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Claims Analyst jobs at The J.M. Smucker Co. - 112 jobs

  • Workers Comp Claims Oversight Specialist

    Samuel Hale 4.6company rating

    Rancho Cordova, CA jobs

    Join Our Dynamic Team as a Workers' Comp Claims Oversight Specialist! Claims Oversight Specialist Job Type: Full-time Exempt Salary: $71,000 - $95,000 Who We Are: EmployInsure LLC delivers Engineered Employment Products designed to eliminate gaps from antiquated practices and enable Frictionless Employment for customers across the employment value chain. Our Mission is to inspire and redefine the relationship between industry and individual by transparently connecting all buyers and sellers of talent to create maximum value . Our diverse team is powered by forward-thinkers, innovators, and rapid problem-solvers. We are committed to making a significant impact to scale the company. We believe in fostering a collaborative and inclusive work environment where every voice is heard and valued. EmployInsure is the parent company of its brands; Samuel Hale and Evoove, in exclusive partnership with the PACT. To learn more about us and our family of companies, check out our websites! Home - Samuel Hale - California Workers' Comp Fraud Savings Evoove | Centralized Staffing Solutions The PACT Life - Welcome to The PACT Our Core Values: Entrepreneurial Spirit: A mindset that involves seeking out change, taking risks, and pursuing new opportunities. Quest for a Deeper Understanding: A true professional never stops getting better at their craft. They practice and measure, and debate over their understanding of the truth, embodying a growth mindset. The Stockdale Paradox: We confront the brutal honesty of our current reality while always maintaining an unwavering faith in our ability to overcome all challenges that get in our way. We have toughness, determination, and passionate belief! Job Description: We seek to hire an experienced Claims Oversight Specialist to join our claims oversight team. The ideal candidate will have experience in California workers' compensation, denying, settling, or authorizing payments to workers' comp claims. In this role, you will be responsible for corresponding with policyholders, claimants, witnesses, attorneys, etc., to gather important information to support contested claims. Investigating claims and compiling reports within the given timeframe after receipt of the first injury report Preparing and delivering claims updates and reviews to internal stakeholders and clients Strategically handle investigations and tactically tackle issues Requesting records as required Notifying the employer of his or her claim determination based on findings Collecting and evaluating claims and authorizing payments Keeping in contact with the injured worker and the medical professionals concerning the status of the injury and plans for treatment Contacting the claimant's employers or doctors for additional information if the claim is questionable Assessing settlement decisions and opportunities Being present at mediations, either by phone or in person Ensuring that injured workers are taken care of appropriately and on time Basic Qualifications: 2+ years of direct workers' comp claims experience 1+ years of California workers' comp experience Good time management skills Adequate knowledge of relevant regulations Skilled customer service skills and attention to detail Demonstrated experience investigating workers' comp claims Excellent customer support Extensive claim review experience Prior claim settlement experience Insurance claims management software experience and technical proficiency We Offer a Best-in-Class Professional Benefits Package to Support our Employees: Comprehensive premium Healthcare Coverage: Medical, dental, and vision plans: Employees 100% covered by the company. Low deductibles for spouse/partner and dependents Generous Paid Time Off: Unlimited paid time off policy and paid holidays Profit Sharing Plan: Share in the success of the company Retirement Savings Plans: 401(k) with 5% company match to help you secure your financial future Lifetime pension plan: Vest into our pension plan for a lifetime income Wellness Support: Access to wellness programs, mental health resources, financial counseling, legal support, and employee assistance programs. Professional Growth Opportunities: Learning resources to help you thrive. Death Benefits: Company-paid to protect you and your loved ones. Flexible Work Options: Hybrid or remote work arrangements (where applicable). Exclusive Perks: Employee discounts, commuter benefits, and more. Join us and experience a benefits package designed to empower your well-being, career growth, and personal goals! Samuel Hale is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. Samuel Hale is an E-Verify company. For more information, please review our Participation and Your Right to Work. California Privacy Notice for Job Applicants If you are a California resident, we collect and use the personal information you provide in your application for recruiting, hiring, and compliance purposes in accordance with the CCPA/CPRA. We do not sell or share applicant personal information as those terms are defined by law. For details about what we collect, how we use it, and your privacy rights, please review our California Applicant & Employee Privacy Notice at ********************************* or contact us at ****************************.
    $71k-95k yearly 5d ago
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  • Claims Examiner

    Firstsource 4.0company rating

    Louisville, KY jobs

    Job Title:Medical Claims Examiner-Work From Home Job Type:Full Time FLSA Status:Non-Exempt/Hourly Grade:H Function/Department:Health Plan and Healthcare Services Reporting to:Team Lead/Supervisor - Operations Role Description:The Claims Examiner evaluates insurance claims to determine whether their validity and how much compensation should be paid to the policyholder. The Claims Examiner is responsible for reviewing all aspects of the claim, including reviewing policy coverage, damages, and supporting documentation provided by the policyholder. Roles & Responsibilities * Review insurance claims to assess their validity, completeness, and adherence to policy terms and conditions. * Collect, organize, and analyze relevant documentation, such as medical records, accident reports, and policy information. * Ensure that claims processing aligns with the company's insurance policies and relevant regulatory requirements. * Conduct investigations, when necessary, which may include speaking with claimants, witnesses, and collaborating with field experts. * Analyze policy coverage to determine the extent of liability and benefits payable to claimants. * Evaluate the extent of loss or damage and determine the appropriate settlement amount. * Communicate with claimants, policyholders, and other stakeholders to explain the claims process, request additional information, and provide status updates. * Make recommendations for claims approval, denial, or negotiation of settlements, and ensure timely processing. * Maintain accurate and organized claim files and records. * Stay updated on industry regulations and maintain compliance with legal requirements. * Provide excellent customer service, addressing inquiries and concerns from claimants and policyholders. * Strive for high efficiency and accuracy in claims processing, minimizing errors and delays. * Stay informed about industry trends, insurance products, and evolving claims management best practices. * Generate and submit regular reports on claims processing status and trends. * Perform other duties as assigned. Top of Form Qualifications The qualifications listed below are representative of the background, knowledge, skill, and/or ability required to perform their duties and responsibilities satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. Top of Form Top of FormEducation * High School diploma or equivalent required Work Experience * Medical claims processing experience required, including use of claims processing software and related tools Competencies & Skills * Highly-motivated and success-driven * Exceptional verbal and written communication and interpersonal skills, including negotiation and active-listening skills * Exceptional analytical and problem-solving skills * Strong attention to detail with a commitment to accuracy * Ability to adapt to change in a dynamic fast-paced environment with fluctuating workloads * Basic mathematical skills * Intermediate typing skills * Basic computer skills * Knowledge of medical terminology, ICD-9/ICS-10, CPT, and HCPCS coding, and HIPAA regulations preferred * Knowledge of insurance policies, regulations, and best practices preferred Additional Qualifications * Ability to download 2-factor authentication application(s) on personal device, in accordance with company and/or client requirements * Ability to pass the required pre-employment background investigation, including but not limited to, criminal history, work authorization verification and drug test Work Environment The work environment characteristics described here are representative of those an employee encounters while performing this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may work onsite or remotely from home. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. Must be able to occasionally stand and walk, climb stairs, and lift equipment up to 25 pounds. Firstsource is an Equal Employment Opportunity employer. All employment decisions are based on valid job requirements, without regard to race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other characteristic protected under federal, state or local law. Firstsource also takes Affirmative Action to ensure that minority group individuals, females, protected veterans, and qualified disabled persons are introduced into our workforce and considered for employment and advancement opportunities. About Firstsource Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes. We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Our clientele includes Fortune 500 and FTSE 100 companies. Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Referral program Vision insurance Work Location: Remote
    $27k-37k yearly est. 5d ago
  • Claims Examiner

