claim adjuster

CCMSI

<div><h2 class="jobSectionHeader"><b>Overview
</b></h2><div><div><div><div><b>Multi-Line Claim Representative I (Auto/Property) &ndash; National Accounts</b></div><div></div><div><div><b><br>
Location:</b> Remote<br>
<b>Schedule:</b> Full-Time<br>
<b>Salary Range:</b> $60,000 - $65,000</div><h3 class="jobSectionHeader"><b>
Build Your Career With Purpose at CCMSI</b></h3><div>
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.</div><div></div><div><br>
We don&rsquo;t just process claims&mdash;we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work&reg;, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.</div><div></div><h3 class="jobSectionHeader"><b><br>
Job Summary</b></h3><div>
The <b>Multi-Line Claim Representative I</b> is responsible for the investigation and adjustment of assigned <b>commercial auto and property claims</b> within a <b>national accounts environment</b>. This role manages claims from assignment through resolution (cradle to grave) while adhering to CCMSI claim handling standards, client-specific instructions, and applicable state regulations.</div><div></div><div><br>
This position is designed for early-career adjusters with <b>1&ndash;2 years of claim handling experience</b> who possess a foundational understanding of coverage and liability investigation. The ideal candidate demonstrates accountability, attention to detail, and a strong desire to grow within a multi-line claims environment.</div><div></div><div><br>
This is not a high-volume, quick-resolution claim environment. Adjusters are expected to take ownership of their files, maintain consistent communication, and deliver quality outcomes through strong follow-through and sound judgment.</div></div><br>
<div></div>
</div></div></div><h2 class="jobSectionHeader"><b>Responsibilities<br>
</b></h2>
<div></div><div><div><div><ul><li>Investigate, evaluate, and adjust commercial auto and property claims in accordance with corporate standards, client guidelines, and jurisdictional requirements</li></ul><ul><li>
Apply knowledge of <b>commercial auto policies</b> and coverage to determine compensability and exposure</li></ul><ul><li>
Conduct thorough <b>liability investigations</b>, including fact gathering, analysis, and documentation</li></ul><ul><li>
Apply principles of <b>comparative/contributory negligence</b> in claim evaluation and decision-making</li></ul><ul><li>
Establish and maintain appropriate reserves within authority guidelines</li></ul><ul><li>
Review damage estimates, invoices, and related documentation for accuracy and claim relevance</li></ul><ul><li>
Negotiate settlements within authority limits and in alignment with client expectations</li></ul><ul><li>
Issue claim payments in accordance with CCMSI procedures and industry standards</li></ul><ul><li>
Maintain accurate and timely claim documentation, diary management, and file updates</li></ul><ul><li>
Communicate effectively with clients, claimants, and vendors, ensuring responsiveness and clarity</li></ul><ul><li>
Identify and pursue subrogation opportunities where applicable</li></ul><ul><li>
Manage claims across <b>multiple accounts</b> within a national account structure</li></ul><ul><li>
Ensure compliance with all service commitments and corporate claim handling standards</li></ul><br>
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</div></div></div><h2 class="jobSectionHeader"><b>Qualifications<br>
</b></h2>
<div></div><div><div><div><div><h3 class="jobSectionHeader"><b>Required Qualifications</b></h3><ul><li><b>
1&ndash;2 years of claim handling experience</b> (commercial auto and/or property)</li><li>
Foundational understanding of <b>commercial auto coverage</b></li><li>
Experience or training in <b>liability investigations and negligence evaluation</b></li><li>
Strong verbal and written communication skills</li><li>
Ability to manage multiple priorities and maintain organization in a fast-paced environment</li><li>
Self-starter with strong follow-through and accountability</li><li>
Proficiency in Microsoft Office applications</li><li>
Reliable, predictable attendance during assigned client service hours</li><li><b>
Current adjuster license in home state</b></li></ul><h3 class="jobSectionHeader"><b>
Nice to Have</b></h3><ul><li>
Experience handling <b>multiple accounts</b> in a national or carrier environment</li><li>
Prior <b>TPA experience</b></li><li>
Additional state adjuster licenses are a plus</li><li>
Exposure to general liability claims</li><li><b>
Bilingual (Spanish) proficiency preferred</b></li></ul><h3 class="jobSectionHeader"><b>
Why You&rsquo;ll Love Working Here</b></h3><ul><li>
4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year</li><li>
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance</li><li>
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)</li><li>
Career growth: Structured development into multi-line and advanced claim roles</li><li>
Culture: A supportive, team-based work environment</li></ul><div></div><h3 class="jobSectionHeader"><b><br>
How We Measure Success</b></h3><div>
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:</div><ul><li>
Quality claim handling &ndash; thorough investigations and strong documentation</li><li>
Timeliness &amp; responsiveness &ndash; proactive communication and dependable follow-through</li><li>
Compliance &ndash; adherence to client and jurisdictional standards</li><li>
Client satisfaction &ndash; consistent and reliable service delivery</li><li>
Professional growth &ndash; development of technical knowledge and claim expertise</li></ul><h3 class="jobSectionHeader"><b>
Compensation &amp; Compliance</b></h3><div>
The posted salary reflects CCMSI&rsquo;s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.</div><div></div><div><br>
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.</div><div></div><div><br>
Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.</div><div>
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.</div><div>
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.</div><div></div><div><br>
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.</div><div></div><h3 class="jobSectionHeader"><b><br>
Our Core Values</b></h3><div>
At CCMSI, we believe in doing what&rsquo;s right&mdash;for our clients, our coworkers, and ourselves. We look for team members who:</div><ul><li>
Lead with transparency We build trust by being open and listening intently in every interaction.</li><li>
Perform with integrity We choose the right path, even when it is hard.</li><li>
Chase excellence We set the bar high and measure our success. What gets measured gets done.</li><li>
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.</li><li>
Win together Our greatest victories come when our clients succeed.</li></ul><div></div><div><b><br>
We don&rsquo;t just work together&mdash;we grow together. If that sounds like your kind of workplace, we&rsquo;d love to meet you.</b></div><div></div><div><br>
#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #ClaimsCareers #CommercialAutoClaims #PropertyClaims #EntryLevelClaims #RemoteJobs #IND123 #LI-Remote</div></div></div></div></div></div><div></div>

