claim manager

State of Washington

JOB
<br><b>Our Mission:</b> Keep Washington Safe and Working! Our Values: Customer Focus, One L&I, Respect, Diversity, Equity and Inclusion, Learning and Growth, ReliabilityPlease Note: This recruitment is being used to fill multiple permanent positions.Please Note: This position requires in office training for the first 11 months. (Office location is Tumwater, WA)Job HighlightsJoin our Workers’ Compensation Adjudicator 2 Apprenticeship program! We have several opportunities for you to join our apprentice classes starting June 16, 2026. Apply now!You have an opportunity to make a difference. Are you interested in being a part of something big? To help injured workers heal and return to work? Make workplaces safe? To help honest workers, businesses and providers by cracking down on the dishonest ones? Come start your career at Labor & Industries! ¡Los trabajadores que hablan español necesitan su ayuda! Las posiciones español bilingüe ganan un 5% adicional de salario.Your future career at Labor & Industries starts here: 22-month apprenticeship program, which includes an initial intensive classroom training period. Options for Hybrid Telework after classroom training (around 11 months).A personal coach/mentor assigned to you.Alignment with a team of experienced Claim Managers.Medical, legal and vocational professionals to assist you.Journey-level certification upon successful completion.Salary Information: $4,586.00 monthly beginning salary (87% of 50G for non-bilingual positions)$4,744.00 after six months (90% of 50G)$4,902.00 after ten months (93% of 50G)$5,271.00 after 22-months (100% of 50G Journey Level) 5% Annual Periodic Increase after completion of apprenticeship program up to $6,107.00Additional Salary Information: Spanish Bilingual jobs include a 5% salary increase for dual language responsibilities. If hired as bilingual, our top applicant will be required to pass an assessment of your ability to write and speak Spanish fluently. We do not use translating software.Permanent state employees who come into the program at or above 50G will be offered 100% 50G ($5,271).Permanent state employees who come into the program between 87% and 99% of 50G will retain their current salary until they naturally progress in accordance with standards of apprenticeship.All others will be placed at 87% of 50G, until they naturally progress in accordance with standards of apprenticeship.If accepted into this apprenticeship program, you may qualify for an apprenticeship stipend through your GI bill.The Department of Labor & Industries (L&I) is a diverse state agency dedicated to the safety, health, and security of Washington's workers. We help employers meet safety and health standards and inspect workplaces when alerted to hazards. As administrators of the state's workers' compensation system, we are similar to a large insurance company, providing medical and limited wage-replacement coverage to workers who suffer job-related injuries and illness. Our rules and enforcement programs also help ensure workers are paid what they are owed, that children's and teens' work hours are limited, and that consumers are protected from unsound business practices.Insurance Services is the largest division within the agency and administers one of the premier workers’ compensation organizations in the nation serving over 3.8 million employees working for 260,000 employers.
<br><br>
EXAMPLE OF DUTIES
<br><b>Some of what you’ll do:</b> This job is complex. Claim Managers adjudicate and manage workers' compensation claims by authorizing or denying medical, vocational and monetary benefits and ensuring statutory time limits are met. As an apprentice you will do this while having your work checked for quality and accuracy. The right person for this job will enjoy a challenging, ever-changing environment and possess the ability to work with people needing help. And much more!
<br><br>
SUPPLEMENTAL INFORMATION
<br><b>Work Schedule Options:</b> Work shifts available for the first 11 months: Onsite – Monday – Friday, 7 a.m. to 3:30 p.m. or 8 a.m. to 4:30 p.m.Other work schedules, including hybrid telework, can be considered after the 11-month classroom training is complete. Overtime may also be available after the classroom training is complete.Vacation leave during the first 13 months is limited to specific dates based on the training schedule.State employees who meet the qualifications will become eligible for a generous retirement package at the end of the employee’s career. Click on the “Benefits” tab to learn more.At L&I, your voice matters. In addition, L&I is a diverse state agency dedicated to the safety and health and security of Washington's 3.8 million workers. Take a look at this brief video and learn more about why L&I is an employer of choice.For this position, you are required to work in the office for the 11-month training period. After completion of the training, telework is dependent upon business needs and supervisor approval. The assigned duty station for this position is Tumwater, Washington.To receive more information on opportunities at L&I sign up for GovDelivery and select L&I job alerts.Application processWe will contact the top candidates directly to interview for this position. Because we base the selection on information provided by you, it is in your best interest to identify the knowledge, skills, and abilities that address the required and desirable qualifications described in the announcement.Please include the following documents with your application: A cover letter describing specific qualifications.A current resume detailing applicable experience and education.Copy of an on-line 5-minute typing assessment that meets the 40-wpm qualification and clearly shows the length of the assessment.A list of at least three professional references with current telephone numbers.