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claims analyst

EmblemHealth

<div></div><div><div>Summary of Position</div><ul><li>
Perform high dollar claim audits and provide oversight and guidance to claim analysts.</li><li>
Determine the root cause of errors and recommend appropriate corrective actions to prevent re-occurrence of these errors.</li><li>
Support business initiatives with quantitative transactional analysis and sample audits.</li><li>
Support business leaders with business improvement and integration projects.</li></ul><div><br>
Roles &amp; Responsibilities</div><ul><li>
Perform timely pre-payment audits of high dollar claims to verify the accuracy of claim payment and processing.</li><li>
Perform cycle time analysis to determine root cause and corrective actions.</li><li>
Perform comprehensive audits of adjustment transactions to verify that inquiries from groups, providers and members are resolved accurately and timely.</li><li>
Conduct special audits as directed by leadership.</li><li>
Provide problem definition/analysis support to the business leaders and their associated process improvements projects.</li><li>
Review and evaluate management responses and corrective action plans related to audit error findings.</li><li>
Work with leadership on disputed audit findings and make recommendations for corrective actions.</li><li>
Develop appropriate and cost-effective recommendations by partnering with Claims, Provider File Ops, Provider Network Mgmt., Utilization Mgmt. and IT to identify any required system logic modifications related to audit findings.</li><li>
Perform comprehensive reviews of new product or system implementations as requested by leadership.</li><li>
Participate in the external audit process by responding to specific audit issues or questions as directed.</li><li>
Make recommendations and modifications to the audit program desk level procedures (DLP&rsquo;s) based on changing business environment.</li><li>
Perform other duties as assigned, directed, or required.</li></ul>
<div><div>Qualifications</div><ul><li>
Bachelor&rsquo;s degree</li><li>
3 &ndash; 5+ years relevant work experience, preferably in auditing and improving operational processes</li><li>
Additional years of experience and/or specialized training may be considered in lieu of educational requirements</li></ul><ul><li>
Extensive experience in quality and/or root cause analysis</li><li>
Working knowledge of insurance coding and/or claims experience</li><li>
Knowledge of Emblem Health&rsquo;s processes and FACETS system</li><li>
Detail oriented; strong problem identifying and solving skills</li><li>
Strong communication skills (verbal, written, presentation, interpersonal)</li><li>
Advanced PC literacy with emphasis on Cognos, MS Excel and MS Access</li></ul><br>
<div></div>
</div><div><p>Additional Information
</p><ul><li>Requisition ID: 1000003031</li>
<li>Hiring Range: $56,160-$99,360</li></ul></div></div>

