claim specialist

Dayton Freight

<div>Overview:
<div></div><div>
The Claim Specialist serves as the primary contact for the processing and management of company accidents, injuries, or other insurance related matters.</div><br>
<div></div>
Responsibilities:
<ul><li>Manage accidents for all lines of coverage including workers compensation, liability, auto, and property for the company</li><li>
Analyze and evaluate accident/claim reports and work with others internally to understand extent of loss and applicability to insurance and/or liability</li><li>
Identify and analyze employee first report of employee injuries to determine if they are compensable</li><li>
Work with third party administrators in managing all workers compensation injuries based on state laws</li><li>
Assist the Risk Manager with the analysis of cost regarding workers compensation injuries</li><li>
Assist in the development and implementation of an effective post-loss injury program</li><li>
Manage and oversee and TWAP light duty program</li><li>
Oversee claims management and claim litigation processes</li><li>
Collaborate with legal counsel, adjusters, and other appropriate personnel on pertinent claims matters</li><li>
Assist the Risk Manager on losses and negotiate settlements, within established authority</li></ul>
Qualifications:
<ul><li>Possess a High School Diploma.</li><li>
Possess knowledge of multi-state workers&rsquo; compensation laws, cost management and return to work practices.</li><li>
Possess good written and oral communication skills and the ability to present information in an appropriate manner to various groups including executive management, peers and external partners.</li></ul>
Benefits:
<ul><li>Stable and growing organization</li><li>
Competitive weekly pay</li><li>
Quick advancement</li><li>
Professional, positive and people-centered work environment</li><li>
Modern facilities</li><li>
Comprehensive benefits package: Health, Dental, Vision, AD&amp;D, 401(k), etc.</li><li>
Paid holidays (8); paid vacation and personal days</li></ul><div>
transportation, trucking, LTL, culture, family oriented, claims, insurance, accidents, workers comp, workers compensation</div></div>

