claims support specialist

Progressive

<div>Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. 
 
As a claims administrative support specialist, you'll play a vital role supporting our claims branch offices. In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable. 
 
Must-have qualifications<ul><li>
High School diploma/GED equivalent or higher and a minimum of one year of administrative or clerical support experience</li><li>
{OR} one year post-secondary education</li></ul> 

Preferred skills<ul><li>
Proficiency using office equipment</li><li>
Proven organizational skills</li><li>
Ability to multi-task and quickly switch duties</li><li>
Communication skills with the ability to work in a team-environment</li><li>
Customer service and follow-up skills</li></ul> 

Schedule: This is a full-time, in-office position with hours from 8am-5pm, Monday through Friday. 
 
Work Location: 9050 Centre Pointe Dr, Suite 200, West Chester Township, OH 45069 
 
Compensation
<ul><li>$19.00-$21.00/hour</li><li>
Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance</li></ul> 

Benefits<ul><li>
401(k) with dollar-for-dollar company match up to 6%</li><li>
Medical, dental &amp; vision, including free preventative care</li><li>
Wellness &amp; mental health programs</li><li>
Health care flexible spending accounts, health savings accounts, &amp; life insurance</li><li>
Paid time off, including volunteer time off</li><li>
Paid &amp; unpaid sick leave where applicable, as well as short &amp; long-term disability</li><li>
Parental &amp; family leave; military leave &amp; pay</li><li>
Diverse, inclusive &amp; welcoming culture with Employee Resource Groups</li><li>
Career development &amp; tuition assistance</li></ul> 
Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes &amp; Values, Work-Life Flexibility, Compensation &amp; Benefits, and Leadership. 
 
Equal Opportunity Employer 
 
For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/</div>

Claims Administrative Support Specialist

Artcreativity

What You&rsquo;ll DoThis is a hybrid support role combining Amazon claims, project coordination, and operations support for our Ordering, Shipping &amp; Compliance Team. You&rsquo;ll work closely with the department Head to keep projects moving and ensure issues are resolved quickly.Key responsibilities include:<ul><li>Proactively pursue and assist with Amazon cases and claims (lost, damaged, or missing inventory, shipments, listings, etc.) and track case progress</li><li>Follow up on open cases in Amazon Seller Central</li><li>Assist Project Coordinator with overseas suppliers to support ongoing projects when needed</li><li>Track timelines and ensure deadlines are met</li><li>Upload and manage product documentation, testing reports, and certifications</li><li>Support shipping and logistics coordination</li><li>Maintain organized spreadsheets and internal records</li><li>Handle day-to-day follow-ups and administrative tasks for the team, especially in regard to Amazon cases, Amazon SAS cases, and phone calls to Amazon.</li></ul>What We&rsquo;re Looking For<ul><li>Highly organized with strong attention to detail</li><li>Comfortable managing multiple tasks and priorities</li><li>Strong written and verbal communication skills</li><li>Proficient in Excel or Google Sheets</li><li>Self-motivated and reliable</li></ul>Nice to have (not required):<ul><li>Exposure to Amazon Seller Central or e-commerce</li><li>Experience in admin, logistics, or coordination roles</li></ul>Pay: From $20.00 per hourBenefits:<ul><li>Paid time off</li></ul>Work Location: In person