Sr. Claims Analyst

MetroPlusHealth

<div><p><b>Job Ref: </b>133786<br>
<b>Category: </b>Claims<br>
<b>Department: </b>CLAIMS<br>
<b>Location: </b>50 Water Street, 7th Floor, New York, NY 10004
<br>
<b>Job Type: </b>Regular<br>
<b>Employment Type: </b>Full-Time<br>
<b>Salary Range: </b>$48,791.00 - $50,593.00<br>
</p><p></p><div><h2 class="jobSectionHeader"><b>Empower. Unite. Care.</b></h2><p><b>
MetroPlusHealth</b> is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.</p><div><div><div><h2 class="jobSectionHeader"><b>
About NYC Health + Hospitals</b></h2><div><div><p>
MetroPlus<b>Health</b> provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus<b>Health</b>'s network includes over 27,000 primary care providers, specialists and participating clinics. For more than 40 years, MetroPlus<b>Health</b> has been committed to building strong relationships with its members and providers.</p><p><b>
Position Overview</b></p><p>
As a Claims Adjustment Specialist I, this individual will be responsible for analyzing standard to complex post-paid healthcare claims that require in depth research to determine accuracy and mitigate payment errors. The Claims Adjustment Specialist I will also be responsible for adjusting medical claims that result in overpayment or underpayment due to claim processing system issues, contract amendments, processing errors, or other issues. This position will be responsible for responding to inquiries from providers whose claims may be paid incorrectly and performing accurate data entry and maintenance accurate records and files.</p></div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Work Shifts</b></h2><div><div><p><b>
7:00 A.M &ndash; 3:30 P.M</b><br>
<b>8:00 A.M &ndash; 4:00 P.M</b><br>
<b>8:30 A.M &ndash; 4:30 P.M</b><br>
<b>9:00 A.M &ndash; 5:00 P.M</b><br>
<b>10:00 A.M &ndash; 6:00 P.M</b></p></div></div></div></div><div><div><h2 class="jobSectionHeader"><b><br>
Duties &amp; Responsibilities</b></h2><div><div><ul><li>
Research and analyze medical claims adjustment requests along with related documentation to determine payment accuracy and adjust/adjudicate as needed using multiple systems and platforms.</li><li>
Ensure that the proper payment guidelines are applied to each claim by using the appropriate tools, processes, and procedures (e.g., claims processing P&amp;P&rsquo;s, grievance procedures, state mandates, CMS/Medicare/Medicaid guidelines, benefit plans, etc.)</li><li>
Research claims that may have paid incorrectly and communicate findings for adjustment; Adjust claims based on findings (i.e., correct coding, rates of reimbursement, authorizations, contracted amounts etc.) ensuring that all relevant information is considered.</li><li>
Advise business partners of findings outcome if their input is needed to help fix the issue.</li><li>
Communicate through correspondence with providers regarding claim payment or additional required information in a clear and concise manner.</li><li>
Process the adjustment of claims in a timely manner, according to established timelines.</li><li>
Remain current with changes/updates in claims processing, as well as updates to coding systems.</li><li>
Maintain accurate records of all claims processed, including notes on actions taken.</li><li>
Generate reports on claim activity as requested.</li><li>
Respond to audits of claims processed.</li><li>
Able to work independently and exercise good judgment<br>
</li></ul></div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Minimum Qualifications</b></h2><div><div><ul><li>
High School Degree or evidence of having passed a High School Equivalency Program required. Associate degree preferred.</li><li>
Minimum 2 years of claims operations experience in a healthcare field, with knowledge of integrated claims processing required.</li><li>
Experience using a PC and claim adjudication system(s)</li><li>
Experience using Customer Relationship Management (CRM) software; Salesforce is a plus.</li><li>
Experience working with large data and spreadsheets.</li><li>
Knowledge of medical terminology, CPT, ICD-10, and Revenue Codes</li><li>
Processing of Medical Claim Forms (HCFA, UB04)</li><li>
Knowledge of Medical Terminology</li><li>
Knowledge of HIPPA Guidelines regarding Protected Health Information</li><li>
Data Entry of Provider Claim/Billing information</li><li>
Experience handling or familiarity with Medical Claim inquiries from provider sites personnel including physicians, clinical staff, and site administrators.</li></ul><p><b>
Professional Competencies</b></p><ul><li>
Integrity and Trust</li><li>
Customer Focus</li><li>
Functional/Technical skills</li><li>
Written/Oral Communication</li><li>
Strong Analytical Skills</li><li>
Knowledgeable in MS Word and Excel</li></ul><p>
#LI-Hybrid</p><p>
#MHP50</p></div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Benefits</b></h2><div><div><p>
NYC Health and Hospitals offers a competitive benefits package that includes:</p><ul><li>
Comprehensive Health Benefits for employees hired to work 20+ hrs. per week</li><li>
Retirement Savings and Pension Plans</li><li>
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts</li><li>
Loan Forgiveness Programs for eligible employees</li><li>
College tuition discounts and professional development opportunities</li><li>
College Savings Program</li><li>
Union Benefits for eligible titles</li><li>
Multiple employee discounts programs</li><li>
Commuter Benefits Programs</li></ul></div></div></div></div></div></div></div><p></p>

