Overview

Our client, a well-established and growing Third-Party Administrator (TPA), is seeking an experienced Workers’ Compensation Claims Supervisor to join their team. This is a fully remote opportunity for candidates residing in California. The ideal candidate will bring strong California Workers’ Compensation claims expertise, prior leadership experience, and an active SIP certification.

This individual will be responsible for supervising a team of Claims Adjusters, ensuring quality claim handling, maintaining compliance with California regulations, and driving operational excellence across the claims department.

Compensation Package

• $125,000 - $135,000/year (based on experience)
• 100% remote work environment
• Comprehensive benefits package
• Supportive and collaborative team culture
• Long-term stability with a reputable TPA
  
  

Qualifications

• Active SIP certification required
• 5+ years of California Workers’ Compensation claims handling experience
• Prior supervisory or leadership experience within Workers’ Compensation claims required
• Strong knowledge of California Workers’ Compensation laws, regulations, and litigation management
• Experience working within a TPA environment preferred
• Excellent communication, leadership, and organizational skills
• Ability to effectively manage a remote team environment
• Proficiency with claims management systems and Microsoft Office Suite

Key Responsibilities

• Supervise and mentor a team of California Workers’ Compensation Claims Adjusters
• Monitor claim activity to ensure timely and accurate handling in accordance with California Workers’ Compensation laws and company best practices
• Conduct file reviews, audits, and provide technical guidance on complex claims
• Assist with training, coaching, and performance management of claims staff
• Ensure adherence to client service standards, internal metrics, and regulatory compliance
• Partner with management to improve workflows, claim outcomes, and operational efficiencies
• Support escalated claim issues and provide resolution strategies
• Maintain strong relationships with clients, vendors, and internal stakeholders

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer’s discretion.

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#INDTJG-CTT

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Commercial Auto Claims Representative (PIP) – Temp to Hire

Job Summary

Seeking a highly skilled and experienced Commercial Auto Claims Representative (PIP) to join a team on a temporary-to-hire basis. This fully remote position offers an exciting opportunity to work with a reputable organization known for its strong commitment to service, innovation, and integrity. The ideal candidate will have a proven track record in handling commercial auto claims, particularly Personal Injury Protection (PIP) and Medical Payments (MedPay), with multi-state experience being a significant advantage.

Compensation Package

• Hourly Rate: $37 - $41 per hour
• Employment Type: Temporary to Hire
• Remote Work: 100% remote

Responsibilities

As a Commercial Auto Claims Representative (PIP), your primary responsibilities will include:

• Investigating and managing assigned commercial auto first-party medical benefit claims.
• Verifying applicable coverage, eligibility, benefits, limits, deductibles, exclusions, and coordination-of-benefits requirements.
• Reviewing policy language and applying state-specific PIP, no-fault, and MedPay statutes, regulations, and fee schedules.
• Evaluating accident information, medical records, itemized bills, treatment notes, and wage documentation to determine benefit eligibility and payment.
• Reviewing medical bills for coding accuracy, duplication, relatedness, reasonableness, and necessity.
• Processing covered medical expenses, wage-loss benefits, and other PIP benefits in compliance with policy terms and applicable laws.
• Maintaining accurate benefit payment ledgers and monitoring remaining limits, deductibles, and offsets.
• Communicating professionally with insureds, claimants, medical providers, attorneys, and internal partners regarding claim status and benefit determinations.
• Recognizing and escalating disputed treatments, suspected fraud, coverage concerns, and other issues requiring legal or supervisory review.
• Preparing timely and accurate correspondence, including requests for information, explanations of benefits, and coverage decisions.
• Managing an active claim inventory efficiently while meeting quality, timeliness, and customer-service expectations.
• Coordinating with bodily injury, liability, litigation, SIU, and vendor teams as necessary.
• Obtaining and maintaining required state adjuster licenses.

