claims administrator

KUZYK LAW OFFICE

<p><b>Company Overview</b><br/>Kuzyk Law Office is a dedicated personal injury law firm committed to advocating for clients who have experienced auto accidents and related injuries. We prioritize compassionate service and effective legal support to help our clients navigate complex claims.</p><p><b>Job Overview</b><br/>We are seeking a detail-oriented and proactive Plaintiff Personal Injury Auto Property Damage Administrator to join our team in Lancaster, CA. In this vital role, you will manage auto damage claims and personal injury case documentation, negotiate with insurance companies, and support the legal team in case preparation. Your organizational skills and legal administrative expertise will ensure smooth case workflows and excellent client service.</p><p><b>Responsibilities</b></p><ul><li>Manage auto damage claim files from initial report through resolution, ensuring all documentation is accurate and complete</li><li>Coordinate with insurance adjusters, repair shops, and medical providers to gather necessary information for personal injury cases</li><li>Review and analyze auto damage estimates, repair invoices, and related documents for accuracy and completeness</li><li>Maintain detailed records using legal case management systems</li><li>Conduct client interviews and gather relevant case information while maintaining professional phone etiquette</li><li>Support the legal team with administrative tasks including data entry, filing, proofreading, transcription, and document management</li></ul><p><b>Qualifications</b></p><ul><li>Proven legal administrative experience within a law office environment</li><li>Strong knowledge of personal injury law and auto damage claim processes</li><li>Familiarity with Data Entry and Document Management Systems is preferred</li><li>Excellent organizational skills with the ability to multitask efficiently in a fast-paced setting</li><li>Effective communication skills and professional phone etiquette</li><li>Ability to handle sensitive client information with confidentiality and integrity</li></ul><p>Join our team to make a meaningful difference in clients' lives by providing exceptional administrative support in personal injury auto damage cases. We value energetic professionals who thrive on organization, accuracy, and delivering outstanding service.</p><p>Pay: From $22.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Plaintiff Personal Injury Auto Damage Administrator - Lancaster CA

Educational Service District 112

JOB
<br>Under the general direction of the Senior Claims Administrator and the Risk Management and Member Services Manager, the claims adjuster supports investigation, evaluation, and resolution of property and casualty claims for the SW Washington Risk Management and Insurance Cooperative and provides support and assistance with risk management and member services activities.Salary: The full range for this position is $32.89-$40.02 per hour. Offers are made at the beginning of the range.Assignment: This position is year round and will work a minimum of 20 hrs/week with potential of up to 40 hrs/week. A complete application will include: Work history going back 10 years (if applicable) At least three professional reference's contact informationA Cover Letter expressing interest in the positionA Resume that reflects work experience listed on applicationProof of your degree.This position is open until filled with applications received by 5:00 p.m. on Wednesday, April 20, 2026 receiving first consideration.
<br><br>
EXAMPLE OF DUTIES
<br><b>Essential Functions:</b> Assist in the intake, review, and processing of new property and casualty claims, including maintain accurate and timely claim file documentation in claims management systems, determining appropriate reserves and tracking claims.Coordinate inspections, appraisals and repairs for property losses.Support claim investigations by gathering facts, statements, reports, photos and documentation.Communicate with claimants, vendors, internal staff, and school district personnel in a timely and professional manner. Prepare correspondence, reports, and claims summaries.Help evaluate coverage, liability and damages under the supervision of the Assistant Superintendent or Sr Claims Administrator and consult with Risk Co-Op member districts regarding coverage questions.Respond to member requests for evidence of coverage, review contracts related to evidence of coverage and provide general guidance related to the same.Support the provision of pre-claim investigation and special education services as authorized under the coverage agreement.Provide risk management support and services to Risk Co-Op member districts, under the supervision of the Assistant Superintendent or Risk Management and Member Services Manager. Travel to school districts across Southwest Washington to evaluate or investigate claims or to provide risk management and member services support. Maintain regular attendance to carry out the duties and responsibilities of the position.Other Functions: Participate in training and professional development related to claims handling, public entity risk, and school district risk management and claims administration. Ensure compliance with internal policies, procedures, regulatory requirements and best practices.Work with the Insurance Programs and Risk Management coordinator on assigned Risk Co-Op projects or recurring activities.Other duties as assigned.
<br><br>
SUPPLEMENTAL INFORMATION
<br>Working ConditionsExtensive travel, including occasional overnight stays.Flexible work hours, on call evenings, weekend, and holidays.Inspect facilities and equipment (such as fire scenes) where hazardous conditions may exist, sometimes in adverse weather conditions.Activities include, but not limited to: climbing ladders, crawling into areas with low ceilings, walking on uneven surfaces, walking on catwalks, walking through flooded areas.Employment RequirementsSuccessful completion of a criminal history check and fingerprint check through the WA State Patrol and FBI.

