claims adjuster

Gallagher

<div>Introduction 
<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> 
Overview 
<ul><li>
Jurisdictions: NY, MA</li><li>
Licenses: Must have state license or reciprocal.</li><li>
Location: This role is fully remote work.</li></ul>
 
How you'll make an impact 
<ul><li>
Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.</li><li>
Interact extensively with various parties involved in the claim process to ensure effective communication and resolution.</li><li>
Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process</li><li>
Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements.</li></ul><div>
Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file</div> 
 
About You<div> 
Ideal candidates for this position will have:
 
<ul><li>Claims Background: Minimum 3 years of experience adjusting a workers compensation desk, including lost time/indemnity and litigation.</li><li>Jurisdictional Experience: NY, MA</li><li>Active Adjusters' licenses: Must have state license or reciprocal.</li></ul>
As a key member of our experienced Claims Adjuster team, you will:</div> 
<ul><li>
Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.</li><li>
Work in partnership with our clients to deliver innovative solutions and enhance the claims management process.</li><li>
Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants.</li></ul><div> 
REQUIRED QUALIFICATIONS: 
 
<ul><li>High School Diploma.</li><li>Minimum of 3 years related claims experience.</li><li>Appropriately licensed and/or certified in all states in which claims are being handled.</li><li>Knowledge of accepted industry standards and practices.</li><li>Computer experience with related claims and business software.</li></ul></div><div> 
DESIRED: 
<ul><li>Bachelor's Degree</li></ul></div> 
#LI-Remote
#LI-AB2 
 
Compensation and benefits 
We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
Below are the minimum core benefits you&rsquo;ll get, depending on your job level these benefits may improve:
<ul><li>Medical/dental/vision plans, which start from day one!</li><li>
Life and accident insurance</li><li>
401(K) and Roth options</li><li>
Tax-advantaged accounts (HSA, FSA)</li><li>
Educational expense reimbursement</li><li>
Paid parental leave</li></ul><div>
Other benefits include:</div><ul><li>
Digital mental health services (Talkspace)</li><li>
Flexible work hours (availability varies by office and job function)</li><li>
Training programs</li><li>
Gallagher Thrive program &ndash; elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing</li><li>
Charitable matching gift program</li><li>
And more...</li></ul><div>
**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.</div><div></div><div> 
We value inclusion and diversity</div>
Click Here to review our U.S. Eligibility Requirements
Inclusion and diversity (I&amp;D) is a core part of our business, and it&rsquo;s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
Gallagher embraces our employees&rsquo; diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.
Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as &ldquo;protected characteristics&rdquo;) by applicable federal, state, or local laws.
Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.</div>