Multi-Line Claim Adjuster I (Auto/Property)

Takagi & Associates, Inc. Professional Insurance Consultants

<p>Takagi &amp; Associates Inc. is currently seeking a professional, skilled and dedicated Licensed Insurance Adjuster to join the team.</p><p><b>About Us:</b></p><p>We are a leading insurance company committed to providing exceptional service and support to our valued policyholders. With a strong focus on customer satisfaction, we pride ourselves on offering comprehensive insurance solutions and swift claims handling. As an integral part of our team, you will have the opportunity to make a meaningful impact on our clients' lives and contribute to our continued success.</p><p><b>Responsibilities:</b></p><p>As a Licensed Insurance Adjuster, you will play a vital role in assessing and evaluating insurance claims, ensuring fair and accurate settlements. Your primary responsibilities will include:</p><p>Conducting thorough investigations of insurance claims by gathering relevant information, inspecting damaged properties, vehicles, reviewing medical files and interviewing involved parties.</p><p>Analyzing policy coverage and determining the extent of liability and applicable compensation.</p><p>Documenting all findings, including photographs, videos, and written reports, to support claim evaluations.</p><p>Collaborating with experts such as engineers, medical professionals, and legal advisors to assist in claim evaluations.</p><p>Negotiating settlements with claimants, attorneys, and other stakeholders, adhering to industry guidelines and company policies.</p><p>Providing exceptional customer service and addressing inquiries from policyholders, ensuring their concerns are resolved promptly and professionally.</p><p>Staying up-to-date with industry trends, regulations, and changes in insurance policies to effectively handle claims.</p><p><b>Requirements:</b></p><p>To excel in this role, you should meet the following requirements:</p><p>Possess a valid Guam Insurance Adjusters</p><p>Proven experience as a Licensed Insurance Adjuster for at least 7 years+, demonstrating expertise in claim assessment, investigation, and negotiation.</p><p>Experience in multi-lines Adjusting such as Auto, Workers Compensation, Bodily Injury, Liability, personal and commercial property ect...</p><p>Strong knowledge of insurance policies, coverage, and regulations, including an understanding of property and casualty claims.</p><p>Excellent communication and interpersonal skills to effectively interact with policyholders, legal professionals, and other stakeholders.</p><p>Detail-oriented approach with exceptional analytical and problem-solving abilities.</p><p>Ability to work independently and make sound decisions in a fast-paced environment.</p><p>Strong commitment to compliance, on-going training and growth</p><p>Proficiency in using relevant software and tools for claim processing and documentation.</p><p><b>How to Apply:</b></p><p>Please submit your resume, along with a cover letter highlighting your relevant experience and accomplishments, to humanresources@taaguam.com. We will review applications on a rolling basis and contact qualified candidates for further assessment.</p><p>We value diversity and are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, disability, or age.</p><p>Join our team of dedicated professionals and embark on a fulfilling career as a Licensed Insurance Adjuster.</p><p>Job Type: Permanent</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Disability insurance</li><li>Health insurance</li><li>Paid time off</li><li>Relocation assistance</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Licensed Insurance Claims Adjuster