Risk Co-Op Property/Casualty Claim Adjuster

<div></div><div><div><div><p>Thank you for your interest in our employment opportunities. We invite you to apply to be a part of our dynamic team providing quality educational services throughout Southwest Washington, and other areas of the state. For more information review the NEOGOV Application Guide and Frequently Asked Questions.</p>
</div>
</div><div><div><h2 class="jobSectionHeader"><b>General Responsibilities</b></h2></div>
<div><p>Under the general direction of the Senior Claims Administrator and the Risk Management and Member Services Manager, the claims adjuster supports investigation, evaluation, and resolution of property and casualty claims for the SW Washington Risk Management and Insurance Cooperative and provides support and assistance with risk management and member services activities.</p><p><br>
Salary:<br>
The full range for this position is $32.89-$40.02 per hour. Offers are made at the beginning of the range.<br>
<br>
Assignment:<br>
This position is year round and will work a minimum of 20 hrs/week with potential of up to 40 hrs/week.</p><p><b><br>
A complete application will include:</b></p><ul><li>
Work history going back 10 years (if applicable)</li><li>
At least three professional reference's contact information</li><li>
A Cover Letter expressing interest in the position</li><li>
A Resume that reflects work experience listed on application</li><li>
Proof of your degree.</li></ul><div><b><i>
This position is open until filled with applications received by 5:00 p.m. on Wednesday, April 20, 2026 receiving first consideration.</i></b></div></div><br>
<p></p>
<div><h2 class="jobSectionHeader"><b>Essential Functions/Other Functions</b></h2></div>
<div><p>Essential Functions:</p><ul><li>
 Assist in the intake, review, and processing of new property and casualty claims, including maintain accurate and timely claim file documentation in claims management systems, determining appropriate reserves and tracking claims.</li><li>
Coordinate inspections, appraisals and repairs for property losses.</li><li>
Support claim investigations by gathering facts, statements, reports, photos and documentation.</li><li>
Communicate with claimants, vendors, internal staff, and school district personnel in a timely and professional manner. Prepare correspondence, reports, and claims summaries.</li><li>
Help evaluate coverage, liability and damages under the supervision of the Assistant Superintendent or Sr Claims Administrator and consult with Risk Co-Op member districts regarding coverage questions.</li><li>
Respond to member requests for evidence of coverage, review contracts related to evidence of coverage and provide general guidance related to the same.</li><li>
Support the provision of pre-claim investigation and special education services as authorized under the coverage agreement.</li><li>
Provide risk management support and services to Risk Co-Op member districts, under the supervision of the Assistant Superintendent or Risk Management and Member Services Manager.</li><li>
Travel to school districts across Southwest Washington to evaluate or investigate claims or to provide risk management and member services support.</li><li>
Maintain regular attendance to carry out the duties and responsibilities of the position.</li></ul>
Other Functions:<ul><li>
Participate in training and professional development related to claims handling, public entity risk, and school district risk management and claims administration.</li><li>
Ensure compliance with internal policies, procedures, regulatory requirements and best practices.</li><li>
Work with the Insurance Programs and Risk Management coordinator on assigned Risk Co-Op projects or recurring activities.</li><li>
Other duties as assigned.</li></ul></div><p></p>
<div><h2 class="jobSectionHeader"><b>Minimum/Preferred Qualifications &amp; Skills</b></h2></div>
<div><p>Minimum Qualifications:</p><ul><li><div>
Bachelor's degree in business, risk management, public administration, or related field.</div></li><li><div>
2 years of experience in insurance, claims, customer service, or public sector work.</div></li><li><div>
Basic understanding of property and casualty insurance concepts.</div></li><li><div>
Experience with claims systems or similar data processing systems.</div></li><li><div>
Valid drivers' license</div></li></ul>
Preferred Qualifications:<ul><li><div>
Experience with public entity pools.</div></li><li><div>
Experience investigating or working with covered individuals on property or casualty claims.</div></li><li><div>
Current knowledge of case law, legislation and general developments pertaining to claims matters.</div></li><li><div>
Claims adjuster license or professional certifications (AIC or ARM).</div></li></ul><div><br>
.</div></div><br>
<p></p>
<div><h2 class="jobSectionHeader"><b>Working Conditions/Employment Requirements</b></h2></div>
<div><p>Working Conditions</p><ul><li>
Extensive travel, including occasional overnight stays.</li><li>
Flexible work hours, on call evenings, weekend, and holidays.</li><li>
Inspect facilities and equipment (such as fire scenes) where hazardous conditions may exist, sometimes in adverse weather conditions.</li><li>
Activities include, but not limited to: climbing ladders, crawling into areas with low ceilings, walking on uneven surfaces, walking on catwalks, walking through flooded areas.</li></ul>
Employment Requirements<ul><li>
Successful completion of a criminal history check and fingerprint check through the WA State Patrol and FBI.</li></ul></div><br>
<p></p>
</div><div></div><div><div><p><b>Notice of Non-Discrimination</b><br>
<i>ESD 112 does not discriminate in any programs or activities on the basis of race, religion, creed, color, sex, national origin, marital status, sexual orientation, gender expression or identity, age, honorably discharged veteran or military status, the presence of any sensory, mental, or physical disability, or the use of a trained guide dog or service animal by a disabled person. The following individuals have been designated to handle questions and complaints of alleged discrimination:</i></p>
<ul><li>Civil Rights compliance Officer: Melissa Kreuder, 360-952-3328, melissa.kreuder@esd112.org</li>
<li>Title IX Compliance Officer: Wendy Niehaus, 360-952-3574, wendy.niehaus@esd112.org</li>
<li>ADA/504 Compliance Officer: Jeffrey Niess, 360-952-3529, jeffrey.niess@esd112.org</li>
</ul>
<p><i>The above information will be provided in the appropriate language for persons with limited English language skills by contacting the ESD at 360-750-7500.</i></p></div></div></div>

