Claims Representative jobs at W. R. Berkley - 2193 jobs
General Liability Claims Representative
W. R. Berkley Corporation 4.2
Claims representative job at W. R. Berkley
Berkley Luxury is seeking a Senior Claims Specialist to join our growing team in our new Parsippany, NJ office.
In this role, you'll manage a wide range of commercial lines casualty claims, including litigated matters, while delivering exceptional customer service and collaborating with a high-performing team.
What you'll do:
Conduct thorough investigations and analyze coverage, liability, and damages
Manage litigated claims and work closely with defense counsel
Negotiate resolutions through mediation and arbitration
Prepare reports and ensure compliance with regulations
What we're looking for:
5-7 years of experience handling commercial general liability claims
Strong litigation management and negotiation skills
Bachelor's degree (JD a plus)
This is a fantastic opportunity to join a company that values accountability, collaboration, and continuous learning.
If you're interested in learning more, let's connect!
$67k-81k yearly est. 3d ago
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Claims Analyst - Cox Health Plans
L.E. Cox Medical Centers 4.4
Springfield, MO jobs
:The Claims Analyst reviews and accurately adjudicates all member and provider submitted medical claims. Responsible for accurate data entry of paper claim forms. Responsible for validating scanned data that is recognized by the scanning software.
The Claims Analyst is responsible for documenting member's response to inquiry letters.
Education: ▪ Required: High School Diploma or Equivalent Experience: ▪ Preferred: 1-2 Years Related Experience Skills: ▪ Excellent verbal and written communication skills.
▪ Able to work independently and collaboratively in teams.
▪ Self starter.
▪ Proficient in using computers and computer systems Licensure/Certification/Registration: ▪ N/A
$35k-52k yearly est. 17d ago
Automotive Claims Representative - Training Provided!
Plymouth Rock Assurance 4.7
Boston, MA jobs
At Plymouth Rock Assurance, our Claims team embodies the traits of Understanding, Engaging, and Energetic, serving as the first point of contact for our policyholders who have experienced an automobile incident.
As a ClaimsRepresentative, you will become part of a fast paced, rewarding, and diverse team that appreciates the importance of a healthy work/life balance. We are looking for high potential individuals to join our fast-track claims unit with an in-depth training program, so no prior insurance experience is needed for this role. Many of our ClaimsRepresentatives have benefited from internal growth opportunities and have secured more senior Claims or Supervisor level roles within our company. Apply now and start your career at Plymouth Rock!
We are currently a Hybrid work environment- 4 days in the Boston office and 1 day work from home.
Here Is What You Will Do
Customer-centric employee: Conveying a calm, caring attitude, you will provide best-in-class service to customers while processing new claims.
Understanding and providing Empathy is key to this role.
Collaborative partner: Working with internal and external partners, you'll support policyholders while their claims are being processed.
Energetic worker: In our fast-paced environment, you will handle customers' needs-quickly, effectively and in a friendly, caring manner.
Problem solver: No day is predictable; you'll utilize out-of-the-box, creative thinking to resolve a wide variety of claims challenges and customer issues.
Clear communicator: You'll provide policyholders with the information they need by clearly setting expectations and outlining next steps.
Accessibility: Being available for customers via email, text, or phone to walk them step-by-step through the auto claim process and explain existing coverage.
Here Is What You Will Bring To The Table
A history of working customer service facing roles, hospitality, or retail, with previous call center experience a plus.
Being on the phone consistently throughout the day is a requirement of the role.
Excellent organizational and time management skills.
Being able to pivot through different applications throughout the day.
Prioritizing your day and staying organized is key.
An associate or bachelor's degree preferred.
Willingness to continue learning about products, procedures, and technical systems as you grow in this role.
Why work for us
Grow personally and professionally through our collaborative team environment
Gain support and guidance to expedite proficiency through our mentor program
4 weeks accrued paid time off + 9 paid national holidays per year
Onsite Free Parking
LinkedIn Learning Courses
12-week Training Program
Tuition Reimbursement
Low cost and excellent coverage health insurance options (medical, dental, vision)
Robust health and wellness program and fitness reimbursements
Auto and home insurance discounts
2:1 Matching gift opportunities
Annual 401(k) Employer Contribution (up to 7.5% of your base salary)
Company sponsored social events
Various Paid Family leave options including Paid Parental Leave
Salary Range: The pay range for this position is $45,000 to $50,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
About The Company
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
$45k-50.5k yearly 4d ago
Claims Adjuster
Network Adjusters, Inc. 4.1
Farmingdale, NY jobs
Network Adjusters is seeking experienced General Liability and/or Construction Defect Claims Adjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of third-party construction defect claims, including property damage and liability exposures, while delivering consistent, high-quality claims management in alignment with industry best practices.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Construction Defect Claims Adjusters are responsible for managing complex third-party claims related to construction projects from inception through closure. Claims may include third-party property damage, bodily injury, and other specialized construction-related exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, determine coverage, negotiate settlements, and handle litigated matters as needed while maintaining clear, professional communication with all involved parties.
Adjusters routinely conduct site inspections, gather statements from claimants, witnesses, and contractors, coordinate with external experts, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role.