**To see a typing assessment that meets the requirements visit www.typing.com/student/tests. Select and take the 5-minute assessment. Take a screen shot of your result, save, and attach during the online application process. Please do not send a link. (Your application will be considered incomplete without this assessment.)Note: Applicants selected to move forward in the hiring process will be contacted by phone or email to schedule a skills assessment. Assessments are held in person at the L&I Headquarters Office location is Tumwater, WA. Please do not attach or place any medical information (vaccination status included) within the application, resume, or cover letter. If you do, we will have to reject your application to safeguard others from receiving your confidential information. You will have to remove the confidential information before you can apply again.To learn more about our hiring process timeline at L&I please visit our L&I recruiting page at Hiring Process at L&I. If you would like to read our website in a language other than English, scroll up to the top of the page to select your language of choice from the banner.Background Check Notice: Prior to a placement in this position, a background check, including criminal history record will be conducted. Information from your background check will not necessarily preclude employment but will be considered in determining your eligibility to perform the requirements of the position. Other informationFor positions requiring travel, you must have a valid unrestricted driver's license and have insurance if driving a privately owned vehicle on state business.This position is represented by the Washington Federation of State Employees (WFSE).Candidates who are offered a job with L&I must possess work authorization that does not require sponsorship by the employer for a visa now or in the future.The Department of Labor & Industries complies with the employment eligibility verification requirements of the federal employment eligibility verification form, I-9. The selected candidate must be able to provide proof of identity and eligibility to work in the United States consistent with the requirements of that form on the first day of employment.Please note: L&I may use this announcement to fill multiple permanent and/or non-permanent positions.Applicants selected to move forward in the hiring process will be contacted by phone or email to schedule a skills assessment. Assessments are held in person at the L&I Headquarters Office location is Tumwater, WA. Did You Know?Washington is America's Top State to live, play, and work, according to U.S. News (2021). Join the L&I team and enjoy all the Evergreen State has to offer.In addition to offering a positive balance between life and work, L&I provides one of the most competitive benefits packages in the nation. We also believe your voice matters. We value our employees and their work-life balance by encouraging flexible schedules. L&I is a diverse state agency dedicated to the safety and health and security of Washington's 3.8 million workers.Veterans PreferenceApplicants wishing to claim Veterans Preference should attach to their application a copy of their DD-214 (Member 4 copy), NGB 22, or signed verification of service letter from the United States Department of Veterans Affairs. Please blackout any personally identifiable data such as Social Security numbers. For further information, contact L&I’s Jobs@lni.wa.gov.Diversity, Equity, and Inclusion EmployerL&I employees come from all walks of life. We strive to hire great people from a wide variety of backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.We believe in the importance of recognizing the value each of us contributes to the success of the agency mission. Having a diverse workforce is this agency’s greatest source of strength and knowledge. It is through the combination of talents and abilities that we can pursue finding effective measures to provide the best customer service. We are committed to building a diverse and inclusive workplace for everyone and we strongly mean everyone.The State of Washington is an equal opportunity employer. Persons with a disability who need accommodation in the application process or testing process, or those needing this announcement in an alternative format, may call 360-902-5700. TTY users should first call 711 to access the Washington Relay Service.You are welcome to include the name and pronoun you would like to be referred to in your materials, and we will honor this as you interact with our award-winning diverse and inclusive organization.For more InformationIf you have any questions regarding this job posting, program, or the agency, please contact Angela Laramie at HRBTU@lni.wa.gov.

