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claims manager

Mitsui Sumitomo Insurance Group

<div><div>MSIG USA continues to grow!</div><div></div><div>
Company Overview:</div><div></div><div><div>
MSIG USA</div> is the US-based subsidiary of <div>MS&amp;AD Insurance Group Holdings, Inc.</div>, one of the world&rsquo;s top P&amp;C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business&rsquo;s unique risks.</div><div></div><div>
The Trade Credit &amp; Political Risk Claims Manager plays a critical role in safeguarding the company&rsquo;s financial stability and reputation by overseeing the end‑to‑end claims process for trade credit and political risk lines of business. This leader ensures fair, timely, and strategic claims resolutions while maintaining strong relationships with insureds, brokers, reinsurers, and internal stakeholders.</div><div></div><div>
Key Responsibilities</div><div>
Claims Management</div><ul><li>
Lead the investigation, evaluation, and resolution of complex Trade Credit and Political Risk claims, including insolvency, protracted default, expropriation, currency inconvertibility, contract frustration, and political violence.</li><li>
Technical oversight of coverage determinations, assess loss exposures and recommend appropriate claim outcomes in alignment with policy terms and the Company&rsquo;s best practices handling procedures.</li><li>
Monitor overall portfolio, timely identifying issues and trends and communicating with internal business partners including actuarial, risk management, finance and legal.</li></ul><div>
Risk &amp; Financial Analysis</div><ul><li>
Collaborate with underwriting team on financial and credit analyses of buyers, obligors, and counterparties.</li><li>
Evaluate and monitor geopolitical developments and macroeconomic conditions that may influence claim outcomes.</li><li>
Liaison with underwriting team to provide insights on emerging risks, loss trends, and portfolio performance.</li></ul><div>
Stakeholder Engagement</div><ul><li>
Directly engage with insureds, brokers, legal counsel, and reinsurers throughout the underwriting and claims process.</li><li>
Expand vendor relationships and provide service offerings.</li><li>
Prepare and present claim summaries, recommendations, and settlement rationales to senior leadership.</li><li>
Develop and maintain strong working relationships with external partners.</li></ul><div>
Operational Excellence</div><ul><li>
Ensure claims handling practices meet internal quality standards, regulatory requirements, and industry best practices.</li><li>
Contribute to continuous improvement initiatives, including process optimization, documentation enhancements, and system upgrades.</li><li>
Support audits, reinsurance reporting, and internal reviews.</li></ul><div></div><div>
Qualifications</div><div>
Required</div><ul><li>
Bachelor&rsquo;s degree in business, Finance, Economics, Law, or related field.</li><li>
5&ndash;10+ years of experience handling Trade Credit and/or Political Risk claims within a P&amp;C insurer, reinsurer, or financial institution.</li><li>
Strong understanding of credit risk, international trade, and political risk dynamics.</li><li>
Proven ability to interpret complex policy language and apply it to real‑world claim scenarios.</li><li>
Excellent analytical, negotiation, and communication skills.</li></ul><div>
Preferred</div><ul><li>
Advanced degree (MBA, JD, or similar) or professional certifications (e.g., AIC, CPCU)</li><li>
Experience working with multinational clients and cross‑border transactions.</li><li>
Familiarity with reinsurance structures and reporting requirements.</li></ul><div></div><div>
SALARY: The estimated salary range for this position is $300,000.00 to $350,000.00 per year. This is a good-faith assessment of the salary range for this position only. In determining the actual salary within this range, MSIG USA will consider a candidate&rsquo;s relevant experience, location, and other job-related factors.</div><div></div><div>
#LI-HYBRID</div><div></div><div>
It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group!</div><div><br>
It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities.</div></div>