Claims & Project Support Specialist

Crawford & Company

<div><div>Your Next Career Move Starts Here &ndash; Join Us in California!
Position: Content Claims Specialist &ndash; Field (Level I) ️ 
Work Setup: Hybrid &ndash; Work From Home + Driving Role 
Location: San Diego or Los Angeles, CA 
Salary Range: $21 &ndash; $25/hour
What We&rsquo;re Looking For 
✅ Adjuster experience preferred, not required 
️ Open to candidates with restoration, roofing, customer service, or retail experience 
️ Strong communication and problem‑solving skills 
 Ability to work independently and travel for inspections
</div><ul>
<li>Communicate with adjusters/policyholders and industry vendors to explain their roles as Content Claims Specialists and their respective roles/contributions in the claims handling process.</li>
<li>Complete physical inventory of the contents impacted by the covered loss. Identify claim type and apply appropriate methodology based on the circumstances of the contents loss. May be exposed to diverse conditions (cold, heat, rain, debris, etc.).</li>
<li>Ensure consistent and quality/turnaround of all claims in accordance with the Company's productivity and performance standards and our client's SLA requirements.</li>
<li>Work with the Field Support Department to organize resources (claims assistants, pricing representatives) required for completing the data entry and LKQ assessment of all damaged/destroyed total loss contents in an efficient and effective manner as per productivity standards.</li>
<li>Independently manage claim load to promote/achieve the timely turnaround/closures of all claims.</li>
<li>Communicate with all parties (adjusters/policyholders) in adherence with edjuster's commitment to timely and informative updates on the content claims process.</li>
<li>Complete/submit detailed work/time logs on a daily basis, for all claims processed.</li>
<li>Maintain claim related notes in the Company's Claims System/Web-application, exclaim, relating to incurred hours over productivity standards, as well as related to specific issues and other pertinent notes.</li>
<li>Ensure timely and accurate completion/pricing of all outstanding items, which have not been priced via other channels, and following pricing Like, Kind and Quality (LKQ) standards.</li>
<li>Maintains professional and technical knowledge through continuing education.</li>
<li>Consistently promote edjuster's brand, image and reputation in a professional and positive manner.</li>
<li>Upholds the Crawford Code of Business Conduct at all times.</li>
<li>Participate in Special Projects, CAT response, or perform duties in other areas as requested.</li>
</ul><ul><li>Secondary (High School) Diploma.</li>
<li>College degree preferred.</li>
<li>Minimum 6 months relevant work experience.</li>
<li>Good verbal and written communication skills.</li>
<li>Good attention to detail.</li>
<li>Strong analytical and problem solving skills.</li>
<li>Ability to work independently</li>
<li>Strong computer skills (MS Office/Outlook/Excel, Etc)</li>
<li>Excellent interpersonal skills including the ability to handle challenging situations and people.</li>
<li>Must have a valid driver's license and pass a background check.</li>
<li>This is a remote/work from home position. Employee must be able to provide:
<ul><li>an adequate workspace, free of noise</li>
<li>high speed internet service</li>
<li>reliable personal vehicle and valid driver's license</li>
</ul></li><li>Company equipment including laptop will be provided. It is the employee's responsibility to care and maintain the equipment, as per policy</li>
<li>Overnight travel required</li>
</ul>
#LI_JC3 #Hybrid</div>

