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  • Senior Litigation Adjuster

    CVS Health 4.6company rating

    Delaware, OH

    We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position SummaryAs a Senior Litigation Adjuster in Risk Management, you will be responsible for managing litigation against CVS and overseeing outside counsel defending CVS in premises lawsuits filed throughout the United States. Responsibilities Include:- Utilizing legal skills and knowledge to oversee and manage complex premises lawsuits against CVS from the initiation of suit through resolution. - Analyzing case files and internal materials and utilizing resources across CVS to investigate and discern key issues in each case. - Developing and implementing a litigation strategy in each case to most efficiently resolve or defend that case. - Assessing the value of all cases through investigation of the pertinent allegations, evaluating the defenses and issues present in each case, and setting appropriate financial reserves. - Reviewing discovery responses, pleadings, motions, etc. drafted by defense counsel. - Providing reporting to key internal stake holders and leadership on case developments. - Developing relationships with internal colleagues for fact-finding and key litigation activities. - Participating in internal meetings and attending mediation and trial as necessary to oversee and assist in the defense or resolution of cases. Required Qualifications- 2+ years of litigation experience, ideally with a law firm or as a litigation adjuster with a large self-insured company or insurance carrier. - Ability to travel and participate in legal proceedings, arbitrations, trials, etc. Preferred Qualifications- Experience overseeing or defending premises litigation. - Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation experience and trial exposure. - Experience overseeing and answering written discovery, reviewing pleadings and case filings. - Ability to influence and work collaboratively with senior leaders, CVS's in-house legal counsel and outside defense counsel. - Ability to positively and aggressively represent the company at mediation, arbitration and trial. - Ability to work independently and in an environment requiring teamwork and collaboration. - Ability to navigate difficult situations and communicate effectively with both internal and external groups. - Excellent organizational and time management skills and ability to handle a full docket of litigated claims. - Strong written and verbal communication skills, ability to summarize complex issues in a concise, cogent manner. - Proficient in Microsoft applications (Word, Excel, PowerPoint, Outlook) with a proven ability to learn new claims software programs and systems. Education- Verifiable Bachelor's degree or equivalent work experience required. - JD degree highly desired. Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988. 00 - $122,400. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 02/28/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $47k-122.4k yearly 8d ago
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  • CA Workers' Comp Lien & Medical Management Adjuster - Remote (Rep I)

    Ccmsi 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 partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We 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. Important - Please Read Before Applying This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Investigate, evaluate, and adjust 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. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #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 #LI-Remote
    $60k-75k yearly Auto-Apply 60d+ ago
  • Litigation Specialist - Remote

    Selective Insurance Group, Inc. 4.9company rating

    Remote job

    About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Overview Selective Insurance is seeking a Litigation Specialist for this remote position. The ideal candidate will be located the west, southern or heartland region. This role will Investigate, negotiate, and conclude by settlement or denial complex and challenging litigated claims, including litigation in multiple different states, venued in state or federal courts. Must have expertise in commercial and personal lines, as well as coverage, contractual and legal issues. Develop and execute litigation strategy and manage the activities of assigned defense counsel to ensure cost effective resolution of litigated claims. Litigated claims handled may be large and complex involving a large amount of legal expenses. The individual in this position will also ensure claims are processed within company policies, procedures, and individual's prescribed authority with exceptional standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Responsibilities * Investigate litigated claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses, and others having pertinent information. Attend depositions, mediations and trials as needed. * Analyze information, including depositions, expert reports, attorney evaluations, and medical reports, gained from discovery during litigation in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary. * Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents on claim resolution. * Evaluate, negotiate, and settle litigated claims within delegated authority. Handle litigation files from start to finish. * Update MCS on a continual basis to accurately reflect status of each assigned fie and to initiate percentage of negligence on the part of the insured to determine "chargeablity". * Receive and approve expenses incurred to investigate, process, and handle a claim. * Prepare check requisitions for all loss and expense payments. * Explore salvage and subrogation potential on all claims. * Prepare for and participate in claims review and settlement conferences. * Close claim by issuing check or denial and securing appropriate releases. * Investigate litigated claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses, and others having pertinent information. Attend depositions, mediations and trials as needed. * Analyze information, including depositions, expert reports, attorney evaluations, and medical reports, gained from discovery during litigation in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary. * Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents on claim resolution. * Evaluate, negotiate, and settle litigated claims within delegated authority. Handle litigation files from start to finish. * Update claims 365 on a continual basis to accurately reflect status of each assigned fie and to initiate percentage of negligence on the part of the insured to determine "chargeablity". * Receive and approve expenses incurred to investigate, process, and handle a claim. * Prepare check requisitions for all loss and expense payments. * Explore subrogation potential on all claims. Explore potential for risk transfer opportunities if they present themselves. * Prepare for and participate in all pre-trial conference calls to discuss values and strategies with management, handling adjuster and defense counsel. * Close claim by issuing check or denial and securing appropriate releases. * Participate in yearly trainings for the litigation/CCU unit which may require travel. Qualifications Knowledge and Requirements * Must be able to handle litigation files from start to finish. Education and Experience * College degree preferred. * Prefer 7-10 years General Liability claims experience required. * 3+ years of GL Litigation experience preferred. Total Rewards Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $84,000.00 - USD $127,000.00 /Yr. Additional Information Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions. For Massachusetts Applicants It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
    $38k-49k yearly est. 15d ago
  • Claims Attorney Sr- Large Loss Litigated Claims

    Country Financial 4.4company rating

    Remote job

    Experience more with a career at COUNTRY Financial! We're excited you're interested in a career at COUNTRY as we strive toward our vision - to enrich lives in the communities we serve. Our footprint spans coast to coast. But more important than where we operate, is the people who do the work. Apply today to help our organization grow and make a difference for our clients. About the role We are seeking a highly experienced Claims Attorney Senior to join our Large Loss Litigated Claims team. This role is responsible for overseeing the management of large loss litigated casualty claims, with occasional involvement in first-party property matters. The successful candidate will provide strategic legal consultation to claims professionals and collaborate closely with defense counsel to ensure litigation is handled effectively, efficiently, and in alignment with organizational goals. This position plays a key role in controlling litigation costs, maintaining oversight of legal files, and developing and implementing sound litigation strategies. The Claims Attorney Senior also serves as a trusted resource to our General Liability team, offering expert guidance on legal issues and claim resolution strategies.How does this role make an impact? - Assigns cases to outside counsel and evaluates their performance. - Provides legal advice and training to claims personnel to ensure consistent file handling. - Controls litigation costs and claim severity. - Responds to subpoenas, court orders and other legal requests in compliance with applicable laws and company policies. - May attend pertinent trials but is not attorney of record. - May provide oversight and supervision to outside counsel on claims-related litigation. Do you have what we're looking for? Typically requires 7+ years of relevant experience or a combination of related experience in Large Loss Litigated Claims, education and training. Must have passed the Bar exam. #LI-Remote Base Pay Range: $110,000-$151,250 The base pay range represents the typical range of potential salary offers for candidates hired. Factors used to determine your actual salary include your specific skills, qualifications and experience. Incentive Pay: In addition to base salary, this position is eligible for a Short-Term Incentive plan. Why work with us? Our employees and representatives serve nearly one million households with our diverse range of personal and business insurance products as well as retirement and investment services. We build relationships and work together to create a stronger, more secure future for our clients and our communities. We're a big company, yet small enough you can make an impact and won't get lost in the shuffle. You'll have the opportunity to learn and grow throughout your career, either within this role or by exploring other areas of our business. You'll be able to take advantage of our benefits package, which includes insurance benefits (medical, dental, vision, disability, and life), 401(k) with company match. COUNTRY Financial is committed to providing equal opportunity in all areas of employment, and in providing employees with a work environment free of discrimination and harassment. Employment decisions are made without regard to race, color, religion, age, gender, sexual orientation, veteran status, national origin, disability, or any other status protected by applicable laws or regulations. Come join our team at COUNTRY today!
    $110k-151.3k yearly Auto-Apply 23d ago
  • Complex Claims Specialist, Miscellaneous Medical Facilities Professional Liability

