claim specialist

CCMSI

<div>Overview:
<div><b>
Workers' Compensation Claim Specialist</b><br>
<b>Location:</b> Irvine, CA (reporting remotely)<br>
<b>Schedule:</b> 8:00am - 4:30 pm<br>
<b>Salary Range:</b> $85,000 - $95,000 (depending on experience)</div><p></p><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><h3 class="jobSectionHeader"><b>
Job Summary</b></h3><div><div><div>
The <b>Workers&rsquo; Compensation Claim Specialist</b> is responsible for managing a caseload consisting primarily of litigated and some complex claims, ensuring timely and accurate payment of benefits while delivering high‑quality service to our clients. This role involves conducting investigations, determining compensability, managing medical treatment through maximum medical improvement (MMI), and maintaining appropriate reserves throughout the life of the claim.</div><div>
The Claim Specialist works closely with clients, defense counsel, and medical providers to evaluate claims for settlement, negotiate resolutions, and bring cases through settlement and closure. This position offers an opportunity to build advanced technical expertise and serves as a developmental path toward future supervisory or management roles.</div></div></div>
Responsibilities:
<div>When we hire Workers&rsquo; Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust.</div><ul><li>
Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.</li><li>
Establish reserves and/or provide reserve recommendations within established reserve authority levels.</li><li>
Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.</li><li>
Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.</li><li>
Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.</li><li>
Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)</li><li>
Review and maintain personal diary on claim system.</li><li>
Assess and monitor subrogation claims for resolution.</li><li>
Compute disability rates in accordance with state laws.</li><li>
Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process.</li><li>
Provide notices of qualifying claims to excess/reinsurance carriers.</li><li>
Compliance with Corporate Claim Handling Standards and special client handling instructions as established.</li></ul>
Qualifications:
<div><b>
Required:</b></div><ul><li><b>
10+ years of Workers&rsquo; Compensation claims handling experience</b>, including full claim investigation, evaluation, and resolution.</li><li>
Proof of current CEU credits</li><li><div>
Responsiveness to internal and external client needs.</div></li><li><div>
Strong analytical and negotiation abilities.</div></li><li><div>
Knowledge of all lower‑level claim position responsibilities.</div></li><li>
Experience handling litigated and complex claims</li></ul><div></div><div><b><br>
Nice to Have:</b></div><ul><li><b>
Bilingual (Spanish) proficiency</b> &mdash; highly valued for communicating with claimants, employers, or vendors, but not required.</li><li><b>
SIP is preferred</b></li><li>
Bachelor's degree is preferred but not required</li><li>
Professional designations such as AIC, ARM, or CPCU are preferred but not required</li></ul><div></div><div><b><br>
Why You&rsquo;ll Love Working Here</b></div><div></div><ul><li><b><br>
4 weeks </b><b><i>(Paid time off that accrues throughout the year in accordance with company policy)</i></b><b> + 10 paid holidays in your first year</b></li><li><b>
Comprehensive benefits</b>: Medical, Dental, Vision, Life, and Disability Insurance</li><li><b>
Retirement plans</b>: 401(k) and Employee Stock Ownership Plan (ESOP)</li><li><b>
Career growth</b>: Internal training and advancement opportunities</li><li><b>
Culture</b>: A supportive, team-based work environment</li></ul><div></div><div><b><br>
How We Measure Success</b></div><div></div><div><br>
 At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:
</div><ul><li><b>Quality claim handling</b> &ndash; thorough investigations, strong documentation, well-supported decisions</li><li><b>
Compliance &amp; audit performance</b> &ndash; adherence to jurisdictional and client standards</li><li><b>
Timeliness &amp; accuracy</b> &ndash; purposeful file movement and dependable execution</li><li><b>
Client partnership</b> &ndash; proactive communication and strong follow-through</li><li><b>
Professional judgment</b> &ndash; owning outcomes and solving problems with integrity</li><li><b>
Cultural alignment</b> &ndash; believing every claim represents a real person and acting accordingly</li></ul><div><b><i>
This is where we shine, and we hire adjusters who want to shine with us.</i></b></div><div></div><div><b><i><br>
Compensation &amp; Compliance</i></b></div><div><i>
The posted salary reflects CCMSI&rsquo;s good-faith estimate in accordance with applicable pay transparency laws. </i><i>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.</i></div><div></div><div><i><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.</i></div><div></div><div><b><i><br>
Visa Sponsorship:</i></b><i> CCMSI does not provide visa sponsorship for this position.</i><br>
<b><i>ADA Accommodations:</i></b><i> CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.</i><br>
<b><i>Equal Opportunity Employer:</i></b><i> CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.</i></div><div></div><div><i><br>
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.</i></div><div></div><div><b><br>
Our Core Values</b></div><div></div><div><br>
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><div></div><ul><li><b><br>
Lead with transparency </b>We build trust by being open and listening intently in every interaction.
</li><li><b>Perform with integrity </b>We choose the right path, even when it is hard.
</li><li><b>Chase excellence </b>We set the bar high and measure our success. What gets measured gets done.
</li><li><b>Own the outcome </b>Every employee is an owner, treating every claim, every decision, and every result as our own.
</li><li><b>Win together </b>Our greatest victories come when our clients succeed.</li></ul><p></p><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>
#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkComp #ClaimsCareers #TPA #CareerGrowth #workersCompAdjuster #ESOP #CaliforniaJobs #WorkersCompensation #InsuranceCareers #RemoteWork #IND123 #LI-Remote</div></div>

