Liability Claims Representative jobs at The Independent Traveler - 72 jobs

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job CategoryClaimCompensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range$94,400.00 - $155,800.00Target Openings1What Is the Opportunity?This role is eligible for a sign-on bonus of up to $20,000. This position is hybrid (3 days in office, 2 days remote). Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Provides consulting and training resources, and serves as a contact and technical resource to the field and our business partners. This job does not manage staff.What Will You Do? Directly handles assigned severity claims. Provides quality customer service and ensures quality and timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. Consults with Manager on use of Claim Coverage Counsel as needed. Directly investigates each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Interview witnesses and stakeholders; take necessary statements, as strategically appropriate. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damage documentation. Maintains claim files and documents claim file activities in accordance with established procedures. Utilizes evaluation documentation tools in accordance with department guidelines. Proactively creates Claim File Analysis (CFA) by adhering to quality standards. Utilizes diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability & damages exposure. Establishes and maintains proper indemnity and expense reserves. Recommends appropriate cases for discussion at roundtable. Attends and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense. Actively and enthusiastically shares experience and knowledge of creative resolution techniques to improve the claim results of others. Applies the Company's claim quality management protocols and Best Practices to all claims; documents the rationale for any departure from applicable protocols with or without assistance. Develops and employ creative resolution strategies. Responsible for prompt and proper disposition of all claims within delegated authority. Negotiates disposition of claims with insureds and claimants or their legal representatives. Recognizes and implements alternate means of resolution. Manages litigated claims. Develops litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers. Applies litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy, Tracks and controls legal expenses to assure cost-effective resolution. Effectively and efficiently manage both allocated and unallocated loss adjustment expenses. Perform other duties as assigned. What Will Our Ideal Candidate Have? Bachelor's Degree. 5 years equivalent business experience. Advanced level knowledge and skill in claim and litigation. Basic working level knowledge and skill in various business line products. Strong negotiation and customer service skills. Skilled in coverage, liability and damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims. Able to make independent decisions on most assigned cases without involvement of supervisor. Openness to the ideas and expertise of others actively solicits input and shares ideas. Thorough understanding of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices. Demonstrated coaching, influence and persuasion skills. Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise. Can adapt to and support cultural change. Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information. Analytical Thinking - Advanced. Judgment/Decision Making - Advanced. Communication - Advanced. Negotiation - Advanced. Insurance Contract. Knowledge - Advanced. Principles of Investigation - Advanced. Value Determination - Advanced. Settlement Techniques - Advanced. Legal Knowledge - Advanced. Medical Knowledge - Intermediate. What is a Must Have? High School Degree or GED. 3 years of liability claim handling experience and/or comparable litigation claim experience. In order to perform the essential job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) are required to be obtained within three months of starting the job. What Is in It for You? Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************

To be considered, please apply through the link here. We are seeking an experienced and independent Insurance Claims Specialist with 7+ years of multi-line claims experience to manage and resolve claims across Marine Cargo, Property & Casualty, Automobile, Workers' Compensation, and Liability/Litigation. The role also supports contract reviews by assessing insurance-related provisions to ensure alignment with policy coverage and claims protocols. The ideal candidate will also provide support to the Insurance Manager and General Manager on special insurance projects as needed, contributing to broader departmental goals and demonstrating flexibility beyond core claims duties. ESSENTIAL JOB DUTIES: Manage the end-to-end claims process for: -Marine cargo/inland transit -Commercial property and general liability -Automobile (fleet and HNOA) -Workers' Compensation (“WC”) -Litigated liability claims, including bodily injury and third-party property damage Handle end-to-end claims for marine, property, liability, auto (fleet/HNOA), WC, and litigated matters including bodily injury and third-party property damage. Review policies to assess coverage, exclusions, deductibles, and retentions Coordinate with brokers, carriers, adjusters, and Internal legal counsel Support contract review by evaluating insurance clauses (limits, AI, Waiver of Subrogation) and identifying potential risk/coverage gaps Draft claim notifications and ensure compliance with policy timelines Provide loss history, reserve, and claim summaries to assist with renewal preparation Collaborate with Legal, MGC, and MAC BU Operations to resolve claims Participate in claim reviews and strategic discussions in recovery efforts Support the GM and Insurance Manager with special insurance-related projects as needed, and demonstrate flexibility in cross-functional assignments. MINIMUM EDUCATION REQUIREMENTS: Bachelor's degree in insurance or business-related fields or equivalent experience. MINIMUM EXPERIENCE AND CAPABILITY REQUIREMENTS: 7+ years of insurance claims experience across multiple P&C lines, including marine and litigated claims. Strong working knowledge of insurance policy language, ISO forms, and manuscript policies. Familiarity with contractual risk transfer principles and ability to analyze insurance-related clauses. Experience coordinating with external counsel and adjusters on complex/litigated claims. Proficiency in claims systems, Microsoft Word and Excel, and document management platforms. Technically skilled in both claims handling and policy interpretation. Detail-oriented with excellent judgment and risk awareness. Confident in reviewing contract language from an insurance perspective. Collaborative and able to communicate effectively with both technical and non-technical stakeholders. Able to manage competing priorities and operate independently. Must have the ability to work with deadlines and work in a fast-paced and dynamic work environment. Requires excellent written and verbal communication skills. Must be able to work in a multi-cultural business environment. JOB-RELATED CERTIFICATION: CPCU, ARM, or AIC designation preferred

Eligible candidates for this role should reside within a commutable distance of Saginaw, Michigan. Saginaw Michigan Field Property Claim Specialist - AAA Auto Club Group Reports to: Claim Manager II What you will do: Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims. Review assigned claims, Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system. Complete complex coverage analysis. Ensure all possible policyholder benefits are identified. Create additional sub-claims if needed. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills. Employees will be assigned to the Michigan Homeowner claim unit and will handle claims generally valued between $10,000 and $75,000 and occasionally over $100,000 for field role. Investigate claims requiring coverage analysis. When handling claims in the field, must prepare damage estimates using Xactimate estimating software. Review estimates for accuracy. May monitor contractor repair status and updates. Supervisory Responsibilities: None How you will benefit: A competitive annual salary between $65,700 - $82,000 ACG offers excellent and comprehensive benefits packages, including: Medical, dental and vision benefits 401k Match Paid parental leave and adoption assistance Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays Paid volunteer day annually Tuition assistance program, professional certification reimbursement program and other professional development opportunities AAA Membership Discounts, perks, and rewards and much more We're looking for candidates who: Required Qualifications (these are the minimum requirements to qualify) Education: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, associate in management or equivalent CPCU coursework or designation Xactware Training Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience. In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states. Must have a valid State Driver's License Ability to: Lift up to 25 pounds Climb ladders. Walk on roofs. Experience: Three years of experience or equivalent training in the following: Negotiation of claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advanced knowledge of: Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Handling simple litigation Advanced knowledge of building construction and repair techniques Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines Work within assigned ACG Claim systems including basic PC software Perform basic claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound decision-making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc. Research analyze and interpret subrogation laws in various states May travel outside of assigned territory which may involve overnight stay Preferred Qualifications:Education: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent CPCU coursework or designation Xactware/Xactimate Training or equivalent Work EnvironmentThis position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.