Claim Specialist

Purple Sky Counseling

<p><b>About Purple Sky Counseling</b></p><p>Purple Sky Counseling is a growing multi-location mental health practice with 6 locations, focused on providing high-quality care while building strong, efficient systems that support both our clients and our team.</p><p>We are actively strengthening our billing and revenue cycle processes and are looking for a detail-oriented, accountable team member to support claims, denials, and account accuracy within our billing department.</p><p><b>Position Overview</b></p><p>The Claim Denial Specialist plays a key role in managing insurance claims, tracking and resolving denials, and ensuring the accuracy of client accounts within SimplePractice.</p><p>This role is responsible for identifying issues that impact reimbursement, maintaining clean and accurate account data, and supporting timely revenue collection.</p><p>This is an ideal role for someone with <b>mental health billing experience</b>, especially in <b>insurance denials, claims follow-up, and account auditing</b>. This role is primarily working denied claims.</p><p>This is a part-time position, with the opportunity to grow into full-time.</p><p><b>Primary Responsibilities</b></p><p><b>Claims &amp; Denial Management</b></p><ul><li>Track, organize, and manage all insurance denials within SimplePractice</li><li>Review denied and rejected claims to determine root cause</li><li>Ensure denials are addressed, reassigned, or escalated in a timely manner</li><li>Collaborate with billing team to support resolution of denied claims</li><li>Monitor trends in denials and communicate patterns to leadership</li><li>Direct phone contact with insurance companies (phone number provided though VOIP Phone system)</li><li>Connecting with insurance representatives to identify denial causes quickly</li></ul><p><b>Account Review &amp; Aging</b></p><ul><li>Review aging reports to identify outstanding balances</li><li>Audit client accounts for accuracy and resolve discrepancies</li><li>Ensure accounts are accurate prior to client communication or escalation</li><li>Support reduction of aging balances, especially accounts over 60&ndash;90 days</li></ul><p><b>Autopay &amp; Payment Oversight</b></p><ul><li>Maintain and monitor credit card and autopay systems within SimplePractice</li><li>Identify and resolve failed or declined payments</li><li>Ensure autopay enrollments are accurate and functioning properly</li></ul><p><b>Billing Support</b></p><ul><li>Assist with backlog cleanup and account corrections</li><li>Support Billing Operations and Revenue Cycle Manage with projects and workflow improvements</li><li>Maintain clear and organized documentation of all work completed</li></ul><p><b>Systems &amp; Compliance</b></p><ul><li>Work within SimplePractice to update claims, accounts, and notes accurately</li><li>Maintain HIPAA compliance at all times</li><li>Follow internal billing workflows and SOPs</li></ul><p><b>Key Performance Indicators (KPIs)</b></p><p><b>Denials</b></p><ul><li>100% of new denials logged and categorized within 48 hours</li><li>90%+ of open denials actively worked each week</li><li>Reduction in repeat denial types over time</li></ul><p><b>Aging &amp; Accounts</b></p><ul><li>95%+ of assigned aging accounts reviewed weekly</li><li>Measurable reduction in accounts over 90 days</li><li>&lt;2% error rate in audited account balances</li></ul><p><b>Autopay</b></p><ul><li>98%+ successful autopay rate</li><li>100% of failed payments addressed within 48 hours</li></ul><p><b>Workflow &amp; Productivity</b></p><ul><li>Tasks completed within assigned timelines</li><li>Backlog maintained at or below defined thresholds</li><li>Clear documentation of work completed in SimplePractice</li></ul><p><b>Qualifications</b></p><ul><li>Experience in medical or mental health billing required</li><li>Experience with insurance denials and claims follow-up strongly preferred</li><li>Experience using SimplePractice (preferred) or similar EHR/billing systems</li><li>Strong attention to detail and organizational skills</li><li>Ability to work independently and manage multiple workflows</li><li>Strong problem-solving and critical thinking skills</li></ul><p><b>Preferred Experience</b></p><ul><li>Mental health/private practice billing</li><li>Familiarity with insurance payors and claim lifecycle</li><li>Experience working with aging reports and account audits</li></ul><p><b>What We Offer</b></p><p>Part-Time Benefits:</p><ul><li>Supportive and structured team environment</li><li>Clear roles and accountability</li><li>Opportunity to grow within a developing billing department</li><li>Flexible scheduling (if applicable)</li><li>401k + Matching</li></ul><p>Full-Time Benefits:</p><ul><li>All part-time benefits listed above</li><li>40 hours PTO offered at 12 mos of full-time employment</li><li>Holiday PTO offered after probationary period (90 days)</li><li>Insurance (for FT employees)</li><li>Costco Membership (for FT employees)</li></ul><p>If you are detail-oriented, reliable, and experienced in claims and denial management, we&rsquo;d love to hear from you.</p><p><b>To apply, please submit your resume and a brief summary of your billing experience.</b></p><p>Pay: $20.00 - $24.00 per hour</p><p>Benefits:</p><ul><li>401(k) matching</li><li>Flexible schedule</li><li>Work from home</li></ul><p>Application Question(s):</p><ul><li>In which state do you reside? (Must be in the US)</li><li>Do you hold a credentials in Medical Billing? If so, which certificate do you hold?</li><li>How many years of experience do you have working denied insurance claims?</li><li>Do you have a remote, HIPAA Compliant location to work in?</li></ul><p>Work Location: Remote</p>