Responsibilities
Apply in-depth knowledge of General Liability and Construction Defect claims to manage complex third-party property damage, bodily injury, and related losses
Deliver high-quality customer service to insureds, claimants, carrier clients, and internal stakeholders
Review and analyze coverage by applying policy conditions, provisions, exclusions, and endorsements, and address jurisdictional considerations such as negligence laws, immunity, and financial responsibility limits
Investigate claims to determine liability and potential sources of recovery by contacting, interviewing, and coordinating with appropriate parties and external experts
Effectively manage litigated claims, including coordination with defense and coverage counsel
Establish, document, and maintain appropriate claim and expense reserves in a timely manner
Develop and execute plans of action for claim resolution, including diary management and timely follow-up
Determine settlement values using independent judgment, applicable limits, and deductibles, and negotiate settlements within assigned authority
Draft denial letters, reservation of rights, tenders, and other routine or complex claim correspondence
Identify and pursue subrogation opportunities when applicable
Prepare client-specific reports and detailed claim analyses, and consult with senior technical staff to ensure proper file handling
Document all claim activity in accordance with established procedures and Best Practices
Ensure compliance with all state-specific regulatory requirements and quality standards
Manage multiple competing priorities to ensure timely payments, follow-up, and claim resolution
Qualifications
2-5 years of claims handling experience, preferably in third-party General Liability and/or Construction Defect
College or technical degree, or equivalent relevant business experience
Ability to obtain and maintain required adjuster licenses, including completion of continuing education
Strong analytical, investigative, decision-making, and negotiation skills, with the ability to manage conflict effectively
Excellent verbal and written communication skills, with a customer-focused and empathetic approach
Strong organizational and time management skills with the ability to multitask in a fast-paced environment
High attention to detail, accuracy, confidentiality, and sound judgment
Proficiency in MS Word, Outlook, Excel, and standard business software
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: $75,000-$100,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Farmingdale, NY (On-site)
Remote opportunities may be available for experienced candidates who meet all required criteria.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$75k-100k yearly 1d ago
Claims Representative, Auto Total Loss
Plymouth Rock Assurance 4.7
Boston, MA jobs
The Total Loss Unit within our Auto Claims Organization is responsible for identifying, negotiating and settling total losses with both insureds and claimants. The Total Loss ClaimsRepresentative processes payments and is responsible for the documentation of assigned claims as well as coordinating disposition of the total loss salvage vehicle. He or she is responsible for controlling total loss expenses and salvage recoveries on all total losses assigned.
Perks:
4 weeks accrued paid time off + 9 paid national holidays per year
Robust wellness & health and fitness reimbursement programs
401(k) bonus program
Tuition reimbursement
Auto and home insurance discounts
Volunteer opportunities
2:1 donation matching program
Company-paid life and disability insurance plans
Optional medical, dental, vision, legal, pet insurance, FSA and identity theft protection plans
Responsibilities:
Negotiates and communicates all total loss and diminished value settlements per company and state guidelines. Multi jurisdictions, including MA, NH, CT, NY, and others as required
Understands the total loss evaluation methodology processes with the ability to effectively communicate these to vehicle owners.
Has a basic understanding of vehicle financing / leasing.
Reviews damage estimates to confirm vehicles are total losses.
Documents all settlements and actions in the claim file system.
Works directly with salvage vendor to move vehicles and obtains salvage bids where necessary
Negotiates and settles claims within his/her individual authority. Submits claims for approval to supervisor when over his/her authority or for guidance, review and/or referral when appropriate.
Escalates claims to supervisor that are not moving in a positive direction.
Maintains an effective diary system on pending files. Prioritize and handle multiple tasks simultaneously.
Quickly adjusts to fluctuating workload and responsibilities.
Keeps involved parties and agents updated on the status of the claim and emerging issues.
Ensures that service, loss and expense control are maintained at all times.
Adheres to privacy guidelines, law and regulations pertaining to claims handling.
Prepares payments to vehicle owners, banks and lease companies.
This role will report in person to our Boston office, located directly across from South Station.
Knowledge/Skills:
Property and casualty claims handling experience desired
Ability to work independently and in a team environment
Excellent oral and written communication skills
Excellent organizational skills
Solid problem solving skills
Proficient in Word, Excel, MS Outlook
Educational Requirements:
Bachelor's degree from four-year college or university or commensurate work experience preferred
Previous auto claims handling
State Adjusting licenses or the ability to obtain them within 6 months of employment
Salary Range: The pay range for this position is $50,000 to $73,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
The Plymouth Rock Company and its affiliated group of companies write and manage over $2.2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 2,000 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
$50k-73.5k yearly 4d ago
Claims Representative, Total Loss
Plymouth Rock Assurance 4.7
Parsippany-Troy Hills, NJ jobs
The Total Loss Unit within our Claims Organization is responsible for identifying, negotiating and settling total losses with both insureds and claimants. The Total Loss ClaimRepresentative processes payments and is responsible for the documentation of assigned claims as well as coordinate disposition of the total loss salvage vehicle. He/she is responsible for controlling total loss expenses and salvage recoveries on all total losses assigned.
Responsibilities:
Negotiates and communicates all total loss and diminished value settlements per company and state guidelines. Multi jurisdictions, including MA, NH, CT, NY, and others as required
Understands the total loss evaluation methodology processes with the ability to effectively communicate these to vehicle owners.
Has a basic understanding of vehicle financing / leasing.
Reviews damage estimates to confirm vehicles are total losses.
Documents all settlements and actions in the claim file system.
Works directly with salvage vendor to move vehicles and obtains salvage bids where necessary
Negotiates and settles claims within his/her individual authority. Submits claims for approval to supervisor when over his/her authority or for guidance, review and/or referral when appropriate.
Escalates claims to supervisor that are not moving in a positive direction.
Maintains an effective diary system on pending files. Prioritize and handle multiple tasks simultaneously.
Quickly adjusts to fluctuating workload and responsibilities.
Keeps involved parties and agents updated on the status of the claim and emerging issues.
Ensures that service, loss and expense control are maintained at all times.
Adheres to privacy guidelines, law and regulations pertaining to claims handling.
Prepares payments to vehicle owners, banks and lease companies.
This role will report in person to our Boston office, located directly across from South Station.
