals and overcoming obstacles Implement and maintain best practices for claims handling, including claim intake, investigation, evaluation, settlement, and recovery Align team with client and customer expectations of the claims process Serve as a resource for escalated claims Foster a positive work environment, promote teamwork, and encourage professional growth and development Attract, hire, retain, and provide a high level of training with the support of the rest of the leadership team Prepare and present comprehensive claims reports, metrics, and analyses to clients and customers; advise clients on claim trends and loss mitigation Increased reserve and payment authority with the ability to assist with moderate reviews Identify topics and trends to discuss in team Huddles and Elevated Claims Experience Workshops lead/co-lead by Team Leads, Managers, and other Reserv employees Customer Obsession Champions- Active advocates who help leadership cultivate a customer-centric mindset Requirements 7+ years of insurance claims experience in high exposure commercial general liability claims, with knowledge of New York Labor Law is needed Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license 2+ years of leadership experience with a preference for experience managing in a remote environment Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes Demonstrated commitment to quality, accuracy, and attention to detail Integrity, ethics, and a strong sense of accountability in handling confidential and sensitive information Benefits Generous health-insurance package with nationwide coverage, vision, & dental 401(k) retirement plan with employer matching Competitive PTO policy - we want our employees fresh, healthy, happy, and energized! Generous family leave policy Work from anywhere to facilitate your work life balance paired with frequent, regular corporate retreats to build team cohesion, reinforce culture, and have fun Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder! Additionally, we will Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role Work toward reducing and eliminating all the administrative work from an adjuster role Foster a culture of empathy, transparency, and empowerment in a remote-first environment At Reserv, we value diversity and believe that a variety of perspectives leads to innovation and success. We are actively seeking candidates who will bring unique perspectives and experiences to our team. We welcome applicants from all backgrounds and encourage those from underrepresented groups to apply. If you believe you are a good fit for this role, we would love to hear from you!
    $50k-94k yearly est. Auto-Apply 60d+ ago
  • Executive Risk Engineer, Equipment Breakdown

    Chubb 4.3company rating

    Remote job

    We are currently seeking applicants for an Equipment Breakdown Risk Engineer (EBRE) for our Chicago, IL branch operations. The EBRE professional operates within the Risk Engineering Department and is considered an integral component of the valued added services that we provide for our commercial insurance policy holders. The position will report to the Chicago Risk Engineering Team Lead and directly support our northern Illinois and southern Wisconsin territory. The primary focus of this position is to perform risk evaluations, evaluate exposures and controls, develop meaningful loss estimates, and communicate findings to business partners. Responsibilities include the application of critical thinking to determine the adequacy of controls, the likelihood of loss, the magnitude of loss, and the overall insurability. The individual will conduct boiler and pressure vessel inspections in accordance with jurisdictional rules by performing thorough examinations, identifying hazardous conditions, applying appropriate codes and standards, recommending corrective action, and submitting required reports. The individual will communicate to customers how these recommendations impact their business and appropriate courses of action. The Equipment Breakdown Risk Engineer will also perform claims investigations which include evaluating the elements of the accident, extent of damage, damage verification, invoice review, and cause of loss. The individual provides risk improvement services to customers, including identifying exposures with significant loss potential, investigation of losses and evaluation of preventative maintenance management programs. Written reports will include evaluations of machinery breakdown and business interruption exposures, which will assist underwriters in evaluating risks and assigning proper premium for the exposure. This is a remote-based role that has field travel. Description Development of risk improvement reports, recommendations, and other risk assessment documentation Building and maintaining productive relationships with underwriting and service teams assigned to support the business with agents, claims, and clients Managing workload within an assigned territory Taking ownership of the territory and effectively prioritize, plan, and schedule work Utilizing technology resources for maximum efficiency Responding to customer requests in a timely and professional manner Ability to deliver timely, quality service and products to internal and external customers Meet Chubb's Risk Engineer, Katelyn Nassie, sharing her expertise and commitment to excellence in serving every Chubb customer: Katelyn's Story - ******************************************************* Check out our State-of-the-Art Training and Education Center: Chubb Risk Engineering Center - ********************************************************************************* About Us Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment. QUALIFICATIONS Qualifications Education ABOUT US Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
    $81k-108k yearly est. 4d ago
  • Complex Claims Consultant - NFP (Community Association D&O Liability)