Content Claims Specialist - Field - Level I

State of Kansas

<div><div><div>Important Recruitment Information for this vacancy:<ul><li>
Job Posting closes: April 24, 2026</li></ul>
Agency Information:
Department of Administration, State Self Insurance Fund
https://ssif.healthbenefitsprogram.ks.gov/
Verification of identity and employment eligibility to work in the United States is required by federal law. For a list of acceptable documents that establish these criteria, please refer to the federal Form I-9. While the Department of Administration (D of A) welcomes all candidates legally eligible to work in the United States, D of A does not provide sponsorships for this position.
E-Verify: Kansas Department of Administration (D of A) 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 U.S. For additional information regarding E-Verify, please click here. For additional information regarding Immigrant and Employee Rights (IER) please click here.
About the Position<ul><li>
Who can apply: Anyone</li><li>
Classified/Unclassified Service: Unclassified</li><li>
Full-Time/Part-Time: Full-Time</li><li>
Regular/Temporary: Regular</li><li>
Work Schedule: 8:00am &ndash; 5:00pm, Monday - Friday</li><li>
Eligible to Receive Benefits: Yes</li><li>
Veterans' Preference Eligible: Yes</li><li>
Application Deadline: February 24, 2026</li></ul>
Compensation:<ul><li>
Hourly Salary Range: $24.00 &ndash; $25.02</li><li>Note: Salary can vary depending upon education, experience, or qualifications.</li></ul>
Employment Benefits:<ul><li>
 Comprehensive medical, mental, dental, vision, and additional coverage</li><li>
Sick &amp; Vacation leave</li><li>
Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave</li><li>
Paid State Holidays (designated by the Governor annually)</li><li>
Fitness Centers in select locations</li><li>
Employee discounts with the STAR Program</li><li>
Retirement and deferred compensation programs</li></ul>
Visit the Employee Benefits page for more information
Position Description:
The Program Specialist II position is fully in office, no remote available located in the State Self Insurance Fund (SSIF) of the State Employee Health Benefits Plan (SEHBP) and reports to the Claims Supervisor. This is a Level 2 position in SSIF. The working title is Claims Specialist
Job Responsibilities:
The primary duties and responsibilities are as follows:
Determine compensability based on facts and according to the provisions of the Workers Compensation Act, rules and regulations, office policy and prior case law. Acknowledge and respond promptly by phone and/or in writing to inquiries from injured workers, physicians, agencies, attorneys and others. Process compensation payments for injured workers. Notify injured worker and agency in writing when the claim is determined not to be compensable. Consult and educate injured workers regarding their rights and benefits, providing them with helpful information in order to access and receive benefits. Calculate and issue indemnity benefits. Compute and order separate checks for payment of child support when applicable. Research, calculate, prepare and negotiate settlements for functional disabilities within authority outlined in SSIF policy and procedures. Complete and determine whether medical bills are reasonable and necessary before approving payment. Verify claimant reimbursement for mileage, per-diem, and out of pocket medical expenses. Maintain effective working relationships with injured workers, agency officials, medical professionals, attorneys, co-workers and management.
Collaborate with injured workers, medical providers, Department of Administration, agency personnel and attorneys to maximize early Return to Work. Stimulate return to work discussions when injured workers have not been returned to duty. Coordinate job site evaluations or rehabilitation evaluations as necessary. Advise injured workers that other benefits such as vacation leave, sick leave and Family and Medical Leave Act may apply. Inform agency personnel office of injured workers status for the purpose of coordinating FMLA or other benefits for injured employees. Provide assistance to agencies and employees. Attend the annual DOL Workers Compensation Seminar and all technical training as determined by the administrator.
Mediate disputes, when possible, in order to resolve issues and avoid litigation. Provide claimant's counsel with records and information upon demand. Prepare and write a summary of legal issues and theory of defense in cases which require assignment of a defense attorney to argue compensability in preliminary, regular or review and modification settings. Retain management of all claims, including authority for defense measures, forms of settlements and other activities. Obtain settlement authorization from management on all settlements.