Qualifications:
Property and casualty claims handling experience desired
Ability to work independently and in a team environment
Excellent oral and written communication skills
Excellent organizational skills
Solid problem solving skills
Proficient in Word, Excel, MS Outlook
Salary Range: The pay range for this position is $48,000 to $73,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
Perks and Benefits:
4 weeks accrued paid time off + 9 paid national holidays per year
Robust wellness & health and fitness reimbursement programs
401(k) bonus program
Tuition reimbursement
Auto and home insurance discounts
Volunteer opportunities
2:1 donation matching program
Company-paid life and disability insurance plans
Optional medical, dental, vision, legal, pet insurance, FSA and identity theft protection plans
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
$48k-73.5k yearly 4d ago
Claims Adjuster
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking experienced General Liability and/or Construction Defect Claims Adjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of third-party construction defect claims, including property damage and liability exposures, while delivering consistent, high-quality claims management in alignment with industry best practices.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Construction Defect Claims Adjusters are responsible for managing complex third-party claims related to construction projects from inception through closure. Claims may include third-party property damage, bodily injury, and other specialized construction-related exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, determine coverage, negotiate settlements, and handle litigated matters as needed while maintaining clear, professional communication with all involved parties.
Adjusters routinely conduct site inspections, gather statements from claimants, witnesses, and contractors, coordinate with external experts, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role.
Responsibilities
Apply in-depth knowledge of General Liability and Construction Defect claims to manage complex third-party property damage, bodily injury, and related losses
Deliver high-quality customer service to insureds, claimants, carrier clients, and internal stakeholders
Review and analyze coverage by applying policy conditions, provisions, exclusions, and endorsements, and address jurisdictional considerations such as negligence laws, immunity, and financial responsibility limits
Investigate claims to determine liability and potential sources of recovery by contacting, interviewing, and coordinating with appropriate parties and external experts
Effectively manage litigated claims, including coordination with defense and coverage counsel
Establish, document, and maintain appropriate claim and expense reserves in a timely manner
Develop and execute plans of action for claim resolution, including diary management and timely follow-up
Determine settlement values using independent judgment, applicable limits, and deductibles, and negotiate settlements within assigned authority
Draft denial letters, reservation of rights, tenders, and other routine or complex claim correspondence
Identify and pursue subrogation opportunities when applicable
Prepare client-specific reports and detailed claim analyses, and consult with senior technical staff to ensure proper file handling
Document all claim activity in accordance with established procedures and Best Practices
Ensure compliance with all state-specific regulatory requirements and quality standards
Manage multiple competing priorities to ensure timely payments, follow-up, and claim resolution
Qualifications
2-5 years of claims handling experience, preferably in third-party General Liability and/or Construction Defect
College or technical degree, or equivalent relevant business experience
Ability to obtain and maintain required adjuster licenses, including completion of continuing education
Strong analytical, investigative, decision-making, and negotiation skills, with the ability to manage conflict effectively
Excellent verbal and written communication skills, with a customer-focused and empathetic approach
Strong organizational and time management skills with the ability to multitask in a fast-paced environment
High attention to detail, accuracy, confidentiality, and sound judgment
Proficiency in MS Word, Outlook, Excel, and standard business software
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: $75,000-$100,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Denver, CO (On-site)
Remote opportunities may be available for experienced candidates who meet all required criteria.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$75k-100k yearly 1d ago
General Liability Claims Supervisor
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking an experienced General Liability and/or Construction Defect Claims Supervisor to join our third-party administrative insurance handling team. This leadership role is ideal for professionals who thrive in fast-paced claims environments and are passionate about team development, technical excellence, and delivering strong customer service outcomes.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
General Liability Claims Supervisors oversee the full lifecycle of claims handling while ensuring compliance, service standards, and industry best practices are consistently met. In this role, you will hire, onboard, train, and develop a team of adjusters specializing in general liability and construction defect claims, providing both strategic and technical guidance throughout the claims process.
You will play a key role in maintaining departmental protocols, supporting complex claim resolution, and delivering strong customer service outcomes for carriers, clients, and internal stakeholders. This is a desk-based role.
Responsibilities
Supervise and manage a team of claims adjusters, providing guidance, training, and ongoing support to drive performance and professional development
Hire, onboard, train, and develop staff as needed
Review and analyze coverage, policies, claim forms, and supporting documentation to ensure accurate and compliant claim handling
Oversee the full claims lifecycle, including damage evaluation, loss determination, settlement negotiations, and resolution
Ensure compliance with all regulatory requirements, company guidelines, and industry Best Practices
Implement and monitor quality control standards and QA/QC measures to ensure consistency, accuracy, and efficiency in claims handling
Collaborate with carriers, attorneys, claimants, and internal stakeholders to resolve disputes and provide a positive claims experience
Track and analyze team and departmental performance metrics, establish targets, and implement strategies to meet or exceed goals
Prepare and present reports to senior management and clients, highlighting performance trends, risks, and improvement opportunities
Stay current on industry regulations, case law, statutes, and evolving claims best practices
Qualifications
Minimum 5 years of claims handling experience in General Liability or Construction Defect claims
Minimum 3 years of supervisory or managerial experience, preferably within insurance claims
Strong leadership skills with the ability to mentor, motivate, and develop a team
Superior knowledge of case law, statutes, and procedures impacting claim handling and valuation
Excellent analytical, evaluation, strategic, and negotiation skills
Ability to prioritize workload and manage multiple tasks effectively in a fast-paced environment
Strong problem-solving skills with keen attention to detail
Proficiency in MS Office Suite and other standard business software
Polished written and verbal communication skills
Bachelor's degree in a relevant field or equivalent work experience
Compensation & Benefits
Salary: $110,000-$140,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Denver, CO
Remote opportunities may be available for experienced candidates who meet all required criteria.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$110k-140k yearly 1d ago
Bodily Injury Claims Adjuster
Network Adjusters, Inc. 4.1
Farmingdale, NY jobs
Network Adjusters is seeking skilled Bodily Injury Claims Adjusters to join our liability claims team. This role focuses on the investigation, evaluation, negotiation, and resolution of complex commercial bodily injury claims while delivering consistent, high-quality claims management in alignment with industry best practices.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Bodily Injury Claims Adjusters are responsible for managing commercial bodily injury claims from inception through closure. Claims may include complex commercial auto and general liability exposures with higher severity and specialization. In this role, you will investigate losses, analyze policy language, evaluate damages, negotiate settlements, and handle litigated matters while exercising a high level of independent judgment.