L&I Workers' Compensation Adjudicator 2/Claim Manager Apprentice

LAZ Parking

<div><p><b>Want to hear something crazy? Cars only spend 5% of their time driving. Where do they spend the other 95%? PARKED!</b></p>
<p><b>
LAZ Parking is one of the largest and fastest growing parking companies in the country. LAZ operates hundreds of thousands of parking spaces across the country. When it comes to parking, we&rsquo;re experts!
</b></p><p><b>We are also a PEOPLE FIRST company. We often say, &ldquo;parking is our industry, but people are our passion.&rdquo; Our mission is to &ldquo;create opportunities for our employees and value for our clients&rdquo;. If you&rsquo;re looking to join a growing company led by passionate people committed to being the best &ndash; contact us today!
</b></p><p><b>The spirit of the position:</b></p>
<p>
The <b>Claims Manager</b> is responsible for developing the company claim handling strategy and provides oversight of all claim processing and claim management activities. This position serves as the primary point of contact between the company, its insurance companies, Third Party Claim Administrators, our customers, as well as other stakeholders, and provides guidance and support to ensure timely, accurate, and efficient claim processing.</p>
<p><b>
Principal Job Duties:
</b></p><p><b>Claims Manager
</b></p><ul><li>Coordinate and oversee claim management strategies on investigation, reserving, settlement and resolution to bring claims to closure</li></ul>
<ul><li>Develop and implement key performance indicators to monitor success of General Liability and Auto Liability programs</li></ul>
<ul><li>Develop and/or improve upon internal claims management procedures/processes to achieve KPIs</li></ul>
<ul><li>Monitor and report on the effectiveness of the TPA performance</li></ul>
<ul><li>Work with Safety and Transportation Safety teams to help identify and reduce adverse claim trends</li></ul>
<ul><li>Coordinate and manage quarterly claim reviews with the TPA/carrier for managed claims</li></ul>
<ul><li>Support the development of an internal active diary system of all GL and AL claims that are being managed</li></ul>
<ul><li>Coordinate internal claim updates as requested/required (i.e. internal claim reviews)</li></ul>
<ul><li>Monitor claim reporting to TPA/carriers and report claims as required</li></ul>
<ul><li>Develop and monitor goals for claim mitigation within locations</li></ul>
<ul><li>Oversee performance of other key vendors such as loss investigators, defense counsel, as well as independent medical examination providers</li></ul>
<ul><li>Act as an internal resource for General Liability and Auto Liability Questions</li></ul>
<ul><li>Utilize and augment the TPA RMIS system for claim management and monitoring, or propose and implement an alternative system</li></ul>
<p><b>
Requirements:
</b></p><p><b>Travel</b></p>
<ul><li>
Based on business needs but anticipating up to 15%.</li></ul>
<p><b>
Education</b></p>
<ul><li>
Bachelor&rsquo;s degree required</li></ul>
<p><b>
Experience</b></p>
<ul><li>
10+ years in a claims administration role, including 5+ years of experience as claims adjuster, examiner and/or supervisor with direct reports</li><li>
Bachelor&rsquo;s degree in business administration or related discipline</li><li>
5+ years of experience with General Liability and Auto Liability claim handling</li><li>
Experience reviewing and negotiating TPA contracts
</li><li>Transportation/warehousing experience preferred</li><li>
Excellent verbal and written communication and interpersonal skills</li><li>
Must be able to multi-task and work independently as well as contribute to the overall success of the team</li><li>
English and Spanish proficiency
</li><li>Business/Industry - Thorough understanding of insurance-related legal procedures, regulations and claims processing</li><li>
Data Analytics/Presentation - Ability to independently create data analytics report, interpret data, create presentations and conduct presentations/training to variety of stakeholders including company executives</li><li>
Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, and coordination of people and resources</li></ul>
<p><b>
Technology Skills
</b></p><ul><li>Experience implementing and managing RMIS systems</li><li>
Microsoft Office suite proficiency - Outlook, PowerPoint, Word, Excel, Teams, Microsoft Planner</li><li>
Video conferencing software proficiency &ndash; Microsoft Teams, Zoom</li></ul>
<p><b>
Physical Demands</b></p>
<ul><li>
Ability to lift, push and pull at least 10 pounds.</li></ul>
<p>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with qualified disabilities to perform the essential duties/functions.</p>
<p><b>
FLSA Status: Exempt</b></p>
<p>
LAZ Parking is an equal opportunity employer. In all our employment practices, including hiring, we are firmly committed to provide equal employment opportunity (EEO) to all persons, regardless of race, color, religion, sex, national origin, disability, age, genetics, Vietnam era, special disabled, recently separated and other protected veterans, or any other characteristic protected by federal, state or local law. No question in our application process is used for the process of limiting or excluding any applicant's consideration for employment on such grounds</p></div>