Qualifications/Requirements

We are looking for candidates who meet the following criteria:

• Experience: Minimum of 3+ years of auto claims experience, including hands-on PIP and/or MedPay claim handling. Multi-state PIP experience is preferred.
• Knowledge: Strong understanding of no-fault/PIP and MedPay coverage, medical terminology, medical billing, benefit limits, fee schedules, and state-specific claim deadlines.
• Skills:
  • Ability to interpret insurance policy language and evaluate medical documentation.
  • Excellent written and verbal communication skills, including professional correspondence with providers and attorneys.
  • Strong organizational, analytical, and time-management skills.
  • Proficiency in computer systems and the ability to adapt quickly to new claim systems and procedures.
• Education: Bachelor’s degree required. Equivalent relevant claims experience may be considered. Insurance industry designations are a plus.
• Licensing: Must have a home state adjuster license and the ability to obtain Texas and Florida licenses (costs covered by the company).
• Additional Requirements:
  • Familiarity with salvage platforms and total loss claims is preferred.
  • Cargo claims experience is a plus.
  • Ability to travel for company or claim-related events if needed.

#LI-BC1

Sr. Claims Specialist - Multi-Line Adjuster

Job Summary

Seeking a highly skilled Sr. Claims Specialist - Multi-Line Adjuster with expertise in General Liability, Property Damage, Bodily Injury, and Commercial Auto claims. This role involves handling a diverse caseload, including litigation, and requires a professional with strong coverage knowledge and a proactive approach to claims resolution. The position offers the flexibility of a hybrid work arrangement fully remote work.

Join a respected specialty insurer that delivers tailored insurance solutions to complex industries such as construction, forest products, and oil and gas. Be part of a collaborative and growth-oriented team that values integrity, accountability, and excellence.

Compensation Package

• Salary Range: $95,000 - $115,000+ (depending on experience)
• Benefits: Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.

Responsibilities

• Analyze and interpret policy conditions, exclusions, and endorsements to resolve coverage and liability issues.
• Prepare reservation of rights letters, non-waiver agreements, and coverage disclaimers.
• Review and evaluate claim reserves to ensure accurate reflection of potential exposure.
• Investigate claims, including obtaining statements, records, and other evidentiary materials.
• Provide proper documentation and reporting of investigation and claims handling activities.
• Negotiate and resolve claims with claimants, insureds, and their legal representatives, including through mediation or arbitration.
• Maintain compliance with regulatory and jurisdictional requirements.
• Manage and provide direction to defense counsel, independent adjusters, and other third-party vendors.
• Handle a caseload of 100-125 claims, including litigation cases.
• Other duties as assigned.

Qualifications/Requirements

• Minimum of 5 years of experience in:
  • Coverage review, including interpreting policies, agreements, and disclaimers.
  • Claims investigation, including obtaining statements and retaining experts or counsel.
  • Claims administration, including compliance with laws and procedures.
  • Claims settlement, including preparation of legal documents and participation in court proceedings.
  • Contract analysis and interpretation.
• Strong knowledge of coverage, negligence principles, investigation, and negotiation techniques.
• Active adjuster license (or ability to obtain and maintain one).
• Proven ability to manage a diverse caseload and meet deadlines.
• Excellent communication skills, both written and verbal.
• Service-oriented mindset with a commitment to providing prompt and effective claims resolution.
• Ability to travel as needed for business purposes.
• Experience handling liability claims in California is required; additional experience in NV, AZ, WA, OR, ID, UT, and CO is a plus.

#LI-BC1

Personal Lines Insurance Producer (Remote/Hybrid)

Job Summary

Seeking a motivated and experienced Personal Lines Insurance Producer to join a growing independent insurance agency. This role is ideal for a results-driven professional with a strong sales mentality and a proven track record in personal lines insurance. The ideal candidate will excel at generating new business, building lasting client relationships, and actively participating in community networking. This position offers remote and hybrid work flexibility while emphasizing business development, client engagement, and sales growth.

Responsibilities

• Proactively prospect and generate new personal lines insurance business through networking, referrals, and targeted outreach.

• Build and maintain strong relationships with clients, referral partners, and local business professionals.

• Conduct comprehensive needs assessments to identify appropriate insurance coverage solutions.

• Prepare, present, and explain insurance proposals, coverage options, and policy recommendations.

• Drive new business production by consistently meeting or exceeding established sales goals.

• Deliver exceptional customer service while fostering long-term client relationships.

• Respond to client inquiries, address concerns, and provide ongoing policy support.

• Conduct policy reviews to identify coverage gaps and recommend adjustments as needed.

• Actively participate in community networking events to generate referrals and expand business opportunities.

• Maintain accurate records of client interactions, sales activities, and policy information using agency management software and CRM systems.

• Prepare and submit insurance applications and supporting documentation.