UNITE HERE HEALTH serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The Claims Adjudicator II position will receive, examine, verify and input submitted claim data, determine eligibility status, and review and adjudicate claims within established timeframes. This position utilizes multiple systems in order to perform the day-to-day functions of processing medical, disability, vision and dental claims, as well as, provider and member driven inquiries. ESSENTIAL JOB FUNCTIONS AND DUTIES * Screens claims for completeness of necessary information * Verifies participant/dependent eligibility * Interprets the plan benefits from the Summary Plan Description (SPD)/Plan Documents * Codes basic information and selects codes to determine payment liability amount * Evaluates diagnoses, procedures, services, and other submitted data to determine the need for further investigation in relation to benefit requirements, accuracy of the claim filed, and the appropriateness or frequency of care rendered * Determines the need for additional information or documentation from participants, employers, providers and other insurance carriers * Handles the end to end process of Medicare Secondary Payer (MSP) files * Processes Personal Injury Protection (PIP) claims * Requests overpayment refunds, maintains corresponding files and performs follow-up actions * Handles verbal and written inquiries received from internal and external customers * Processes Short Term Disability claims * Adjudicates claims according to established productivity and quality goals * Achieve individual established goals in order to meet or exceed departmental metrics ESSENTIAL QUALIFICATIONS * 3 ~ 5 years of direct experience minimum in a medical claim adjudication environment * Working knowledge and experience in interpretation of benefit plans, including an understanding of limitations, exclusions, and schedule of benefits * Experience with eligibility verification, medical coding, coordination of benefits, and subrogation and it's related processes * Experience with medical terminology, ICD10 and Current Procedural Technology (CPT) codes * Fluency (speak and write) in Spanish, preferred Salary range for this position: Hourly $20.36 - $24.97. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location. Work Schedule (may vary to meet business needs): Monday~Friday, 7.5 hours per day (37.5 hours per week) Fully Remote, after 1-week training onsite in Oak Brook, IL. (Travel and Lodging paid for by UHH) We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Pension, Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP). #Remote

Job Description UNITE HERE HEALTH serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The Claims Adjudicator II position will receive, examine, verify and input submitted claim data, determine eligibility status, and review and adjudicate claims within established timeframes. This position utilizes multiple systems in order to perform the day-to-day functions of processing medical, disability, vision and dental claims, as well as, provider and member driven inquiries. ESSENTIAL JOB FUNCTIONS AND DUTIES Screens claims for completeness of necessary information Verifies participant/dependent eligibility Interprets the plan benefits from the Summary Plan Description (SPD)/Plan Documents Codes basic information and selects codes to determine payment liability amount Evaluates diagnoses, procedures, services, and other submitted data to determine the need for further investigation in relation to benefit requirements, accuracy of the claim filed, and the appropriateness or frequency of care rendered Determines the need for additional information or documentation from participants, employers, providers and other insurance carriers Handles the end to end process of Medicare Secondary Payer (MSP) files Processes Personal Injury Protection (PIP) claims Requests overpayment refunds, maintains corresponding files and performs follow-up actions Handles verbal and written inquiries received from internal and external customers Processes Short Term Disability claims Adjudicates claims according to established productivity and quality goals Achieve individual established goals in order to meet or exceed departmental metrics ESSENTIAL QUALIFICATIONS 3 ~ 5 years of direct experience minimum in a medical claim adjudication environment Working knowledge and experience in interpretation of benefit plans, including an understanding of limitations, exclusions, and schedule of benefits Experience with eligibility verification, medical coding, coordination of benefits, and subrogation and it's related processes Experience with medical terminology, ICD10 and Current Procedural Technology (CPT) codes Fluency (speak and write) in Spanish, preferred Salary range for this position: Hourly $20.36 - $24.97. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location. Work Schedule (may vary to meet business needs): Monday~Friday, 7.5 hours per day (37.5 hours per week) Fully Remote, after 1-week training onsite in Oak Brook, IL. (Travel and Lodging paid for by UHH) We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Pension, Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP). #Remote