Capital Region ESD 113

<div><p><b>Senior Claims Adjudicator</b></p><p><b>
Best to apply by 4/18/2026. Job open until filled.</b></p><p>
This position is 260 days/year, 8 hours/day. Work calendar is Monday- Friday.</p><p>
Benefits include: Medical/Vision/Dental Insurance; FSA/DCAP; Life/AD&amp;D Insurance; LTD Insurance; EAP; Retirement; DCP; Annual/Sick Leave, Holiday Pay and Personal Leave.</p><p><b>
Required attachments: Transcript, Resume and Cover Letter</b></p><p><b>
Please see the job description below for a list of Essential Functions</b>.</p><h3 class="jobSectionHeader"><b>
Purpose Statement</b></h3><p>
The job of Senior Claims Adjudicator is done for the purpose/s of evaluating eligibility and processing workers compensation claims in compliance with WCT and state regulations; documenting actions; conveying information regarding claims and benefits; providing testimony as may be required in benefit disputes and acts in the capacity of Claims Administrator as directed in that person's absence; and operating relatively autonomously in bringing claims to closure.</p><p>
This job is distinguished from similar jobs by the following characteristics: Per the essential functions and educational requirements listed below.</p><p>
This job reports to Workers' Compensation Claims Administrator</p><h3 class="jobSectionHeader"><b>
Essential Functions</b></h3><p><b>
Claims Adjudication</b> Adjudicates worker compensation and related benefit claims (e.g. validity, compensation amount, medical aid benefits, closure of claims, etc.) for the purpose of ensuring fair and thorough treatment of claims while complying with district, state, and federal policies and regulations.</p><p><b>
Claims Analysis</b> Analyzes a variety of claims-related information and processes (e.g. workers compensation claim status, litigation and sidebar cost, benefit eligibility, etc.) for the purpose of determining exposure, identifying high cost areas, and developing plans for remediation.</p><p><b>
Meeting Attendance</b> Attends a variety of meetings (e.g. legal training on compensation and related benefits disputes, seminars, conferences, continuing education courses in workers' compensation, etc.) for the purpose of ensuring information is shared and received.</p><p><b>
Stakeholder Collaboration</b> Collaborates with a variety of stakeholders (e.g. other staff, ESD 113 Safety &amp; Health team, defense counsel, etc.) for the purpose of developing solutions to resolve concerns while meeting the goals of the program.</p><p><b>
Record Maintenance</b> Maintains worker compensation files and records for the purpose of documenting actions and ensuring compliance with district policies, and state and federal regulations.</p><p><b>
Document Preparation</b> Prepares a variety of information, documents, and files (e.g. statistical summaries, evaluations, reports to excess carrier, written summaries, etc.) for the purpose of providing information and documenting activities.</p><p><b>
Information Processing</b> Processes a variety of complex information (e.g. employability assessments, claims information required, conservatory procedures, legal files going to legal authorities, etc.) for the purpose of ensuring employees are treated fairly while complying with district, state, and federal policies and regulations.</p><p><b>
Attendance</b> Regular and reliable attendance is required for the purpose of maintaining department operations.</p><p><b>
Trust Representation</b> Represents the trust in a variety of situations (e.g. in mediation at the Board of Industrial Insurance Appeals, etc.) for the purpose of providing accurate and responsible representation of the trust.</p><p><b>
Research</b> Researches a variety of work-related topics (e.g. relevant policies, current practices, claims data, changing federal requirements, etc.) for the purpose of providing information and recommendations to the district.</p><p><b>
Inquiry Response</b> Responds to inquiries from a variety of stakeholders regarding worker compensation and employee benefits (e.g. employees, regulatory personnel, insurance companies, etc.) for the purpose of facilitating communication among parties and providing information and direction.</p><p><b>
Order Review</b> Reviews determinative orders for the purpose of ensuring the accurate representation of the Trust's interpretation of the facts of a claim and appropriate actions taken as warranted.</p><p><b>
Training</b> Trains claims adjudicators for the purpose of providing orientation for new claims adjudicators and encouraging the development of professional skills.</p><h3 class="jobSectionHeader"><b>
Marginal Functions</b></h3><p><b>
Personnel Assistance</b> Assists other personnel as may be required for the purpose of supporting them in the completion of their work activities.</p><p><b>