    Firstsource 4.0company rating

    Louisville, KY jobs

    Job Title:Medical Claims Examiner-Work From Home Job Type:Full Time FLSA Status:Non-Exempt/Hourly Grade:H Function/Department:Health Plan and Healthcare Services Reporting to:Team Lead/Supervisor - Operations Pay Range:$16 Role Description:The Claims Examiner evaluates insurance claims to determine whether their validity and how much compensation should be paid to the policyholder. The Claims Examiner is responsible for reviewing all aspects of the claim, including reviewing policy coverage, damages, and supporting documentation provided by the policyholder. Roles & Responsibilities * Review insurance claims to assess their validity, completeness, and adherence to policy terms and conditions. * Collect, organize, and analyze relevant documentation, such as medical records, accident reports, and policy information. * Ensure that claims processing aligns with the company's insurance policies and relevant regulatory requirements. * Conduct investigations, when necessary, which may include speaking with claimants, witnesses, and collaborating with field experts. * Analyze policy coverage to determine the extent of liability and benefits payable to claimants. * Evaluate the extent of loss or damage and determine the appropriate settlement amount. * Communicate with claimants, policyholders, and other stakeholders to explain the claims process, request additional information, and provide status updates. * Make recommendations for claims approval, denial, or negotiation of settlements, and ensure timely processing. * Maintain accurate and organized claim files and records. * Stay updated on industry regulations and maintain compliance with legal requirements. * Provide excellent customer service, addressing inquiries and concerns from claimants and policyholders. * Strive for high efficiency and accuracy in claims processing, minimizing errors and delays. * Stay informed about industry trends, insurance products, and evolving claims management best practices. * Generate and submit regular reports on claims processing status and trends. * Perform other duties as assigned. Top of Form Qualifications The qualifications listed below are representative of the background, knowledge, skill, and/or ability required to perform their duties and responsibilities satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. Top of Form Top of FormEducation * High School diploma or equivalent required Work Experience * Medical claims processing experience required, including use of claims processing software and related tools Competencies & Skills * Highly-motivated and success-driven * Exceptional verbal and written communication and interpersonal skills, including negotiation and active-listening skills * Exceptional analytical and problem-solving skills * Strong attention to detail with a commitment to accuracy * Ability to adapt to change in a dynamic fast-paced environment with fluctuating workloads * Basic mathematical skills * Intermediate typing skills * Basic computer skills * Knowledge of medical terminology, ICD-9/ICS-10, CPT, and HCPCS coding, and HIPAA regulations preferred * Knowledge of insurance policies, regulations, and best practices preferred Additional Qualifications * Ability to download 2-factor authentication application(s) on personal device, in accordance with company and/or client requirements * Ability to pass the required pre-employment background investigation, including but not limited to, criminal history, work authorization verification and drug test Work Environment The work environment characteristics described here are representative of those an employee encounters while performing this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may work onsite or remotely from home. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. Must be able to occasionally stand and walk, climb stairs, and lift equipment up to 25 pounds. Firstsource is an Equal Employment Opportunity employer. All employment decisions are based on valid job requirements, without regard to race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other characteristic protected under federal, state or local law. Firstsource also takes Affirmative Action to ensure that minority group individuals, females, protected veterans, and qualified disabled persons are introduced into our workforce and considered for employment and advancement opportunities. About Firstsource Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes. We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Our clientele includes Fortune 500 and FTSE 100 companies. Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Referral program Vision insurance Work Location: Remote
    $16 hourly 6d ago
  • P2P (Purchase-to-Pay) Analyst

