Trabajos claim adjuster en New York, New YorkCrear alertas

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses within your locally assigned territory. Field Adjusters may travel outside of their local territory to respond to claims in other regions when needed. This is an hourly, non-exempt position with paid overtime available. This is a field-based role in the New York City area. Candidates who are willing and able to work in this area are encouraged to apply. What you'll do: Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance. Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics. Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing information involving complex policy terms and contingencies. Determines and negotiates complex claims settlement within authority limits. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes. Maintains accurate, thorough, and current claim file documentation throughout the claims process. Advance knowledge of estimating technology platforms and virtual inspection tools. Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims. Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours. May be assigned CAT deployment travel with minimal notice during designated CATs. Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed. Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience. Adjusts complex claims with attorney involvement. Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations. May require travel to resolve claims, attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have: High School Diploma or General Equivalency Diploma. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages. Advanced knowledge of estimating losses using Xactimate or similar tools and platforms. Proficient knowledge of residential construction. Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations. Proficient negotiation, investigation, communication, and conflict resolution skills. Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills. Ability to travel 50-75% of the year (local & non-local) and/or work catastrophe duty when needed. Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts. Successful completion of a job-related assessment may be required. What sets you apart: Hands-on experience in the field handling high-severity and complex property claims such as fire, water damage, vandalism, malicious mischief, foreclosures, earth movement, collapse, and liability. Residential property field adjusting experience with dwelling, structure and additional living expenses. Experience working directly for a standard insurance carrier handling claims from start to finish (first notice of loss, reviewing policy, making coverage decisions) Proficient in using estimating platforms and virtual inspection tools like Xactimate, ClaimXperience and XactAnalysis Insurance industry designations such as AINS (Associate in General Insurance), CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims), or SCLA (Senior Claims Law Associate) or actively pursuing Active Property & Casualty adjuster license Currently reside in the New York City area, enabling quicker response times for local claims and a better understanding of regional risks US military experience through military service or a military spouse/domestic partner Physical Demand Requirements: May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces. May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license. May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car. May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics. Compensation range: The salary range for this position is: $85,050 - $130,410. USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Business Title(s):TEMP-Workers' Compensation Claims Adjuster Employment Type:Contingent Worker FLSA Status:Non-Exempt Location:In-Officeor Remote Summary: We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporaryassignment with an estimated end date of 9 October 2026,andcanwork from anywhere in the United States. If this role is filled so the individual can work five days a week in any of the following offices, we can consider this a temp-to-hire assignment: Albany (NY), Chicago (IL), Los Angeles (CA), New York City (NY), Omaha (NE), or Richmond (VA). This role willadjudicateindemnity workers' compensation claims of higher technical complexity for our customers in the states ofAL, NC, & SC. License required in order to adjudicate claims in this jurisdiction. As this is a temporary assignment, only government mandated benefits will be provided. Employees in this roleare required toaccurately record all hours worked andsubmittimesheetsin accordance withcompany policy. Overtime may be assigned as business needsdictate, and employees are expected to work overtime whenrequired. Essential Responsibilities: • Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical complexity, with a direct impact on departmental results., • Resolving issues that are generalized and typically notcomplex, butrequire understanding of a broader set of issues., • Reporting to senior management and underwriters onclaimstrends and developments., • Investigating claims promptly and thoroughly., • Analyzing claims forms, policies and endorsements, client instructions, and other records todeterminewhether the loss falls within the policy coverage., • Investigating claims promptly and thoroughly, including interviewing all involved parties., • Managing claims in litigation., • Managing diarytimelyand complete tasks to ensure that cases move to the best financial outcome andtimelyresolution., • Properly setting claim reserves., • Identifying, assigning, and coordinating the assignment and coordination ofexpertiseresources toassistin case resolution., • Preparing reports for file documentation., • Applying creative solutions which result in the best financial outcome., • Negotiating settlements., • Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.)., • Having an appreciation and passion for strong claim management. Qualifications / Experience Required: • A practical knowledge ofadjudicatingworkers' compensation claims through:, • A minimum of five total years' experienceadjudicatingworkers' compensation claims in the AL, NC, or SC jurisdiction., • Bachelor'sdegree from an accredited universityrequired. Two or more insurance designations or fouradditionalyears of related experienceadjudicatingindemnityclaims beyond the minimum experiencerequiredabove may be substituted in lieu of a degree., • A license is required at the start of the assignment in at least two of the following jurisdictions: AL, NC, or SC., • Must have good business acumen (i.e.understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable)., • Must have excellent communication skills and the ability to build lasting relationships., • Exhibit natural curiosity, • Desireto work in a fast-paced environment., • Excellent evaluation and strategic skillsrequired., • Strong claim negotiation skillsa must., • Mustpossessa strong customer focus., • Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines., • Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO., • Must work independently anddemonstratethe ability to exercise sound judgment., • Demonstrates inner strength. Has the courage to do the right thing anddemonstratesit on a daily basis., • Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking., • Proficient in MS Office Suite and other business-related software., • Polished and professional written and verbal communication skills., • The ability to read and write English fluently isrequired., • Mustdemonstratea desire for continued professional development through continuing education and self-development opportunities. The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, this position is eligible for an annual bonus based on company and individual performance as well as a generous benefits package. • Colorado outside of Denver metro, Delaware, Illinois (outside of Chicago metro area), Maine, Maryland, Massachusetts (outside of Boston metro area), Minnesota, Nevada, Rhode Island, Vermont, and Virginia Pay Ranges: $37.66 per hour- $44.33 per hour, • Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. metro area, & Washington State Pay Ranges: $41.44 per hour - $48.79 per hour, • New York City, Los Angeles and San Francisco metro areas Pay Ranges: $45.11 per hour- $53.16 per hour About Working in Claims at Argo Group • Argo Group does not treat our claims or our claims professionals as a commodity.The work we offer is challenging, diverse, and impactful., • Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions andtreateach case as the unique situation it is., • We have a very flat organizational structure, enabling our employeeshavemore interaction with our senior management team, especially when it relates to reviewing large losses., • Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas., • We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply. PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas. If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400. Notice to Recruitment Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions. We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics. The collection of your personal information is subject to our_ Benefits and Compensation We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.

Job Description Experienced Casualty Claims Adjuster – Long Island, NY Well-established Third-Party Administrator (TPA) with over 60 years of continuous operation is seeking a skilled and motivated Casualty Claims Adjuster to join our team. Position Overview: The ideal candidate will have a minimum of 3-5 years of experience handling casualty claims, with the ability to independently manage a full caseload from inception through resolution. This role requires strong analytical, negotiation, and communication skills, as well as a thorough understanding of claims handling practices. This position is in-office initially, with the opportunity to transition to a hybrid schedule following successful training and onboarding. Key Responsibilities: • Investigate, evaluate, and manage casualty claims (including liability and bodily injury), • Determine liability exposure, • Negotiate settlements within authority limits, • Coordinate / communicate with attorneys and insureds, • Maintain accurate and timely claim documentation Qualifications: • Minimum 3-5 years of casualty claims adjusting experience, • Strong knowledge of claims handling procedures and litigation management, • Excellent written and verbal communication skills, • Ability to work independently and manage a high-volume caseload What We Offer: • Competitive salary commensurate with experience, • Performance-based bonuses, • 401(k) plan, • Health Insurance, • Paid time off and holidays, • Stable, long-standing company with a great industry reputation, • Collaborative and professional work environment Benefits: • 401(k), • Health insurance, • Paid time off Work Location: In person Company DescriptionWe are a family-owned Third-Party Administrator with over 60 years of experience delivering high-quality claims management services. Our longevity reflects our commitment to exceptional client service, industry expertise, and strong employee relationships. We provide a supportive, team-oriented environment where employees are empowered to make decisions, contribute ideas, and play a meaningful role in the success of our clients and company. We offer the stability of a well-established organization combined with the flexibility and personal touch of a family-owned business.We are a family-owned Third-Party Administrator with over 60 years of experience delivering high-quality claims management services. Our longevity reflects our commitment to exceptional client service, industry expertise, and strong employee relationships. We provide a supportive, team-oriented environment where employees are empowered to make decisions, contribute ideas, and play a meaningful role in the success of our clients and company. We offer the stability of a well-established organization combined with the flexibility and personal touch of a family-owned business.

Job Description Claims Specialist – Workers' Compensation & Commercial Auto Brooklyn, NY $75,000–$85,000 DOE Company & Position Overview Growing commercial insurance brokerage seeking a Claims Specialist to oversee and manage Workers' Compensation claims while serving as a strategic partner to clients and internal teams. This role will primarily focus on New York Workers' Compensation claims from intake through resolution, with additional exposure to Commercial Auto and select Property claims. The ideal candidate is highly organized, proactive, detail-oriented, and comfortable managing complex claims while maintaining strong communication with carriers, attorneys, and insured clients. This is an excellent opportunity for someone looking to move from the carrier/TPA side into a more client-facing, strategic role within a growing brokerage environment. Key Responsibilities • Oversee Workers' Compensation claims from intake through resolution, • Act as liaison between insureds, carriers, brokers, and defense counsel, • Review claims for compensability, reserves, strategy, and settlement opportunities, • Track diaries, deadlines, hearings, and Board requirements, • Ensure compliance with New York Workers' Compensation regulations and timelines, • Follow up aggressively on open action items and Notices of Decision (NODs), • Coordinate light duty and return-to-work efforts, • Prepare and manage claim-related documentation and forms, • Conduct claim reviews with clients and internal stakeholders, • Assist with Commercial Auto and Property-related claims as needed Qualifications • Active New York State Adjuster License, • 2+ years of New York Workers' Compensation claims experience, • Strong understanding of NY Workers' Compensation law and procedures, • Experience handling litigated claims and settlements, • Familiarity with Section 32 settlements and Medicare Set-Asides preferred, • Strong organizational, communication, and follow-up skills, • Comfortable working in a fast-paced, high-accountability environment Preferred Background • Workers' Compensation Adjuster, • Claims Examiner, • TPA Claims Professional, • Commercial Insurance Claims Specialist, • Workers' Compensation Litigation Claims Handling Experience This role is ideal for a strong Workers' Compensation claims professional looking to join a growing brokerage where they can take ownership, work closely with clients, and have visibility within the organization. Email resume to: yanky@maiplacement.com

Job Description Who are we? A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character. We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty and specialty lines insurance company in the world? Learn more about our unique culture and history. Job Opportunity: BHSI has an exciting opportunity for a Complex Claims Director on our Casualty claims team. At BHSI, our claims professionals are an integral part of our business. Every claim is handled with the utmost skill by seasoned and dedicated claims professionals. We are seeking an experienced professional to join our growing team in the New York office. This position is a great opportunity for practicing lawyers looking to transition out of a law firm as well as claim professionals with casualty claims experience. In this role, the Complex Claims Director will have a unique opportunity to handle and adjust all facets of Casualty claims in a highly collaborative team environment, dedicated to best in class claims handling. Duties & Responsibilities: • Manage and adjust Casualty claims impacting primary and excess policies while ensuring the highest level of customer service and technical claim file quality., • Proactively handle claims from first notice of loss through ultimate resolution, while advising internal partners and meeting with clients and brokers., • Collaborate and partner with the insured and broker in the handling and adjudication of claims., • Analyze policy language, draft coverage letters as appropriate and communicate coverage positions effectively., • Conduct, coordinate, and proactively handle the investigation process and ensure timely resolution of claims., • Directly and closely monitor assignments to experts and defense counsel as necessary., • Evaluate information related to coverage, liability, and damages to determine the extent of exposure to the insured and the company., • Draft reports, set reserves within authority, and make claim recommendations concerning reserve changes., • Travel to conferences, mediations, customer meetings, and trials as necessary. Qualifications, Skills and Experience: • A minimum of 5 years of experience handling Casualty claims, or matching equivalency., • Ability to demonstrate technical competence in the handling of specialized claims., • Ability to work independently and assimilate learning materials on many different subjects from various sources., • Excellent interpersonal, communication, investigative and negotiation skills., • Ability and willingness to work effectively in a team environment and handle multiple tasks simultaneously., • Demonstrated experience in handling and adjusting claims in multiple jurisdictions and must possess, or successfully obtain, the required adjuster licenses., • JD preferred BHSI Offers: • A competitive package and exciting growth opportunities for career-oriented teammates., • A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates, and our other stakeholders., • A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework., • Benefits that support your life and well-being, which include:, • Comprehensive Health, Dental and Vision benefits, • Disability Insurance (both short-term and long-term), • Life Insurance (for you and your family), • Accidental Death & Dismemberment Insurance (for you and your family), • Flexible Spending Accounts, • Health Reimbursement Account, • Employee Assistance Program, • Retirement Savings 401(k) Plan with Company Match, • Generous holiday and Paid Time Off, • Tuition Reimbursement, • Paid Parental Leave The base salary range for this position is $140,000 to $160,000, along with annual bonus eligibility. Total compensation for a candidate is determined by their relevant skills, location, and experience. We value our teammates – both their capabilities and character – as demonstrated by our amazing culture. NOTE: Compensation will be commensurate with experience. This job description is not intended to be all-inclusive. Team Member may perform other related duties as negotiated to meet the ongoing needs of the organization.