Claims Adjuster Workers Compensation - NY, MA

Sedgwick

<div>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there&rsquo;s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
Certified as a Great Place to Work&reg;
Fortune Best Workplaces in Financial Services &amp; Insurance
Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge Required
We are seeking a highly motivated and experienced Workers' Compensation Claims Adjuster to join our team. The ideal candidate will have at least 2 years of claims handling experience , with a strong background in New York jurisdictional regulations and processes. This position is responsible for managing and processing workers' compensation claims, ensuring timely and accurate decisions while adhering to all applicable laws and regulations.
We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
ESSENTIAL RESPONSIBILITIES
<ul><li>Independently handle a capped caseload of workers' compensation claims, from inception to resolution, ensuring adherence to company procedures, industry best practices, and regulatory requirements.
</li><li>Ensure compliance with New York workers' compensation laws, including timely filing of reports, adherence to benefit payment timelines, and compliance with statutory requirements.
</li><li>Negotiate settlements of claims within designated authority to reach claim resolution.
</li><li>Provide clear and effective communication with the claimant and client.
</li><li>Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
</li><li>Maintain accurate and comprehensive records in the claims management system, documenting all actions, decisions, and correspondence related to each claim.
</li></ul>QUALIFICATIONS
<ul><li>Experience:
<ul><li>Minimum of (2) years of workers' compensation claims handling experience.
</li><li>Experience specifically with New York jurisdictional regulations, including knowledge of New York State Workers' Compensation Board rules and procedures.
</li><li>Experience with Public Entity claims management.
</li></ul></li><li>Education:
<ul><li>High school diploma or equivalent; a college degree or relevant certifications (e.g., WCCP, AIC) is a plus.
</li></ul></li><li>Skills and Abilities:
<ul><li>Strong understanding of workers' compensation claims processes, policies, and legal requirements in New York.
</li><li>Excellent written and verbal communication skills.
</li><li>Strong analytical skills with attention to detail and accuracy.
</li><li>Ability to manage multiple claims simultaneously and prioritize workload effectively.
</li><li>Proficiency with claims management software and Microsoft Office Suite (Excel, Word, Outlook).
</li><li>Ability to negotiate settlements and resolve claims disputes effectively.
</li></ul></li></ul>TAKING CARE OF YOU
<ul><li>Flexible work schedule.
</li><li>Capped Case Load.
</li><li>In-depth training.
</li><li>Sedgwick funded licensing.
</li><li>Referral incentive program.
</li><li>Opportunity to work in an agile or remote environment.
</li><li>Career development and promotional growth opportunities.
</li><li>A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
</li></ul>As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($70k-$80k) A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
#claimsexaminer #claims #hybrid #remote
#LI-RK1 #LI-REMOTE
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
<h2 class="jobSectionHeader">If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.</h2></div>

Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge Required

National General Insurance

<div>National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers&rsquo; evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.
Job Description
Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority.
We are seeking a Bodily Injury Extended Handler Adjuster to join our growing team. The ideal candidate will have a 2+ years of experience handling attorney-represented bodily injury claims. This role manages claims across the Northeastern states, with exposure ranging from soft tissue injuries to fracture claims. Litigation experience is not required. Experience with Colossus is preferred. Candidates located within Eastern Time Zone states are encouraged to apply.
<h3 class="jobSectionHeader">Key Responsibilities</h3><ul><li>Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department</li><li>Handles investigation regarding all aspects of advanced auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority</li><li>For claims involving injuries (if handled), learns how to review, evaluate, and negotiate basic to moderate injury claims</li><li>Recognizes and identifies body parts of a vehicle and understanding other potential property damage</li><li>Identifies customer needs and works to meet those needs using appropriate customer service skills</li><li>Determines subrogation or fraud potential and how to handle</li><li>Applies increased experience in the Adjuster II level or a rotation into a specialty position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler, etc.)</li></ul><h3 class="jobSectionHeader">
Supervisory Responsibilities</h3><ul><li>This job does not have supervisory duties.</li></ul>
#LI-KR1 
Skills
Auto Insurance Claims, Automobile Accidents, Bodily Injury Claims, Case Management, Casualty Insurance, Claims Administration, Claims Resolution, Claims Review, Complex Claims, Customer Service, De-Escalation, Fractures, Insurance Claims Investigations, Litigation, Multitasking, Negotiation, Personal Injury Claims, Soft Tissue, Soft Tissue Injuries 
Compensation
Base compensation offered for this role is:
BI Adjuster Cons I: $50,000 - $86,400
BI Adjuster Cons II: $56,000 - $93,250
BI Adjuster Sr Cons I: $68,500 -$117,700
And is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role.
Joining our team isn&rsquo;t just a job &mdash; it&rsquo;s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger &ndash; a winning team making a meaningful impact.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.
For jobs in San Francisco, please click &ldquo;here&rdquo; for information regarding the San Francisco Fair Chance Ordinance. 
For jobs in Los Angeles, please click &ldquo;here&rdquo; for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the &ldquo;EEO Know Your Rights&rdquo; poster click &ldquo;here&rdquo;. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
To view the FMLA poster, click &ldquo;here&rdquo;. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
It is the Company&rsquo;s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee&rsquo;s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A&ndash; (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Companies &amp; Partners
Direct General Auto &amp; Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.
Benefits
National General Holdings Corp. is an Equal Opportunity (EO) employer &ndash; Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.</div>