Claims Manager - Hartford, CT

Shaw Industries

<div>
 <strong>
  Job Title
  <br/>
  <br/>
 </strong>
 Claims Manager
 <br/>
 <br/>
 <strong>
  Position Overview
  <br/>
  <br/>
 </strong>
 To develop the skills and decision-making capacities necessary to manage the claims process for a claims manager&rsquo;s area and to be able to ensure cost effective and timely resolution of customer claims within established authority level. The Claims Manager Trainee must develop the knowledge and skills needed to advance to a Claims Manager I position within a designated time. In all actions and communications, the Claim Manager Trainee must demonstrate impeccable ethical standards, while focusing on the Customer Experience.
 <br/>
 <br/>
 <strong>
  Essential Duties
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Complete the training and development necessary to manage and conduct the investigation, research, negotiation, communication, and resolution activities for claims within assigned authority level. On-the-job training requiring continuous discretionary judgment and decision making has company profit/loss impact.
  </li>
  <li>
   Develop the knowledge to ensure that all claims within the assigned area are coded to reflect the proper claims type for disposition, reporting and root cause and analysis.
  </li>
  <li>
   Develop and maintain an elevated level of professional business communication (both verbal and written) to internal Shaw customers/departments and customers (both dealer and end user) during the investigation and decision process. The trainee may have to communicate information to internal and external customers that may be viewed as unfavorable, thus the information should be delivered with professional tact and empathy. Our goal is to maintain our customers&rsquo; loyalty to our products and services.
  </li>
  <li>
   Develop and demonstrate a level of sound business judgment during the investigation, the disposition, and the pre/post communication of the claim's decision.
  </li>
  <li>
   Develop the ability to assess each claim individually, with consideration of the dealer/end user&rsquo;s concern, warranty coverage and all other pertinent business factors that are at stake. Develop negotiation skills to negotiate claims and provide resolutions that satisfy our dealers/end users while creating the most favorable fiscal impact to our company.
  </li>
  <li>
   Develop an understanding of the proper selection, assignment, requirements, and performance of 3rd party independent inspectors, installers, or other service providers that we use in claims investigation and resolution.
  </li>
  <li>
   Become proficient in the initiation of claims, return authorizations, credit memos, and all other information process, documentation, and maintain the claim file/record, in compliance with claims procedures and corporate records retention policies.
  </li>
  <li>
   Develop and maintain in-depth knowledge of claims experience for dealers within assigned area. The trainee must develop an understanding of customers with high claims rates through consistent business analysis. Report specific trends and/or customer abuse of the claims process to internal Shaw departments. Must also participate with internal Shaw departments in developing strategic action plans to address high claims rates.
  </li>
  <li>
   Develop the ability to direct activity and follow up that moves the claim resolution process along with an optimal level of velocity without sacrificing thoroughness in the investigation and assessment.
  </li>
  <li>
   Be willing to travel for claims assessment, training, and to testify if deposed in reference to a claim.
  </li>
  <li>
   Participate in special projects, committees, and provide claims handling assistance and support for teammates, as required.
  </li>
  <li>
   Develop basic knowledge of credit, accounts payable, and accounts receivable policies and procedures.
  </li>
  <li>
   Develop and maintain knowledge of claims policies and procedures with expertise in product specification and construction, warranty information, manufacturing processes, installation techniques/requirements, maintenance, and repair.
  </li>
  <li>
   Be fully engaged in PX (Performance Experience) for accelerated growth and results of goals.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Knowledge, Skills, And Abilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor's Degree preferred or High School/GED. Previous claims experience is a plus.
  </li>
  <li>
   Must be able to effectively analyze job-related information.
  </li>
  <li>
   Must effectively demonstrate problem solving, negotiation and organization skills.
  </li>
  <li>
   Must be self-motivated and detail oriented.
  </li>
  <li>
   Must be able to manage multiple tasks simultaneously (work queues, etc.) within compressed time limits.
  </li>
  <li>
   Must be able to provide elevated levels of service and consistently demonstrate value in every aspect of the customer&rsquo;s experience.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Competencies
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Manage Work
  </li>
  <li>
   Communication/Collaboration
  </li>
  <li>
   Solve Problems
  </li>
  <li>
   Build Customer Satisfaction
  </li>
  <li>
   Adapt and Change
  </li>
  <li>
   Learn and Apply
   <br/>
   <br/>
  </li>
 </ul>
 THIS JOB DESCRIPTION IS NOT INTENDED TO INCLUDE ALL DETAILS OF THE WORK FUNCTIONS INHERENT IN THIS POSITION. ESSENTIAL DUTIES OF ANY POSITION MAY CHANGE WITHOUT PRIOR NOTICE DUE TO DIRECTIONS OR BUSINESS CONDITIONS. THE INFORMATION LISTED HERE IS DESIGNED TO HELP CANDIDATES QUALIFY THEMSELVES FOR NEW POSITIONS AND IMPROVE IN CURRENT POSITIONS. NO ONE IS GUARANTEED A PROMOTION OR POSITION BASED ON THE INFORMATION IN THIS DOCUMENT. ULTIMATELY, THE MANAGER FOR THE POSITION MUST DETERMINE WHO IS MOST QUALIFIED.
 <br/>
 <br/>
 <strong>
  Work Shift
  <br/>
  <br/>
 </strong>
 8 Hr non-rotating shift, Hrs fall to in punch day, Observed Calendar, shift starts AM
 <br/>
 <br/>
 Shaw Industries is an equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities.
</div>


