Compensation:

• $65,000-85,000/year
• 4% annual bonus
• Full medical benefits
• 401(k) with employer match

Requirements:

• 3+ years of experience handling Workers Compensation/Indemnity Claims for IA, KS, MN, MO, ND, NE, SD, WI and WY.  
• Must have experience handling litigated files
• Strong knowledge of workers' compensation laws, regulations, and medical terminology.
• Excellent communication, negotiation, and customer service skills

Job Responsibilities:

• Manage a caseload of workers' compensation claims, including reviewing new claims, gathering information, and determining compensability.
• Conduct thorough investigations into the circumstances of workplace injuries, including obtaining medical records and witness statements.
• Calculate and authorize indemnity benefits, including temporary total disability, permanent partial disability, and vocational rehabilitation benefits.
• Ensure compliance with state workers' compensation laws, regulations, and reporting requirements.
• Maintain accurate and detailed claim files, documenting all relevant information, communications, and decisions.

About Us:

The Jonus Group is a leading insurance staffing firm specializing in providing top-tier talent for the insurance industry. We are currently seeking a dedicated and experienced Workers Compensation Claims Adjuster to join a reputable insurance client's Workers Compensation Claims Department.

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Compensation:

• $75,000-95,000/year
• 4% annual bonus
• Full medical benefits
• 401(k) with employer match

Requirements:

• 5+ years of experience handling Workers Compensation/Indemnity Claims for IA, KS, MN, MO, ND, NE, SD, WI and WY.  
• Must have experience handling litigated files
• Strong knowledge of workers' compensation laws, regulations, and medical terminology.
• Excellent communication, negotiation, and customer service skills

Job Responsibilities:

• Manage a caseload of workers' compensation claims, including reviewing new claims, gathering information, and determining compensability.
• Conduct thorough investigations into the circumstances of workplace injuries, including obtaining medical records and witness statements.
• Calculate and authorize indemnity benefits, including temporary total disability, permanent partial disability, and vocational rehabilitation benefits.
• Ensure compliance with state workers' compensation laws, regulations, and reporting requirements.
• Maintain accurate and detailed claim files, documenting all relevant information, communications, and decisions.

About Us:

The Jonus Group is a leading insurance staffing firm specializing in providing top-tier talent for the insurance industry. We are currently seeking a dedicated and experienced Workers Compensation Claims Adjuster to join a reputable insurance client's Workers Compensation Claims Department.

#LI-PR1

#LI-MW1

#LI-BC1

#LI-PR1

Senior Technical Claim Specialist - Aerospace

Job Summary

Seeking a highly skilled and experienced Senior Technical Claim Specialist - Aerospace to join a dynamic team. This is a fully remote position, but candidates must reside west of the Mississippi. The ideal candidate will bring a strong background in aviation and insurance, coupled with a proven ability to manage complex claims efficiently. If you are a detail-oriented professional with a passion for delivering exceptional service, we encourage you to apply.

Compensation Package

• Salary Range: $90,000 - $130,000 per year
• Bonus Potential: Up to 10% (prorated in the first year)
• Employment Type: Permanent, full-time

Responsibilities

• Manage a caseload of less than 100 claims, with seasonal variations.
• Handle first-party hull claims with average exposure sizes under $100,000 and liability claims ranging from $25,000 to $1M.
• Maintain a litigation rate of less than 10%, with a target closer to 5%.
• Exercise authority limits based on experience and company guidelines.
• Obtain and maintain adjuster licenses for the home state and additional jurisdictions as required.
• Collaborate with internal and external stakeholders to ensure timely and accurate claim resolution.
• Provide expert analysis and recommendations on complex aerospace claims.
• Stay updated on industry trends, regulations, and best practices.

Qualifications/Requirements

• Education: Bachelor’s degree required.
• Licensing: Active adjuster license, with home state license mandatory (Texas and Florida preferred).
• Experience: 5-12+ years of experience in aviation and insurance claims.
• Technical Skills: Strong understanding of aerospace claims, including first-party hull and liability claims.
• Location: Must reside west of the Mississippi.
• Other: Ability to manage claims across multiple states/jurisdictions, primarily on the East Coast.

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Commercial Auto Claims Examiner - Pre-Suit - Bodily Injury

Job Summary

Seeking a highly skilled and experienced Commercial Auto Claims Examiner to join a team on a temporary, remote basis. This role involves handling non-litigated and litigated bodily injury (BI) commercial auto claims from across the United States. The ideal candidate will possess a strong background in commercial auto claims adjusting, including experience with attorney-represented cases and first- and third-party claims. This is a temp-to-hire opportunity, with the potential for full-time employment based on performance and business needs.

Compensation Package

• Hourly Rate: $36 - $42 per hour
• Employment Type: Temporary (with potential for permanent hire)
• Remote Work: 100% remote

Final compensation will be determined based on qualifications, geographic location, and other considerations permitted by law.