Bodily Injury Adjuster I, II or Sr. - National General

<div>Introduction 
<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> 
Overview<div> 
Role specifics: 
<ul><li>Jurisdictions: United States</li><li>Licenses: Required</li><li>Location: This role is eligible for fully remote work.</li></ul></div> 
 
How you'll make an impact 
<ul><li>
Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims.</li><li>
Interact extensively with various parties involved in the claim process to ensure effective communication and resolution.</li><li>
Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process</li><li>
Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements.</li><li>
Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file.</li></ul>
 
About You<div> 
Potential candidates should have the following: 
<ul><li>Claims Background: Inland Marine, Cargo</li><li>Jurisdictional Experience: US</li><li>Active Adjusters' licenses: Required</li></ul> 
As a key member of our Claims Adjuster team, you will:</div><ul><li>
Investigate, evaluate, and resolve complex Inland Marine, Cargo claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution.</li><li>
Work in partnership with our clients to deliver innovative solutions and enhance the claims management process.</li><li>
Think critically, solve problems, plan, and prioritize activities to optimally serve clients.</li></ul><div></div><div> 
REQUIRED QUALIFICATIONS: 
 
<ul><li>High School Diploma.</li><li>Minimum of 5 years related claims experience.</li><li>Appropriate licensing and/or certification in all states in which claims are being handled.</li><li>Knowledge of accepted industry standards and practices.</li><li>Computer experience with related claims and business software.</li></ul></div><div> 
DESIRED: 
<ul><li>Bachelor's Degree.</li></ul></div><div></div><div> 
#LI-DR1</div><div>
#LI-Remote</div> 
 
Compensation and benefits 
We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
Below are the minimum core benefits you&rsquo;ll get, depending on your job level these benefits may improve:
<ul><li>Medical/dental/vision plans, which start from day one!</li><li>
Life and accident insurance</li><li>
401(K) and Roth options</li><li>
Tax-advantaged accounts (HSA, FSA)</li><li>
Educational expense reimbursement</li><li>
Paid parental leave</li></ul><div>
Other benefits include:</div><ul><li>
Digital mental health services (Talkspace)</li><li>
Flexible work hours (availability varies by office and job function)</li><li>
Training programs</li><li>
Gallagher Thrive program &ndash; elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing</li><li>
Charitable matching gift program</li><li>
And more...</li></ul><div>
**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.</div><div></div><div> 
We value inclusion and diversity</div>
Click Here to review our U.S. Eligibility Requirements
Inclusion and diversity (I&amp;D) is a core part of our business, and it&rsquo;s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
Gallagher embraces our employees&rsquo; diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.
Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as &ldquo;protected characteristics&rdquo;) by applicable federal, state, or local laws.
Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.</div>