    Leprino 4.7company rating

    Denver, CO jobs

    Within our Corporate Supply Chain and Procurement team located in Denver - Leprino is seeking a P2P (Purchase-to-Pay) Analyst to help centralize and strengthen how indirect procurement purchase orders are created and managed across the business. This role starts hands-on, supporting day-to-day PO execution, and grows into shaping a clearer, more consistent purchasing approach for our plants. You'll partner closely with Procurement, IT, and plant teams to bring structure where today there is variation, while helping the organization move forward with confidence. At Leprino, starting compensation for this role typically ranges between $73,000 and $81,000. This position has an annual target bonus of 5%. What You'll Do: Create and manage purchase orders and change orders for indirect spend using SAP S/4HANA. Serve as the primary point of coordination for indirect PO intake, clarifying requests and routing work efficiently. Build a centralized approach to indirect PO creation that reduces duplication and confusion. Partner with IT to define purchasing workflows that are practical, scalable, and easy to adopt. Document purchasing processes and prepare clear guidance for plant teams. Roll out standardized PO practices to plants, supporting training and early adoption. Monitor purchasing activity to ensure alignment with approved processes and documentation standards. Support resolution of PO, invoice, and payment issues in partnership with Accounts Payable. Maintain accurate purchasing data, including pricing, vendors, and contracts within SAP. Provide visibility into purchasing activity to procurement leaders as processes mature. Track indirect PO activity and cycle times to identify gaps, delays, and rework in the process. Support audits and internal reviews by maintaining clear documentation for purchasing transactions and approvals. You Have At Least (Required Qualifications): Bachelor's degree in Business, Finance, Supply Chain, Operations, Engineering, or a closely related field. 3 or more years of experience in procurement operations, purchasing, or purchase-to-pay execution. Hands-on experience using SAP S/4HANA tools that support indirect purchasing and purchase-to-pay execution (e.g., PO creation, change orders, pricing updates, invoice issue resolution). Direct experience performing transactional purchasing work, not system configuration or technical SAP development. We Hope You Also Have (Preferred Qualifications): Master's degree in Business, Supply Chain, Operations, or a related discipline. Experience helping design or roll out standardized purchasing processes across multiple sites or teams. Experience partnering with IT on process definition, testing, or system-enabled improvements. Exposure to centralized purchasing models or indirect spend management in a manufacturing environment. At Leprino, we believe in equal employment opportunity and make employment decisions based on each individual's unique talents, experience, skills, and knowledge; we do not discriminate on the basis of any personal characteristics. We know we are better together and are committed to creating an inclusive and supportive culture in which all employees can thrive. Offering You In Return: A chance to be part of a global team of individuals passionate about producing and delivering high-quality products that help feed and nourish families around the world. Leprino could not be where it is today without our incredible employees. That is why we share in our success together by rewarding you for your hard work. Hiring great people who are in it for the long run is our goal. Through competitive salaries and bonuses, life, medical/dental/vision coverage, voluntary benefits, employee assistance programs, wellness incentives, tuition assistance, vacation, ten paid holidays, sick time, paid parental leave, annual merit increases, as well as the LFC Profit-Sharing & 401(k) plan. Your impact will be noticed and rewarded, as you seek to further our company, our customers, and one another. Our Story: Leprino's history dates back to the 1950s, when Jim Leprino first started making small batches of mozzarella for local markets and eateries in the Little Italy neighborhood of Denver. We've grown a bit since then. Today, Leprino is the world's largest manufacturer of mozzarella and lactose, and a leading producer of whey protein. Still owned by the Leprino family, our sights are set to be the “World's Best Dairy Food and Ingredient Company.” From a small corner grocery store we have grown to over 5,500 employees throughout the globe. Will you join us on our journey? While we review LinkedIn Easy Apply submissions and may reach out for an initial conversation, they are considered an inquiry rather than an official application. To be formally considered for this position, please apply directly at careers.leprino.com
    $73k-81k yearly 1d ago
  • FP&A Analyst

    Leeds Professional Resources 4.3company rating

    Doral, FL jobs

    A Financial Planning Analyst (FP&A Analyst) helps organizations make strategic financial decisions by analyzing data, creating forecasts, building models (budgets, scenarios), and reporting on performance, essentially translating financial data into actionable insights to guide business growth, manage costs, and assess investments for both companies and individuals. Key duties involve budgeting, variance analysis, market research, financial modeling, and presenting detailed reports to management, requiring strong analytical skills with tools like Excel. Key Responsibilities Develop annual budgets, rolling forecasts, and long-term financial plans. Create complex models for scenarios, investments, and performance projections. Monitor financial performance, conduct variance analysis (actual vs. budget), and identify trends. Generate monthly/quarterly reports, dashboards, and presentations for leadership. Provide data-driven recommendations on profitability, cost-saving, and strategic initiatives. Gather, analyze, and maintain financial data and databases. Work with accounting, operations, and other departments to understand financial drivers. Essential Skills & Qualifications Analytical & Math Skills: Strong ability to analyze large datasets, interpret trends, and build models. Technical Proficiency: Advanced Excel, financial planning software (ERP systems like Oracle, TM1), data visualization. Strategic Thinking: Ability to translate numbers into business strategy. Communication: Presenting complex financial information clearly to non-finance stakeholders. Education: Bachelor's degree in Finance, Accounting, Economics, or related field.
    $49k-74k yearly est. 2d ago
  • Associate Claims Analyst

    Fortune Brands Home & Security 4.8company rating

    North Olmsted, OH jobs

    Fortune Brands Innovations, Inc. is an industry-leading home, security and digital products company. We're focused on exciting opportunities within the home, security and commercial building markets. Our driving purpose is to elevate every life by transforming spaces into havens. We believe our work and our brands can have incredibly positive impacts for not just our business and shareholders, but for people and the planet, too. At Fortune Brands, we're building something big. We're advancing exciting innovations in all of our products and processes. We're delivering trust, dependability, sustainability, and style. To make it all happen, we've transformed our workplace into an environment where smart, ambitious people have the support to reach their fullest potential. When you join Fortune Brands, you become part of a high-performing team empowered to think big, learn fast and make bold decisions. We support an inclusive culture where everyone is encouraged be their authentic selves, and where our differences and unique perspectives are a key strength. Explore life at Fortune Brands here . Job Description The Associate Claims Analyst processes, negotiates, and settles product liability claims for FBIN products globally. RESPONSIBLIITIES: Independently manage assigned claims throughout the claim lifecycle Analyze and process product liability claims Evaluate claims for validity and proper valuation Collaborate with technical experts to execute product testing Validate cause of claim against known or unknown defects and review findings with FBIN technical experts Open VOC or CAPA requests as necessary Develop strategies to manage claims to an appropriate and timely resolution Negotiate claim settlements up to designated authority level Close and process claims in a timely fashion Receive claims through various channels including phone, email, mail, worklist or the contact center Open claims by creating tickets within the claims management system while ensuring accurate and detailed documentation Communicate with claimants to gather information including photographs, statements, and evidence Regularly communicate with external stakeholders including insurers, attorneys, sales reps, builders, plumbers, retailers, wholesalers, and consumers Receive, process, and store evidence Support team and cross functional projects and continuous improvement efforts Monitor claim trends to mitigate future risk Travel to customer sites to support claims-related activities as necessary Qualifications 5+ years of experience in claims management Excellent written and verbal communication skills for interacting with all levels of staff, customers, suppliers, and operations Proficient in processing and communication tools: SAP, Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, Teams, and internet navigation Ability to manage multiple tasks and priorities in fast paced, changing environment Ability to travel up to 10% PREFERRED QUALIFICATIONS: Bachelor's Degree Additional Information Fortune Brands believes in fair and equitable pay. A reasonable estimate of the base salary range for this role is Hiring Pay Range: $40,000 USD - $66,000 USD. Please note that actual salaries may vary within the range, or be above or below the range, based on factors including, but not limited to, education, training, experience, professional achievement, business need, and location. In addition to base salary, employees will participate in either an annual bonus plan based on company and individual performance, or a role-based sales incentive plan. At Fortune Brands, we support the overall health and wellness of our associates by offering comprehensive, competitive benefits that prioritize all aspects of wellbeing and provide flexibility for our teammates' unique needs. This includes robust health plans, a market-leading 401(k) program with a company contribution, product discounts, flexible time off benefits, adoption benefits, and more. We offer numerous ERGs (Employee Resource Groups) to foster a sense of belonging for all associates. Fortune Brands is built on industry-leading brands and innovation within the high-growth categories of water, outdoors and security. The Company makes innovative products for residential and commercial environments, with a growing focus on digital solutions and products that add luxury, contribute to safety and enhance sustainability. To learn more, visit our website at fbin.com . Equal Employment Opportunity Fortune Brands is an equal opportunity employer. Fortune Brands evaluates qualified applicants without regard to race, color, religion, sex, gender identity or expression, national origin, ancestry, age, disability/handicap status, marital status, protected veteran status, sexual orientation, genetic history or information, or any other legally protected characteristic. Reasonable Accommodations Fortune Brands is committed to working with and providing reasonable accommodations to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please contact us at [email protected] and let us know the nature of your request along with your contact information. Important Notice: Protect Yourself from Fraudulent Job Postings To protect yourself from fraudulent job postings or recruitment scams, please note that Fortune Brands job postings are exclusively hosted on our website at fbin.com/careers via our SmartRecruiters platform. Fortune Brands will never request banking information or sensitive personal details until an offer of employment has been accepted and the onboarding process begins.
    $40k-66k yearly 2d ago
  • Workers Comp Claims Analyst