Related Duties</b> Performs other related duties as assigned for the purpose of ensuring the efficient and effective functioning of the work unit.</p><h2 class="jobSectionHeader"><b>
Job Requirements: Minimum Qualifications</b></h2><h3 class="jobSectionHeader"><b>
Skills, Knowledge and Abilities</b></h3><p><b>
Skills Required</b> Skills are required to perform single, technical tasks with a need to occasionally upgrade skills in order to meet changing job conditions. Specific skill based competencies required to satisfactorily perform the functions of the job include: operating standard office equipment including pertinent software applications; and preparing and maintaining accurate records.</p><p><b>
Knowledge Required</b> Knowledge is required to perform basic math, including calculations using fractions, percents, and/or ratios; read technical information, compose a variety of documents, and/or facilitate group discussions; and solve practical problems. Specific knowledge based competencies required to satisfactorily perform the functions of the job include: worker compensation programs; state and federal worker compensation regulations and laws; medical and legal terminology related to worker compensation; industrial insurance laws, medical aid rules, fee schedules, and appeals procedures; and basic anatomy and physiology.</p><p><b>
Abilities Required</b> Ability is required to schedule a number of activities, meetings, and/or events; routinely gather, collate, and/or classify data; and consider a number of factors when using equipment. Flexibility is required to independently work with others in a wide variety of circumstances; analyze data utilizing a variety of complex processes; and operate equipment using a variety of standardized methods. Ability is also required to work with a significant diversity of individuals and/or groups; work with data of widely varied types and/or purposes; and utilize a variety of job-related equipment. Problem solving is required to analyze issues and create action plans. Problem solving with data requires analysis based on organizational objectives; and problem solving with equipment is moderate.</p><p>
Specific ability based competencies required to satisfactorily perform the functions of the job include: communicating with diverse groups; working with frequent interruptions; working with detailed information; maintaining confidentiality; establishing effective relationships; adapting to changing work priorities; thinking analytically and critically; and willing to travel throughout the Worker Compensation Trust service area.</p><h3 class="jobSectionHeader"><b>
Responsibility</b></h3><p>
Responsibilities include: working under limited supervision using standardized practices and/or methods; directing other persons within a small work unit; monitoring budget expenditures. Utilization of resources from other work units may be required to perform the job's functions. There is some opportunity to impact the organization's services.</p><h3 class="jobSectionHeader"><b>
Work Environment</b></h3><p>
The usual and customary methods of performing the job's functions require the following physical demands: occasional lifting, carrying, pushing, and/or pulling, some stooping, kneeling, crouching, and/or crawling and significant fine finger dexterity. Generally the job requires 85% sitting, 5% walking, and 10% standing. This job is performed in a generally clean and healthy environment.</p><h3 class="jobSectionHeader"><b>
Education and Experience Requirements</b></h3><p><b>
Experience:</b> Job related experience with increasing levels of responsibility is required.</p><p><b>
Education (Minimum):</b> High school diploma or equivalent.</p><p><b>
Equivalency:</b> AA degree and 5 years' experience in claims adjudication is preferred, though may be waived in lieu of nay combination of education and experience that provides the required knowledge, skills, and abilities of the position. Must hold a valid WA State Self-Insured Claims Administrator certification, per WAC 296-15-360.</p><h3 class="jobSectionHeader"><b>
Position Information</b></h3><p><b>
FLSA Status:</b> Non Exempt</p><p><b>
Salary Grade:</b> 56</p><h3 class="jobSectionHeader"><b>
Required Testing, Certificates and Licenses</b></h3><p><b>
Required Testing:</b></p><ul><li>
None Specified</li></ul><p><b>
Certificates and Licenses:</b></p><ul><li>
Valid Driver's License and Evidence of Insurability</li><li>
Valid WA State Self-Insurance Certification at time of hire or promotion</li></ul><p><b>
Continuing Education and Training:</b></p><ul><li>
Maintains Certificates and/or Licenses</li><li>
Recertification test every 5 years</li></ul><p><b>
Clearances:</b></p><ul><li>
Criminal Justice Fingerprint/Background Clearance</li><li>
WA State Sexual Misconduct Disclosure Release</li></ul><p></p><p><i><br>
Capital Region ESD 113 is an Equal Opportunity Employer</i></p></div>