Claims Adjustment Specialist I

Great American Insurance Group

<div><p><b>Be Here. Be Great. </b>Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a &quot;small company&quot; culture where your ideas will be heard with &quot;big company&quot; expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.</p><p></p><p>
At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.</p><p></p><p>
Great American&rsquo;s Professional Liability Division offers both medical and non-medical service providers protection from claims alleging an act, error, or omission by the firm, its staff, or contractors working on its behalf. The Division recognizes that every industry has unique needs and develops customized coverage solutions for specific professional liability exposures.</p><p></p><p>
https://www.greatamericaninsurancegroup.com/about-us/businessoperations/division/professional-liability</p><p></p><p>
The Professional Liability Division is seeking a Financial Products Claims Specialist to handle a diverse portfolio of claims, including Miscellaneous Professional Liability, Lawyers Excess Professional Liability, Canadian Professional Liability, and Telehealth and Miscellaneous Medical Professional Liability matters. This position is fully remote.</p><p></p><p><b>
Essential Job Functions and Responsibilities</b></p><ul><li>
Manages a large inventory of complex primary and excess professional liability claims across the U.S. and Canada.</li><li>
Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages.</li><li>
Retains and directs approved consultants and outside counsel. Responsible for maintaining cost controls and overseeing the work of outside counsel.</li><li>
Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.</li><li>
Determines available avenues of recovery and/or risk transfer opportunities, and their cost-effectiveness.</li><li>
Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners.</li><li>
Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.</li><li>
Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.</li><li>
May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.</li><li>
As directed, may assist Underwriting, Marketing, Risk Management, and Loss Prevention with projects, including evaluating potential new business.</li><li>
Performs other duties as assigned.</li></ul><p><b>
Job Requirements</b></p><ul><li><b>
Education: </b>Bachelor&rsquo;s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.</li><li><b>
Experience: </b>Generally, a minimum of 9 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC). May possess LLM (Master's of Law) or JD (Juris Doctorate) and current attorney license with 2 to 4 years of post-bar experience.</li><li><b>
Scope of Job/Qualifications: </b>Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge. Demonstrates excellent analytical, negotiation, and problem-solving skills. Maintains strong knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion. Viewed as a senior resource within the Claims department and/or organization.</li></ul><p></p><p><b>
Business Unit:</b></p>
Professional Liability<p></p><p><b><br>
Salary Range:</b></p>
$92,000.00 -$125,000.00<p></p><p><b>
Benefits:</b></p><p>
We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.</p><p></p><p><br>
Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.</p><p></p><ul><li><br>
<b>Excludes seasonal employees and interns.</b></li></ul></div>