**Additional Information** **Job Number** 26008084 **Job Category** Finance & Accounting VIEW ON MAP (**************************************************************************************************************************************************** **Schedule** Full Time **Located Remotely?** N **Position Type** Management **Pay Range:** $54,900-$89,000 annually **Bonus Eligible:** Y **JOB SUMMARY** A Claims Adjuster I is responsible for the timely, good faith adjustment and disposition of self-administered claims. Responsibility extends to all aspects and phases of investigations, evaluations, negotiations, settlements and denials of the following claims: workers' compensation, auto liability, no-fault uninsured motorist and general liability. He/she will manage a caseload ranging from 100-150 claims (the acceptable caseloads vary based on the mix and complexity as determined by Claims Unit Manager.) **CANDIDATE PROFILE** **Education and Experience** _Required_ + High School Diploma or GED. + 1+ years claims adjusting or equivalent/relevant experience. + General knowledge of claims. _Preferred_ + Applicable industry licensing. + Associate in Claims (AIC) or Associate in Risk Management (ARM). + Two or four year degree from an accredited college/business/technical school. **CORE WORK ACTIVITIES** + Manage caseload ranging from 100 - 150 claims. + Investigate claims promptly - taking statements as necessary - to determine liability/compensability + Evaluate damages and pay benefits as prescribed by law and/or Marriott policies and procedures + Secure necessary documentation to facilitate timely loss adjustment and maintain primary responsibility for settlement decisions up to individual authority + Complete and monitor timely WC payments/state filings + Monitor and actively manage WC medical treatment with the goal of minimizing disability. Consult Occupational Health Services as necessary + Manage litigation cases including controlling/directing outside attorneys, assisting in discovery/trial preparation and strategy as needed + Evaluate claims for potential third party or subrogation recovery + Participate in the Service Call Program and complete required Service Call reports detailing current case status + Actively participate in regularly scheduled unit meetings and department meetings + Comply with Marriott Casualty Claims Policy and Procedure Manual requirements, including meeting all Key Performance Indicators (KPIs) + Effectively utilize Claims Enterprise (CE) to manage all claims electronically + Enter action plan notes/website notes into CE + Participate in activities that foster teamwork and continuous quality improvement. + Acquire required state adjuster licenses within each jurisdiction's specified timeframe. _At Marriott International, we are dedicated to being an equal opportunity employer, welcoming all and providing access to opportunity. We actively foster an environment where the unique backgrounds of our associates are valued and celebrated. Our greatest strength lies in the rich blend of culture, talent, and experiences of our associates. We are committed to non-discrimination on any protected basis, including disability, veteran status, or other basis protected by applicable law._ All positions offer a 401(k) plan, stock purchase plan, discounts at Marriott properties, commuter benefits, employee assistance plan, and childcare discounts. Benefits are subject to terms and conditions, which may include rules regarding eligibility, enrollment, waiting period, contribution, benefit limits, election changes, benefit exclusions, and others. Click here (*********************************************************************************************** to learn more. Full-time positions also offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending account, life insurance, disability insurance, accident insurance, adoption expense reimbursements, paid parental leave and educational assistance. **Washington Applicants Only** : Employees will accrue paid sick leave, 0.077 PTO balance for every hour worked and be eligible to receive a minimum of 9 holidays annually. Marriott HQ is committed to a hybrid work environment that enables associates to Be connected. Headquarters-based positions are considered hybrid, for candidates within a commuting distance to Bethesda, MD; candidates outside of commuting distance to Bethesda, MD will be considered for Remote positions. Marriott International is the world's largest hotel company, with more brands, more hotels and more opportunities for associates to grow and succeed. **Be** where you can do your best work, **begin** your purpose, **belong** to an amazing global team, and **become** the best version of you.

A Claims Adjuster I is responsible for the timely, good faith adjustment and disposition of self-administered claims. Responsibility extends to all aspects and phases of investigations, evaluations, negotiations, settlements and denials of the following claims: workers' compensation, auto liability, no-fault uninsured motorist and general liability. He/she will manage a caseload ranging from 100-150 claims (the acceptable caseloads vary based on the mix and complexity as determined by Claims Unit Manager.) CANDIDATE PROFILE Education and Experience Required High School Diploma or GED. 1+ years claims adjusting or equivalent/relevant experience. General knowledge of claims. Preferred Applicable industry licensing. Associate in Claims (AIC) or Associate in Risk Management (ARM). Two or four year degree from an accredited college/business/technical school. CORE WORK ACTIVITIES Manage caseload ranging from 100 - 150 claims. Investigate claims promptly - taking statements as necessary - to determine liability/compensability Evaluate damages and pay benefits as prescribed by law and/or Marriott policies and procedures Secure necessary documentation to facilitate timely loss adjustment and maintain primary responsibility for settlement decisions up to individual authority Complete and monitor timely WC payments/state filings Monitor and actively manage WC medical treatment with the goal of minimizing disability. Consult Occupational Health Services as necessary Manage litigation cases including controlling/directing outside attorneys, assisting in discovery/trial preparation and strategy as needed Evaluate claims for potential third party or subrogation recovery Participate in the Service Call Program and complete required Service Call reports detailing current case status Actively participate in regularly scheduled unit meetings and department meetings Comply with Marriott Casualty Claims Policy and Procedure Manual requirements, including meeting all Key Performance Indicators (KPIs) Effectively utilize Claims Enterprise (CE) to manage all claims electronically Enter action plan notes/website notes into CE Participate in activities that foster teamwork and continuous quality improvement. Acquire required state adjuster licenses within each jurisdiction's specified timeframe. At Marriott International, we are dedicated to being an equal opportunity employer, welcoming all and providing access to opportunity. We actively foster an environment where the unique backgrounds of our associates are valued and celebrated. Our greatest strength lies in the rich blend of culture, talent, and experiences of our associates. We are committed to non-discrimination on any protected basis, including disability, veteran status, or other basis protected by applicable law.

**Additional Information** **Job Number** 25198460 **Job Category** Finance & Accounting VIEW ON MAP (*********************************************************************************************************************************************** **Schedule** Full Time **Located Remotely?** N **Position Type** Management **Pay Range:** $54,900-$72,700 annually **Bonus Eligible:** Y **JOB SUMMARY** A Claims Adjuster I is responsible for the timely, good faith adjustment and disposition of self-administered claims. Responsibility extends to all aspects and phases of investigations, evaluations, negotiations, settlements and denials of the following claims: workers' compensation, auto liability, no-fault uninsured motorist and general liability. He/she will manage a caseload ranging from 100-150 claims (the acceptable caseloads vary based on the mix and complexity as determined by Claims Unit Manager.) **CANDIDATE PROFILE** **Education and Experience** _Required_ + High School Diploma or GED. + 1+ years claims adjusting or equivalent/relevant experience. + Knowledge of claims processing. _Preferred_ + Applicable industry licensing. + Associate in Claims (AIC) or Associate in Risk Management (ARM). + Two or four year degree from an accredited college/business/technical school. **CORE WORK ACTIVITIES** + Manage caseload ranging from 100 - 150 claims. + Investigate claims promptly - taking statements as necessary - to determine liability/compensability + Evaluate damages and pay benefits as prescribed by law and/or Marriott policies and procedures + Secure necessary documentation to facilitate timely loss adjustment and maintain primary responsibility for settlement decisions up to individual authority + Complete and monitor timely WC payments/state filings + Monitor and actively manage WC medical treatment with the goal of minimizing disability. Consult Occupational Health Services as necessary + Manage litigation cases including controlling/directing outside attorneys, assisting in discovery/trial preparation and strategy + Evaluate claims for potential third party or subrogation recovery + Participate in the Service Call Program and complete required Service Call reports detailing current case status + Actively participate in regularly scheduled unit meetings and department meetings + Comply with Marriott Casualty Claims Policy and Procedure Manual requirements + Effectively utilize the Valley Oaks System (iVOS) to manage all claims electronically + Enter action plan notes/website notes into iVOS + Participate in activities that foster teamwork and continuous quality improvement. _At Marriott International, we are dedicated to being an equal opportunity employer, welcoming all and providing access to opportunity. We actively foster an environment where the unique backgrounds of our associates are valued and celebrated. Our greatest strength lies in the rich blend of culture, talent, and experiences of our associates. We are committed to non-discrimination on any protected basis, including disability, veteran status, or other basis protected by applicable law._ All positions offer a 401(k) plan, stock purchase plan, discounts at Marriott properties, commuter benefits, employee assistance plan, and childcare discounts. Benefits are subject to terms and conditions, which may include rules regarding eligibility, enrollment, waiting period, contribution, benefit limits, election changes, benefit exclusions, and others. Click here (*********************************************************************************************** to learn more. Full-time positions also offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending account, life insurance, disability insurance, accident insurance, adoption expense reimbursements, paid parental leave and educational assistance. **Washington Applicants Only** : Employees will accrue paid sick leave, 0.077 PTO balance for every hour worked and be eligible to receive a minimum of 9 holidays annually. Marriott HQ is committed to a hybrid work environment that enables associates to Be connected. Headquarters-based positions are considered hybrid, for candidates within a commuting distance to Bethesda, MD; candidates outside of commuting distance to Bethesda, MD will be considered for Remote positions. Marriott International is the world's largest hotel company, with more brands, more hotels and more opportunities for associates to grow and succeed. **Be** where you can do your best work, **begin** your purpose, **belong** to an amazing global team, and **become** the best version of you.