CorVel Corporation

<div><p>The Float Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers&rsquo; compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.</p>
<p>
This is a remote role.</p>
<p><b>
ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:</b></p>
<ul>
<li>Receives claims, confirms policy coverage and acknowledgment of the claim</li>
<li>Determines validity and compensability of the claim</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Manages non-complex and non-problematic medical only claims and minor lost-time workers&rsquo; compensation claims under close supervision</li>
<li>Communicates claim status with the customer, claimant and client</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Assists other claims professionals with more complex or problematic claims as necessary</li>
<li>Additional duties as assigned</li></ul><br>
<p></p>
<p><b>
KNOWLEDGE &amp; SKILLS:</b></p>
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to learn rapidly to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to meet or exceed performance competencies</li>
<li>Ability to work both independently and within a team environment</li></ul><br>
<p></p>
<p><b>
EDUCATION &amp; EXPERIENCE:</b></p>
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 1 year of industry experience and claims management preferred</li>
<li>State Certification as an Experienced Examiner</li></ul><br>
<p></p>
<p><b>
PAY RANGE:</b></p>
<p>
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.</p>
<p>
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.</p>
<p>
Pay Range: $25.48 - $41.09 per hour</p>
<p>
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management</p>
<p>
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.</p><br>
<p></p>
<p><b>
ABOUT CORVEL</b></p>
<p>
CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).</p>
<p>
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.</p>
<p><b>
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.</b></p>
<p>
#LI-Remote</p></div>

Claim Specialist Floater

Social Security Administration

<p>We are currently recruiting for entry-level positions as Claims Specialists in the Anaheim field office.</p><p>The majority of positions at Social Security involve working directly with the public, with multiple positions located throughout the country. Our public contact representatives receive extensive training and mentoring in Social Security programs and state laws. They also speak with beneficiaries about their rights under Social Security laws, gather facts and evidence to establish eligibility for benefits, determine benefit amounts to individuals, and use technology to access and update claims information.</p><p><b>Claims Specialists</b> speak with beneficiaries about Social Security benefits.</p><ul><li>Interview applicants for benefits.</li><li>Determine a claimant&rsquo;s initial eligibility for Social Security benefits.</li><li>Analyze evidence that will help make a determination.</li><li>Obtain, clarify, and verify data used to analyze claims and make benefit decisions.</li></ul><p>In addition, we offer a variety of benefits including:</p><ul><li>Competitive starting salaries: around $47,490 at the GS-5 level, and $58,827 at the GS-7 level. (Salaries vary by geographic location.)</li><li>An excellent retirement program that includes a tax-deferred savings plan with matching contributions.</li><li>Health and life insurance (the Government pays a portion of the costs).</li><li>Paid vacation and sick days.</li><li>Paid Federal holidays.</li></ul><p>Candidates must be U.S. citizens to qualify.</p><p>We are also accepting solicitations of interest form through the link below.</p><p>https://forms.office.com/g/bEdzcqR3Fs?origin=lprLink</p><p>Job Type: Full-time</p><p>Pay: $22.76 - $28.19 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Vision insurance</li></ul><p>Shift:</p><ul><li>Day shift</li></ul><p>Education:</p><ul><li>Associate (Required)</li></ul><p>Work Location: In person</p>

