case manager

office manager

account coordinator

administrative manager

appraiser (auto claims)

claims manager

Zurich Insurance

<p></p><div><p>We are currently looking for a Claims Manager to join our Management Solutions Group to work out of any of our 4 WTC, NY or Parsippany, NJ office</p><p></p><p><br>
Ready for a career move? Consider working for a company with a global footprint that offers an incentive plan, excellent work/life balance, career growth, terrific benefits including a dollar-for-dollar 401K Match and a second 401K contribution, flexible work options and a great culture.</p><p><br>
</p><p>The selected candidate will lead and direct a team of Legal Claims Professionals in low to high exposure Public Directors and Officers (D&amp;O) Claims. The Claims Manager is expected to coordinate the work activities of the team, and has responsibility for performance, development, and coaching of staff. The Claim Manager will also act as a technical resource for the team. This position has clear and distinct accountability for business results and is expected to manage internal and external customer relationships. The Claims Manager plays a critical role in interacting to exchange timely information with upstream claim managers and line of business underwriters as well as developing, maintaining and servicing broker and account relationships.</p><p><br>
</p><p>At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. While the model provides a high level of flexibility and autonomy, occasional circumstances requiring in-office attendance should be expected. The candidate selected for this opportunity should be able to report into Zurich&rsquo;s Manhattan, NY or Parsippany, NJ office at least three days a week.</p><p></p><p><br>
Basic Qualifications:</p><br>
<p></p><ul><li>
Juris Doctor and 8 or more years of experience in the OR Claims handling or insurance defense area<br>
OR</li><li>
Bachelors Degree and 9 or more years of experience in the Claims handling or insurance defense area<br>
OR</li></ul><ul><li>
High School Diploma or Equivalent and 11 or more years of experience in the Claims handling or insurance defense area<br>
AND</li><li>
3 or more years of management or leadership experience</li><li>
Customer service experience</li><li>
Experience with Microsoft Office</li><li>
Knowledge of insurance legal statutes and procedures</li></ul><div></div><div><br>
Preferred Qualifications:</div><br>
<div></div><ul><li>
Experience handling D&amp;O, EPL and/or other Financial lines Claims</li><li>
Negotiation experience</li><li>
Experience collaborating across work groups</li><li>
In-depth knowledge of the insurance industry, claims and the insurance legal and regulatory environment</li><li>
Ability to effectively present information to LOB manager, claimants and customers</li><li>
Excellent communication skills</li><li>
Problem solving skills</li><li>
Analytical Skills</li><li>
Advanced Degree</li><li>
AIC</li><li>
SCLA</li><li>
CPCU</li></ul><p></p><div><p><br>
Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply&mdash;your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $160,000.00 - $225,000.00, with short-term incentive bonus eligibility set at 20%.</p></div><p></p><p><br>
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.]</p><p></p><p><b><br>
Why Zurich?</b></p><p>
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment&mdash;so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500&reg;.</p><p></p><p><br>
Join us for a brighter future&mdash;for yourself and our customers.</p><p></p><p><br>
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.</p><p></p><p><br>
Zurich complies with 18 U.S. Code &sect; 1033.</p><p></p><p><b><br>
Please note:</b> Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.</p><p>
Location(s): AM - New York, AM - Parsippany<br>
Remote Working: Hybrid<br>
Schedule: Full Time<br>
Employment Sponsorship Offered: No<br>
<br>
Linkedin Recruiter Tag: #LI-KO1 #LI-DIRECTOR #LI-HYBRID</p></div>