    CNA Financial Corp 4.6company rating

    Westerville, OH

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. CNA is the market leader in providing Community Association Directors & Officers liability coverage and provides best-in-class claim service. We are seeking a dynamic self-starter to join our team as a Complex Claims Consultant handling Directors & Officers claims for Community Associations. At CNA, Claim Professionals use their specialized expertise to handle claims efficiently and seamlessly in a collaborative environment focused on continuous improvement. The Complex Claims Consultant plays a critical role in managing and resolving D&O Community Association claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation. The Claims Consultant will collaborate in a rich team environment including claim leadership and business partners to ensure the best possible outcome on every claim. This individual contributor position works under general direction, and within broad authority limits, to manage claims with high complexity and exposure for a specialized line of business. Responsibilities include the coordination of all claim resolution activities in accordance with company protocols, while achieving quality and customer service standards. Position requires regular communication with insureds. This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: * Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. * Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information. * Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols. * Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. * Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. * Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner. * Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation. * Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely. * Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management. * Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. * Mentors, guides, develops and delivers training to less experienced Claim Professionals. May perform additional duties as assigned. Reporting Relationship * Typically Manager or above Skills, Knowledge & Abilities * Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices. * Demonstrated expertise in effectively communicating with policyholders, skillfully explaining coverage issues, the litigation process, and the benefits of early resolution. * Proven ability to develop and execute effective negotiation strategies, with a strong track record of successfully resolving complex disputes creatively. * Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly. * Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems. * Strong work ethic, with demonstrated time management and organizational skills. * Ability to work in a fast-paced environment at high levels of productivity. * Experience interpreting complex commercial insurance policies and coverage. * Ability to manage multiple and shifting priorities in a fast-paced and challenging environment. * Knowledge of Microsoft Office Suite and ability to learn business-related software. * Demonstrated ability to value diverse opinions and ideas. Education & Experience * Bachelor's Degree or equivalent experience. Juris Doctor preferred. * Typically a minimum six years of relevant experience, preferably with Professional Liability or Directors & Officers claims handling. * Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. * Prior negotiation experience. * Professional designations are a plus (e.g. CPCU). #LI-CP1 #LI-Hyrbid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
    $72k-141k yearly Auto-Apply 10d ago
  • Senior Software Engineer

    Liberty Mutual 4.5company rating

    Columbus, OH

    Liberty Mutual Global Risk Solutions, Claims Tech Evergreen Workers' Compensation Transformation Program (Flagship Initiative) We deliver our customers peace of mind every day by helping them protect what they value most. Our passion for placing the customer at the center of everything we do is driving a transformational shift at Liberty Mutual. Operating as a tech start-up within a Fortune 100 company, we are leading a digital disruption that will redefine how people experience insurance. Evergreen Vision Evergreen is Liberty Mutual's multi-year, business-led, and technology-enabled flagship transformation program for our Workers' Compensation line. We will be trusted advisors in Workers Compensation by deploying our deep expertise to manage claims accurately and efficiently, producing the best outcomes for our customers and injured workers, while also providing best in class insights to improve risk management decision making. Modern & Scalable Platform for WC Replacement of existing claims core platform, with a new cloud platform for claims ops. that enables holistic claims handling along with modern capabilities that are market relevant, scalable, and future ready Business Transformation Reimagining of key business processes and functions to drive efficient processing and adherence to the best-in-class ways of handing claims Technology Modernization Acceleration Retirement of existing claims platform and modernization of the surrounding ecosystem with flexible, composable architecture with modular integrations Extensible Solution Ecosystem Improve overall technology landscape by building & enhancing shared scalable component solutions that can be leveraged beyond Evergreen The Opportunity As a senior software engineer on one of our agile teams, you will provide critical technical leadership while helping to design and build greenfield features and capabilities in support of the Evergreen program setting the foundation for the next-generation Workers' Compensation system. You'll leverage your extensive experience building secure, scalable, and resilient APIs to bring our critical business capability layers to life. You will employ your thought leadership, agility, and out-of-the-box thinking to help the team navigate delivery challenges with unique solutions. You will also help reinforce a culture of engineering excellence and code quality across the program, while providing essential mentoring and coaching to junior engineers. Qualifications 5+ years of software engineering experience, demonstrating progressive responsibility and influence Bachelor's or master's degree in a technical or business discipline, or equivalent experience Proven track record working with various modern architectural patterns, including synchronous/asynchronous APIs, event-driven, serverless, microservices, and MVC Hands-on experience with layered systems architecture, design, and shared software concepts Extensive experience with clean coding practices and quality-focused design Experience with CI/CD practices and DevOps principles Experience with observability tools (e.g., Datadog, Splunk) Experience designing secure systems, including threat modeling, authentication (authN), authorization (authZ), and STRIDE Experience working on agile teams using SCRUM, Kanban or SAFe frameworks Proven success delivering large-scale, multi-team projects or programs Proven ability to successfully mentor and coach junior engineers Skills Experience with API-based platform integration technologies, such as REST, GraphQL, microservices, Node.js, and Spring Boot Expertise in Java and TypeScript; additional programming language experience preferred Experience with modern cloud platforms and runtime environments (e.g., AWS, Azure, GCP, Cloud Foundry, Kubernetes) Proficiency with software development workflow tools, including GitHub, Codacy, Jira, Confluence, etc. Familiarity using gen AI on large/diverse datasets and integrating in the development lifecycle Collaborative and adaptable working style, with demonstrated initiative and ability to prioritize tasks and efforts Solid negotiation, facilitation, and consensus-building skills Strong ability to analyze complex technical problems and recommend improvements to address technology gaps, while enhancing reliability, quality, and efficiency Excellent oral and written communication skills Closely follows emerging technologies, architectural concepts, and principles Preferred Qualifications Strong familiarity with AWS serverless and Spring Boot stacks Experience in the insurance domain, Workers' Compensation, or claims AWS Solutions Architect certified Guidewire Insurance Suite experience Background in compliance-heavy industries (healthcare, finance, etc.) About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $83k-102k yearly est. Auto-Apply 28d ago
  • AVP- Complex Claim Specialist