    Liberty Mutual 4.5company rating

    Remote job

    Liberty Mutual has an immediate opening for a Complex Claims Specialist to join our Miscellaneous Medical Facilities Unit. This is a high‑visibility, hands‑on role for an experienced professional‑liability claims handler with deep Miscellaneous Medical Facilities (MMF) and Long‑Term Care (LTC) facility PL expertise. With minimal supervision, the Complex Claims Specialist will manage a book of specialty MMF/LTC Professional Liability Claims through the entire lifecycle, applying advanced coverage interpretation, clinical issue spotting, complex litigation management and prudent reserving to resolve high‑exposure matters economically and defensibly. Why this role matters Lead ownership of complex facility professional liability claims (nursing homes, assisted living, hospice, home health, ancillary providers). Opportunity to shape claim strategy on high‑severity matters, coordinate clinical/expert resources, and act as an internal subject‑matter resource for underwriting, reinsurance and senior leadership. Work in a collaborative environment with autonomy to influence outcomes and policy. Key Responsibilities Own and manage MMF/LTC Professional Liability Claims from first notice through resolution: investigate, analyze coverage, evaluate liability and damages, establish and adjust reserves, negotiate settlements and close files within authority. Perform advanced coverage analysis (duty to defend vs. indemnify, occurrence vs. claims‑made, allocation, additional insured issues, contractual liability, tail exposures, endorsements) and prepare clear coverage opinions and reservation of rights/declination communications. Document claims thoroughly using Claims Management System and proactively diary follow‑up actions and deadlines. Set indemnity and expense reserves within authority; escalate and recommend reserves for matters outside authority; review reserves regularly and justify reserve positions to management and auditors. Manage litigation: retain and oversee outside defense counsel with MMF/LTC expertise, control budgets and billing, direct discovery strategy, and evaluate mediation/arbitration/trial risk to optimize resolution. Coordinate clinical resources and expert consultants (nursing, pharmacy, infection control, medical specialists) for chart review, causation analysis and expert testimony. Interface with regulatory, compliance and risk management teams on CMS/state surveys, licensing investigations and mandatory reporting; incorporate regulatory developments into case strategy. Collaborate with underwriting, reinsurance and subrogation on allocation, ceded reporting and recovery opportunities. Identify and report claim trends, coverage exposures and policy issues to management and underwriting; contribute to playbooks, training and process improvements. Participate in mediations and arbitrations within settlement authority and support major loss response efforts. Maintain required adjuster licenses and adhere to company litigation and billing guidelines. *This position may have in-office requirements and other travel needs depending on candidate location. You will be required to go into an office twice a month if you reside within 50-miles of one of the following offices: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; or Westborough, MA. We are open to fill this position depending on related professional skills and experience as a Senior Claims Specialist or Complex Claims Specialist. The salary range reflects the varying pay scale that encompasses each of the Liberty Mutual regions, the salary for both levels, and the overall cost of labor for that region. Qualifications Minimum 7 years of claims/legal experience with substantive, hands‑on MMF and/or LTC Professional Liability claim handling; experience managing high‑severity, multi‑claimant or regulatory matters required. Demonstrated advanced knowledge of professional liability coverage interpretation and complex coverage issues. Strong litigation management experience, including selection and supervision of outside defense counsel, bill oversight and cost control. Practical understanding of clinical issues common to LTC/MMF (falls, pressure injuries, medication errors, infections/outbreaks, staffing/care plan issues) and relevant regulatory landscape (CMS surveys, state rules). Proven analytical, negotiation and written/verbal communication skills; able to present complex clinical and coverage positions to counsel, underwriters and senior management. Bachelor's degree required, and advanced degree is a plus! 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-38k yearly est. Auto-Apply 8d 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 partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We 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. Important - Please Read Before Applying This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Investigate, evaluate, and adjust 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. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #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 #LI-Remote We can recommend jobs specifically for you! Click here to get started.
    $60k-75k yearly Auto-Apply 7d ago
  • Claim Manager

    Ledgebrook

    Remote job

    At Ledgebrook, we believe a career in claims can be so much more. You bring the passion, discipline, and entrepreneurial spirit; we'll provide the environment to unleash your best work. Together, we'll celebrate and reward success. If you're ready to shape the future of claims and join a high-performing team that truly values ownership and innovation - read on and apply now. Ledgebrook is seeking an experienced Claim Manager to oversee its portfolio of General Liability and Unsupported Excess Liability claims. You'll play a key role in ensuring that our Third-Party Administrators (TPAs) deliver timely, thorough, and cost-effective claim resolutions, while maintaining Ledgebrook's commitment to excellence and integrity. As part of our Claim team, you'll collaborate with leadership, underwriting, actuarial, and technology teams to refine our state-of-the-art claim management platform and reporting capabilities. This role offers an opportunity to help define best practices across multiple casualty market segments - including construction, hospitality, manufacturing, real estate, retail, and habitational risks. We're looking for someone with a strong technical foundation in E&S casualty claims, a data-driven approach, and the ability to manage relationships with both internal and external partners to achieve outstanding claim outcomes. Here at Ledgebrook, we're passionate about building a team that thrives on learning, collaboration, and the excitement of building something from the ground up. You bring: A passion for delivering world-class service to both internal and external customers Intellectual curiosity and a desire for innovation, rather than following the status quo A hunger for continuous learning and personal growth Agile prioritization skills and a sense of urgency - you balance getting it right with getting it done A strong drive to win together as a high-performing team A moral compass to “do the right thing, period.” We have zero tolerance for toxic behaviors An eagerness to connect and collaborate across remote teams Transparent, honest communication A proactive, solution-oriented mindset - you focus on solving, not blaming Experience working successfully in a fully remote, fast-paced environment As a future Ledgebrook Claim Manager, you'll bring deep technical expertise, sound judgment, and an entrepreneurial mindset to help us redefine what claims excellence looks like in the E&S market. We're looking for someone with: 10+ years handling Commercial General Liability (CGL) Bodily Injury, Property Damage, and Personal & Advertising Injury claims 5+ years managing litigated CGL claims, developing and executing defense strategies 3+ years handling non-admitted market Excess & Surplus Lines claims 2+ years overseeing claims handled by Third-Party Administrators (TPAs) 2+ years supervising claim professionals - coaching, mentoring, and driving performance Proven ability to analyze coverage and prepare reservation of rights or coverage decision letters Strong litigation management skills - selecting, directing, and evaluating defense counsel Experience participating in quality assurance claim file reviews and process improvements Analytical mindset: You dissect complex claims, evaluate exposure, and create actionable strategies Coverage expertise: You interpret and apply policy language with precision and clarity Collaborative communicator: You build alignment across underwriting, legal, product, and operations teams Technology & innovation: You're proficient with modern claims systems, data, and analytics tools - and eager to implement workflow improvements that drive speed, accuracy, and customer satisfaction Customer focus: You combine empathy and responsiveness with professionalism Entrepreneurial drive: You take ownership, challenge the status quo, and help build scalable, forward-thinking solutions Decisive leadership: You make informed, timely decisions with confidence and accountability Exposure to Allied Healthcare and/or Professional Liability claims (a plus) Important - note is only for candidates applying from the U.S.: Please note: This position is open only to candidates who are authorized to work in the United States without the need for current or future employer-sponsored work authorization. We are unable to offer visa sponsorship at this time. Competitive salary and meaningful equity ownership Health insurance - 100% employer-paid option available Additional benefits including 401(k), dental, vision, and other coverage options Remote work and flexible hours - work from where you perform best Unlimited time off policy - we trust you to manage your time and energy Culture of ownership, autonomy, and purpose - where your impact is visible and valued
    $57k-94k yearly est. 60d+ ago
  • Complex Claims Consultant - EPL, Private & NFP D&O