    Osmose Utilities Services 4.4company rating

    Atlanta, GA jobs

    Job Description The Claims Analyst will play a key role in supporting the Company's multi-jurisdictional workers' compensation program by managing, tracking, and analyzing employee injury claims. This position will ensure timely reporting, investigation, and resolution of claims in compliance with state laws and Company policies. The ideal candidate will have some prior experience handling or supporting workers' compensation claims and is eager to grow their expertise in a fast-paced, field-oriented environment. Responsibilities: Coordinate the intake, reporting, and follow-up of work-related injury and illness claims. Assess the classification of each claim (first aid, medical only, lost time, or controverted) and manage accordingly, including support of internal investigations to determine root cause and acceptance or denial of claims as applicable. Serve as a primary liaison between injured employees, supervisors, third-party administrators (TPAs), and insurance carriers. Monitor claim status and ensure timely and accurate claim documentation and communication, including timely claim updates to relevant field and safety personnel. Assist with and/or coordinate return-to-work programs and modified duty assignments. Work directly with outside counsel to document and defend controverted claims. Collaborate with HR to ensure compliance with applicable employment laws. Handle administrative claims functions, including completion of state board forms, light-duty offer letters, check requests, invoices, and mail processing. Support safety and risk management initiatives and contribute to projects that further the Company's safety objectives. Perform other related duties as assigned. Requirements: A bachelor's degree or Associate in Claims (AIC) certification is preferred but not required. Two or more years' experience in workers' compensation claims management. Must be familiar with claims practices and OSHA rules and regulations. A proven ability to acquire new knowledge and expertise as necessary to function as a resource for others. Working knowledge of MS Office products and RMIS software beneficial but not required. Highly motivated self-starter with excellent verbal and written communication skills. Embrace core values of the Company. Commitment to supporting all Company policies. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to stand, walk, climb stairs, sit and use hands to finger, handle or feel. Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus. Must be able to lift up to 10 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. The noise level may increase in certain areas of the Company locations. About Osmose:Osmose is the market-leading provider of critical resiliency, assessment, and restoration services for electric transmission, distribution, and telecommunications companies. Benefits: Come grow with us! Full-time employees enjoy a comprehensive benefits package that includes: Medical Insurance and Health Savings Account with company contribution Dental, Vision, Life Insurance, STD, LTD, Critical Illness Plan and more! 401(k) with excellent company match Paid time off (vacation, sick, floating holidays) Osmose is an Equal Opportunity employer. EOE M/F/Disabled/Vet
    $37k-57k yearly est. 7d ago
  • Workers Comp Claims Analyst

    Osmose Utilities Services 4.4company rating

    Atlanta, GA jobs

    The Claims Analyst will play a key role in supporting the Company's multi-jurisdictional workers' compensation program by managing, tracking, and analyzing employee injury claims. This position will ensure timely reporting, investigation, and resolution of claims in compliance with state laws and Company policies. The ideal candidate will have some prior experience handling or supporting workers' compensation claims and is eager to grow their expertise in a fast-paced, field-oriented environment. Responsibilities: + Coordinate the intake, reporting, and follow-up of work-related injury and illness claims. + Assess the classification of each claim (first aid, medical only, lost time, or controverted) and manage accordingly, including support of internal investigations to determine root cause and acceptance or denial of claims as applicable. + Serve as a primary liaison between injured employees, supervisors, third-party administrators (TPAs), and insurance carriers. + Monitor claim status and ensure timely and accurate claim documentation and communication, including timely claim updates to relevant field and safety personnel. + Assist with and/or coordinate return-to-work programs and modified duty assignments. + Work directly with outside counsel to document and defend controverted claims. + Collaborate with HR to ensure compliance with applicable employment laws. + Handle administrative claims functions, including completion of state board forms, light-duty offer letters, check requests, invoices, and mail processing. + Support safety and risk management initiatives and contribute to projects that further the Company's safety objectives. + Perform other related duties as assigned. Requirements: + A bachelor's degree or Associate in Claims (AIC) certification is preferred but not required. + Two or more years' experience in workers' compensation claims management. + Must be familiar with claims practices and OSHA rules and regulations. + A proven ability to acquire new knowledge and expertise as necessary to function as a resource for others. + Working knowledge of MS Office products and RMIS software beneficial but not required. + Highly motivated self-starter with excellent verbal and written communication skills. + Embrace core values of the Company. + Commitment to supporting all Company policies. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to stand, walk, climb stairs, sit and use hands to finger, handle or feel. Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus. Must be able to lift up to 10 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. The noise level may increase in certain areas of the Company locations. About Osmose: Osmose is the market-leading provider of critical resiliency, assessment, and restoration services for electric transmission, distribution, and telecommunications companies. Benefits: Come grow with us! Full-time employees enjoy a comprehensive benefits package that includes: + Medical Insurance and Health Savings Account with company contribution + Dental, Vision, Life Insurance, STD, LTD, Critical Illness Plan and more! + 401(k) with excellent company match + Paid time off (vacation, sick, floating holidays) Osmose is an Equal Opportunity employer. EOE M/F/Disabled/Vet
    $37k-57k yearly est. 60d+ ago
  • {"title":"Workers Comp Claims Analyst"}

