Claims Specialist

• Manage an active desk of litigated and non-litigated claims of varying complexity under miscellaneous professional liability coverages
• Recognize exposures and ensure reserves are adequate and timely
• Evaluate coverage issues and identify risk transfer opportunities
• Manage litigation by proper expert selection, planning, budgeting and partnership with defense counsel
• Strong negotiation skills
• Effective communication both internally and externally
• Proactively manage claim resolution, including formation and implementation of resolution strategy, settlement valuation and obtaining settlement authority
• Actively participate in mediations as needed, within limit of settlement authority
• Manage allocated loss adjustment expense through strategic handling and bill review/payment processing in coordination with the billing unit
• Appropriately document claim files in accordance with established guidelines
• Maintain adjuster licenses, as required.
• This position may require occasional travel to attend mediations, trainings, trials and/or other related meetings.

Senior Professional Liability Claims Representative

• To analyze Auto Bodily Injury Litigation claims on behalf of our valued clients to determine benefits due.
• Ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Auto & Bodily Injury Litigation Claims Examiner – Commercial Auto

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Workers Compensation Claims Representative – Entry Level

• Investigate, evaluate, negotiate and resolve commercial general liability claims in a fair and timely manner.
• Thoroughly evaluate and analyze coverage and draft comprehensive coverage position letters.
• Manage the defense of more complex regional commercial general liability claims in multiple jurisdictions in accordance with leading practices.
• Manage non-litigated and some litigated claims.
• Operate on an independent basis with little supervision and settle claims within assigned authority.
• Effectively manage expenses.
• Attend mediations, trials and hearings as needed to include interaction with insureds, agents, and legal representatives.
• Review court decisions, laws and coverage interpretations and have a broad knowledge and understanding of the law and claim practices.
• Able to work independently and serve as a mentor to lesser experienced team members.

Commercial Lines Claims Specialist – Commercial General Liability

• Initiate the investigation of new claims
• Make coverage decisions based on the Named Peril Policies
• Evaluate settlements of personal property damage as appropriate
• Establish contact with the insured and storage facility within established protocol
• Recognize coverage issues and bring them to the attention of the supervisor
• Develop basic understanding of all entities under this program and their corresponding certificates and policies
• Recognize state specific laws and claims regulations throughout the United States to ensure proper compliance in claims investigation including sending and securing proper documentation
• Respond to time sensitive material including but not limited to department of insurance complaints
• Manage a diary system to systematically review and resolve claims within the specified state and client compliance guidelines
• Maintain state license by completing continuing education coursework and/or work towards a claims designation
• Other duties as assigned by the claims supervisor.

Claims Representative – Personal Property

• Conduct both virtual and on-site investigations by visiting policyholders’ residences to assess property damage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
• Use claims handling software, a company car, and a laptop to determine claims-related damage and write estimates in a paperless environment.
• Evaluate and report on potential subrogation opportunities.
• Perform duties independently, with work directly impacting management outcomes.
• Acts as a company representative in public interactions, maintaining a professional demeanor consistent with management standards.
• Engages regularly with a variety of stakeholders, including policyholders, claimants, agents, witnesses, contractors, law enforcement, fraud and arson investigators, attorneys, medical professionals, and other relevant parties.
• Use strong customer service skills to negotiate with policyholders to settle the claim.

Field Property Claims Adjuster

• Conduct both virtual and on-site investigations by visiting policyholders’ residences to assess property damage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
• Use claims handling software, a company car, and a laptop to determine claims-related damage and write estimates in a paperless environment.
• Evaluate and report on potential subrogation opportunities.
• Reports incidents involving theft, fraud, or arson to appropriate state and industry agencies.
• Perform duties independently, with work directly impacting management outcomes.
• Acts as a company representative in public interactions, maintaining a professional demeanor consistent with management standards.
• Engages regularly with a variety of stakeholders, including policyholders, claimants, agents, witnesses, contractors, law enforcement, fraud and arson investigators, attorneys, medical professionals, and other relevant parties.
• Use strong customer service skills to negotiate with policyholders to settle the claim.
• Promotes safety at all times and complies with safety/ergonomic standards as outlined in relevant company published manuals.