    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 one of the premier providers of professional liability insurance. CNA Financial Lines has an opening for a Complex Claims Consultant handling Employment Practice Liability (EPL), Private and Not-For-Profit D&O including Community Associations Claims. This individual will work with insureds, attorneys and brokers regarding the handling and/or disposition of mid to high severity claims. This individual will investigate claims, coordinate discovery, and team with defense counsel on litigation strategy. This individual will be able to utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims, and present claims to leadership, as needed. Critical to success in this role is the ability to be highly organized, independently motivated and responsive/communicative. CNA offers a hybrid work environment in one of the following locations: Chicago, Glastonbury, Lake Mary, Wyomissing, NYC area preferred, but candidates near any CNA location will be considered. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: * Manages an inventory of highly complex Financial Lines 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 Director or above Skills, Knowledge & Abilities * Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices. * 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. * Demonstrated ability to negotiate complex settlements. * Experience interpreting complex specialty 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; JD preferred. * Typically a minimum of five to seven years of relevant experience, preferably in claim handling #LI-CP1 #LI-Hybrid 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 7d ago
  • Senior Data Specialist II

    Contact Government Services, LLC

    Remote job

    Senior Data Specialist IIEmployment Type: Full-Time, ExperiencedDepartment: eDiscovery CGS is seeking an experienced Senior Data Specialist II with extensive knowledge of litigation discovery processes to provide assistance in the EDRM workflow for a large Federal agency initiative. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Performs file manipulation, loading, conversion services, database indexing, and quality checks of loads. - Develops, evaluates and modifies methodologies and procedures for manipulating files for use with COTS products and litigation support applications. - Responsible for ensuring that incoming productions are made pursuant to the applicable ESI specifications. - Performs advanced tasks related to exporting data from contractor and client databases, including: identifying data for export, confirming redactions and other markups, ensuring that exports comply with applicable ESI specifications, and quality check of exported data. - Support client attorneys, investigators, and paralegals by tracking and processing incoming documents, subpoena returns, and data; creating, loading, and managing document review databases; producing documents to opposing parties in litigation; and tracking produced documents. Applications used include Everlaw, Relativity, Eclipse, Trial Director, NUIX, LAW, EZManage, CaseView, Metadata Assistant, Beyond Compare, eScan-IT, CaseMap, TextMap, TimeMap, Camtasia, and other applications as directed, or as required to complete processing.- Under guidance from the client attorneys, manages documents and data, including the use of document review tools. Documents and data include physical documents, a wide range of Electronically Stored Information (ESI), discovery, forensic images, subpoena returns, PDF's, audio/video files, pictures, forms, email, and others as required to support the client attorneys. Document review tools include those listed in item - Contractor will work with the Litigation Support Manager to ensure that incoming productions are made pursuant to the applicable ESI specifications and when deficiencies are found, provides Litigation Support Manager with detailed notice of deficiencies.- Coordinate with the client's Technology Service Center regarding litigation support projects that are outsourced to the client.- Contractor will ensure that all exports for productions are made pursuant to applicable ESI specifications and/or the requirement of the requesting party or client personnel using the guidelines utilized by the Litigation Support Unit. Work with Litigation Support Manager and client attorneys when issues may arise in discovery negotiations with defense counsel.- Contractor will work with the Litigation Support Specialist in modifying and manipulating files for use with COTS products and litigation support applications. Qualifications:- Undergraduate degree preferred-preferably in computer science or related field- Requires knowledge of litigation discovery process, and the Electronic Discovery Reference Model (EDRM) workflow. - Knowledge of Government's IT environment, including office automation networks, PC and server based applications preferred. - Working knowledge of personal computers, including Windows, document review software, and encryption methods. - Experience with LAW, IPRO, Relativity or other document processing platform. - Familiarity with ICONECT, Relativity, MS Office Suite, and West LiveNote valued. - At least two years' experience performing eDiscovery roles including but not limited to electronic files processing (EFP), image and data file conversion, data culling using review tools, quality assurance, database loads and retrieval, and data analysis. Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board:**************************************** more information about CGS please visit: ************************** or contact:Email: ******************* #CJ
    $51k-90k yearly est. Auto-Apply 60d+ ago
  • Claims Specialist, Liability & Casualty

    Swyfft 4.2company rating

    Remote job

    At Swyfft, we're reshaping the way home insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service. Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry. Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive. As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at Swyfft! About the Position: As a Claims Specialist, Liability & Casualty adjuster, you will provide a fast and friendly claims experience to Swyfft's policyholders and agents. You'll be expected to handle claims with empathy, curiosity, and creative problem-solving to achieve timely, fair outcomes. You will handle a diverse portfolio of Homeowner and Commercial General Liability claims (both litigated and non-litigated), including habitational risks, premises liability, and bodily injury matters. In this position, you will use your analytical skills to interpret coverage, conduct thorough claim investigations, make liability determinations, and negotiate appropriate resolutions. Our ideal candidate is well-versed with insurance industry knowledge, applying legal defenses and immunities, and partnering with legal counsel. *This position is a 100% remote U.S. based opportunity that can be based in one of the following states only: AL, AZ, FL, GA, KY, LA, MA, MO, NC, NJ, NY, OH, OR, PA, SC, TN, TX, UT, VA, WA, WI. Some travel for day-to-day work, team meetings, and training will be required. Key Responsibilities: (What you'll be asked to do) Investigate, analyze, and determine the extent of the insurance company's and policyholders' liability concerning third-party damages and injury with full and final settlement in mind. Ensure that all assigned claims are resolved timely, reserved accurately, and handled fairly (and in compliance with state and company guidelines). Review litigated complaints for proper handling and develop legal strategies with counsel. Work with multiple attorneys and provide direction related to coverage, liability, and damages. Correspond and communicate with policyholders, agents, experts, and service providers to analyze loss information. Calculate damages payable under the policy and make payments after determining liability on claims. Evaluate and apply the insurance contract as it pertains to the resolution of claims. Create and maintain comprehensive claim handling notation in our electronic claims management system and other related applications. The Successful Candidate: (What we're looking for) You have a skilled technical background and hands-on experience in general liability claims. You're a motivated, growth-oriented adjuster who cares deeply about the customer journey and sees each claim as a chance to innovate. Proven ability to direct and oversee our defense counsel, in order to establish legal strategies, ensure proper experts are retained, and assist in cost containment. Both internal (your peers) and external clients commend your excellent communication skills and the timeliness of your follow-up skills. You communicate clearly, follow up promptly, and can bring calm (and a little humor) to stressful situations. You're detail-oriented, organized, and can multi-task like nothing anyone has ever seen before. You're a get the job done, self-starter that thrives in a fast-paced, team-oriented environment. Some Requirements: 5+ years of experience as a casualty/general liability adjuster. 5+ years of litigation experience in a multi-state environment. Relevant experience with habitational risks, premises liability, and bodily injury matters is a plus. You are currently licensed or eligible for licensing as an adjuster in the states of: TX, FL, CA, and NY (we can provide assistance with your licensing fees). Understand basic legal strategies in conjunction with venue particularities. Experience drafting initial coverage letters (e.g., reservation of rights, declination, disclaimer) is a plus. Ability to work WC hours on a regular basis if not based in that time zone. Education: Bachelor's degree or equivalent experience is preferred. High School Diploma required. Computer Skills: Must be proficient with MS Office and other internal insurance related programs, systems, and/or applications (Outlook, Word, PowerPoint, and Excel). Ability to communicate effectively using programs such as Slack & MS Teams. You are comfortable sharing screens and video chatting. Familiarity with claims operating systems (IMS/LSS/Symbility). Other: Reliable high-speed internet connectivity required. Designated quiet work from home space. The typical base pay range for this role across the U.S. is: $85,000 - $ 95,000 year + benefits. There is a different range applicable to specific work locations. This salary range is a good-faith estimate of what Swyfft may pay for this position at the time of posting. Actual compensation may vary based on skills, qualifications, and experience. The range reflects annual compensation (as applicable) and does not include bonuses or other incentives that the company may choose to pay at its sole discretion. In addition to base compensation Swyfft offers a comprehensive benefit package. We Have a Great Benefits Package! Medical, Dental, and Vision Short- and Long-Term Disability (Company Paid) Voluntary Long-Term Disability Employee Life & AD&D (Company Paid) Voluntary Employee, Spouse, and Child Life & AD&D Healthcare, Dependent Care and Transit FSA, and Healthcare Savings Account (HSA) 401K with a generous matching contribution and no vesting schedule 20 days of PTO annually (prorated based on hire date) Company Paid Holidays and 2 “Choose Your Own Holidays” It is the policy of Swyfft to provide equal employment opportunities to all employees and applicants for employment without regard to race, religion, color, ethnic origin, gender, gender identity, age, marital status, veteran status, sexual orientation, disability, or any other basis prohibited by applicable federal, state, or local law. EOE/AA/M/D/V/F. If you require accommodations during the application or interview, please contact Human Resources at *************, and we will make every effort to accommodate your needs. Please Note: Swyfft Holdings, LLC is not accepting 3rd party agency resumes for this position, please do not forward resumes to our careers email address or Swyfft Holdings, LLC employees. Swyfft Holdings, LLC will not be responsible for any fees related to unsolicited resumes.
    $85k-95k yearly 13d ago
  • Assistant Commonwealth's Attorney