Workers' Compensation Claim Specialist

AmTrust Financial

<div>Overview:
<div>
AmTrust Financial Services, a fast-growing commercial insurance company, is seeking an experienced Claims Specialist for a role in Excess and Surplus Lines (E&amp;S) General Liability. This position may be located in any of our claims offices. The successful candidate will directly handle both litigated and non-litigated commercial general liability claims. The successful candidate will also exhibit a strong proficiency in insurance coverage analysis and risk transfer.</div>
Responsibilities:
<ul><li>Recognizing exposures and ensuring reserving is accurate and timely.</li><li>
Evaluating coverage issues and risk transfer opportunities.</li><li>
Ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed.</li><li>
Provide outstanding customer service and effectively communicate with our internal and external business partners.</li><li>
Formulate proper resolution strategies to ensure the best total claim outcome.</li><li>
Position may require periodic travel to attend meditations, trials and/or other related meetings.</li><li>
Perform other duties as assigned.</li></ul>
Qualifications:
<ul><li>Minimum of five (5) years of experience in the handling of litigated and non-litigated commercial general liability claims, with a preference for bodily injury claims and E&amp;S industry experience.</li><li>
Bachelor&rsquo;s degree or equivalent work experience.</li><li>
Strong contractual analysis skills to include insurance contracts for coverage and other contracts for risk transfer obligations/opportunities.</li><li>
Proficient computer skills required to navigate our paperless claim file system.</li><li>
Possesses a high level of technical claim and legal knowledge and skills.</li><li>
Excellent communication skills, both written and oral.</li><li>
Ability to professionally interact at a high level with parties both internal and external to AmTrust.</li><li>
Ability to effectively influence others without damaging relationships.</li><li>
Skillful negotiator.</li><li>
Adjuster licensing as required, with preference for California, Texas and/or Florida.</li><li>
CPCU designation/AIC certification preferred.</li></ul><div><i>
The expected salary range for this role is $90K-$115K/year.</i></div><div></div><div><i><br>
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.</i></div><div></div><div><br>
#LI-BL1</div>
What We Offer:
<div>
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical &amp; Dental Plans, Life Insurance, including eligible spouses &amp; children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.</div><div></div><div><br>
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.</div><div></div><div><br>
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.</div></div>