Trade Credit & Political Risk Claims Manager

Nationwide Mutual Insurance Company

<div>If you&rsquo;re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide&rsquo;s Property and Casualty team could be the place for you! At Nationwide&reg;, &ldquo;on your side&rdquo; goes beyond just words. Our customers and partners are at the center of everything we do and we&rsquo;re looking for associates who are passionate about delivering extraordinary care.<p></p><p>
We are looking for a motivated and talented individual to join our growing cyber claims team. As a Senior Claims Consultant, you will be handling complex and high exposure primary and excess cyber and data privacy claims from inception to conclusion. Your role will include investigating, evaluating and negotiating first-party and third-party cyber and data privacy claims.</p><p></p><p><b>
Job Description Summary</b></p>
If you can put your keen legal mind to work analyzing, managing and resolving insurance coverage and claims, we want to know more about you! Working on our team offers the opportunity to be involved in settling litigated claims of the highest level of complexity and severity in terms of exposure and coverage.<br>
<br>
As a Senior Claims Consultant, you'll investigate, evaluate and negotiate claims to a successful resolution. This role supports management liability and specialty lines of business including surety liability, error and omissions, directors and officers and employment practices liability, among others. Claim files will include litigated accounts of the highest complexity and severity, and of significant value to the organization. We will count on you to collaborate and provide insight to our business partners on claims and policy wording questions and maintain, develop and influence relationships with customers and business partners. You'll have opportunities to be a subject matter authority and collaborate with internal business partners to develop and implement claims strategies.<p></p><p><b>
Job Description</b></p><h2 class="jobSectionHeader"><b>
Key Responsibilities:</b></h2><ul><li><p>
Investigates and evaluates coverage, liability and damages to set an appropriate claim strategy, settlement and file reserves for the most serious and complex claims within approved claims authority.</p></li><li><p>
Provides timely and appropriate evaluation of claims to identify and manage reserves in compliance with company standards.</p></li><li><p>
Delivers outstanding customer service and satisfaction through effective interactions with insured, agents and legal counsel.</p></li><li><p>
Develops, coaches, trains and mentors individual team members. Acts as top level subject matter authority in specialty line claims. Identifies and develops training plans and strategies for the division.</p></li><li><p>
Maintains current knowledge of multiple coverage lines, venue-specific court decisions which may impact the claim function, current guidelines, and policy changes and modifications.</p></li><li><p>
Provide feedback on claim trends and development. Provide input to underwriters on review of potential and existing insured&rsquo;s claim experience.</p></li><li><p>
Contributes to a collaborative environment by consistently demonstrating teamwork, motivation, positive behavior and effort to achieve goals and objectives.</p></li><li><p>
Provides top level consultation/direction to claims leadership, peers and other business partners about severe specialty claims issues, coverage, or risks.</p></li><li><p>
Recommends changes to business leadership. Provides implementation strategies and coordinates execution processes in product development and management for specialty lines of business. Provides claim handling expertise to new product development.</p></li><li><p>
Provides standardized processes for claims handling related to new products. Assists in developing business plans to ensure claims quality results.</p></li><li><p>
Provides associate performance management, salary planning and administration, training and development, workflow and organizational planning, hiring and placement and disciplinary actions of contributing staff.</p></li></ul><p>
May perform other responsibilities as assigned.</p><p></p><p><b>
Reporting Relationships:</b> Reports to Claims Director or Associate Vice President</p><p></p><h2 class="jobSectionHeader"><b>
Typical Skills and Experiences:</b></h2><p></p><p><b>
Education: </b>College degree preferred. Juris Doctorate desired</p><p></p><p><b>
License/Certification/Designation:</b> Associates must acquire the required federal and/or state licenses/registrations within the time period designated by the business unit. Additional licenses/registrations may be required when new products and services are implemented. If an associate fails or is unable to obtain required licenses/registrations within the designated time period, the associate will be ineligible to continue in the position. Completion of insurance courses such as IIA, AEI, or CPCU preferred.</p><p></p><p><b>
Experience:</b> Ten years of prior insurance experience preferred. Proven experience investigating and resolving severe complex litigated claims. Confirmed experience analyzing and handling sophisticated coverage issues. Specific experience in a particular line of business may be required by the hiring business unit.</p><p></p><p><b>
Knowledge, Abilities and Skills:</b> Proven knowledge of the best claims practices used to resolve severe claims. Top level specialist in a particular line of business. Additional education may be required by the business unit. Extensive knowledge and expertise relating to insurance contracts, coverage issues, contingent or extra-contractual liability against insurers and litigation management, both foreign and domestic.</p><p></p><p>
Demonstrated analytical skills to make independent decisions and resolve conflict in application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. Validated ability to coordinate defense counsel in the handling of cases involving serious and complex liability and damage issues from inception through trial. Excellent verbal and written communication skills for use in communicating with policyholders, claimants, attorneys and all levels of management. Confirmed organizational skills to effectively establish work priorities in conformity with objectives and standards. Demonstrated personal computer skill, including the ability to operate claims and business software.</p><p></p><p>
Other criteria, including leadership skills, competencies and experiences may take precedence.</p><p></p><p>
Staffing exceptions to the above must be approved by the Vice President and HR Business Partner.</p><p></p><p><b>
Values:</b> Regularly and consistently demonstrates the Nationwide Values.</p><p></p><h2 class="jobSectionHeader"><b>
Job Conditions:</b></h2><p></p><p><b>
Overtime Eligibility:</b> Not Eligible (Exempt)</p><p></p><p><b>
Working Conditions:</b> Normal office environment. Travel as required.</p><p></p><p><b>
ADA:</b> The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties.</p><p></p><p><b>
Credit/Background Check:</b> Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process.</p><p></p><p><b>
Benefits</b></p><p>
We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer.</p><p></p><p>
Nationwide is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law.</p><p></p>
#claims<br>
<p></p>
For NY residents please review the following state law information: Notice of Employee Rights, Protections, and Obligations LS740 (ny.gov) https://dol.ny.gov/system/files/documents/2022/02/ls740_1.pdf<p></p><p><b>
NOTE TO EMPLOYMENT AGENCIES:</b></p><p></p><p>
We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means.</p><p></p>
Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range. Note on Compensation for Part-Time Roles: Please be aware that the salary ranges listed below reflect full-time compensation. Actual compensation may be prorated based on the number of hours worked relative to a full-time schedule.<p></p>
The national salary range for Sr Consultant, Claims - Management Liability &amp; Specialty Lines : $122,000.00-$214,000.00<p></p>
The expected starting salary range for Sr Consultant, Claims - Management Liability &amp; Specialty Lines : $122,000.00 - $182,000.00</div><p></p>