    City of Virginia Beach, Va 3.0company rating

    Remote job

    This posting may be filled as a Law Fellow, an Assistant Commonwealth's Attorney, a Senior Assistant Commonwealth's Attorney, an Associate Commonwealth's Attorney, or Senior Attorney depending on the experience and qualifications of the selected applicant. The associated minimum requirements and pay grades are as follows: Law Fellow (A.15 $78,559.68) Minimum Qualifications: Must have, and maintain, the Virginia State Bar third-year practice certificate and is expected to sit for the Virginia Bar Exam during the period closet to their graduation date from Law School. Must successfully pass the Virginia Bar Exam within the prescribed timeframe. Special Requirements: Must successfully pass the Virginia Bar Exam. Failure to successfully complete the Virginia Bar Exam within the established timeframe from date of hire will be grounds for employment termination. Assistant Commonwealth's Attorney (A.17 $86,612.04 - $124,343.28) Minimum Requirements: Active membership in good standing in the Virginia State Bar; licensed to practice law in the Commonwealth of Virginia; admission to practice before the Court of Appeals of Virginia and the Supreme Court of Virginia. Preferences: Prior experience in criminal law. Senior Assistant Commonwealth's Attorney (A.19 $95,489.79 - $137,088.46) Minimum Requirements: Active membership in good standing in the Virginia State Bar; licensed to practice law in the Commonwealth of Virginia; admission to practice before the Court of Appeals of Virginia and the Supreme Court of Virginia. Two (2) years experience as a criminal prosecutor, or one (1) year of experience as a criminal prosecutor and two (2) additional years experience in the general practice of law. Preferences: Prior experience in criminal law. Prior prosecution experience. Prior jury experience of at least five jury trials. Prior experience with body worn camera and/or other digital evidence. Completed post law school Trial Advocacy Course. Associate Commonwealth's Attorney (A.21 $105,277.48 - $151,140.80) Minimum Requirements: Active membership in good standing in the Virginia State Bar; eligibility to practice law in the State of Virginia; admission to practice before the Court of Appeals of Virginia and the Supreme Court of Virginia; and admitted to practice before the Supreme Court of Virginia and the Federal District Court. Five (5) years experience as a criminal prosecutor, or four (4) years of experience as a criminal prosecutor and two (2) additional years experience in the general practice of law. Preferences: Prior experience in criminal law. Prior prosecution experience. Prior jury experience of at least twenty jury trials. Prior experience with body worn camera and/or other digital evidence. Completed post law school Trial Advocacy Course. Senior Attorney (A.23 $116,068.43 - 166,631.90) Minimum Requirements: Active membership in good standing in the Virginia State Bar; eligibility to practice law in the State of Virginia; admission to practice before the Court of Appeals of Virginia and the Supreme Court of Virginia; and admitted to practice before the Supreme Court of Virginia and the Federal District Court. Fifteen (15) years experience as an attorney with at least ten (10) years in criminal prosecution. Preferences: Prior experience in criminal law. Prior prosecution experience. Prior jury experience of at least twenty jury trials. Prior experience with body worn camera and/or other digital evidence. Completed post law school Trial Advocacy Course. Duties for all positions include but not limited to: * Attorney will prosecute misdemeanors and felonies in Circuit and District Courts by conducting legal research, witness interviews, negotiating with defense counsel, preparing jury instructions, and presenting cases at trial. * Attorneys will prepare legal briefs and memoranda of law. * Attorneys will establish effective relationships with office personnel, judicial agencies, victims and witnesses, law enforcement officers and the public. * Attorneys will maintain accurate files, documenting in writing major or significant actions, and provide sufficient justification to support recommendations. * Attorneys will prepare briefs in opposition to petitions for appeals to the Court of Appeals. * Individual assignments will be determined by the supervisor based on current workload and department needs. Please note that residency in the City of Virginia Beach is not a requirement. This position is an at-will position serving at the pleasure of the Commonwealth's Attorney. The Commonwealth's Attorney's Office is an Equal Opportunity Employer. For additional information and to apply for this position please visit virginiabeach.gov. This position is open until filled. Applications will be reviewed on an ongoing basis. Once the appropriate applicant pool has been established, it will be closed. Why Work with Us? The Commonwealth's Attorney's Office offers a unique opportunity to serve your community while enjoying a fulfilling and rewarding career. With competitive pay, outstanding benefits, and a commitment to work-life balance, this is a great place to grow professionally and personally. At the Commonwealth's Attorney's Office, we are dedicated to fostering a supportive, balanced, and rewarding work environment for our employees. As part of our commitment to your success and well-being, we offer a wide range of incentives and benefits designed to help you thrive both professionally and personally. Incentives and Benefits: * Teleworking: Ability to work from home on a periodic basis depending on your job responsibilities. * Generous Paid Time Off: With 15 paid holidays each year, we ensure you have ample time to recharge and spend with loved ones. * Comprehensive Health Benefits: Your health is our priority. Our benefits package includes access to medical, dental, and vision insurance to keep you and your family healthy. * Peer Support Program: Office provides a peer support team to provide resources and assist supporting the mental health of staff. * Life Insurance Coverage: Feel secure knowing you are covered with life insurance as part of our commitment to your long-term well-being. * Robust Retirement Benefits: We want you to have peace of mind for the future. Take advantage of our competitive retirement plan options, including a pension program, to help you plan for a comfortable retirement. * Public Service Student Loan Forgiveness Programs: We understand the burden of student loans. Since we are public service, many employees have the potential for public service student loan forgiveness programs to ease their financial journey. * Tuition Reimbursement: Whether you're pursuing a degree or continuing education, we support your professional growth with tuition reimbursement programs to assist with educational expenses. * Collaborative and Inclusive Work Environment: Work alongside passionate professionals in a positive and inclusive environment that values teamwork, integrity, and service to the community.
    $116.1k-166.6k yearly 6d ago
  • Senior Paralegal