Claim Specialist, Excess & Surplus

AAA-The Auto Club Group

<div>
 <p>
  It&rsquo;s a great time to join AAA The Auto Club Group!
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Job Type:
  </strong>
 </p>
 <p>
  Full time
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Exempt/Non-Exempt:
  </strong>
 </p>
 <p>
  Salary
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Job Description:
  </strong>
 </p>
 <p>
  <strong>
   Michigan Personal Injury Protection Claim Specialist &ndash; The Auto Club Group
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   What you will do:
  </strong>
 </p>
 <p>
  The Auto Club Group is seeking prospective
  <strong>
   Claim Specialist
  </strong>
  who will work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.
 </p>
 <p>
  <br/>
 </p>
 <p>
  In this position, you will have the opportunity to:
 </p>
 <ul>
  <li>
   Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system.
  </li>
  <li>
   Complete complex coverage analysis.
  </li>
  <li>
   Ensure all possible policyholder benefits are identified.
  </li>
  <li>
   Create additional sub-claims if needed.
  </li>
  <li>
   Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.
  </li>
  <li>
   Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
  </li>
  <li>
   Evaluate the financial value of the loss.
  </li>
  <li>
   Approve payments for the appropriate parties accordingly.
  </li>
  <li>
   Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
  </li>
  <li>
   Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
  </li>
  <li>
   Utilize strong negotiating skills.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Claim Specialists are assigned to the PIP unit and are responsible for Michigan PIP intermediate claims involving fractures, mild closed head injuries, surgical procedures, and claims involving attendant care. The role may require proficiency in dealing with the MCCA and attorney represented claims. May handle losses beyond those identified previously. Work with insureds, physicians&rsquo; offices and medical insurance carriers to obtain necessary information to complete the claims review process and make the appropriate determinations
 </p>
 <p>
  <br/>
 </p>
 <p>
  With our powerful brand and the mentoring, we offer, you will find your position as a
  <strong>
   Claim Specialist
  </strong>
  can lead to a rewarding career at our growing organization.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Work Environment
  </strong>
 </p>
 <p>
  This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   How you will benefit:
  </strong>
 </p>
 <ul>
  <li>
   A competitive annual salary between $67,300 to $75,000
  </li>
  <li>
   ACG offers excellent and comprehensive benefits packages, including:
  </li>
  <li>
   Medical, dental and vision benefits
  </li>
  <li>
   401k Match
  </li>
  <li>
   Paid parental leave and adoption assistance
  </li>
  <li>
   Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
  </li>
  <li>
   Paid volunteer day annually
  </li>
  <li>
   Tuition assistance program, professional certification reimbursement program and other professional development opportunities
  </li>
  <li>
   AAA Membership
  </li>
  <li>
   Discounts, perks, rewards, and much more
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   We&rsquo;re looking for candidates who:
  </strong>
 </p>
 <p>
  <strong>
   Required Qualifications (these Are the Minimum Requirements to Qualify)
  </strong>
 </p>
 <p>
  Education:
 </p>
 <ul>
  <li>
   Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
  </li>
  <li>
   In states where an Adjuster&rsquo;s license is required, the candidate must be eligible to acquire a State Adjuster&rsquo;s license within 90 days of hire and maintain as specified for appropriate states.