Sr Consultant, Claims - Management Liability & Specialty Lines

Sompo

<div>
 Sompo is seeking a
 <strong>
  Summer 2026 Claims Intern
 </strong>
 for our
 <strong>
  Financial Lines Claims Group
 </strong>
 in our
 <strong>
  New York, New York
 </strong>
 office.
 <br/>
 <br/>
 The Internship Program is a 10-week development initiative designed to provide professional growth with potential long-term opportunity for successful individuals interested in the insurance/reinsurance industry.
 <br/>
 <br/>
 As a Claims Intern, you will utilize your legal background to analyze corporate insurance coverage and liability and damages in complex high-profile litigation filed against D&amp;Os (Directors and Officers) of public and private companies and financial institutions. You will learn about, among other things, securities litigation, derivative lawsuits, merger &amp; acquisition litigation, and regulatory investigations brought by the SEC and the DOJ arising out of the management of Fortune 500 companies and shareholder and investor disputes including lawsuits alleging breach of fiduciary duty, self-dealing, and minority shareholder unfair treatment; and financial distress and bankruptcy litigation arising out of the management of private companies.
 <br/>
 <br/>
 <strong>
  What can I expect as an Intern?
  <br/>
  <br/>
 </strong>
 <strong>
  <em>
   On the Job Learning
   <br/>
   <br/>
  </em>
 </strong>
 Our interns are immersed in the day-to-day activities of their team, to keep the underwriting and global claims team current on loss trends and market intelligence and to ensure timely and accurate reporting of exposure to underwriting and management. As part of Sompo&rsquo;s Financial Lines Claims Group, you will contribute to the success of the team by working closely with your colleagues and manager on various projects.
 <br/>
 <br/>
 <strong>
  <em>
   Activities, Learning and Development
   <br/>
   <br/>
  </em>
 </strong>
 Throughout the program, you'll have the opportunity to: hear from executive leaders; participate in structured engaging leadership learnings and networking events and activities with peers, members of Sompo&rsquo;s executive team and outside brokerage firms; and prepare a presentation to their manager and mentor.
 <br/>
 <br/>
 <strong>
  What You'll Need As An Intern
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Current enrollment in a Juris Doctor program
  </li>
  <li>
   Excellent verbal and written communication skills
  </li>
  <li>
   Strong analytical, quantitative and interpersonal skills
  </li>
  <li>
   Ability to work in a fast-paced team environment with rapidly changing priorities and demands
  </li>
  <li>
   Strong proficiency using Microsoft Office (Excel, Word, PowerPoint)
  </li>
  <li>
   Eligible candidates must be authorized to work in the United States without restriction
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Salary Range: $22/hour
 </strong>
 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
 <br/>
 <br/>
 <strong>
  What does Sompo stand for?
  <br/>
  <br/>
 </strong>
 Ethics and integrity are the foundation of delivering on our commitment to you. We believe that core values drive success, and that when relationships are held in the highest regard, there is nothing that cannot be accomplished. At Sompo International, our ring is more than a logo, it is a symbol of our promise. Click here to learn more about life at Sompo.
 <br/>
 <br/>
 Sompo International is an equal opportunity employer and we intentionally value inclusion and diversity. Above all, we want you to work in an environment that respects everyone&rsquo;s unique contributions &ndash; we are passionately committed to equal opportunities. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.
</div>


Claims Intern

AIG Claims, Inc.

<div><p><b>Claims Analyst III</b></p><p></p><p>
As a Claim Analyst III, you will be responsible for handling all aspects of third-party EPL/Professional Liability/D&amp;O claims from inception through conclusion brought against insureds.</p><p></p><p><b>
How you will create an impact</b></p><ul><li><p>