Receive electronic reports of accidents with a threshold up to $60,000; plan and conduct personal and telephone interviews of claimants, supervisors, witnesses and others relative to the accident (who, what, when, where, who witnessed, primary cause). Write a clear and concise summary of the investigation, findings of fact and conclusions of compensability. Collect personnel records, division records, medical records, wage statement and all other documentation as necessary to determine compensability. When necessary, report claims of fraud and/or abuse to an assistant attorney general for possible prosecution of claimants, attorneys, doctors and others. Determine if there is cause to review evidence to ensure recovery expenditures from negligent third parties, product liability and the Second Injury Fund.
Minimum Qualifications<ul><li>
High School/GED</li><li>
Two years of experience interacting with clients, customers, or the public in a social service, customer service, or problem resolution setting. Education may be substituted for experience as determined relevant by the agency.</li><li>
A valid driver&rsquo;s license is required.</li><li>
The incumbent will receive training in the provision of the HIPAA Privacy Regulations and HIPAA Security Regulations as they relate to the duties of this position and is required to sign a confidentiality agreement.</li></ul>
Post Offer Requirement:
Kansas Tax Clearance Certificate: A valid Kansas Tax Clearance Certificate is a condition of employment for all employees of the State of Kansas. Applicants (including non-residents) who receive a formal job offer for a State job, are required to obtain a valid Tax Clearance within ten (10) days of the job offer. A Tax Clearance can be obtained through the Kansas Department of Revenue who reviews individual accounts for compliance with Kansas Tax Law. Please be encouraged if you have a missing tax return(s) or you owe taxes to the State of Kansas, the Kansas Department of Revenue will work with you. The Kansas Department of Revenue can set you up on a payment plan to receive a Tax Clearance so you can get a job working for the State of Kansas. The Kansas Department of Revenue can be contacted at 785-296-3199. Kansas Department of Revenue - Tax Clearance Frequently Asked Questions
Recruiter Contact Information:
Name: Brianna Brandt
Email: brianna.brandt@ks.gov
Mailing Address: Department of Administration Office of Personnel Service 915 SW Harrison, Suite 260, Topeka, KS 66612
Job Application Process:<ul><li>
First Sign in or register as a New User.</li><li>
Complete or update your contact information on the Careers&gt; My Contact Information page. *This information is included on all your job applications.</li><li>
Upload required documents listed below for the Careers&gt; My Job Applications page.</li><li>
Start your draft job application, upload other required documents, and Submit when it is complete.<ul><li>
Manage your draft and submitted applications on the Careers&gt; My Job Applications page.</li></ul></li><li>
Check your email and My Job Notifications for written communications from the Recruiter.<ul><li>
Email &ndash; sent to the Preferred email on the My Contact Information page</li><li>
Notifications &ndash; view the Careers&gt; My Job Notifications page</li></ul></li></ul>
Helpful Resources at jobs.ks.gov: &ldquo;How to Apply for a Job &ndash; Instructions&rdquo; and &ldquo;How to Search for a Job &ndash; Instructions&quot;
Required Documents for this Application to be Complete:
Upload these on the Careers - My Job Applications page<ul><li>
DD FM 214 (if you are claiming Veteran&rsquo;s Preference)</li></ul>
Upload these on the Attachments step in your Job Application<ul><li>
Resume</li><li>
Letter of Interest / Cover Letter</li></ul>
How to Claim Veterans Preference:
Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a &quot;veteran&quot;; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determine by the hiring manager.
Learn more about claiming Veteran&rsquo;s Preference
How to Claim Disability Hiring Preference
Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without a reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager.
Learn more about claiming Disability Hiring Preference
PLEASE NOTE: The documentation verifying a person's eligibility for use of this preference should not be sent along with other application materials to the hiring agency but should be sent directly to OPS. These documents should be emailed to Gustavo.Victoriano@ks.gov, or can be mailed/delivered in person to:
ATTN: Disability Hiring Preference Coordinator 
Office of Personnel Services 
Docking State Office Building 
915 SW Harrison, Ste 260 
Topeka, KS 66612
Equal Employment Opportunity:
The State of Kansas is an Equal Opportunity Employer. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job.
If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.</div></div></div>