  </li>
  <li>
   A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Experience:
 </p>
 <p>
  Three years of experience or equivalent training in the following:
 </p>
 <ul>
  <li>
   Negotiation of claim settlements
  </li>
  <li>
   Securing and evaluating evidence
  </li>
  <li>
   Preparing manual and electronic estimates
  </li>
  <li>
   Subrogation claims
  </li>
  <li>
   Resolving coverage questions
  </li>
  <li>
   Taking statements
  </li>
  <li>
   Establishing clear evaluation and resolution plans for claims
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Knowledge and Skills:
 </p>
 <p>
  Advance knowledge of:
 </p>
 <ul>
  <li>
   Essential Insurance Act (Michigan)
  </li>
  <li>
   Fair Trade Practices Act as it relates to claims
  </li>
  <li>
   Subrogation procedures and processes
  </li>
  <li>
   Intercompany arbitration
  </li>
  <li>
   Handling simple litigation
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Advance knowledge of:
 </p>
 <ul>
  <li>
   Negligence Law
  </li>
  <li>
   No-Fault Law
  </li>
  <li>
   medical terminology and human anatomy
  </li>
  <li>
   MCCA and attorney represented claims
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Ability to:
 </p>
 <ul>
  <li>
   Handle claims to the line Claim Handling Standards
  </li>
  <li>
   Follow and apply ACG Claim policies, procedures and guidelines
  </li>
  <li>
   Work within assigned ACG Claim systems including basic PC software
  </li>
  <li>
   Perform basic claim file review and investigations
  </li>
  <li>
   Demonstrate effective communication skills (verbal and written)
  </li>
  <li>
   Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
  </li>
  <li>
   Analyze and solve problems while demonstrating sound decision making skills
  </li>
  <li>
   Prioritize claim related functions
  </li>
  <li>
   Process time sensitive data and information from multiple sources
  </li>
  <li>
   Manage time, organize and plan workload and responsibilities
  </li>
  <li>
   Research, analyze, and interpret subrogation laws in various states
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Preferred Qualifications
  </strong>
 </p>
 <p>
  Education:
 </p>
 <ul>
  <li>
   Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
  </li>
  <li>
   Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
  </li>
  <li>
   CPCU coursework or designation
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Who We Are
 </p>
 <p>
  Become a part of something bigger.
 </p>
 <p>
  <br/>
 </p>
 <p>
  The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
 </p>
 <p>
  <br/>
 </p>
 <p>
  By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life&rsquo;s journey through insurance, travel, financial services, and roadside assistance.
 </p>
 <p>
  <br/>
 </p>
 <p>
  And when you join our team, one of the first things you&rsquo;ll notice is that same, whole-hearted, enthusiastic advocacy for each other.
 </p>
 <p>
  <br/>
 </p>
 <p>
  We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
 </p>
 <p>
  <br/>
 </p>
 <p>
  To learn more about AAA The Auto Club Group visit www.aaa.com
 </p>
 <p>
  <br/>
 </p>
 <p>
  Important Note:
 </p>
 <p>
  ACG&rsquo;s Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
 </p>
 <p>
  <br/>
 </p>
 <p>
  The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
 </p>
 <p>
  <br/>
 </p>
 <p>
  The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
 </p>
 <p>
  <br/>
 </p>
 <p>
  Regular and reliable attendance is essential for the function of this job.
 </p>
 <p>
  <br/>
 </p>
 <p>
  AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
 </p>
</div>