    Osmose Utilities Services, Inc. 4.4company rating

    Atlanta, GA jobs

    The Claims Analyst will play a key role in supporting the Companys multi-jurisdictional workers compensation program by managing, tracking, and analyzing employee injury claims. This position will ensure timely reporting, investigation, and resolution of claims in compliance with state laws and Company policies. The ideal candidate will have some prior experience handling or supporting workers compensation claims and is eager to grow their expertise in a fast-paced, field-oriented environment. Responsibilities: * Coordinate the intake, reporting, and follow-up of work-related injury and illness claims. * Assess the classification of each claim (first aid, medical only, lost time, or controverted) and manage accordingly, including support of internal investigations to determine root cause and acceptance or denial of claims as applicable. * Serve as a primary liaison between injured employees, supervisors, third-party administrators (TPAs), and insurance carriers. * Monitor claim status and ensure timely and accurate claim documentation and communication, including timely claim updates to relevant field and safety personnel. * Assist with and/or coordinate return-to-work programs and modified duty assignments. * Work directly with outside counsel to document and defend controverted claims. * Collaborate with HR to ensure compliance with applicable employment laws. * Handle administrative claims functions, including completion of state board forms, light-duty offer letters, check requests, invoices, and mail processing. * Support safety and risk management initiatives and contribute to projects that further the Companys safety objectives. * Perform other related duties as assigned. Requirements: * A bachelors degree or Associate in Claims (AIC) certification is preferred but not required. * Two or more years experience in workers compensation claims management. * Must be familiar with claims practices and OSHA rules and regulations. * A proven ability to acquire new knowledge and expertise as necessary to function as a resource for others. * Working knowledge of MS Office products and RMIS software beneficial but not required. * Highly motivated self-starter with excellent verbal and written communication skills. * Embrace core values of the Company. * Commitment to supporting all Company policies. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to stand, walk, climb stairs, sit and use hands to finger, handle or feel. Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus. Must be able to lift up to 10 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. The noise level may increase in certain areas of the Company locations. About Osmose: Osmose is the market-leading provider of critical resiliency, assessment, and restoration services for electric transmission, distribution, and telecommunications companies. Benefits: Come grow with us! Full-time employees enjoy a comprehensive benefits package that includes: * Medical Insurance and Health Savings Account with company contribution * Dental, Vision, Life Insurance, STD, LTD, Critical Illness Plan and more! * 401(k) with excellent company match * Paid time off (vacation, sick, floating holidays) Osmose is an Equal Opportunity employer. EOE M/F/Disabled/Vet
    $37k-57k yearly est. 30d ago
  • Automotive Claims Representative

    Alpha Automotive 4.3company rating

    Columbus, OH jobs

    Alpha Automotive is looking for an Automotive Claims Representative to join our rapidly growing team! Here at Alpha Automotive, we pride ourselves on providing the best service possible for our customers by being an alternative to large, impersonal dealerships and providing them with an elevated level of personalized service each and every time. We are now hiring for ALL of our locations: Stealth Auto Recovery, Excite Towing, Wayne's Auto Powell, Wayne's Auto Schrock, Wayne's Auto Westerville, Mann's Expedite Service, H.I.N.T., Excite Collision Repair, and Ernie's Auto Repair! As an Automotive Claims Representative, a typical day may include the following: Acting as a liaison between insurance companies and customers, to assure claims are being paid in a timely manner so repairs can begin Working in harmony with the service writers in getting repair estimates sent to insurance companies, and following up to confirm they have been received and submitted correctly Keeping customers in the loop with any updates from the insurance company, and communicate when there are changes or any additional information is needed from them This career may be for you if: You enjoy helping people and problem solving You love the automotive industry and are ready to make the transition to an office environment You thrive in a fast paced environment Benefits include: Training & competitive pay Dental, vision, life & disability insurance Paid time off after a year of service View all jobs at this company
    $29k-36k yearly est. 12d ago
  • Workers' Compensation Claims Specialist (Remote - MN, SD, WI, PA, IA)

    HMA Group Holdings 3.7company rating

    Remote

    Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently-empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers' Compensation Claims Specialist to join our team. Experience handling claims in Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa is preferred. Essential Responsibilities: Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves Workers' Compensation claims. Mediates situations as they arise between the insured and the insurance company, with some support from leader as needed, to include researching coverage issues. Enters and maintains accurate information on a computer system during the claim process, to include final settlement information. Generates checks for indemnity and medical payments daily. Develops and monitors consistency in procedural matters of the claims handling process with CRS. Compiles and interprets Workers' compensation reports on designated accounts, as requested. Ability to adjudicate lost time claims. Participates in claim reviews and attends Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone. Performs special projects and other duties as requested. Qualifications: Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Willingness and ability to obtain additional state specific licenses during duration of employment as needed. Experience: 2-4 years claims experience with strong background in Workers' Compensation coverage. Technical Competencies: Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims. Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims. Here's a little bit about us: At Creative Risk Solutions, you'll be part of a collaborative, innovative team that values trust, communication, and client focus. We offer competitive compensation, comprehensive benefits, and opportunities for professional growth within the Holmes Murphy family. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey! Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow. 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for. Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first. Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you. DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish! Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing. Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?! The salary range for this role is $45,800- $78,800. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development. Holmes Murphy & Associates is an Equal Opportunity Employer. #LI-SM1
    $45.8k-78.8k yearly Auto-Apply 20d ago
  • Liability Claims Specialist (REMOTE - TX, FL)

    HMA Group Holdings 3.7company rating

    Remote

    We are looking to add a Liability Claims Specialist to join our Creative Risk Solutions team. This team member will provide high-quality claims handling and expertise for CRS customers, including investigating, evaluating, and resolving auto and general liability claims, potentially involving litigated files. We offer a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Creative Risk Solutions! Essential Responsibilities: · Review coverage for commercial auto and general liability claims. · Adjudicate claims, investigate bodily injury/liability claims, and negotiate settlements using "Best Practices for Claims." · Maintain accurate loss information and establish/maintain reserves within authority. · Research and respond to questions and complaints from insureds, claimants, agency partners, and carriers. · Monitor and control litigated claims, ensuring timely responses and protection of insureds' and carriers' interests. · Participate in claim reviews and Risk Control Workshops. · Identify and pursue subrogation and report fraud when applicable. · Train and mentor Liability Claims Specialists I and II. Qualifications: · Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. · Licensing: Active state specific Life & Health/Property Casualty Insurance agent's license required or the ability to acquire license within three months of hire. · Experience: 5+ years of adjusting property and casualty claims. Prior agency involvement preferred. · Skills & Technical Competencies: Knowledge of both general and auto liability coverages, claims processing procedures, perform complex mathematical calculations, ability to learn multiple state insurance regulations and pass state licensing exams. Understand and apply claims principles, practices, and insurance coverage interpretation for consulting, evaluating, and resolving claims. Contributes to workflows while utilizing resources to deliver a world-class client experience and ensure compliance. Fosters relationships by understanding relevant parties, prioritizing problem-solving, and collaborating to deliver impactful solutions. Here's a little bit about us: Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: · Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey! · Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow. · 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for. · Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first. · Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you. · DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish! · Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing. · Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?! Holmes Murphy & Associates is an Equal Opportunity Employer. #LI-SM1
    $39k-68k yearly est. Auto-Apply 20d ago
  • Workers' Compensation Claims Specialist (REMOTE - IA, MN, NE, WI)