    Travelers Insurance Company 4.4company rating

    Columbus, OH

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $132,800.00 - $219,100.00 **Target Openings** 2 **What Is the Opportunity?** Investigate, evaluate, reserve, negotiate and resolve the company's most severe and/or complex claims, in multiple jurisdictions, in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned claims, while engaging in indemnity & expense management. Promptly manage claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, litigation management, negotiating and resolution. Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required. This may include a specific assignment as a severity management resource to one or more field offices. **What Will You Do?** + CLAIM HANDLING: + Directly handle the Company's most severe and complex claims when Travelers has coverage of $2 million or greater and file exposure is greater than $2 million. + Provide quality customer service and ensure file quality timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. + Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. + Interview witnesses and stakeholders; take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction of appropriate internal and./or external resources for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts. + Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. + Utilize diary management system to ensure that all claims are handled timely. + At required time intervals, evaluate liability & damages exposure. + Establish and maintain proper indemnity & expense reserves. + Share experience and deep knowledge of creative resolution techniques to improve the claim results of others. + Apply the Company's claim quality management protocols, Best Practices and metrics to all claims; document the rationale for any departure from applicable protocols and metrics. + Develop and employ creative resolution strategies. + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle recovery efforts and/or engage and direct Company resources for recovery efforts. + Responsible for prompt and proper disposition of all claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal representatives. + Ensure that the right resources are being applied to each claim to achieve the best result at the most optimal cost. + LEADERSHIP: + Actively provide mentoring and coaching to less experienced claim professionals to increase the technical expertise and improve bench strength. + Field Severity Support: Some Complex Claim Specialists may be responsible for all or some of the following: + Collaborate with field severity units in the management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to Field Product Line Managers, Unit Managers, and Major Case Specialists, for timely, cost effective resolution of liability major cases. + Provide mentoring or training as request by field severity management. + COMMUNICATION/INFLUENCE: + Consult with Manager on use of Claim Coverage Counsel as needed. + Provide guidance to underwriting business partners with res accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims. + Recommend appropriate cases for discussion at roundtable. + Attend and or present at roundtables/authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense. + Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options. + Represent the company as a technical resource, attend legal proceedings as needed, act within established professional guidelines as well as applicable state laws + Obtain and evaluate current information regarding trends in the law; digest and communicate this information to other Company departments and divisions to assist in underwriting and management decisions. + Assist underwriting business partners in marketing and account-contact. + Actively participate in the coverage, liability and damages analysis and development of creative resolution strategy for severity cases handled in the field. + Assist in the recognition of available defenses to contain loss payout and setting of appropriate reserves. + Regularly and actively participate in field severity roundtables to share expertise and recommendations in all aspects of severe claim management. + Collaborate with the severity unit in compliance with company claim policies, procedures, practices and standards for the handling of cases that meet the Critical Claim referral guidelines. + OTHER ACCOUNTABILITIES: + Apply expert litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy. + Recognize and implement alternate means of resolution. + Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy our customers. + Track and control legal expenses to assure cost-effective resolution. + Develop and employ innovative techniques to manage expense and outcome when independent counsel is engaged. + Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. + Closely monitor independent counsel to ensure quality product. + Actively participate in periodic file quality reviews. + Appropriately deal with information that is considered personal and confidential. + Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquiries from agents and brokers. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + College degree preferred or equivalent business experience. + 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment determining coverage, liability, investigation, research, evaluation, negotiation and settlement). + Position requires a proficiency in oral and written communications. + Advanced communications skills are required to understand, interpret and convey highly technical information in simple terms to others. + Thorough understanding of product lines, objectives of claim management, and legal theory issues involving claim resolution. + Familiarity with commercial lines/personal lines products, policy language, exclusions, ISO forms, effective claims handling practices. + Extensive experience handling large exposure and/or complex liability claims. + Familiarity with commercial lines products, policy language, exclusions, ISO forms, effective claims handling practices. + Thorough understanding of the litigation process, relevant case and