Michigan Personal Injury Protection Claim Specialist

Gallagher

<div><b>Introduction</b><br>
<div>
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it&rsquo;s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people&rsquo;s lives. It takes empathy, precision, and a strong sense of partnership&mdash;and that&rsquo;s exactly what you&rsquo;ll find here. We&rsquo;re a team of fast-paced fixers, empathetic experts, and outcomes drivers &mdash; people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you&rsquo;ll play a vital role in helping businesses and individuals move forward with confidence. Here, you&rsquo;ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you&rsquo;re here, you&rsquo;re part of something bigger. You&rsquo;re part of a team that shows up, stands together, and leads with purpose.
</div><br>
<b>Overview</b><div><b><br>
Salary: </b>Salary for this position could go up to $119,000 per year, dependent upon experience.</div><div><div><b>
Jurisdictions:</b> Open to any</div><div><b>
Licenses:</b> Must be willing to obtain all licenses as required by the manager within a specified timeframe</div><div><b>
Location:</b> This role is eligible for fully remote work</div><div></div><div><br>
The Claims Specialist within GB Specialty is responsible for managing moderately complex <b>Healthcare Professional Liability</b> claims, with a primary focus on <b>Correctional Medicine</b>. This role manages the full claim life cycle, including coverage analysis, investigation, evaluation, and resolution, while ensuring claims are handled in accordance with client expectations, policy obligations, and regulatory requirements.</div></div>
<br>
<b>How you'll make an impact</b><br>
<ul><li>
Analyzes coverage and settles moderately complex claims in Correctional Medicine Professional Liability.</li><li>
Generally, incumbent does not work on workers&rsquo; compensation claims.</li><li>
Able to manage the full-life cycle of all assigned claims files.</li><li>
Analyzes coverage and determines defense obligations.</li><li>
Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans.</li><li>
Creates reservation of rights and coverage denial letters.</li><li>
Negotiates settlements with clients, client attorneys, and Public Adjusters.</li><li>
Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary.</li><li>
Prepares reserve and settlement authority requests for client and carrier approval.</li><li>
May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage.</li><li>
Has a solid understanding of claims processing and the insurance brokerage business.</li><li>
Has a basic understanding of the terminology and case law associated with correctional medicine professional liability claims.</li><li>
Handles claims consistent with clients&rsquo; and corporate policies, procedures and best practices and in accordance with statutory, regulatory, and ethical requirements.</li><li>
Incumbents at this level should be able to work at full caseload capacity.</li></ul>
<br>
<b>About You</b><div><b><br>
Required:</b></div><ul><li><div>
Bachelor&rsquo;s degree required</div></li><li><div>
Minimum 2+ years of experience in handling professional liability claims</div></li><li><div>
Strong insurance fundamentals and understanding of claims processes.</div></li><li><div>
Ability to analyze documentation, summarize facts, and support coverage and liability determinations.</div></li><li><div>
Computer proficiency with claims systems and standard business software.</div></li><li><div>
Must be able to obtain required adjuster licenses within designated timeframes.</div></li></ul><div><b>
Preferred:
</b></div><ul><li>Prior experience within healthcare, medical malpractice, or correctional medicine claims a plus.</li><li>
Strong insurance background (carrier, TPA, brokerage, or claims support experience).</li><li>
JD preferred but not required</li></ul><div><b>
Behaviors:</b></div><div><ul><li>
Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, and communicate effectively in writing and verbally.</li><li>
Strong analytical skills to support claims decisions and issue resolution.</li><li>
Ability to interpret policies, records, and related documentation.</li></ul><div>
#LI-TJ1</div><div>
#GBSpecialtyCareers</div></div></div>