Job Description This full-time position will report to the Manager of Specialty Claims. As a direct report to the Manager of Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within Commercial General Liability lines of business. Minimum Qualifications: • A Bachelor’s degree in Business Administration, Accounting, Finance, or a related field, or the equivalent education and/or experience., • 5-10 years of relevant and progressive experience handling Commercial General Liability claims., • Adjuster licenses, as mandated by specific states, are required. Primary Job Functions: • Direct management of commercial general liability claims with potential for significant severity and complexity., • Direct management of coverage disputes., • Formulating claims and litigation strategies, assigning, directing, and managing outside counsel., • Promptly investigating all assigned claims to complete coverage, liability, and damages analysis., • Ensures timely disposition of all claims in accordance with regulatory and statutory requirements., • Maintain and manage a diary system to efficiently and effectively resolve all claims., • Present recommendations to management pertaining to coverage, settlement positions and loss reserves., • Build and maintain key relationships with internal and external stakeholders (e.g. Reinsurers, Underwriters, Actuarial, Brokers, Attorneys, Vendors, etc.)., • Participate in Claim Reviews and claim audits, • Attend depositions, settlement conferences and trials when necessary, • Performs other duties or special projects as required or as assigned by a supervisor The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Skills & Competencies Required: • Excellent written and verbal communication skills, • Strong analytical skills, • Strong negotiation skills, • In-depth knowledge of claims, litigation, and trial process, • Excellent organizational and time management skills, • Proficiency in MS Office (Word, Excel, Outlook), • Ability to work independently with limited supervision, • Ability to successfully obtain the required state adjusters’ licenses Additional Information: • Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more., • The anticipated salary for this position is $90,000 - $150,000 per year, based on qualifications and experience., • Internal Notice: As part of our commitment to talent development, this position is open for internal promotion applications at the time of public posting., • Fortegra is not accepting unsolicited resumes from search firms for this position., • Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address. Thank you., • #LI-Onsite

Job Description Job Summary Spector Foerst & Associates is seeking an experienced, highly organized, and compassionate Pre-Litigation Case Manager to join our personal injury team. This position is responsible for handling personal injury cases from case inception through settlement. If a case does not resolve during the pre-litigation phase, it is transitioned to the litigation team. The Pre-Litigation Case Manager is not responsible for litigating the case after suit is filed, but is expected to prepare the file for a smooth transition when necessary. The ideal candidate is someone who thrives in a fast-paced legal environment, communicates clearly with clients and attorneys, and understands that injured clients are often going through one of the most difficult periods of their lives. We are looking for someone who can provide consistent updates, compassion, structure, and accountability while helping move cases toward resolution. Spanish fluency is required. Key Responsibilities Client Communication & Case Management • Serve as the primary point of contact for clients throughout the pre-litigation process., • Provide timely, compassionate, and professional updates to clients., • Educate clients about the personal injury process and what to expect during each phase of their case., • Manage client expectations regarding treatment, case progression, settlement timelines, insurance issues, and next steps., • Maintain consistent communication with clients to ensure they remain engaged in their treatment and case., • Document all communications, updates, and case activity in the firm’s case management software. Medical Treatment Coordination • Assist clients in obtaining appropriate medical treatment., • Track each client’s medical treatment from beginning to end., • Communicate with medical providers regarding appointments, treatment status, records, bills, and treatment plans., • Ensure clients are following through with recommended treatment., • Monitor gaps in treatment and address issues with clients as needed., • Maintain organized medical records and treatment timelines. Records, Bills & Demand Preparation • Request, obtain, review, and organize medical records, bills, reports, and treatment summaries., • Analyze medical documentation to understand the nature and extent of injuries., • Prepare detailed settlement demand packages once treatment is complete., • Draft, review, and finalize demand packages in coordination with the attorneys., • Ensure demand packages are complete, accurate, persuasive, and supported by documentation., • Identify any missing records, bills, reports, or documentation needed before a demand is finalized. Insurance Communication & Claims Handling • Communicate with insurance adjusters throughout the pre-litigation process., • Handle communications involving bodily injury claims, PIP claims, UM/UIM claims, and related insurance issues., • Track insurance claim status and ensure timely progression., • Assist attorneys in initiating settlement negotiations., • Communicate effectively with attorneys regarding settlement status, adjuster communications, liability issues, damages, and case value considerations. Liens, Bills & Case Resolution • Identify, verify, and track medical liens, outstanding balances, bills, and reimbursement claims., • Assist with gathering information necessary for lien resolution., • Coordinate with attorneys regarding liens, bills, and settlement disbursement issues., • Ensure that all relevant medical expenses and lien issues are properly documented before settlement. Deadlines & Litigation Transition • Track statute of limitations deadlines and other important case deadlines., • Ensure cases move forward in a timely manner., • Identify cases that may require litigation if settlement is not reached., • Prepare case files for potential transition to the litigation team., • Coordinate with attorneys to ensure a smooth handoff when a lawsuit becomes necessary., • Assist in drafting correspondence, settlement-related documents, and other legal documents as needed. Required Qualifications • Fluent in Spanish and English — required., • Associate’s degree or Bachelor’s degree required., • Minimum of 1+ year of personal injury pre-litigation case management experience preferred., • Experience handling personal injury claims from intake through settlement preferred., • Familiarity with:, • PIP claims, • UM/UIM claims, • Bodily injury claims, • Medical records and billing, • Medical lien identification and resolution, • Settlement demand preparation, • Experience communicating with insurance adjusters, medical providers, and clients., • Proficiency with Microsoft Office Suite., • Experience using case management software., • Strong organizational skills and attention to detail., • Ability to manage multiple cases, deadlines, and client issues simultaneously., • Strong written and verbal communication skills., • Ability to work independently while coordinating closely with attorneys and staff., • Compassionate, patient, and client-focused approach. Ideal Candidate The ideal candidate is a highly organized professional who understands the personal injury process and enjoys helping clients from the moment an accident occurs until the case resolves. This role requires someone who can balance compassion with accountability. Our clients are often injured, scared, frustrated, and unfamiliar with the legal process. The right person will be able to guide them, reassure them, educate them, and keep the case moving forward. We are looking for someone who wants to be part of a team that operates like a family, takes pride in client service, and understands the importance of every detail in a personal injury case. Why Join Spector Foerst & Associates • Competitive salary and benefits package., • Supportive, team-oriented work environment., • Opportunity to work directly with attorneys and experienced legal professionals., • Meaningful work helping injured clients through a difficult process., • Family-like firm culture with a strong commitment to client service., • Stable, full-time position in a busy personal injury practice.Company DescriptionWe offer: A supportive, family-like work environment Competitive salary and benefits Hands-on experience in personal injury case management Direct interaction with attorneys and experienced legal professionals The opportunity to make a meaningful difference for injured clients A fast-paced but collaborative workplace Growth opportunity for someone who is organized, motivated, and client-focused This position is especially important because many of our clients are Spanish-speaking and need someone who can communicate with them clearly, compassionately, and confidently. Spanish fluency is not just preferred — it is essential to providing the level of client service our firm expects. If you are organized, compassionate, detail-oriented, and want to be part of a team that takes pride in helping injured clients from intake through settlement, Spector Foerst & Associates may be the right fit for you.We offer:\r\n\r\nA supportive, family-like work environment\r\nCompetitive salary and benefits\r\nHands-on experience in personal injury case management\r\nDirect interaction with attorneys and experienced legal professionals\r\nThe opportunity to make a meaningful difference for injured clients\r\nA fast-paced but collaborative workplace\r\nGrowth opportunity for someone who is organized, motivated, and client-focused\r\n\r\nThis position is especially important because many of our clients are Spanish-speaking and need someone who can communicate with them clearly, compassionately, and confidently. Spanish fluency is not just preferred — it is essential to providing the level of client service our firm expects.\r\n\r\nIf you are organized, compassionate, detail-oriented, and want to be part of a team that takes pride in helping injured clients from intake through settlement, Spector Foerst & Associates may be the right fit for you.

Job Description Who are we? A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character. We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty and specialty lines insurance company in the world? Learn more about our unique culture and history. Job Opportunity: BHSI has an exciting opportunity for a Senior Claims Examiner on our Construction Casualty claims team. At BHSI, our claims professionals are an integral part of our business. Every claim is handled with the utmost skill by seasoned and dedicated claims professionals. In this role, the Senior Claims Examiner will have a unique opportunity to handle and adjust Construction Casualty claims in a highly collaborative team environment, dedicated to best in class claims handling. We are seeking an experienced professional to join our growing team in the Boston, Chicago, New York, or Atlanta office. Duties & Responsibilities: • Manage and adjust construction casualty claims impacting primary and excess policies while ensuring the highest level of customer service and technical claim file quality., • Proactively handle claims from first notice of loss through ultimate resolution, while advising internal partners and meeting with clients and brokers., • Collaborate and partner with the insured and broker in the handling and adjudication of claims., • Analyze and draft coverage letters as appropriate and communicate coverage positions effectively., • Conduct, coordinate, and proactively handle the investigation process and ensure timely resolution of claims., • Directly and closely monitor assignments to experts and defense counsel as necessary., • Evaluate information related to coverage, liability, and damages to determine the extent of exposure to the insured and the company., • Draft reports, set reserves within authority, and make claim recommendations concerning reserve changes., • Travel to conferences, mediations, customer meetings, and trials as necessary. Qualifications, Skills and Experience: • A minimum of 5+ years of experience handling Casualty claims, or related work., • Ability to demonstrate technical competence in the handling of specialized claims., • Ability to work independently and assimilate learning materials on many different subjects from various sources., • Excellent interpersonal, communication, investigative and negotiation skills., • Ability and willingness to work effectively in a team environment and handle multiple tasks simultaneously., • Demonstrated experience in handling and adjusting claims in multiple jurisdictions and must possess, or successfully obtain, the required adjuster licenses. BHSI Offers: • A competitive package and exciting growth opportunities for career-oriented teammates., • A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates, and our other stakeholders., • A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework., • Benefits that support your life and well-being, which include:, • Comprehensive Health, Dental and Vision benefits, • Disability Insurance (both short-term and long-term), • Life Insurance (for you and your family), • Accidental Death & Dismemberment Insurance (for you and your family), • Flexible Spending Accounts, • Health Reimbursement Account, • Employee Assistance Program, • Retirement Savings 401(k) Plan with Company Match, • Generous Holiday and Paid Time Off, • Tuition Reimbursement, • Paid Parental Leave The base salary range for this position is from $120,000.00 to $140,000.00, along with annual bonus eligibility; a candidate’s salary is determined by their relevant skills and experience. We value our teammates – both their capabilities and character – as demonstrated by our amazing culture. NOTE: Compensation will be commensurate with experience. This job description is not intended to be all-inclusive. Team Member may perform other related duties as negotiated to meet the ongoing needs of the organization.