Adjusters routinely take statements, review medical records and police reports, collaborate with legal counsel when necessary, and ensure all claim activity complies with state-specific regulations and Network Adjusters' quality standards and Best Claims Practices. This is a desk-based role.
Responsibilities
Handle complex Commercial Auto and General Liability bodily injury claims from inception to closure
Investigate, evaluate, negotiate, and manage claims involving higher severity and exposure
Provide superior customer service to insureds, claimants, carrier clients, and internal stakeholders
Conduct comprehensive interviews, secure statements, and gather evidence from claimants, witnesses, medical providers, and law enforcement agencies
Analyze insurance contracts and policy language to determine coverage applicability
Review medical records, police reports, and related documentation to evaluate injuries and liability
Establish, monitor, and adjust reserve requirements throughout the life of the claim
Determine settlement values using independent judgment, applicable limits, deductibles, and collaboration with legal counsel when necessary
Handle litigated matters and negotiate settlements within assigned authority
Prepare professional written correspondence summarizing coverage analysis and claim decisions
Communicate claim decisions and sensitive developments with clarity, confidence, and empathy
Maintain accurate, up-to-date claim files, diaries, and documentation
Ensure compliance with applicable regulations and Network Adjusters' quality standards and Best Claims Practices
Qualifications
Minimum 3 years of bodily injury claims handling experience
Strong verbal and written communication skills
Proficiency in MS Word, Outlook, Excel, and standard business software
Strong customer service skills with demonstrated empathy
Advanced analytical, investigative, negotiation, and decision-making abilities
Excellent organizational and time management skills with the ability to manage complex workloads
High attention to detail and commitment to accuracy
Ability to maintain confidentiality
College or technical degree, or equivalent business experience preferred
Ability to obtain and maintain required adjuster licenses, including continuing education
Knowledge of the security industry and/or rideshare industry is beneficial
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: Starting from $75,000+ annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Farmingdale, NY
This role is on-site only; remote or hybrid arrangements are not available.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$75k yearly 1d ago
Claims Adjuster/Examiner
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking experienced Claims Adjusters to join our third-party administrative insurance handling team in a file review role. This is a high-visibility position reporting directly to executive management, ideal for professionals who thrive on complex claims, strategic problem-solving, and driving resolution.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Disposition Analysts supports two key initiatives:
Assisting with onboarding triage and review of new claim programs
Reviewing existing claim files for closure with current carrier partners
You'll work in a fast-paced environment reviewing high-exposure, complex claims, identifying resolution opportunities, and providing actionable feedback to leadership - all while ensuring compliance and service standards are met.
Claims may include Commercial General Liability, Auto, Property Damage, Construction Bodily Injury, Construction Defect, D&O, Cyber, and Builder's Risk. Experience across all lines is not required; adaptability and a willingness to learn are essential. This is a desk-based role.
Responsibilities
Analyze coverage by reviewing policies, claim forms, and supporting documentation
Handle complex commercial and bodily injury claims, including in-depth file reviews, damage evaluation, settlement negotiation, and driving claims to resolution
Communicate and collaborate with carriers, attorneys, claimants, and internal stakeholders throughout the claims lifecycle
Prepare management and client reports, identifying claim trends and opportunities for improvement
Ensure compliance with regulatory requirements and industry best practices
Qualifications
3+ years of commercial bodily injury claims handling experience, including litigation
Strong working knowledge of case law, statutes, and claims procedures
Excellent analytical, evaluation, negotiation, and strategic decision-making skills
Ability to manage multiple priorities in a fast-paced, high-volume environment
Confident communicator with polished written and verbal communication skills
College or technical degree, or equivalent relevant business experience
Active Texas or Florida P&C Adjusting License (or ability to obtain within 90 days); ability to obtain New York P&C Adjusting License within 90 days
Proficiency in MS Office and standard business software
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: $70,000-$90,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Denver, CO
This role is on-site only; remote or hybrid arrangements are not available.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$70k-90k yearly 1d ago
Claims Supervisor
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking an experienced First-Party Property Damage Claims Supervisor to join our third-party administrative insurance handling team. This leadership role is ideal for professionals who thrive in fast-paced claims environments and are passionate about team development, technical excellence, and delivering strong customer service outcomes.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Property Claims Supervisors oversee the full lifecycle of claims handling while ensuring compliance, service standards, and industry best practices are consistently met. In this role, you will hire, onboard, train, and develop a team of adjusters specializing in commercial property losses, providing both strategic and technical guidance throughout the claims process.
You will play a key role in maintaining departmental protocols, supporting complex claim resolution, and delivering strong customer service outcomes for carriers, clients, and internal stakeholders. This is a desk-based role.
Responsibilities
Supervise and manage a team of claims adjusters, providing guidance, training, and ongoing support to drive performance and professional development
Hire, onboard, train, and develop staff as needed
Review and analyze coverage, policies, claim forms, and supporting documentation to ensure accurate and compliant claim handling
Oversee the full claims lifecycle, including damage evaluation, loss determination, settlement negotiations, and resolution
Ensure compliance with all regulatory requirements, company guidelines, and industry Best Practices
Implement and monitor quality control standards and QA/QC measures to ensure consistency, accuracy, and efficiency in claims handling
Collaborate with carriers, attorneys, claimants, and internal stakeholders to resolve disputes and provide a positive claims experience
Track and analyze team and departmental performance metrics, establish targets, and implement strategies to meet or exceed goals
Prepare and present reports to senior management and clients, highlighting performance trends, risks, and improvement opportunities
Stay current on industry regulations, case law, statutes, and evolving claims best practices
Qualifications
Minimum 5 years of claims handling experience, including first-party property claims
Strong leadership skills with the ability to mentor, motivate, and develop a team
Superior knowledge of case law, statutes, and procedures impacting claim handling and valuation
Excellent analytical, evaluation, strategic, and negotiation skills
Ability to prioritize workload and manage multiple tasks effectively in a fast-paced environment
Strong problem-solving skills with keen attention to detail
Proficiency in MS Office Suite and other standard business software
Polished written and verbal communication skills
Bachelor's degree in a relevant field or equivalent work experience
Compensation & Benefits
Salary: $85,000-$110,000 annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Denver, CO
This role is on-site only; remote or hybrid arrangements are not available.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$85k-110k yearly 1d ago
Claims Adjuster
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking experienced Bodily Injury and Property Claims Adjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of moderate to complex commercial bodily injury claims while delivering consistent, high-quality claims management in alignment with industry best practices.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Bodily Injury and/or Property Claims Adjusters are responsible for managing commercial bodily injury and/or property damage claims from inception through closure. Claims may include commercial auto and general liability exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, negotiate settlements, and handle litigated matters while maintaining clear, professional communication with all involved parties.
