claims supervisor

Amrize

<div></div><div><div><div><div><div><div><div><h1 class="jobSectionHeader"><b>Warranty Claims Supervisor
</b></h1></div></div></div></div><div><div><div><div>Requisition ID: 16736
</div></div></div></div><div><div><div><div>Location:
Nashville, TN, US, 37214
</div></div></div></div><div><div><div><div>Pay Type: Salary
</div></div></div></div><div><div><div><div>Position type: Full-time / Salary
</div></div></div></div><div></div><div><div><p><b>COMPANY OVERVIEW</b>
<br>
Amrize is building North America. From bridges and railways to data centers, schools, offices and homes, our solutions are inside the buildings and infrastructure that connect people and advance how we live. And we invite you to come and build with us.</p>
<p>As the partner of choice for professional builders, we offer advanced branded solutions from foundation to rooftop. Wherever our customers are, whatever their job, we&rsquo;re ready to deliver. Our 19,000 colleagues work across 1,000 sites supported by an unparalleled distribution network. Infrastructure, commercial and residential, new build, repair and refurbishment: We&rsquo;re in every construction market.</p>
<p>Amrize listed on the New York Stock Exchange and the SIX Swiss Exchange on June 23, 2025, following our spinoff as an independent company. Join us and build <i>your</i> ambition.</p>
<p>Learn more at<b> </b>www.amrize.com/careers</p>
</div></div><div><div><div><div>Description:<br>
<p></p><p>Elevate is committed to providing the highest quality commercial roofing, wall and lining systems to solve our customers&rsquo; challenges, grounded by a 45-year legacy of proven experience. Our mission is to deliver solutions that save time, perform reliably and protect our communities. We are devoted to building partnerships rooted in trust in reflection of our Elevate promise that Nobody Covers You Better&trade;.</p><br>
<p></p><p>Elevate is part of the Amrize family of brands. Visit ElevateCommercialBP.com to learn more.</p><br>
<p></p><p>We&rsquo;re seeking a Warranty Claims Supervisor who&rsquo;s ready to be part of a people-first company offering best-in-class products, exceptional training, and deep industry pride&mdash;all built to help our partners and team succeed.</p><br>
<p></p><p><b>ABOUT THE ROLE</b></p><br>
<p></p><p>The Warranty Claims Supervisor is responsible for direct supervision of the team of Warranty Claims Investigators. The Supervisor oversees the dispatching of incoming Warranty Claims to the appropriate Investigator designated by assigned regions. The Warranty Claims Supervisor reports to the Warranty Claims Manager.</p><br>
<p></p><p><b>WHAT YOU&rsquo;LL ACCOMPLISH</b></p>
<ul><li>Directs and implements onboarding and training of Warranty Claims Investigators.</li>
<li>Manages moderate to high exposure claims directly throughout multiple regions as a floating Investigator as needed.</li>
<li>Oversees and maintain the active projects list of the department ensuring that Claims are updated regularly.</li>
<li>Acts as in house technical services resource for phone in questions by ﬁeld personnel as they arise.</li>
<li>Reviews monthly reports of overall activity and claims expenses to Warranty Claims Manager and Director of Warranty Services based on the project claim data, including pending and active claim expense reporting.</li>
<li>Review of work output of Claims Investigators including communications for grammar, clarity, tone, and company position regarding liability.</li>
<li>Manages a highly varied and busy work docket and balancing requirements and associated timing.</li>
<li>Work closely with the Warranty Services Leak response coordinators (WSC) in developing regional relationships with their adjacent Investigator to facilitate smooth communication and clarity of Holcim&rsquo;s position - Including training in knowledgeable review of contractor submitted repairs and photographs to determine proper liability.</li>
<li>Provides input for Performance Management of Investigators in gauging performance level for Review.</li>
<li>Develops reporting practices to track individual and team performance.</li>
<li>Interface with the law department in resolving escalated claims.</li>
<li>Interfacing with other departments including Technical Services, R&amp;D and Sales to streamline processes and ensure that the claims group is taking actions in the best interest of the company.</li>