Focused on Employment Practices Liability, this role is an ideal opportunity to develop your expertise in handling and investigating complex claims. The aim is deal with genuine claims through a proactive, best practice approach, in line with AIGs quality standards &ndash; you will actively promote and demonstrate the principles of &lsquo;Treating Customers Fairly&rsquo; in claims handling.</p></li><li><p>
You will also proactively identify and review suspect/fraudulent claims on a consistent basis &ndash; dealing with such claims in line with our clear guidelines.</p></li><li><p>
Your work will involve regular contact with internal stakeholders and brokers, (medical) experts, clients&rsquo; lawyers, victims or their legal representatives. We want you to build effective relationships with internal and external customers, while acting as a point of referral.</p></li><li><p>
You will have the opportunity to grow your experience by providing support to Team Managers and deputizing in their absence. For example, you will assist with monitoring market/industry practices in claims handling.</p></li><li><p>
In addition, you can use the claims experience you gain to help improve our products in collaboration with colleagues in underwriting.</p></li></ul><p></p><p><b>
What you&rsquo;ll need to succeed</b></p><ul><li><p>
Bachelor&rsquo;s Degree or equivalent required. Multi-state adjuster licenses and/or JD preferred.</p></li><li><p>
Strong knowledge of legal / regulatory and litigation / procedural requirements for Financial Lines.</p></li><li><p>
Specialist knowledge of Employment Practices Liability technical claims topics.</p></li><li><p>
At least some experience in negotiation, mediation, and arbitration.</p></li><li><p>
Policy language skills enabling accurate and consistent policy wording interpretation.</p></li><li><p>
Lateral thinking and the ability to problem solve and develop new ideas to improve working practices.</p></li><li><p>
Strong communication, time management, administrative and report-writing skills.</p></li></ul><p></p><p>
For positions based in Massachusetts, the base salary range is $76,000-$90,000. For positions based in New York, the base salary range is $68,000-$91,000. For positions based in New Jersey, the base salary range is $56,000-89,000. In addition, the position is eligible for a bonus in accordance with the terms of the applicable incentive plan. In addition, we&rsquo;re proud to offer a range of competitive benefits, a summary of which can be viewed here:<b> </b>2026 Benefits Overview<b>.</b></p><p></p><p>
Ready to accelerate your career? We would love to hear from you.</p><p></p><p><b><i>
#claims #claimsmanagement #arbitration #litigation #negotiation #complexclaims #financiallines #investigations</i></b></p><p></p><p>
#LI-NH1</p><p></p><p>
At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.</p><p></p><p><b>
Enjoy benefits that take care of what matters</b></p><p>
At AIG, our people are our greatest asset. We know how important it is to protect and invest in what&rsquo;s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security&mdash;as well as your professional development&mdash;to bring peace of mind to you and your family.</p><p></p><p><b>
Reimagining insurance to make a bigger difference to the world</b></p><p>
American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world&rsquo;s most far-reaching property casualty networks. It is an exciting time to join us &mdash; across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become.</p><p></p><p><b>
Welcome to a culture of </b><b>inclusion</b></p><p>
We&rsquo;re committed to creating a culture that truly respects and celebrates each other&rsquo;s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG&rsquo;s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.</p><p></p><p><i>
AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories.</i></p><p></p><p>
AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com.
</p><p></p><div><div><div><div><div><div><div><p>Functional Area:</p></div></div></div></div></div></div></div>
CL - Claims<p></p>
AIG Claims, Inc.</div><p></p>