AAA The Auto Club Group

<div><p>It&rsquo;s a great time to join AAA The Auto Club Group!
</p><p></p><p><b>JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD
</b></p><p></p><p><b>Job Type:
</b></p><p></p>Full time<br>
<p></p><div><div><p><b>Exempt/Non Exempt:<br>
</b></p></div></div><p></p>Salary
<p></p><p><b>Job Description:<br>
</b></p><p></p><br>
<br>
<h2 class="jobSectionHeader"><b>Claim Specialist &ndash; Michigan PIP &ndash; The Auto Club Group
</b></h2><h2 class="jobSectionHeader"><b>Reports to: </b><b>Claim Manager as appropriate
</b></h2><p></p><h2 class="jobSectionHeader"><b>What you will do </b><b>:
</b></h2><h2 class="jobSectionHeader"><b>The Auto Club Group is seeking prospective </b><b>Claim Specialist </b><b>who will work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.
</b></h2><p></p><h2 class="jobSectionHeader"><b>In this position, you will have the opportunity to:
</b></h2><ul><li><h2 class="jobSectionHeader"><b>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.
</b></h2></li><li><h2 class="jobSectionHeader"><b>Complete complex coverage analysis.
</b></h2></li><li><h2 class="jobSectionHeader"><b>Ensure all possible policyholder benefits are identified.
</b></h2></li><li><h2 class="jobSectionHeader"><b>Create additional sub-claims if needed.
</b></h2></li><li><h2 class="jobSectionHeader"><b>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.
</b></h2></li><li><h2 class="jobSectionHeader"><b>Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
</b></h2></li><li><h2 class="jobSectionHeader"><b>Evaluate the financial value of the loss.
</b></h2></li><li><h2 class="jobSectionHeader"><b>Approve payments for the appropriate parties accordingly.
</b></h2></li><li><h2 class="jobSectionHeader"><b>Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
</b></h2></li><li><h2 class="jobSectionHeader"><b>Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
</b></h2></li><li><h2 class="jobSectionHeader"><b>Utilize strong negotiating skills.
</b></h2></li></ul><p></p><h2 class="jobSectionHeader"><b>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
</b></h2><p></p><h2 class="jobSectionHeader"><b>With our powerful brand and the mentoring, we offer, you will find your position as a </b><b>Claim Specialist </b><b>can lead to a rewarding career at our growing organization.
</b></h2><p></p><h2 class="jobSectionHeader"><b>Work Environment
</b></h2><h2 class="jobSectionHeader"><b>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.
</b></h2><p></p><h2 class="jobSectionHeader"><b>How you will benefit </b><b>:
</b></h2><ul><li><h2 class="jobSectionHeader"><b>A competitive annual salary between </b><b>$67,300 to $75,000
</b></h2></li><li><h2 class="jobSectionHeader"><b>ACG offers excellent and comprehensive benefits packages, including:
</b></h2></li><li><h2 class="jobSectionHeader"><b>Medical, dental and vision benefits
</b></h2></li><li><h2 class="jobSectionHeader"><b>401k Match
</b></h2></li><li><h2 class="jobSectionHeader"><b>Paid parental leave and adoption assistance
</b></h2></li><li><h2 class="jobSectionHeader"><b>Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
</b></h2></li><li><h2 class="jobSectionHeader"><b>Paid volunteer day annually
</b></h2></li><li><h2 class="jobSectionHeader"><b>Tuition assistance program, professional certification reimbursement program and other professional development opportunities
</b></h2></li><li><h2 class="jobSectionHeader"><b>AAA Membership
</b></h2></li><li><h2 class="jobSectionHeader"><b>Discounts, perks, rewards, and much more
</b></h2></li></ul><p></p><h2 class="jobSectionHeader"><b>We&rsquo;re looking for candidates who </b><b>:
</b></h2><h2 class="jobSectionHeader"><b>Required Qualifications (these are the minimum requirements to qualify):
</b></h2><h2 class="jobSectionHeader"><b>Education:
</b></h2><ul><li><h2 class="jobSectionHeader"><b>Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
</b></h2></li><li><h2 class="jobSectionHeader"><b>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.
</b></h2></li><li><h2 class="jobSectionHeader"><b>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.