Job Description CorVel is hiring a No-Fault Adjuster (Claims Specialist) for our Client Site in Brooklyn, NY. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is an on-site position for our client site in Brooklyn, NY. Once fully trained, the employee will be able to work from home one day per week. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: • Receives claims, confirms policy coverage and acknowledgment of the claim, • Determines validity and compensability of the claim, • Establishes reserves and authorizes payments within reserving authority limits, • Manages non-complex and non-problematic no-fault claims under close supervision, • Communicates claim status with the customer, claimant and client, • Adheres to client and carrier guidelines and participates in claims review as needed, • Assists other claims professionals with more complex or problematic claims as necessary, • Requires regular and consistent attendance, • Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”), • Additional projects and duties as assigned KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills, • Ability to learn rapidly to develop knowledge and understanding of claims practice, • Ability to identify, analyze and solve problems, • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets, • Strong interpersonal, time management and organizational skills, • Ability to meet or exceed performance competencies, • Ability to work both independently and within a team environment EDUCATION/EXPERIENCE: • Bachelor's degree or a combination of education and related experience, • Minimum of 1 year of industry experience and claims management preferred PAY RANGE: CorVel uses a market-based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $51,807 - $83,551 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management About CorVel CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Onsite

Job Description Duties: The Test and Trace Corps is looking for a Data Quality Analyst to join the Data, Analytics and Product Development Team, dedicated to organizing, analyzing, and communicating data as well as building technology solutions, in order to support and inform programmatic and operational efforts of the initiative Summary Of Duties And Responsibilities: Reporting to the Data Quality Unit Director in the Data, Analytics and Product Development Team, the Data Quality Analyst will be responsible for: Ensuring standard handling and representation of data and assisting in development of processes and coding to classify and standardize data for meaningful use/analyses to advance the programmatic effectiveness of Test and Trace Corps initiatives Validating data for completeness and accuracy based on guidelines set by pillar stakeholders or data management systems including working with data providers to improve data management workflow Collaborating with data staff and other departments within the Data, Analytics and Product Development Team to identify and mitigate potential data issues Regulating and assisting with advising protocols and processes to uphold the cleanliness of data produced by data managers, data scientists, and data analysts Cleaning large datasets as needed in a timely and thorough manner Auditing and reporting the quality control (QC) of data analysis and visualizations that are generated for Test and Trace Corps functions and needs This is the pay range that reasonably expects to pay someone for this position, however, as a supplier your expected pay range may vary and/or include certain benefits like: Medical, Dental, Vision, 401K [include any compulsory benefits such as commissions, incentive bonuses, etc. if applicable]. Skills: Computer programs/software operated: General knowledge of SQL, R, Python, Excel and related data analytics toolsets Preferred Skills: Ability to work autonomously, think analytically, and anticipate data issues to solve before they arise Excellent written and verbal communication skills, with the ability to explain data systems to non-technical teams Strong quality control abilities and exceptional attention to detail Education: Qualifications for the Job: Certification(s)/ Nys License(s): Residency preferred educational level: A Masters degree in Public or Business Administration or in an equivalent or equally acceptable program and four (4) years of experience in a major governmental agency or large corporation or foundation in management analysis or in operational direction, planning, coordination or control of which, two years must have been in a supervisory, administrative or consultative capacity or Bachelors degree from accredited college or university and five (5) years of experience as described above, of which three (3) years must have been in a supervisory, administrative or consultative capacity; or A satisfactory equivalent combination of training, education and/or experience. Languages: English: Read, Write, Speak Skills: Required Metro Plus Claims Processing Guidelines and Benefit Structures, High Volume Inquiries, Metro Plus Claims Processing, IMAX and TXEN Systems, Claim Adjuster Additional Strong Customer Service Skills, Problem Solving and Follow Up Management Skills, Issue Resolution Schedule Notes: Candidate requirements: Work Schedule: Full time Hours Per Week: 35 Days: Monday, Tuesday, Wednesday, Thursday, Friday Shift time: 9am - 5pm Work location: Hybrid Patient Facing: No Position Overview: This position is responsible for the accurate and timely response to written claim inquiries received from providers. Incumbent provides support regarding the adjudication and adjustment of claims for the multiple lines of business. The incumbent works closely with Provider Relations, Medical Management, Member Services and the Claims Processing unit Scope of Role & Responsibilities: Act as a key liaison and service representative for all written provider inquiries and problem resolution. Respond to all claim inquiries from provider sites personnel including physicians, clinical staff, and site administrators. Coordinate and track appropriate problem resolution activities with plan personnel in other departments (i.e., claims, utilization management) Manage and ensure appropriate follow-up and closure for all inquiries Respond to Provider Inquiries in writing; maintain accurate files Data Entry into the IMAX system. Perform claim adjustments to correct erroneous payments (overpayments/underpayments). Participate in Special Projects involving Claim Status Investigations. Resolve Member Bills referred from Member Services. Required Education, Training & Professional Experience: In-depth knowledge of MetroPlus Claims Processing protocols and payment schemes. Thorough knowledge of Plan Benefits. Proficiency in IMAX and TXEN. Customer Service Experience a plus. Must be able to handle irate providers in a professional manner. Excellent written/verbal communication skills.

Job DescriptionOur client is currently seeking an experienced Workers' Compensation Claims Examiner to join their team handling New Jersey claims. This is a temp-to-hire opportunity ideal for a professional with a strong background in workers’ compensation who is comfortable managing moderate to complex claims in a fast-paced environment. This person will have the ability to work remotely.Key Responsibilities: • Manage and evaluate workers’ compensation claims from initial report through resolution, • Investigate claims, determine compensability, and establish appropriate reserves, • Negotiate settlements and authorize payments within delegated authority, • Ensure compliance with New Jersey workers’ compensation laws and internal guidelines, • Communicate effectively with injured workers, employers, medical providers, and legal counsel, • Maintain accurate and detailed claim documentation and provide regular status updates, • Coordinate with defense counsel and attend hearings, mediations, or depositions as neededQualifications:, • 3 – 5+ years of experience handling New Jersey Workers’ Compensation claims, • Prior experience with an Insurance Carrier or TPA required, • Active New Jersey Adjuster License preferred, • Strong organizational skills with the ability to manage a high-volume caseload independently, • Excellent communication and negotiation skills, • Bachelor’s degree in Business, Insurance, or related field preferredSalary / Benefits:, • $35.00 - $45.00 per hour (based on experience) with opportunity for permanent conversion, • Temp-to-hire structure with long-term growth potential, • Comprehensive benefits available while on assignment, including:, • Medical, Dental, Vision, and Life Insurance

Job DescriptionDescription: We are seeking a detail-oriented Property Claims Adjuster to independently manage residential and commercial property claims throughout the investigation, evaluation, and resolution process. This position requires strong technical claims handling skills, sound coverage analysis, accurate estimating capabilities, and the ability to manage multiple claims of varying severity and complexity. The successful candidate will conduct field investigations, evaluate coverage, determine loss exposure, prepare estimates, negotiate settlements, and provide comprehensive reporting to clients while maintaining compliance with applicable regulations and industry standards. This position is in and around NYC and Long Island. Primary Responsibilities • Conduct field investigations involving residential and commercial property losses., • Analyze policy language, endorsements, coverage forms, exclusions, and client instructions to determine coverage applicability and claim exposure., • Evaluate and adjust property claims ranging from routine losses to complex, high-severity claims., • Document damage through photographs, measurements, interviews, and detailed field notes., • Prepare repair and replacement estimates utilizing Xactimate and other estimating resources., • Establish and maintain appropriate claim reserves based on investigation findings and projected exposure., • Prepare comprehensive reports, coverage analyses, settlement recommendations, and client communications., • Draft settlement letters, denial letters, Reservation of Rights letters, and other claim correspondence., • Conduct content inventory reviews and perform pricing analysis for personal property and business contents losses., • Identify and investigate subrogation opportunities and preserve recovery rights., • Retain and coordinate engineers, contractors, consultants, and other experts as necessary to evaluate causation, damages, and liability exposure., • Negotiate settlements within established authority and provide recommendations on complex claim resolutions., • Maintain accurate documentation, billing records, and expense reporting., • Manage assigned caseload while meeting quality, service, and reporting standards., • Maintain compliance with state regulations, carrier guidelines, and industry best practices., • Participate in continuing education and maintain all required adjuster licenses. Requirements: • High school diploma required; additional education in insurance, construction, business, engineering, or a related field is preferred., • Previous property claims adjusting experience preferred. Candidates without prior adjusting experience may be considered and will be required to complete company-sponsored adjuster training., • Experience with Xactimate estimating software strongly preferred., • Knowledge of residential and commercial construction methods, materials, and repair practices preferred., • Ability to interpret insurance policy language and apply coverage provisions accurately., • Strong investigative, analytical, and problem-solving skills., • Excellent written documentation and professional communication abilities., • Ability to independently manage a high-volume caseload and prioritize competing deadlines., • Proficiency with claims management systems, estimating platforms, and standard business software., • Ability to obtain and maintain all required state adjuster licenses., • Valid driver's license required.Preferred Experience, • Residential and commercial property claims, • Catastrophe and storm-related losses, • Water, fire, wind, hail, and structural damage assessments, • Coverage analysis and Reservation of Rights investigations, • Contents evaluation and inventory review, • Subrogation investigations, • Independent adjusting or third-party administrator environmentsCompensation & Benefits We recognize that experienced claims professionals bring valuable technical expertise and industry knowledge. To support our team members both professionally and personally, we offer a competitive compensation and benefits package that includes: • Competitive salary with annual merit-based increases, • Quarterly performance-based bonus opportunities, • Comprehensive medical, dental, and vision insurance, • 401(k) retirement savings plan, • Company-paid life insurance, • Short-term and long-term disability coverage, • Paid vacation, sick leave, and company holidays, • Fitness membership reimbursement program, • Company-sponsored training and professional development opportunities, • Ongoing support for continuing education and industry advancementPhysical Requirements This position requires regular field inspections, including roof inspections, ladder use, attic and crawlspace access, and travel throughout the assigned territory. Candidates must be capable of working outdoors in varying weather conditions and lifting up to 35 pounds as required to perform inspections safely and effectively. Additional physical requirements include the ability to climb ladders, traverse roofs, work at heights, access confined or restricted areas, and perform activities such as kneeling, crouching, crawling, standing, walking, pushing, and pulling as necessary to conduct thorough property inspections. Join Our Team This is an excellent opportunity for a motivated claims professional seeking a challenging and rewarding career with a growing organization. If you have a passion for investigation, coverage analysis, estimating, and delivering high-quality claim resolutions, we encourage you to apply.

Job Description Job Summary Spector Foerst & Associates is seeking an experienced, highly organized, and compassionate Pre-Litigation Case Manager to join our personal injury team. This position is responsible for handling personal injury cases from case inception through settlement. If a case does not resolve during the pre-litigation phase, it is transitioned to the litigation team. The Pre-Litigation Case Manager is not responsible for litigating the case after suit is filed, but is expected to prepare the file for a smooth transition when necessary. The ideal candidate is someone who thrives in a fast-paced legal environment, communicates clearly with clients and attorneys, and understands that injured clients are often going through one of the most difficult periods of their lives. We are looking for someone who can provide consistent updates, compassion, structure, and accountability while helping move cases toward resolution. Spanish fluency is required. Key Responsibilities Client Communication & Case Management • Serve as the primary point of contact for clients throughout the pre-litigation process., • Provide timely, compassionate, and professional updates to clients., • Educate clients about the personal injury process and what to expect during each phase of their case., • Manage client expectations regarding treatment, case progression, settlement timelines, insurance issues, and next steps., • Maintain consistent communication with clients to ensure they remain engaged in their treatment and case., • Document all communications, updates, and case activity in the firm’s case management software. Medical Treatment Coordination • Assist clients in obtaining appropriate medical treatment., • Track each client’s medical treatment from beginning to end., • Communicate with medical providers regarding appointments, treatment status, records, bills, and treatment plans., • Ensure clients are following through with recommended treatment., • Monitor gaps in treatment and address issues with clients as needed., • Maintain organized medical records and treatment timelines. Records, Bills & Demand Preparation • Request, obtain, review, and organize medical records, bills, reports, and treatment summaries., • Analyze medical documentation to understand the nature and extent of injuries., • Prepare detailed settlement demand packages once treatment is complete., • Draft, review, and finalize demand packages in coordination with the attorneys., • Ensure demand packages are complete, accurate, persuasive, and supported by documentation., • Identify any missing records, bills, reports, or documentation needed before a demand is finalized. Insurance Communication & Claims Handling • Communicate with insurance adjusters throughout the pre-litigation process., • Handle communications involving bodily injury claims, PIP claims, UM/UIM claims, and related insurance issues., • Track insurance claim status and ensure timely progression., • Assist attorneys in initiating settlement negotiations., • Communicate effectively with attorneys regarding settlement status, adjuster communications, liability issues, damages, and case value considerations. Liens, Bills & Case Resolution • Identify, verify, and track medical liens, outstanding balances, bills, and reimbursement claims., • Assist with gathering information necessary for lien resolution., • Coordinate with attorneys regarding liens, bills, and settlement disbursement issues., • Ensure that all relevant medical expenses and lien issues are properly documented before settlement. Deadlines & Litigation Transition • Track statute of limitations deadlines and other important case deadlines., • Ensure cases move forward in a timely manner., • Identify cases that may require litigation if settlement is not reached., • Prepare case files for potential transition to the litigation team., • Coordinate with attorneys to ensure a smooth handoff when a lawsuit becomes necessary., • Assist in drafting correspondence, settlement-related documents, and other legal documents as needed. Required Qualifications • Fluent in Spanish and English — required., • Associate’s degree or Bachelor’s degree required., • Minimum of 1+ year of personal injury pre-litigation case management experience preferred., • Experience handling personal injury claims from intake through settlement preferred., • Familiarity with:, • PIP claims, • UM/UIM claims, • Bodily injury claims, • Medical records and billing, • Medical lien identification and resolution, • Settlement demand preparation, • Experience communicating with insurance adjusters, medical providers, and clients., • Proficiency with Microsoft Office Suite., • Experience using case management software., • Strong organizational skills and attention to detail., • Ability to manage multiple cases, deadlines, and client issues simultaneously., • Strong written and verbal communication skills., • Ability to work independently while coordinating closely with attorneys and staff., • Compassionate, patient, and client-focused approach. Ideal Candidate The ideal candidate is a highly organized professional who understands the personal injury process and enjoys helping clients from the moment an accident occurs until the case resolves. This role requires someone who can balance compassion with accountability. Our clients are often injured, scared, frustrated, and unfamiliar with the legal process. The right person will be able to guide them, reassure them, educate them, and keep the case moving forward. We are looking for someone who wants to be part of a team that operates like a family, takes pride in client service, and understands the importance of every detail in a personal injury case. Why Join Spector Foerst & Associates • Competitive salary and benefits package., • Supportive, team-oriented work environment., • Opportunity to work directly with attorneys and experienced legal professionals., • Meaningful work helping injured clients through a difficult process., • Family-like firm culture with a strong commitment to client service., • Stable, full-time position in a busy personal injury practice.Company DescriptionWe offer: A supportive, family-like work environment Competitive salary and benefits Hands-on experience in personal injury case management Direct interaction with attorneys and experienced legal professionals The opportunity to make a meaningful difference for injured clients A fast-paced but collaborative workplace Growth opportunity for someone who is organized, motivated, and client-focused This position is especially important because many of our clients are Spanish-speaking and need someone who can communicate with them clearly, compassionately, and confidently. Spanish fluency is not just preferred — it is essential to providing the level of client service our firm expects. If you are organized, compassionate, detail-oriented, and want to be part of a team that takes pride in helping injured clients from intake through settlement, Spector Foerst & Associates may be the right fit for you.We offer:\r\n\r\nA supportive, family-like work environment\r\nCompetitive salary and benefits\r\nHands-on experience in personal injury case management\r\nDirect interaction with attorneys and experienced legal professionals\r\nThe opportunity to make a meaningful difference for injured clients\r\nA fast-paced but collaborative workplace\r\nGrowth opportunity for someone who is organized, motivated, and client-focused\r\n\r\nThis position is especially important because many of our clients are Spanish-speaking and need someone who can communicate with them clearly, compassionately, and confidently. Spanish fluency is not just preferred — it is essential to providing the level of client service our firm expects.\r\n\r\nIf you are organized, compassionate, detail-oriented, and want to be part of a team that takes pride in helping injured clients from intake through settlement, Spector Foerst & Associates may be the right fit for you.