Claim Specialist - Correctional Medicine

State Farm

<div>Overview:
<div>
Being good neighbors &ndash; helping people, investing in our communities, and making the world a better place &ndash; is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good!</div>
Grow Your Skills, Grow Your Potential:
<div></div>
Responsibilities:
<div>
Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and large losses.
</div><div>We are looking for an experienced and highly skilled professional to contribute to our dynamic team. You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process while providing Remarkable service.
</div><div>Key Responsibilities:</div><ul><li>
Conduct on-site inspections and assessments of property damages for both residential and commercial claims</li><li>
Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently</li><li>
May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions</li><li>
Provide exceptional customer service throughout the claims process, addressing inquiries and concerns promptly and professionally</li><li>
Gather necessary evidence, document findings, and prepare detailed reports to support the claims handling process</li><li>
Investigate and adjust both personal and commercial property claims with exposures up to $500,000</li><li>
Evaluate coverage and policy terms to determine the validity of claims and ensure compliance with local regulations</li><li>
Negotiate and settle claims within the authorized limits, considering policy provisions, industry standards, and company guidelines</li></ul><div><b>
Where you'll work:</b> This position is located in Springfiled,OH. Competitive candidates should reside within one of the listed zip codes and will service this same territory:
<br>
43009 43010 43029 43044 43045 43060 43064 43070 43072 43078 43084 43140 43162 43311 43318 43319 43324 43333 43343 43348 43357 43360 45312 45317 45326 45334 45340 45353 45368 45369 45372 45389 45502 45503 45504 45505 45506<br>
This is a Remote-Field position in which you will work from home and utilize a mobile office/vehicle for in-person appointments. Although the primary work location is in the field, with a commutable distance from home, there will be opportunities for virtual work to be completed at home. Additionally, there may be occasions where you will be required to travel outside your assigned area to assist in other territories.</div><div>
Hours of operation are continually evaluated and may change based on business need. Successful candidates are able and willing to work flexible schedules and may be asked to work overtime and/or irregular hours.
</div>Qualifications:<div></div><div><br>
Competitive candidates must demonstrate:</div><ul><li>
Experience as a Property Field Inspection Claim Specialist in the insurance industry, specifically in property claims</li><li>
Strong knowledge of property insurance policies, coverage and claim handling practices</li><li>
Knowledge of both residential and commercial building construction</li><li>
Familiarity with local regulations and compliance requirements in your assigned territory</li><li>
Excellent communication and interpersonal skills to effectively interact with clients, agents, and other stakeholders</li><li>
Proven effective communication skills to handle difficult/emotional conversations with a customer-minded focus</li><li>
Proven ability to assess damages, estimate repair costs, and negotiate settlements</li><li>
Detail-oriented with strong organizational and analytical skills</li><li>
Proficient in using claims management software and other relevant tools</li><li><b>
Physical agility to allow for:</b> frequent lifting, carrying and climbing a ladder; ability to navigate roofs at various heights for inspection of both residential and commercial structures; ability to crawl in tight spaces</li><li>
May be required to complete Rope and Harness Safety Training.</li><li>
A valid driver's license is required</li></ul><div>
Preferred:</div><ul><li>
Bachelor's Degree in a related field or equivalent work experience</li><li>
Experience in handling complex or high-value claims</li><li>
Construction background</li><li>
Water mitigation inspection experience</li><li>
Xactimate, XactContents</li></ul><div>
Additional Details:</div><ul><li>
Employees must successfully complete all required training, including applicable licensing exam(s) and background checks required of various state(s).</li><li>
State Farm recently implemented new pre-employment assessments. Candidates that have previously taken an assessment may be asked to participate in additional testing</li></ul>
Our Benefits:
<div>
Because work-life balance is a priority at State Farm, compensation is based on our standard 38:45-hour work week!</div><br>
<div></div><ul><li>
Potential starting salary range: $59,059.65 - $90,000 annually</li><li><ul><li>
Starting salary will be based on skills, background, and experience</li><li>
High end of the range limited to applicants with significant relevant experience</li></ul></li><li>
Potential yearly incentive pay up to 15% of base salary</li></ul><div><b><br>
At State Farm, we offer more than just a paycheck. Check out our suite of benefits designed to give you the flexibility you need to take care of you and your family!</b></div><div></div><ul><li><b><br>
Get Paid!</b> On top of our competitive pay, you are eligible for an annual raise and bonus.</li><li><b>
Stay Well!</b> Focus on you and your family&rsquo;s health with our robust health and wellbeing programs. State Farm pays most of your healthcare premium, and we offer multiple healthcare plan options, including a high deductible plan. All medical plans provide 100% coverage for in-network preventative care, AND you and your family have access to vision, dental, telemedicine, 24/7 mental health professionals, and much more!</li><li><b>
Develop and Grow!</b> Take advantage of educational benefits like industry leading training programs, top-notch tuition assistance programs, employee resource groups, and mentoring.</li><li><b>
Plan Ahead!</b> Plan for those big moments in life with benefits like fertility/IVF/adoption assistance, college coaching, national discount programs, interactive monthly financial workshops, free financial coaching, and more. You can also start a savings account or consider financing through our State Farm Federal Credit Union!</li><li><b>
Take a Little &ldquo;You&rdquo; Time!</b> You will have access to our generous time off policies designed so you can plan around holidays, family events, volunteering, or just to take a relaxing day off. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!</li><li><b>
Give Back!</b> We offer several ways to give back through our Matching Gift Program, Good Neighbor Grant Program, and the Employee Assistance Fund.</li><li><b>
Finish Strong!</b> Plan for retirement using free financial advisors and a 401(k) plan with company contributions of up to 7% of your salary.</li></ul><div></div><div><b><br>
Visit our </b><b>State Farm Careers</b><b> page for more information on our </b><b>benefits</b><b>, </b><b>locations</b><b>, and the </b><b>hiring process</b><b> of joining the State Farm team!</b></div></div>