Claims Specialist - Professional Liability

Arch Capital

<div><div>With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.</div><div></div><div><b>
Position Summary</b></div><div>
Arch Insurance Group, AIGI, is looking for an experienced claims professional to join its Major Case Unit as a Complex Claims and Coverage Specialist. This position will focus primarily on claims from our Programs, National Accounts, Alternative Markets, and Construction Business Units. In this role you will deal with sophisticated litigation and complex coverage issues, including long-tail bodily injury exposures, claims arising under Coverage B of Primary/Excess CGL policies, as well as environmental and toxic tort claims. You will handle claims involving Multi-District Litigation, Class Action lawsuits, complex coverage matters, claims against the company and Insurance Department Complaints. The successful candidate will have significant coverage experience as well as GL (Bodily Injury and Property Damage) and Auto Liability complex/large exposure claim handling experience, a passion for achieving excellent claim results and for delivering exceptional customer service. Responsibilities include, actively managing large exposure and complex general/auto liability claims (primary, umbrella and excess) handled by Third-party Administrators (&ldquo;TPA&rsquo;s&rdquo;) and supporting Arch business stakeholders. The successful candidate will work closely with the Arch Legal Department on a variety of matters.</div><div></div><div><b>
Responsibilities</b></div><ul><li>
Deliver industry leading technical claim handling/management, claim outcomes, business support and customer service. Make claim services an Arch competitive advantage.</li><li>
Collaborate with TPA team members, Arch Claim Account Managers (&ldquo;CAM&rsquo;s&rdquo;) and other claim professionals to proactively develop and effectively execute on appropriate claim resolution strategies</li><li>
Work closely with underwriters, Legal, Operations, claim professionals, and other Arch functions, to ensure timely and effective communication consistent with Arch Claims&rsquo; Procedures; striving to achieve optimum claim outcomes.</li><li>
Effective and timely communication with insureds and brokers; making exceptional customer service a top priority</li><li>
Coverage analysis, investigation, liability and damage evaluation, timely and accurate indemnity and expense reserving (within specific granted authority), litigation management, vendor management, settlement negotiations, including use of structure settlements where appropriate, and claim resolution</li><li>
Effective claim file documentation, claim coding and diary management</li><li>
Retain and work closely with defense and coverage counsel to create and execute on litigation/coverage strategies and budgets. Analyze and pay legal bills, consistent with claims specific strategy/budget and Arch Claims Litigation Management Guidelines</li><li>
Effective and timely claim reporting (verbal and written) to other claim professionals/management and business stakeholders, per Arch Claims Procedures</li><li>
Attend mediations, trials, other proceedings and meetings</li><li>
Assist CAM&rsquo;s and others with TPA management and oversight to include:<ul><li>
TPA claim staff training relating to Arch processes, procedures, expectations, reporting, technical claim handling, litigation/vendor management, legal/regulatory developments, customer service and other topics that may arise</li><li>
Sharing of claim handling/customer service best practices</li><li>
Assistance with claim file reviews and claim audits</li><li>
Regular meetings with TPA claims staff</li></ul></li><li>
Maintain all required state adjustor licenses</li></ul><div></div><div><b>
Qualifications</b></div><ul><li>
Minimum of 10 years&rsquo; commercial general/auto liability claim handling experience, including responsibility for complex and large exposure claims or insurance defense/coverage practicing attorney with similar law firm experience</li><li>
Significant experience handling claims involving contractual risk transfer, including making and responding to contractual indemnity and Additional Insured tenders</li><li>
TPA management/oversight experience is a plus</li><li>
Excellent customer service skills and service minded</li><li>
Strong analytical and problem-solving skills</li><li>
Strong negotiation skills</li><li>
Exceptional communication (written and verbal), collaboration, influencing, listening, and interpersonal skills to effectively develop productive working relationships both within and outside Arch</li><li>
Demonstrated ability to process large amounts of complex information, distill it down to key issues and decision points and concisely communicate the information verbally and in writing</li><li>
Demonstrated ability to effectively lead strategic discussions and leverage technical knowledge to make sound, cost-effective decisions and recommendations</li><li>
Demonstrated ability to work well independently and in a highly collaborative team environment</li><li>
Adaptable and able to succeed in a rapidly changing environment</li><li>
Strong Microsoft Excel, PowerPoint and Word skills</li><li>
Willing and able to travel up to approximately 10-15% of time</li><li>
This will be a hybrid role in office 3 days a week</li></ul><div></div><div><b>
Education</b></div><ul><li>
Juris Doctorate required</li></ul><div></div><div>
#LI-SW1</div><div>
#LI-HYBRID</div><div></div><div>
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.</div><div></div><div>
$145,700 - $175,000/year</div><ul><li><div>
Total individual compensation (base salary, short &amp; long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope &amp; responsibilities of the role, qualifications, talent availability &amp; specialization as well as business needs. The above pay range may be modified in the future.</div></li><li><div>
Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&amp;D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click <div>here</div> to learn more on available benefits.</div></li></ul><div></div><div><br>
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn&rsquo;t the right fit but you&rsquo;re interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our <div>talent community</div> to share your preferences directly with Arch&rsquo;s Talent Acquisition team.</div><div></div>
14400 Arch Insurance Group Inc.</div>