Job Description We are looking for experienced Insurance Adjusters interested in switching sides and representing insureds as a Public Adjuster within our growing team. This role focuses on handling property damage claims in Pennsylvania and Central/Southern New Jersey. Appropriate licensing/bonds are required. Please forward a copy of your Adjuster’s License along with your resume. APPLY HERE IF: • You are the type of person who wants to help people in their time of need., • You are looking for job satisfaction and career security., • You want a position that does not get negatively affected by a downturn in the economy., • You want an income and a career you can be proud of. United Claims Specialists provides its adjusters with a team-oriented atmosphere and the assistance needed to succeed. Compensation: Salaried + incentives, based on experience. Employment type: Full-time Experience & Requirements • 1-3 years’+ experience as a property adjuster or 1-3+ years of insurance claim restoration experience., • Adjuster’s License and Bond (if applicable) required., • Highly motivated, self-starter who can work independently with strong team support., • Clean driving record and valid driver’s license., • Quick with technology: emails, photos, and photo upload are a must. Skills & Qualifications • Self-motivated skilled negotiator, able to work independently or as part of a team., • Knowledge of property insurance policies and their interpretation., • Excellent follow-up and organizational skills., • Positive attitude and strong customer service orientation., • Knowledge of residential and commercial construction., • Strong written and verbal communication skills., • Property policy knowledge, scoping, and sketching., • Experience with Xactimate and writing property damage repair estimates is a must. Job Type: Full-time Service Area: Central & Southern New Jersey + Pennsylvania License/Certification: Adjuster License (Required) Work Location: In person The company provides a company vehicle, along with reimbursement for travel-related expenses. Job Type: Full-time Benefits: • Company car, • Flexible schedule Application Question(s): • Please indicate your Public Adjuster License and indicate the State where you hold the license Work Location: On the road Company DescriptionUnited Claims Specialists is a team of experienced and professional public adjusters who will work for property owners to ensure they get the settlement deserved when their property has suffered an insured loss.United Claims Specialists is a team of experienced and professional public adjusters who will work for property owners to ensure they get the settlement deserved when their property has suffered an insured loss.

Job Description Reporting to the Unit Manager, this role will be responsible for direct handling of commercial claims specific to General Liability and/or Excess General Liability. Familiarity with SME (small to midsize enterprises) insureds involving premises liability, including but not limited to franchisees, hotels, and restaurants/entertainment. Duties include investigation and evaluation of coverage, liability, risk transfer (i.e. indemnification and/or tender application), and damages issues. The role will be responsible for claim and coverage evaluation, establishment/recommendation of adequate reserves, litigation management, liability and damage analysis in detail, case resolution and best claims outcome, and transaction processing in alignment with the Company’s and Client’s Strategic Vision. Essential Functions • Direct handle commercial and business general liability claims., • Mentors and guides less experienced claim analysts., • Assists the Unit Manager with departmental problem solving., • Manages external relationships including third party administrative oversight., • Serves on Companywide committees and projects as assigned., • Anticipates and identifies risks and opportunities on coverage and liability., • Anticipates and identifies transfer of risk, tender and/or indemnification., • Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and/or personal lines insurance claims, including analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims., • Reviews loss notices; confirms and interprets policy coverages; establishes adequate reserves; and investigates and handles claims involving primary, umbrella, and/or excess policies., • Manages litigation with Preferred Counsel under Alternative Fee Arrangements or other defense fee structures., • Pursues and maximizes all risk transfer opportunities by contract or by insurance policy language., • Assigns and manages work of defense counsel, assignment of expert witnesses and interfacing with peer carriers including design and execution of defense and indemnity contracts, evaluation of liability and damages and participation in settlement negations., • Ensures proper file setup, reserving, general handling, and application of company procedure., • Participates in developing claims handling strategies, including defense coordination, litigation strategy, motion practice, and budgets, and expense control., • Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records., • Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect the company’s exposure and reports to our Reinsurance Department to assist in providing notice to reinsurers and the Reinsurance Department’s recovery of specific amounts when payment exceeds the company’s retention., • Handles large volume of diverse and dynamic claims effectively., • Empowered to make decisions within job description and authority. Seeks guidance where appropriate., • Develops creative ideas and solutions to real time business problems and /or business opportunities; Takes reasonable, calculated risks even if failure is possible., • Empowers self and teammates to continuously improve Company’s business processes/systems and develops and escalates ideas and solutions., • Seeks continuous development by identifying areas for growth and improvement. Works with team to implement process and technical improvements., • Consistently delivers superior customer service to both internal and external business partners., • Understands Key Performance Indicators and manages towards those priorities., • Performs special projects and assignments related to area of authority as necessary., • Maintains confidentiality., • Establishes and maintains professional relationships., • Assists in Due Diligence inquiries as assigned., • Travels as required., • Obtains and maintains claims adjuster licenses in those states requiring them. Organizational · Demonstrates alignment with Company’s Commitments. · Prioritizes and organizes work in self-directed manner. · Attains and maintains knowledge of assigned department. · Performs other duties as required, including supporting and coordinating with other department colleagues. Related Functions: · Leads Companywide initiatives and projects as assigned. Required Skills • Demonstrates ability and flexibility in a dynamic environment., • Excellent analytical, interpersonal and communications skills, both written and oral., • Customer service oriented with the ability for developing long lasting relationships with internal and external business partners. Experience Minimum of seven (7) years of commercial, business, and high value homeowners claims handling experience or a related field. Required Education Four-year college degree required or equivalent work experience. Preferred Education or Certification JD, CPCU, SCLA, CCLA, state(s) adjuster license – NEW YORK LICENSE REQUIRED

Job Description The Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals. Minimum Qualifications: • A Bachelor’s degree or the equivalent education and/or experience., • 5-10 years of relevant and progressive experience handling Commercial Auto and General Liability claims., • Adjuster licenses, as mandated by specific states, are required. Primary Job Functions: • Handle claims originating out of the Specialty Claims unit and provide technical oversight of Third Party Administrators (TPAs)., • Direct oversight of commercial auto and specialty transport claims and coverage disputes., • Provide coverage, liability, and damages analysis with prompt identification of potential large loss claims., • Responsible for ensuring adequate reserving and accuracy of claims payments through appropriate supervision and authority levels., • Work in partnership with the TPA Claims Manager to ensure that claims are proactively managed and that all claim workflows and SLAs are adhered to., • Ensure timely disposition of all claims in accordance with regulatory and statutory requirements., • Ability to proactively identify exposures and claim trends which may affect the portfolio and provide written assessments to the Specialty business unit., • Resolve problems and respond to coverage questions from underwriting team and senior management., • Build and maintain key relationships with internal and external stakeholders (e.g. Reinsurers, Underwriters, Actuarial, Brokers, Attorneys, Vendors, etc.)., • Effectively represent the Company’s interests at mediations and settlement conferences., • Other duties as required by management., • Participate in Claim Reviews and claim audits periodically., • Attend depositions, settlement conferences and trials when necessary periodically., • Performs other duties or special projects as required or as assigned by a supervisor periodically. The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Skills & Competencies Required: • Excellent written and verbal communication skills., • Strong analytical skills., • Strong negotiation skills., • In-depth knowledge of claims, litigation, and trial process., • Strong commitment to providing superior client service., • Excellent organizational and time management skills., • Proficiency in MS Office (Word, Excel, Outlook)., • Ability to work independently with limited supervision., • Ability to successfully obtain the required state adjusters’ licenses. Additional Information: • Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more., • The anticipated salary for this position is $100,000 - $130,000 per year, based on qualifications and experience., • Internal Notice: As part of our commitment to talent development, this position is open for internal promotion applications at the time of public posting., • Fortegra is not accepting unsolicited resumes from search firms for this position., • Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address. Thank you.