Management Solutions Group Public D&O Claims Manager

MedPro Group

Meet MedPro Group. We’re an industry-leading Berkshire Hathaway insurance company with a passion for our clients and our team. We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: protecting those who have made it their mission to serve and care for others. Never considered the insurance industry before? We think you should.
<br><br>
This position will manage claims in New York therefore the ideal candidate will be located New York State or in the nearby metropolitan area.
<br><br>
In this role, you will…
<br><br>
Confirm coverage and then manage claims and suits brought against policyholders.
<br>Interpret, analyze, and resolve coverage issues.
<br>Select legal counsel.
<br>Manage the litigation with outside counsel.
<br>Manage litigation costs, both fees and expenses.
<br>Post reserves for both loss and ALE.
<br>Resolve cases, via settlement, dismissal or trial.
<br>Negotiate.
<br>Provide service to insureds, assist where possible in sales and retention efforts of sales force.
<br>Perform other activities required of a front line claims person.
<br><br>
We are looking for candidates with…
<br><br>
Minimum of five years of claim experience, preferably healthcare liability or other professional liability claims.
<br>J.D. (preferred), but will consider a Bachelor's degree if the candidate possesses other, pertinent industry experience.
<br>Strong negotiating skills.
<br>Adjuster's license (or ability to obtain within 90 days) may be required.
<br><br>
Why MedPro?
<br><br>
MedPro Group’s mission is built on a century-old legacy of protecting those who protect others. From our roots in our hometown of Fort Wayne, Indiana, we've worked diligently to become the nation's premier healthcare liability coverage provider, currently insuring more than 300,000 customers. With that growth, we've built a significant presence in all 50 states. Our team works across the country to provide the best strategies to mitigate risk and preserve the reputations of those who have entrusted their good name to us. That passion – built on a foundation of a culture that values uncompromised integrity, obsessive client focus, great teamwork, and a long-term mindset – make MedPro a preferred employer that many call their career home.
<br><br>
<b>General:</b> MedPro Group is an Equal Opportunity Employer. The annual gross base salary range is $100,000 to $150,000. This range anticipates the low and high end of the salary for this position. Actual salaries will vary and are based on factors such as a candidate’s qualifications, skills and competencies. Salary is one component of MedPro’s total compensation and benefits package, which includes medical, vision and dental insurance options, life and accident insurance, 401(k), and short-term and long-term disability insurance. For a more detailed overview, visit our careers website at www.medpro.com/careers. #LI-Remote #LI-EH1

Claims Consultant – New York Physicians & Surgeons

<div><h3 class="jobSectionHeader"><b>Description</b></h3><div><br>
At CFC, we&rsquo;re offering an exciting opportunity to join our growing US Claims team as a Claims Specialist, focused on Transaction Liability claims across North America. This role is ideal for someone with a background in D&amp;O claims who&rsquo;s keen to build deeper expertise in transactional liability.<br>
</div><div>You&rsquo;ll work closely with the US Transaction Liability (TL) Claims Manager and collaborate with colleagues across London, Toronto, and Australia.<br>
</div><div>In this role, you&rsquo;ll handle complex Transaction Liability claims from first notification through to resolution. You&rsquo;ll apply strong technical judgement and commercial awareness to deliver fair, timely outcomes&mdash;supporting CFC&rsquo;s reputation with insureds, brokers, and counterparties in the M&amp;A market.</div><br>
<h3 class="jobSectionHeader"><b>
About the role</b></h3><br>
<ul>
<li>
Handling a portfolio of Transaction Liability claims (including complex, high-value matters) from first notification through to settlement</li>
<li>Analyse policy coverage, transaction documentation, and claim submissions to assess liability and quantum</li>
<li>Instruct and collaborate with external advisers (including legal counsel, accountants, and other experts) as required</li>
<li>Engage directly with insureds, brokers, and their advisers, maintaining clear, professional, and commercially balanced communication</li>
<li>Identify coverage issues, disputes, and potential fraud indicators, escalating appropriately</li>
<li>Ensure claims handling complies with internal controls, delegated authority levels, and applicable regulatory requirements</li>
<li>Contribute to internal reporting, reserving discussions, and claims insights to support underwriting and portfolio management</li>
<li>Support continuous improvement by sharing lessons learned and market trends with underwriting and claims colleagues</li></ul><div></div><h3 class="jobSectionHeader"><b><br>
About you</b></h3><div><br>
<b>
Essential experience</b></div><ul>
<li>Experience handling insurance claims (Transaction Liability, W&amp;I, or related specialty lines) is desirable, but not essential</li>
<li>Interest in learning about M&amp;A transactions and deal documentation, or experience working closely with these materials in a claims, legal, or advisory context</li>
<li>Experience handling complex, multi-party claims and managing external advisers</li>
</ul><div><b>Regulatory &amp; compliance knowledge</b></div><ul>
<li>Working knowledge of US insurance claims handling requirements, including fair claims practices</li>
<li>Experience operating within defined claims authorities, governance frameworks, and audit expectations</li>
</ul><div><b>Technical knowledge</b></div><ul>
<li>Strong policy interpretation and coverage analysis skills</li>
<li>Ability to assess financial loss and causation, including reviewing transaction documentation and financial information</li>
<li>Confidence using claims management systems, producing clear written analyses, and making recommendations</li>
</ul><div>Base salary: $150,000&ndash;$200,000 (dependent on experience).</div><br>
<h3 class="jobSectionHeader"><b>
Core Values</b></h3><div><br>
<b>
Love what you do:</b><br>
We show up each day ready to take on the world. Our passion and intensity set us apart and makes the difference to our colleagues, customers, brokers and carriers.<br>
<br>
<b>Challenge everything:</b><br>
We&rsquo;re never afraid to question the way that things are done and we constantly challenge ourselves and others to makes things better.<br>
<br>
<b>Have fun, be good:</b><br>
Insurance is a serious business, but we don&rsquo;t take ourselves too seriously. We make it fun to work at CFC, we welcome all viewpoints, and we treat everyone how we would expect to be treated.</div><h3 class="jobSectionHeader"><b><br>
About CFC</b></h3><div>
CFC is a specialist insurance provider, pioneering emerging risk and market leader in cyber. Our global insurance platform uses cutting-edge technology and data science to deliver smarter, faster underwriting and protect customers from today's most critical business risk.<br>
</div><div>Headquartered in London with offices in New York, Melbourne, Sydney, Austin, Madrid, Brussels and Brisbane, CFC has over 1100 staff and is trusted by more than 100,000 businesses across 90 countries.<br>
</div><div>At CFC, insurance isn't just about underwriting. From data science to software development, and digital marketing design, we've got something for everyone. We're passionate about pushing boundaries, thinking differently and building the insurance company of the future.<br>
<br>
CFC is committed to the principles of equal opportunities and creating an environment in which all individuals are always treated with dignity and respect. We encourage a diverse corporate culture of openness and appreciation to create an environment in which your talent can be developed in the best possible way. Should you require any reasonable adjustments at any stage of the recruitment process please let us know.</div></div>