Claims Specialist II

Mobile Medical Response

<div>Objective: The Claims Follow-up Specialist follows-up on Medicare/Medicaid, Blue Cross Blue Shield, Patient Pay and Commercial Payers to effectively and professionally resolve customer and insurance companies&rsquo; questions and inquiries.
Essential Duties: 
 Know and support the Mission Statement, Policy/Procedures and standards of MMR. 
 Maintain HIPAA compliance. 
Medicare/Medicaid follow-up: 
 Complete Medicare over 50 mile requests, process follow up rejections/denials and appeals for Medicare and Medicaid claims. 
 Process Medicare and Medicaid refunds. 
 Follow-up on lacking Medicare Signatures via mail/phone calls. 
 Final person to answer incoming customer service phone calls. Assist incoming calls and provide assistance to patients, payers and others as needed. 
 Process credit card payments. 
 Facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate, establish payment arrangements or seek completion of a charity questionnaire. 
 Contact patients and/or insurance company to obtain the correct billing information. 
 Resubmit accounts when new or corrected information is obtained from the caller or payer. 
 Enter patient demographics as required from information gathered from correspondence or telephone contacts. 
Blue Cross Blue Shield (BCBS) follow-up: 
 Complete BCBS/Patient Care Report (PCR) information requests. 
 Process BCBS rejections/denials. 
 Process BCBS refunds. 
 Third person to answer incoming customer service phone calls. Assists incoming calls and provide assistance to patients, payers and others as needed. 
 Process credit card payments. 
 Assist incoming calls and provide assistance to patients, payers and others as needed. 
 Facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate, establish payment arrangements or seek completion of a charity questionnaire. 
 Contact patients and/or insurance company to obtain the correct billing information. 
 Resubmit accounts when new or corrected information is obtained from the caller or payer. 
 Enter patient demographics as required from information gathered from correspondence or telephone contacts. 
Commercial follow-up: 
 Secondary Call Taker. Assists incoming calls and provide assistance to patients, payers and others as needed. 
 Process mail returns. 
 Follow-up with commercial payers including auto. 
 Assists Patient Pay follow up as necessary. 
 Process commercial insurance refunds. 
 Process credit card payments 
 Facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate, 
establish payment arrangements or seek completion of a charity questionnaire. 
 Contact patients and/or insurance company to obtain the correct billing information. 
 Resubmit accounts when new or corrected information is obtained from the caller or payer. 
 Enter patient demographics as required through information gathered from correspondence or over the phone. 
Patient Pay follow-up: 
 Primary call taker. Assist incoming calls and provide assistance to patients, payers and others as needed. 
 Process return mail and change of address (NCOA). 
 Place accounts in collections after determining that there is not active insurance to bill. 
 Process patient refunds. 
 Process credit card payments. 
 Facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate, 
establish payment arrangements or seek completion of a charity questionnaire. 
 Contact patients and/or insurance company to obtain the correct billing information. 
 Resubmit accounts with new or corrected information is obtained from the caller or payer. 
 Enter patient demographics as required from information gathered from correspondence or telephone contacts. 
 Perform other duties as assigned.
Knowledge, Skill and Competency Requirements: 
 Proficiency with billing the following insurances, Medicare, Medicaid, BCBS, Commercial 
 Ability to communicate effectively both verbally and in writing, in a professional manner with customers and patients 
 Must proficiently use insurance websites i.e., C-Snap, Champs, Web Denis, etc., 2 months after date of hire 
 Reading skills to comprehend correspondence and materials specific to the healthcare industry 
 Must demonstrate ability to maintain security and confidentiality with utmost discretion 
 Ability to communicate effectively both verbally and in writing, in the English language 
 Ability to organize tasks and insure timely completion of all projects 
 Advanced computer skills including the ability to utilize a computer PC with Windows operating system 
 Ability to operate office equipment, including but not limited to, copier, fax machine, scanner, monitor, multi-line 
telephone, printer, typewriter and calculator 
 Proficiency with Microsoft Word and Excel 
 Regular attendance and timeliness 
 Skilled in typing, data entry, scanning, electronic filing and document retrieval 
 High School Diploma 
 Must be at least 18 years old
Physical Factors: Suitable dexterity to operate standard office equipment. Capability to stand or sit for extended periods of time.
Working Conditions: Most work is done in a typical office setting with daily exposure in all other department areas. Regular, inperson 
attendance is an essential function of the job. Materials and equipment used include desktop computer, telephone, fax, 
copier, printer and other standard office equipment. Hours must be flexible to meet the demands of the office.</div>