<li>Manages moderate to highly escalated claims to mitigate expenses and meet budget goals.</li>
<li>Demonstrate a commitment to communicating, improving and adhering to health, safety and environmental policies in all work environments and areas.</li>
<li>Promote a culture of safety and exhibit these behaviors.</li><br>
</ul><p><br>
<b>WHAT WE'RE LOOKING FOR</b>
</p><ul><li>4 Year degree or 8+ years of experience in Roofing/Construction including claims resolutions and negotiations</li><br>
</ul><p></p><p><b>Additional Requirements:</b></p>
<ul><li>Successful candidates must adhere to all safety protocols and proper use of Amrize approved Personal Protection Equipment (&quot;PPE&quot;), including but not limited to respirators.</li>
<li>Employees that are required to wear respirators must be clean shaven where the respirator seal meets the face in order to pass the qualitative and quantitative fit test.</li><br>
</ul><p></p><p><b>WHAT WE OFFER</b></p>
<ul><li>Competitive salary</li>
<li>Retirement Savings: Choose from 401(k) pre-tax and/or Roth after-tax savings</li>
<li>Medical, Dental, Disability and Life Insurance</li>
<li>Holistic Health &amp; Well-being programs</li>
<li>Health Savings Accounts (HSAs) &amp; Flexible Spending Accounts (FSAs) for health and dependent care</li>
<li>Vision and other Voluntary benefits and discounts</li>
<li>Paid time off &amp; paid holidays</li>
<li>Paid Parental Leave (maternity &amp; paternity)</li>
<li>Educational Assistance Program</li>
</ul><p>#BuildingEnvelope</p>
<p>#LI-Hybrid</p>
<p>#LI-TV1</p><br>
<p></p><p><b>Amrize is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.</b></p>
<p><i>We thank all applicants for their interest; however, only those selected for an interview will be contacted.</i></p><br>
</div></div></div></div><p></p><div><div><p><b>BUILDING INCLUSIVE WORKSPACES</b>
<br>
At Amrize, there is endless opportunity for you to play your part. Whether you&rsquo;re in a technical, managerial, or frontline role, you can shape a career that works for you. We're seeking builders, creative thinkers and innovators. Come put your expertise to work while developing the knowledge and skills to drive your career forward. With us you&rsquo;ll have the chance to build your ambition!
</p><p>Amrize North America Inc. takes pride in our hiring processes and our commitment that all qualified applicants will receive consideration for employment without regard to age, race, color, ethnicity, religion, creed, national origin, ancestry, gender, gender identity, gender expression, sex, sexual orientation, marital status, pregnancy, parental status, genetic information, citizenship, physical or mental disability, past, current, or prospective service in the uniformed services, or any other characteristic protected by applicable federal, state or local law. Amrize North America Inc, and its respective subsidiaries are Equal Opportunity Employers, deciding all employment on the basis of qualification, merit and business need. Amrize Canada Inc. is committed to the principles of employment equity and encourages the applications from women, visible minorities, and persons with disabilities. Amrize North America Inc. participates in E-Verify and will provide the federal government with your I-9 information to confirm that you are authorized to work in the United States.</p>
<p>In compliance with the ADA Amendments Act (ADAAA), if you have a disability and would like to request accommodation in order to apply for a position with us, please email recruiting-accommodations@amrize.com. This email address should only be used for accommodations and not general inquiries or resume submittals. In Ontario, our organization/business is committed to fulfilling our requirements under the Accessibility for Ontarians with Disabilities Act. Under the Act, accommodations are available on request for candidates taking part in all aspects of the selection process.</p>
<p>While we sincerely appreciate all applications, only candidates selected for an interview will be contacted.</p>
</div></div><div><div><p><b>PROTECT YOURSELF FROM RECRUITMENT FRAUD</b>
<br>
The only way to apply for a position at Amrize is through our official Careers website. Be cautious of unsolicited offers or requests for information from other sources. Learn how to protect yourself from recruitment fraud here: Fraudulent Job Offers Policy</p><br>
</div></div><p><br>
<b>Nearest Major Market: </b>Nashville</p></div></div></div><div></div>