statutory law. + Ability to recognize, analyze and advise on complex coverage, liability and damage issues. + Expert written and verbal communication skills to understand, synthesize, interpret and convey complex data. + Create and manage positive working relationships with business and marketing partners. + Ability to analyze and effectively respond to human resource issues. + Utilize technology as a strategic tool. + Ability to make independent decisions up to $1,000,000 without involvement of supervisor. + Competencies: + Leading the Business - Drive Results. + Leads Change - Executes Business Strategy. + Leading Others - Attract Top Talent, Maximize Individual Performance, Holds Others Accountable, Aligns Rewards, Creates and Sustains a Dynamic Workplace. + Leading Self-Emotional Intelligence - Demonstrates Self-Awareness, Initiative and accountability, Applies Critical Thinking, Communications Effectively & Influences Others, Exhibits Courage, Conviction & Credibility. **What is a Must Have?** + High School Degree or GED. + 5 years bodily injury litigation claim handling experience or 10 years litigation experience. + In order to perform the essential job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. + Generally, license(s) are required to be obtained within three months of starting the job. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $132.8k-219.1k yearly 34d ago
  • Complex Claims Manager - Construction Defect and Environmental

    Crump Group, Inc. 3.7company rating

    Remote job

    The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency: English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: A Complex Claims Manager - Construction Defect and Environmental is responsible for investigating, evaluating, and resolving insurance claims related to environmental damage, as well as claims involving General Liability (GL) and Excess Liability. This role involves analyzing coverage, assessing liability, negotiating settlements, and managing legal defense strategies, all while ensuring compliance with environmental regulations and minimizing the company's financial exposure. Additionally, the Claims Manager will collaborate with underwriting on marketing, portfolio management, and other strategic initiatives. Thoroughly investigate environmental claims, GL and Excess Liability by gathering information on the incident, site assessment, potential pollutants, and impacted parties to determine the scope of damage and liability. Review insurance policies to determine coverage applicability for environmental, general liability and excess liability claims, including policy limits and exclusions. Evaluate potential liability based on the investigation findings, legal precedents, and environmental regulations. Calculate and assign appropriate claim reserves based on the potential damages and liability assessment to accurately reflect the financial exposure. Negotiate settlements with claimants or their legal representatives to reach a fair and cost-effective resolution. Coordinate with legal counsel to manage legal defense strategies, including assigning attorneys, reviewing legal documents, and monitoring litigation progress. Manage consultants and contractors, including reviewing environmental work plans, remedial designs, and other technical aspects of environmental projects. Identify and implement cost-saving measures during the claims process, such as utilizing preferred vendors or negotiating favorable settlement terms. Investigate potential fraudulent claims related to environmental and non-environmental damages. Ensure adherence to all relevant environmental regulations and reporting requirements throughout the claims process. Maintain clear communication with policyholders, brokers, adjusters, legal counsel, and internal stakeholders regarding claim status and updates. Identify patterns and trends within environmental claims to inform risk management strategies and proactive measures. Oversee a portfolio of claims for the Environmental Division, prioritizing critical cases, and monitoring overall claim performance. Provide underwriting teams with insights on environmental risks and participate in risk assessment meetings. Collaborate on marketing strategies and contribute real-world examples for marketing materials. Analyze claims portfolio performance and recommend risk mitigation strategies. Share claims insights for new product development and refine policy language. Conduct training on claims handling and regulatory changes. Liaise between claims, underwriting, and other departments to ensure cohesive risk management. EDUCATION AND EXPERIENCE The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Bachelor's Degree required, Juris Doctorate preferred. Minimum of 5 years' experience required. CERTIFICATIONS, LICENSES, REGISTRATIONS n/a FUNCTIONAL SKILLS Extensive knowledge of environmental laws, regulations, and compliance standards. Knowledge of Construction Defect Proven experience in managing complex insurance claims, including investigation, evaluation, and resolution. Ability to analyze complex data, assess environmental impacts, and make informed decisions. Strong negotiation skills to reach favorable settlements with claimants and legal counsel. Understanding of legal principles related to environmental liability and insurance coverage. Strong interpersonal skills to build and maintain relationships with internal and external stakeholders. Ability to represent the company in market-facing activities, including client meetings, industry conferences, and networking events. General Description of Available Benefits for Eligible Employees of CRC Group: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of CRC Group offering the position. CRC Group offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. Depending on the position and division, this job may also be eligible for restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work. CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace. EEO is the Law Pay Transparency Nondiscrimination Provision E-Verify
    $59k-97k yearly est. Auto-Apply 60d+ ago
  • Senior Stop Loss Claims Auditor