Claims Follow-up Specialist

Old Republic International

<div><div><div><div>Old Republic Risk Management (ORRM) is currently seeking a Contact Center Representative to join its Claims Team at our branch located in Brookfield, WI home office.</div><h3 class="jobSectionHeader">
WHO ARE WE?</h3><div>
Old Republic Risk Management (ORRM) serves the casualty needs of large corporate and group clients across industries that power the North American economy. Through our unbundled claims and risk control business model, we have pioneered the alternative market approach to insurance risk management. Since the early 1950s, ORRM has partnered with Fortune 500 companies and major public and private organizations, delivering innovative solutions for complex risk challenges. Our expertise spans large deductibles, self-insurance, and captive programs&mdash;making us a trusted leader in the industry.</div><div>
</div><div>
At ORRM, the Contact Center Representative plays a critical role in supporting claims operations and delivering exceptional service. In this position, you&rsquo;ll serve as a key point of contact for clients, partners, and internal teams&mdash;ensuring every interaction is handled with professionalism, empathy, and accuracy. If you thrive in a fast-paced, multitasking environment and enjoy problem-solving, this is your opportunity to grow.</div><h3 class="jobSectionHeader">
What You&rsquo;ll Do</h3><div>
You&rsquo;ll work closely with the Claim Services Supervisor and broader team to keep operations running smoothly. Key responsibilities include:</div><ul><li>
Examine, identify, and accurately interpret correspondence of mid-range complexity using various systems and tools</li><li>
Handle a high volume of inbound and outbound calls while delivering a positive and professional experience</li><li>
Communicate with workers&rsquo; compensation bureaus, attorneys, insurance carriers, and third-party adjusters to obtain necessary information</li><li>
Follow up to ensure timely receipt of documentation and maintain strong external relationships</li><li>
Create, organize, and maintain electronic files and internal resources</li><li>
Provide administrative support to enhance overall team efficiency</li></ul><h3 class="jobSectionHeader">
What You Bring</h3><div>
We&rsquo;re looking for a motivated professional ready to excel as a Contact Center Representative. Successful candidates will have:</div><ul><li>
High school diploma (or equivalent) and at least one year of related experience</li><li>
Strong verbal and written communication skills with the ability to build positive relationships</li><li>
Ability to multitask, prioritize, and stay organized in a fast-paced environment</li><li>
Proficiency in Microsoft Windows and Office products</li><li>
Excellent attention to detail, accuracy, and proofreading skills</li><li>
Strong problem-solving abilities and the capacity to work independently</li><li>
Bilingual skills are a plus, but not required</li></ul><h3 class="jobSectionHeader">
Benefits That Work for You</h3><div>
Financial Benefits:</div><ul><li>
Competitive pay</li><li>
401(k) Savings &amp; Profit-Sharing Plan with company match</li><li>
Roth investment options and 529 education savings plan</li><li>
Employee referral bonus program</li></ul><div>
Health &amp; Wellness:</div><ul><li>
Medical, dental, and vision insurance</li><li>
Flexible spending and health savings accounts</li><li>
Life, disability, and supplemental insurance options</li><li>
Pet insurance and wellness coverage</li></ul><div>
Work-Life Balance:</div><ul><li>
37.5-hour standard work week</li><li>
Hybrid work opportunities after training</li><li>
Generous paid time off and paid holidays</li><li>
Casual business attire</li><li>
Volunteer opportunities and company-sponsored events</li></ul><h3 class="jobSectionHeader">
Start Your Career Journey Today</h3><div>
If you&rsquo;re looking for a role where you can grow, contribute, and be valued, becoming a Contact Center Representative at ORRM is the perfect next step. This is more than just a job&mdash;it&rsquo;s a chance to build a meaningful career in a supportive and engaging environment.</div><div>
</div><div>
Interested? Click &ldquo;Apply&rdquo; and follow a few simple steps to get your resume in front of our Talent Acquisition Team.</div><div>
</div></div><div><div><div><div>
#LI-VG1</div></div></div></div></div><div></div>
Old Republic Risk Management is an Equal Opportunity Employer and is committed to maintaining a diverse workplace.</div>