</b></h2></li></ul><p></p><h2 class="jobSectionHeader"><b>Experience:
</b></h2><h2 class="jobSectionHeader"><b>Three years of experience or equivalent training in the following:
</b></h2><ul><li><h2 class="jobSectionHeader"><b>Negotiation of claim settlements
</b></h2></li><li><h2 class="jobSectionHeader"><b>Securing and evaluating evidence
</b></h2></li><li><h2 class="jobSectionHeader"><b>Preparing manual and electronic estimates
</b></h2></li><li><h2 class="jobSectionHeader"><b>Subrogation claims
</b></h2></li><li><h2 class="jobSectionHeader"><b>Resolving coverage questions
</b></h2></li><li><h2 class="jobSectionHeader"><b>Taking statements
</b></h2></li><li><h2 class="jobSectionHeader"><b>Establishing clear evaluation and resolution plans for claims
</b></h2></li></ul><p></p><h2 class="jobSectionHeader"><b>Knowledge and Skills:
</b></h2><h2 class="jobSectionHeader"><b>Advance knowledge of:
</b></h2><ul><li><h2 class="jobSectionHeader"><b>Essential Insurance Act (Michigan)
</b></h2></li><li><h2 class="jobSectionHeader"><b>Fair Trade Practices Act as it relates to claims
</b></h2></li><li><h2 class="jobSectionHeader"><b>Subrogation procedures and processes
</b></h2></li><li><h2 class="jobSectionHeader"><b>Intercompany arbitration
</b></h2></li><li><h2 class="jobSectionHeader"><b>Handling simple litigation
</b></h2></li></ul><p></p><h2 class="jobSectionHeader"><b>Advance knowledge of:
</b></h2><ul><li><h2 class="jobSectionHeader"><b>Negligence Law
</b></h2></li><li><h2 class="jobSectionHeader"><b>No-Fault Law
</b></h2></li><li><h2 class="jobSectionHeader"><b>medical terminology and human anatomy
</b></h2></li><li><h2 class="jobSectionHeader"><b>MCCA and attorney represented claims
</b></h2></li></ul><p></p><h2 class="jobSectionHeader"><b>Ability to </b><b>:
</b></h2><ul><li><h2 class="jobSectionHeader"><b>Handle claims to the line Claim Handling Standards
</b></h2></li><li><h2 class="jobSectionHeader"><b>Follow and apply ACG Claim policies, procedures and guidelines
</b></h2></li><li><h2 class="jobSectionHeader"><b>Work within assigned ACG Claim systems including basic PC software
</b></h2></li><li><h2 class="jobSectionHeader"><b>Perform basic claim file review and investigations
</b></h2></li><li><h2 class="jobSectionHeader"><b>Demonstrate effective communication skills (verbal and written)
</b></h2></li><li><h2 class="jobSectionHeader"><b>Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
</b></h2></li><li><h2 class="jobSectionHeader"><b>Analyze and solve problems while demonstrating sound decision making skills
</b></h2></li><li><h2 class="jobSectionHeader"><b>Prioritize claim related functions
</b></h2></li><li><h2 class="jobSectionHeader"><b>Process time sensitive data and information from multiple sources
</b></h2></li><li><h2 class="jobSectionHeader"><b>Manage time, organize and plan workload and responsibilities
</b></h2></li><li><h2 class="jobSectionHeader"><b>Research, analyze, and interpret subrogation laws in various states
</b></h2></li></ul><p></p><h2 class="jobSectionHeader"><b>Preferred Qualifications:
</b></h2><h2 class="jobSectionHeader"><b>Education </b><b>:
</b></h2><ul><li><h2 class="jobSectionHeader"><b>Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
</b></h2></li><li><h2 class="jobSectionHeader"><b>Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
</b></h2></li><li><h2 class="jobSectionHeader"><b>CPCU coursework or designation
</b></h2></li></ul><p></p><p>#LI-LC1
</p><p></p><p>Who We Are
</p><p>Become a part of something bigger.
</p><p></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></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></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></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></p><p>To learn more about AAA The Auto Club Group visit www.aaa.com
</p><p></p><p>Important Note:
</p><p></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></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></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></p><p>Regular and reliable attendance is essential for the function of this job.
</p><p></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>