Job Description Job Summary Spector Foerst & Associates is seeking an experienced, highly organized, and compassionate Pre-Litigation Case Manager to join our personal injury team. This position is responsible for handling personal injury cases from case inception through settlement. If a case does not resolve during the pre-litigation phase, it is transitioned to the litigation team. The Pre-Litigation Case Manager is not responsible for litigating the case after suit is filed, but is expected to prepare the file for a smooth transition when necessary. The ideal candidate is someone who thrives in a fast-paced legal environment, communicates clearly with clients and attorneys, and understands that injured clients are often going through one of the most difficult periods of their lives. We are looking for someone who can provide consistent updates, compassion, structure, and accountability while helping move cases toward resolution. Spanish fluency is required. Key Responsibilities Client Communication & Case Management • Serve as the primary point of contact for clients throughout the pre-litigation process., • Provide timely, compassionate, and professional updates to clients., • Educate clients about the personal injury process and what to expect during each phase of their case., • Manage client expectations regarding treatment, case progression, settlement timelines, insurance issues, and next steps., • Maintain consistent communication with clients to ensure they remain engaged in their treatment and case., • Document all communications, updates, and case activity in the firm’s case management software. Medical Treatment Coordination • Assist clients in obtaining appropriate medical treatment., • Track each client’s medical treatment from beginning to end., • Communicate with medical providers regarding appointments, treatment status, records, bills, and treatment plans., • Ensure clients are following through with recommended treatment., • Monitor gaps in treatment and address issues with clients as needed., • Maintain organized medical records and treatment timelines. Records, Bills & Demand Preparation • Request, obtain, review, and organize medical records, bills, reports, and treatment summaries., • Analyze medical documentation to understand the nature and extent of injuries., • Prepare detailed settlement demand packages once treatment is complete., • Draft, review, and finalize demand packages in coordination with the attorneys., • Ensure demand packages are complete, accurate, persuasive, and supported by documentation., • Identify any missing records, bills, reports, or documentation needed before a demand is finalized. Insurance Communication & Claims Handling • Communicate with insurance adjusters throughout the pre-litigation process., • Handle communications involving bodily injury claims, PIP claims, UM/UIM claims, and related insurance issues., • Track insurance claim status and ensure timely progression., • Assist attorneys in initiating settlement negotiations., • Communicate effectively with attorneys regarding settlement status, adjuster communications, liability issues, damages, and case value considerations. Liens, Bills & Case Resolution • Identify, verify, and track medical liens, outstanding balances, bills, and reimbursement claims., • Assist with gathering information necessary for lien resolution., • Coordinate with attorneys regarding liens, bills, and settlement disbursement issues., • Ensure that all relevant medical expenses and lien issues are properly documented before settlement. Deadlines & Litigation Transition • Track statute of limitations deadlines and other important case deadlines., • Ensure cases move forward in a timely manner., • Identify cases that may require litigation if settlement is not reached., • Prepare case files for potential transition to the litigation team., • Coordinate with attorneys to ensure a smooth handoff when a lawsuit becomes necessary., • Assist in drafting correspondence, settlement-related documents, and other legal documents as needed. Required Qualifications • Fluent in Spanish and English — required., • Associate’s degree or Bachelor’s degree required., • Minimum of 1+ year of personal injury pre-litigation case management experience preferred., • Experience handling personal injury claims from intake through settlement preferred., • Familiarity with:, • PIP claims, • UM/UIM claims, • Bodily injury claims, • Medical records and billing, • Medical lien identification and resolution, • Settlement demand preparation, • Experience communicating with insurance adjusters, medical providers, and clients., • Proficiency with Microsoft Office Suite., • Experience using case management software., • Strong organizational skills and attention to detail., • Ability to manage multiple cases, deadlines, and client issues simultaneously., • Strong written and verbal communication skills., • Ability to work independently while coordinating closely with attorneys and staff., • Compassionate, patient, and client-focused approach. Ideal Candidate The ideal candidate is a highly organized professional who understands the personal injury process and enjoys helping clients from the moment an accident occurs until the case resolves. This role requires someone who can balance compassion with accountability. Our clients are often injured, scared, frustrated, and unfamiliar with the legal process. The right person will be able to guide them, reassure them, educate them, and keep the case moving forward. We are looking for someone who wants to be part of a team that operates like a family, takes pride in client service, and understands the importance of every detail in a personal injury case. Why Join Spector Foerst & Associates • Competitive salary and benefits package., • Supportive, team-oriented work environment., • Opportunity to work directly with attorneys and experienced legal professionals., • Meaningful work helping injured clients through a difficult process., • Family-like firm culture with a strong commitment to client service., • Stable, full-time position in a busy personal injury practice.Company DescriptionWe offer: A supportive, family-like work environment Competitive salary and benefits Hands-on experience in personal injury case management Direct interaction with attorneys and experienced legal professionals The opportunity to make a meaningful difference for injured clients A fast-paced but collaborative workplace Growth opportunity for someone who is organized, motivated, and client-focused This position is especially important because many of our clients are Spanish-speaking and need someone who can communicate with them clearly, compassionately, and confidently. Spanish fluency is not just preferred — it is essential to providing the level of client service our firm expects. If you are organized, compassionate, detail-oriented, and want to be part of a team that takes pride in helping injured clients from intake through settlement, Spector Foerst & Associates may be the right fit for you.We offer:\r\n\r\nA supportive, family-like work environment\r\nCompetitive salary and benefits\r\nHands-on experience in personal injury case management\r\nDirect interaction with attorneys and experienced legal professionals\r\nThe opportunity to make a meaningful difference for injured clients\r\nA fast-paced but collaborative workplace\r\nGrowth opportunity for someone who is organized, motivated, and client-focused\r\n\r\nThis position is especially important because many of our clients are Spanish-speaking and need someone who can communicate with them clearly, compassionately, and confidently. Spanish fluency is not just preferred — it is essential to providing the level of client service our firm expects.\r\n\r\nIf you are organized, compassionate, detail-oriented, and want to be part of a team that takes pride in helping injured clients from intake through settlement, Spector Foerst & Associates may be the right fit for you.

Job Description Job Type: Contract Workplace Type: Remote, but must live in US and preferably within Central/Eastern Time Zone Compensation: Commission only based on successful recovery of claims Schedule: Flexible full-time caseload with preferred Monday to Friday during business hours COMPANY OVERVIEW Phoenix Loss Control (PLC) is a US-based business services provider in the cable, telecom, and utilities sector. PLC’s core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada, we help our clients recover the costs of third-party damage to their infrastructure, such as underground fiber optic or gas lines. PLC currently employs over 140 people, servicing some of the largest cable and telecoms operators (e.g., Comcast, Spectrum, AT&T, and Google). PLC is currently aggressively expanding its business and looking for talented and energetic people to bring onboard to help drive growth. POSITION SUMMARY Claim Recovery Agents are responsible for reviewing information provided on a damage, determining the liable party, invoicing the responsible party, and pursuing recovery of the repair costs. Duties • Review and analyze claim information, identify liable party, and take action to move claims toward successful resolution, • Gather costing and prepare invoices for select clients, • Correspond with liable party/insurance carrier both verbally and in writing, • Negotiate settlements, • Resolve conflicts and escalate urgent issues Requirements • Strong computer skills and knowledge of Microsoft Office, • Ability to work independently, manage goals and deadlines, have good attention to detail, • Adaptability, logical thinking and conscientiousness, • Excellent communication skills (both verbal and written), • Strong conflict resolution and negotiation skills, • High-speed internet access, personal computer, phone line dedicated to work contacts Position Advantages • Uncapped Compensation Potential: Top Performers who excel at the role have the ability to earn an annual compensation of more than $100,000, • Flexible Work Schedule: Remote with the ability to choose your own hours/days of work This is a contract position. There are no benefits offered with this position.

Job Description Negotiations/Settlements Case Manager Plaintiff Personal Injury law firm seeking a Case Manager to join their team for their Midtown Manhattan office! QUALIFICATIONS • Fluency in both English and Spanish, • 2+ years of experience in a legal role or as an insurance adjuster, • Prior experience in Personal Injury Case Management, Pre-Litigation, or Bodily Injury Claims, • Experience interacting with clients, medical providers, and other claim-related stakeholders, • Strong written and verbal communication skills with high attention to detail, • Experience negotiating settlements and communicating with insurance carriers Job Description The Case Manager will assist the attorney in developing settlements, preparing documents and correspondence as needed. The ideal candidate is customer focused and empathetic. You will be responsible for managing pre-litigation personal injury cases from treatment progression through settlement, demand negotiations, and case resolution. This position serves as the primary point of contact for clients while ensuring timely communication, proper case development, accurate documentation, and progression of cases toward resolution or transition to litigation when necessary. The Case Manager is responsible for managing an active caseload while maintaining strong client service standards, proactive follow-up, and accurate case management practices. This role requires excellent organizational skills, attention to detail, urgency, and the ability to multitask within a fast-paced environment.

Job Description A client of AlphaStaffHCM™ is searching for an Field Property Adjuster Specialist. This insurance client empowers members to achieve financial security through highly competitive products, exceptional service and trusted advice. Job Description As a dedicated Field Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling. Client also provides a company vehicle to physically inspect losses within your locally assigned territory. Field Adjusters may travel outside of their local territory to respond to claims in other regions when needed. This is an hourly, non-exempt position with paid overtime available. This is a field-based role in the Brooklyn, NY area. Candidates who are willing and able to work in this area are encouraged to apply. Key Responsibilities: • Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability., • Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance., • Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics., • Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing information involving complex policy terms and contingencies., • Determines and negotiates complex claims settlement within authority limits. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes., • Maintains accurate, thorough, and current claim file documentation throughout the claims process., • Advance knowledge of estimating technology platforms and virtual inspection tools. Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims., • Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours., • May be assigned CAT deployment travel with minimal notice during designated CATs., • Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed., • Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience., • Adjusts complex claims with attorney involvement., • Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations., • May require travel to resolve claims, attend training, and conduct in-person inspections., • Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. Must Have Qualifications: • High School Diploma or General Equivalency Diploma., • 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages., • Advanced knowledge of estimating losses using Xactimate or similar tools and platforms., • Hands-on experience in the field handling high-severity and complex property claims such as fire, water damage, vandalism, malicious mischief, foreclosures, earth movement, collapse, and liability., • Proficient knowledge of residential construction., • Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations., • Proficient negotiation, investigation, communication, and conflict resolution skills., • Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills., • Ability to travel 50-75% of the year (local & non-local) and/or work catastrophe duty when needed., • Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts., • Experience working directly for a standard insurance carrier handling claims from start to finish (first notice of loss, reviewing policy, making coverage decisions), • Successful completion of a job-related assessment may be required. Nice to Have Qualifications • Residential property field adjusting experience with dwelling, structure and additional living expenses., • Proficient in using estimating platforms and virtual inspection tools like Xactimate, ClaimXperience and XactAnalysis, • Insurance industry designations such as AINS (Associate in General Insurance), CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims), or SCLA (Senior Claims Law Associate) or actively pursuing, • Active Property & Casualty adjuster license, • US military experience through military service or a military spouse/domestic partner Compensation and Perks • Salary range: $85,050 - $130,410- You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location., • Best-in-class benefits to support their physical, financial, and emotional wellness, • Comprehensive medical, dental and vision plans, 401(k), pension, and life insurance, • Parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs, • Career path planning and continuing education to assist employees with their professional goals Client does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Disclaimers: AlphaStaff, Inc. and the Client are equal employment opportunity employers and do not discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, past or present military service, disability, genetic information, or any other basis protected by applicable federal, state, or local laws.

Job Description At Redefine Healthcare, we believe in providing all patients with the highest quality of care and compassion. With our dedicated team of Neurosurgeons, Interventional Pain Management Specialists, Orthopedists, Psychiatrists, Physical Therapists, and Chiropractors, we pride ourselves on specializing in continuity of care for our patients. We are excited to add Vascular to our growing list of specialties. Redefine Healthcare is looking for a dedicated, full-time Workers’ Compensation Medical Billing Specialist to join our expanding team of healthcare professionals in our Matawan Office. The Workers’ Compensation Medical Billing Specialist is responsible for managing the billing and collection process for Workers’ Compensation claims. This role ensures accurate claim submission, payment posting, and follow-up with insurance carriers, third-party administrators, and adjusters to resolve outstanding balances or denied claims. We are looking for candidates that are motivated, compassionate and are looking to advance their career in a community that is always growing. Job Title: Workers’ Compensation Medical Billing Specialist Pay Rate: $21-25/ hour, depending on specialty and experience Hours: 40 hours per week Job Type: Full-time Benefits: Paid time off, sick time, health insurance (medical, dental, vision, accident, and critical illness), life insurance, 401(k) with Company match, yearly bonus Job Title Duties (not limited to): • Process and submit medical claims related to Workers’ Compensation cases accurately and in a timely manner., • Review patient accounts to ensure all Workers’ Compensation claim information (claim number, employer, insurance carrier, and adjuster details) is accurate and complete., • Follow up with insurance carriers, third-party administrators (TPAs), and adjusters regarding claim status, payments, and denials., • Investigate and resolve denied or unpaid Workers’ Compensation claims, ensuring proper documentation and resubmission when necessary., • Communicate with patients, employers, insurance carriers, and adjusters regarding billing inquiries and claim updates., • Ensure billing practices comply with Workers’ Compensation fee schedules, regulations, and payer guidelines., • Post payments and adjustments accurately and reconcile accounts as needed., • Maintain organized documentation for Workers’ Compensation claims and related correspondence., • Work collaboratively with providers, front desk staff, and management to ensure accurate claim submission and timely reimbursement., • Adhoc responsibilities and duties. Experience Required: • Proven experience in Workers’ Compensation medical billing or healthcare billing with Workers’ Compensation claims., • Knowledge of Workers’ Compensation claim processes, insurance carriers, and fee schedules., • Experience working with adjusters, employers, and third-party administrators (TPAs)., • Strong communication and problem-solving skills with the ability to professionally manage billing inquiries and claim issues., • Strong attention to detail and ability to manage multiple claims and follow-ups efficiently.

Duties and Responsibilities: • Directly handle, manage and/or oversee financial lines plastic card fraud and theft claims; and employment practices liability claims., • Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims., • Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners., • Review and evaluation of policies to determine coverage., • Resolve coverage-related matters working collaboratively with outside counsel when necessary., • Complete written reports and present claims to management, underwriting, actuary and reinsurers on claim developments as needed., • Adhere to all statutory regulations and Unfair Claims Practices Acts., • Consistently communicate claim developments, exposure analyses and requests for authority to claims management., • Participate in mediations, settlement conferences and otherwise see claims through to resolution., • Work closely with underwriting and other business partners to review, analyze, and communicate claim trends and help develop policy language., • Along with underwriting, attend current and prospective meetings with insureds and brokers., • Work with and manage outside vendors, including outside attorneys to manage budgets and oversee litigation. Qualifications: • Minimum of 1 to 3 years of experience at either a specialty insurance carrier and/or law firm., • Plastic card and EPL experience. Financial institutions E&O and D&O a plus., • Bachelor's degree required., • Juris Doctor degree from an accredited law school a plus., • Candidates will be required to obtain and maintain insurance adjuster licenses., • Excellent written communication skills., • Excellent verbal and interpersonal communication skills, resulting in the ability to interact with all levels of management and employee population., • Strong analytic, investigative, listening and negotiation skills., • Experience multi-tasking, prioritizing work and working effectively in a team environment, while maintaining attention to detail., • Experience working in a fast-paced environment, completing work with limited supervision., • Experience with Microsoft Windows, Outlook, and Excel or transferable software packages., • Ability and willingness to travel as needed. Behavioral Competencies • Collaborates, • Communicates Effectively, • Customer Focus, • Decision Quality, • Nimble Learning Technical Skills • Claims Investigations, • Claims Adjustment, • Claims Resolution, • Claims Settlement, • Financial Controls, • Claims Case Management, • Customer Relationship Management This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.

Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims. As a Claim Analyst III, you will be responsible for handling all aspects of multi-line, financial lines claims from inception through conclusion brought against insureds. The responsibilities for this role include making coverage determinations, investigating losses, evaluating, and projecting potential exposures, setting judgmental reserves, developing and implementing resolution strategies, managing outside law firms, working with underwriting on policy renewals and promoting client relationships. How you will create an impact • You will be responsible for a portfolio of claims from coverage inquiry through legal liability assessment and quantum analysis, to timely and accurate resolution., • Your goal will be timely, accurate and customer-focused claim resolution, minimizing indemnity exposure and mitigating vendor and legal expense you will actively promote and demonstrate the principles of 'Treating Customers Fairly' in claims handling., • You will communicate regularly with internal and external stakeholders in your role as a Errors & Omissions claims expert and thought leader., • As a valued member of the team, you will work closely with our underwriting partners to provide feedback on claim exposures and trends to inform decisions on the portfolio., • You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all key internal and external stakeholders. What you'll need to succeed • Experience handling third-party claims, litigation or other related experience., • Knowledge of legal / regulatory and litigation / procedural requirements for professional liability and/or construction claims., • Bachelor's Degree or equivalent required. Multi-state adjuster licenses and/or JD preferred., • Experience in negotiation, mediation, arbitration and ADR skills on higher value complex claims., • Policy language skills enabling accurate and consistent policy wording interpretation., • A track record of following up effectively on recommendations from technical claims audits and continuous file handling improvement., • The ability to influence claims and non-claims stakeholders by effectively directing claims strategy. Ready to take your career to the next level? We would love to hear from you. The base salary range for this position is $82,000-$103,000 and the position is eligible for a bonus in accordance with the terms of the applicable incentive plan. In addition, we're proud to offer a range of competitive benefits.

Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims. Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims. Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners. Review and evaluation of policies to determine coverage. Resolve coverage-related matters working collaboratively with outside counsel when necessary. Complete written reports and present claims to management, underwriting, actuary and reinsurers on claim developments as needed. Adhere to all statutory regulations and Unfair Claims Practices Acts. Consistently communicate claim developments, exposure analyses and requests for authority to claims management. Participate in mediations, settlement conferences and otherwise see claims through to resolution. Work closely with underwriting and other business partners to review, analyze, and communicate claim trends and help develop policy language. Along with underwriting, attend current and prospective meetings with insureds and brokers. Work with and manage outside vendors, including outside attorneys to manage budgets and oversee litigation. Minimum of 6 to 10 years' experience at either a specialty insurance carrier and/or law firm. Significant public/private D&O, E&O or EPL experience. Experience with program claims and working with MGU and MGA platforms in a claim capacity. Bachelor's degree and Juris Doctor from an accredited law school required. Candidates will be required to obtain and maintain insurance adjuster licenses. Excellent written communication skills. Excellent verbal and interpersonal communication skills, resulting in the ability to interact with all levels of management and employee population. Strong analytic, investigative, listening and negotiation skills. Experience multi-tasking, prioritizing work and working effectively in a team environment, while maintaining attention to detail. Experience working in a fast-paced environment, completing work with limited supervision. Experience with Microsoft Windows, Outlook, and Excel or transferable software packages. Ability and willingness to travel as needed.

At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Join our team as a Field Auto Appraiser and make a real impact on the auto claims process! In this role, you'll be on the front lines, writing estimates directly at customer homes, repair shops, or tow yards, and ensuring a smooth and efficient claims experience. You'll engage in a variety of interactions whether face-to-face, virtual, or written as you assess damages and finalize estimates with both customers and repair shops. With a dynamic range of tasks including repairable estimates, total loss assessments, and virtual inspections, no two days are the same. If you're looking for a fast-paced and rewarding role that offers both variety and challenge, this is the perfect opportunity for you. • You have 3-5 years' experience in auto collision estimating using CCC or Mitchell, • You have a High School Diploma or a GED, • Proficient written and verbal communication skills to effectively interact with customers, • Strong attention to detail and ability to write precise and comprehensive estimates, • Comfortable with utilizing technology and various platforms for claims processing, • Excellent time management and organizational skills to manage multiple assignments effectively, • Valid driver's license and willingness to travel as part of the job requirements A day in the life of the Field Appraiser, and what it takes to do the job! • The Customer Service Expert you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Casualty claim. You lead with empathy, always., • The Investigator you'll confidently and independently investigate casualty (and applicable LOB (line of business)) claims by performing detailed reviews of damage and interpreting policies to determine coverage., • The Effective Communicator you'll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You'll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress., • The Negotiator You will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations., • The Problem Solver you'll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills., • The Recorder you'll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You'll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim., • This position is a field-based role. To be eligible for this role, you must be located in the following locations: Brooklyn, NY, • This position is eligible for a monthly internet stipend of $80 to offset the costs of internet expenses, • Based on our Company Car Guidelines, this role may qualify for a company car. Our leadership team determines this based on annual work mileage for this location. You may be required to use your personal vehicle until these guidelines are met. We offer mileage reimbursements for personal vehicle usage during work. Please note, you may be required to attend 2 weeks of training held in person at our Dallas, TX office. • As a condition of employment, you may be expected to obtain an adjuster's license in multiple markets, • All required licenses will need to be obtained within 60 days of hire, • You must maintain all licensing required for your role. This includes any continuing education and/or other state-affiliated requirements for licensing renewal, • This role offers a sign on bonus of $1,000 if you have an active appraiser license or active adjuster license in TX, FL, or your resident state (current employees and candidates who have previously worked for and are seeking to be rehired at Allstate and its family of companies are not eligible for this sign-on bonus) Allstate cares about you and your wellbeing. We offer a comprehensive total rewards package that includes pay, benefits, and programs to help you balance work with the rest of your life. You can choose whatever benefits are most important you. Here are some of our offerings: • Competitive salary based on experience and qualifications, • Medical, dental, and vision coverage, • Allstate pension plan and 401(k) savings plan, • Ayco financial coaching, • Spring Health mental and emotional wellbeing resources, • Paid parental leave, • Adoption reimbursement, • Paid time off, • Tuition reimbursement, • Wellness incentives The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job. This position is not available for residents of Washington, California, Alaska, and Hawaii. Compensation offered for this role is 60,000.00 - 117,700.00 annually and is based on experience and qualifications. The candidate(s) offered this position will be required to submit to a background investigation. Joining our team isn't just a job it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger a winning team making a meaningful impact. Allstate generally does not sponsor individuals for employment-based visas for this position.

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Complex Claims Director Management Liability to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact As Senior Complex Claims Director for Management Liability, you will be responsible for handling all aspects of our highest severity D&O claims with opportunity to handle high exposure Employment Practices Liability and Fiduciary Liability claims and you will have the unique opportunity to work with some of the industry's top talent in Financial Lines Claims. You are respected for your deep technical expertise and/or ability to oversee programs and processes. You have balanced the needs of multiple stakeholders, making sound decisions using data, analysis, experience and judgment, along with the appropriate risk mindset. Ultimately, you take ownership for key outcomes. This position requires: • Determining the scope and extent of available coverage., • The investigation, evaluation and disposition of new and existing Directors & Officers Liability claims including possibly Employment Practices Liability and Fiduciary Liability claims., • Preparation and execution of investigation strategies which identify critical issues effecting liability, causation and damages and assessment of risk transfer and contribution opportunities., • Clear and concise communication and contact with internal and external customers, including insureds, brokers and underwriters, to provide guidance and manage expectations., • Proper documentation of exposure evaluation and resolution strategy., • Frequently present to senior management of claim disposition recommendations., • Obtain the appropriate authority to independently negotiate multi-million dollar claims with the top plaintiff attorneys nationwide. Document evaluation, thought process, and strategy. Utilize ADR as appropriate and necessary., • Effectively strategize and budget litigation of each claim through discussions with counsel, vendors and insureds. Establish with defense and coverage counsel clear ground rules in order to maintain financial control of budget and expenses., • 10% travel. What you will need to succeed • 10+ years of experience handling complex insurance claims, litigation or other related experience; management liability claims experience highly preferred., • Excellent communication skills (verbal/written) and strong negotiation skills., • Advanced experience and capabilities in litigation claims management including ADR and mediation process., • Experience attending and controlling cases: pre-suit, litigated, post-trial, at mediations, settlement conferences, etc., • Bachelor's Degree or equivalent required. JD highly preferred. Multi-state adjuster licenses preferred., • Motivation and interest in the potential for an upwardly mobile career path. Ready to make a bigger impact? We look forward to reviewing your application. For roles based in New York, the base salary range is $118,000-$178,000 Your actual compensation will be dependent on your skills, experience, and qualifications. If your compensation expectations are above the posted range, we still encourage you to apply your unique background matters to us. In addition, we're proud to offer a range of competitive benefits, a summary of which can be viewed here: US Benefits Overview. At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike. Enjoy benefits that take care of what matters At AIG, our people are our greatest asset. We know how important it is to protect and invest in what's most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial securityas well as your professional developmentto bring peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world's most far-reaching property casualty networks. It is an exciting time to join us across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become. Welcome to a culture of inclusion We're committed to creating a culture that truly respects and celebrates each other's talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG's greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations. AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com.

Everest Insurance Company Claims About Everest: Everest is a global leader in risk management, rooted in a rich, 50+ year heritage of enabling businesses to survive and thrive, and economies to function and flourish. We are underwriters of risk, growth, progress and opportunity. We are a global team focused on disciplined capital allocation and long-term value creation for all stakeholders, who care deeply about our impact on communities and the wider world. Job Description: The ideal candidate should possess the ability to handle complex Primary and Excess Management Liability (Private Company D&O/EPL) Claims. More particularly, the ideal candidate will be able to analyze insurance coverage issues and resolve claims according to certain Best Practices and within stated authority limits relative to the Private Company D&O/Management Liability Segment across diverse industries. This is a hybrid position based working 3 days onsite, 2 remote in either our Warren, NJ, Stamford, CT or New York City office. Responsibilities include but not limited to: • Reviewing and analyzing complex coverage issues and preparing coverage positions letters, • Investigating, analyzing, and evaluating liability and damages, • Managing and directing outside counsel; reviewing & approving legal budgets and fee statements, • Preparing Large Claim Reports related to matters of significant reserve and trial activity, • Timely and appropriately setting case reserves, • Developing and executing negotiation and resolution strategies, • Monitoring and attending trials, mediations and settlement conferences, • Engaging with underwriting supporting policy construction and drafting, reporting claim trends, data analysis and risk assessment, • Extensive communications with insureds, brokers, reinsurers and other business contacts, • Attending client meetings and industry functions to support retention and development of client relationships and business. Qualifications, Education & Experience: • Minimum of 3-5 years of Management Liability claims experience, • J.D. (currently licensed) / experience practicing law preferred, • Strong oral and written communication skills, • Strong analytical and organizational skills; Strong negotiation and investigation skills, • Excellent interpersonal skills, • Ability to evaluate coverage involving a wide variety of loss scenarios and ability to think strategically, • In-depth knowledge of the litigation, arbitration, and trial process, • Currently holds or can readily obtain all required adjuster licenses., • Knowledge of insurance industry, claims and the insurance legal and regulatory environment, • Ability to identify and use relevant data and metrics to best manage claims; Collaborative mind-set and willingness to work with people outside immediate reporting hierarchy to improve processes and generate optimal department efficiency, • Ability to and willingness to present to senior management and other stakeholders, • Ability to resolve complex disputed claims, • Ability to travel, as needed: 0-20% The base salary range for this position is $130,000 - $160,000 annually. The offered rate of compensation will be based on individual education, experience, qualifications and work location. All offers include access to a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO). What if I don't meet every requirement? At Everest we are dedicated to building an inclusive and authentic workplace. So, if you are excited about this role but your past experience doesn't align perfectly with every element in the job description, we still encourage you to apply. You may be just the right candidate for this or other roles. Please let us know if you need any accommodations throughout the application or interview process. Our Culture: At Everest, our purpose is to provide the world with protection. We help clients and businesses thrive, fuel global economies, and create sustainable value for our colleagues, shareholders and the communities that we serve. We also pride ourselves on having a unique and inclusive culture which is driven by a unified set of values and behaviors. • Our Values are the guiding principles that inform our decisions, actions and behaviors. They are an expression of our culture and an integral part of how we work: Talent. Thoughtful assumption of risk. Execution. Efficiency. Humility. Leadership. Collaboration. Inclusion and Belonging., • Our Colleague Behaviors define how we operate and interact with each other no matter our location, level or function: Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together. All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues, and the global communities we serve. Type: Regular Time Type: Full time Primary Location: Warren, NJ Additional Locations: New York, NY, Stamford, CT Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. As part of this commitment, Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Everest Benefits at everestbenefits@everestglobal.com.