First Chicago Insurance Company

<div>
 This job was posted by https://illinoisjoblink.illinois.gov : For more
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 https://illinoisjoblink.illinois.gov/jobs/13502962
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 **Attention Recent College Grads!**
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   If you are looking for a rewarding career in the insurance industry,
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 We are looking to hire**Auto Claims Adjuster Trainees**for our growing
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 Claims department. In this role, you will begin your career in insurance
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 by training to be an Auto Claims Adjuster. You will investigate and
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 located about one mile south of Chicago Midway Airport.****
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   Who is First Chicago Insurance Company?**
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 At First Chicago Insurance Company, our employees are our biggest asset!
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 It is our mission to attract and retain intelligent, motivated, ethical
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 employees who strive for excellence and growth, and to keep those
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 employees happy and engaged. We provide the tools and the support our
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 employees need to grow both professionally and personally. We encourage
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 We realize the strength of teamwork and its ability to join individuals
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 together and push and pull each other, with a synergy that can only be
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 found in groups of good people sharing ideas**.**Join in on the
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  Duties &amp; Responsibilities
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   Review and determine course of action on each file assigned,
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   Investigate, prepare evaluation, and settle total loss files for
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   Conduct thorough investigations and keep accurate and relevant
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   Organize, plan and prioritize work activities to keep up with
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   Prepare and present claim evaluations for the appropriate settlement
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   Notify the Underwriting Department of any adverse information
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   Provide customer service both to internal and external customers.
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 statutes to become a licensed Claims Adjuster.
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 benefits to all full-time employees. Following are some of the perks
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 First Chicago employees receive:**
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   Competitive Salaries
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   Telemedicine Benefit
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   401k with a generous company match
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   Wellness Program
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   And so much more!
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Auto Claims Adjuster Trainee