    Accession Risk Management Group

    Remote job

    The Senior Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. Your Impact Perform in-depth claims file reviews for accuracy and compliance. Document findings and provide recommendations for corrective action. Identify trends and collaborate with departments to improve claim practices. Support audit reporting and analytics. Successful Candidate Will Have Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus. 4 - 6 years of claims or audit experience (specific stop loss or first dollar medical). Strong understanding of claims handling and insurance regulations. Analytical, organized, and skilled in Excel/audit systems. At Risk Strategies Company, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, and life insurance, retirement savings, and paid time off and paid holidays for eligible employees. The total compensation for a position may also include other elements dependent on the position offered. The expected base pay range for this position is between $51,800 -$75,000 annually. The actual base pay offered may vary depending on multiple individualized factors, including geographical location, education, job-related knowledge, skills, and experience. Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices and over 5,000 employees across the US and Canada. Our industry recognition includes being named a Best Places to Work in Insurance for five years (2018-2022) and on the Inc. 5000 list as one of America's Fastest Growing Private Companies. We are committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues. Pay Range: 51,800 - 75000 Annual The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role. Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: ******************************** Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice.
    $51.8k-75k yearly Auto-Apply 33d ago
  • CA Workers' Comp Lien & Medical Management Adjuster - Remote (Rep I)