Claims Manager

<div><div>Job Title</div>
Claims Manager<div></div><div>
Position Overview</div><div>
To develop the skills and decision-making capacities necessary to manage the claims process for a claims manager&rsquo;s area and to be able to ensure cost effective and timely resolution of customer claims within established authority level. The Claims Manager Trainee must develop the knowledge and skills needed to advance to a Claims Manager I position within a designated time. In all actions and communications, the Claim Manager Trainee must demonstrate impeccable ethical standards, while focusing on the Customer Experience.</div><div></div><div>
Essential Duties:</div><ul><li><div>
Complete the training and development necessary to manage and conduct the investigation, research, negotiation, communication, and resolution activities for claims within assigned authority level. On-the-job training requiring continuous discretionary judgment and decision making has company profit/loss impact.</div></li><li><div>
Develop the knowledge to ensure that all claims within the assigned area are coded to reflect the proper claims type for disposition, reporting and root cause and analysis.</div></li><li><div>
Develop and maintain an elevated level of professional business communication (both verbal and written) to internal Shaw customers/departments and customers (both dealer and end user) during the investigation and decision process. The trainee may have to communicate information to internal and external customers that may be viewed as unfavorable, thus the information should be delivered with professional tact and empathy. Our goal is to maintain our customers&rsquo; loyalty to our products and services.</div></li><li><div>
Develop and demonstrate a level of sound business judgment during the investigation, the disposition, and the pre/post communication of the claim's decision.</div></li><li><div>
Develop the ability to assess each claim individually, with consideration of the dealer/end user&rsquo;s concern, warranty coverage and all other pertinent business factors that are at stake. Develop negotiation skills to negotiate claims and provide resolutions that satisfy our dealers/end users while creating the most favorable fiscal impact to our company.</div></li><li><div>
Develop an understanding of the proper selection, assignment, requirements, and performance of 3rd party independent inspectors, installers, or other service providers that we use in claims investigation and resolution.</div></li><li><div>
Become proficient in the initiation of claims, return authorizations, credit memos, and all other information process, documentation, and maintain the claim file/record, in compliance with claims procedures and corporate records retention policies.</div></li><li><div>
Develop and maintain in-depth knowledge of claims experience for dealers within assigned area. The trainee must develop an understanding of customers with high claims rates through consistent business analysis. Report specific trends and/or customer abuse of the claims process to internal Shaw departments. Must also participate with internal Shaw departments in developing strategic action plans to address high claims rates.</div></li><li><div>
Develop the ability to direct activity and follow up that moves the claim resolution process along with an optimal level of velocity without sacrificing thoroughness in the investigation and assessment.</div></li><li><div>
Be willing to travel for claims assessment, training, and to testify if deposed in reference to a claim.</div></li><li><div>
Participate in special projects, committees, and provide claims handling assistance and support for teammates, as required.</div></li><li><div>
Develop basic knowledge of credit, accounts payable, and accounts receivable policies and procedures.</div></li><li><div>
Develop and maintain knowledge of claims policies and procedures with expertise in product specification and construction, warranty information, manufacturing processes, installation techniques/requirements, maintenance, and repair.</div></li><li><div>
Be fully engaged in PX (Performance Experience) for accelerated growth and results of goals.</div></li></ul><div></div><div>
Knowledge, Skills, and Abilities:</div><ul><li><div>
Bachelor's Degree preferred or High School/GED. Previous claims experience is a plus.</div></li><li><div>
Must be able to effectively analyze job-related information.</div></li><li><div>
Must effectively demonstrate problem solving, negotiation and organization skills.</div></li><li><div>
Must be self-motivated and detail oriented.</div></li><li><div>
Must be able to manage multiple tasks simultaneously (work queues, etc.) within compressed time limits.</div></li><li><div>
Must be able to provide elevated levels of service and consistently demonstrate value in every aspect of the customer&rsquo;s experience.</div></li></ul><div></div><div>
Competencies:</div><ul><li><div>
Manage Work</div></li><li><div>
Communication/Collaboration</div></li><li><div>
Solve Problems</div></li><li><div>
Build Customer Satisfaction</div></li><li><div>
Adapt and Change</div></li><li><div>
Learn and Apply</div></li></ul><div></div><div>
THIS JOB DESCRIPTION IS NOT INTENDED TO INCLUDE ALL DETAILS OF THE WORK FUNCTIONS INHERENT IN THIS POSITION. ESSENTIAL DUTIES OF ANY POSITION MAY CHANGE WITHOUT PRIOR NOTICE DUE TO DIRECTIONS OR BUSINESS CONDITIONS. THE INFORMATION LISTED HERE IS DESIGNED TO HELP CANDIDATES QUALIFY THEMSELVES FOR NEW POSITIONS AND IMPROVE IN CURRENT POSITIONS. NO ONE IS GUARANTEED A PROMOTION OR POSITION BASED ON THE INFORMATION IN THIS DOCUMENT. ULTIMATELY, THE MANAGER FOR THE POSITION MUST DETERMINE WHO IS MOST QUALIFIED.</div><div></div><div>
Work Shift</div>
8 Hr non-rotating shift, Hrs fall to in punch day, Observed Calendar, shift starts AM<div></div><div>
Shaw Industries is an equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities.</div></div>