Claim Analyst III

Jones Jones LLC

<div><p>Jones Jones LLC is a trusted leader in workers&rsquo; compensation defense, claims management, and regulatory compliance. With decades of industry experience, we proudly serve clients through our affiliated entities - NYTIC, Emerald, Mediation Resolution Management, and Medical Management Group - offering innovative solutions, collaborative teamwork, and unwavering professionalism. Our firm values growth, integrity, and excellence across every level of our organization.</p><p>
We are seeking an experienced Claims Examiner who is interested in growing and expanding their expertise across multiple entities, including NYTIC, Emerald, Mediation Resolution Management and Medical Management Group. This unique cross-functional role offers exposure to complex claims, compliance, and ADR operation. This role is perfect for a skilled examiner seeking to broaden scope, strengthen leadership, and grow within a premier workers&rsquo; compensation firm.</p><p>
The Firm is located at 5 Hanover Square, New York, NY and this is a hybrid position.</p><p></p><p><b><br>
Essential Functions</b></p><p></p><p><br>
1. Claims Adjusting Work (NYTIC / Emerald):</p><ul><li>
Perform intake and coverage verification via WCB employer coverage search</li><li>
Initiate three-point contact (employer/clamant/provider) within 24 hours</li><li>
Conduct compensability analysis and develop action plans</li><li>
Ensure timely filings: employer first report, EDI FROI/SROI via Emerald, PH-16.2, and C-240 wage statement</li><li>
Calculate AWW and benefit rates; set and review reserves at key milestones</li><li>
Monitor treatment against NY Medical Treatment Guidelines; manage MG-2 variance requests and C-8.1 objections</li><li>
Route medical bills to bill review and ensure fee schedule compliance</li><li>
Prepare for hearings and maintain eCase updates</li><li>
Evaluate resolution paths (SLU, LWEC, Section 32); manage subrogation and third-party notices</li></ul><p></p><p><br>
2. Licensing &amp; Compliance (Jones Jones):</p><ul><li>
Collaborate with the Compliance team on licensing forms and regulatory filings</li><li>
Review TPA scorecards and ensure compliance with WCB standards</li><li>
Track and invoice licensing fees and renewals</li><li>
Support examiner training and respond to licensing-related inquiries</li></ul><p></p><p><br>
3. ADR (MRM):</p><ul><li>
Manage intake, eligibility, and notices under the collectively bargained ADR program</li><li>
Coordinate and schedule mediations</li><li>
Draft case summaries and settlement proposals</li><li>
Ensure adherence to Medical Network protocols and document variances</li><li>
Prepare and route settlement paperwork, including Section 32 agreements</li><li>
Maintain dashboards of ADR cycle times and outcomes for annual reporting</li><li>
Obtain loss runs from wrap-up sponsors</li></ul><p></p><p><br>
4. MMG</p><div><ul><li>
Evaluate Independent Medical Examination (IME) reports for accuracy and compliance</li></ul></div><ul><li>
Assist with administrative tasks such as schedule coordination and provider panel management</li></ul><p></p><p><b><br>
Competencies</b></p><ul><li>
Excellent and professional verbal and written communication skills</li><li>
Strong understanding of workers&rsquo; compensation best practices</li><li>
Exceptional organizational skills and attention to detail</li><li>
Excellent time management skills with a proven ability to meet deadlines</li><li>
Strong analytical and problem-solving skills</li><li>
Ability to perform well in a fast-paced, dynamic environment</li><li>
Ability to maintain confidentiality and exercise discretion and sound judgment</li><li>
Proficient with Microsoft Office Suite or related software</li></ul><p></p><p><b><br>
Qualifications</b></p><ul><li>
Bachelor&rsquo;s degree in business administration or related field</li><li>
Active Independent Adjuster License (required)</li><li>
 2- 5 years of claims management experience</li></ul><p></p><p><br>
Apply today to join a firm with over a century of success and a future focused on innovation. Jones Jones LLC is an equal employment opportunity employer.</p></div>