Adjusters routinely take statements, review medical records and police reports, collaborate with legal counsel when necessary, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role.
Responsibilities
Handle Commercial Auto and General Liability bodily injury and/or property damage claims of varying complexity and severity
Investigate, evaluate, negotiate, and manage claims in compliance with state regulations and Network Adjusters' Best Claims Practices
Provide exceptional customer service to insureds, claimants, carrier clients, and internal stakeholders, using empathy and conflict-resolution skills
Conduct interviews and gather evidence from claimants, witnesses, medical providers, and law enforcement agencies
Analyze insurance contracts and policy language to determine coverage applicability
Review medical records, police reports, and related documentation to evaluate injuries and liability
Establish, monitor, and adjust reserves throughout the life of the claim
Determine settlement values using independent judgment, applicable limits, and deductibles, collaborating with legal counsel when appropriate
Handle litigated matters and negotiate settlements within assigned authority
Maintain accurate claim files, diaries, and documentation
Communicate claim decisions and key developments to policyholders, claimants, attorneys, and other involved parties
Qualifications
Minimum 1 year of bodily injury and/or property claims handling experience
Strong verbal and written communication skills
Proficiency in MS Word, Outlook, Excel, and standard business software
Demonstrated customer service skills with empathy and professionalism
Strong analytical, investigative, and decision-making skills
Excellent negotiation and conflict-management abilities
Strong organizational and time management skills, with the ability to multitask in a dynamic environment
High attention to detail and commitment to accuracy
Ability to maintain confidentiality
College or technical degree, or equivalent business experience preferred
Ability to obtain and maintain required adjuster licenses, including continuing education
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: Starting from $70,000+ annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Denver, CO (On-site)
Remote opportunities may be available for experienced candidates who meet all required criteria.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$70k yearly 1d ago
Disability Claims Specialist (Part Time 20 hours+)
Hays 4.8
Tampa, FL jobs
We seek to make a meaningful impact in the lives of our customers and our communities. The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims Consultant is required to exercise independent judgment, critical thinking skills, exemplary customer service skills as well as effective inventory management skills.
Essential Business Experience and Technical Skills:
Required:
**3+ years of LTD/IDI Insurance Claims experience
•Prior experience with independent judgement and decision making while relying on the available facts
•Be able to demonstrate the use of critical thinking and analysis when reviewing the information
•Creative problem-solving abilities and the ability to think outside the box
•Excellent interpersonal and communication skills in both verbal and written form
•Excellent customer service skills proven through internal and external customer interactions
•Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively
•Organizational and time management skills
• Bachelor's degree
Key Responsibilities:
•Effectively manages with some level of oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS will be evaluated for increases in their authority levels as they become more experienced in their decision-making and demonstrate consistency in meeting all key performance indicators
•Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations
• Provides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are used to gather essential details regarding medical condition(s) and treatment, occupational demands, financial information and any other information that may be pertinent to the evaluation of the claim. Once telephone calls are completed, you will be required to document the conversation within the claim file in a timely manner utilizing the appropriate level of detail and professional writing skills
•Interacts and communicates effectively with claimants, customers, attorneys, brokers, and family members during claim evaluations
•Compiles file documentation and correspondence requiring extensive policy and factual detail. Analyzes information to determine if additional information is needed to make a reasonable and logical claims determination based off the information available
•Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions.
•Clarifies and reconciles inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed
•Proficiently calculates monthly benefits due after elimination period, to include COLA, Social Security Offsets, and Rehab Return to Work benefits, and other non-routine payments
•Provides timely and detailed written communication during the claim evaluation process which outlines the status of the evaluation and/or claim determination.
•Addresses and resolves escalated customer complaints in a timely and thorough manner. Identifies and refers appropriate matters to our appeals, complaint, or litigation support areas.
$56k-88k yearly est. 1d ago
Property Claims Adjuster
Network Adjusters, Inc. 4.1
Denver, CO jobs
Network Adjusters is seeking experienced Property Claims Adjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of first-party commercial property insurance claims while delivering consistent, high-quality claims management in alignment with industry best practices.
This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.
About the Role
Property Claims Adjusters are responsible for managing first-party commercial property claims from inception through closure. Claims may include fire, water, theft, or other property damage exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, determine coverage, negotiate settlements, and handle litigated matters as needed while maintaining clear, professional communication with all involved parties.
Adjusters routinely inspect damaged property, gather statements from claimants and witnesses, coordinate with contractors and external experts, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role.