ESD 113-Senior Claims Adjudicator-Workers Compensation

Klingberg Family Centers

<div><p><b>Klingberg is a private non-profit multi service agency who provides help to thousands of people across Connecticut each year. Our goal is to extend hope and healing to children and families whose lives have been traumatized by abuse and/or neglect in its various forms, sever family problems and mental health issues.</b></p><p><b>
Full time employees are eligible for our attractive benefits that include but are not limited to: Health, dental, and vision insurance, Life insurance, 401k plus a match, 13 Paid Holidays, 3 Weeks&rsquo; Vacation, Parental Leave, Employee Assistance Program, and a Referral Program.</b></p><p><b>
We are also offering a $1,000 sign on bonus.</b></p><p><b>
Function</b><b>:</b></p><p>
Under the direction of the Director of Human Resources, the Benefits Administrator position is responsible for directing and planning the day-to-day operations of group benefits programs (group health, dental, vision, short-term and long-term disability, worker's compensation, life insurance, travel and accident plan, flexible spending plan, retirement plans, etc.). This position provides excellent customer service and designs quality benefits plans. The administrator continually investigates new benefits programs and improves existing programs.</p><p><b>
General Core Competencies:</b></p><ul><li><b>
Promote Mission:</b> Affirms and upholds the mission, philosophy, policies, and vision of the agency.</li><li><b>
Diversity</b>: Promotes and ensures equality, diversity, and inclusion in all aspects of our work by valuing our workforce, clients and community.</li><li><b>
Professional Behavior:</b> Embodies professionalism and initiative in the execution of job responsibilities.</li><li><b>
Growth</b>: Is receptive to feedback, willing to learn, and strives for continuous improvement.</li><li><b>
Integrity/Honesty: </b>Behaves in an honest, fair, and ethical manner. Shows consistency in words and actions. Models high standards of ethics.</li><li><b>
Interpersonal Skills: </b>Treats others with courtesy, sensitivity, and respect. Considers and responds appropriately to the needs and feelings of different people in different situations.</li><li><b>
Flexibility: </b>Is open to change and new information; rapidly adapts to new information, changing conditions, or unexpected obstacles.</li><li><b>
Problem Solving: </b>Identifies and analyzes problems; weighs relevance and accuracy of information; generates and evaluates alternative solutions; makes recommendations.</li></ul><p><b>
Job Specific Competencies:</b> (illustrated by typical activities)</p><p>
Employee Medical, Dental, LT, ST Life Insurance</p><ul><li>
Assist the Director of HR in research employee benefits plans and vendors to identify those that present the best options and best value.</li><li>
Coordinate all open enrollment process: ADP update, employee meetings/education, update and distribute materials for benefits orientations, and summary plan descriptions.</li><li>
Oversee maintenance of employee benefits files, maintain group benefits database and update employee payroll records.</li><li>
Gather employee data and oversee the processing of monthly billings and the preparation of vouchers for payment of administrative fees for all group plans.</li><li>
Allocate group health and dental claims monthly and review quarterly.</li><li>
Coordinate transfer of data to external contacts for services, premiums and plan administration.</li><li>
Review both short- and long-range cost estimates/projections and relevant statistical analyses regarding modifications in benefits programs and implementation of new programs.</li><li>
Survey industry trends. Complete benefits surveys and review information obtained from the results. Analyze complex benefits information. Forecast trends and assist with future benefits designs. Develop specific recommendations for review by management.</li><li>
Provide terminated employee information to third party vendor to process COBRA benefits.</li><li>
Provide employees with annual documents such as 1095C.</li></ul><p>
Retirement Plan</p><ul><li>
Serve as primary contact for retirement plan vendors and third-party administrators.</li><li>
Coordinate transfer of data to external contacts for services, premiums and plan administration.</li><li>
Ensure compliance with applicable government regulations. Ensure timeliness and accuracy of required reporting and fees.</li><li>
Perform plan audits. Prepare, collect and organize data for actuarial assessments.</li><li>