Columbia Insurance

<div><div><div><b>Pay Philosophy
</b></div></div><div><div>The typical starting salary for this position is determined by a number of factors, including, but not limited to, acquired skills, experience, education, and certifications/designations. This position may be eligible for annual merit increases and participation in our bonus program.</div></div><p>
</p><div><div><b>What are we looking for?</b></div></div><div><div>
Join our team as a Commercial Property Field Adjuster. In this position, you will be responsible for investigating, evaluating, and adjusting minor to moderate severity commercial property claims. <b>Ideal candidates are located in Oklahoma.</b></div></div><p>
</p><div><div><b>Who we are and what we do?</b></div></div><div><div>
At Columbia Insurance, we believe our people are the heart of our success and our greatest strength. With robust benefits, a fun, family-like atmosphere, and a culture that thrives on real connections, Columbia truly is the place to be. Our vision is to lead the industry in people-first partnerships. The best way to achieve that is by bringing together a team of skilled, passionate, and talented individuals.</div></div><p>
</p><div><div><b>Why us?</b></div></div><ul><li><div>
Medical, Dental, and Vision coverage</div></li><li><div>
401(k) and company match</div></li><li><div>
Generous paid time off (PTO), paid company holidays, paid maternity/paternity leave, and supplemental sick leave</div></li><li><div>
Family-like culture</div></li><li><div>
Year-round wellness initiatives</div></li><li><div>
Company sponsored events</div></li><li><div>
Cell phone</div></li><li><div>
Company Car</div></li><li><div>
Opportunities for professional development with conferences, events, and continued education</div></li></ul><p>
</p><div><div><b>Company History</b></div></div><div><div>
Our legacy has roots back to 1889 when we first became part of the mutual insurance movement in the Midwest. Today, our extensive heritage resonates nationwide, as we proudly serve customers in 14 states across the country.</div></div><p>
</p><div><div><b>BASIC FUNCTION AND RESPONSIBILITY</b></div><div>
The Commercial Property Field Adjuster is responsible for investigating, evaluating, and adjusting minor to moderate severity commercial property claims. This role involves on-site inspections of insured commercial properties, analysis of policy coverage, preparation of accurate damage estimates, and timely resolution of claims in accordance with company guidelines, policy provisions, and applicable regulations.</div></div><div><div>
The adjuster exercises independent judgment within assigned authority, communicates directly with insureds, agents, public adjusters and contractors, and issues reservation of rights letters and coverage disclaimers when appropriate.
</div></div><p></p><div><div><b>ESSENTIAL FUNCTIONS</b></div></div><ul><li><div>
Conduct on-site inspections of commercial properties to assess property damage related to covered losses (e.g., fire, wind, water, vandalism, and other commercial property perils).</div></li><li><div>
Document damage through photographs, measurements, diagrams, and written reports.</div></li><li><div>
Determine cause of loss and confirm policy applicability.</div></li><li><div>
Identify potential coverage issues and exposures early in the claim process.</div></li><li><div>
Review commercial property policies, endorsements, and declarations to determine coverage, limits, deductibles, and exclusions.</div></li><li><div>
Identify and communicate coverage determinations clearly to insureds, public adjusters, and agents.</div></li><li><div>
With supervision, prepare and issue reservation of rights letters and coverage disclaimers/denial letters in accordance with company standards and regulatory requirements.</div></li><li><div>
Prepare detailed and accurate repair or replacement cost estimates using approved estimating software and pricing databases.</div></li><li><div>
Evaluate contractor estimates and invoices for accuracy, scope, and reasonableness.</div></li><li><div>
Negotiate settlements within assigned authority while maintaining fair claim practices.</div></li><li><div>
Issue claim payments and settlement documentation in compliance with company procedures.</div></li></ul><div><div><b>
REQUIRED QUALIFICATIONS</b></div></div><div><ul><li>Minimum 3&ndash;5 years of commercial property claims adjusting experience.</li><li>Strong knowledge of commercial property policy forms and endorsements.</li><li>Understands policy language and has experience interpreting minor to moderate coverage matters.</li><li>Experience conducting field inspections of commercial properties.</li><li>Proficiency with estimating software (e.g., Xactimate or equivalent).</li><li>Valid driver&rsquo;s license with a clean motor vehicle report and the ability to travel within the assigned territory.</li><li>Maintains a current adjuster license in designated home state (or willing to obtain one within 60 days after hire) with the ability to obtain additional non-residential adjuster licenses.</li><li>Exhibits excellent written and oral communication skills.</li><li>Demonstrates sound negotiation, critical thinking and problem-solving capabilities.</li><li>Exhibits strong customer service skills with attention to detail.</li></ul></div><div><ul><li>Computer skills, including experience with Microsoft applications (Outlook, Word, Excel) as well as claims and imaging systems.</li><li>Ability to exercise independent judgment with limited supervision in handling claims within reserve and settlement authority.</li></ul></div><p>
</p><div><div><b>PREFERRED QUALIFICATIONS</b></div></div><div><ul><li>Experience working in Guidewire Claim Center
</li><li>Professional designations such as AIC, CPCU, or equivalent</li></ul></div><p>
</p><div><div><b>EDUCATION QUALIFICATIONS</b></div><ul><li><br>
Bachelor&rsquo;s Degree or equivalent experience</li></ul><br>
</div><p></p><p><i>EOE</i></p><p>
Columbia Insurance prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.</p><p>
</p><p><i>If you are unable to complete the electronic application for any reason, please contact Meredith Craig: mcraig@columbiainsurance.com 573-777-4094</i></p></div>