Responsibilities

As a Commercial Auto Claims Examiner, your primary responsibilities will include:

• Investigating and resolving first- and third-party commercial auto claims, including bodily injury (BI) and uninsured/underinsured motorist (UM/UIM) claims.
• Managing a caseload of approximately 150 features (100 claims).
• Conducting coverage analysis and identifying coverage issues.
• Evaluating and valuing injuries and damages, including moderate to severe injury claims (e.g., soft-tissue injuries, fractures, surgeries, etc.).
• Handling attorney-represented claims and responding to time-limited policy demands.
• Collaborating with experts such as physicians, attorneys, medical billing auditors, and accident reconstructionists.
• Maintaining claim files in accordance with established best practices.
• Obtaining and maintaining all required state adjuster licenses.

Qualifications/Requirements

To be considered for this role, candidates must meet the following qualifications:

• Education: Bachelor's degree required (mandatory for candidates with less than 5 years of relevant adjusting experience).
• Experience:
  • Minimum of 3 years handling commercial auto claims.
  • At least 1 year of experience managing bodily injury claims involving attorney representation.
  • Experience handling claims from start to finish.
• Licensing:
  • Must possess a home state adjuster license and be eligible to obtain licenses in Texas and Florida (licensing costs covered by the company).
• Skills:
  • Strong written and verbal communication skills.
  • Excellent organizational and time management abilities.
  • Proficiency in policy documentation review and coverage analysis.
  • Ability to formulate action plans and effectively present claim files.
  • Self-motivated and capable of working independently with minimal supervision.
  • Flexibility to adapt to changing priorities and multitask effectively.

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Company Overview

Our client is a respected third-party administrator (TPA) providing comprehensive claims management solutions to commercial clients nationwide. They are seeking a Senior Commercial General Liability Claims Examiner to handle complex liability claims with a focus on habitational and commercial real estate exposures.

COMPENSATION:

• $80,000 - $92,000/year (based on experience)
• Comprehensive benefits package including medical, dental, vision, and 401(k)
• Paid time off and paid holidays
• Fully remote work environment with flexibility

JOB QUALIFICATIONS:

• 5+ years of Commercial General Liability claims handling experience
• Demonstrated experience handling habitational and/or commercial real estate liability claims
• Prior experience working for a TPA or in a high-volume commercial claims environment preferred
• Strong litigation management and settlement negotiation skills
• Ability to independently manage a full caseload with minimal supervision

JOB RESPONSIBILITIES:

• Independently manage complex Commercial General Liability (CGL) claims, including litigated matters
• Handle claims arising from habitational and commercial real estate exposures (e.g., apartments, condos, mixed-use properties, office buildings)
• Conduct thorough investigations including coverage analysis, liability evaluation, and damages assessment
• Establish and manage reserves in accordance with client guidelines and best practices
• Coordinate with defense counsel on litigated claims, including strategy, discovery, and settlement evaluation
• Evaluate and negotiate settlements within assigned authority
• Communicate effectively with insureds, claimants, attorneys, and clients
• Ensure compliance with applicable jurisdictional regulations and client-specific service instructions
• Document claim activity accurately and timely within the claims management system
• Identify subrogation opportunities and potential fraud indicators

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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About the Opportunity

Our client, a respected Property & Casualty insurance organization, is seeking an experienced General Liability Claims Examiner to join its growing Claims team. This position is ideal for a seasoned claims professional with extensive coverage knowledge and experience handling complex commercial general liability claims from inception through resolution.

The ideal candidate will have a strong background in drafting Reservation of Rights (ROR) letters, conducting detailed coverage analysis, and managing high-exposure liability claims involving premises liability, construction, products liability, and liquor liability exposures.

Benefits:

• $80,000 - $120,000/year
• Target bonus based on company and personal performance
• Remote work-from-home flexibility

Qualifications:

• Bachelor's degree preferred or equivalent claims experience.
• 4+ years of commercial General Liability claims handling experience.
• Extensive experience handling complex casualty claims involving:
  • Premises Liability
  • Slip & Fall
  • Construction Defect / Construction Liability
  • Product Liability
  • Dram Shop / Liquor Liability
• Strong coverage analysis experience with the ability to interpret complex commercial insurance policies.
• Demonstrated experience drafting Reservation of Rights letters, coverage position letters, and denial letters.
• Experience managing litigated claims from assignment through resolution.
• Excellent negotiation, analytical, and investigative skills.
• Ability to evaluate liability and damages while making sound coverage decisions.
• Strong written and verbal communication skills.
• Proficiency using electronic claims management systems.