• handle entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution
• provide service to agents, insureds, and others to ensure claims resolve accurately and timely
• complete training and development of the Company’s claims training program for the assigned line of insurance
• study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products
• learn and comply with Company claim handling procedures
• develop entry-level claim negotiation and settlement skills
• build skills to effectively serve the needs of agents, insureds, and others
• meet and communicate with claimants, legal counsel, and third-parties
• develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment
• study, obtain, and maintain an adjuster’s license(s), if required by statute within the timeline established by the Company or legal requirements

Claims Representative

• Review Claims Documentation: Examine photos, estimates, reports, contracts and other documentation submitted by policyholders, contractors, or field adjusters to assess damage and determine the extent of loss.
• Assess Property Damage: Analyze claims for accuracy and determine the cause of damage, ensuring compliance with policy terms and conditions.
• Estimate Costs: Collaborate with vendors to estimate repair or replacement costs based on the damage reported.
• Process Claims: Manage claims through the full lifecycle, from initial report to settlement, ensuring all required documentation is collected and all deadlines are met.
• Negotiate Settlements: Communicate with policyholders, contractors, and service providers to negotiate fair settlements.
• Provide Customer Service: Act as a primary point of contact for policyholders, responding to questions, clarifying policy coverage, and resolving issues related to claims.
• Maintain Detailed Records: Document all communications, decisions, and actions taken throughout the claims process to ensure accurate claim files.
• Ensure Compliance: Follow company procedures, legal requirements, and industry regulations when processing claims, ensuring that all actions taken are in line with regulatory standards.

Property Claims Adjuster

• Review and assess workers' compensation claim files to identify viable subrogation potential
• Conduct detailed investigations to determine third-party liability through accident reports, witness statements, medical records, and other evidence
• Maintain an active pending of approximately 200+ claim files, ensuring timely and accurate file documentation, diary maintenance, email and correspondence review, and task execution
• Collaborate with clients to provide updates, recommendations, and recovery strategies in accordance with specific authority levels and settlement guidelines
• Negotiate settlements with third parties, attorneys, and carriers, while protecting client interests and ensuring compliance with applicable laws and regulations
• Work both independently and as part of a collaborative team to achieve recovery targets and meet organizational goals
• Maintain proficiency with internal systems and tracking tools to manage case progress and reporting
• Stay current on state-specific workers’ compensation and subrogation statutes, especially within Florida and any other assigned jurisdictions
• Provide guidance and support to junior team members or contribute to cross-functional projects as needed
• Support company values of *We are Dynamic, We are Innovative, We are Connected, and We Succeed Together*
• Perform other duties as assigned

Subrogation Claims Specialist

• Investigate and handle automobile claims from initial report through resolution.
• Evaluate coverage, determine liability, and assess damages.
• Negotiate claims and guide customers through the claims process.
• Identify potential subrogation or fraud and partner with internal teams.

Auto Telephone Claims Adjuster

• Investigating, evaluating, and negotiating general and auto liability claims.
• Conducting thorough investigations of coverage, liability, and damages.
• Communicating effectively with internal and external customers on claims issues.
• Maintaining and managing a diary system to manage claims inventory.
• Preparing Large Loss reports and maintaining ongoing claim updates.

Claims Analyst IV – Auto and GL

• To analyze complex or technically difficult bodily injury and general liability claims to determine benefits due.
• To work with high exposure claims involving litigation and rehabilitation.
• To ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements.
• To identify subrogation of claims and negotiate settlements.
• Manages mid-level bodily injury and general liability claims by gathering information to determine liability exposure.