Complex Claims and Coverage Specialist

Gallagher

<div><b>Introduction</b><br>
<div>
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it&rsquo;s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people&rsquo;s lives. It takes empathy, precision, and a strong sense of partnership&mdash;and that&rsquo;s exactly what you&rsquo;ll find here. We&rsquo;re a team of fast-paced fixers, empathetic experts, and outcomes drivers &mdash; people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you&rsquo;ll play a vital role in helping businesses and individuals move forward with confidence. Here, you&rsquo;ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you&rsquo;re here, you&rsquo;re part of something bigger. You&rsquo;re part of a team that shows up, stands together, and leads with purpose.
</div><br>
<b>Overview</b><div><b><br>
About the INVEST Program</b></div><div>
Are you a recent college graduate looking for a long-term, stable, innovative and exciting career that helps make a meaningful difference and supports people through challenges?</div><div></div><div><br>
The <b>Emerging Talent INVEST Program (ETIP) &ndash; Guardian Pathway</b> is a 6-month paid, fully remote, entry-level immersive learning experience, designed for recent college graduates to gain real-world exposure, personalized coaching and mentorship and a clear, long-term career path in one of U.S. best industries.</div><div></div><div><b><br>
Program Highlights</b></div><ul><li>
6-months, paid, fully remote learning track</li><li>
Virtual classroom, peer shadowing, simulations, case studies, and hands-on experience</li><li><i>
Fully remote</i><i> (candidates must physically reside in states specified although the role is remote)</i></li><li>
Interactive sessions, one-on-one mentorship, collaborative projects, exposure to wide variety of industries, clients, and knowledge material</li><li>
Fully paid licensing and advance education opportunities</li><li>
Career progression post-graduation into claims resolution manager roles and beyond</li></ul><div><b>
Key Details:</b></div><div>
Starting salary: $60,000 USD (states outside of California)</div><div>
Start date: August 2026</div><div>
PTO black out: Due to the structured nature of the training program we will likely not be able to support any PTO requests for the first 8 weeks of the program.</div><br>
<br>
<b>How you'll make an impact</b><div><b><br>
What will you do?</b></div><div>
Over the course of this 6-month program you will be partnered with a team of peers and experienced Training Specialists that will create a supportive learning environment designed to position you for successful program completion. You will alternate between self-study modules, virtual classroom-style learning, guided training modules, and hands-on application of the knowledge gained. Over the course of the program, you will progressively increase your hands-on experience to immerse yourself into the world of claims management and client service excellence under the mentorship of the program mentors and training leaders. The program is designed to offer consistent and repeated opportunities to develop, grow and practice your knowledge, advance your education via licensing studies, and help you gain confidence in the unique and highly specialized field of commercial claims handling for world&rsquo;s largest employers and insurance carriers.</div><div></div><div><b><br>
What can you expect?</b></div><ul><li><b>
Participate in Structured Learning:</b> Actively engage in the first phase of the INVEST Program, which includes instructor-led sessions, online modules, job shadowing, and mentorship focused on foundational insurance knowledge, claims operations, and state-specific workers&rsquo; compensation regulations.</li><li><b>
Shadow Claims Experts:</b> Observe experienced claims professionals and learn best practices in managing lost time (indemnity) workers&rsquo; compensation claims.</li><li><b>
Practice in a Simulated Environment (&quot;Sandbox&quot;):</b> Apply newly learned concepts in a controlled, simulated claims environment designed to mimic real-world scenarios. The sandbox allows colleagues to practice making decisions, inputting data, and managing mock claims without risk, helping build confidence before handling actual cases.</li><li><b>
Complete Program Milestones</b>: Achieve key learning objectives and performance checkpoints as you build technical knowledge and professional skills essential for a successful claims career.</li><li><b>
Collaborate and Network:</b> Engage with peers, mentors, and cross-functional teams to deepen understanding of the claims process and build professional relationships within the organization.</li><li><b>
Gradual Claim Ownership</b>: Begin handling new workers&rsquo; compensation claims starting in Week 3 of the program. Claim assignments will begin at an incremental, supportive pace, with inventory gradually increasing as confidence and competency develop.</li><li><b>
Support Claims Management</b>: Take ownership of an evolving portfolio of indemnity claims under close supervision. Begin applying program training to real-world scenarios, including benefit calculations, wage loss evaluations, and return-to-work considerations.</li><li><b>
Claims Analysis and Learning:</b> Continue developing skills in analyzing medical documentation, regulatory guidelines, state-specific regulations, and supplemental case materials to determine claim strategy, financial exposure and potential next steps.</li><li><b>
Stakeholder Communication:</b> Engage in professional communication and strategy development with clients; provide support and empathy to the injured employees; secure key details from medical providers and other key stakeholders to support collaborative, outcome-focused, and empathetic claims handling.</li><li><b>
Client Service Instructions &amp; Carrier Guidelines:</b><br>
Learn how to interpret and apply client service instructions and carrier guidelines to ensure claims are handled in compliance with expectations. This includes understanding unique requirements for documentation, communication, and jurisdictional standards across our diverse client base.</li><li><b>
Reserving Acumen:</b><br>
Build core skills in setting and adjusting reserves by analyzing claim details, medical data, and potential outcomes. You&rsquo;ll learn how accurate reserving supports financial stewardship and impacts overall claim strategy.</li></ul>
<br>
<b>About You</b><div><b><br>
Education:</b> Bachelor&rsquo;s degree or 4-year degree from an accredited institution preferred.</div><div><i>
Candidates possessing a Bachelor&rsquo;s degree will receive preferential treatment. Others with proven experience will be considered.</i></div><div></div><div><b><br>
Attributes:</b></div><ul><li>
Active listening skills</li><li>
Problem-solving mindset</li><li>
Adaptable to changes in procedures and technology</li><li>
Computer literacy, including strong familiarity with M365 products (e.g. Outlook, Word, and basic Excel and PPT)</li><li>
Strong verbal and written communication skills</li><li>
Strong time management and ability to multi-task</li><li>
Detail-oriented</li><li>
Curious, learning-focused mindset</li></ul><div></div><div><br>
#GBTopJob</div><div>
#remote</div><div>
#LI-MD3</div><div>
#INVEST</div><br>
<div></div>
<br>
<b>Compensation and benefits</b><p><br>
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.
</p><p>Below are the <b>minimum core benefits</b> you&rsquo;ll get, depending on your job level these benefits may improve:
</p><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><b>
Other benefits include:</b></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><i>
**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.</i></div><div></div><div><b><br>
We value inclusion and diversity</b></div><p>
Click Here to review our U.S. Eligibility Requirements</p><p>
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.
</p><p>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.</p><p>
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.
</p><p>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.</p></div>