    Contact Government Services, LLC

    Remote job

    Senior ParalegalEmployment Type: Full-TimeDepartment: Legal CGS is seeking an experienced Senior Litigation Paralegal to join a fast-moving, extremely active in-house government legal team. This position is a key role related to supporting various aspects of the company's litigation portfolio including eDiscovery activities, workflow management, and attorney support. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Prepares a variety of technical legal documents that are characteristically complex in format. - Reviews incoming documents and material, considers the nature and the status of the case involved.- Prepares indictments, arrest warrants, summonses, true bills, motions, orders, non-disclosure applications, and orders, stipulations, plea agreements, grand jury and trial subpoenas, and legal memoranda.- Obtains required information from criminal case files, law enforcement agencies, or other sources, to include in legal documents before submitting to the appropriate AUSA for review. - Ensures when preparing recurring legal documents that they conform to local court rules and the rules governing style and format.- Assists attorneys in preparing for trial by independently compiling trial and witness notebooks, preparing and organizing trial exhibits, assembling jury instructions, and compiling witness and exhibit lists. - Coordinates with the victim/witness specialist to ensure adherence to current Departmental guidelines relating to victims' rights and services responsibilities. - Notifies case agents and appropriate office staff of victim/witness issues.- Using original and online legal resources including Westlaw and/or Lexis/Nexis, verifies legal citations and statutory references contained in legal documents.- Research to confirm that citations are accurate, complete, and consistent with source material. - Proofreads, edits, and revises legal briefs. - Electronically files legal documents with the U.S. District Court using the CM/ECF system.- Develops and organizes tables of contents and indices to briefs in accordance with established format. - Lists cited cases, opinions, and miscellaneous references in briefs.- Composes original correspondence which requires a good working knowledge of legal procedures and specialized terminology - Transmitting proposed orders to the court.- Requesting extensions of time in certain cases.- Advising of actions taken or developments in cases referred by other federal departments and agencies.- Notifying attorneys representing defendants of various issues.- Scans/inputs and links case-related materials into electronic discovery databases and manages those databases. - Uploads/downloads into those discovery databases documents and materials received from local, state, and federal law enforcement partners consisting of investigative and forensic reports, bank records, electronic communication records, and audio and video files provided in varying file formats. - Manages discovery processing and production. - Proficiently bates-stamps and redacts discovery materials using Adobe Acrobat and may employ discovery processing techniques using IPRO Eclipse. - Sends continuing discovery to defense counsel as directed by the assigned AUSA.- Maintains the electronic case files, enters data in the case management system, calendars deadlines using MS Outlook, prepares and files conflict of interest and case opening forms in the electronic case file. Qualifications:- Requires paralegal certificate, or JD, or currently attending an ABA-accredited law school, having completed at least one year of study. - At least two years of litigation paralegal experience is required; trial experience is very helpful. - At least one year of experience in automated litigation support. Requires sound working knowledge of federal and state court systems, legal research procedures, and legal research resources. - Requires excellent written and oral communication skills and thorough knowledge of legal research tools such as LEXIS and Westlaw. - Must have hands-on familiarity with a variety of computer applications, including word processing, databases (such as document review and file management systems), spreadsheets, imaging, and hardware systems. - Role also requires hands-on familiarity with ESI tools and knowledge of eDiscovery procedures and resources. - The ability to consistently deliver the highest quality work under extreme pressure will be very important. Our commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package:- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of meaningful government innovation! Explore additional job opportunities with CGS on our Job Board: ************************************* For more information about CGS please visit: ************************** or contact:Email: ******************* #CJ
    $47k-75k yearly est. Auto-Apply 60d+ ago
  • Senior Technical Claims Specialist, Commercial Excess Coverage

    Liberty Mutual 4.5company rating

    Remote job

    Liberty Mutual has an immediate opening for a Senior Technical Claims Specialist , and seek an experienced claims professional with Commercial Casualty Excess expertise. In this role, under moderate direction, you will handle a book of high exposure and coverge issues pertaining to Commercial Casualty Excess/Umbrella claims, throughout the entire claims life cycle. Excess claim types include, but are not limited to, premises liability, auto, products, mass torts, across the United States for both Coverage A and Coverage B claims on admitted and non-admitted paper. Complex Excess claims experience needed to evaluate claims with significant financial exposure. Please apply if you hav advanced experienced with Commercial Excess claims $1 million or more! Additionally, you will be responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, assessing any risk transfer potential, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business. *This position may have in-office requirements and other travel needs depending on candidate location. You will be required to go into an office twice a month if you reside within 50-miles of one of the following offices: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; or Westborough, MA. This policy is subject to change. Responsibilities: As the claim's owner, determines coverage, investigates the claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and pays the claim; may deny claims. Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establish actions to be taken to resolve lawsuit. Includes determining loss coverage, amounts owed, discovery plans, setting reserves and negotiations. Establishes appropriate working team (Home Office Legal, Defense Counsel and Home Office Claims) based on allegations established in suit. Responsible for managing the practices and billing activities of outside counsel. Accountable for security of financial processing of claims, as well as security information contained in claims files. Trains and mentors staff as appropriate; manages relationships and acts as liaison with various business partners (e.g., Underwriting, Reinsurance, Etc.). Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to specialty coverage issues. May analyze the impact upon claims policies and procedures and advises Claims. Management so appropriate action can be taken where required. Participates in special projects. Qualifications Bachelor's degree and 5 to 7 years claims adjusting experience. Advanced knowledge of Commercial Casualty claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the insurance legal and regulatory environment. Intermediate to advanced level of skill in the area of customer focus, problem solving, communications, gaining support, teamwork, and adaptability and demonstrated ability to work independently, achieve results and execute thoroughly. Expert level experience with Commercial Casualty and/or Commercial Specialty Claims that exceed $1 million or more at the Primary and Excess level 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.
    $98k-127k yearly est. Auto-Apply 6d ago
  • Attorney | Civil Litigation | Remote | 148315

