claims administrator

H.J. Martin and Son

<div>Department: Residential
Hours: Full-time Monday through Friday (8:00 a.m. to 5:00 p.m.) 
Thank you for considering employment with H.J. Martin and Son! 
Please complete all sections of the application to the best of your ability. Once submitted, your application will be reviewed by our hiring team, and we will contact you if your skills and experience align with our current openings. 
Company Description: H.J. Martin and Son is a specialty contractor with services in residential &amp; commercial flooring, commercial glass, walls &amp; ceilings, doors, hardware &amp; specialties, and millwork &amp; FF&amp;E, along with national retail solutions, including fixture installation. Founded in 1931, the fourth-generation company works nationwide from its headquarters in Green Bay, WI.</div>
 <div>Position Description: The Claims Manager works closely with customers, manufacturers , and internal teams to investigate claims, resolve issues efficiently, and maintain compliance with company policies and industry standards.
Principal Responsibilities:
<ul><li>Scheduling appointments with homeowners, contractors and vendors to set up inspections</li>
<li>Meet with homeowners and contractors to inspect hard surface and soft surface flooring along with taking pictures of affected areas</li>
<li>Explaining the claims process to homeowners and contractors</li>
<li>Properly handling customer&rsquo;s complaints and concerns</li>
<li>Ensure a positive outcome for all customers</li>
<li>Labeling electronic folders and downloading pictures into these folders for future reference</li>
<li>Collecting pertinent information from RFMS, including orders, purchase orders, product information and roll numbers</li>
<li>Using collected information to file a claim with the appropriate vendor or mill, via internet, fax or phone</li>
<li>Figure material costs, amount of product needed, sundry amounts and the labor associated with the removal and new installation for each claim</li>
<li>Creating orders once material and installation costs have been figured</li>
<li>Ordering material and scheduling installs with installation department</li>
<li>Saving orders with line item amounts in electronic folders for future labor requests</li>
<li>Adding daily notes of interactions between yourself, vendors, mills, homeowners and contractors into the claim to track timelines and pertinent information</li>
<li>Conducting follow up calls or emails to mills, vendors or reps to check status on existing open claims</li>
<li>Keeping salesperson or designer informed and up to date with the status for each of their open claims</li>
<li>Creating an open claims list each week or when requested for AR</li>
<li>Tracking credit memos and payments for existing open claim to ensure reimbursement on all claims</li>
<li>Checking job costs in Timberline software</li>
<li>Adjust labor costs and enter into order prior to submitting labor requests from the mill or vendor</li>
<li>Close and bill out claim orders after satisfactory reimbursements have been received</li>
<li>Effectively create denial, settlement and approval letters</li>
</ul>Other Duties As Assigned: Performs other related duties as assigned including supporting team members in the completion of their work for the purpose of ensuring the efficient and effective functioning of the business.</div>
 <div>Experience/Education Required:
<ul><li><ul><li>Bachelor&rsquo;s degree is preferred, but not required
</li><li>Flooring experience is preferred, but not required</li>
<li>Proficient with Microsoft Office and Adobe Acrobat</li>
<li>Highly organized, and ability to handle multiple project/tasks simultaneously</li>
<li>Proven ability to effectively communicate and apply policies and procedures to others</li>
<li>Strong analytical skills</li>
</ul></li></ul>Conditions of Employment: Must be able to pass pre-employment background check and drug screen. The employee is expected to all adhere to all company policies.</div>
 <div>AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER</div>

Claims Manager

Claims Service Bureau of New York Inc.