Executive General Adjuster – Inland Marine

TEEMA Group

<div>Commercial Auto &amp; General Liability Claims Examiner
Full-Time | Permanent
Remote 
Salary: $85,000 - $95,000 
Description
Our client is seeking an experienced Commercial Auto &amp; General Liability Claims Examiner to join their growing team. In this role, you will manage and resolve Commercial Auto, No-Fault/PIP, and General Liability claims from initial intake through final disposition.
You&rsquo;ll play a key role in assessing exposure, guiding claim strategy, and delivering high-quality outcomes for all stakeholders. This position is ideal for a professional who thrives on independent decision-making while collaborating with legal counsel and external partners in a fully remote environment. 
What You&rsquo;ll Be Doing<ul><li>
Review and interpret policy coverage to determine liability and exposure</li><li>
Investigate, evaluate, and manage Commercial Auto, PIP, and General Liability claims</li><li>
Coordinate with outside investigators, legal counsel, and third-party vendors</li><li>
Maintain accurate claim documentation and manage file diaries</li><li>
Assess claim exposure and establish appropriate reserves</li><li>
Develop and execute settlement strategies, including negotiation</li><li>
Prepare detailed loss reports covering liability, damages, and coverage</li><li>
Identify and pursue subrogation and risk transfer opportunities</li><li>
Deliver high-quality communication and service to internal and external stakeholders</li></ul> 
What You Must Have<ul><li>
2+ years of experience handling Commercial Auto and General Liability claims</li><li>
Strong knowledge of claims handling practices, coverage analysis, and litigation management</li><li>
Excellent written and verbal communication skills</li><li>
Proven ability to evaluate claims, make sound decisions, and negotiate effectively</li><li>
Strong organizational and time management skills</li><li>
Proficiency with claims management systems and standard computer applications</li></ul>
Preferred Qualifications:<ul><li>
Experience handling No-Fault/PIP claims</li><li>
Bachelor&rsquo;s degree or equivalent professional experience</li><li>
Familiarity with multi-jurisdictional claims handling</li><li>
Ability to work independently in a fast-paced, remote environment</li></ul> 
Why Join the Team
This is an opportunity to join a stable and growing organization where your expertise will directly impact meaningful claims outcomes. You&rsquo;ll handle complex cases, collaborate with experienced professionals, and have the autonomy to manage your work in a fully remote setting. 
Who Will Excel in This Role<ul><li>
Independent thinkers who take ownership of their claims from start to finish</li><li>
Strong analytical professionals who understand exposure and risk</li><li>
Confident communicators who can collaborate effectively with legal and external partners</li><li>
Detail-oriented individuals who can manage multiple files without sacrificing quality</li><li>
Claims professionals who enjoy problem-solving and strategic decision-making</li></ul> 
Salary &amp; Perks<ul><li>
Salary Range: $85,000 &ndash; $95,000 (based on experience)</li><li>
100% Remote Work Environment</li><li>
Comprehensive benefits package (medical, dental, vision)</li><li>
Generous PTO and paid holidays</li><li>
401(k) with company participation</li><li>
Stable organization with long-term growth potential</li><li>
Opportunity to handle complex, meaningful claims work</li></ul> 
By applying to any TEEMA job on any portal implies entering into a business relationship with us and therefore grants TEEMA consent to send you further job updates or industry and company related information.
#Workwolf #TEEMA_3219</div>

Claims Examiner (Commercial Auto & General Liability)