Berkley

<div>Company Details:<div></div><div><br>
Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following market segments: Construction, Specialty Casualty, &amp; Professional Liability. We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.</div><br>
<div></div>
Responsibilities:
<div>
Join a dynamic, fast‑paced team in the E&amp;S space and lead a team of talented claim professionals handling a broad range of <b>General Liability and Products Liability</b> claims involving property damage and bodily injury.</div><div><br>
</div><div>As Claims Manager, you will guide and inspire your team to deliver best‑in‑class claim outcomes, ensuring alignment with company and industry standards.</div><div><br>
</div><div>You will play a pivotal role in driving quality, efficiency, and strong financial results across our portfolio&mdash;while fostering a positive, collaborative, and growth‑focused team culture. Among your responsibilities will be:</div><ul><li>
Provide clear technical guidance, coaching, and mentorship to claim professionals at varying experience levels.</li><li>
Serve as a key decisionmaker regarding claim valuation, reserves, negotiation approaches, and resolution strategies.</li><li>
Maintain an active diary on all claim files within your direct team, ensuring accuracy, consistency, and timeliness.</li><li>
Conduct comprehensive performance evaluations and support team members with meaningful feedback, development opportunities, and career progression.</li><li>
Partner closely with claim professionals on matters within and above their authority to ensure exceptional claim handling across the board.</li><li>
Support preparation of reports and presentations for senior leadership and internal business partners.</li><li>
Drive profitability by ensuring strict adherence to Best Practices and high‑quality claim file execution.</li><li>
Promote an engaged, collaborative, and supportive team environment centered on accountability, innovation, and success.</li><li>
Build and maintain strong relationships with internal stakeholders, customers, and external partners while delivering excellent customer service.</li><li>
Collaborate effectively with other claim teams and cross‑functional departments throughout the company.</li><li>
Act as a mentor and resource for claims knowledge, professional development, and skill advancement.</li><li>
Identify process, training, or performance opportunities and recommend solutions that elevate team performance.</li><li>
Leverage data and analytics to identify trends, improve outcomes, and enhance strategic decision‑making.</li><li>
Conduct monthly file audits to ensure accuracy, quality, and consistency in claim handling.</li><li>
Maintain all required state adjuster licenses at all times (see qualifications below).</li><li>
Ensure compliance with statutory regulations, Unfair Claims Practices laws, and corporate standards.</li><li>
Perform additional duties or special projects as assigned.</li><li>
Regular and predictable attendance</li></ul>
Qualifications:
<ul><li>Four (4) year College Degree or equivalent industry experience</li><li>
Industry designations preferred (CRIS, AIC, SCLA, etc.)</li><li>
Eight (8) plus years claims handling experience or equivalent experience.</li><li>
Strong knowledge of the insurance industry, including legal and regulatory environments.</li><li>
Specific knowledge and expertise in General Liability and Products Liability (BI &amp; PD) claims.</li><li>
3 &ndash; 5 years of managerial or leadership experience preferred.</li><li>
Proven ability to lead and develop remote or virtual teams.</li><li>
Applicable adjusters license(s) to include - CA, CT, DE, FL, KY, LA, NH, NM, NC, OK, RI, SC, TX, VT, WV, WY</li></ul><br>
<div></div>
Sponsorship Details: Sponsorship not Offered for this Role</div>