Claims Field Adjuster - OK

ACCREDITED INSURANCE

<div><h3 class="jobSectionHeader"><b>Description</b></h3><div><br>
The Claims Manager provides strategic oversight and direction for a portfolio of claims managed by program administrators and/or TPAs across multiple lines of business. This role ensures claim adjudication is consistent with policy and contract language, regulatory requirements, and company standards while driving continuous improvement in vendor performance, claims outcomes, and operational efficiency. The Claims Manager is accountable for oversight of claim portfolios handled by program administrators/TPAs and ensuring compliance with governance standards, reporting requirements and audit protocols. Additionally, the Claims Manager will drive continuous improvement in claims handling quality, referral efficiency, and oversight workflows.</div><br>
<h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><br>
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 Provide strategic oversight of claim handling within assigned programs, ensuring accurate coverage determinations, liability assessments, reserving, and damages evaluations.</li>
<li>Oversee program administrator/TPA claim investigations, performance, and reporting to ensure alignment with Accredited&rsquo; s standards and obligations.</li>
<li>Review claim notices and reports for accuracy and completeness; confirm timely escalation of high exposure, litigated, or disputed matters.</li>
<li>Ensure appropriate interpretation and application of contract language, with decisions grounded in governing agreements and applicable law; evaluate reinsurance contract response and loss allocation, as applicable.</li>
<li>Monitor claim activity and develop reporting for leadership on emerging risks, portfolio trends, and potential disputes.</li>
<li>Support counsel in arbitration, litigation, and dispute resolution, contributing to strategic positioning.</li>
<li>Maintain diary control and verify reserves and file updates accurately reflect company exposure.</li>
<li>Lead or contribute to special projects, policy development, and process improvements across the claims function.</li>
<li>Collaborate with leadership across Underwriting, Legal, Reinsurance, and Operations to strengthen claims governance and outcomes.</li>
<li>Provide oversight of casualty and specialty claims, including general liability, products</li>
<li> liability, commercial auto, and professional lines.</li>
<li>Ensure appropriate evaluation of liability, damages, and reserving in complex bodily injury and litigated matters.</li>
<li>Lead oversight of litigation management, aligning defense strategy with business objectives.</li>
<li>Monitor emerging casualty risks (e.g., nuclear verdicts, social inflation) and escalate portfolio concerns to leadership.</li></ul><div></div><h3 class="jobSectionHeader"><b><br>
Skills &amp; Experience</b></h3><br>
<ul>
<li>
Must possess casualty claims expertise, including complex liability and litigated claims.</li>
<li>Experience leading and managing external partners, including TPAs and MGAs, with a focus on vendor performance and quality outcomes.</li>
<li>Experience working in vendor-heavy adjusting environments; prior TPA and/or client service experience is preferred.</li>
<li>Strong analytical, organizational, interpersonal, and communication skills, with the ability to influence external partners and internal stakeholders, manage multiple priorities, and adapt in fast-paced, deadline-driven environments.</li>
<li>Ability to balance strategic oversight with operational execution while working independently and exercising sound judgment.</li>
<li>Familiarity with reinsurance structures, delegated authority models, and contract interpretation.</li>
<li>5&ndash;10 years of experience handling multiline commercial claims, including admitted, non-admitted, and program business.</li>
<li>Ability to work in the office (New York or Orlando highly preferred) up to three days per week.</li>
<li>Willingness to travel occasionally (approximately 2&ndash;4 trips annually).</li>
</ul><div>Education:</div><ul>
<li>Bachelor&rsquo;s degree in business, finance, or related field.</li>
<li>Professional designations (CPCU, AIC, etc.) are a plus.</li>
<li>Insurance adjuster license (or ability/willingness to obtain) required in applicable jurisdictions.</li></ul><div><br>
</div><div>
The applicable base salary range for this role is $120,000 to $130,000. 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.<br>
<br>
We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings, as well as employee assistance programs.<br>
<br>
Accredited is an Equal Opportunity Employer committed to fostering an inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic.</div><div></div><h3 class="jobSectionHeader"><b><br>
About Accredited Insurance</b></h3><div>
A leading program manager operating across the US, UK and Europe, Accredited is the only dedicated program partner to provide A- rated insurance capacity in each of the US, UK and Europe, writing admitted and non-admitted business in all 50 US states.<br>
</div><div>A.M. Best, a global credit rating agency specializing in the insurance industry affirms the Financial Strength Rating of A- (Excellent), with a Financial Size Rating of IX for Accredited Specialty Insurance Company, Accredited Surety and Casualty Company Inc. (also referred to as Accredited America) and Accredited Insurance (Europe) Limited (Malta), collectively known as Accredited.<br>
</div><div>Accredited America offers a broad range of insurance solutions in 50 states and the District of Columbia. The strength behind Accredited America is Accredited Surety and Casualty Company, Inc. and Accredited Specialty Insurance Company, both of which are rated A- by AM Best.<br>
</div><div>Accredited Insurance (Europe) Limited is a Maltese based insurer providing capacity solutions in the UK and across Europe, across a number of different product lines. Accredited Europe is A- rated by A.M. Best.</div></div>

Claims Manager, Casualty and Specialty

Claims Service Bureau of New York Inc.