Provide all retirement information to auditors, assist with the 5500 preparation.</li><li>
Provide employees with all regulatory documents.</li><li>
Assist employees with 401K loans process.</li></ul><p>
Leave of Absence and Workers Comp</p><ul><li>
Coordinate communication with employee and insurance company for disability, accident and death claims.</li><li>
Assist employees with work related injuries. Coordinate communication between employee and WC Trust. Complete the OSHA report.</li><li>
Assist employee with Connecticut Paid Leave and FMLA.</li><li>
Evaluate and revise internal processes to reduce costs and increase efficiency.</li><li>
Document and maintain administrative procedures for assigned benefits processes.</li></ul><p>
General Duties.</p><ul><li>
Monitor administrative costs of benefits programs and recommend cost containment strategies, including alternative methods for administration and funding.</li><li>
Prepare budgetary recommendations and assist in the monitoring, verifying and reconciling of budgeted funds.</li><li>
Review and respond to unemployment claims with appropriate documentation. Review monthly unemployment statements.</li><li>
Maintain employee medical files securely and confidentially to comply with laws.</li><li>
Assist Director of HR with managing interactive process for employees requesting ADA accommodations by conducting assessments and identifying reasonable accommodations to assist with job performance.</li><li>
Provides assistance to other HR staff as needed.</li><li>
Assists in additional projects as assigned by the Director of HR or VP of Finance and Administration.</li></ul><p>
Use of capabilities is characterized by thoroughness, accuracy, sound judgment, foresight, and a high standard of quality in the completion of administrative duties, coupled with tact and sensitivity in dealing with staff members at all levels.</p><p><b>
Required Skills/Abilities</b><b>:</b></p><ul><li>
Computer proficiency and technical aptitude with the ability to use Microsoft products, including PowerPoint; experience with HRIS and benefits databases.</li><li>
Project and team management/leadership skills and experience.</li><li>
Proven ability to work effectively in a team environment with associates.</li><li>
Effective planning and priority setting. Ability to manage several complex projects simultaneously while working under pressure to meet deadlines.</li><li>
Strong analytical skills and a thorough knowledge of plan designs.</li><li>
Ability to understand, evaluate and make judgment on proposals (RFPs).</li><li>
Knowledge of benefits contract language.</li><li>
Knowledge of all pertinent federal and state regulations, filing and compliance requirements, both adopted and pending, affecting employee benefits programs, including the ACA, ERISA, COBRA, FMLA, ADA, Section 125, workers' compensation, Medicare, OBRA, and Social Security and DOL requirements.</li><li>
Excellent communication and organization skills.</li></ul><p><b>
Authority</b><b>:</b></p><p>
The authority of staff and service nature of the position is clear and defined. In relationships with employees, vendors, agents, applicants, results are achieved through skilled presentation and persuasion. Where necessary, authority is delegated by the Director of HR.</p><p><b>
Training</b><b>:</b></p><p>
Must complete 5 hours of professional development in addition to the required trainings each calendar year.</p><p><b>
Physical Demands</b><b>:</b></p><p>
Sitting; Standing; Walking; Lifting (up to 20 lbs.); Pulling; Pushing; Carrying (up to 20 lbs.); Grasping; Bending; Speaking; Hearing; Seeing.</p><p><b>
Education/Experience requirements</b><b>:</b></p><ul><li>
Bachelor&rsquo;s Degree in business or human resource management or related field</li><li>
5 years&rsquo; experience in human resources and/or benefits administration</li><li>
Certified Employee Benefits Specialist preferred; Retirement Plans Associate preferred</li></ul><p></p><p><i><br>
Klingberg Family Centers (and its Affiliates) is an equal opportunity employer. All qualified applicants receive consideration without regard to race, color, gender, national origin, ancestry, religion, age, marital status, sexual orientation, gender identity, learning or physical disability, past or present history of mental disorder, developmental disabilities, veteran status, or any other category protected by state, federal or local law.</i></p><p><i>
We are an Affirmative Action Equal Opportunity Employer and a Drug Free Workplace.</i></p><br>
Monday-Friday<br>
In Office<br>
40 hours a week</div>