Claims Manager - Early Resolution

Capital Insurance Group

<div><p><b>Why CIG?</b></p>
<p>At Capital Insurance Group we offer our employees more than just a job. We foster career growth, provide opportunities to give back to our communities, and help you take the next step in your career!</p>
<p>CIG was founded in 1898 by a group of earnest farmers in need of protection and today, we are the leading West Coast Property &amp; Casualty insurer. CIG is certified as a Great Place to Work and provides a collaborative, inclusive, and fun work culture for all employees.</p>
<p><b>Why choose CIG&rsquo;s Claim&rsquo;s Team?</b></p>
<p>CIG claims department is here to support our insureds throughout their claims process. We work directly with our agency partners and policyholders to accomplish successful claim resolutions. Join the claims operation and you can be part of a team who provides excellent service, build relationships, and achieves successful outcomes for our clients.</p>
<p><b>Benefits</b></p>
<ul><li><p>Accrue twenty-one days of Paid Time Off during your first year</p>
</li><li><p>Up to eighty-seven percent of benefits covered by CIG for you and your family members</p>
<ul><li><p>Medical, dental, vision plans</p>
</li></ul></li><li><p>One hundred percent covered plans</p>
<ul><li><p>Basic Life &amp; AD&amp;D</p>
</li><li><p>Employee Assistance</p>
</li><li><p>Leave Management</p>
</li><li><p>Long Term Disability</p>
</li><li><p>Short Term Disability (Outside of CA)</p>
</li></ul></li></ul><ul><li><p>Family Caregiver Support (Homethrive)</p>
</li><li><p>Child Care Resources (Tootris)</p>
</li><li><p>Business Travel Accident Protection</p>
</li></ul><ul><li><p>Voluntary benefit offerings</p>
<ul><li><p>Short-term (CA only)</p>
</li><li><p>Voluntary Life AD&amp;D self, spouse and child plans</p>
</li><li><p>Flexible Spending</p>
</li><li><p>Health Savings (HSA)</p>
</li><li><p>Hospital Indemnity</p>
</li><li><p>Accidental Injury</p>
</li></ul></li></ul><ul><li><p>Critical Illness</p>
</li><li><p>ARAG Legal Services</p>
</li><li><p>Norton LifeLock</p>
</li></ul><ul><li><p>Nine paid holidays, plus two floating holidays</p>
</li><li><p>Above and Beyond Reward Recognition Program</p>
<ul><li><p>Kudos &amp; Shout Out Points Program</p>
</li><li><p>Quarterly Above and Beyond Bonus Program</p>
</li><li><p>Annual Above and Beyond Bonus Program</p>
</li></ul></li><li><p>Competitive compensation</p>
<ul><li><p>Base compensation</p>
</li><li><p>Salary Management Spot Bonuses</p>
</li><li><p>Annual Incentive/Profit sharing program, potential payout annually based on company results.</p>
</li></ul></li><li><p>Discount partnerships</p>
<ul><li><p>Gym memberships, credit union, travel, shopping, restaurants, theme parks, and more</p>
</li></ul></li><li><p>Insurance Educational reimbursement and bonus programs</p>
</li><li><p>Employee Referral Bonus Program</p>
</li><li><p>Home and Auto Insurance Discount Program.</p>
</li><li><p>Paid Volunteer Time &ndash; Through company planned community events and choose your own adventure PVT in giving back in ways that are meaningful to you!</p>
</li><li><p>Retirement savings benefit (401k and Roth + match)</p>
</li><li><p>Health &amp; Financial Wellness</p>
<ul><li><p>Wellness platform, tools and events</p>
</li><li><p>Health Savings Account &ndash; match</p>
</li><li><p>Financial Wellness Resources</p>
</li></ul></li></ul><p><b>Work Environment</b></p>
<p>This is a hybrid-eligible position, where Monday through Wednesday would be working in one of our offices, with Thursday and Friday eligible for work-from-home days. Office locations include: Bakersfield (CA), Roseville (CA), and Phoenix (AZ).</p>
<p><b>Job Overview</b></p>
<p>The primary purpose of a Claim Representative IV - Casualty is to investigate, evaluate, and resolve complex commercial and complex personal lines casualty claims, including claims with potential for high value exposures and unique exposures. Specific experience in analyzing complex coverage issues, duties to defend, larger exposure bodily injuries, negotiating and directing outside counsel. Focus on managing expenses and understanding personal and commercial line policies, including issuance of Reservations of Rights and the application of coverage issues for appropriate resolution. Demonstrates superior claim service and produces appropriate claim settlements to our clients. It is incumbent upon this individual to understand regulations and the jurisdiction(s) involved in the claims being evaluated. Acts as a leader within the team, as well as a trainer and mentor to the casualty claim division.</p>
<p><b>Minimum Requirements</b></p>
<ul><li><p>Bachelor&rsquo;s degree, preferred</p>
</li><li><p>CPCU preferred</p>
</li><li><p>10+ years of claim experience, including a minimum five years&rsquo; experience in handling complex claim files.</p>
</li><li><p>Knowledge of Current claims laws, specifically civil and tort law and current trends in litigation and general liability in all states we do business in.</p>
</li><li><p>Good working knowledge of mathematics and common accounting practices which relate to gross and net income, understanding of business interruption elements or living-expense calculations.</p>
</li><li><p>Proven ability to comprehend contracts pertaining to relationships amongst insured parties and/or landlord/tenant/property management.</p>
</li><li><p>Demonstrate strong negotiation skills and communicate complex legal concepts and policy-contract interpretation in writing and orally</p>
</li><li><p>Plan, organize, and prioritize work under the pressure of critical deadlines interpretation in writing and orally</p>
</li><li><p>Maintain a valid Driver License and operate a vehicle</p>
</li></ul><p><b>Career Path potential:</b></p>
<ul><li><p>Claim Manager - Casualty/Habitability</p>
</li></ul><p><b>Salary Range:</b> $96,193.00 - $160,322.00</p>
<p>The salary range listed here has been provided to comply with local regulations and represents a potential base salary range for this role. Please note that actual salaries may vary within the range above or below, depending on experience and location. We look at compensation for each individual and base our offer on your unique qualifications, experience, and expected contributions. This position may also be eligible for other types of compensation in addition to base salary, such as benefits and bonus programs.</p></div>