• Collaborate with internal teams to ensure efficient policy processing and client service.

• Stay informed about industry trends, insurance products, underwriting guidelines, and regulatory changes.

Qualifications/Requirements

• Licensing: Holds an active P&C (Property and Casualty) insurance license.

• Experience: Minimum of 3 years of experience in an insurance agency setting, preferably within an independent agency. Candidates with captive agency experience and demonstrated business development success will also be considered.

• Sales Experience: Proven track record of generating new business and achieving sales goals in personal lines insurance.

• Product Knowledge: Strong understanding of personal lines insurance products, coverage options, and underwriting guidelines.

• Communication Skills: Excellent communication, negotiation, presentation, and relationship-building abilities.

• Business Development: Self-motivated with a proactive approach to prospecting, networking, and generating referrals.

• Technical Proficiency: Experience using agency management software and CRM systems.

• Independence: Ability to work independently in a remote or hybrid environment while maintaining productivity and accountability.

• Networking: Willingness and ability to actively engage in local community networking and relationship-building activities.

• Location: Must reside within a reasonable commuting distance of the designated service area or demonstrate the ability to maintain an active local networking presence.

Compensation Package

• Base Salary: $32,000 – $50,000 annually, depending on experience and qualifications.

• Commissions: Uncapped commission structure with strong earning potential.

• Alternative Compensation: Fully commission-based compensation arrangements may be considered for qualified candidates.

• Work Arrangement: Remote and hybrid work flexibility.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

#LI-CM1

Trucking Insurance Producer

Job Summary

Seeking a dynamic and results-driven Trucking Insurance Producer to join a boutique insurance agency. This role is ideal for a motivated individual with a passion for building relationships and driving new business in the trucking and transportation insurance sector. You will work with medium to large fleet accounts, focusing on providing tailored insurance solutions to meet the unique needs of a clients. This position offers flexibility, with options for remote, hybrid, or in-office work arrangements, depending on the candidate's preferences and qualifications.

Compensation Package

• Competitive Compensation: Unlimited earning potential with a commission-based structure. Base salary plus commission available for less experienced candidates.
• Flexibility: Remote, hybrid, or in-office options available for the right candidate.
• Equipment: Laptop and phone may be provided for remote employees.

Responsibilities

• Develop and maintain relationships with trucking and fleet clients, focusing on accounts with annual premiums of $250,000 and above.
• Identify and pursue new business opportunities within the trucking/transportation insurance market.
• Provide expert advice on insurance products, including Auto Liability, Cargo, Physical Damage, Excess, Umbrella, and related lines.
• Collaborate with the sales and underwriting teams to deliver tailored insurance solutions.
• Stay informed on FMCSA rules, SAFER/CAB, fleet underwriting requirements, and trucking-specific insurance regulations.
• Conduct client visits, including meetings with fleet owners and safety managers, to strengthen relationships and close deals.
• Utilize Salesforce to manage client relationships and track sales activities.

Qualifications/Requirements

• Licensing: Active Property & Casualty (P&C) license required.
• Experience:
  • Minimum of 3+ years of proven success in producing trucking/transportation insurance (preferably long-haul).
  • Demonstrated track record of closing large accounts and consistently exceeding production goals.
  • Experience working with medium to large fleets (20-25 trucks and up).
• Technical Knowledge: Strong understanding of AL, APD, MTC, Cargo, GL, Umbrella, and related lines.
• Skills:
  • Exceptional communication and negotiation skills.
  • Strong organizational skills and ability to manage complex accounts in a fast-paced environment.
  • Proactive and self-motivated with a "go-getter" attitude.
• Education: Open to candidates ranging from fresh college graduates to senior-level professionals.
• Soft Skills:
  • Strong interpersonal skills with a focus on relationship-building.
  • Ability to work independently and as part of a team.
  • High level of professionalism and integrity.

#LI-AH2

Personal Lines Account Manager

Job Summary

Seeking a dedicated and detail-oriented Personal Lines Account Manager to join a growing team. This role is ideal for a professional with a strong background in personal lines insurance who thrives in a fast-paced environment and enjoys managing accounts from start to finish. As a key member of a team, you will handle all aspects of client servicing, including quoting, certificates, and underwriter communication. If you are a sharp, personable, and experienced individual looking for a long-term opportunity, we encourage you to apply.