    Mission Recruiting

    Remote job

    Mission Recruiting is partnering with a well-established California litigation practice that is deeply invested in high-impact habitability cases. This is an opportunity for a civil litigator who has actually lived in these cases, not someone who has only studied them or brushed up against them at a clinic level. This role is built for an attorney who understands how habitability cases are truly won in California courts. The matters involve uninhabitable conditions, mold exposure, retaliation, and code enforcement-driven claims that require real litigation skill, strategic judgment, and confidence dealing with insurance defense. California's housing landscape creates constant demand for attorneys who know how to build strong records, quantify damages, and push cases forward. The work here is substantive, fast-moving, and rooted in real-world impact for tenants across urban and suburban communities throughout the state. What You Will Handle Habitability cases from intake through resolution Implied Warranty of Habitability claims Mold and uninhabitable condition matters Rent abatement analysis and damages evaluation Retaliation and wrongful eviction claims Code enforcement-driven cases Settlement negotiations with insurers and defense counsel Hands-On Litigation Responsibilities Drafting and filing complaints from scratch Managing written discovery and deposition preparation Taking or defending depositions Responding to demurrers and motions to strike Opposing summary judgment Preparing mediation briefs Evaluating settlement ranges with realism and strategy What Sets Strong Candidates Apart Direct experience with mold cases Effective use of code enforcement citations Handling retaliation claims with confidence Experience in multi-tenant or pattern cases Ability to frame emotional distress damages persuasively How These Cases Are Won Building the record with photos and video Leveraging code enforcement findings Using medical records, even when limited Working with mold inspectors and habitability experts Deploying retaliation evidence strategically This is not a fit for attorneys whose background is limited to eviction defense, legal aid only work, or tenant clinics without litigation responsibility. The practice needs someone who has personally handled discovery, depositions, and contested motions, and who can explain how and why cases settle at meaningful values. Backgrounds That Often Excel Here Plaintiff-side tenant litigators with a courtroom focus Mixed landlord-tenant litigation attorneys Consumer protection litigators with housing crossover Personal injury attorneys with mold or environmental exposure cases Defense-side habitability litigators who have moved to the plaintiff side Compensation $110,000 - $220,000 Compensation is flexible based on demonstrated skill, independence, and litigation judgment rather than titles alone. Mission Recruiting will conduct a substantive pre-screen focused on real experience, including the ability to clearly explain case strategy, damages calculations, and landlord defenses that actually succeed. Candidates who can speak confidently and precisely about their work tend to thrive in this role. If you are a California civil litigator who knows how habitability cases are truly litigated and resolved, this is a conversation worth having. Salary Range: $110,000 - $220,000 Reference: 148315 #IND1 #ZR
    $110k-220k yearly 21d ago
  • Senior Workers Compensation Examiner (Iowa)

    Canon Recruiting Group 3.3company rating

    Remote job

    Workers' Compensation Claims Examiner - Iowa (Single-Jurisdiction) Employment Type: Direct Hire Work Arrangement: Fully Remote We are seeking an experienced Workers' Compensation Claims Examiner to manage a single-jurisdiction Iowa workers' compensation desk. This role is responsible for end-to-end claims handling, including investigation, compensability decisions, medical management, litigation oversight, and resolution. The ideal candidate has strong knowledge of Iowa workers' compensation statutes, rules, timelines, and best practices, along with excellent communication and customer-service skills. This is a direct-hire, fully remote position offering long-term stability and significant autonomy. Key Responsibilities Maintain detailed, timely claim file documentation to meet compliance and audit standards. Ensure adherence to Iowa statutory timelines and reporting requirements. Negotiate settlements within authority and recommend settlements above authority as needed. Collaborate with internal teams on risk reduction, claim strategy, and best practices. Required Qualifications 2-5+ years of workers' compensation claims handling experience (Iowa experience required). Strong knowledge of Iowa workers' compensation statutes and administrative rules. Demonstrated ability to manage a full claim inventory independently. Experience handling litigated claims and working with defense counsel. Proficiency with claims management systems and standard office software. Excellent verbal and written communication skills. Strong analytical, organizational, and time-management abilities. Ability to succeed in a fully remote, self-directed environment. Preferred Qualifications Multi-state experience (optional but beneficial). Industry certifications (e.g., AIC, WCCP, WCP, SCLA). Experience with return-to-work programs and medical management strategies. Compensation & Benefits Competitive salary (DOE). Comprehensive benefits package (medical, dental, vision, 401(k), etc.). Paid time off and company holidays. Remote work equipment support (if applicable). Opportunities for professional development and certification support. Here at Canon Recruiting, People are our priority, and we are committed to Include Diversity in every segment of who we are. It is only through our Diversity; we are made a stronger organization and increase our ability to provide top tier candidates that our clients have come to know Canon for. We have an inclusive environment all employees are celebrated for their unique differences. The different perspectives and experiences of our workforce give us the competitive advantage that is essential for success in an ever-changing market. By promoting inclusion with the same enthusiasm, we devote to quality and competency and using the experience from a diverse assortment of backgrounds and experiences, Canon can improve the services and value we deliver to clients, employees, and customers. At Canon, Diversification and Inclusiveness are much more than a corporate ambition; they are a critical component in our daily corporate life. Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. The pay range for this position is listed above. Base pay information is based on market location. We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans. For individuals with disabilities who would like to request an accommodation, please email hr@canonrecruiting.com
    $41k-66k yearly est. 48d ago
  • Claims Manager - Employment

    Stanford Health Care 4.6company rating

    Remote job

    If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager is primarily responsible for handling Employment Practices Liability (EPL) claims for Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Children's Health. Claims include those involving allegations of discrimination, retaliation, hostile work environment, and wrongful termination. This position requires coordination with internal stakeholders and external partners. Assists Director, Claims & Litigation Strategy in other EPL claims-related projects as requested. Locations Stanford Health Care What you will do Manage pre-suit and litigated claims. Evaluate EPL coverage and ensure timely reporting to carriers. Retain outside counsel for litigated matters, attend mediation, evaluate reserves, monitor litigation costs, prepare discovery responses, and oversee decisions regarding discovery, strategy, and ultimate resolution. Investigate pre-suit claims, including conducting witness interviews. Evaluate claims for early resolution, as appropriate, and directly negotiate settlements with opposing counsel and/or claimants when warranted. Prepare responses to administrative charges. Serve as liaison with other Stanford departments, including Human Resources and Employee & Labor Relations, and external partners, such as defense counsel, insurance brokers, and insurance carriers, to coordinate issues impacting claim resolution. Maintain timely and consistent communication with insurance carriers regarding substantive and procedural claim updates, and ensure compliance with all policy requirements. Manage electronic claims files. Input all work product and case information into the claims database to ensure that files contain updated information. Responsible for review and timely submission of EPL-related invoices. Education Qualifications Bachelor's degree required. Juris Doctor (JD) preferred. Experience Qualifications Five (5) years of progressively responsible and directly-related work experience in EPL claim management required. Required Knowledge, Skills and Abilities Ability to analyze and develop solutions to complex problems. Ability to apply judgment and informed decisions. Ability to communicate effectively in written and verbal formats including summarizing data and presenting results. Ability to establish and maintain effective working relationships. Ability to work effectively both as a team player and leader. Ability to utilize computer systems and software, such as Riskonnect, to manage electronic claim files. Knowledge of local, state and federal laws and regulatory requirements related to EPL claims handling. Licenses and Certifications BAR - CA Attorney preferred These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $66.52 - $88.14 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
    $66.5-88.1 hourly Auto-Apply 60d+ ago
  • Senior Claims Consultant