Responsibilities
Deliver superior customer service to insureds, claimants, carrier clients, and internal stakeholders while meeting all client-specific reporting and analysis requirements
Review and analyze coverage using policy conditions, provisions, exclusions, and endorsements, including jurisdictional considerations such as negligence laws, financial responsibility limits, and immunity
Investigate claims to establish negligence, determine liability, and identify potential sources of recovery through fact-finding and interviews
Manage property damage and other first-party losses requiring specialized investigation and coordination with external experts in compliance with applicable laws
Establish, maintain, and adjust claim and expense reserves in a timely manner
Develop, document, and execute plans of action for claim resolution, including effective diary management and follow-up
Document all claim activities in accordance with established procedures and Best Practices
Draft and issue denial letters, reservation of rights, tenders, and other routine or complex correspondence
Collaborate with senior technical claim personnel to ensure proper file handling and strategic guidance
Determine settlement values using independent judgment, applicable limits, and deductibles, and negotiate settlements within assigned authority
Identify and pursue subrogation opportunities when applicable
Ensure compliance with all state-specific regulatory requirements and quality standards
Manage multiple competing priorities to ensure timely payments, follow-up, and resolution
Qualifications
Minimum 2 years of experience handling first-party property claims (commercial experience preferred)
College or technical degree, or equivalent relevant business experience
Ability to obtain and maintain required adjuster licenses, including completion of continuing education
Strong verbal and written communication skills with a customer-focused, empathetic approach
Proficiency in MS Word, Outlook, Excel, and general business software
Strong analytical, investigative, and decision-making skills, with high attention to detail and accuracy
Excellent negotiation and conflict management abilities
Strong organizational and time management skills, with the ability to multitask in a fast-paced environment
Ability to maintain confidentiality and exercise sound judgment
Bilingual proficiency preferred but not required
Compensation & Benefits
Salary: Starting from $65,000+ annually (based on licensure, certifications, and experience)
Training, development, and career growth opportunities
401(k) with company match and retirement planning
Paid time off and company-paid holidays
Comprehensive medical, dental, and vision insurance
Flexible Spending Account (FSA)
Company-paid life insurance and long-term disability
Supplemental life insurance and optional short-term disability
Strong work/family and employee assistance programs
Employee referral program
Location
📍 Denver, CO
This role is on-site only; remote or hybrid arrangements are not available.
About Network Adjusters
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$65k yearly 1d ago
Property Claims Adjuster
Western Mutual Insurance Group 4.0
San Antonio, TX jobs
Western Mutual has been providing excellent customer service to homeowners throughout the Southwestern United States for over 80 years. We are rated A (Excellent) with A.M. Best.
We have an immediate opening for a Property Claims Adjuster to work out of our San Antonio office. From the desk this individual will investigate and settle homeowner property claims of all types. This position requires a strong ability to resolve customer issues promptly and efficiently, while maintaining a positive and professional demeanor.
Skills, abilities and responsibilities include but are not limited to:
Reviews, negotiates and settles property damage claims including but not limited to; interior water damage; exterior wind or hail claims for roofing, siding, and fencing.
Generates professional correspondence to communicate claim decisions to all relevant parties such as insureds, public adjusters, and attorneys.
Maintains up to date claim diaries.
Ensures compliance with all company procedures, and department of insurance directives and regulations.
Possesses excellent negotiation skills characterized by a willingness to speak directly to all relevant parties, by phone, to settle differences and explain decisions.
Handles light office administrative duties.
Position Requirements:
3-5 years of property claim handling experience with exposure to handling homeowners claims under catastrophic conditions.
TX Property and Casualty license or TX All Lines license.
Experience with Xactimate.
Bilingual - English/Spanish highly preferred.
A Bachelor's degree is preferred.
Field Adjusting experience is a plus.
We offer a competitive salary and a full benefits package including a 401k Plan, Profit Sharing Plan and Bonus Plan.
Please submit your resume and salary requirement for consideration.
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Please see our Privacy Notice For Job Applicants here:*******************************************************************
$51k-61k yearly est. 4d ago
Transportation Claims Representative (Remote)
W.R. Berkley Corporation 4.2
Claims representative job at W. R. Berkley
Company Details Berkley Small Business Solutions (BSB) is committed to providing small business customers with the next generation of small business solutions, including offering operational, underwriting, and marketing opportunities. We offer insurance products to Small Business Owners for transportation and other main street businesses. We leverage underwriting expertise, data, and analytics, and automation for risk assessment, selection, pricing retention. We champion our customers, distribution always seeking a smarter way to provide a more efficient and better user experience.
We are a proud member of W. R. Berkley Corporation, one of the largest commercial lines property casualty insurance holding companies in the United States. With the resources of a large Fortune 500 corporation and the flexibility of a small company, we exclusively work with select independent agents to bring technology solutions that help them build their business.
Responsibilities
The position is responsible for handling low-complexity claims involving physical damage, property damage, total loss, fuel spills, medical payments, and cargo damage resulting from commercial auto claims. This position will work closely with insureds and stakeholders to ensure timely and accurate claims resolution and provide exceptional customer service.
Customer Service
* Act with urgency in establishing initial and subsequent contact with all parties and key stakeholders.
* Update appropriate parties as needed, providing new facts as they become available and explaining impact of those facts upon the liability analysis and settlement options.
* Collaborate with vendors to ensure timely appraisal and evaluation of damages.
Coverage
* Analyze coverage by applying policy information to facts or allegations of each loss.
* Communicate coverage decisions to insured and stakeholders and update coverage analysis as new facts warrant it.
* Ensure compliance with jurisdictional requirements, including timeliness of communicating coverage disposition.
Data Integrity
* Maintain discipline in securing and updating information throughout the life of the claim.
* Ensure data is complete and comply with statutory requirements for reporting.
Reserving
* Establish and maintain appropriate initial, subsequent loss, and expense reserves. Ensure supporting rationale for each reserve is documented within the electronic claim file.
* Act with urgency in collaborating with internal stakeholders regarding significant changes within claim reserving.
Investigation
* Directly investigate each claim through prompt and strategic contact with appropriate parties including policyholders, witnesses, claimants, law enforcement agencies, agents, medical providers, and technical experts to determine the extent of liability, damages, and contribution potential.
* Interview witnesses and stakeholders. Take recorded and/or written statements when appropriate.
* Evaluate all claims for recovery potential. Directly handle recovery efforts and/or engage and direct Company resources for recovery efforts.
Evaluation and Resolution
* Utilize diary management system to ensure all claims are handled timely and in compliance with jurisdictional requirements and Company guidelines.
* Collaborate with external vendors, e.g., appraisers and independent adjusters.