    HMA Group Holdings 3.7company rating

    Remote

    We are looking to add a Workers' Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in Iowa, Minnesota, Nebraska, and Wisconsin. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: · Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. · Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims. · Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues. · Enters and maintains accurate information on a computer system during the claim process, to include final settlement information. · Generates checks for indemnity and medical payments daily. · Develops and monitors consistency in procedural matters of claims handling process within CRS. · Willingness to become licensed if required in jurisdiction where claims are handled. Qualifications: · Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. · Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling. · Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in Iowa, Nebraska, Wisconsin, and Minnesota. · Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs. · Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience. Here's a little bit about us: Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: · Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey! · Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow. · 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for. · Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first. · Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you. · DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish! · Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing. · Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?! Holmes Murphy & Associates is an Equal Opportunity Employer. #LI-SM1
    $39k-68k yearly est. Auto-Apply 21d ago
  • Supervisor, Liability Claims

    Alliant 4.1company rating

    San Diego, CA jobs

    SUMMARY Responsible for managing, reporting and monitoring liability claims files. Provides coverage/policy interpretation for liability claims, as well as guidance on liability coverage and claims issues. Provides proactive oversight, guidance, and professional development to a team of liability Claims Adjusters. ESSENTIAL DUTIES AND RESPONSIBILITIES Partners proactively with management to inform, analyze, educate and mitigate potential future liability claims; identifies high frequency and/or severity trends for immediate action; Resolves complex exposure claims, using high service oriented file handling working closely with clients to resolve conflicts, settle disputes, resolve grievances; Presents potentially problematic and high value cases to management for review and settlement boundary approval; Manages and maintains information regarding claims and requests for documents from employees and others, and monitors claims; Maintains claims information for regular quarterly review, and carrier notifications. Files all notices and reports of claims to all carriers; Reviews/acts on reported litigated claims; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties; Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization; Proactively addresses cases involving a legal inquiry or dispute and develops a strategy to bring a case to satisfactory resolution; Supervises staff including; motivating/mentoring staff, providing employee training and development, conducting performance reviews and performing disciplinary action as appropriate; Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information); Other duties as assigned. QUALIFICATIONS EDUCATION / EXPERIENCEBachelor's Degree or equivalent combination of education and experience Eight (8) or more years related work experience Valid Insurance License SKILLSExcellent verbal and written communication skills Good leadership, problem solving, and time management skills Good planning, organizational, and prioritization skills Ability and motivation to work independently Ability to interface with executive - internally and externally Proficient in Microsoft Office products Frequent travel required (35%+)#LI-DM1
    $77k-114k yearly est. 12d ago
  • Transactional Risk Claims Specialist

    Howden 4.0company rating

    New York jobs

    Who are we? Howden is a global insurance group with employee ownership at its heart. Together, we have pushed the boundaries of insurance. We are united by a shared passion and no-limits mindset, and our strength lies in our ability to collaborate as a powerful international team comprised of 23,000 employees spanning over 56 countries. People join Howden for many different reasons, but they stay for the same one: our culture. It's what sets us apart, and the reason our employees have been turning down headhunters for years. Whatever your priorities - work / life balance, career progression, sustainability, volunteering - you'll find like-minded people driving change at Howden. Classification: Exempt/Full-time Reports to: Head of Claims for Transactional Risk Travel: 0-15% Salary: $150,000.00-$215,000.00 Role overview DUAL North America is seeking a Transactional Risk Claims Specialist for the Claims team. The Transactional Risk Claims Specialist role will support the Head of Claims for Transactional Risk in the management of claims under Representations & Warranties Insurance (RWI) policies. Private equity and strategic buyers in M&A deals seek policies to protect them from risk on the target companies they acquire. This role encompasses assisting the Head of Claims with substantive claim handling, along with data entry and electronic file organization-type tasks to support the RWI practice. This position anticipates an approximate 65/35 split between substantive claim handling and electronic organization-type responsibilities, respectively, to start. This position is intended to provide the ability to grow within the role, including to assume greater responsibility over time. Role responsibilities Assist the Head of Claims for Transactional Risk in the end-to-end claims management process for RWI claims, from claim notice to conclusion. Assist with entering claim data into operational systems. Assist with quality control and performance management, to ensure high-quality claim handling. Collaborate with a variety of constituents including underwriters, carrier partners, and advisors, to address complex claim issues and foster strong relationships with carrier partners and brokers. Assist with the development and implementation of strategic initiatives to optimize claims processes and enhance operational efficiency by leveraging data analytics, industry trends, and best practices. Enforce compliance standards and uphold regulatory requirements, internal controls, and service level agreements with carrier partners. Perform other duties as assigned. Key requirements Bachelor's degree required and law degree preferred. Minimum of 2 years of experience in insurance claims handling. Prior experience with RWI policies is strongly desirable. Familiarity with contract law and relevant legal principles related to insurance claims, particularly in the context of mergers and acquisitions. Demonstrated ability to develop and execute strategic plans, in both the context of individual claims and broader operational initiatives. Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint). Ability to manage multiple competing priorities. Ability to adapt to evolving regulatory and legal environments. Complete assigned tasks correctly, on time and able to learn quickly. Self-motivated and demonstrating attention to detail. Be able to work independently for extended periods. Excellent written and verbal communication skills as well as general business understanding. Must be able to remain in a stationary position 50% of the time, with occasional movement in the office (if applicable) to access cabinets and equipment. If you do not meet all the qualifications for this role, we still encourage you to apply, as we are always looking for diverse talent to join our growing team. What do we offer in return? A career that you define. Yes, we offer all the usual rewards and benefits - including medical, dental, vision, a wide variety of wellbeing offers, competitive salary, unlimited PTO, 401k with company match, paid volunteer days and more. What you might not expect is a job where everyone has a voice, where volunteering in the community is part of the day job, and where everyone is encouraged to play a part towards our sustainability goals. We want people who want to make a difference - not just in the workplace, but in the industry and in the wider community. Our culture: people first Our core values dictate how we live and work. We're a group with independence and people at its heart and we're a home for talent with a unique culture: the biggest small company in the world. The focus on being a people-first business has always been at the very heart of the group; Our vision was to create an independent business with a unique culture and one that would survive and thrive as a business controlled by the people working for it. And finding the most talented and entrepreneurial people to join the group has been and will continue to be key. Diversity and inclusion At DUAL, we consider our people our chief competitive advantage and, as such, we treat colleagues, candidates, clients and business partners with equality, fairness and respect, regardless of their age, disability, race, religion or belief, gender, sexual orientation, marital status or family circumstances. What do we offer in return? A career that you define. At Howden, we value diversity - there is no one Howden type. Instead, we're looking for individuals who share the same values as us: Our successes have all come from someone brave enough to try something new We support each other in the small everyday moments and the bigger challenges We are determined to make a positive difference at work and beyond Reasonable adjustments We're committed to providing reasonable accommodations at Howden to ensure that our positions align well with your needs. Besides the usual adjustments such as software, IT, and office setups, we can also accommodate other changes such as flexible hours* or hybrid working*. If you're excited by this role but have some doubts about whether it's the right fit for you, send us your application - if your profile fits the role's criteria, we will be in touch to assist in helping to get you set up with any reasonable adjustments you may require. *Not all positions can accommodate changes to working hours or locations. Reach out to your Recruitment Partner if you want to know more. Permanent
    $150k-215k yearly Auto-Apply 39d ago
  • Liability Claims Specialist (REMOTE - TX, FL)