As a Claims Specialist, you will facilitate communications between contract carriers, insurance, and customers. You'll also review property damage claims and resolve the claims. On our team, you'll have the support to excel at work and the resources to build a career you can be proud of. RESPONSIBILITIES * Facilitate Claims Communications between multiple stakeholders. * Ability to manage conflict scenarios effectively and professionally. * Review claims within prescribed limits of authority. * Examine claims forms and other records to confirm coverage for loss or damage * Issue payments in a timely manner, in accordance with policy conditions * Effectively negotiate settlements with contractors QUALIFICATIONS At a minimum, you'll need: * 1 year experience in Customer Service/Data Entry or other similar roles It'd be great if you also have: * Basic knowledge of Microsoft Office and Windows applications * Knowledge of transportation industry * Ability to confidently resolve issues. * Solid written communication skills with excellent attention to detail and accuracy Category Code: JN003 #LI-AD1

Hybrid Work Schedule Buffalo, NY Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for an Adjuster - Specialty Casualty Claims to join our Claim Legal Group located in Buffalo, New York. The Adjuster - Specialty Casualty Claims will become part of a dedicated team focusing on providing high-level technical expertise in the handling of commercial umbrella, excess liability, multi-party catastrophic injury, property damage, and construction defect claims. Merchants Insurance Group, rated A- (Excellent) with a stable outlook by the A.M. Best Company, is proud to be one of Buffalo Business First 's Best Places to Work in Western New York (2023-2025), a Fast Track company (2019-2025), and a Top Private Company (2019-2025). Merchants was also granted the Ward's 50 designation as a top-performing property-casualty insurance company for four consecutive years (2021-2024) and has been granted the Ivans Spark Award for innovation (2024-2025). In October 2024, Newsweek and Statista included Merchants Insurance Group on their first-ever America's Most Reliable Companies list, which highlights organizations that other companies can feel confident doing business with in 2025. Of 1,500 B2B companies evaluated, Merchants was one of only 300 companies to make the list. Merchants offers its colleagues a Hybrid work schedule. The Hybrid work schedule requires 8 full days per month in the office, with the option to work the remaining days at home or in the office. This exciting Hybrid Work benefit offers colleagues a flexible work schedule with the ability to remain connected with their Merchants team and colleagues. Essential Duties and Responsibilities include, but are not limited to: Cultivating relationships with claims and other internal staff, policyholders, attorneys, agents and a variety of service providers and experts all while working towards achieving the most optimal outcomes for Merchants and our policyholders. Provides high level technical expertise in the handling of complex and high exposure liability and extra-contractual claims. Manages a pending claim inventory of select complex high exposure claims consisting of commercial umbrella, excess liability, multi-party catastrophic injury, property damage and construction defect claims. Responsible for staying current in case law development as well as statutory and regulatory changes impacting liability claims or coverage interpretation and serving as a training and information resource for casualty and litigation claim representatives and claim management. Responsible for all claim handling activities on assigned high exposure claims through disposition, including investigation, litigation management, evaluation, procuring appropriate settlement authority, engaging in settlement negotiations, providing instruction and guidance on risk transfer and coverage issues, training and development of claim staff through informal knowledge transfer and formal training activities, preparing for and presenting claims to the Large Loss Committee, and ensuring proper reinsurance reporting and communication. Qualifications & Skills: Qualified candidates will have a 4-year degree or equivalent work-related experience. 5 plus years complex high exposure claim handling experience. Training & Coaching Skills. Strong policy interpretation and coverage analysis skills. Familiarity with various regulatory and judicial venues. Strong communication and negotiation skills. Well-organized and effective at managing competing deadlines/responsibilities. Ability to work collaboratively with others in the planning and execution of complex resolution strategies. Computer skills including Microsoft Office products and document imaging systems. Merchants Insurance Group Pay information: Merchants Insurance Group offers a competitive pay scale. Merchants Insurance Group offers a competitive pay scale. The estimated salary for this role ranges from $85,000 - $115,000 based on leveling and geography, along with an equity component and a comprehensive benefits package. This range is merely an estimate; actual compensation may deviate from this range based on skills, experience and qualifications. Merchants Insurance Group Benefits: Welcoming and positive work environment. Flexible work arrangements, including flex scheduling and summer hours. Hybrid work schedule. The Hybrid work schedule will require 8 full days per month in the office, with the option to work the remaining days per month at home or in the office. Competitive pay scale. Generous paid time off package. Full Benefits: Health, Dental, Vision, Life Insurance, Short Term Disability, 401(k) employer match amount is 100% up to 6% of your annual contributions. You are immediately 100% vested in the employer match dollars. Outstanding company bonus program Tuition Reimbursement. And many more exciting company benefits!! Merchants Insurance Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Merchants Insurance Group supports a safe workplace through pre-employment background screenings.