CorVel is hiring a No-Fault Adjuster (Claims Specialist) for our client site in Brooklyn, NY. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic no-fault claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is an on-site position for our client site in Brooklyn, NY. Once fully trained, the employee will be able to work from home one day per week. • Receives claims, confirms policy coverage and acknowledgment of the claim, • Determines validity and compensability of the claim, • Establishes reserves and authorizes payments within reserving authority limits, • Manages non-complex and non-problematic no-fault claims under close supervision, • Communicates claim status with the customer, claimant and client, • Adheres to client and carrier guidelines and participates in claims review as needed, • Assists other claims professionals with more complex or problematic claims as necessary, • Requires regular and consistent attendance, • Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program ("IIPP"), • Additional projects and duties as assigned, • Excellent written and verbal communication skills, • Ability to learn rapidly to develop knowledge and understanding of claims practice, • Ability to identify, analyze and solve problems, • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets, • Strong interpersonal, time management and organizational skills, • Ability to meet or exceed performance competencies, • Ability to work both independently and within a team environment, • Bachelor's degree or a combination of education and related experience, • Minimum of 1 year of industry experience and claims management preferred CorVel uses a market-based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $51,807 - $83,551 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

The Opportunity As a dedicated Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle low to moderate complexity property insurance claims. Claim X, Hover, and Hosta) Handling claims from start (FNOL, reviewing policy, making coverage d

Position: AVP, Team Manager General Liability - Business Intelligence and Professional Development Reporting to: Claims Director, Property & Casualty Location: Atlanta, Boston, Chicago, Hartford, New York, Scottsdale Flexibility: Permanent Travel: Hybrid The AVP Team Manager General Liability - is a leader in the Claims organization reporting to the Claim Director of Property & Casualty. This very important role is pivotal to the success of the Claims organization and the ability to achieve both Claims and Portfolio goals by developing, managing and motivating a team of engaged and high-performing Claims professionals. The role requires excellent technical claims handling skills, strong people management, the use and implementation of data to drive key performance metrics and the ability to lead through change. AVP's provide managerial support, guidance and mentorship to their assigned team. Key Responsibilities: • Effectively manage the claims and claims volume through proper staffing of the team and active oversight of the claims, including assessing and allocating new incoming claims, reopened claims, and claims that may need to be transferred due to severity or complexity, • Responsible for implementing and executing Hiscox's Best Practices, including but not limited to reserve-setting and reserve timeliness, undertaking comprehensive coverage analysis, developing claim-handling strategy, in an effort to align with and deliver on Hiscox's KPIs, execute on strategies to efficiently manage claims and claim outcomes and deliver excellent service as the business scales, • Drive KPI's and adherence to Hiscox's Best Practices through managerial diary and file audits, • Review and approve coverage correspondence, particularly matters involving coverage denials and sensitive or complicated coverage issues, • Focus on litigation management and strategy within your direct team and across the wider Claims organization to achieve effectiveness and efficiencies of scale, • Identify, assess and escalate key issues, trends and emerging risks impacting the US business to senior claims management, • Establish collaborative relationships across our leadership, within Claims as well as other business areas, • Hire, train, motivate and coach employees to provide excellent claim service while continually assessing employee performance and providing feedback and training opportunities., • Act as the escalation point for customer and broker concerns or complaints to facilitate resolution efficiently and effectively, • Assist Director in preparing and presenting reserve analysis and claims trends while taking an active and engaged role in the feedback loop between Claims, Underwriting and Actuarial teams Required Skills and Experience: • At least 10 years of experience in handling claims. A JD from a law school with ABA accreditation may count as additional claims handling experience, • 5+ of experience in Commercial General Liability claims to include both Bodily Injury and 3rd Party Property Damage experience. Construction Defect and/or New York Labor Law experience is a plus., • 4+ of Claims management experience, • Expert knowledge of claims handling practices, including coverage analysis, litigation management and negotiation, • Excellent analytical, critical thinking and communication skills are a must, • Strong skills in building engagement, rapport and relationships with others, • Advanced analytical skills for evaluating coverage and for developing and executing claim-handling strategies to achieve optimal claim results, • Evidence of efforts to enhance product innovation, improve claims processes and/or gain a deeper understanding of other aspects of the business through training, interactions with external/internal stakeholders or other relevant projects, • Technical leader who can address challenges that may come up from direct reports or others inside or outside of the organization, • Ability to manage through uncertainty or change and address challenges and implement solutions, • Experience in partnering with internal and external stakeholders, including Actuary, Underwriting, Legal and Risk Control, • Dedication to excellent customer service, • Ability to efficiently manage the claims load for your team by developing team, hiring top notch talent and providing hands-on training, mentoring, oversight and support, • Insurance adjuster license(s), or willingness to obtain them What We Offer: • 401(k) with competitive company matching, • Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care), • Company paid group term life, short- term disability and long-term disability coverage, • 24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days, • Paid parental leave, • 4-week paid sabbatical after every 5 years of service, • Financial Adoption Assistance and Medical Travel Reimbursement Programs, • Annual reimbursement up to $600 for health club membership or fees associated with any fitness program, • Company paid subscription to Headspace to support employees' mental health and wellbeing, • 2024 Gold level recipient of Cigna's Healthy Workforce Designation for having a best-in-class health and wellness program, • Dynamic, creative, and values-driven culture, • Modern and open office spaces, complimentary drinks, • Spirit of volunteerism, social responsibility, and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation Salary Range: $120k-$155k 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. Please note that this position is hybrid and requires two (2) days in our office weekly

Join our dynamic and forward-thinking Claims team! Here, you'll be part of an energetic and innovative group, with the chance to help shape insurance products and collaborate with business leaders throughout the organization. This position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations: • Atlanta, GA, • Boston, MA, • Chicago, IL, • Manhattan, NY, • West Hartford, CT Our Senior Complex Claims Specialist-Professional Liability role is an individual contributor responsible for the handling of high-severity primary Professional Lines including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims for the organization from inception to resolution. This role is responsible for all aspects of the claims and litigation process, including liaising with external and internal business partners (e.g., outside experts and/or legal counsel; underwriting) as required. In addition to handling assigned claims, this role also: • With minimal supervision, adjusts to resolution the highest severity claims and drafts the most complex technical coverage analysis and letters required in the given claim department, • Acts as subject matter expert within the team, • Models gold standard for litigation best practices and file integrity, • Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions, including identifying appropriate matters for trial, • Identifies and provides potential solutions for emerging exposures and claims trends, • Identifies suspected fraudulent claims and tracks with special investigations unit, • Accurately documents claim files with all relevant correspondence and notes in compliance with company policies and applicable regulatory authorities, • Mentors other team members, including providing formalized training, as needed., • Develops content and conducts training for claims team and underwriters as requested The US Claims team at Hiscox is a growing group of professionals working collaboratively to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority in order to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox's strong brand built on a long history of outstanding claims handling. Requirements: • 10+ years of Professional Liability and/or Specialty claims handling experience., • A JD from an ABA accredited law school may be considered as a supplement to claims handling experience, • Proven ability to positively affect highest severity claims outcomes through investigation, negotiation and effectively leading litigation, • Ability to work in a fast-paced and changing environment, • Expert knowledge of coverage within the team's specialty or focus, • Expert knowledge of litigation process and negotiation skills, • Proven track record of mentoring others, • Excellent verbal and written communication skills, • Advanced analytical skills, • B.A./B.S Degree required, JD optimal, • Adjuster licensing required or ability to obtain within 90 days of employment Additional Factors Considered: • Subject matter expertise or technical leadership in other lines of business and/or claim types, • Demonstrates ability to work with minimal oversight, • Demonstrates ability to advance product innovation or develop a greater understanding of other aspects of the business through training or other relevant projects across teams of lines of business, • Demonstrates courage and confidence in addressing and solving difficult or severity matters with insureds, attorneys, and brokers What Hiscox USA Offers: • Competitive salary and bonus (based on personal & company performance), • 401(k) with competitive company matching, • Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care), • Company paid group term life, short- term disability and long-term disability coverage, • 24 Paid time off days, 2 Hiscox Days, 10 paid holidays, and ability to purchase 5 PTO days, • Paid parental leave, • 4 week paid sabbatical after every 5 years of service, • Financial Adoption Assistance and Medical Travel Reimbursement Programs, • Annual reimbursement up to $600 for health club membership or fees associated with any fitness program, • Company paid subscription to Headspace to support employees' mental health and wellbeing, • Recipient of 2024 Cigna's Well-Being Award for having a best-in-class health and wellness program, • Dynamic, creative and values-driven culture, • Modern and open office spaces, complimentary drinks This position is hybrid and requires two (2) days in our office weekly Salary Range: $140-$170k 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. About Hiscox: As an international specialist insurer, we are far removed from the world of mass market insurance products. Instead, we are selective and focus on our key areas of expertise and strength - all of which is underpinned by a culture that encourages us to challenge convention and always look for a better way of doing things. We insure the unique and the interesting. And we search for the same when it comes to talented people. Hiscox is full of smart, reliable human beings that look out for customers and each other. We believe in doing the right thing, making good and rebuilding when things go wrong. Everyone is encouraged to think creatively, challenge the status quo and look for solutions. Scratch beneath the surface and you will find a business that is solid, but slightly contrary. We like to do things differently and constantly seek to evolve. We might have been around for a long time (our roots go back to 1901), but we are young in many ways, ambitious and going places. Some people might say insurance is dull, but life at Hiscox is anything but. If that sounds good to you, get in touch. About Hiscox USA: Hiscox USA was established in 2006 to focus on the needs underserved and specialty commercial clients via both the regional broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group. Today, Hiscox USA has a talent force of about 400 employees mostly operating out of 6 major cities - New York, Atlanta, Dallas, Chicago, Los Angeles and San Francisco. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism.

Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. More than 9,000 of the industry's brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as a Senior Private Client Advisor at MMA. Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With 170 offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh McLennan (NYSE: MMC). A day in the life. The Claims Advocacy Leader on the PRIVATE CLIENT SERVICES team is a foundational pillar of the Private Client Services National (PCS-N) service offering and a meaningful differentiator in the marketplace. The PCS Claims Advocacy Leader will formulate and execute a client first vision, strategy and operational design for Claims Advocacy that enhances the claimant experience and strengthens retention. This position will lead multiple Claims Advocacy teams and field claim executives and direct claims operations activities, including best practices, to achieve effective and efficient delivery of services. They will synchronize CAT event responses, resources for major claims, educational offerings and capabilities across PCS regions. As a subject matter expert the PCS Claims Advocacy Leader will lead efforts to resolve issues with insurers that protect the interests of key clients and Family Offices and retain relationships. The position will also contribute to client and COI communications, participate in client webinars and in coordination with MMC Public Relations, serve as the face of MMA PCS Claims Advocacy to external constituents. Our future colleague. We'd love to meet you if your professional track record includes these skills: • Leads a team of claims professionals to resolve complex and/or high value loses, keeping all relevant parties informed. Coaches team to achieve favorable client outcomes while attaining internal KPIs for claims operations management and services, • Evaluate existing claims operation processes and departmental strategy and put forth a strategic plan to improve the client claim experience, elevate operational goals and maximize process efficiencies., • Directs and interfaces with PCS Operations and EPIC Transformation teams to design and implement contemporary claims technologies, including claims 'use cases' for Risk Services and Solutions data platform., • Demonstrates strong leadership, emotional intelligence and interpersonal communication skills when assessing existing Claims Advocacy skill sets, relative to requirements of a future state work environment., • Frequently communicate key client and Family Office matters/concerns, team updates, market developments and claims trends with PCS field leadership teams (Zone Leaders and Zone Client Advisor Leaders) as well as MMA regions. Ensures team maintains regular contact with clients and local PCS service teams to build trust, deliver service and maintain effective working relationships., • Collaborates across the enterprise and partners with MMA regions in order to ensure alignment on claims activities, build strategic regional or national carrier relationships and leverage MMA resources to drive revenue retention and generation., • Monitors external environments for trends, regulatory changes and best practices. Identifies emerging opportunities and risks in order provide strategic guidance and implement appropriate action plans and escalates to senior leaders, where appropriate., • Contributor at key client and Family Office annual review meetings by providing insight into client's loss history and risk management efforts, as well as general claims trends., • Participate in prospect meetings and COI presentations to make PCS claims advocacy promise a tangible experience., • Participate in projects and committees and provides resources for the overall betterment of MMA PCS Qualifications • Preferred minimum of 10-year claims experience, preferably with Affluent and High Net Worth broker or carrier., • Knowledge of personal lines products and services, insurance practices, contracts and their application., • Experience in a customer service environment including WFH arrangements, flexible work schedules and extended work hours preferred., • Experience leading a team of claims professionals a plus, • Proven ability to meet customer needs and provide exemplary service by informing customers of the claims process and ensuring a positive customer experience., • Proven knowledge of the investigation, negotiation and settlement activities used to resolve very complex and /or high value claims., • Analytical and problem-solving skills necessary to make decisions and resolve conflict in such areas as application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions, • Excellent verbal and written communications skills, • Ability to travel approximately 20%, • BS/BA degree preferred Licenses: Producer Licenses (Casualty - Commercial and Personal) Claim Adjuster Licenses The applicable base salary range for this role is $125,000 to $233,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

Claims, Claims Examiner, Claims Adjuster, Claims Manager, Claims Director, Commercial Lines, General Liability, Primary Casualty, Excess Casualty, NY Labor Law, New York, Syracuse, Litigated, J. Claims Manager/Director will be responsible for conducting proactive investigation, risk transfer, claim

Currently holds or readily can obtain all required adjuster licenses. Conduct regular meetings with TPA adjusters and managers to discuss trends and claim handling strategy.