* Manage total loss claims process including vehicle appraisal procedures, diminished value, vendor networks, subrogation demands, salvage procedures and heavy equipment appraisals.
May perform other functions as assigned.
Remote work arrangements may be considered for qualified candidates who are open to travel as needed.
Qualifications
* 1+ years of casualty claim handling experience; trucking experience preferred.
* Excellent interpersonal and communication skills.
* Strong problem-solving and organizational skills.
* Computer proficiency, including working knowledge of Microsoft Office products.
* Previous experience in customer service role, or a related field, is preferred but not required.
* Willingness to learn and expand knowledge.
* Position will require that ClaimsRepresentative obtain independent adjuster's licenses for all states that have requirement, including but not limited to: AL, CT, GA, FL, ME, MS, NY, NC, SC, TN, TX. Licenses must be obtained within 90 days of hire and require course work, testing, and background checks that may include fingerprinting
Education
* College degree preferred or equivalent work experience.
Additional Company Details
**************************** The Company is an equal employment opportunity employer We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. • Salary Range: 75k - 90k • Eligible for annual discretionary bonus • Benefits: Health, Dental, Annual Bonus Potential, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Responsibilities The position is responsible for handling low-complexity claims involving physical damage, property damage, total loss, fuel spills, medical payments, and cargo damage resulting from commercial auto claims. This position will work closely with insureds and stakeholders to ensure timely and accurate claims resolution and provide exceptional customer service. Customer Service - Act with urgency in establishing initial and subsequent contact with all parties and key stakeholders. - Update appropriate parties as needed, providing new facts as they become available and explaining impact of those facts upon the liability analysis and settlement options. - Collaborate with vendors to ensure timely appraisal and evaluation of damages. Coverage - Analyze coverage by applying policy information to facts or allegations of each loss. - Communicate coverage decisions to insured and stakeholders and update coverage analysis as new facts warrant it. - Ensure compliance with jurisdictional requirements, including timeliness of communicating coverage disposition. Data Integrity - Maintain discipline in securing and updating information throughout the life of the claim. - Ensure data is complete and comply with statutory requirements for reporting. Reserving - Establish and maintain appropriate initial, subsequent loss, and expense reserves. Ensure supporting rationale for each reserve is documented within the electronic claim file. - Act with urgency in collaborating with internal stakeholders regarding significant changes within claim reserving. Investigation - Directly investigate each claim through prompt and strategic contact with appropriate parties including policyholders, witnesses, claimants, law enforcement agencies, agents, medical providers, and technical experts to determine the extent of liability, damages, and contribution potential. - Interview witnesses and stakeholders. Take recorded and/or written statements when appropriate. - Evaluate all claims for recovery potential. Directly handle recovery efforts and/or engage and direct Company resources for recovery efforts. Evaluation and Resolution - Utilize diary management system to ensure all claims are handled timely and in compliance with jurisdictional requirements and Company guidelines. - Collaborate with external vendors, e.g., appraisers and independent adjusters. - Manage total loss claims process including vehicle appraisal procedures, diminished value, vendor networks, subrogation demands, salvage procedures and heavy equipment appraisals. May perform other functions as assigned. Remote work arrangements may be considered for qualified candidates who are open to travel as needed.
$54k-68k yearly est. Auto-Apply 7d ago
Total Loss Adjuster
Hagerty Inc. 4.7
Remote
As a Total Loss Adjuster, you will handle claims where coverage is resolved and the damages to a vehicle render it a total loss. If liability is not resolved this adjuster would only handle 1st party total losses until liability is resolved. This adjuster should evaluate and settle 1st and 3rd party auto and specialty vehicle total loss claims and effectively negotiate claims to conclusion in a timely manner. Under moderate supervision using company guidelines, this adjuster should make appropriate decisions regarding settlement and resolution of the claims assigned to them.
Ready to get in the driver's seat? Join us!
What you'll do
* Makes timely and appropriate contacts with necessary parties
* Determines and completes appropriate level of investigation which includes but is not limited to reviewing policy contracts and communicating with underwriting
* Sets timely total loss reserves
* Notifies underwriting of total loss vehicles
* Obtains salvage values of total loss vehicles
* Prepares total loss damage evaluation, total loss letter, determination, and actual cash value of vehicle when appropriate
* Prepare and secure all needed paperwork
* Consistently provides excellent customer service
* Determines settlement value and negotiates proper settlement of claims within authority
* Provides recommendations for settlement and disposition of claims exceeding authority level
* Pursues subrogation when appropriate
* Provides backup assistance to team members when necessary
* Effectively manages workload and tasks to keep claims current and documented appropriately
* Identifies claims in which state required letters must be sent and sends those letters in a timely manner with accurate and thorough information
This might describe you
* Prior experience in a similar role required
* Effective and efficient use of computer applications including MS Office products
* Excellent organizational skills and written and verbal communication skills
* Experience in multiple jurisdictions is desired
* Exercise decisiveness and execution within their authority
* Must be detailed oriented
* Must be able to maintain a high level of accuracy
* Ability to work with highly confidential information
* Must be licensed and bondable
* Ability to work independently
* Familiarity of public company requirements, including Sarbanes Oxley and key regulations, if applicable.
Other things to note
This position can be worked as remote position within the United States.
Say hello to Hagerty
Hagerty is an automotive enthusiast brand and the world's largest membership organization. Along with being a best-in-class provider of specialty insurance for enthusiasts, Hagerty is also home to the Hagerty Drivers Foundation, Garage + Social, Hagerty Drivers Club, Marketplace and so much more. Committed to saving driving for future generations, each and every thing Hagerty does is dedicated to the love of the automobile.
Hagerty is a rapidly growing company that values a winning culture. We provide meaningful work for and invest in every single team member.
At Hagerty, we share the road. We are an inclusive automotive community where all are welcomed, valued and belong regardless of race, gender, age, or car preference. We are united by our shared passion for driving, our commitment to preserve car culture for future generations and our desire to make a positive impact in the world.