Crystal Stairs, Inc. Improving the Lives of Families through Child Care Services, Research, and Advocacy Crystal Stairs is committed to building and sustaining a diverse workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of activities or operations. Provider Services - Claims Processor 100% Onsite - Location: Los Angeles, CA 90056 What We're Looking For: We are seeking a qualified candidate for the Claims Processor position. The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. policies and procedures. The selected qualified candidate will have the following responsibilities: RESPONSIBILITIES: * Process attendance records and provider payment requests in accordance with department quality standards based upon the funder's payment rules and regulations in addition to the agency's policies. * Effectively communicate with providers, parents, and CSI staff, as needed. * Assist parents, providers, and staff in completing attendance records and\/ or provider payment requests by responding to incoming inquiries regarding payment or claims submission. * Communicate with case managers to resolve payment authorization issues on pending claims. * Contribute to a team atmosphere by participating in monthly staff meetings, training, and assisting department co-workers as needed. * Other duties as assigned. EXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES YOU SHOULD POSSESS: * High School Diploma or GED Equivalent required. An AA\/AS Degree in Accounting, Business, or Human Services preferred\/or a minimum of two years of verifiable college coursework with a focus on accounting or business; verifiable work experience may be substituted for college level education * Minimum of two years experience processing claims, billing or adjustment payments required. Experience in an entry level accounting role preferred. * Experience with child care providers and parents receiving subsidized child or social support services preferred. * Must have Knowledge of the Department of Public Social Service Stage 1 Child Care Services Contract or CDE Alternative Payment Program or experience working with social support services preferred. * Must have strong customer service, organization, written and verbal communication skills. * Requires excellent data entry and processing skills within a fast paced environment. * Requires considerable accuracy, attention to details and ability to adhere to strict processing deadlines. * Must be flexible and possess a strong ability to multi-task while working in a collaborative, team environment. * Must have the ability to perform basic mathematical computations to verify and confirm payment calculations. * Must have ability to work with diverse groups. * Must have technical proficiencies working with Microsoft Excel and Microsoft Word * Ability to understand and master complex program requirements and processes as they relate to provider payment * Able to work flexible hours as needed to complete required tasks in a timely manner. Overtime may be required to assure timely and compliant processing of provider payments; and * Able to work under pressure and with time-sensitive deadlines. Total Package of Benefits * Medical\/ Dental\/ Vision - 95% paid by employer * Pet Insurance * Employee Assistance Program * Voluntary Life and AD&D for Employee, Spouse and Children * 401k Matching Options * Flex Spending (Health Care and Dependent Care) * Mutual of Omaha (STD, Accident, & Critical Illness) * Generous Sick and Vacation Time * Paid Holidays + Paid Winter Break from 12\/24 - 1\/1 (for select positions) * Opportunity for Growth and Development * Robust Learning Management System offering the following continuing education units: PDC, HRCI, CEU, CPE, PDU, SHRM Qualified applicants with arrest or conviction records will be considered for Employment in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Crystal Stairs, Inc. is committed to building and sustaining a fully vaccinated, diverse workforce and culture. As part of this commitment, Crystal Stairs, Inc. provides equal opportunity in all of our employment practices, including selection, hiring, promotion, transfer, and compensation, to all qualified applicants and employees without regard to race, color, medical condition as defined by state law, ancestry, religion, sex, national origin, age, marital status, sexual orientation, gender, ethnic group identification, mental or physical disability, pregnancy, childbirth and related medical conditions, or any other legally protected status. For more information about Crystal Stairs, please visit our website at: *******************************************************

Crystal Stairs, Inc. Improving the Lives of Families through Child Care Services, Research, and Advocacy Crystal Stairs is committed to building and sustaining a diverse workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of activities or operations. Provider Services - Claims Processor 100% Onsite - Location: Los Angeles, CA 90056 What We're Looking For: We are seeking a qualified candidate for the Claims Processor position. The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. policies and procedures. The selected qualified candidate will have the following responsibilities: RESPONSIBILITIES: Process attendance records and provider payment requests in accordance with department quality standards based upon the funder's payment rules and regulations in addition to the agency's policies. Effectively communicate with providers, parents, and CSI staff, as needed. Assist parents, providers, and staff in completing attendance records and/ or provider payment requests by responding to incoming inquiries regarding payment or claims submission. Communicate with case managers to resolve payment authorization issues on pending claims. Contribute to a team atmosphere by participating in monthly staff meetings, training, and assisting department co-workers as needed. Other duties as assigned. EXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES YOU SHOULD POSSESS: High School Diploma or GED Equivalent required. An AA/AS Degree in Accounting, Business, or Human Services preferred/or a minimum of two years of verifiable college coursework with a focus on accounting or business; verifiable work experience may be substituted for college level education Minimum of two years experience processing claims, billing or adjustment payments required. Experience in an entry level accounting role preferred. Experience with child care providers and parents receiving subsidized child or social support services preferred. Must have Knowledge of the Department of Public Social Service Stage 1 Child Care Services Contract or CDE Alternative Payment Program or experience working with social support services preferred. Must have strong customer service, organization, written and verbal communication skills. Requires excellent data entry and processing skills within a fast paced environment. Requires considerable accuracy, attention to details and ability to adhere to strict processing deadlines. Must be flexible and possess a strong ability to multi-task while working in a collaborative, team environment. Must have the ability to perform basic mathematical computations to verify and confirm payment calculations. Must have ability to work with diverse groups. Must have technical proficiencies working with Microsoft Excel and Microsoft Word Ability to understand and master complex program requirements and processes as they relate to provider payment Able to work flexible hours as needed to complete required tasks in a timely manner. Overtime may be required to assure timely and compliant processing of provider payments; and Able to work under pressure and with time-sensitive deadlines. Total Package of Benefits Medical/ Dental/ Vision - 95% paid by employer Pet Insurance Employee Assistance Program Voluntary Life and AD&D for Employee, Spouse and Children 401k Matching Options Flex Spending (Health Care and Dependent Care) Mutual of Omaha (STD, Accident, & Critical Illness) Generous Sick and Vacation Time Paid Holidays + Paid Winter Break from 12/24 - 1/1 (for select positions) Opportunity for Growth and Development Robust Learning Management System offering the following continuing education units: PDC, HRCI, CEU, CPE, PDU, SHRM Qualified applicants with arrest or conviction records will be considered for Employment in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Crystal Stairs, Inc. is committed to building and sustaining a fully vaccinated, diverse workforce and culture. As part of this commitment, Crystal Stairs, Inc. provides equal opportunity in all of our employment practices, including selection, hiring, promotion, transfer, and compensation, to all qualified applicants and employees without regard to race, color, medical condition as defined by state law, ancestry, religion, sex, national origin, age, marital status, sexual orientation, gender, ethnic group identification, mental or physical disability, pregnancy, childbirth and related medical conditions, or any other legally protected status. For more information about Crystal Stairs, please visit our website at: *********************