Warranty Claims Supervisor

Pierce County Washington

<div><div><div><h2 class="jobSectionHeader"><b>Description</b></h2></div><br>
<p></p><br>
<br>
<br>
<div><h2 class="jobSectionHeader"><b>Summary</b></h2></div>
<p></p><div><p><b>Why it's a great opportunity: </b>In this crucial role for Pierce County you will oversee and manage the small team that handles first and third-party liability claims and lawsuits both against and in support of Pierce County. These claims and lawsuits include property, right of way, personal injury, and other complicated claims. You will work with your team, various Departments, Pierce County lawyers, claimants, outside insurance companies, and Plaintiff attorneys representing their clients. The work your team does will be performed through Origami (the County&rsquo;s RMIS), Workday, Pierce County LYNX, and other programs, while providing data to Departments on liability knowledge, statistics, and outcomes.</p><p><b>
Why it's a great department: </b>The Finance &amp; Enterprise Services Department delivers enterprise-wide services that support every County department and many external partners, ensuring Pierce County operates effectively, efficiently, and with strong public stewardship. Finance &amp; Enterprise Services staff provide a broad portfolio of high-impact, countywide services, including budgeting and performance management, fiscal services, procurement and contracting, information technology, general services, fleet services, and risk management.</p><p>
Employees have the opportunity to work on strategic, enterprise-level initiatives, collaborate across departments, provide the operational and technical backbone which ensures the smooth delivery of services across the organization, and deliver critical analysis and decision support that informs leadership and shapes County priorities. The Finance &amp; Enterprise Services Department is focused on creating a culture where employees can help improve service delivery to make a meaningful impact on County operations and the community. The Department leads with safety, empowerment, and collaboration to create an environment where every person can contribute, challenge ideas, and continuously improve.</p><p>
Learn more about the Finance &amp; Enterprise Services Department here.</p><p><b>
How to be successful in the role: </b>Your success will depend on strong communication and interpersonal skills, a high level of attention to detail, adherence to rules and processes, direct and effective negotiation, and the ability to maintain strict confidentiality and discretion. You will also need to recognize the importance of customer service, showing compassion and understanding when working through stressful situations and challenging circumstances.</p><p><b>
Your future in this role: </b>You will have access to professional development through robust online learning and other training opportunities throughout your career to ensure your success. This position has multiple career growth and promotional opportunities in Pierce County to build on a great career while directly impacting the communities in Pierce County.</p><p><b>
Core daily responsibilities:</b></p><ul><li>
Supervise and coordinate the work of Risk Investigators, including establishing claims management procedures and workflow priorities; assigning, reviewing, and approving work; setting performance goals and expectations; conducting annual and midyear performance evaluations; and identifying and coordinating staff training and development needs.</li><li>
Act as Risk Investigator on complex claims and lawsuits filed against Pierce County, as directed by the Risk Manager. Provide input to the Risk Manager and Prosecuting Attorney&rsquo;s Office Civil Division in the negotiation and settlement of litigated cases.</li><li>
Utilize the County&rsquo;s Risk Management Information System (RMIS) to manage caseloads, monitor performance measures, and review claims and investigative activities of Risk Investigators.</li><li>
Prepare and analyze loss data and reports through the RMIS for audits, quarterly and financial reporting, actuarial studies, insurance renewals, and other operational and regulatory purposes.</li><li>
Provide claims trend analysis and reporting to support effective fiscal management of the County&rsquo;s Self Insurance Fund.</li><li>
Assist the Risk Manager with annual property and casualty insurance renewal submissions.</li><li>
Ensure consistent interpretation of laws, rules, policies, and procedures.</li><li>
Maintain effective communication and working relationships with internal departments, legal counsel, law enforcement agencies, insurance brokers and carriers, and claimants.</li><li>
Ensure timely and effective communication and information sharing among excess carriers, the Risk Management Division, and the Prosecuting Attorney&rsquo;s Civil Division.</li></ul><p>
A classification description with a more detailed list of essential functions can be found here.</p></div><p></p>
<div><h2 class="jobSectionHeader"><b>Minimum Qualifications</b></h2></div>
<p></p><div><ul><li>Postsecondary education in public safety, human resource management, public or business administration, or a closely related field may substitute for up to two (2) years of the required experience on a year-for-year basis.</li><li>
Four (4) years of progressively responsible professional experience in property and liability claims adjudication, accident investigations, settlement negotiations, report writing, safety or risk management audits, and insurance policy review and interpretation.</li><li>
A resume and cover letter are required for this position.</li></ul><p>
As a condition of employment, the applicant will need to authorize and complete a background check. Information received from the background check is reviewed case-by-case and will not necessarily remove an applicant from consideration.</p></div><p></p>
<div><h2 class="jobSectionHeader"><b>Supplemental Information</b></h2></div>
<p></p><div><p><b>To be considered for this opportunity please:</b></p><ul><li>
Complete and submit a detailed online Pierce County Employment Application by selecting &quot;APPLY&quot; above or go to: www.piercecountywa.org/jobs.</li><li>
If you have a question about this opportunity, please email the Recruitment Team at PCHRRecruit@piercecountywa.gov and specify the Job Number and Title.</li><li>
If you do not have internet access, you may visit your local public library or any WorkSource location and use their computers.</li><li>
Individuals needing accommodation in the application, testing process or need this job announcement in an alternative format may call Human Resources at (253) 798-7480, at least two days prior to the need.</li></ul><p>
This is a competitive selection process. Your application will be reviewed and evaluated for the quality and quantity of education/experience in the areas listed. Applicants whose qualifications most closely correspond to the County's needs will be eligible for further consideration. Notification of application status normally occurs 2 to 3 weeks after the closing date. Short notice may be given to applicants to participate in further selection processes which may include assessments, phone screen, and interviews.</p><p>
Pierce County is committed to fostering a Welcoming Workplace where employees are supported, respected, and able to thrive. We believe a strong public workforce is representative of the community it serves and that fair and just access to opportunity strengthens public service.</p><p>
Guided by the County Executive&rsquo;s Forward Together mission, Pierce County works to build communities that are safe, welcoming, and connected. This same commitment shapes how we recruit, develop, and retain our employees. County employees make a direct and visible impact in the lives of residents every day, and we invite you to join us in helping keep Pierce County a place people are proud to call home.</p></div><p></p>
</div><div></div><div><div><p>We are unable to sponsor or take over sponsorship of an employment visa at this time.</p></div></div></div>