Claims Specialist, Transactional Liability

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

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

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>
Role specifics:</b><br>
<ul><li><b>Jurisdictions: </b>United States</li><li><b>Licenses: </b>Required</li><li><b>Location: </b>This role is eligible for fully remote work.</li></ul></div><br>
<br>
<b>How you'll make an impact</b><br>
<ul><li>
Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims.</li><li>
Interact extensively with various parties involved in the claim process to ensure effective communication and resolution.</li><li>
Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process</li><li>
Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements.</li><li>
Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file.</li></ul>
<br>
<b>About You</b><div><b><br>
Potential candidates should have the following:</b><br>
<ul><li><b>Claims Background:</b> Inland Marine, Cargo</li><li><b>Jurisdictional Experience: </b>US</li><li><b>Active Adjusters' licenses:</b> Required</li></ul><br>
As a key member of our Claims Adjuster team, you will:</div><ul><li>
Investigate, evaluate, and resolve complex Inland Marine, Cargo claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution.</li><li>
Work in partnership with our clients to deliver innovative solutions and enhance the claims management process.</li><li>
Think critically, solve problems, plan, and prioritize activities to optimally serve clients.</li></ul><div></div><div><b><br>
REQUIRED QUALIFICATIONS:</b><br>
<br>
<ul><li>High School Diploma.</li><li>Minimum of 5 years related claims experience.</li><li>Appropriate licensing and/or certification in all states in which claims are being handled.</li><li>Knowledge of accepted industry standards and practices.</li><li>Computer experience with related claims and business software.</li></ul></div><div><b><br>
DESIRED:</b><br>
<ul><li>Bachelor's Degree.</li></ul></div><div></div><div><br>
#LI-DR1</div><div>
#LI-Remote</div><br>
<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>

Executive General Adjuster – Inland Marine

The Hartford

<div>Sr UW Program Manager - UE07DE<p>
We&rsquo;re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals &ndash; and to help others accomplish theirs, too. Join our team as we help shape the future.<br>
</p><p></p><p>The Client Service Executive (CSE) is responsible for supporting profitable growth and retention of accounts. Additionally, the CSE will understand an account's needs while developing and delivering an end-to-end service offering that differentiates The Hartford in the marketplace.</p><p>
We look to the CSE to support the end-to-end service mission while delivering engaging customer presentations that demonstrate professional diplomacy, articulated messaging and a friendly confidence that drives positive outcomes for our customers.</p><ul><li><p>
As an integral member of the service team, you support the service mission by delivering customer presentations that demonstrate professional diplomacy, clear and articulate messaging, and confident engagement to drive positive customer outcomes.</p></li><li><p>
Negotiates and coordinates end-to-end account services between the claim organization, underwriting, the account and the agent/broker while executing loss cost containment initiatives through detailed analysis of performance results.</p></li><li><p>
Resolves service issues promptly via engagement with various internal service providers.</p></li><li><p>
Provides training to local agents and business partners on new claim products and services.</p></li></ul><p><b>
Qualifications</b></p><ul><li><p>
Minimum of 10 years of Property and Casualty experience in Claims, Underwriting, Sales, or related role is preferred.</p></li><li><p>
Expertise in multiline claims with a minimum of 5 years of functional claim experience in one or more of these product lines: Workers&rsquo; Compensation, Property, Auto or General Liability (or equivalent experience servicing large or VIP agencies / brokers).</p></li><li><p>
Excellent ability to present virtually and in person to senior leaders and internal and external audiences.</p></li><li><p>
Advanced knowledge of analytical claim data review with demonstrated ability to consult and influence.</p></li><li><p>
Solid leadership acumen with prior leadership experience preferred along with the ability to influence those in which there is no direct authority.</p></li><li><p>
Strong conflict management skills and ability to navigate ambiguous situations.</p></li><li><p>
Superior customer service skills (patience, empathy, active listening, service recovery, high degree of attentiveness and follow through.</p></li><li><p>
A valid driver&rsquo;s license is required as a company car may be assigned</p></li><li><p>
Ability to travel up to 25%</p></li></ul><p><b>
This candidate will service the Northeast Region.</b></p><p>
This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office locations <i>(NY City, One Penn Plaza</i><b>) </b>will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work schedule, with the expectation of coming into an office as business needs arise.</p><p><b>
Compensation</b></p><p>
The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford&rsquo;s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:</p>
$108,000 - $162,000<p>
Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age</p></div>