Benefits Administrator

TelCom Construction, LLC

<div><div><div><div><h2 class="jobSectionHeader"><b>Discover a more connected career</b></h2>
</div><div><p>
Under the direction of the Director of Safety and Risk, this position is responsible for the administration of all Workers&rsquo; Compensation, General Liability, Auto Liability, and Property Damage claims as well as the general support of the Safety department. This positions primary function is to facility end-to-end claims processing, documentation and adjudication.</p></div></div><div><div><h2 class="jobSectionHeader"><b>
Connecting you to great benefits</b></h2>
</div><div><ul><li>Weekly Paychecks</li><li>
Paid Time Off, Parental Leave, and Holidays</li><li>
Insurance (including medical, prescription drug, dental, vision, disability, life insurance)</li><li>
401(k) w/ Company Match</li><li>
Stock Purchase Plan</li><li>
Education Reimbursement</li><li>
Legal Insurance</li><li>
Discounts on gym memberships, pet insurance, and much more!</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What you&rsquo;ll do</b></h2>
</div><div><ul><li>Supports, investigates, and documents all aspects of WC, GL, AL and Property claims;</li><li>
Reviews and evaluates damage claims and makes recommendations for resolution;</li><li>
Facilities and maintains extensive contact with internal and external stakeholders in the claims process;</li><li>
Maintains a high level of communication internally regarding claims status updates as well as externally with claimants, insurers, and insurance brokers;</li><li>
Actively participates in Company and Corporate claim reviews;</li><li>
Conducts claims audits to find trends to monitor for safety compliance concerns and makes recommendations to Safety Director for training opportunities;</li><li>
Supervises accurate classifications and entry of new claim information, claim payments, and reserves on computer system, inputting concise yet sufficient file documentation for accurate and appropriate management;</li><li>
Researches claims and records correspondence and other pertinent back-up documentation;</li><li>
Conducts training with appropriate employees on the claims process;</li><li>
Analyzes claims to determine the extent of Company liability;</li><li>
Maintains claim files such as records of settled claims and an inventory of claims requiring detailed analysis, including regular follow up in a timely and professional manner;</li><li>
Collects Liability Releases in all settlements;</li><li>
Files insurance claims as required;</li><li>
In conjunction with Management and the Company HR department, hires and effectively leads department team members; prepares and executes employee-related documentation as needed;</li><li>
Maintains a keen understanding of trends, developments, and best practices in the telecommunications industry, safety, and claims;</li><li>
Acts as a liaison between Corporate and field offices in regards to claim processing and closure;</li><li>
All other duties as assigned.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What you&rsquo;ll need</b></h2>
</div><div><ul><li>Associate&rsquo;s degree in Business, Occupational Safety and Health, Education, or a field with transferrable skills, and 2-4 years of related work experience, or combination of education and experience required;</li><li>
2 or more years of Supervisory experience preferred;</li><li>
In depth knowledge of the telecommunications industry, insurance, or risk management;</li><li>
Ability to read and understand written and verbal instructions, correspondence and memos;</li><li>
Effective and respectful written and verbal communication with all applicable stakeholders, both internal and external, at all levels of the organization;</li><li>
Ability to apply reasoning and understanding to solve practical problems;</li><li>
Ability to multi-task and prioritize with a strong attention to detail;</li><li>
Proficient use of computer hardware and software including but not limited to Internet software and databases. Familiarity with Googled-based applications is preferred;</li><li>
Understanding and use of general arithmetic such as addition, subtraction, multiplication, division, units of measure and weight using whole numbers, fractions and decimals;</li><li>
Ability to work flexible hours including overtime and weekends as needed;</li><li>
Self-motivated and driven with the ability to work independently on assigned tasks with minimum guidance;</li><li>
Valid driver&rsquo;s license with favorable driving record required.</li></ul><p></p><p><b><br>
Core Competencies:</b></p><ul><li>
Strong leadership skills with a focus on collaboration</li><li>
Project Management</li><li>
Problem Solving</li><li>
Develops talent effectively</li><li>
Self-Management</li><li>
Resourceful</li><li>
Ensures accountability</li><li>
Ability to develop and maintain relationships</li><li>
Dependability</li></ul><p></p><p><b><br>
Work Environment/Physical Demands:</b></p><p>
The work environment characteristics and physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p><ul><li>
Frequent sitting, standing and/or walking as required;</li><li>
Occasionally bend, squat, kneel or twist;</li><li>
Safely lift up to 25 lbs occasionally;</li><li>
Frequent use of sight, hearing, and voice;</li><li>
Frequently perform routine and repetitive tasks with hands, arms, feet and/or legs including use of computer keyboard, mouse, and phone;</li><li>
Occasionally be in a moderately noisy environment;</li><li>
Ability to safely wear job-specific PPE including but not limited to: eye, hearing, head, respiratory and foot protection as well as appropriate high-visibility clothing.</li></ul></div></div></div>
<p><b>
The wage range for Lead Claims is $65,000.00</b><b> - $85,000.00</b><b>.</b></p><p></p><p><b><br>
Why work with us</b><br>
Your career here is more than just a job &mdash; it's your pathway to opportunity. Our hands-on training, supportive environment, and responsive leadership connect you to work with purpose. Our commitment to you extends beyond professional development to a safety-first culture that ensures you can do what you do best, with peace of mind.</p><p></p><p><b><br>
Building stronger solutions together</b><br>
Our company is an equal-opportunity employer &mdash; we are committed to providing a work environment where everyone can thrive, grow, and feel connected.
<br>
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.</p></div>