Liability Claims Supervisor

TEEMA

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

Workers Compensation Claims Examiner II/III - Hybrid

King County, WA

<div>JOB
<p><b>
King County's </b>Office of Risk Management Services is seeking an exceptional people leader to become our new <b>Claims Manager. This person </b>will manage a team of Claims Investigators who are responsible for providing coordination of all tort claims made against King County and its officials, officers and employees.</p><p>
This position functions with a considerable degree of independence and judgment, and interfaces with the County&rsquo;s attorneys, and departmental management and staff. The position requires a working knowledge of the principles of risk management as they relate to public entity exposures, commercial insurance, and loss control.</p><p><b>
ABOUT THE OFFICE OF RISK MANAGEMENT SERVICES</b><br>
The Office of Risk Management Services provides external services to the community as well as internal services to King County agencies, including:</p><ul><li><b>
Claims: </b>King County investigates, evaluates, and resolves claims made against the county in a fair and expeditious manner.</li><li><b>
Insurance</b>: King County administers a self-insurance program and purchases a variety of other insurance policies and related services consistent with sound risk management practices and the needs of the County.</li><li><b>
Contracts</b>: Risk Management advises King County agencies on insurance requirements in all types of contracts. Risk Management actively negotiates and, together with the Prosecuting Attorney's Office, assists agencies in pursuing and tendering claims arising out of contractual relations.</li><li><b>
Recovery Services</b>: Risk Management is charged with seeking compensation for damages caused to King County property or injury to King County employees by negligent third parties.</li><li><b>
Enterprise Risk Management Program (ERM)</b>: ERM works to proactively identify and assess high priority risks King County owns and improve controls for those risks. The program provides King County departments with consultation, data, and direct support to improve decision making and action planning.</li><li><b>
Finance &amp; Administration</b>: provides a wide range of financial and administrative support services to the division including budget, accounting, and general office support.</li><li><b>
Open Government</b>: Seeks to deliver government transparency, accountability, and accessibility through administration of the Public Records (Disclosure) Program, Ethics Program, Financial Disclosure Program, and Lobbyist Disclosure Program.</li></ul><br>
EXAMPLE OF DUTIES
<p><b>
SCOPE OF JOB DUTIES: </b>In order to be considered for this opportunity, you must at a minimum, demonstrate skill and ability to:</p><ul><li>
Review, evaluate and monitor claims made against the County.</li><li>
Plan and coordinate investigative activities on claims with claims officers and King County Prosecuting Attorney&rsquo;s Office.</li><li>
Advise County officials, officers, employees, agents and managers on financially serious or sensitive matters.</li><li>
Review and evaluate all file materials and recommendations prepared by Claims Officers for accuracy and thoroughness in making final disposition on claim.</li><li>
Represent the County at mediations, settlement conferences, arbitrations and briefings to King County Executive on claims settlements.</li><li>
Make policy decisions and recommendations on office operations and procedures.</li><li>
Identify and coordinate loss control projects with the Enterprise Risk Manager and claims officers.</li><li>
Look for efficiencies and identify areas for improvement of service.</li><li>
Serves as a member of the ORMS Management Team.</li><li>
Supervise the work of team members. Hire, assign and schedule work, evaluate performance, train, coach and initiate disciplinary action when appropriate.</li></ul>
SUPPLEMENTAL INFORMATION
<br>
<ul><li>This position is <b>exempt </b>from the Fair Labor Standards Act.</li><li>
This position is not represented by a union.</li></ul><p><b>
Why King County?</b></p><ul><li><b><i>
Competitive </i></b>&ndash; healthcare plans</li><li><b><i>
Free </i></b>&ndash; transportation options</li><li><b><i>
Manager Support &ndash; </i></b>structured employee assistance program</li><li><b><i>
Paid &ndash; </i></b>vacation time (in addition to paid holidays)</li><li><b><i>
Paid &ndash; </i></b>sick leave</li><li><b><i>
Deferred </i></b><b>&ndash; </b>compensation plan</li><li><b><i>
Twelve </i></b>&ndash; paid holidays</li><li><b><i>
Awesome - </i></b>Employee Giving Program</li></ul><p><b>
Forbes named King County as one of Washington State's best employers.</b></p><b>
Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference? </b><b>Come join the team</b><b> dedicated to serving one of the nation's best places to live, work and play. </b>Guided by our &quot;True North&quot;, we are making King County a welcoming community where every person can thrive. We value diversity, inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles - we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply, including Native American and people of color, immigrants, refugees, women, LGBTQ+, people living with disabilities, and veterans.<p><b>
King County is an Equal Employment Opportunity (EEO) Employer</b></p><p>
No person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.</p><p><b>
Are you ready to APPLY?</b></p><p>
The recruitment for this position is open to <b>all qualified applicants</b>. A completed King County Application is required. We highly recommend that you also provide a cover letter and resume. If you have any questions, please contact <b>Jen Irwin</b>, Talent Management Supervisor, by e-mail at jirwin@kingcounty.gov, or by phone at 206-263-0601. Connect with Jen on LinkedIn.</p></div>