<div><h1 class="jobSectionHeader">About Us</h1><h3 class="jobSectionHeader">
We&rsquo;re not like other insurance companies. From our specialty products to our business model, our culture to our results &mdash; we&rsquo;re different. Different is who we are, and how we work, interact, deliver and succeed together. Creating a different and better insurance experience doesn&rsquo;t just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us.</h3><h3 class="jobSectionHeader">
RLI is a Glassdoor Best Places to Work company with a strong, successful background. For decades, our financial track record has been stellar &mdash; a testament to our culture and validation of our reputation as an excellent underwriting company.</h3>
We are seeking a Complex Claim Director to oversee our Personal Umbrella Liability claims, including auto, premises, and personal liability. This role requires a strategic thinker with a proven ability to manage complex claim investigations and evaluations while ensuring optimal outcomes for our clients.<h1 class="jobSectionHeader">
Principal Duties &amp; Responsibilities</h1><ul><li>
Claims Management: Proactively handle Personal Umbrella Liability claims, emphasizing detailed investigation, evaluation, and monitoring of primary carrier activities to achieve the best results.</li><li>
Coverage Analysis: Investigate and analyze complex coverage issues, providing clear and detailed coverage letters as necessary.</li><li>
Investigation &amp; Evaluation: Conduct timely and comprehensive investigations into liability and damages to recognize exposures early.</li><li>
Claims Resolution: Focus on effective resolution strategies, including timely liability investigations, damage assessments, and reserve setting.</li><li>
Best Practices: Ensure adherence to RLI's Best Practices in all claims handling activities.</li></ul><h1 class="jobSectionHeader">
Education &amp; Experience</h1><ul><li>
Education: Requires a bachelor&rsquo;s degree.</li><li>
Experience: 8+ years of relevant legal or technical claims experience, with a strong background in handling large exposure third-party liability claims on a primary/excess basis.</li><li>
State Knowledge: Significant experience with policy limit demands in Florida, Texas, and California.</li><li>
Independence: Ability to excel in a fast-paced environment with minimal supervision.</li><li>
Collaboration: Proven ability to work effectively with primary carriers and defense counsel, with in-depth knowledge of umbrella/excess handling and management of outside counsel.</li><li>
Legal Acumen: Extensive knowledge of case law, statutes, and procedures impacting liability claims in Florida, California, New York, and Texas.</li></ul><h1 class="jobSectionHeader"> 
Knowledge, Skills, &amp; Competencies</h1><ul><li>
Strong analytical skills to navigate complex claim processes and develop effective solutions.</li><li>
Innovative mindset with the ability to drive improvements within the claims department.</li><li>
Excellent communication skills to convey findings and recommendations clearly to internal and external stakeholders.</li></ul><h1 class="jobSectionHeader">
Compensation Overview</h1><h3 class="jobSectionHeader">
The base salary range for the position is listed below. Please note that the base salary is only one component of our robust total rewards package at RLI. The salary offered will take into account a number of factors including, but not limited to, geographic location, experience, scope &amp; responsibilities of the role, qualifications/credentials, talent availability &amp; specialization, as well as business needs. The below range may be modified in the future.
</h3><h2 class="jobSectionHeader">Base Pay Range</h2>
$142,828.00 - $208,171.00<h1 class="jobSectionHeader">
Total Rewards</h1><h3 class="jobSectionHeader">
At RLI, we're all owners. We hire the best and the brightest employees and allow them to share in the company's success through our Total Rewards. With the Employee Stock Ownership plan at its core, the Total Rewards program includes all compensation, benefits and perks that come with being an RLI employee.</h3><h2 class="jobSectionHeader">
Financial Incentives</h2><ul><li><h3 class="jobSectionHeader">
Annual bonus plans</h3></li><li><h3 class="jobSectionHeader">
Employee stock ownership plan (ESOP)</h3></li><li><h3 class="jobSectionHeader">
401(k) &mdash; automatic 3% company contribution</h3></li><li><h3 class="jobSectionHeader">
Annual 401k and ESOP profit-sharing contributions (Up to 15% of eligible earnings)</h3></li></ul><h2 class="jobSectionHeader">
Work &amp; Life</h2><ul><li><h3 class="jobSectionHeader">
Paid time off (PTO) and holidays</h3></li><li><h3 class="jobSectionHeader">
Paid volunteer time off (VTO) to support our communities</h3></li><li><h3 class="jobSectionHeader">
Parental and family care leave</h3></li><li><h3 class="jobSectionHeader">
Flexible &amp; hybrid work arrangements</h3></li><li><h3 class="jobSectionHeader">
Fitness center discounts and free virtual fitness platform</h3></li><li><h3 class="jobSectionHeader">
Employee assistance program</h3></li></ul><h2 class="jobSectionHeader">
Health &amp; Wellness</h2><ul><li><h3 class="jobSectionHeader">
Comprehensive medical, dental and vision benefits</h3></li><li><h3 class="jobSectionHeader">
Flexible spending and health savings accounts</h3></li><li><h3 class="jobSectionHeader">
2x base salary for group life and AD&amp;D insurance</h3></li><li><h3 class="jobSectionHeader">
Voluntary life, critical illness, &amp; accident insurance for purchase</h3></li><li><h3 class="jobSectionHeader">
Short-term and long-term disability benefits</h3></li></ul><h1 class="jobSectionHeader">
Personal &amp; Professional Growth</h1><h3 class="jobSectionHeader">
RLI encourages its employees to pursue professional development work in insurance and job-related areas. We make a commitment to employees to provide educational opportunities that help them enhance their skills and further their career advancement. RLI fosters a true learning culture and encourages professional growth through insurance courses, in-house training and other educational programs. RLI covers the cost for most programs and employees typically earn a bonus upon successful completion of approved courses and certifications. Our personal and professional growth benefits include:</h3><ul><li><h3 class="jobSectionHeader">
Training &amp; certification opportunities</h3></li><li><h3 class="jobSectionHeader">
Tuition reimbursement</h3></li><li><h3 class="jobSectionHeader">
Education bonuses</h3></li></ul><h1 class="jobSectionHeader">
Diversity &amp; Inclusion</h1><h3 class="jobSectionHeader">
Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers. We actively support, and participate in, initiatives led by the American Property Casualty Insurance Association that aim to increase diversity in the insurance industry. Cultivating an exceptional and diverse workforce to deliver excellent customer service reinforces our culture and is a key to achieving superior business results.</h3><h3 class="jobSectionHeader">
RLI is an equal opportunity employer and does not discriminate in hiring or employment on the basis of race, color, religion, national origin, citizenship, gender, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law.</h3></div>