    Premier 4.7company rating

    Remote job

    What you will be doing: This position will be responsible for managing all aspects of catastrophic medical professional liability claims for designated clients/insureds. Management of claims includes but is not limited to: identification of prospective losses, coverage assessments and formulation of coverage opinions, regular strategy meetings with insured's claims counterparts, identification and deployment of national resources, reporting to Chief Legal Officer on case status, creating reserve reports and making reserve recommendations, assessing and tracking aggregate erosion. This position will also be responsible for tracking developments in the industry and gathering and sharing relevant information within Premier Insurance Management Services and with American Excess Insurance clients. In person meetings will be required with clients and for governance purposes. Key Responsibilities Responsibility #1- 75% Establish and regularly maintain claims files as primary owner of individual claims for multiple insureds Review and manage claims of varying severity to isolate high severity matters and develop supervisory plan for loss cost containment Develop thorough understanding of critical issues in order to provide recommendations to internal and external stakeholders regarding resolution / outcome Demonstrate proactive intellectual curiosity regarding claim trajectory to curate solution-oriented strategies for defense Establish timely and appropriate loss and expense reserve recommendations based on careful analysis of liability, damages, and aggravating factors Review and assess insured's individual policies of insurance and provide coverage assessment to CLO Partner with coverage counsel when necessary to prepare coverage opinions Review and assess client and attorney work product to ensure adherence to AEIX Best Practices Playbook Retain and partner with AEIX defense counsel in accordance with company's litigation management guidelines Coordinate the case-specific work of defense counsel, outside vendors, investigators, experts, structured settlement brokers and review billing submissions for accuracy Obtain directional review from CLO and Senior Director, Claims when needed Maintain caseload of high complexity and high severity claims; document claim files accurately and in timely fashion Monitor trial calendars for all assigned clients and prepare timely trial reports Manage workflow, including proofreading, to provide customers with superior service and work-product Develop and implement specific action plans to present to clients for purpose of correcting deficiencies, “lessons learned” In conjunction with Claims Support Specialist, collect, review, edit, and present to CLO all necessary documentation for payment of claims Understand and assess aggregate erosion and when necessary, conduct aggregate audits, viewing all files in a policy year for potential to breach layer When necessary, conduct claim audits on departed owners to assess risk in run-off Manage the negotiation of claims settlement packages including setting reserves; authorizing payment Responsibility #2 - 25% Travel to client for strategy meetings, settlement conferences, mediations and trials as necessary Participate in, and travel to, insureds offices for claims overview meetings, AEIX governance meetings, and industry conferences as directed by CLO Conduct approximately 5-10 annual audits virtually or on site at insured hospitals. Audits include claim reviews, which are provided to hospital leadership when complete. May conduct severity audit, meeting with local counsel and insured to discuss case strategies, management, and values. Required Qualifications Work Experience: Years of Applicable Experience - 7 or more years Education: Bachelors (Required) Required Certifications/Licensing Medical Liability Claims Handling, 10+ years Strong written and oral skills required, writing sample required Dedicated home office space for privacy and confidentiality while working remotely. Preferred Qualifications Skills: Negotiation training; experience Experience: Medical Liability Claims Management Catastrophic Excess Claims Management Experience giving group presentations Education: Juris Doctor from accredited Law School preferred Additional Job Requirements: Remain in a stationary position for prolonged periods of time Be adaptive and change priorities quickly; meet deadlines Attention to detail Operate computer programs and software Ability to communicate effectively with audiences in person and in electronic formats. Day-to-day contact with others (co-workers and/or the public) Making independent decisions Ability to work in a collaborative business environment in close quarters with peers and varying interruptions Working Conditions: Remote Travel Requirements: Travel 21-40% within the US Physical Demands: Light: Exerting up to 20 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the exertion of forces required is greater than that of sedentary work and if the worker remains stationary most of the time, the job is considered light work. Premier's compensation philosophy is to ensure that compensation is reasonable, equitable, and competitive in order to attract and retain talented and highly skilled employees. Premier's internal salary range for this role is $113,000 - $188,000. Final salary is dependent upon several market factors including, but not limited to, departmental budgets, internal equity, education, unique skills/experience, and geographic location. Premier utilizes a wide-range salary structure to allow base salary flexibility within our ranges. Employees also receive access to the following benefits: · Health, dental, vision, life and disability insurance · 401k retirement program · Paid time off · Participation in Premier's employee incentive plans · Tuition reimbursement and professional development opportunities Premier at a glance: Ranked #1 on Charlotte's Healthiest Employers list for 2019, 2020, 2022, and 2023 and 21st Healthiest Employer in America (2023) Named one of the World's Most Ethical Companies by Ethisphere Institute for the 16th year in a row Modern Healthcare Best in Business Awards: Consultant - Healthcare Management (2024) The only company to be recognized by KLAS twice for Overall Healthcare Management Consulting For a listing of all of our awards, please visit the Awards and Recognition section on our company website. Employees receive: Perks and discounts Access to on-site and online exercise classes Premier is looking for smart, agile individuals like you to help us transform the healthcare industry. Here you will find critical thinkers who have the freedom to make an impact. Colleagues who share your thirst to learn more and do things better. Teammates committed to improving the health of a nation. See why incredible challenges require incredible people. Premier is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to unlawful discrimination because of their age, race, color, religion, national origin, ancestry, citizenship status, sex, sexual orientation, gender identity, gender expression, marital status, familial status, pregnancy status, genetic information, status as a victim of domestic violence, covered military or protected veteran status (e.g., status as a Vietnam Era veteran, disabled veteran, special disabled veteran, Armed Forces Serviced Medal veteran, recently separated veteran, or other protected veteran) disability, or any other applicable federal, state or local protected class, trait or status or that of persons with whom an applicant associates. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. In addition, as a federal contractor, Premier complies with government regulations, including affirmative action responsibilities, where they apply. EEO / AA / Disabled / Protected Veteran Employer. Premier also provides reasonable accommodations to qualified individuals with a disability or those who have a sincerely held religious belief. If you need assistance in the application process, please reply to diversity_and_accommodations@premierinc.com or contact Premier Recruiting at ************. Information collected and processed as part of any job application you choose to submit to Premier is subject to Premier's Privacy Policy.
    $113k-188k yearly Auto-Apply 60d+ ago
  • Bodily Injury Claims Adjuster, Rideshare

    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 adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you. About the role We are seeking highly organized and customer-focused Rideshare Bodily Injury Resolution Specialists to join our team. In this role, you will manage bodily injury claims arising from incidents involving vehicles operating on rideshare platforms. You'll serve as the main point of contact for injured parties, policyholders, attorneys, medical providers, and other stakeholders-working to deliver timely, fair, and compliant claim resolutions. You'll assess liability, evaluate medical treatment and injury severity, review documentation, and negotiate settlements across a variety of bodily injury exposures. These claims often involve layered insurance structures specific to rideshare operations. Strong communication, attention to detail, and negotiation skills are key. You will also work closely with our internal product and engineering teams to share insights that drive process improvements and technology enhancements across the claims journey. Resolution Specialists are: Highly motivated and growth-oriented. Excited by the prospect of building a tech-driven claims org. Passionate specialists who care about the customer and their experience. Empathetic. Exercises empathy and patience towards everyone interacted with. Sense of urgency - AT ALL TIMES. That does not mean working at all hours. Creative. Finding the right exit ramp (pun intended) for the resolution of the claim that is in the client's best interest. Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational. Working toward a win/win claim resolution. Curious. Wanting to know the whole story so the right decisions are made early and take action to prompt a quick resolution. Anti-status quo. Not just wishing things were done differently but taking the appropriate actions to ensure it. Communicative. Professional written and oral communication with all parties to a claim. And did we mention a sense of humor? Claims are hard enough as it is. What we need We need our Resolution Specialists to do all the things typical to the role: Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests Manage an inventory of litigated and non-litigated cases Analyze and review auto insurance claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providers Ensure compliance with specific state regulations, policy provisions, and standard operating procedures Manage both non-litigation and litigation cases related to auto claims disputes, communicate with involved parties, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders Collaborate with defense counsel, claims counsel, and litigation claims management for strategic planning, including developing and maintaining positive working relationships with approved defense firms and other vendors in the industry Review legal documents and ensuring compliance with initial suit-handling plan of action Serve as corporate representative for discovery review and depositions, and appearing as Corporate Representative at depositions and trials when needed Analyze policy language and reaching appropriate coverage decisions, drafting coverage correspondence, and proactively managing non-litigated and litigated claim files from inception to closure Direct and control the activities and costs of outside vendors including defense counsel and coverage counsel, experts and independent adjusters Maintain adjuster licenses and continuing education requirements Requirements Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications) Rideshare/TNC/Livery experience required. Minimum of 3 years of experience on point and concentrated in rideshare claims adjusting, ideally with: commercial auto exposures Both attorney-represented and unrepresented claims Third-party bodily injury, including catastrophic losses UM/UIM bodily injury Litigation experience PIP a plus, but not required Have active adjuster license(s) and be willing to obtain all licenses within 60 days, including completing state-required testing. Knowledge of state regulations, policy provisions, and standard operating procedures. Willingness to travel for clients and claims need 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 Apple laptop, large second monitor, and other quality-of-life equipment that might be needed. Technology is something that should make your life easier, not harder! Additionally, we will Provide a manageable pending to deliver the service in a way always wanted from a dedicated account. Listen to the Resolution Specialist's feedback to enhance and improve upon the long-standing challenges. Work toward reducing and eliminating all the administrative work from a Resolution Specialist. 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 and welcome applicants from all backgrounds.
    $46k-65k yearly est. Auto-Apply 1d ago
  • Workers' Compensation Claims Manager