    Cannon Cochran Management 4.0company rating

    Remote job

    Overview Workers' Compensation Claim Representative I - Remote (CA Jurisdiction, Future Medical / Lien Specialist) Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Salary Range: $60,000-$75,000 annually Reports To: Workers' Compensation Supervisor Accounts: Multiple accounts within the staffing and transportation industries Build Your Career With Purpose at CCMSI At CCMSI, we don't just process claims-we support people. As a leading Third Party Administrator and a certified Great Place to Work , we offer manageable caseloads, employee ownership, and a collaborative culture. Our employee-owners are empowered to grow, contribute, and make a meaningful impact every day. Job Summary We are seeking an experienced Workers' Compensation Claim Representative I to handle California jurisdiction claims with a focus on lien resolution and lifetime medical management. This remote position supports multiple accounts within the staffing and transportation industries and requires an individual who can manage complex medical issues, negotiate lien settlements, and maintain strong compliance with state and client requirements. This role is ideal for someone who enjoys analytical problem-solving, communicating with medical providers and attorneys, and driving claims toward fair and timely resolution. Responsibilities Investigate, evaluate, and adjust workers' compensation claims in accordance with established procedures and California regulations. Negotiate and settle liens with lien claimants, medical providers, and applicant attorneys. Handle future medical/lifetime medical claims, ensuring timely authorization and payment of treatment, services, and prescriptions. Review medical reports, legal correspondence, and billing to determine reasonableness and relatedness to ongoing claims. Coordinate with defense counsel and vendors to resolve complex lien disputes. Maintain current and accurate diary, documentation, and billing records. Ensure compliance with CCMSI standards, client requirements, and jurisdictional timeframes. Deliver exceptional customer service to clients, claimants, and internal partners. Qualifications Required: Minimum 2 years of workers' compensation claim handling experience, with exposure to lien resolution and/or lifetime medical management. SIP certification or Experienced Adjuster designation. Excellent written and verbal communication skills. Strong time management and organizational abilities with attention to detail. Proficiency in Microsoft Office programs (Word, Excel, Outlook). Preferred: Prior experience managing claims within the staffing or transportation industries. Performance Metrics Performance is measured by accuracy and timeliness of diary entries, documentation, and bill processing; quality of claim handling; and adherence to client and corporate standards. What We Offer Employee Ownership: As an Employee-Owned Company (ESOP), every employee has a stake in our success. Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays. Comprehensive Benefits: Medical, Dental, Vision, Life, Short- and Long-Term Disability, Critical Illness, and 401(k). Career Growth: Robust internal training and professional development opportunities. Supportive Culture: We believe in manageable caseloads, collaboration, and maintaining a healthy work-life balance. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #NowHiring #WorkersCompensation #ClaimsAdjuster #LienResolution #RemoteJobs #InsuranceCareers #CaliforniaClaims #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote #WorkersComp #WorkersCompensationJobs #WCAdjuster #ClaimsJobs #AdjusterJobs #InsuranceJobs #RemoteAdjuster #CaliforniaJobs #CaliforniaAdjusters #InsuranceProfessionals #RiskManagementJobs #LegalSupportJobs #TPACareers #ClaimsHandling #LienSpecialist #FutureMedicalClaims #RemoteWork #HiringNow #RemoteCareers #JobSearch We can recommend jobs specifically for you! Click here to get started.
    $60k-75k yearly Auto-Apply 20d ago
  • Underwriter, E&S Commercial Lines

    Futuristic Underwriters

    Remote job

    Job DescriptionDescription: Futuristic Underwriters is an MGA that was launched to deliver innovative P&C insurance products to the marketplace. We are an affiliate of a financially sound and well-established organization that provides robust services and support. Our strategy is to leverage technology as a tool to optimize distribution, underwriting, service, and claims handling. We are looking for top talent to join us in building new products by harnessing the power of innovative approaches. We offer the opportunity to be on the ground floor of building a book of business with the innovation and flexibility of an MGA, supported by the resources of an established carrier - including insurance companies, operational support teams, claims, actuarial services, and more. We offer the following: Ground-floor participation in building a book of business, defining a dynamic culture, establishing our underwriting style, and influencing new capability prioritization. Competitive salary and incentive structure. Full benefits package including medical, dental, vision, disability, and life coverage. 401(k) with up to 4% match after 90 days of employment. The Program We are launching a commercial property and casualty program to underwrite small and middle-market businesses on an admitted and E&S basis, offering General Liability, Automobile, Property, Umbrella, and other supporting coverages nationwide. Coverages can be written monoline or as a package. Initially, we will be pursuing risks in the construction, service, and retail sectors, with planned expansions over time. What makes us unique: Distribute directly to retail agents with support from a national sales team. Ability to combine E&S and admitted products in a single quote. Vast cross-sell opportunities with other Futuristic programs. Strong balance between growth and loss performance. Dedication to fully utilizing technology, data, software development, and automation to create an optimized underwriting experience. The Role A Commercial Underwriter will be an integral part of the Commercial P&C team, reporting to the Commercial Underwriting Leader. This position will be 100% remote in the United States. This position will underwrite all coverages and classes we offer on both an admitted and non-admitted basis. This position will work closely with our appointed agents to underwrite new business, larger renewals, and highly technical transactions. Performance will be primarily measured by profitability, growth, and agency management. A Commercial Underwriter will have an array of resources to be successful and able to focus on the key tasks that deliver results. A team of underwriting assistants in a service center will handle most post bind transactions. The national sales team will appoint new agents, source new business submissions, and provide insights during the agency review process. Our technology roadmap will deliver an optimized underwriting process and minimize manual entry through automation and integration. Our proprietary software platform houses rating, issuance, documentation, and workflow in a single place to simplify the underwriting process. Come join our newly forming team to have a major impact on our culture, defining our underwriting style, and influence prioritization of our roll out strategy! Our Structure We will have a team of underwriters responsible for new business, renewals, and highly technical transactions. Underwriters will be supported by a team of underwriting assistants responsible for post bind service transactions. We have a proprietary all-in-one software platform to optimize the underwriting process for rating, issuance, documentation, and workflow. A national sales team will appoint new agents, source new business, and provide insights during the agency review process. Our structure will evolve over time as additional products go live, incorporating differentiation based on account size, complexity, and agency type. Requirements: We are seeking candidates for multiple roles, requiring approximately 5 to 20+ years of multi-line commercial underwriting experience. Titles will be commensurate with experience and future expectations. Advanced knowledge of technical underwriting, form language, and the competitive landscape. Ability to take a consultative approach with agents to differentiate ourselves on new business, renewals, services, and establish strong relationships. Committed advocate for exceptional customer experience. Possesses a proactive and hands-on approach, ready to tackle challenges with determination and resourcefulness.
    $47k-82k yearly est. 25d ago
  • Sr. Casualty Manager, Commercial Claims (Remote)