Complex Claim Director-Personal Umbrella (Bodily Injury Liability/Auto/Premises, hybrid)

<div><h2 class="jobSectionHeader">Commercial Auto &amp; General Liability Claims Examiner II</h2><h3 class="jobSectionHeader">
Role Summary</h3>
Empower your professional journey in a role that values intellectual curiosity and file ownership over high-volume &quot;churn.&quot; As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault/PIP, and General Liability claims from initial intake through final disposition. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions. You will join a stable, rapidly growing organization that prides itself on autonomy, high-quality claims administration, and a professional work environment.
Key Duties:<ul><li>
Technical Policy Analysis: Review and interpret complex insurance policies to accurately determine liability and coverage exposure.</li><li>
Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes.</li><li>
Litigation Oversight: Direct and coordinate efforts with outside investigators, legal counsel, and various vendors to drive claim strategy.</li><li>
Financial Management: Evaluate total claims exposure to establish and maintain appropriate financial reserves.</li><li>
Negotiation &amp; Settlement: Develop and execute sophisticated settlement strategies and communicate recommendations to key stakeholders.</li><li>
Strategic Reporting: Prepare detailed loss reports that synthesize liability, damages, and coverage issues.</li><li>
Recovery Initiatives: Identify and pursue subrogation and risk transfer opportunities to protect client interests.</li><li>
Professional Communication: Provide elite-level service and maintain transparent communication with both internal and external stakeholders.</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
Experience: 2+ years of dedicated experience handling Commercial Auto and General Liability claims.</li><li>
Technical Mastery: Strong understanding of claims handling practices, coverage analysis, and litigation management.</li><li>
Communication: Exceptional written and verbal communication skills.</li><li>
Decision Making: Proven ability to evaluate complex data, make independent decisions, and negotiate effectively.</li><li>
Organizational Skills: Superior time management skills and proficiency with claims management software and standard computer applications.</li></ul><h3 class="jobSectionHeader">
Desired Qualifications</h3><ul><li>
Specialized Expertise: Direct experience managing No-Fault/PIP claims.</li><li>
Education: Bachelor&rsquo;s degree or equivalent professional experience.</li><li>
Jurisdictional Knowledge: Familiarity with multi-jurisdictional claims handling requirements.</li><li>
Remote Proficiency: Ability to work productively and independently in a fast-paced, 100% remote environment.</li></ul><h3 class="jobSectionHeader">
Location and Work Type</h3><ul><li>
Location: 100% Fully Remote</li><li>
Work Type: Full-Time | Direct Hire</li><li>
Schedule: Standard Business Hours</li><li>
Benefits: Full suite of premium benefits, including medical, dental, vision, and Paid Time Off (PTO).</li></ul>
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951.
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you! 

#Workwolf</div>

Commercial Auto & General Liability Claims Examiner II

Explore 42+ Claims adjuster in New York this April. Find roles across top companies and apply now to boost your career.