Job Description Crystal Stairs, Inc. Improving the Lives of Families through Child Care Services, Research, and Advocacy Crystal Stairs is committed to building and sustaining a diverse workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of activities or operations. Provider Services - Claims Processor 100% Onsite - Location: Los Angeles, CA 90056 What We're Looking For: We are seeking a qualified candidate for the Claims Processor position. The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. policies and procedures. The selected qualified candidate will have the following responsibilities: RESPONSIBILITIES: Process attendance records and provider payment requests in accordance with department quality standards based upon the funder's payment rules and regulations in addition to the agency's policies. Effectively communicate with providers, parents, and CSI staff, as needed. Assist parents, providers, and staff in completing attendance records and/ or provider payment requests by responding to incoming inquiries regarding payment or claims submission. Communicate with case managers to resolve payment authorization issues on pending claims. Contribute to a team atmosphere by participating in monthly staff meetings, training, and assisting department co-workers as needed. Other duties as assigned. EXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES YOU SHOULD POSSESS: High School Diploma or GED Equivalent required. An AA/AS Degree in Accounting, Business, or Human Services preferred/or a minimum of two years of verifiable college coursework with a focus on accounting or business; verifiable work experience may be substituted for college level education Minimum of two years experience processing claims, billing or adjustment payments required. Experience in an entry level accounting role preferred. Experience with child care providers and parents receiving subsidized child or social support services preferred. Must have Knowledge of the Department of Public Social Service Stage 1 Child Care Services Contract or CDE Alternative Payment Program or experience working with social support services preferred. Must have strong customer service, organization, written and verbal communication skills. Requires excellent data entry and processing skills within a fast paced environment. Requires considerable accuracy, attention to details and ability to adhere to strict processing deadlines. Must be flexible and possess a strong ability to multi-task while working in a collaborative, team environment. Must have the ability to perform basic mathematical computations to verify and confirm payment calculations. Must have ability to work with diverse groups. Must have technical proficiencies working with Microsoft Excel and Microsoft Word Ability to understand and master complex program requirements and processes as they relate to provider payment Able to work flexible hours as needed to complete required tasks in a timely manner. Overtime may be required to assure timely and compliant processing of provider payments; and Able to work under pressure and with time-sensitive deadlines. Total Package of Benefits Medical/ Dental/ Vision - 95% paid by employer Pet Insurance Employee Assistance Program Voluntary Life and AD&D for Employee, Spouse and Children 401k Matching Options Flex Spending (Health Care and Dependent Care) Mutual of Omaha (STD, Accident, & Critical Illness) Generous Sick and Vacation Time Paid Holidays + Paid Winter Break from 12/24 - 1/1 (for select positions) Opportunity for Growth and Development Robust Learning Management System offering the following continuing education units: PDC, HRCI, CEU, CPE, PDU, SHRM Qualified applicants with arrest or conviction records will be considered for Employment in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Crystal Stairs, Inc. is committed to building and sustaining a fully vaccinated, diverse workforce and culture. As part of this commitment, Crystal Stairs, Inc. provides equal opportunity in all of our employment practices, including selection, hiring, promotion, transfer, and compensation, to all qualified applicants and employees without regard to race, color, medical condition as defined by state law, ancestry, religion, sex, national origin, age, marital status, sexual orientation, gender, ethnic group identification, mental or physical disability, pregnancy, childbirth and related medical conditions, or any other legally protected status. For more information about Crystal Stairs, please visit our website at: ********************* Job Posted by ApplicantPro

***This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. *** Claim Specialist - Bodily Injury - The Auto Club Group Reports to: APD Claim Manager I What you will do: (Primary Duties & Responsibilities) ACG is seeking a prospective Claim Specialist to work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims In this position, you will: Handle highly complex new and reassigned auto and homeowner bodily injury liability claims. Adhere to ACG claim handling procedures, processes and guidelines. Complete coverage and liability investigations, including obtaining statements from involved parties. Obtain required documents and reports to complete coverage and liability investigations. Set expectations, ensuring the claim process is explained and understood. Complete complex coverage analysis. Identify additional exposures, create appropriate referrals for additional claims and subclaims. Conduct thorough reviews of liability, damages, and the applicability of state law. Evaluate settlement range value, prepare documents related to reserve, settlement and settlement authority. Negotiate settlements with attorney represented and non-represented parties. Utilize strong negotiation skills. Prepare legal releases. Authorize expense and indemnity payments. Complete referrals, when required, to underwriting, recovery, CSIU, large loss unit and HRCC. Document claim file memos, upload documents to claim file, complete claim coding. Present claim matters during meetings. Collaborate with legal team. Provide peer mentoring. Assist Management with special reports, projects, task. Handling policies within the following States: Illinois, Indiana, Georgia and/or Tennessee With our powerful brand and the mentoring, we offer, you will find your position as a Claims Specialist can lead to a rewarding career at our growing organization. How you will benefit: Claim Specialist will earn a competitive salary of $ 75,000 - $95,000 annually with an annual bonus potential based on performance. Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who: (Preferred/Required Qualifications) Education: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent CPCU coursework or designation Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members Experience: Three years of experience or equivalent training in the following: negotiation of claim settlements securing and evaluating evidence preparing manual and electronic estimates subrogation claims resolving coverage questions taking statements establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advanced knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims subrogation procedures and processes intercompany arbitration handling simple litigation Negligence Law No-Fault Law medical terminology and human anatomy Ability to: handle claims to the line Claim Handling Standards follow and apply ACG Claim policies, procedures and guidelines work within assigned ACG Claim systems including basic PC software perform basic claim file review and investigations demonstrate effective communication skills (verbal and written) demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns analyze and solve problems while demonstrating sound decision-making skills prioritize claim related functions process time sensitive data and information from multiple sources manage time, organize and plan workload and responsibilities safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc. research analyze and interpret subrogation laws in various states travel outside of assigned territory which may involve overnight stay relocate, work evenings or weekends Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.