If you reside in the following jurisdictions: Illinois, Colorado, California, District of Columbia, Hawaii, Maryland, Minnesota, Nevada, New York, or Jersey City, New Jersey, Cincinnati or Toledo, Ohio, Rhode Island, Vermont, Washington, British Columbia, Canada please email ********************** for compensation, comprehensive benefits and the perks that set us apart.
#LI-Remote
EEO/AA
US Benefits Overview
Canada Benefits Overview
UK Benefits Overview
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
$38k-49k yearly est. Auto-Apply 4d ago
Adjuster II - LA
Tokio Marine Group 4.5
Los Angeles, CA jobs
Marketing Statement:
TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad range of claims related services in the areas of transportation, product liability and overseas travel accident insurance. As part of the Tokio Marine Group of companies TM Claims Service provides claims handling services throughout the US and the Americas. Founded in 1879, Tokio Marine is recognized as Japan's oldest insurer and one of the largest insurance groups in the world. Tokio marine has offices in 38 countries staffed by more than 15000 employees outside of Japan.
($34.00 to $47.00 hourly)
Job Summary:
Adjust Marine and Inland Marine claims, which includes surveyor appointment, reserve notification, and file maintenance. Understand claims relative to loss history and application of special claims procedures as may be required for individual accounts. Responsible for pursuing recovery against liable carriers.
Essential Job Functions:
Process and adjust ocean and inland marine claims.
Determine liability and/or necessity of surveyor with availability for occasional travel to loss sites.
Review survey reports or supporting documentation for determining loss.
Determine whether coverage exists for loss.
Prepare necessary correspondence with assured/claimant/broker inclusive of loss control and damage prevention reporting.
Handle tasks that require a high level of organization and attention to detail.
Conclude all settlement agreements.
Responsible for protecting all rights against third parties and/or responsible parties which may be liable.
Such responsibility may include direct recovery handling.
Comply with MCD business plan by conducting self audits, meet expectations of TMM/TMNF audits, and follow SLR procedures.
Participate in training seminars and additional technical training courses.
Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at Company.
Qualifications:
College degree preferred
Strong PC skills, including Word and Excel
Strong written and oral communication skills
Auto industry experience preferred
Minimum 3 years claims handling experience.
Ability to work as part of a team
EEO Statement:
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
$34-47 hourly Auto-Apply 31d ago
Claims Processing Expert
The Strickland Group 3.7
Phoenix, AZ jobs
Join Our Team as a Claims Processing Expert!
Are you a data-driven marketer who thrives on turning insights into impactful strategies? We are looking for a Claims Processing Expert to analyze key performance metrics, optimize marketing campaigns, and drive data-backed decision-making.
Why You'll Love This Role:
📊 Data-Driven Impact - Play a critical role in shaping marketing strategies through analytics.
🚀 Career Growth - Access professional development and leadership opportunities.
⏰ Work-Life Balance - Enjoy a flexible schedule with full-time opportunities.
💰 Competitive Compensation - Earn a stable income with performance-based incentives.
Your Responsibilities:
Analyze marketing campaign performance, customer behavior, and market trends.
Develop and track key performance indicators (KPIs) to measure marketing effectiveness.
Provide data-driven insights and recommendations to optimize marketing strategies.
Work with cross-functional teams to ensure data accuracy and consistency.
Utilize analytics tools (Google Analytics, Tableau, etc.) to generate reports and dashboards.
A/B test campaigns and refine strategies based on data insights.
What We're Looking For:
Proven experience in marketing analytics, data analysis, or a related field.
Proficiency in analytics tools such as Google Analytics, Tableau, or SQL.
Strong analytical and problem-solving skills.
Ability to translate complex data into actionable marketing strategies.
Experience with digital marketing metrics, reporting, and performance optimization.
Perks & Benefits:
Professional development and continuous learning opportunities.
Health insurance and retirement plans.
Performance-based bonuses and recognition programs.
Leadership growth and career advancement opportunities.
🚀 Ready to Turn Data into Growth?
If you're passionate about leveraging data to drive marketing success, apply today! Join us and help shape data-driven marketing strategies that make an impact.
Your journey as a Claims Processing Expert starts here-let's optimize for success together!
$29k-36k yearly est. Auto-Apply 58d ago
Claims Processing Expert
The Strickland Group 3.7
Raleigh, NC jobs
Join Our Dynamic Insurance Team - Unlock Your Potential!
Are you ready to take control of your future and build a career in one of the most stable and lucrative industries? We are seeking driven individuals to join our thriving insurance team, where you'll receive top-tier training, support, and unlimited income potential.
NOW HIRING:
✅ Licensed Life & Health Agents
✅ Unlicensed Individuals (We'll guide you through the licensing process!)
We're looking for our next leaders-those who want to build a career or an impactful part-time income stream.
Is This You?
✔ Willing to work hard and commit for long-term success?
✔ Ready to invest in yourself and your business?
✔ Self-motivated and disciplined, even when no one is watching?
✔ Coachable and eager to learn?
✔ Interested in a business that is both recession- and pandemic-proof?
If you answered YES to any of these, keep reading!
Why Choose Us?
💼 Work from anywhere - full-time or part-time, set your own schedule.
💰 Uncapped earning potential - Part-time: $40,000 - $60,000 /month | Full-time: $70,000 - $150,000+++/month.
📈 No cold calling - You'll only assist individuals who have already requested help.
❌ No sales quotas, no pressure, no pushy tactics.
🧑 🏫 World-class training & mentorship - Learn directly from top agents.
🎯 Daily pay from the insurance carriers you work with.
🎁 Bonuses & incentives - Earn commissions starting at 80% (most carriers) + salary
🏆 Ownership opportunities - Build your own agency (if desired).
🏥 Health insurance available for qualified agents.
🚀 This is your chance to take back control, build a rewarding career, and create real financial freedom.
👉 Apply today and start your journey in financial services!
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Results may vary. Your success depends on effort, skill, and commitment to training and sales systems.
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