Claims Manager

Fortegra

<div><p>The Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane &amp; Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.</p>
<p><b>
Minimum Qualifications:</b></p>
<ul>
<li>A Bachelor&rsquo;s degree or the equivalent education and/or experience.</li>
<li>5-10 years of relevant and progressive experience handling Commercial Auto and General Liability claims.</li>
<li>Adjuster licenses, as mandated by specific states, are required.</li>
</ul>
<p><b>Primary Job Functions:</b></p>
<ul>
<li>Handle claims originating out of the Specialty Claims unit and provide technical oversight of Third Party Administrators (TPAs).</li>
<li>Direct oversight of commercial auto and specialty transport claims and coverage disputes.</li>
<li>Provide coverage, liability, and damages analysis with prompt identification of potential large loss claims.</li>
<li>Responsible for ensuring adequate reserving and accuracy of claims payments through appropriate supervision and authority levels.</li>
<li>Work in partnership with the TPA Claims Manager to ensure that claims are proactively managed and that all claim workflows and SLAs are adhered to.</li>
<li>Ensure timely disposition of all claims in accordance with regulatory and statutory requirements.</li>
<li>Ability to proactively identify exposures and claim trends which may affect the portfolio and provide written assessments to the Specialty business unit.</li>
<li>Resolve problems and respond to coverage questions from underwriting team and senior management.</li>
<li>Build and maintain key relationships with internal and external stakeholders (e.g. Reinsurers, Underwriters, Actuarial, Brokers, Attorneys, Vendors, etc.).</li>
<li>Effectively represent the Company&rsquo;s interests at mediations and settlement conferences.</li>
<li>Other duties as required by management.</li>
<li>Participate in Claim Reviews and claim audits periodically.</li>
<li>Attend depositions, settlement conferences and trials when necessary periodically.</li>
<li>Performs other duties or special projects as required or as assigned by a supervisor periodically.</li>
</ul>
<p><i>The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform.</i></p>
<p><b>
Skills &amp; Competencies Required:</b></p>
<ul>
<li>Excellent written and verbal communication skills.</li>
<li>Strong analytical skills.</li>
<li>Strong negotiation skills.</li>
<li>In-depth knowledge of claims, litigation, and trial process.</li>
<li>Strong commitment to providing superior client service.</li>
<li>Excellent organizational and time management skills.</li>
<li>Proficiency in MS Office (Word, Excel, Outlook).</li>
<li>Ability to work independently with limited supervision.</li>
<li>Ability to successfully obtain the required state adjusters&rsquo; licenses.</li>
</ul>
<p><b>Additional Information:</b></p>
<ul>
<li>Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more.</li>
<li>The anticipated salary for this position is $100,000 - $130,000 per year, based on qualifications and experience.</li>
<li>Internal Notice: As part of our commitment to talent development, this position is open for internal promotion applications at the time of public posting.</li>
<li>Fortegra is not accepting unsolicited resumes from search firms for this position.</li>
<li>Please be aware of job fraud(s) &ndash; all correspondence emails regarding your candidacy will come from our Fortegra.com email address. Thank you.</li>
</ul>
<p>Equal Opportunity Employer<br>
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</p></div>