Claim Specialist – Michigan PIP

Office of the Comptroller

<p></p><div><div><div><div><div><div><h1 class="jobSectionHeader"><b>Claim Specialist II, Affirmative Claims
</b></h1></div><div><div><div><div><ul><li>OFFICE OF THE COMPTROLLER
</li></ul></div></div><div><div>Posted On: 03/19/2026
</div></div><div><div><ul><li>Full-Time
</li></ul></div></div><div><div><div>Location
</div><div>MANHATTAN</div>
</div></div></div><div><div><div><ul><li>Exam May Be Required
</li></ul></div></div><div><div><div><div>Department
</div><div>BLA- Affirmative Claims</div>
</div></div></div><p></p><div><div><div>Salary Range:</div>
<div>$59,359.00 &ndash; $68,263.00</div>
</div></div></div></div><div><div><p><b>Save</b></p>
</div></div></div></div></div></div><div><div><div><h2 class="jobSectionHeader"><b>Job Description</b></h2></div>
<div><div><div>Note: This position is open only to current employees of the City of New York serving in a permanent (not provisional) civil service title of Claim Specialist.
<br>
<br>
Please clearly indicate your permanent civil service title on your resume and cover letter.<br>
<br>
The New York City Comptroller&rsquo;s Office works to promote the financial health, integrity, and effectiveness of New York City government, in order to strengthen trust, secure a thriving future for all New Yorkers, and build a more just, equitable, and resilient city. Led by an independently elected citywide official, the comptroller&rsquo;s office provides checks and balances needed to hold City government accountable for budgeting wisely, investing responsibly, operating efficiently, acting fairly, living up to its obligations and promises, and paying attention to the long-term challenges we face together.<br>
<br>
Authorized by the New York City Charter, the Comptroller, through the Bureau of Law and Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York. BLA investigates and, when in the best interest of the city, settles pre-litigation claims for and against the City of New York. In resolving claims before litigation is commenced, BLA protects the fiscal interest of the City while ensuring that pre-litigation claims are resolved in a fair and just manner, and in accordance with applicable laws. BLA furthers this goal in its review, evaluation, and authorization of requests to settle litigated cases involving the City and through diligent administration of disputes arising out of City contracts. BLA manages City risk by holding agencies accountable, rooting out fraud, and identifying trends, as well as, coordinating with the Law Department and other City agencies on issues that impact the public fiscal and public safety.<br>
<br>
The Bureau of Law &amp; Adjustment (BLA) is responsible for investigating and adjusting claims filed against the City of New York. The Affirmative Claims Division seeks restitution from represented and pro se individuals, companies, and corporations that cause damage to City property and pursue insurance takeovers on represented and pro se personal injury claims against the City that involve third-party City contractors.
<br>
<br>
The Claim Specialist Level II works under the general supervision of the Division Chief, Affirmative Claims, with latitude for the exercise of independent initiative and judgment.<br>
<br>
Tasks include, but are not limited to, the following:<br>
<br>
<ul><li>Identify and investigate reports of damage to City vehicles/property caused by other parties;
</li><li>Analyze liability, identify the party responsible for damage to City property, determine insurance availability and calculate the amount of loss to the City;
</li><li>Communicate with the party responsible and their insurance company for damage to City property and negotiate to settle the claim to ensure that the City is fully compensated for the loss;
</li><li>Investigate and pursue insurance takeovers for represented and pro se personal injury claims by coordinating with City agencies to identify third-party contractors that may be contractually obligated to defend and indemnify the City;
</li><li>Under the supervision of the Division Chief for Affirmative Claims, collaborate with the New York City Law Department Affirmative Litigation Division on insurance takeover investigations to identify the appropriate City agency and third party contractor on insurance takeover claims;
</li><li>Maintain complete claim files in an organized manner-timely update with document submissions and memorialize all communications and actions taken on the claim;
</li><li>Adhere to the Affirmative Claims and Insurance Takeover procedures;
</li><li>Follow stated timelines for handling all claims;
</li><li>Settle outcomes for the maximum recovery for the City on Affirmative Claims; and,
</li><li>Perform other related assignments and special projects as required.
</li></ul><br>