Claims Examiner

Axis

<div><p>This is your opportunity to join AXIS Capital &ndash; a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry.</p><p>
At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.<br>
All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process.</p><p>
Please note this role requires hybrid work, with in office attendance 3 days a week. The role can be based in any of these Axis office locations: NYC, Short Hills &ndash; NJ, Red Bank &ndash; NJ, Princeton &ndash; NJ, Alpharetta, Kansas City, or Chicago.</p><ul><li>
Exercises critical thinking, proper judgment and decision making in a best practices claim environment to promptly analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion.</li><li>
Set accurate and timely claim reserves and make referrals to senior members of the team where necessary.</li><li>
Obtain relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising.</li><li>
Prepare coverage positions to be reviewed and approved by Claim Manager.</li><li>
Work closely with Insureds, Claimants, attorneys and brokers ensuring a premier and best practices claim service is maintained, escalating issues as appropriate.</li><li>
Documents claim file notes, stores electronic documents, documents claim details in an effective and timely manner.</li><li>
Develop a working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which the claims arise.</li><li>
Monitor and investigate assigned claims and develop resolution strategy.</li><li>
Attend mediation, arbitration and other claim meetings as needed.</li><li>
Participate in presentations and discussions with Underwriters.</li><li>
Additional responsibilities for this role include validation of indemnity and fee payments, ensuring these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches and reporting.</li><li>
Ensure file set up accurately with proper coding, LOB, Danger Signal and CAT Codes.</li></ul><p>
REQUIRED EDUCATION/TRAINING &amp; EXPERIENCE:</p><ul><li>
Bachelor&rsquo;s degree or equivalent; JD a plus.</li><li>
Claims adjuster license required; valid adjusting licenses in required states and additional states as needed</li><li>
Minimum of 2-5 years claim adjusting experience required.</li><li>
Experience handling cyber primary and excess claims, including first party and third-party privacy liability claims, and media liability claims. Experience handling technology errors and omissions is a plus.</li><li>
Attain expert comfort level in remote and work from home virtual working practices and platforms</li><li>
Excellent written and verbal communication skills, to liaise with numerous customers, both internal and external</li><li>
Solid understanding of individual and group performance metrics and KPIs</li><li>
Experience with Excel, Word, PowerPoint, OneNote and SharePoint a plus</li><li>
Availability for occasional travel</li><li>
Team player who has a positive outlook, flexible, organized, efficient and timely</li></ul><p>
For this position, we currently expect to offer a base salary in the range of $87K-115K. The specific salary offer will be based on an assessment of a variety of factors including the experience of the successful candidate and their work location. <i>Where this role is based in the United States of America, this role is Exempt for FLSA purposes.</i></p></div><p></p>