Senior Claims Adjuster, TPA Oversight

ACCREDITED INSURANCE

<div><h3 class="jobSectionHeader"><b>Description</b></h3><div><br>
The Claims Manager provides strategic oversight and direction for a portfolio of claims managed by program administrators and/or TPAs across multiple lines of business. This role ensures claim adjudication is consistent with policy and contract language, regulatory requirements, and company standards while driving continuous improvement in vendor performance, claims outcomes, and operational efficiency. The Claims Manager is accountable for oversight of claim portfolios handled by program administrators/TPAs and ensuring compliance with governance standards, reporting requirements and audit protocols. Additionally, the Claims Manager will drive continuous improvement in claims handling quality, referral efficiency, and oversight workflows.</div><br>
<h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><br>
<ul>
<li>
 Provide strategic oversight of claim handling within assigned programs, ensuring accurate coverage determinations, liability assessments, reserving, and damages evaluations.</li>
<li>Oversee program administrator/TPA claim investigations, performance, and reporting to ensure alignment with Accredited&rsquo; s standards and obligations.</li>
<li>Review claim notices and reports for accuracy and completeness; confirm timely escalation of high exposure, litigated, or disputed matters.</li>
<li>Ensure appropriate interpretation and application of contract language, with decisions grounded in governing agreements and applicable law; evaluate reinsurance contract response and loss allocation, as applicable.</li>
<li>Monitor claim activity and develop reporting for leadership on emerging risks, portfolio trends, and potential disputes.</li>
<li>Support counsel in arbitration, litigation, and dispute resolution, contributing to strategic positioning.</li>
<li>Maintain diary control and verify reserves and file updates accurately reflect company exposure.</li>
<li>Lead or contribute to special projects, policy development, and process improvements across the claims function.</li>
<li>Collaborate with leadership across Underwriting, Legal, Reinsurance, and Operations to strengthen claims governance and outcomes.</li>
<li>Provide oversight of casualty and specialty claims, including general liability, products</li>
<li> liability, commercial auto, and professional lines.</li>
<li>Ensure appropriate evaluation of liability, damages, and reserving in complex bodily injury and litigated matters.</li>
<li>Lead oversight of litigation management, aligning defense strategy with business objectives.</li>
<li>Monitor emerging casualty risks (e.g., nuclear verdicts, social inflation) and escalate portfolio concerns to leadership.</li></ul><div></div><h3 class="jobSectionHeader"><b><br>
Skills &amp; Experience</b></h3><br>
<ul>
<li>
Must possess casualty claims expertise, including complex liability and litigated claims.</li>
<li>Experience leading and managing external partners, including TPAs and MGAs, with a focus on vendor performance and quality outcomes.</li>
<li>Experience working in vendor-heavy adjusting environments; prior TPA and/or client service experience is preferred.</li>
<li>Strong analytical, organizational, interpersonal, and communication skills, with the ability to influence external partners and internal stakeholders, manage multiple priorities, and adapt in fast-paced, deadline-driven environments.</li>
<li>Ability to balance strategic oversight with operational execution while working independently and exercising sound judgment.</li>
<li>Familiarity with reinsurance structures, delegated authority models, and contract interpretation.</li>
<li>5&ndash;10 years of experience handling multiline commercial claims, including admitted, non-admitted, and program business.</li>
<li>Ability to work in the office (New York or Orlando highly preferred) up to three days per week.</li>
<li>Willingness to travel occasionally (approximately 2&ndash;4 trips annually).</li>
</ul><div>Education:</div><ul>
<li>Bachelor&rsquo;s degree in business, finance, or related field.</li>
<li>Professional designations (CPCU, AIC, etc.) are a plus.</li>
<li>Insurance adjuster license (or ability/willingness to obtain) required in applicable jurisdictions.</li></ul><div><br>
</div><div>
The applicable base salary range for this role is $120,000 to $130,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.<br>
<br>
We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings, as well as employee assistance programs.<br>
<br>
Accredited is an Equal Opportunity Employer committed to fostering an inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic.</div><div></div><h3 class="jobSectionHeader"><b><br>
About Accredited Insurance</b></h3><div>
A leading program manager operating across the US, UK and Europe, Accredited is the only dedicated program partner to provide A- rated insurance capacity in each of the US, UK and Europe, writing admitted and non-admitted business in all 50 US states.<br>
</div><div>A.M. Best, a global credit rating agency specializing in the insurance industry affirms the Financial Strength Rating of A- (Excellent), with a Financial Size Rating of IX for Accredited Specialty Insurance Company, Accredited Surety and Casualty Company Inc. (also referred to as Accredited America) and Accredited Insurance (Europe) Limited (Malta), collectively known as Accredited.<br>
</div><div>Accredited America offers a broad range of insurance solutions in 50 states and the District of Columbia. The strength behind Accredited America is Accredited Surety and Casualty Company, Inc. and Accredited Specialty Insurance Company, both of which are rated A- by AM Best.<br>
</div><div>Accredited Insurance (Europe) Limited is a Maltese based insurer providing capacity solutions in the UK and across Europe, across a number of different product lines. Accredited Europe is A- rated by A.M. Best.</div></div>