Claims Client Service Executive

EmblemHealth

<div></div><div><div>Summary of Job</div><div>
Support eligibility and benefits configuration and deployment, including collaboration with pharmacy benefits manager (PBM) and Cognizant, formulary teams, for configuration. Responsible for Quality Assurance and Testing for operations and implementations. Coordinate and manage the pharmacy plan/ benefit design implementation process in partnership with PBM to ensure the accuracy and timeliness of members&rsquo; pharmacy benefit administration for superior member experience.</div><div>
Responsibilities</div><ul><li>
Maintain in-depth understanding of and ability to create and maintain plan/benefit design rules and limitations to include: Adjudication rules, Clinical rules, Payment rules, and Plan/group management.<br>
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Partner with Sales and Product teams, assist in developing pharmacy benefit plan designs, meeting client requests, Health Plan strategic/ business parameters and all regulatory and other oversight agencies&rsquo; requirements.<br>
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Responsible for creating and maintaining plan/benefit design documentation to support internal and external requirements<br>
</li><li>
Lead communication and coordination between Health Plan and PBM for receipt of required information for claims adjudication system set up, reporting and claim adjudication process.<br>
</li><li>
Assess all requests for new/ changes to plan benefit information to ensure compatibility with PBM claim adjudication logic.<br>
</li><li>
Submit accurate and complete requests to the PBM for new and changing benefit plan designs.<br>
</li><li>
Test pharmacy benefit plan designs for accuracy and alignment with business requirements.<br>
</li><li>
Serve as liaison to PBM to troubleshoot and resolve benefit-related questions/ issues, researching plan/benefit design options and requirements.<br>
</li><li>
Participate in PBM implementation meetings as required.<br>
</li><li>
Review and approve PBM benefit set up requirements.<br>
</li><li>
Perform claim testing to ensure accurate claim adjudication.<br>
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Work with the pharmacy clinical team to implement formulary updates in the claim adjudication system.<br>
</li><li>
Participate in the research and resolution of claims adjudication-related discrepancies, errors, and problems.<br>
</li><li>
Acts as a resource to operational areas in support of the pharmacy claims adjudication process and responding to issues related to plan/ benefit design.<br>
</li><li>
Conduct quarterly audits of pharmacy benefit configurations to ensure alignment with plan design, regulatory requirements, and accurate claim adjudication across all lines of business.<br>
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Recommend streamlined work processes and systems that impact plan/ benefit design to create efficiency and quality outcomes.<br>
</li><li>
Maintain acceptable and appropriate quality levels and production SLA response time.<br>
</li><li>
Perform other projects and duties as assigned</li></ul>
<div><div>Qualifications</div><ul><li>
Bachelor&rsquo;s degree.<br>
</li><li>
Pharmacy Technician Certification (Required)<br>
</li><li>
Additional years of related experience may be considered in lieu of degree (Required)<br>
</li><li>
Ability to perform in office environment with extended periods of sitting, using telephone, and viewing computer screens (Required)<br>
</li><li>
Ability to prioritize tasks daily and trouble shoot urgent customer issues to successful completion (Required)<br>
</li><li>
Advanced knowledge of MS Office - Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc. (Required)<br>
</li><li>
Exceptional problem solving, analytical, interpersonal and communication skills to resolve issues within Operations (Required)<br>
</li><li>
Professionally skilled in verbal and written communication (Required)<br>
</li><li>
Meticulous organization skills, with the ability to multi-task, and ability to make sound decisions in a timely and independent manner (Required)</li></ul>
</div><div><p>Additional Information
</p><ul><li>Requisition ID: 1000003022</li>
<li>Hiring Range: $56,160-$99,360</li></ul></div></div>

Pharmacy Benefits Operations Specialist - Remote

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