Compensation Package

• Salary Range: $50,000 - $60,000 per year (flexible based on experience).

Responsibilities

• Manage personal lines accounts from start to finish, including quoting, issuing certificates, and handling renewals.
• Serve as the primary point of contact for clients, providing exceptional customer service and addressing inquiries promptly.
• Communicate and collaborate with underwriters to ensure accurate and timely processing of policies.
• Handle all aspects of client servicing independently, as there is no support staff for this role.
• Utilize AMS360 software for account management and documentation.

Qualifications/Requirements

• Licensure: Active Property & Casualty (P&C) license is required.
• Experience: A minimum of 2-3 years of experience in personal lines insurance is preferred, but candidates with the right skills and personality will be considered.
• Skills: Strong organizational skills, attention to detail, and the ability to manage multiple tasks effectively.
• Personality: Sharp, personable, and professional demeanor.
• Location: Candidates must reside within a 30-40 minute commute of the office.
• Technical Skills: Proficiency in AMS360 software is preferred.

#LI-KD1

Employee Benefits Producer

Job Summary

Seeking a dynamic and results-driven Employee Benefits Producer to join a team. This role is pivotal in driving growth by developing and managing a portfolio of employee benefits accounts. The ideal candidate will have a proven track record in employee benefits production, exceptional client relationship skills, and a deep understanding of the industry. This is a hybrid position, offering a balance of remote and in-office work, and is an excellent opportunity for a motivated professional to thrive in a collaborative and supportive environment.

Compensation Package

• Base Salary: Starting at $70,000+ (commensurate with experience)
• Benefits: Comprehensive benefits package
• Work Arrangement: Hybrid (specific in-office days to be discussed)
• Equipment: Provided for remote work, if applicable

Responsibilities

• Develop and maintain a robust book of business in employee benefits.
• Build and nurture strong relationships with clients, ensuring their needs are met with tailored solutions.
• Collaborate with account managers and administrative support teams to deliver exceptional service.
• Identify and pursue new business opportunities to drive growth.
• Stay updated on industry trends, regulations, and best practices to provide expert guidance to clients.
• Prepare and present proposals, quotes, and renewal packages to clients.
• Participate in networking events and industry conferences to expand professional connections.

Qualifications/Requirements

• Licenses/Designations: Required (specific licenses to be discussed during the interview process).
• Experience: Proven experience as an Employee Benefits Producer is a must.
• Preferred Years of Experience: Open to candidates with varying levels of experience, though prior expertise is essential.
• Technical Skills: Proficiency in relevant software tools.
• Soft Skills:
  • Strong communication and interpersonal skills.
  • Ability to build and maintain long-term client relationships.
  • Results-oriented with a proactive approach to problem-solving.
  • Excellent organizational and time-management skills.
  • Team player with a collaborative mindset.

#LI-AK3

Personal Lines Account Manager

Job Summary

Seeking a dedicated and experienced Personal Lines Account Manager to join a team. The ideal candidate will have a strong background in servicing, remarketing, quoting, and issuing policies within an independent agency setting. This role offers a hybrid work schedule, providing a balance of in-office collaboration and remote flexibility after the training period.

Compensation Package

• Salary: $70,000–$80,000 annually
• Incentives: Performance-based incentives and potential new business commission
• Work Schedule: Hybrid model (3 days in-office, 2 days remote after training)

Responsibilities

• Provide exceptional service to clients by managing personal lines insurance accounts.
• Handle remarketing, quoting, and issuing of policies with accuracy and efficiency.
• Collaborate with carriers such as Liberty Mutual, Nationwide, Progressive, Travelers, PURE, Chubb, and Cincinnati to ensure optimal solutions for clients.
• Assist with AMS training and utilize AgencyZoom as needed to streamline processes.
• Build and maintain strong relationships with high-net-worth clients, ensuring their unique needs are met.

Qualifications/Requirements

• Experience: 4–6 years in an independent agency setting.
• Technical Skills: Familiarity with AMS is preferred; experience with AgencyZoom is a plus.
• Carrier Knowledge: Experience working with Liberty Mutual, Nationwide, Progressive, Travelers, PURE, Chubb, and Cincinnati is highly desirable.
• High-Net-Worth Expertise: Experience working with high-net-worth clients is preferred but not required.
• Strong organizational and communication skills, with the ability to manage multiple tasks effectively.

#LI-DD3