Experienced Casualty Claims Adjuster &ndash; Long Island, NYWell-established Third-Party Administrator (TPA) with over 60 years of continuous operation is seeking a skilled and motivated Casualty Claims Adjuster to join our team.Position Overview:The ideal candidate will have a minimum of 3-5 years of experience handling casualty claims, with the ability to independently manage a full caseload from inception through resolution. This role requires strong analytical, negotiation, and communication skills, as well as a thorough understanding of claims handling practices.This position is in-office initially, with the opportunity to transition to a hybrid schedule following successful training and onboarding.Key Responsibilities:<ul><li>Investigate, evaluate, and manage casualty claims (including liability and bodily injury)</li><li>Determine liability exposure</li><li>Negotiate settlements within authority limits</li><li>Coordinate / communicate with attorneys and insureds</li><li>Maintain accurate and timely claim documentation</li></ul>Qualifications:<ul><li>Minimum 3-5 years of casualty claims adjusting experience</li><li>Strong knowledge of claims handling procedures and litigation management</li><li>Excellent written and verbal communication skills</li><li>Ability to work independently and manage a high-volume caseload</li></ul>What We Offer:<ul><li>Competitive salary commensurate with experience</li><li>Performance-based bonuses</li><li>401(k) plan</li><li>Health Insurance</li><li>Paid time off and holidays</li><li>Stable, long-standing company with a strong industry reputation</li><li>Collaborative and professional work environment</li><li>Opportunity for hybrid work schedule following training</li></ul>Who We Are:We are a family-owned Third-Party Administrator with over 60 years of experience delivering high-quality claims management services. Our longevity reflects our commitment to exceptional client service, industry expertise, and strong employee relationships. We provide a supportive, team-oriented environment where employees are empowered to make decisions, contribute ideas, and play a meaningful role in the success of our clients and company. We offer the stability of a well-established organization combined with the flexibility and personal touch of a family-owned business.Pay: $55,000.00 - $85,000.00 per yearBenefits:<ul><li>401(k)</li><li>Health insurance</li><li>Paid time off</li></ul>Work Location: In person

General Liability Claims Adjuster

POINT C

<div><div>Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. Our commitment and partnership means thinking beyond the typical solutions in the market &ndash; to do more for clients &ndash; and take them beyond the standard &quot;Point A to Point B.&quot; We have researched the most effective cost containment strategies and are driving down the cost of plans with innovative solutions such as, network and payment integrity, pharmacy benefits and care management. There are many companies with a mission. We are a mission with a company.</div>
Point C is looking for a detail-oriented and motivated Claims Examiner to join our team. In this role, you'll be responsible for accurately processing medical claims while ensuring compliance with plan documents, policies, and industry regulations. The ideal candidate is analytical, organized, and experienced in self-funded or third-party administration environments.

Primary Responsibilities
<ul>
<li>Adjudicate new claims and process adjustments, including denials upon receipt of additional information</li>
<li>Review and resolve appeals and subrogation/third-party liability cases</li>
<li>Manage individual inventory to ensure timely turnaround and production goals are met</li>
<li>Ensure claims are processed in accordance with stop loss contract terms</li>
<li>Respond to internal and external inquiries via email and other channels within established timeframes</li>
<li>Follow up on missing or incomplete information to ensure claims can be accurately processed</li>
<li>Maintain minimum production, financial, and procedural accuracy standards on a monthly basis</li>
</ul>
Qualifications
<ul>
<li>Experience with Third Party Administrator (TPA) or self-funded claims administration preferred</li>
<li>1-2 years of experience in insurance claims processing required</li>
<li>Experience reviewing and finalizing claim payments for accuracy in accordance with plan policies</li>
<li>Ability to interpret and apply plan documents to ensure accurate claims adjudication</li>
<li>Experience with VBA systems preferred</li>
<li>Working knowledge of CPT and ICD-10 coding</li>
<li>Basic understanding of medical terminology</li>
<li>Strong communication and customer service skills</li>
<li>Proficiency in Microsoft Office and general computer applications</li>
<li>Ability to maintain confidentiality and comply with all company policies and procedures</li>
<li>Able to work independently with minimal supervision</li>
<li>Ability to prioritize, multitask, and work overtime as needed</li>
<li>Associate Degree Preferred</li>
</ul><div><div>Benefits:</div>
<ul><li>Comprehensive medical, dental, vision, and life insurance coverage</li>
<li>401(k) retirement plan with employer match</li>
<li>Health Savings Account (HSA) &amp; Flexible Spending Accounts (FSAs)</li>
<li><div>Paid time off (PTO) and disability leave</div>
</li><li>Employee Assistance Program (EAP)</li></ul> 


Equal Employment Opportunity: At Point C Health, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business&mdash;and our society&mdash;stronger. Point C Health is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.</div></div>

Claims Examiner

State of South Carolina

<div><div><div><h2 class="jobSectionHeader">Job Responsibilities</h2></div> 
<div> 
 
The SC Public Employee Benefit Authority (PEBA) is the administrator and co-trustee of retirement and insurance programs for over half a million active and retired public employees of the State of South Carolina and their dependents. 
 
This position is responsible for processing retirement claims for members and beneficiaries of the South Carolina Retirement System, the Police Officers Retirement System, the State Optional Retirement Program, and the South Carolina National Guard Retirement System. 
 