Job Summary The Multi-Line Claim Consultant is responsible for the investigation, evaluation, and adjustment of assigned multi-line claims across multiple disciplines, including Auto, Commercial Auto, General Liability (GL), and Bodily Injury (BI). Active adjuster license in home state required (mul

Liberty Mutual has an immediate opening for an Environmental Claims Officer - a role ideal for claims professionals with significant experience handling complex environmental/pollution matters and/or mass litigation/toxic tort claims. The Environmental Claims Officer will handle a book of Commercial Specialty Lines Claims, throughout the entire claim's life cycle, and will be responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business. There is a strong preference for the selected candidate to live within a 50-mile radius of one of the listed Hub Offices (Westborough, MA; Boston, MA; Suwanee, GA; Plano, TX; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Chandler, AZ or Weatogue, CT), and have the ability to come into the office two times a month. This policy is subject to change. We will consider a remote candidate for this opportunity if you do not live within 50-miles of one of these offices. We are open to fill this position, depending on related professional skills and experience. The salary range reflects the varying pay scale for both levels that encompasses each of the Liberty Mutual regions across the country, and the overall cost of labor for each region. Please note the salary for your region may be lower than the top of the range listed. Responsibilities • Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition., • Utilizes CMS to document claims and to diary future events or follow-up., • Within prescribed settlement authority for line of business, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy., • Makes recommendations to set reserves at appropriate level for claims outside of authority level., • Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting., • Manages the litigation process through the retention of counsel., • Adheres to the line of business litigation guidelines to include budget, bill review and payment., • Pro-actively manages the case resolution process., • Actively participates in mediations and arbitrations, within limit of settlement authority. Participates in the claims audit process., • Provides claims marketing services by meeting with brokers, risk managers and reinsurers, as necessary., • As required, maintains insurance adjuster licenses., • Bachelors' and/or advanced degree. J.D. preferred., • 7 + years claims/legal experience, with at least 2 years within a technical specialty preferred, • Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge, • Functional knowledge of law and insurance regulations in various jurisdictions, • Demonstrated advanced verbal and written communications skills, • Demonstrated advanced analytical, decision making and negotiation skills, • Advanced Environmental Claims and/or Pollution Claims experience preferred, • Experience with mass litigation and/or toxic tort required Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices • California, • Los Angeles Incorporated, • Los Angeles Unincorporated, • Philadelphia, • San Francisco

Enter all claims into Epic and generate Acord notices and follow up with carriers to ensure that the claim was reported, obtain necessary adjuster contact information and claim number then provide client with this information. Prepare loss summary reports for internal customers.

The Claims Specialist works on highly complex claim assignments requiring specialized knowledge. The role handles activities including, but not limited to, coverage analysis, liability and damage investigation, litigation, and expense management. The role also evaluates claims for reserve and settlement, executes settlement strategy, negotiates settlements proactively, attends arbitrations and ensures appropriate file documentation. Duties and Responsibilities: • Directly handle, manage and/or oversee financial lines fidelity and crime claims, and financial institution E&O and D&O claims., • Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims., • Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners., • Review and evaluation of policies to determine coverage., • Resolve coverage-related matters working collaboratively with outside counsel when necessary., • Complete written reports and present claims to management, underwriting, actuary and reinsurers on claim developments as needed., • Adhere to all statutory regulations and Unfair Claims Practices Acts., • Consistently communicate claim developments, exposure analyses and requests for authority to claims management., • Participate in mediations, settlement conferences and otherwise see claims through to resolution., • Work closely with underwriting and other business partners to review, analyze, and communicate claim trends and help develop policy language., • Along with underwriting, attend current and prospective meetings with insureds and brokers., • Work with and manage outside vendors, including outside attorneys to manage budgets and oversee litigation. Qualifications: • Minimum of 3 to 6 years of experience at either a specialty insurance carrier and/or law firm., • Significant fidelity, crime, and financial institutions E&O and D&O experience, • Bachelor's degree and Juris Doctor from an accredited law school required., • Candidates will be required to obtain and maintain insurance adjuster licenses., • Excellent written communication skills., • Excellent verbal and interpersonal communication skills, resulting in the ability to interact with all levels of management and employee population., • Strong analytic, investigative, listening and negotiation skills., • Experience multi-tasking, prioritizing work and working effectively in a team environment, while maintaining attention to detail., • Experience working in a fast-paced environment, completing work with limited supervision., • Experience with Microsoft Windows, Outlook, and Excel or transferable software packages., • Ability and willingness to travel as needed. Behavioral Competencies: • Collaborates, • Communicates Effectively, • Customer Focus, • Decision Quality, • Nimble Learning Technical Skills: • Claims Investigations, • Claims Adjustment, • Claims Resolution, • Claims Settlement, • Financial Controls, • Claims Case Management, • Customer Relationship Management This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.

Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims. Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims. Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners. Review and evaluation of policies to determine coverage. Resolve coverage-related matters working collaboratively with outside counsel when necessary. Complete written reports and present claims to management, underwriting, actuary and reinsurers on claim developments as needed. Adhere to all statutory regulations and Unfair Claims Practices Acts. Consistently communicate claim developments, exposure analyses and requests for authority to claims management. Participate in mediations, settlement conferences and otherwise see claims through to resolution. Work closely with underwriting and other business partners to review, analyze, and communicate claim trends and help develop policy language. Along with underwriting, attend current and prospective meetings with insureds and brokers. Work with and manage outside vendors, including outside attorneys to manage budgets and oversee litigation. Minimum of 1 to 3 years' experience at either a specialty insurance carrier and/or law firm. Entry level experience in public/private D&O, E&O or EPL. Bachelor's degree and Juris Doctor from an accredited law school required. Candidates will be required to obtain and maintain insurance adjuster licenses. Excellent written communication skills. Excellent verbal and interpersonal communication skills, resulting in the ability to interact with all levels of management and employee population. Strong analytic, investigative, listening and negotiation skills. Experience multi-tasking, prioritizing work and working effectively in a team environment, while maintaining attention to detail. Experience working in a fast-paced environment, completing work with limited supervision. Experience with Microsoft Windows, Outlook, and Excel or transferable software packages. Ability and willingness to travel as needed. This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.

Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims. Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims. Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners. Review and evaluation of policies to determine coverage. Resolve coverage-related matters working collaboratively with outside counsel when necessary. Complete written reports and present claims to management, underwriting, actuary and reinsurers on claim developments as needed. Adhere to all statutory regulations and Unfair Claims Practices Acts. Consistently communicate claim developments, exposure analyses and requests for authority to claims management. Participate in mediations, settlement conferences and otherwise see claims through to resolution. Work closely with underwriting and other business partners to review, analyze, and communicate claim trends and help develop policy language. Along with underwriting, attend current and prospective meetings with insureds and brokers. Work with and manage outside vendors, including outside attorneys to manage budgets and oversee litigation. Qualifications: Minimum of 6 to 10 years' experience at either a specialty insurance carrier and/or law firm. Significant public/private D&O, E&O or EPL experience. Experience with program claims and working with MGU and MGA platforms in a claim capacity. Bachelor's degree and Juris Doctor from an accredited law school required. Candidates will be required to obtain and maintain insurance adjuster licenses. Excellent written communication skills. Excellent verbal and interpersonal communication skills, resulting in the ability to interact with all levels of management and employee population. Strong analytic, investigative, listening and negotiation skills. Experience multi-tasking, prioritizing work and working effectively in a team environment, while maintaining attention to detail. Experience working in a fast-paced environment, completing work with limited supervision. Experience with Microsoft Windows, Outlook, and Excel or transferable software packages. Ability and willingness to travel as needed. Ability to be onsite in office 4 days a week as per corporate policy Westfield Specialty is proud to be an Equal Employment Opportunity employer. We celebrate diversity and do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, veteran status, disability status, or any other applicable characteristics protected by law.

We're a fast-growing startup rethinking how back-office work gets done in financial services. Our first product helps automotive lenders resolve insurance claims more effectively, delivering better outcomes for both lenders and consumers through automation and AI. Small improvements can unlock significant value for our customers. Along the way, we've helped consumers avoid millions in debt. We're an early stage venture-backed startup and scaling quickly. We're scrappy, intentional, and focused on solving real problems for our customers. We bias toward shipping, learning fast, and building solutions that work in the real world. Our headquarters is located in New York City, NY this role would be remote but have the opportunity to collaborate in person with coworkers in our Madison satellite office. We're backed by leading investors including 81 Collection, Better Tomorrow Ventures and Capital One Ventures. We're seeking an experienced Claims Specialist to join our growing team. You'll leverage our cutting-edge tools to review and resolve automotive total loss claims. • Resolve automotive total loss settlements with insurance carriers, adjusters, and third-party administrators, • Utilize our platform to analyze claim data, identify opportunities to improve claim recovery, and optimize settlement outcomes, • Collaborate with our product and engineering team to refine our technology and processes based on real-world claim outcomes, • Maintain detailed documentation of negotiations and settlement rationales, • Build and maintain relationships with carrier representatives and industry partners, • Adjuster/Appraiser Licenses, • 3+ years of experience in automotive claims, with specific expertise in a mix of:, • Total loss settlements, • Subrogation (subro) processes, • Strong understanding of ACV (Actual Cash Value) calculations and valuation methodologies, • Excellent negotiation and communication skills, • Comfort working with technology, • Knowledge of state-specific insurance regulations and compliance requirements, • Experience with claims management systems and automation tools, • Background in insurtech or technology-forward operations You won't just be processing claims you'll be shaping how we transform the industry. Your expertise will directly influence our product development, helping us build smarter negotiation tools and more effective settlement strategies. This is an opportunity to be at the forefront of insurance innovation while applying your deep industry knowledge. • Travel : Up to 25% travel required which may include but not limited to office meetings and customer site visits, • Schedule : This is a dynamic environment and may require flexibility beyond traditional 9-5 hours. You'll need to adapt to varying time zones and urgent claim deadlines, • Hybrid Work : We strive to foster a flexible working environment that supports high-quality work. Team members are expected to collaborate intentionally to plan meaningful and effective in-office time., • Remote Work Setup : Reliable high-speed internet connection (minimum 50 Mbps) and quiet, professional workspace for calls with clients and carriers, • Security : Ability to maintain secure handling of sensitive claim data meeting our security standards, • Communication : Must be responsive during core business hours with ability to manage asynchronous communication across multiple channels, • Self-Direction : Strong ability to work independently, prioritize competing demands, and thrive in an ambiguous environment where processes are still being defined, • Background Check : Must pass a background check and demonstrate clean driving record for travel requirements, • Competitive salary and meaningful equity., • Health, dental, and vision insurance., • Unlimited PTO and flexible hours., • New equipment to support your best work., • Regular off-sites and team travel budget to get together in person, • The opportunity to play a foundational role in shaping both the product and the company., • Professional development in both insurance and technology domains

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Process insurance claims and follow up with customers.