Cyber / Media Claims Specialist

<div>At PwC, our people in business application consulting specialise in consulting services for a variety of business applications, helping clients optimise operational efficiency. These individuals analyse client needs, implement software solutions, and provide training and support for seamless integration and utilisation of business applications, enabling clients to achieve their strategic objectives. As a business application consulting generalist at PwC, you will provide consulting services for a wide range of business applications. You will leverage a broad understanding of various software solutions to assist clients in optimising operational efficiency through analysis, implementation, training, and support.<p><br>
Enhancing your leadership style, you motivate, develop and inspire others to deliver quality. You are responsible for coaching, leveraging team member&rsquo;s unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and values in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same.</p><p></p><p>
Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:</p><p></p><ul><li>
Analyse and identify the linkages and interactions between the component parts of an entire system.</li><li>
Take ownership of projects, ensuring their successful planning, budgeting, execution, and completion.</li><li>
Partner with team leadership to ensure collective ownership of quality, timelines, and deliverables.</li><li>
Develop skills outside your comfort zone, and encourage others to do the same.</li><li>
Effectively mentor others.</li><li>
Use the review of work as an opportunity to deepen the expertise of team members.</li><li>
Address conflicts or issues, engaging in difficult conversations with clients, team members and other stakeholders, escalating where appropriate.</li><li>
Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.</li></ul><div><br>
The Opportunity<br>
As part of the P&amp;C Operations team you manage system implementation and/or upgrade projects related to Duck Creek Policy, Claims and related technologies. As a Manager you lead teams and manage client accounts, focusing on strategic planning and mentoring junior staff. You are responsible for project success and maintaining rigorous standards, while leveraging team strengths and managing performance to deliver on client expectations.<br>
Responsibilities<br>
<ul><li>Manage system implementation and/or upgrade projects related to Duck Creek Policy, Claims and related technologies</li><li>Lead teams and manage client accounts</li><li>Focus on strategic planning and mentoring junior staff</li><li>Assure project success and maintain exceptional standards</li><li>Leverage team strengths to meet client service expectations</li><li>Manage performance to deliver on client expectations</li><li>Cultivate meaningful client relationships</li><li>Assure adherence to project timelines and quality standards</li></ul>
What You Must Have<br>
<ul><li>Bachelor's Degree</li><li>5 years of experience with at least 2 years in Duck Creek Policy, Claims experience</li></ul>
What Sets You Apart<br>
<ul><li>Education, certifications and/or experience in Duck Creek Policy, Claims preferred</li><li>Chartered Property &amp; Casualty Underwriter (CPCU) preferred</li><li>Associate in Risk Management (ARM) preferred</li><li>Associate in Claims (AIC) preferred</li><li>Associate in Underwriting (AU) preferred</li><li>Associate in Reinsurance (ARe) preferred</li><li>Associate in Insurance (AINS) preferred</li><li>Business Analyst (CBAP) preferred</li><li>Competency in Business Analysis (CCBA) preferred</li></ul></div><p><br>
The salary range for this position is: $99,000 - $232,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance</p><p></p><p>
As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.</p><p></p><p>
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.</p><p></p><p>
Learn more about how we work: https://pwc.to/how-we-work</p><p></p><p>
For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.</p><p></p><p>
Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines</p></div>

Duck Creek Policy & Claims Functional Lead, Manager

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