Note: This position is open only to current employees of the City of New York serving in a permanent (not provisional) civil service title of Claim Specialist.
<br>
<br>
Please clearly indicate your permanent civil service title on your resume and cover letter.<br>
<br>
CLAIM SPECIALIST - 30726</div><p><b><br>
Minimum Qualifications</b></p><p><br>
1. A baccalaureate degree from an accredited college or university; or
<br>
<br>
2. An associate degree or 60 semester credits from an accredited college or university and two years of full-time satisfactory experience investigating and/or settling claims for personal injury or property damage or loss; or
<br>
<br>
3. A four-year high school diploma or its educational equivalent approved by a State's Department of Education or a recognized accrediting organization and four years of full-time satisfactory
<br>
experience investigating and/or settling claims for personal injury or property damage or loss; or
<br>
<br>
4. A satisfactory combination of education and/or experience that is equivalent to &ldquo;1&rdquo;, &ldquo;2&rdquo; or &ldquo;3&rdquo; above.
<br>
<br>
College education may be substituted for experience as described in &ldquo;2&rdquo; or &ldquo;3&rdquo; above on the basis that 30 semester credits from an accredited college or university may be substituted for each year of
<br>
required experience. However, all candidates must have a four-year high school diploma or its
<br>
educational equivalent.</p><p><b><br>
Preferred Skills</b></p><br>
- Knowledgeable about New York State Vehicle and Traffic laws - Basic understanding of the process/relationship between the Comptroller's Office and the Law Department with respect to lawsuits - Candidate must have proven strong negotiation skills - Candidate must display attention to detail, organizational skills, and the ability to multi-task and manage multiple priorities - Candidate must possess excellent interpersonal skills, communications skills, accounting skills, and the ability to communicate effectively orally and in writing (includes Microsoft Office Suite proficiency).<br>
<p><b>
55a Program</b></p><br>
This position is also open to qualified persons with a disability who are eligible for the 55-a Program. Please indicate at the top of your resume and cover letter that you would like to be considered for the position through the 55-a Program.<br>
<p><b>
Public Service Loan Forgiveness</b></p><br>
As a prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs. For more information, please visit the U.S. Department of Education&rsquo;s website at https://studentaid.gov/pslf/.<br>
<p><b>
Residency Requirement</b></p><br>
New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.<br>
<p><b>
Additional Information</b></p><div></div><p><br>
The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.</p></div>
</div><div><div><p><b>
</b></p><p><b>Save</b></p>
</div></div></div></div><div><div><div><div><div><div><div>Job ID
</div><div>774596</div>
</div></div><div><div><div><div>Posted until
</div><div>05/17/2026</div>
</div></div></div><div><div><div><div>Title code
</div><div>30726</div>
</div></div></div><div><div><div><div>Civil service title
</div><div>CLAIM SPECIALIST</div>
</div></div></div><div><div><div><div>Title classification
</div><div>Competitive-1</div>
</div></div></div><div><div><div><div>Business title
</div><div>Claim Specialist II, Affirmative Claims</div>
</div></div></div></div><div><div><div><ul><li><div>Experience Level: </div>Experienced (Non-Manager)
</li></ul></div></div><div><div><div><div>Job level
</div><div>02</div>
</div></div></div><div><div><div><div>Number of positions
</div><div>1</div>
</div></div></div><div><div><div><div>Work location
</div><div>1 Centre St., N.Y.</div>
</div></div></div><div><div><ul><li><div>Category: </div>Legal Affairs
</li></ul></div></div></div></div></div></div><div><div><div><div><div>Claim Specialist II, Affirmative Claims</div></div></div></div></div></div><p></p>

Claim Specialist II, Affirmative Claims

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 can be located in one 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 appropriate 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></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.</li><li>
Bachelor&rsquo;s degree or equivalent work experience.</li><li>
Strong contractual analysis skills to include the analysis of insurance contracts for coverage analysis 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-$114K/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

Search 8850+ Claim specialist jobs near you this March. New roles added regularly across leading industries. Apply today.

8850 claim specialist jobs Near Me

Claim Specialist

Claim Specialist

Claim Specialist Floater

Claim Specialist

Claim Specialist – Michigan PIP

Claim Specialist II, Affirmative Claims

Claim Specialist, Excess & Surplus