Contact Center Representative

The Hartford

<div>Consultant Claims - CH08CE
Specialist Claims - CH07DE
Specialist Claims CA - CH07DN
Consultant Claims CA - CH08BN
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.
This position can be filled at either the Consultant or Specialist level, based on the candidate&rsquo;s experience.
The Claim Specialist and Claim Consultant roles are advanced claim handler positions within the ENVIRONMENTAL unit of The Hartford&rsquo;s Complex Claims Unit (CCU), responsible for the management of various complex claims brought against The Hartford&rsquo;s insureds. Claims in CCU are often associated with complex fact patterns and coverage issues that may involve multiple years and types of insurance coverage. CCU claims also commonly involve litigation, require subject matter expertise and can involve higher exposures.
The Environmental Claim Specialist or Claim Consultant roles within CCU offer a high-impact opportunity for professionals to engage their problem-solving capabilities and navigate complex legal issues. This position focuses on managing legacy environmental and pollution claims, often involving historical contamination, chemical exposure, and long-tail liability, requiring detailed investigation, legal analysis, and strategic resolution. As part of a specialized team, you'll influence litigation strategies, manage significant financial exposures, and become a subject matter expert in environmental liability and insurance.
RESPONSIBILITIES:
This position may be filled at either the Consultant or Specialist level, commensurate with a candidate&rsquo;s experience:
Claims Specialist ($107,600 - $161,400)
At the Claim Specialist level, the candidate must be able to independently and timely manage all aspects of the most complex, high-value claims while exhibiting a detailed knowledge of the claim, a well-reasoned analytical focus and a clear strategy for resolution. Experience with environmental or other latent injury claims or claims under affirmative pollution coverages.
Claims Consultant ($84,800 - $127,200) 
The Claim Consultant would handle claims of similar complexity, but with additional managerial oversight and coaching. Experience with commercial general liability claims.
At both levels, the candidate must share their expertise and contribute to broader claim goals by participating in audits, projects and training initiatives. Other responsibilities include:<ul><li>
Provide proactive communications to customers and business partners in the management and resolution of claims;</li><li>
Respond to inquiries from customers and provide superior customer service;</li><li>
Review and analyze multiple complex policies and coverage parts (including general liability, umbrella/excess liability and affirmative pollution coverages);
</li><li>Write and articulate clear, concise and accurate coverage positions;</li><li>
Conduct investigations regarding claims and/or lawsuits;</li><li>
Effectively manage litigation and counsel, inclusive of litigation planning/budgeting, and proactively position claims for resolution;</li><li>
Develop and persuasively articulate complex coverage, liability and damage assessments;</li><li>
Provide detailed impactful recommendations to leadership;</li><li>
Pursue and finalize coverage and liability risk transfer against other liable parties and insurance carriers;</li><li>
Conduct complex negotiations and articulate coverage/liability positions;</li><li>
Attend mediations and trials as necessary;</li><li>
Proactively manage accurate expense, reserve and financial transactions;</li><li>
Consistently maintain up-to-date claims metrics.</li></ul>
REQUIRED QUALIFICATIONS:<ul><li>
5+ years general liability claim handling experience;<ul><li>
Consultant: Experience with commercial general liability claims;
</li><li>Specialist: Experience with environmental or other latent injury claims or claims under affirmative pollution coverages;
</li></ul></li><li>Experience in handling affirmative/defensive risk transfer; including additional insured tenders;</li><li>
Strong to Excellent verbal and written communication skills;</li><li>
Strong to Excellent analytical and critical thinking ability;</li><li>
Ability to present in a roundtable setting with a well-reasoned and analytical evaluation;</li><li>
Superior customer service skills and active listening skills;</li><li>
Proven track record of prioritizing and managing multiple responsibilities;</li><li>
Proven track record of effective negotiations/settlement of high-value general liability claims;</li><li>
Demonstrated negotiation and conflict resolution skills;</li><li>
Proficiency with MS Office, especially Word and Excel;</li><li>
Proficiency handling litigated claims;</li><li>
Active Property &amp; Casualty State Insurance Adjuster license or ability to obtain licensing within 3 months of hire.</li></ul>
PREFERRED QUALIFICATIONS:<ul><li>
Bachelor&rsquo;s degree strongly preferred</li><li>
10+ years long-tail claim handling experience.</li><li>
JD, other advanced degree, or experience in an environmental consulting discipline (such as geology, hydrology, ecology, or environmental engineering) a plus.
</li></ul>Additional information:
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) 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 arrangement, with the expectation of coming into an office as business needs arise.
Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression
Compensation
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:
$84,800 - $161,400
The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience.
Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age</div>

Complex Claims Unit Environmental - Claim Consultant or Specialist

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