    Aaaie

    Remote job

    External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Sr. Casualty Manager, Commercial Claims (Remote) Requisition Number R7515 Sr. Casualty Manager, Commercial Claims (Remote) (Open) Location Nevada - Home Teleworkers Additional Locations Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 18 more} Job Information We're Mobilitas, a commercial insurance company created by CSAA Insurance, a AAA Insurer. Our mission is to reinvent commercial insurance in the mobility space by providing technologically advanced solutions for today's way of doing business. At Mobilitas, we believe in what's possible, we use our inventive skills to create new opportunities - we're not chasing the status quo, we're chasing a shared vision. We're looking for motivated, innovative individuals who think big, move fast and are dedicated to creating a company from the ground up, without the constraints of a traditional insurance company. We're excited to push the boundaries of commercial insurance and are looking for enthusiastic team members to help us reimagine insurance. We are actively hiring for a Sr. Casualty Manager, Commercial Claims! Your Role: You will participate in the development of the strategic plans and develop and implement tactical plans for the Commercial Claims Casualty Unit. You will develop and monitor the application and implementation of operating systems, including policies and procedures, workflow, and performance standards. You will also be responsible for the development and direction of supervisors in the Commercial Claims Casualty Unit, managing and directing their activities and staff to meet or exceed service, quality, expense, and indemnity targets for commercial claims. Your Work: Operations Management Responsible for meeting all phone KPI service level measures. Assists in developing and overseeing the operational and budgetary plans of the commercial claims unit. Develops and monitors the application and implementation of operating systems, including policies and procedures, workflow and performance standards. Ensures the volume of work produced meets or exceeds service standards and quality expectations. Plans and monitors staffing requirements, work schedules and service objectives in accordance with business goals. Directs continuous process improvement efforts with focus on customer service and claims handling for the injury unit. Participates in settlement authority and trial clearance committees at all levels of casualty, with varying degrees of complexity. Works to establish and maintain relationships with internal and external defense firms to ensure appropriate representation of insureds and competent legal support for the organization. Performance Management Has responsibility for staffing, hiring, training, development, corrective action, performance evaluations of supervisors and injury staff. Responsible to manage and direct activities of Commercial Claims Supervisors and staff to meet or exceed service, quality, expense and indemnity targets for injury claims in assigned geographic areas. Approves promotions, salary increases and disciplinary action of department personnel. Responsible for compliance with applicable employment, HR and insurance laws and regulations. Claims Procedures Responsible for the decisions and actions taken in the investigation and conclusion of low to high complexity commercial claims. Responsible for compliance of all commercial policies (multiple states), claim procedures and Department of Insurance regulations on multiple claims platforms. Required experience, education, and skills: 5+ years supervisory / management experience with expertise in complex casualty and litigation claims BA/BS in business, insurance or related area, or equivalent combination of education and experience. Thorough knowledge of applicable regulations and ability to implement and insure compliance with various insurance policies and claim procedures. Working knowledge of changes and developments in the insurance industry. Strong strategic mindset, effective critical thinking and organizational skills. Ability to direct and manage department activities and assess goals for individuals and department. Ability to lead, coach, mentor, evaluate, motivate and provide training, guidance and constructive feedback. Thorough understanding of the legal process associated with the handling of civil litigation related to insurance claims (multiple states). Comprehensive understanding of all lines of coverage, complex liability and damages issues. Licensing in multiple states may be required. What would make us excited about you: CPCU, Associate in Claims, and Associate in Management certifications preferred. Excellent interpersonal, influence management, negotiation, leadership and team building skills. Thorough knowledge of applicable regulations and ability to implement and ensure compliance with various insurance policies and claim procedures in a multi-state environment. Seeks knowledge of changes and developments in the insurance industry. Excellent management skills to hire, train, direct, and inspire a large workforce of varying experience and skill level. Ability to recognize potential problems/issues and proactively address as needed and/or recommend appropriate solutions. Knowledge of operations and workflow analysis. Mobilitas Careers At Mobilitas, we're proudly devoted to protecting our customers, our employees, our communities, and the world at large. We are on a climate journey to continue to do better for our people, our business, and our planet. Taking bold action and leading by example. We are citizens for a changing world, and we continually change to meet it. Join us if you… BELIEVE in a mission focused on building a community of service, rooted in inclusion and belonging. COMMIT to being there for our customers and employees. CREATE a sense of purpose that serves the greater good through innovation. Recognition: We offer a total compensation package, performance bonus, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at careers.mobilitasinsurance.com In most cases, you will have the opportunity to choose your preferred working location from the following options when you join us: remote, hybrid, or in-person. Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don't miss important updates from us. If a reasonable accommodation is needed to participate in the job application or interview process, please contact ***************************. As part of our values, we are committed to supporting inclusion and diversity. We actively celebrate colleagues' different abilities, sexual orientation, ethnicity, and gender. Everyone is welcome and supported in their development at all stages in their journey with us. We are always recruiting, retaining, and promoting a diverse mix of colleagues who are representative of the U.S. workforce. The diversity of our team fosters a broad range of ideas and enables us to design and deliver a wide array of products to meet customers' evolving needs. Mobilitas is an equal opportunity employer. If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education. Must have authorization to work indefinitely in the US. Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska. #LI-CH1 .
    $86k-124k yearly est. Auto-Apply 14d ago
  • Senior Claims Resolution Specialist - Environmental