<p><b>Experienced Casualty Claims Adjuster &ndash; Long Island, NY</b></p><p>Well-established Third-Party Administrator (TPA) with over 60 years of continuous operation is seeking a skilled and motivated <b>Casualty Claims Adjuster</b> to join our team.</p><p><b>Position Overview:</b></p><p>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.</p><p>This position is in-office initially, with the opportunity to transition to a hybrid schedule following successful training and onboarding.</p><p><b>Key Responsibilities:</b></p><ul><li>Investigate, evaluate, and manage casualty claims (including liability and bodily injury)</li><li>Determine liability exposure</li><li>Negotiate settlements within authority limits</li><li>Coordinate / communicate with attorneys and insureds</li><li>Maintain accurate and timely claim documentation</li></ul><p><b>Qualifications:</b></p><ul><li>Minimum 3-5 years of casualty claims adjusting experience</li><li>Strong knowledge of claims handling procedures and litigation management</li><li>Excellent written and verbal communication skills</li><li>Ability to work independently and manage a high-volume caseload</li></ul><p><b>What We Offer:</b></p><ul><li>Competitive salary commensurate with experience</li><li>Performance-based bonuses</li><li>401(k) plan</li><li>Health Insurance</li><li>Paid time off and holidays</li><li>Stable, long-standing company with a strong industry reputation</li><li>Collaborative and professional work environment</li><li>Opportunity for hybrid work schedule following training</li></ul><p><b>Who We Are:</b></p><p>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.</p><p>Pay: $55,000.00 - $85,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>Health insurance</li><li>Paid time off</li></ul><p>Work Location: In person</p>