Job duties include: 
<ul><li>
Processing claims for benefits upon the death of members (retired, active, and inactive) and beneficiaries.</li><li>
Processing claims for service and disability retirement benefits.</li><li>
Finalizing benefit payments for service and disability retirees who are on payroll in estimated status.</li><li>
Processing refund claims so that members receive refund payments.</li></ul></div>
<div><h2 class="jobSectionHeader">Minimum and Additional Requirements</h2></div>
<div>A bachelor's degree and at least one year of professional experience in retirement programs or a closely related area. An equivalent combination of education and related experience may be substituted for the required degree. 
 
Ability to read and comprehend retirement statutes and applicable written materials. Ability to explain retirement matters to members, employers, and beneficiaries. Ability to communicate effectively in oral and written form. Ability to perform mathematical calculations with a high degree of accuracy. Ability to prioritize and complete a large volume of work with close attention to detail.</div>
<div><h2 class="jobSectionHeader">Additional Comments</h2></div>
<div>In addition to 13 paid holidays, this position is eligible for comprehensive insurance programs, retirement plans, and a generous paid leave program.</div></div></div>

Benefits Specialist - Retirement Claims

IMAR OVERSEAS SAUDI CO.W.L.L

We are seeking a detailed &ndash; Oriented and proactive Contracts Administrator to join our dynamic team in the FIT - OUT and interior contracting team.Key Responsibilities:<ul><li>Prepare, review, and manage contracts and subcontract agreements.</li><li>Ensure compliance with company policies, legal requirements, and project specifications.</li><li>Monitor contract performance, obligations, and deadlines.</li><li>Coordinate with project managers, procurement, and finance teams to resolve contractual issues.</li><li>Maintain accurate records of all contractual documentation and correspondence.</li><li>Assist in claims, variations, and dispute resolution processes.</li></ul>Qualifications &amp; Requirements:<ul><li>Bachelor&rsquo;s degree in Civil Engineering.</li><li>Minimum 7 years of experience as a Contracts Administrator in the construction industry specialized in fit-out/interior contracting companies.</li><li>Strong knowledge of FIDIC and other standard forms of contract.</li><li>Excellent negotiation, communication, and problem-solving skills.</li><li>High attention to detail and strong organizational abilities.</li><li>Proficiency in MS Office and contract management software.</li></ul>If you consider yourself capable and eligible to join IMAR GROUP we strongly encourage you to submit your CV to n.satti@imar.com &amp; l.aassi@imar.com immediately.Application deadline: 11-June -2026 at 1:00 PM KSA timeWork Location: In person

FIT-OUT CONTRACTS ADMINISTRATOR

TEEMA

<div>Overview: 
Our client, the largest Third Party Administrator in North America is looking for an experienced Claims Adjuster to handle Workers Compensation Claims. At the direction of the Claims Supervisor and/or Claims Manager, the Claims Adjuster/Examiner II / III manages all aspects of workers&rsquo; compensation indemnity, medical-only, future medical, and litigated claims from inception through resolution, within established authority and company/client guidelines. This role requires frequent interaction with clients, claimants, medical providers, attorneys, vendors, nurse case managers, vocational case managers, and internal staff. The level of complexity, litigation exposure, settlement authority, and leadership responsibility will be commensurate with the examiner&rsquo;s experience and designation (Level II or Level III). 
 