Lead Claims

TM Claims Service Inc.

<div><p><b>Description</b>
</p><p><b>Marketing Statement:</b></p><p><b>
TM Claims Service (TMCS)</b> is an independent global claims management firm established in 1987 to provide clients with a broad range of claims related services in the areas of transportation, product liability and overseas travel accident insurance. As part of the Tokio Marine Group of companies TM Claims Service provides claims handling services throughout the US and the Americas. Founded in 1879, Tokio Marine is recognized as Japan's oldest insurer and one of the largest insurance groups in the world. With 365 subsidiaries, the Tokio Marine Group has offices in 57 countries &amp; regions and approximately 51,000 employees worldwide, as of March 2025.</p><p></p><p><b>
($27.00 - $37.00 hourly)</b></p><p></p><p><b>
Job Summary:</b></p><p>
Administer claims inclusive of receiving, reviewing, and approval of claims as submitted from claimants and/or distributors for payment. Identify liable carrier, filing of claim, collection of funds, and file maintenance. Interact with claimants, distributors, surveyors, and carriers.
</p><p></p><p><b>Essential Job Functions:</b></p><ul><li>
Receive, review, and approve claims as submitted from claimant and/or distributor for payment, using their own discretion and judgement up to and including authorized settlement authority</li><li>
Direct telephonic coordination with claimants and/or distributors</li><li>
Arrange third party inspections</li><li>
Review and submit claims to carriers and third parties for recovery purposes, inclusive of negotiating and collection</li><li>
Settlement of claims up to and including their authorized recovery authority</li><li>
Conclude all claims within their settlement authority</li><li>
Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at Company</li></ul><p></p><p><b>
Qualifications:</b></p><ul><li>
College degree preferred</li><li>
Auto Industry experience preferred</li><li>
Strong PC skills in Microsoft Word and Excel</li><li>
Strong written and oral communication skills</li><li>
Ability to work as part of a team</li><li>
Proficient PC skills in Microsoft Word and Excel</li></ul><p></p><p><b>
EEO Statement:</b></p><p>
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.</p></div><p></p>

Marine Claims Analyst MCD

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