Claims Manager, Casualty and Specialty

Sedgwick

<div><p>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there&rsquo;s no limit to what you can achieve.
</p><p></p><p>Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
</p><p>Certified as a Great Place to Work&reg;
</p><p>Fortune Best Workplaces in Financial Services &amp; Insurance
</p><p></p>Workers Compensation Claims Representative | Entry Level | Remote
<p></p><p><b>Claims experience preferred but not required
</b></p><p><b>office experience and/or project management experience
</b></p><p></p><p>Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world&rsquo;s best brands?
</p><ul><li>Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
</li><li>Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world&rsquo;s most respected organizations.
</li><li>Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
</li><li>Leverage Sedgwick&rsquo;s broad, global network of experts to both learn from and to share your insights.
</li><li>Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
</li><li>Enjoy flexibility and autonomy in your daily work, your location, and your career path.
</li><li>Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.
</li></ul><p></p><p><b>ARE YOU AN IDEAL CANDIDATE? </b>To analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
</p><p></p><p><b>PRIMARY PURPOSE OF THE ROLE: </b>We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
</p><p></p><p><b>ESSENTIAL RESPONSIBILITIES MAY INCLUDE
</b></p><ul><li>Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
</li><li>Negotiating settlement of claims within designated authority.
</li><li>Communicating claim activity and processing with the claimant and the client.
</li><li>Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
</li></ul><p></p><p><b>QUALIFICATIONS
</b></p><p>Education &amp; Licensing: less than 1 year of claims management experience or equivalent combination of education and experience required.
<br>
High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
<br>
Professional certification as applicable to line of business preferred.
</p><p></p><p>Jurisdictions: Nationwide
</p><p>Licensing: not required
</p><p></p><p><b>TAKING CARE OF YOU
</b></p><ul><li>Flexible work schedule.
</li></ul><ul><li>Referral incentive program.
</li></ul><ul><li>Career development and promotional growth opportunities.
</li><li>A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
</li></ul><p><b>WORK ENVIRONMENT REQUIREMENTS </b><b>INCLUDE
</b><br>
When applicable and appropriate, consideration will be given to reasonable accommodations.
</p><p>Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
</p><p>Physical: Computer keyboarding
</p><p>Auditory/Visual: Hearing, vision and talking
</p><p></p><p>As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (45,000 - 55,000). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
</p><p></p><p>Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
</p><p></p><h2 class="jobSectionHeader"><b>If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.</b></h2></div>

Workers Compensation Claims Representative | Entry Level | Remote

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