Claims Adjuster – Liability, Bodily Injury, General Liability, Multi State Jurisdiction

• To analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due.
• Ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Workers Compensation Claims Adjuster – DE & CT Jurisdiction Knowledge Required – PA NJ MA Preferred

Workers Compensation Claims Examiner – CT, MA, NH, RI, VT Jurisdictional Knowledge

• Investigate and handle personal and commercial auto bodily injury claims of a complex and serious nature
• Perform special claims investigations and handle matters requiring broad technical claims knowledge
• Operate on an independent basis with little supervision
• Settle claims within assigned authority
• Maintain contact with attorneys concerning serious claim matters
• Review court decisions, law and coverage interpretations

Senior Claims Specialist – Auto Bodily Injury

• Independently investigates, evaluates, and negotiates the resolution of assigned claims
• Conduct investigations of assigned claims in adherence with corporate timeliness and quality performance standards
• Manage caseload to ensure proactive disability, medical management and timely response to treatment recommendations
• Document activities, case action plans, settlements evaluations and requests for authorizations in the claim notes
• Provide management and internal and external customers with documentation to support recommendations and claim status
• Direct litigation process and work with attorneys to establish defense strategy and case legal budget
• Negotiate settlements directly with claimants or opposing counsel.
• Evaluate specials, damages, and/or extent of disability and negotiate settlements with individuals and/or attorneys.

Senior Claims Adjuster – Workers Compensation

• Conduct both virtual and on-site investigations by visiting policyholders’ residences to assess property damage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
• Use claims handling software, a company car, and a laptop to determine claims-related damage and write estimates in a paperless environment.
• Evaluate and report on potential subrogation opportunities.
• Reports incidents involving theft, fraud, or arson to appropriate state and industry agencies.
• Perform duties independently, with work directly impacting management outcomes.
• Acts as a company representative in public interactions, maintaining a professional demeanor consistent with management standards.
• Engages regularly with a variety of stakeholders, including policyholders, claimants, agents, witnesses, contractors, law enforcement, fraud and arson investigators, attorneys, medical professionals, and other relevant parties.
• Use strong customer service skills to negotiate with policyholders to settle the claim.
• Performs additional duties as assigned.
• Promotes safety at all times and complies with safety/ergonomic standards as outlined in relevant company published manuals.
• Employees assigned to the Catastrophe team will be required to travel away from their residence for a specified period of time, usually consisting of 23 days.

• Conduct both virtual and on-site investigations by visiting policyholders’ residences to assess property damage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
• Use claims handling software, a company car, and a laptop to determine claims-related damage and write estimates in a paperless environment.
• Evaluate and report on potential subrogation opportunities.
• Reports incidents involving theft, fraud, or arson to appropriate state and industry agencies.
• Perform duties independently, with work directly impacting management outcomes.
• Acts as a company representative in public interactions, maintaining a professional demeanor consistent with management standards.
• Engages regularly with a variety of stakeholders, including policyholders, claimants, agents, witnesses, contractors, law enforcement, fraud and arson investigators, attorneys, medical professionals, and other relevant parties.
• Use strong customer service skills to negotiate with policyholders to settle the claim.
• Performs additional duties as assigned.
• Promotes safety at all times and complies with safety/ergonomic standards as outlined in relevant company published manuals.

• Conduct field-based investigations by visiting policyholders’ homes
• Use claims handling software, a company car, and laptop to assess damages
• Represent the Company from a public relations standpoint
• Negotiate with policyholders to settle the claim

See all jobs on JobTailor

Senior Professional Liability Claims Representative

Auto & Bodily Injury Litigation Claims Examiner – Commercial Auto

Workers Compensation Claims Representative – Entry Level

Commercial Lines Claims Specialist – Commercial General Liability

Claims Representative – Personal Property

Field Property Claims Adjuster

Field Property Claims Adjuster

Claims Representative

Property Claims Adjuster

Subrogation Claims Specialist

Auto Telephone Claims Adjuster

Claims Analyst IV – Auto and GL

Claims Adjuster – Liability, Bodily Injury, General Liability, Multi State Jurisdiction

Workers Compensation Claims Adjuster – DE & CT Jurisdiction Knowledge Required – PA NJ MA Preferred

Workers Compensation Claims Examiner – CT, MA, NH, RI, VT Jurisdictional Knowledge

Senior Claims Specialist – Auto Bodily Injury

Senior Claims Adjuster – Workers Compensation

Field Property Claims Adjuster

Field Property Claims Adjuster

Field Property Claims Adjuster