***This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. *** Claim Specialist - Bodily Injury - The Auto Club Group Reports to: Casualty Claim Manager II What you will do: (Primary Duties & Responsibilities) ACG is seeking a prospective Claim Specialist to work under minimal supervision. In this position, you will: Handle highly complex new and reassigned auto and homeowner bodily injury liability claims. Adhere to ACG claim handling procedures, processes and guidelines. Complete coverage and liability investigations, including obtaining statements from involved parties. Obtain required documents and reports to complete coverage and liability investigations. Set expectations, ensuring the claim process is explained and understood. Complete complex coverage analysis. Identify additional exposures, create appropriate referrals for additional claims and subclaims. Conduct thorough reviews of liability, damages, and the applicability of state law. Evaluate settlement range value, prepare documents related to reserve, settlement and settlement authority. Negotiate settlements with attorney represented and non-represented parties. Utilize strong negotiation skills. Prepare legal releases. Authorize expense and indemnity payments. Complete referrals, when required, to underwriting, recovery, SCIU, large loss unit and HRCC. Document claim file memos, upload documents to claim file, complete claim coding. Present claim matters during meetings. Collaborate with legal team. Provide peer mentoring. Assist Management with special reports, projects, task. With our powerful brand and the mentoring, we offer, you will find your position as a Claims Specialist can lead to a rewarding career at our growing organization. How you will benefit: Claim Specialist will earn a competitive salary of $75,000 to $85,000 annually with an annual bonus potential based on performance. Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who: Education: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent CPCU coursework or designation Required Qualifications: Education: Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states. Must have a valid State Driver's License Experience: Three years of experience or equivalent training in the following: negotiation of claim settlements securing and evaluating evidence subrogation claims resolving coverage questions taking statements establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advanced knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims subrogation procedures and processes intercompany arbitration handling simple litigation Advanced knowledge of: Negligence Law No-Fault Law medical terminology and human anatomy Ability to: handle claims to the line Claim Handling Standards follow and apply ACG Claim policies, procedures and guidelines work within assigned ACG Claim systems including basic PC software perform basic claim file review and investigations demonstrate effective communication skills (verbal and written) demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns analyze and solve problems while demonstrating sound decision making skills prioritize claim related functions process time sensitive data and information from multiple sources manage time, organize and plan work load and responsibilities safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc. research analyze and interpret subrogation laws in various states travel outside of assigned territory which may involve overnight stay relocate, work evenings or weekends Work Environment This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come in to an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.

The Claims Specialist position is an on-site role based at our corporate headquarters in Savannah, Georgia. This role will play a key part in supporting and managing the claims process, working closely with cross-functional teams across the organization to help reduce and prevent accidents, injuries, and property damage involving both employees and customers, while promoting a proactive, safety-focused culture company-wide. ESSENTIAL DUTIES AND RESPONSIBILITIES Responsibilities: Will assist with the management process of claims for all lines of insurance to include property, general liability, auto, unemployment, and workers' compensation. Utilizes skills and trend-tracking to assist in reducing accidents, and occupational injuries. Coordinates claim notification with the insurance carriers and serves as a point of contact for all assigned claims with the insurance carriers. Contacts employees and customers with potential claims to assist in mitigating potential loss and further injuries. Assist with all Parker's Workers' Compensation (WC) Claims, Unemployment Claims, General Liability Claims, and all other from initial notification through to claim closure, including reviewing, analyzing, and approving authority amounts. Case management can include scheduling of appointments, obtaining current medical information, assisting managers with the transition of injured employees back to work, and assisting the injured employee. Ensure continued communication with injured parties to include customers, workers and leaders of the injured worker. May act as Parker's representative for depositions, informal conferences, mediations, and/or hearings pertaining to claims, working with assigned attorneys as necessary. Prepares Parker's written responses to unemployment claims based upon a summary of facts compiled from files, personnel records and interviews. May prepare cases for and represents Parker's at unemployment claim appeal hearings. Provides personnel employment information and verification, questions witnesses and claimant to ascertain facts of separation and presents a closing summary statement of the employer's position to the hearing officer. Prepares client witnesses for hearing appearances. Case preparation for hearings involves document gathering and organization, unemployment law research, and defense strategies. Maintains frequent telephone contact with management and leaders, gathering facts necessary to determine if unemployment claims are disputable and explaining unemployment rules, regulations, decisions and options. Refers information ascertained during investigations to the Claims team, Operations, and/or Human Resources, as necessary, when possible EEOC charges, wrongful discharge, or threatened litigation facts may have been uncovered. Other similar duties as required. Knowledge, Skills, and Abilities: Strong attention to detail Advanced skills in the use of Windows-based office software: Microsoft Office, Word, Excel, and PowerPoint and G-Suite products Must possess strong analytical and problem-solving skills Able to manage multiple priorities Able to research, collect, and analyze data and prepare written and oral reports Knowledge of claims processing techniques Able to analyze, classify, and rate risks, exposure, and loss expectancies Knowledge of workers' compensation laws and requirements, safety, loss control, and risk management principles Principles, practices, and procedures of general business including knowledge of the unemployment compensation system, filing appropriate unemployment responses, and personnel administration including legal aspects of hiring and firing; and the relationship of the Federal Unemployment Tax Act and the various state acts; knowledge of state and federal unemployment laws, rules and regulations. Highly organized and able to track a project from initial contact through the end of the project Ability to effectively communicate information and ideas in written and verbal format EDUCATION AND REQUIREMENTS Required: Associate or Bachelor's degree or equivalent experience 1-2 years' experience processing workers' compensation, general liability, and/or unemployment claims Experience in creating reports Preferred: ARM, CRM or similar designation 4+ years' experience processing workers' compensation, general liability, and/or unemployment claims TRAVEL As required PHYSICAL REQUIREMENTS Prolonged periods sitting/standing at a desk and working on a computer