    HMA Group Holdings 3.7company rating

    Florida jobs

    We are looking to add a Liability Claims Specialist to join our Creative Risk Solutions team. This team member will provide high-quality claims handling and expertise for CRS customers, including investigating, evaluating, and resolving auto and general liability claims, potentially involving litigated files. We offer a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Creative Risk Solutions! Essential Responsibilities: · Review coverage for commercial auto and general liability claims. · Adjudicate claims, investigate bodily injury/liability claims, and negotiate settlements using "Best Practices for Claims." · Maintain accurate loss information and establish/maintain reserves within authority. · Research and respond to questions and complaints from insureds, claimants, agency partners, and carriers. · Monitor and control litigated claims, ensuring timely responses and protection of insureds' and carriers' interests. · Participate in claim reviews and Risk Control Workshops. · Identify and pursue subrogation and report fraud when applicable. · Train and mentor Liability Claims Specialists I and II. Qualifications: · Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. · Licensing: Active state specific Life & Health/Property Casualty Insurance agent's license required or the ability to acquire license within three months of hire. · Experience: 5+ years of adjusting property and casualty claims. Prior agency involvement preferred. · Skills & Technical Competencies: Knowledge of both general and auto liability coverages, claims processing procedures, perform complex mathematical calculations, ability to learn multiple state insurance regulations and pass state licensing exams. Understand and apply claims principles, practices, and insurance coverage interpretation for consulting, evaluating, and resolving claims. Contributes to workflows while utilizing resources to deliver a world-class client experience and ensure compliance. Fosters relationships by understanding relevant parties, prioritizing problem-solving, and collaborating to deliver impactful solutions. Here's a little bit about us: Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: · Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey! · Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow. · 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for. · Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first. · Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you. · DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish! · Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing. · Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?! Holmes Murphy & Associates is an Equal Opportunity Employer. #LI-SM1
    $43k-76k yearly est. Auto-Apply 20d ago
  • Warranty Claims Clerk - Miami Gardens, FL

    El Dorado Furniture Corp 4.3company rating

    Miami, FL jobs

    About Us El Dorado Furniture was established in South Florida in 1967, El Dorado Furniture has grown to become the largest Hispanic-owned furniture retail enterprise in the United States. With services offered all over the world, the family owned company is ranked among the top 50 furniture retailers in the country. There are currently 15 El Dorado Furniture Showrooms and 3 outlet centers in Florida. Essential Responsibilities Receive, evaluate and process service requests, claims and warranty issues. Create, schedule and follow-up on credit memos, exchanges, service orders or parts requests resulting from warranty claims. Handle complete charge back process related to warranty claims. Work together with other key departments to find a solution for the customer. Qualifications Excellent Problem solving skills Organized with ability to manage projects and prioritize activities in order to meet deadlines Good listener - Excellent phone etiquette Able to multitask and work under pressure Fast learner Able to identify and anticipate customer's needs Ability to work independently and make decisions without supervision Education and/or Experience Minimum of 5 years of customer service experience preferred Fluent in written and oral communication in English and Spanish Mathematical skills general knowledge Computer literate Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Office Environment. EQUAL OPPORTUNITY EMPLOYER El Dorado Furniture is a drug free workplace equal opportunity employer and does not discriminate on the basis of an applicant's or employee's race, color, religion, national origin, sex, age, disability, veteran or marital status, genetic information, citizenship, sexual orientation, or any other legally protected status entitled to protection under federal, state, or local anti-discrimination laws. No questions on this Application are intended to secure information to be used for impermissible purposes. El Dorado Furniture is committed to complying with the Americans With Disabilities Act, as amended, and to providing reasonable accommodations to enable qualified applicants with disabilities to have equal opportunity to apply for job openings. Any applicant requiring assistance with our online application process or who needs to be accommodated due to a disability should contact Human Resources for assistance or request assistance from the location where you are applying. You may contact our Human Resources Recruiter at the following phone number ************ Ext: 55379 EOE/DFWP
    $29k-33k yearly est. Auto-Apply 60d+ ago
  • Workers' Compensation Claims Specialist (Remote - MN, SD, WI, PA, IA)

    HMA Group Holdings 3.7company rating

    Minnesota jobs

    Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently-empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers' Compensation Claims Specialist to join our team. Experience handling claims in Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa is preferred. Essential Responsibilities: Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves Workers' Compensation claims. Mediates situations as they arise between the insured and the insurance company, with some support from leader as needed, to include researching coverage issues. Enters and maintains accurate information on a computer system during the claim process, to include final settlement information. Generates checks for indemnity and medical payments daily. Develops and monitors consistency in procedural matters of the claims handling process with CRS. Compiles and interprets Workers' compensation reports on designated accounts, as requested. Ability to adjudicate lost time claims. Participates in claim reviews and attends Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone. Performs special projects and other duties as requested. Qualifications: Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Willingness and ability to obtain additional state specific licenses during duration of employment as needed. Experience: 2-4 years claims experience with strong background in Workers' Compensation coverage. Technical Competencies: Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims. Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims. Here's a little bit about us: At Creative Risk Solutions, you'll be part of a collaborative, innovative team that values trust, communication, and client focus. We offer competitive compensation, comprehensive benefits, and opportunities for professional growth within the Holmes Murphy family. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey! Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow. 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for. Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first. Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you. DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish! Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing. Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?! The salary range for this role is $45,800- $78,800. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development. Holmes Murphy & Associates is an Equal Opportunity Employer. #LI-SM1
    $45.8k-78.8k yearly Auto-Apply 20d ago
  • Workers' Compensation Claims Specialist (REMOTE - IA, MN, NE, WI)