What you will be doing: 
Applies to Examiner II &amp; III<ul><li>
Manage a full caseload of workers&rsquo; compensation claims, including complex indemnity claims.</li><li>
Initiate, conduct, and document timely and thorough claim investigations.</li><li>
Determine compensability and administer benefits in accordance with state laws, rules, and company/client handling instructions.</li><li>
Manage medical treatment and medical billing; authorize services as appropriate.</li><li>
Communicate effectively with claimants, medical providers, vendors, and clients regarding claim issues.</li><li>
Compute and set reserves in accordance with Company and Client guidelines.</li><li>
Maintain an organized diary system and document claim files to reflect status, strategy, and action plans.</li><li>
Settle and/or finalize claims and obtain appropriate settlement authority.</li><li>
Conduct scheduled file reviews and respond to client inquiries.</li><li>
Identify injury trends, safety concerns, and other claim-related issues and communicate proactively to clients.</li><li>
Adhere to all company policies, procedures, and best practices.</li><li>
Utilize office systems and technology efficiently to manage caseload responsibilities.</li><li>
Perform other related duties as assigned.</li></ul>
Advanced / Senior Responsibilities (Primarily Examiner III)<ul><li>
Manage very complex, catastrophic, and litigated indemnity claims from inception to conclusion.</li><li>
Refer cases to outside defense counsel and actively participate in litigation strategy, hearings, mediations, and settlements.</li><li>
Identify and manage:<ul><li>
Subrogation opportunities</li><li>
Apportionment potential</li><li>
Excess reporting criteria and reimbursement</li></ul></li><li>
Prepare and assist with state audits, regulatory reporting, and client-specific reporting requirements.</li><li>
Develop and execute proactive claim strategies to drive timely and cost-effective resolution.</li><li>
Conduct detailed client file reviews and participate in client meetings as needed.</li><li>
Mentor and provide technical guidance to less experienced Claims Examiners.</li><li>
Handle multi-jurisdictional workers&rsquo; compensation claims as assigned.</li></ul> 
What you will be doing: 
Education &amp; Experience 
Claims Examiner II:<ul><li>
Bachelor&rsquo;s degree in a related field (preferred)</li><li>
Minimum 3+ years of workers&rsquo; compensation claims experience, or equivalent combination of education and experience</li></ul>
Claims Examiner III:<ul><li>
Minimum 5+ years of progressive workers&rsquo; compensation claims experience</li><li>
Demonstrated experience handling complex and litigated indemnity claims</li></ul>
Knowledge, Skills &amp; Abilities<ul><li>
Strong technical knowledge of workers&rsquo; compensation statutes, regulations, and medical terminology</li><li>
Ability to independently analyze and manage complex claims</li><li>
Excellent written and verbal communication skills</li><li>
Ability to convey technical information to claimants, clients, and internal stakeholders</li><li>
Strong organizational, analytical, and time-management skills</li><li>
Ability to interact professionally with individuals at all levels of the business environment</li><li>
Proficiency in Microsoft Word and Excel (preferred)</li></ul>
Certifications / Licenses<ul><li>
Hawaii Workers Compensation Adjusters License</li></ul> 

#Workwolf</div>

Workers Compensation Claims Examiner II/III - Hybrid

CBCS

<div>We are seeking an experienced Account Manager with strong Third-Party Administrator (TPA) or claims experience to manage client relationships and drive performance across auto liability, general liability, and/or workers' compensation programs. This role serves as the key liaison between clients and internal claims teams, ensuring service excellence, operational efficiency, and strong program outcomes throughout the lifecycle of each account.

Key Responsibilities
<ul>
<li>Serve as the primary point of contact for assigned accounts, managing relationships from onboarding through renewal</li>
<li>Lead client meetings, claims reviews, and stewardship sessions, presenting actionable insights on claim performance, trends, and outcomes</li>
<li>Monitor claims handling quality and TPA performance, ensuring adherence to best practices, service standards, and regulatory requirements</li>
<li>Partner with adjusters, supervisors, and leadership to resolve escalations and improve claim outcomes</li>
<li>Analyze claims data (frequency, severity, lag time, expenses) to recommend cost containment and program optimization strategies</li>
<li>Support implementation of new accounts, ensuring a smooth transition of claims handling and reporting</li>
<li>Assist with contracts, renewals, and financial reconciliation, including claim costs and program performance</li>
<li>Participate in sales presentations and finalist meetings, showcasing claims expertise and service capabilities</li>
</ul>
Qualifications &amp; Experience
<ul>
<li>3&ndash;7+ years of experience within a TPA, insurance carrier, or claims organization</li>
<li>Strong background in auto liability, general liability, and/or workers' compensation claims</li>
<li>Proven experience in a client-facing, consultative, or account management role</li>
<li>Bachelor's degree preferred</li>
<li>Industry designations such as AIC, CPCU, or similar are a plus</li>
</ul>
Skills &amp; Expertise
<ul>
<li>Deep understanding of claims lifecycle, coverage, and TPA service delivery models</li>
<li>Strong analytical skills with the ability to interpret and present claims data</li>
<li>Excellent communication and presentation skills with client-facing confidence</li>
<li>Highly organized with the ability to manage multiple accounts and priorities</li>
<li>Proficient in claims systems, Microsoft Office (especially Excel/PowerPoint), and CRM tools</li>
</ul>
About Cottingham &amp; Butler Claims Services (CBCS)

At CBCS, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of &quot;better every day&quot; constantly pushing ourselves to be better than yesterday &ndash; that's who we are and what we believe in.

As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.</div>

Claims Account Manager

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