Workers Compensation Claims Trainee - Eastern

Liberty Mutual Insurance

<div><b>Description
</b><div><p>In today's rapidly evolving cyber landscape, our insureds face increasingly complex threats from ransomware and business email compromise to large‑scale data breaches. As a <b>Cyber Claim Officer</b>, you will manage high‑exposure, often time‑sensitive matters, working closely with breach coaches, forensic investigators, underwriters, actuaries and cybersecurity experts. You will play a critical role in helping organizations respond to emergent cyber incidents and privacy, media and technology errors &amp; omissions litigation, ensuring a confident and coordinated response, and shaping best practices in our cyber claims strategy. This is a high‑impact opportunity for someone who thrives on novel issues, technical complexity, fast‑moving incidents, and collaborative problem‑solving.</p><p></p><p><b><br>
Responsibilities</b></p><ul><li>
Analyzes, investigates, and evaluates cyber, media and technology‑related losses to determine coverage, exposure, and appropriate claim disposition.</li><li>
Utilizes CMS to document claims, track activity, and maintain accurate diary follow‑ups.</li><li>
Establishes and monitors indemnity and expense reserves within assigned authority, ensuring accuracy and adequacy throughout the claim lifecycle.</li><li>
Makes recommendations for reserves on claims outside of authority level.</li><li>
Prepares clear and comprehensive reports for management, underwriting, and other stakeholders.</li><li>
Identifies and communicates emerging cyber‑specific claim trends, threat vectors, and policy issues to management and underwriting.</li><li>
Manages litigation involving cyber, media, privacy, and technology‑related matters through strategic oversight of counsel.</li><li>
Adheres to line‑of‑business litigation guidelines, including budgeting, bill review, and payment processing.</li><li>
Proactively manages the full claim lifecycle from first notice through resolution, ensuring timely, strategic progression.</li><li>
Actively participates in mediations, arbitrations, and settlement negotiations within assigned settlement authority.</li><li>
Participates in internal and external claims audit processes.</li><li>
Provides claims‑focused marketing support by meeting with brokers, risk managers, and reinsurers.</li><li>
Maintains required adjuster licenses across jurisdictions.</li></ul><p><b>
Additional Cyber‑Specific Responsibilities Added:</b></p><ul><li>
Coordinates incident response activities with breach coaches, forensic firms, crisis‑communications teams, and cybersecurity vendors during active cyber events.</li><li>
Evaluates forensic findings (e.g., Digital Forensics and Incident Response (DFIR), Forensic Accounting) and integrates conclusions into coverage and liability decisions.</li><li>
Advises insureds on recovery strategies, including business interruption documentation, data restoration processes, and post‑incident cyber‑hygiene improvements.</li><li>
Engages in thought leadership such as panel presentations, white papers, conference attendance, etc.</li></ul><p></p><p><b><br>
You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Westborough, MA; Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Chandler, AZ; Las Vegas, NV; Plano, TX; or Suwanee, GA. Please note this policy is subject to change</b></p></div><b>
Qualifications</b><div><ul><li>
Bachelors' and/or advanced degree</li><li>
10 + years claims experience, with at least 5 years within a technical specialty</li><li>
Highly advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge</li><li>
Functional knowledge of law and insurance regulations in various jurisdictions</li><li>
Demonstrated superior verbal and written communications skills</li><li>
Highest level of advanced analytical, decision making and negotiation skills</li></ul></div><b>
About Us</b><p><b>
Pay Philosophy:</b> The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.<br>
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At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.<br>
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We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://LMI.co/Benefits<br>
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Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.<br>
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<b>Fair Chance Notices</b></p><ul><li>
California</li><li>
Los Angeles Incorporated</li><li>
Los Angeles Unincorporated</li><li>
Philadelphia</li><li>
San Francisco</li></ul></div>