Claim Specialist - Property Field Inspection

<div>Overview:
<div>
Being good neighbors &ndash; helping people, investing in our communities, and making the world a better place &ndash; is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good!</div>
Grow Your Skills, Grow Your Potential:
<div></div>
Responsibilities:
<div>
Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and large losses.
</div><div>We are looking for an experienced and highly skilled professional to contribute to our dynamic team. You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process while providing Remarkable service.
</div><div>Key Responsibilities:</div><ul><li>
Conduct on-site inspections and assessments of property damages for both residential and commercial claims</li><li>
Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently</li><li>
May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions</li><li>
Provide exceptional customer service throughout the claims process, addressing inquiries and concerns promptly and professionally</li><li>
Gather necessary evidence, document findings, and prepare detailed reports to support the claims handling process</li><li>
Investigate and adjust both personal and commercial property claims with exposures up to $500,000</li><li>
Evaluate coverage and policy terms to determine the validity of claims and ensure compliance with local regulations</li><li>
Negotiate and settle claims within the authorized limits, considering policy provisions, industry standards, and company guidelines</li></ul><div><b>
Where you'll work:</b> This position is located in <b>Las Vegas, NV</b>. Competitive candidates should reside within one of the listed zip codes and will service this same territory:</div><div>
89001 89002 89003 89004 89005 89007 89008 89010 89011 89012 89013 89014 89015 89017 89018 89019 89020 89021 89022 89025 89027 89029 89030 89031 89032 89034 89036 89037 89039 89040 89042 89043 89044 89046 89047 89048 89049 89052 89054 89060 89061 89074 89081 89084 89085 89086 89101 89102 89103 89104 89106 89107 89108 89109 89110 89113 89115 89117 89118 89119 89120 89121 89122 89123 89124 89128 89129 89130 89131 89134 89135 89138 89139 89141 89142 89143 89144 89145 89146 89147 89148 89149 89156 89158 89161 89165 89166 89169 89178 89179 89183 89191 89314</div><div></div><div><br>
This is a Remote-Field position in which you will work from home and utilize a mobile office/vehicle for in-person appointments. Although the primary work location is in the field, with a commutable distance from home, there will be opportunities for virtual work to be completed at home. Additionally, there may be occasions where you will be required to travel outside your assigned area to assist in other territories.</div><div>
Hours of operation are continually evaluated and may change based on business need. Successful candidates are able and willing to work flexible schedules and may be asked to work overtime and/or irregular hours.
</div>Qualifications:
<div>
Competitive candidates must demonstrate:</div><ul><li>
Experience as a Property Field Inspection Claim Specialist in the insurance industry, specifically in property claims</li><li>
Strong knowledge of property insurance policies, coverage and claim handling practices</li><li>
Knowledge of both residential and commercial building construction</li><li>
Familiarity with local regulations and compliance requirements in your assigned territory</li><li>
Excellent communication and interpersonal skills to effectively interact with clients, agents, and other stakeholders</li><li>
Proven effective communication skills to handle difficult/emotional conversations with a customer-minded focus</li><li>
Proven ability to assess damages, estimate repair costs, and negotiate settlements</li><li>
Detail-oriented with strong organizational and analytical skills</li><li>
Proficient in using claims management software and other relevant tools</li><li><b>
Physical agility to allow for:</b> frequent lifting, carrying and climbing a ladder; ability to navigate roofs at various heights for inspection of both residential and commercial structures; ability to crawl in tight spaces</li><li>
May be required to complete Rope and Harness Safety Training.</li><li>
A valid driver's license is required</li></ul><div>
Preferred:</div><ul><li>
Bachelor's Degree in a related field or equivalent work experience</li><li>
Experience in handling complex or high-value claims</li><li>
Construction background</li><li>
Water mitigation inspection experience</li><li>
Xactimate, XactContents</li></ul><div>
Additional Details:</div><ul><li>
Employees must successfully complete all required training, including applicable licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).</li><li>
State Farm recently implemented new pre-employment assessments. Candidates that have previously taken an assessment may be asked to participate in additional testing</li></ul>
Our Benefits:
<div>
Because work-life balance is a priority at State Farm, compensation is based on our standard 38:45-hour work week!</div><br>
<div></div><ul><li>
Potential starting salary range: $59,059.65- $90,000.00 annually</li><li><ul><li>
Starting salary will be based on skills, background, and experience</li><li>
High end of the range limited to applicants with significant relevant experience</li></ul></li><li>
Potential yearly incentive pay up to 15% of base salary</li></ul><div><b><br>
At State Farm, we offer more than just a paycheck. Check out our suite of benefits designed to give you the flexibility you need to take care of you and your family!</b></div><div></div><ul><li><b><br>
Get Paid!</b> On top of our competitive pay, you are eligible for an annual raise and bonus.</li><li><b>
Stay Well!</b> Focus on you and your family&rsquo;s health with our robust health and wellbeing programs. State Farm pays most of your healthcare premium, and we offer multiple healthcare plan options, including a high deductible plan. All medical plans provide 100% coverage for in-network preventative care, AND you and your family have access to vision, dental, telemedicine, 24/7 mental health professionals, and much more!</li><li><b>
Develop and Grow!</b> Take advantage of educational benefits like industry leading training programs, top-notch tuition assistance programs, employee resource groups, and mentoring.</li><li><b>
Plan Ahead!</b> Plan for those big moments in life with benefits like fertility/IVF/adoption assistance, college coaching, national discount programs, interactive monthly financial workshops, free financial coaching, and more. You can also start a savings account or consider financing through our State Farm Federal Credit Union!</li><li><b>
Take a Little &ldquo;You&rdquo; Time!</b> You will have access to our generous time off policies designed so you can plan around holidays, family events, volunteering, or just to take a relaxing day off. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!</li><li><b>
Give Back!</b> We offer several ways to give back through our Matching Gift Program, Good Neighbor Grant Program, and the Employee Assistance Fund.</li><li><b>
Finish Strong!</b> Plan for retirement using free financial advisors and a 401(k) plan with company contributions of up to 7% of your salary.</li></ul><div></div><div><b><br>
Visit our </b><b>State Farm Careers</b><b> page for more information on our </b><b>benefits</b><b>, </b><b>locations</b><b>, and the </b><b>hiring process</b><b> of joining the State Farm team!</b></div></div>