    HMA Group Holdings 3.7company rating

    Minnesota jobs

    We are looking to add a Workers' Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in Iowa, Minnesota, Nebraska, and Wisconsin. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: · Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. · Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims. · Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues. · Enters and maintains accurate information on a computer system during the claim process, to include final settlement information. · Generates checks for indemnity and medical payments daily. · Develops and monitors consistency in procedural matters of claims handling process within CRS. · Willingness to become licensed if required in jurisdiction where claims are handled. Qualifications: · Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. · Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling. · Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in Iowa, Nebraska, Wisconsin, and Minnesota. · Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs. · Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience. Here's a little bit about us: Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: · Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey! · Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow. · 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for. · Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first. · Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you. · DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish! · Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing. · Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?! Holmes Murphy & Associates is an Equal Opportunity Employer. #LI-SM1
    $34k-57k yearly est. Auto-Apply 21d ago
  • AV Curriculum and Certification Specialist

    Legrand 4.2company rating

    Minnetonka, MN jobs

    Thank you for your interest in becoming part of the team at Legrand! The L&D Program Specialist will assist the design, delivery, and management of impactful learning experiences for internal teams, customers, and industry partners. This role combines instructional design expertise with program management for certifications and Legrand AV University initiatives, ensuring our training ecosystem supports sales enablement, customer success, and partner engagement. The position will be involved in online and in-person training programs, certification tracks, and collaborative efforts with industry partners to elevate knowledge and adoption of our solutions.DUTIES AND ACCOUNTABILITIES Assist L&D Leadership with strategic planning and program design. Manage certification programs for dealers, installers, and partners, including AV University partnerships and industry alignment. Assist instructional designers, SMEs, and others involved in training development. Oversee learning metrics, certification tracking, and reporting through LMS platforms. Lead initiatives for learning assessment and evaluation, including formative and summative assessments, gamification, and certification exams. Identify learning gaps and opportunities through empathy interviews and feedback; design and implement strategies to enhance learner experience, loyalty, and retention. Create innovative, engaging learning experiences for customers and partners, including interactive activities, simulations, and games that drive retention and knowledge transfer. Assist with instructional design-analysis, design, development, multimedia creation, and program evaluation Transform lecture material and presentations into compelling, effective training content. Collaborate with SMEs across the organization to ensure accuracy and relevance. Administer and optimize online learning platforms - Legrand AV University, SharePoint Sites, including reporting and analytics. Develop expertise in Articulate 360 and video editing tools to produce interactive, high-quality content and learning modules. Maintain accurate archives of course documentation, certification records, and departmental tracking. Drive cross-functional collaboration to gather insights and improve efficiencies. Lead special projects related to training, enablement, and partner engagement. Provide input and guidance on instructional programs developed by Product Management Teams of Legrand AV. Stay current on emerging training technologies and methodologies. Deliver high-quality work and meet commitments consistently. Promote workplace safety and participate in safety programs and initiatives. Demonstrate core values: Integrity, Customer Responsiveness, Innovation, Passionate Contribution & Empowerment, and Continuous Improvement. Travel occasionally for off-site training and trade show events (minimal). JOB REQUIREMENTSEssential Knowledge, Skills and Abilities Required: A growth mindset coupled with a strong drive to get better and be better at your craft. Expertise in the “how” of instructional design, including how people learn, how best to engage them, and how to leverage tools and resources to be both effective and efficient. Demonstrated ability to produce high-quality, engaging learning products, including training videos, animations, and other multimedia learning activities. Familiarity and experience with applying sound instructional design theory to the creation of L&D programs and initiatives, including online courses and Instructor-Led Training (ILT). Strong project management skills along with excellent written and oral communication skills. Ability to get work done on time, rinse and repeat. Ability to demonstrate flexible and efficient time management and to appropriately prioritize workload based upon organization or department needs. Detail orientation and excellent follow-through skills. Minimum Education and Experience Required: Bachelor's Degree with a minimum of 3-5 years of e-learning and/or traditional instructional design experience. Proven experience designing high-quality e-learning modules and delivering impactful Instructor-Led Training (ILT) that enhances retention and supports revenue growth. Strong background in curriculum development for certification programs and partner training initiatives, ensuring alignment with industry standards and business objectives. Familiarity with AV industry organizations and standards, including InfoComm, CEDIA, AIA, and BICSI, with the ability to integrate these frameworks into training programs. Demonstrated success collaborating with SMEs to create effective learning solutions, including structured kick-off processes and stakeholder alignment. Preferred Qualifications: Experience applying instructional techniques and design methods specifically for manufacturer product training within the AV industry. Ability to develop curriculum and training programs that showcase AV technologies, ensuring content is engaging, retention-focused, and aligned with revenue growth objectives. Familiarity with AV industry standards and organizations such as InfoComm, CEDIA, AIA, and BICSI, and the ability to incorporate these frameworks into training initiatives. Strong understanding of AV technology and equipment, with the capability to translate complex technical concepts into clear, impactful learning experiences. Special Job Requirements: Ability to work flexible hours as needed - particularly at planned sales and customer meetings. WORKING CONDITIONS/PHYSICAL DEMANDS While performing the duties of this job, the employee is regularly required (for the majority of the working day) to sit and make coordinated movements of the fingers for data entry on a keyboard. Duties will occasionally require the employee to be able to reach above shoulder level, reach below knee level, bend, stoop, squat/kneel; and lift, push or pull up to 50 pounds. General office environment. Long-distance or air travel as needed - not to exceed 10% travel. Note: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Legrand is proud to be an Equal Opportunity Employer. You will be considered for this position based upon your experience and education, without regard to race, color, religion, age, sex, national origin, sexual orientation, ancestry; marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. If you'd like to work in a fun, creative, business-casual environment that offers a comprehensive benefit package, we encourage you to apply! Legrand is an equal employment opportunity employer. For California residents, please see the link for the Privacy Notice for Candidates. California law requires that we provide you this notice about the collection and use of your personal Information.
    $24k-36k yearly est. Auto-Apply 60d ago

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