General Liability Claims Adjuster

The Hanover Insurance Group

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture.
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Our Claims team is currently seeking a Technical Claims Consultant, with expertise in Commercial General Liability (CGL).
<br>This is a full-time, exempt role with a hybrid work schedule (two days in the office) at one of our Hanover offices:
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<ul>
<li>Worcester, MA</li>
<li>Rocky Hill, CT</li>
<li>Alpharetta, GA</li>
<li>Phoenix, AZ</li>
<li>Howell, MI</li>
<li>Richmond, VA</li>
<li>Itasca, IL</li>
<li>Syracuse, NY</li>
</ul>
<b>POSITION OVERVIEW:</b><br>
The Technical Consultant, Casualty Claims, manages moderate to complex and high-value casualty and litigated claims with minimal supervision. This role requires advanced investigative and negotiation skills to resolve disputes and handle escalated situations, while collaborating with legal teams and subject matter experts as needed. The consultant analyzes complex data, provides expert opinions to support claim resolution, and may represent the company in litigation forums. Operating with a high degree of autonomy and professionalism, the position demands strategic thinking, deep technical expertise, and strict adherence to regulatory and company standards in navigating sensitive, high-impact claim scenarios.
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<b>IN THIS ROLE, YOU WILL:</b><br>
<ul>
<li>Independently investigate moderate to complex and sensitive claims, ensuring thorough analysis and resolution.</li>
<li>Collaborate with internal and external experts to evaluate claims and determine validity and value.</li>
<li>Identify opportunities to transfer risk and pursue subrogation. Proactively resolve disputes, deescalate sensitive situations, and ensure optimal claim outcomes through strategic negotiation and litigation management.</li>
<li>Assess and transfer risk where appropriate; manage suspicious claims and refer to SIU as needed.</li>
<li>Serve as a subject matter expert and contribute to departmental projects and initiatives.</li>
<li>Draft coverage letters, including complex forms and endorsements; interpret commercial coverages and legal principles.</li>
<li>Set reserves and authorize payments within high authority limits; manage litigation budgets and counsel.</li>
<li>Lead quality and efficiency initiatives for complex claims workflows.</li>
<li>Use technology and data tools to identify trends, correct inconsistencies, and optimize outcomes.</li>
<li>Negotiate high-value and contested claims using advanced strategies.</li>
<li>Ensure compliance with jurisdictional requirements; mentor others on regulatory standards.</li>
<li>Maintain accurate records and prepare detailed reports; protect PII and educate peers on best practices.</li>
<li>Lead cross-functional meetings and drive consensus on claim resolutions.</li>
<li>Communicate complex information clearly to diverse stakeholders; manage sensitive customer interactions.</li>
<li>Provide technical guidance and mentorship to less experienced adjusters.</li>
<li>Represent the company in litigation forums including trials, mediations, and arbitrations.</li>
<li>Support training development and evaluate program effectiveness.</li>
<li>Influence product development by identifying coverage gaps and recommending updates.</li>
<li>Attend industry events and continuing education seminars to stay current with best practices, legal developments, and emerging trends.</li>
<li>Must possess or obtain and maintain appropriate state adjuster licenses and continuing education credits</li>
</ul>
<b>WHAT YOU NEED TO APPLY:</b><br>
<ul>
<li>Bachelor’s degree preferred or equivalent experience; typically 5+ years of industry experience; industry designation relevant to the role preferred</li>
<li>Recognized authority in negotiating highly complex claims; shapes and implements best practices</li>
<li>Skilled in negotiating complex claims and developing strategies to influence outcomes. Demonstrates sound judgment and decision-making on high-exposure cases, including litigation and compliance matters</li>
<li>Communicates clearly and effectively in verbal and written formats; handles sensitive and complex issues with professionalism. Selects appropriate communication channels and consistently demonstrates empathy</li>
<li>Maintains comprehensive and organized claim records and prepares detailed reports summarizing findings and recommendations</li>
<li>Highly organized with the ability to manage complex workflows and participate in project work. Demonstrates strong time management and desk management skills, and mentors others in these areas</li>
<li>Expert-level insurance knowledge; deep understanding of legal and regulatory frameworks</li>
<li>Makes informed decisions independently; analyzes risks and understands financial impacts</li>
<li>Exercises sound judgment and strategic insight in evaluating results and shaping policy</li>
<li>Develops investigative techniques and protocols; expert in coverage analysis and liability assessment</li>
<li>Designs empathetic customer service strategies; recognized for exceptional service</li>
</ul>
<b>Core Capabilities:</b><br>
<ul>
<li>Analytical Reasoning: The ability to identify problems, understand your impact, gather input and data, and develop an effective solution.</li>
<li>Customer Centricity: Makes customers/clients and their needs a primary focus of one’s actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations.</li>
<li>Digital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes.</li>
<li>Persuasion and Influence: Uses appropriate interpersonal skills and techniques to gain acceptance for ideas or solutions; uses influencing strategies to gain genuine agreements; seeks to persuade rather than force solutions or impose decisions or regulations.</li>
<li>Professional Insurance Acumen: Demonstrates a deepening understanding of the insurance industry and the ability to apply specialized technical skills to address complex challenges, adapt to industry trends, and drive value for the organization.</li>
<li>Planning and Execution: Plans, prioritizes and manages resources and time effectively to achieve specific goals or deadlines.</li>
</ul>
<b>CAREER DEVELOPMENT:</b><br>
It’s not just a job, it’s a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you – at every level – to grow and develop.
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<b>BENEFITS:</b><br>
We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. At The Hanover, you’ll enjoy what you do and have the support you need to succeed.
<br><br>
<b>Benefits include:</b><br>
<ul>
<li>Medical, dental, vision, life, and disability insurance</li>
<li>401K with a company match</li>
<li>Tuition reimbursement</li>
<li>PTO</li>
<li>Company paid holidays</li>
<li>Flexible work arrangements</li>
<li>Cultural Awareness Day in support of IDE</li>
<li>On-site medical/wellness center (Worcester only)</li>
<li>Click here for the full list of Benefits</li>
</ul>
<b>EEO statement:</b><br>
The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law.
<br><br>
Furthermore, The Hanover Insurance Group is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law.”
<br><br>
As an equal opportunity employer, Hanover does not discriminate against qualified individuals with disabilities. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at: HRServices@hanover.com and include the link of the job posting in which you are interested.
<br><br>
<b>Privacy Policy:</b><br>
To view our privacy policy and online privacy statement, click here.
<br><br>
<b>Applicants who are California residents:</b> To see the types of information we may collect from applicants and employees and how we use it, please click here.
<br><br>
<b>Compensation:</b><br>
The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Additional compensation may include an annual bonus (which could take the form of a general bonus, sales incentive, or short-term incentive), long-term incentive or spot recognition awards. The posted range reflects our ability to hire at different position titles and levels depending on background and experience.

Technical Consultant Casualty Claims- CGL

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