Claim Representative IV - Casualty

Coverys

<div><div>The Senior Claim Consultant provides complete claim loss services for policyholders. Investigates, evaluates, and disposes of MPL and General Liability claims with varying degrees of complexity and severity.</div><div></div><div>
Essential Duties &amp; Responsibilities</div><ul><li><div>
Interview insureds, claimants, witnesses, and other appropriate parties to obtain information used to assess liability exposure.</div></li><li><div>
Document file regarding results of investigation and negotiations.</div></li><li><div>
Prepare reports to file on established diary dates and other specific reports as needed to ensure timely file documentation and plan of action.</div></li><li><div>
Secure records for investigation and evaluation of cases.</div></li><li><div>
Determine and implement negotiation strategy and negotiates settlements within authority level.</div></li><li><div>
Adjust reserves within level of authority and make reserve recommendations to Manager/Director for amounts over position authority level.</div></li><li><div>
Evaluate cases for appropriate disposition and seek authority for settlement from manager/director when settlement amount requests exceed authority.</div></li><li><div>
Direct and monitor activities of defense counsel in compliance with Case Management Guidelines.</div></li><li><div>
Monitor trials and attend pre-trial proceedings, mediations, and arbitrations as necessary.</div></li><li><div>
Identify significant insured Risk Management or Underwriting issues and direct the information to appropriate department.</div></li><li><div>
Communicate with insureds, claimants, and witnesses; consult medical and other relevant records, varying methods of investigation according to type of claim.</div></li><li><div>
Analyze losses to determine if insurance coverage applies.</div></li><li><div>
Maintain working knowledge of policy forms and can confirm policy in effect for date of loss.</div></li><li><div>
Performs other duties as assigned.</div></li></ul><div></div><div>
Education, Experience, Competencies &amp; Values</div><ul><li><div>
Bachelor's degree from four-year college or university.</div></li><li><div>
R.N. or J.D. preferred with 5 years&rsquo; experience in clinical nursing and/or 5 years claims experience dealing with serious bodily injury.</div></li><li><div>
Insurance adjuster's license may be required for specific states.</div></li><li><div>
Knowledge of medical, legal and insurance terminology is required.</div></li><li><div>
Must hold a current driver's license.</div></li><li><div>
Strong written and oral communication skills. Must be comfortable making oral presentations to staff and insureds.</div></li><li><div>
Must have training in contract/policy review and application.</div></li><li><div>
Ability to read, analyze, and interpret insurance policy coverage forms, professional journals, technical procedures, or government regulations. Ability to write reports, business correspondence, and technical case summaries. Ability to effectively present information and respond to questions from groups of managers, insured's, agents and attorneys.</div></li><li><div>
Must be able to synthesize complex or diverse information; collect and research data; use intuition and experience to complement data; design workflows and procedures.</div></li><li><div>
Must have the ability to design and generate creative solutions.</div></li><li><div>
Experience with Microsoft Word, Excel, PowerPoint.</div></li><li><div>
Able to work with minimal supervision on a day-to-day basis.</div></li><li><div>
Occasional overnight travel may be required of this position (up to 25%).</div></li></ul><div></div><div><i>
The base salary range is $103,000</i><i> - $140,000. Individual compensation packages are based on a variety of factors that are unique to each candidate including geographic location, skill set, experience, qualifications and education.</i></div><div></div><div>
If you're a caring and customer focused individual who enjoys working with passionate team members, Coverys is the right company for you!</div></div>

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