CBCS

Claims Specialist

• Investigate and manage New York PIP/No-Fault claims from inception through closure.
• Review medical documentation, treatment plans, wage loss claims, and related expenses.
• Evaluate claim exposure and establish appropriate reserves.
• Coordinate with medical providers, attorneys, insureds, claimants, and vendors.
• Identify and address potential fraud indicators.
• Ensure compliance with New York No-Fault regulations, statutory timelines, and reporting requirements.
• Maintain accurate and timely claim documentation.
• Deliver exceptional customer service while effectively managing claim outcomes.

PIP Claims Adjuster

• Work in a fast-paced and rewarding position with NO commute
• Handle general liability adjusters with a background in construction defect claims
• Investigate, evaluate, and resolve complex liability claims

General Liability Claims Adjuster

Supervisor

• Ensure that the team receives regular, high-quality feedback to drive accountability.
• Maintain weekly metrics in the green.
• Achieve monthly QSR scores of 90%+ for the team.
• Arrange monthly meetings with the team to align on goals.
• Maintain an average customer service survey score of 1.30 or less.
• Act as a mentor to adjusters.

Workers Compensation Claims Supervisor – Midwest Region

• Investigating, evaluating, negotiating, and settling workers compensation claims on behalf of our clients.
• Communicating with a wide variety of individuals, including CEOs, claimants, providers' offices, and attorneys.
• Handling claims in multiple jurisdictions is vital for success in this role.

Workers Compensation Claims Adjuster – Northeast Jurisdictions

Account Manager

• Serve as the primary point of contact for assigned accounts, managing relationships from onboarding through renewal
• Lead client meetings, claims reviews, and stewardship sessions, presenting actionable insights on claim performance, trends, and outcomes
• Monitor claims handling quality and TPA performance, ensuring adherence to best practices, service standards, and regulatory requirements
• Partner with adjusters, supervisors, and leadership to resolve escalations and improve claim outcomes
• Analyze claims data (frequency, severity, lag time, expenses) to recommend cost containment and program optimization strategies
• Support implementation of new accounts, ensuring a smooth transition of claims handling and reporting
• Assist with contracts, renewals, and financial reconciliation, including claim costs and program performance
• Participate in sales presentations and finalist meetings, showcasing claims expertise and service capabilities

Claims Account Manager

Learning and Development

• Train new adjusters (in office & remote staff) to build role-specific knowledge and proficiency
• Review trainee work to assess accuracy, communication quality, and progress
• Develop training plans, assessment tools, and learning goals to measure performance and retention
• Coordinate and deliver training sessions, including presentations and refreshers
• Create and maintain training materials, resources, and content for consistent team learning
• Partner with management to evaluate performance and recommend development needs
• Serve as a subject matter resource for systems, workflows, and department processes
• Support ongoing training for existing employees and contribute to additional projects as needed

PIP Claims Adjuster

General Liability Claims Adjuster

Workers Compensation Claims Supervisor – Midwest Region

Workers Compensation Claims Adjuster – Northeast Jurisdictions

Claims Account Manager

Auto Liability Claims Training Specialist