<div>Overview:
<div>
Being good neighbors &ndash; helping people, investing in our communities, and making the world a better place &ndash; is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good!</div>
Grow Your Skills, Grow Your Potential:
<div></div>
Responsibilities:
<div>
Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and large losses.
</div><div>We are looking for an experienced and highly skilled professional to contribute to our dynamic team. You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process while providing Remarkable service.
</div><div>Key Responsibilities:</div><ul><li>
Conduct on-site inspections and assessments of property damages for both residential and commercial claims</li><li>
Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently</li><li>
May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions</li><li>
Provide exceptional customer service throughout the claims process, addressing inquiries and concerns promptly and professionally</li><li>
Gather necessary evidence, document findings, and prepare detailed reports to support the claims handling process</li><li>
Investigate and adjust both personal and commercial property claims with exposures up to $500,000</li><li>
Evaluate coverage and policy terms to determine the validity of claims and ensure compliance with local regulations</li><li>
Negotiate and settle claims within the authorized limits, considering policy provisions, industry standards, and company guidelines</li></ul><div><b>
Where you'll work:</b> This position is located in Marshall, MN. Competitive candidates should reside within one of the listed zip codes and will service this same territory:55333 56019 56083 56087 56101 56110 56111 56113 56114 56115 56116 56117 56118 56119 56122 56123 56125 56128 56129 56131 56132 56134 56136 56137 56138 56139 56141 56142 56143 56144 56145 56146 56147 56149 56150 56151 56152 56153 56155 56156 56157 56158 56159 56161 56164 56165 56166 56167 56168 56169 56170 56172 56173 56174 56175 56178 56180 56183 56185 56186 56187 56214 56220 56223 56224 56229 56237 56239 56245 56255 56258 56263 56264 56266 56270 56280 56283 56287 56291 56292 56293 56294 56297</div><div><br>
This is a Remote-Field position in which you will work from home and utilize a mobile office/vehicle for in-person appointments. Although the primary work location is in the field, with a commutable distance from home, there will be opportunities for virtual work to be completed at home. Additionally, there may be occasions where you will be required to travel outside your assigned area to assist in other territories.</div><div>
Hours of operation are continually evaluated and may change based on business need. Successful candidates are able and willing to work flexible schedules and may be asked to work overtime and/or irregular hours.
</div>Qualifications:
<div>
Competitive candidates must demonstrate:</div><ul><li>
Experience as a Property Field Inspection Claim Specialist in the insurance industry, specifically in property claims</li><li>
Strong knowledge of property insurance policies, coverage and claim handling practices</li><li>
Knowledge of both residential and commercial building construction</li><li>
Familiarity with local regulations and compliance requirements in your assigned territory</li><li>
Excellent communication and interpersonal skills to effectively interact with clients, agents, and other stakeholders</li><li>
Proven effective communication skills to handle difficult/emotional conversations with a customer-minded focus</li><li>
Proven ability to assess damages, estimate repair costs, and negotiate settlements</li><li>
Detail-oriented with strong organizational and analytical skills</li><li>
Proficient in using claims management software and other relevant tools</li><li><b>
Physical agility to allow for:</b> frequent lifting, carrying and climbing a ladder; ability to navigate roofs at various heights for inspection of both residential and commercial structures; ability to crawl in tight spaces</li><li>
May be required to complete Rope and Harness Safety Training.</li><li>
A valid driver's license is required</li></ul><div>
Preferred:</div><ul><li>
Bachelor's Degree in a related field or equivalent work experience</li><li>
Experience in handling complex or high-value claims</li><li>
Construction background</li><li>
Water mitigation inspection experience</li><li>
Xactimate, XactContents</li></ul><div>
Additional Details:</div><ul><li>
Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).</li><li>
State Farm recently implemented new pre-employment assessments. Candidates that have previously taken an assessment may be asked to participate in additional testing</li></ul>
Our Benefits:
<div>
Because work-life balance is a priority at State Farm, compensation is based on our standard 38:45-hour work week!</div><br>
<div></div><ul><li>
Potential starting salary range: $59,059.65 - $90,000.00 Annually</li><li><ul><li>
Starting salary will be based on skills, background, and experience</li><li>
High end of the range limited to applicants with significant relevant experience</li></ul></li><li>
Potential yearly incentive pay up to 15% of base salary</li></ul><div><b><br>
At State Farm, we offer more than just a paycheck. Check out our suite of benefits designed to give you the flexibility you need to take care of you and your family!</b></div><div></div><ul><li><b><br>
Get Paid!</b> On top of our competitive pay, you are eligible for an annual raise and bonus.</li><li><b>
Stay Well!</b> Focus on you and your family&rsquo;s health with our robust health and wellbeing programs. State Farm pays most of your healthcare premium, and we offer multiple healthcare plan options, including a high deductible plan. All medical plans provide 100% coverage for in-network preventative care, AND you and your family have access to vision, dental, telemedicine, 24/7 mental health professionals, and much more!</li><li><b>
Develop and Grow!</b> Take advantage of educational benefits like industry leading training programs, top-notch tuition assistance programs, employee resource groups, and mentoring.</li><li><b>
Plan Ahead!</b> Plan for those big moments in life with benefits like fertility/IVF/adoption assistance, college coaching, national discount programs, interactive monthly financial workshops, free financial coaching, and more. You can also start a savings account or consider financing through our State Farm Federal Credit Union!</li><li><b>
Take a Little &ldquo;You&rdquo; Time!</b> You will have access to our generous time off policies designed so you can plan around holidays, family events, volunteering, or just to take a relaxing day off. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!</li><li><b>
Give Back!</b> We offer several ways to give back through our Matching Gift Program, Good Neighbor Grant Program, and the Employee Assistance Fund.</li><li><b>
Finish Strong!</b> Plan for retirement using free financial advisors and a 401(k) plan with company contributions of up to 7% of your salary.</li></ul><div><b>
Visit our </b><b>State Farm Careers</b><b> page for more information on our </b><b>benefits</b><b>, </b><b>locations</b><b>, and the </b><b>hiring process</b><b> of joining the State Farm team!</b></div></div>

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