    Flynn Restaurant Group 3.9company rating

    Remote job

    _At Flynn Group, we believe in the power of collaboration and value in-person interactions. This is why our employees_ **_work from the office four days per week_** _, leaving Fridays to work from home. This setup cultivates casual conversations, problem-solving, and trusted relationships. Our goal is to create an environment where innovation thrives, with office-based teams coming together four days a week to collaborate and thrive, together!_ **Our Vision for this Role** Flynn Group (together with its subsidiaries Apple American Group, Bell American Group, Pan American Group, RB American Group, Hut American Group, Wend American Group, and Flynn Fitness Group) is seeking an experienced and strategic Workers' Compensation Claims Manager to lead the administration of its national workers' compensation program. This role oversees a team of Analysts/Supervisors and manages all aspects of workers' compensation claims handling, litigation strategy, third-party administrator (TPA) relationships, and program performance. Reporting to the Director of Risk Management, the Workers' Compensation Claims Manager will partner closely with Safety, Legal, Human Resources, and other internal stakeholders to ensure effective claims resolution, compliance with regulatory requirements, and cost-efficient program outcomes. The ideal candidate brings strong technical expertise in workers' compensation, proven leadership skills, and the ability to translate complex claims data into actionable insights for the business. **What We Will Accomplish Together** + Lead Flynn's workers' compensation claims program, including oversight of Analysts, Supervisor(s), TPAs, and defense counsel. + Manage litigated and complex claims, including settlement authority and strategy development. + Monitor and evaluate TPA performance, ensuring compliance with service standards and KPIs. + Collaborate with internal stakeholders to identify claim trends, mitigate risk exposures, and support workplace safety initiatives. + Develop, analyze, and present executive-ready reports on program performance, claim trends, and cost-containment results. + Ensure compliance with federal and state regulatory requirements, including Medicare reporting. + Oversee vendor partnerships (e.g., defense firms, nurse case management, pharmacy benefit managers) to optimize outcomes and cost savings. + Provide leadership, coaching, and performance management for Workers' Compensation Analysts, including annual reviews and professional development. + Represent the company at mediations, hearings, and settlement conferences as needed. **What You Have** + You should have 5+ years of experience in workers' compensation claims management, with at least 2 years in a management/leadership role. + You should have a strong knowledge of workers' compensation laws, regulations, and industry best practices across multiple jurisdictions. + You should have a proven experience managing TPAs, defense counsel, and complex claims. + You should have exceptional analytical skills, with the ability to interpret data, identify trends, and make recommendations. + You should have excellent written and verbal communication skills; skilled at preparing executive-level reports and presentations. + You should have demonstrated leadership ability, with a track record of building and developing high-performing teams. + You should have strong organizational skills and ability to manage competing priorities in a fast-paced environment. + You should have strong service-orientation and commitment to teamwork and collaboration. + A bachelor's degree is required; advanced degree or professional designation (e.g., ARM, AIC, CPCU) preferred. + Finally, you should bring an excellent sense of humor to the table - we like to have FUN! **Why Work For Flynn?** Flynn Group offers a variety of benefits and perks to encourage and empower our employees. We are committed to helping each employee work and live to his or her fullest potential. We offer a variety of benefits and perks while working for us: + Medical/Dental/Vision + Retirement and Savings Plan + Short- and Long-Term Disability + Basic Life Insurance + Voluntary Life Insurance + Tuition Reimbursement + Paid Time Off + Flexible/Hybrid Work Schedules (In Office Monday - Thursday, Work from Home Friday) + Company Outings + Dining Discounts + On-Site Fitness Center + On-Site Daycare + On-Site Café + FUN Work Environment! The Flynn Group is an Equal Opportunity Employer
    $33k-47k yearly est. 60d+ ago
  • Liability Claims Specialist

    Central Insurance 3.6company rating

    Remote job

    Location: Van Wert, OH; Dublin, OH; Alpharetta, GA; Waltham, MA; Irving, TXWork Model: Hybrid or Remote based on location Position type: Full time - salary We are a team of employees who are passionate to deliver best in-class customer service and innovation in the industry. It's because we put Integrity, Relationships and Excellence in all aspects of our work. Our employees have the opportunity to fully utilize their talents and bring their best self. We believe that who you are is just as important as what you do! By joining our growing Claims team as a Liability Claims Specialist, you will ensure high quality claim handling while making coverage determinations, investigating losses, conducting independent assessment as to the company exposure and moving cases towards timely resolution. You will be an effective source for help and support because of your deep knowledge and liability claim expertise. How You'll Make an Impact Manage an assigned volume of casualty claims within Personal and Commercial underwriting verticals Investigate, evaluate, negotiate, and settle assigned claims within authority limits Develop and follow strategic action plans throughout the life of each file Provide proactive hospitality by setting expectations, building rapport, and responding to requests in a timely manner Build relationships and communicate effectively with agency partners, internal and external stakeholders Conduct thorough and proactive liability claim investigations including the use of ISO Implements proper recognition, investigation, referral and communication regarding subrogation Set accurate initial reserves promptly and review them regularly in the context of probable exposure Manage liability files through swift resolution of exposures that warrant settlement Detects and mitigates fraud when investigating claims Maintain appropriate consideration of file expenses and utilizes approved suppliers Manage paid losses appropriately; pays what is fair and owed, settles claims at the optimal time in the life of the file Monitor and collaborate with defense counsel on litigation strategy and development through the litigation process Assists team development with subject matter expertise learning, and onboarding assistance Complete training as assigned Handle special projects as assigned What You'll Bring Ability to obtain and maintain all required state Department of Insurance adjusting licenses and CE's within 90 days of employment Bachelor's degree and two years of related experience Or Associates degree and three years of related experience Or four years of related experience Travel as needed Ability to investigate and evaluate liability claims in accordance with our Best Practices Strong analytical and decision-making skills Ability to evaluate damages and negotiate fair settlements Ability to work independently and in a team environment Positively contributes to Team NPS results Ability to reach key performance metrics Properly utilizes diary & mail system to manage timeliness of needed activity Complies with state regulatory/statutory requirements, corporate privacy and other claim policy requirements Strong understanding of industry verticals such as transportation, construction, manufacturing, real estate, and small business Understands and utilizes various resources including technology and tools Ability to understand Central Insurance's policies and processes Preferred Qualifications CPCU, SCLA or AIC designations Claims experience in both Personal Lines and Commercial Lines Litigation management experience Experience drafting coverage letters Working knowledge of contracts and risk transfer concepts Total Rewards Central establishes base pay based on several factors including labor market data and an evaluation of candidate qualifications relative to role requirements. Base pay is one component of a comprehensive total rewards package designed to support employees' financial, health, career, and retirement objectives. Central provides extensive health and wellness benefits to promote flexibility, work-life balance, and long-term financial security. For more information, see Central Insurance Benefits
    $41k-55k yearly est. 18d ago

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