Risk employees reduce accident, illness, and injury occurring on Church property or during Church-sponsored activities to protect people and to minimize the loss of sacred funds (donated confidentially in obedience to God's commandments) used for the Church's religious mission under the direction of senior ecclesiastical leaders. To manage and resolve general liability, property loss, and bodily injury claims and litigation of Church departments, ecclesiastical leaders and Church affiliate organizations in an honest, effective, fair and appropriate manner. * Direct handling assigned property/liability claims of increasing size and complexity asserted against the Church and affiliate entities * Retain, supervise and coordinate services of 3rd party vendors, insurance carriers, attorneys and other service providers * Conduct on-site investigations and interviews * Prepare loss evaluations, case plans, and strategic reports; * Proficiency with and capable of directing Litigation Risk Analysis, which is the analytical process whereby the claims manager (with the assistance of Kirton & McConkie, experts, third party administrators, and local counsel) obtains relevant facts through investigation, identifies outcome-determinative legal and factual issues, determines the complex probabilities associated with those legal and factual issues, and establishes case values by predicting what a judge or jury in the relevant jurisdiction will award as damages. The process requires organizing these issues using decision tree software modeling as needed, directing and educating Kirton & McConkie and local counsel regarding the logic of the analytical process. This is the process whereby we identify the financial risk to the Church. * Participate as the Church's representative in alternative dispute resolution * 4 yr degree from accredited university required (business, law, insurance, accounting or related field preferred) * Professional claims designations and certifications preferred (e.g., AIC, SCLA) * 8 yrs multi-line claims or equivalent experience (advanced degree/certification or JD constitutes 2 years experience) * Proficiency in Litigation Risk Analysis (decision tree software) * Proficiency in computer systems * Strong verbal and written communication proficiency * Strong analytical and problem-solving capabilities and skills * Capable of effective interface w/ claimants and attorneys * Institutional knowledge of the Church * At least one year in Claims Specialist II position

Risk employees reduce accident, illness, and injury occurring on Church property or during Church-sponsored activities to protect people and to minimize the loss of sacred funds (donated confidentially in obedience to God's commandments) used for the Church's religious mission under the direction of senior ecclesiastical leaders. To manage and resolve general liability, property loss, and bodily injury claims and litigation of Church departments, ecclesiastical leaders and Church affiliate organizations in an honest, effective, fair and appropriate manner. 4 yr degree from accredited university required (business, law, insurance, accounting or related field preferred) Professional claims designations and certifications preferred (e.g., AIC, SCLA) 8 yrs multi-line claims or equivalent experience (advanced degree/certification or JD constitutes 2 years experience) Proficiency in Litigation Risk Analysis (decision tree software) Proficiency in computer systems Strong verbal and written communication proficiency Strong analytical and problem-solving capabilities and skills Capable of effective interface w/ claimants and attorneys Institutional knowledge of the Church At least one year in Claims Specialist II position Direct handling assigned property/liability claims of increasing size and complexity asserted against the Church and affiliate entities Retain, supervise and coordinate services of 3rd party vendors, insurance carriers, attorneys and other service providers Conduct on-site investigations and interviews Prepare loss evaluations, case plans, and strategic reports; Proficiency with and capable of directing Litigation Risk Analysis, which is the analytical process whereby the claims manager (with the assistance of Kirton & McConkie, experts, third party administrators, and local counsel) obtains relevant facts through investigation, identifies outcome-determinative legal and factual issues, determines the complex probabilities associated with those legal and factual issues, and establishes case values by predicting what a judge or jury in the relevant jurisdiction will award as damages. The process requires organizing these issues using decision tree software modeling as needed, directing and educating Kirton & McConkie and local counsel regarding the logic of the analytical process. This is the process whereby we identify the financial risk to the Church. Participate as the Church's representative in alternative dispute resolution

As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator will be responsible to follow up daily with the OPS team to ensure and that all required documentation, estimates and procedures are followed according to required program guidelines. A successful Coordinator will possess tenacity and thrives in a fast-paced environment. The coordinator who is detail oriented and able to focus with many projects in varying degrees of completion will be most successful in this position. Job Responsibilities Understanding of the claims flow process - Water Mitigation, Reconstruction, Contents, and other Environmental work Manages data entry for each claim from First Notice of Loss through to completion of job in the CRM system Daily review of compliance tasks and all job tasks are completed on time Monitor and update jobs in required operating system making sure the job flows efficiently through the claims process requirements and cycle times Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call Creates and or assists with job estimate, reviews final estimate to ensure estimate is complete per company standards Manages Customer Service issues and complaints, documenting actions and resolution Understanding of all company cycle times and SLAs required for each job and phase Client Care Calls - ensure constant, often daily, communication with the customer, may communicate with adjuster Ensure daily notes are entered in all jobs, contacting relevant participants and escalating to the department manager as required May be responsible for creating job estimate and or assisting the Estimator/Project Manager with final estimate Job Requirements High school diploma/GED required Bachelor's Degree or applicable experience preferred, work experience will be considered IICRC Certifications preferred but not required: WTR, ASD, OCT, STC Exceptional Customer Service skills 1-3 years of Xactimate experience required- proficient use Xactimate 28 Experience with Microsoft© Office application (Word, Outlook, PowerPoint, and Excel) required Personal time management and organizational skills Strong verbal and written communication skills Dependable and adaptable to operate within a fast-paced work environment Ability to manage highly confidential information Strong problem-solving skills Proficient at using Microsoft Office, Outlook, CRM software Experience do you have with customer interaction and conflict resolution Physical Demands and Working Conditions The physical demands are representative of those that must be met by an employee to perform the essential function to this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Incumbent must be prepared to: Move up to 20 pounds occasionally, by lifting, carrying, pushing, pulling, or otherwise repositioning objects. Sitting for long periods of time while using office equipment such as computers, phones etc. Fingering and Repetitive motions; such as movement of wrists, hands and fingers while picking, pinching and typing during your normal working environment. Express or exchange ideas with others quickly, accurately, and receive and act on detailed information. Close visual acuity to perform detail-oriented activities at distances close to the eyes, such as preparing and analyzing data, viewing computer screen and expansive reading. Be exposed to various inside working conditions: The change of building environment such as with or without air conditioning and heating. May be required to travel for short periods of time. Disclaimer The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. The Company reserves the right to modify this description in the future, with or without notice to the employee. This Job Description does not create an employment contract, implied or otherwise, and employment with the Company remains at will. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. Compensation: $15.00-$16.00/hr. Built on a foundation of great brands and employees with a passion for service, our vision is to be the leading provider of essential services through empowered people, world-class customer service and convenient access. By joining ServiceMaster, you'll be part of a talented network of employees with a shared vision. Our environment is a diverse community where successful people work together to achieve common goals. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to The ServiceMaster Company, LLC.