Cyber Claims Officer

Transatlantic Reinsurance

<p></p><div><p><b>About Us</b></p><div><div><div><div><p>
Since 1977 we have delivered first class solutions to insurers worldwide, by combining global reach with local decision making. We have built customer &amp; broker relationships on years of trust, experience and execution. Through our people, our products and our partnerships, we deliver the capacity and expertise necessary to contribute to the sustainable growth of prosperous communities worldwide. To do so, our colleagues work with:
</p><p></p><p><b>Integrity</b> Work honestly, to enhance TransRe&rsquo;s reputation</p><p><b>
Respect</b> Value all colleagues. Collaborate actively.</p><p><b>
Performance</b> We reward excellence. Be accountable, manage risk and deliver TransRe&rsquo;s strengths</p><p><b>
Entrepreneurship</b> Seize opportunities. Innovate for and with customers.</p><p><b>
Customer Focus</b> Anticipate their priorities. Exceed their expectations.</p></div></div></div></div><p></p><p>
We have the following job opportunity in our <b>New York City</b> office:</p><p><b><br>
Description</b></p><p></p><p>
We are seeking a data analyst with (re)insurance industry expertise to join our growing Global Portfolio Management team in New York. This role will design and build solutions to improve efficiency and consistency across underwriting processes, data capture workflows, and reporting architecture, while supporting portfolio management and global underwriting operations. Responsibilities include:</p><p></p><ul><li>
Collaborating with line of business (LOB) stakeholders to gather, manipulate, and analyze data, delivering insights that drive business decisions.</li><li>
Designing and building LOB-specific workflows and data capture tools to streamline underwriting processes (e.g., automated UW rationales).</li><li>
Building reporting, analytics, and data visualization tools to support data-driven decision-making.</li><li>
Supporting regional underwriting and global portfolio teams through the annual budget process.</li><li>
Collaborating with IT, Actuarial, and other departments to support business initiatives and Global Portfolio Management priorities.</li></ul><p></p><p><b>
Requirements</b></p><ul><li>
2 - 5 years of experience in the (re)insurance industry, with an understanding of underwriting processes, data, and information systems.</li><li>
Proficiency in SQL, Python, Excel, and Microsoft Power Platform applications.</li><li>
Experience with Snowflake or similar data platforms for business intelligence and machine learning.</li><li>
Strong data management, analytics, and communication skills, with the ability to collaborate across cross-functional teams.</li><li>
Curious, self-motivated, and solutions-oriented team player.</li></ul><p></p><p><b><br>
Work Schedule</b></p><p>
TransRe is supportive of an agile work schedule, which may differ based on individual roles, your local office&rsquo;s practices and preferences marketplace trends, and TransRe&rsquo;s business objectives. This position is located in our New York City office and is eligible for a hybrid work schedule with 3 days in the office per week, and 2 days remote.</p><p></p><p><b>
Compensation</b></p><p>
In addition to base salary, for this position, TransRe offers a comprehensive benefits package, paid time off, and incentive pay opportunity. The anticipated annual base salary range in New York for this position, exclusive of benefits, paid time off, and incentive pay opportunity is $100,000 - $140,000. This range is an estimate and the actual base salary offered for this position will be determined based on certain factors, including the applicant&rsquo;s specific skill set and level of experience.</p><p></p><p>
We are an Equal Opportunity Employer (EOE) and we support diversity in the workforce.</p></div>

Reinsurance Data Analyst

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