    Liberty Mutual 4.5company rating

    Remote job

    The Environmental Claims Specialist is responsible for the investigation, evaluation and disposition of Environmental claims on assignment, which may include an established portion of the office/team workload and/or individual assigned cases that present high exposure or complex coverage or liability issues. Works autonomously within prescribed authority limits. This position includes responsibility for handling claims involving severe and catastrophic injuries. While this is a Small Commercial role, we do handle a number of Personal Lines Environmental cases as well. This position is eligible for up to a $2,500 sign on bonus after 90 days of employment for external candidates with an active All-Lines Adjuster license in Florida or Texas (will need to provide documentation of active license and all CE's must be completed). **This position may have in-office requirements twice a month depending on candidate location.** Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory. Ideal experience includes: A strong background in casualty, litigation and coverage analysis and the writing of coverage position letters. Commercial claims background Environmental claims experience Responsibilities: Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority. Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status. Confers with trial counsel and prepares trial reports. Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports. Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority. Accountable for security of financial processing of claims, as well as security information contained in claims files. Responsible for managing the practices and billing activities of outside and in-house counsel. May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies. May be involved in special projects and/or mentoring at the direction of local management. Qualifications Must have an expert knowledge of coverage, liability, and complex claims handling procedures. Must be able to effectively handle claims at the highest technical and complexity level. Must be knowledgeable of state and federal laws in the adjuster's jurisdiction. A full working knowledge of claims operations and procedures is required. Excellent written and oral communications skills required as well as strong interpersonal, analytical, investigative and negotiation skills. The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 7 years of directly related experience. Ability to obtain proper licensing as required Qualifications Must have an expert knowledge of coverage, liability, and complex claims handling procedures. Must be able to effectively handle claims at the highest technical and complexity level. Must be knowledgeable of state and federal laws in the adjuster's jurisdiction. A full working knowledge of claims operations and procedures is required. Excellent written and oral communications skills required as well as strong interpersonal, analytical, investigative and negotiation skills. The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 7 years of directly related experience. Ability to obtain proper licensing as required. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $32k-43k yearly est. Auto-Apply 5d ago

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