Responsibilities:

• Investigate, evaluate, negotiate, and resolve complex General Liability claims in accordance with policy provisions and applicable laws.
• Analyze insurance policies to determine coverage, identify potential coverage issues, and communicate claim decisions effectively.
• Draft and issue Reservation of Rights letters, coverage position letters, denial letters, and other coverage-related correspondence.
• Manage claims involving:
  • Slip & Fall
  • Premises Liability
  • Construction Liability
  • Product Liability
  • Dram Shop / Liquor Liability
• Conduct detailed liability investigations, including witness interviews, evidence review, and analysis of medical records and legal documentation.
• Establish appropriate reserves and maintain accurate claim documentation throughout the life of each claim.
• Negotiate settlements within authority and collaborate with management on high-exposure matters.
• Retain and manage defense counsel, coverage counsel, independent adjusters, and subject matter experts as needed.
• Develop litigation strategies in partnership with defense counsel while monitoring legal expenses and case progression.
• Ensure compliance with state regulations, company guidelines, and best claims handling practices.
• Maintain exceptional customer service while balancing the interests of policyholders, claimants, and business partners.

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Senior/Staff Homeowners Property Adjuster

Job Summary

Seeking a highly skilled and experienced Senior/Staff Homeowners Property Adjuster to join a team. This field-based role involves managing residential property claims from initial First Notice of Loss (FNOL) through final resolution. The ideal candidate will have a strong background in homeowners property claims, including coverage analysis, investigations, estimating, vendor management, and customer communication.

Compensation Package

• Salary Range: $79,000 – $103,000 (up to $110,000 for exceptional candidates)
• Benefits Include:
  • Tuition reimbursement and professional development resources
  • Auto and home insurance discounts
• Transportation: Company vehicle provided for adjusters driving more than 12,000 miles annually; mileage reimbursement available for lower annual mileage.

Responsibilities

• Manage homeowner property claims from FNOL through closure.
• Conduct on-site inspections to determine scope, causation, and coverage.
• Prepare detailed estimates using Xactimate software.
• Investigate coverage issues and issue denials when warranted.
• Handle structural and contents losses.
• Manage claim reserves and exposure assessments.
• Coordinate and oversee contractors, mitigation vendors, and inspections.
• Communicate settlement rationale and manage customer expectations throughout the claim lifecycle.
• Resolve claims independently with minimal supervision.

Qualifications/Requirements

Required:

• Minimum of 5 years of experience in homeowners property claims.
• Proficiency in Xactimate software.
• Proven ability to handle claims from start to finish.
• Strong skills in coverage interpretation and investigation.
• Ability to work independently in a field-based territory.

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Senior Liability Claims Adjuster

Job Summary

Seeking a highly skilled and experienced Senior Liability Claims Adjuster to join a team. This role involves investigating, evaluating, negotiating, and resolving complex commercial and personal liability claims, including both litigated and non-litigated cases. The ideal candidate will possess strong technical expertise in policy coverage interpretation, liability assessment, and claims resolution strategies. This position offers a dynamic work environment with opportunities for professional growth and development.

Compensation Package

• Salary: Up to $105,000 annually (DOE).

Key Responsibilities

• Investigate, evaluate, and resolve commercial and personal liability claims.
• Analyze policy language to make well-supported coverage determinations.
• Manage litigated claims from assignment through resolution.
• Assess liability, damages, and overall claim exposure.
• Establish and monitor appropriate reserves.
• Identify and pursue risk transfer and subrogation opportunities.
• Develop and execute effective claims-handling strategies.
• Negotiate settlements through direct negotiations, mediation, and arbitration.
• Collaborate with defense counsel, insureds, claimants, agents, and other stakeholders.
• Prepare coverage denials and communicate claim decisions clearly.
• Maintain accurate and thorough claim documentation.
• Ensure compliance with legal and regulatory requirements.
• Provide claims-related guidance to internal stakeholders.
• Participate in court proceedings or litigation-related activities as needed.

Qualifications/Requirements

Required Qualifications:

• Minimum of 7 years of claims-handling experience.
• Expertise in handling commercial and personal liability policies.
• Strong experience managing litigated claims.
• Demonstrated ability to interpret policy language and evaluate coverage.
• Proven negotiation skills, including experience with mediation and arbitration.
• Strong analytical, organizational, and problem-solving abilities.
• Excellent written and verbal communication skills.
• Ability to work independently with minimal supervision.
• High attention to detail and a results-oriented approach.

#LI-RG1

CGL/BI Senior Claims Specialist

Job Summary

Seeking a highly skilled and experienced CGL/BI Senior Claims Specialist to join a dynamic team. The ideal candidate will have a strong background in handling commercial general liability (CGL) and bodily injury (BI) claims, with a minimum of 5 years of experience in a carrier environment. This role involves managing intermediate-level claims, including litigation and coverage analysis, while ensuring compliance with industry standards and best practices.

Compensation Package

• Salary Range: $90,000 - $115,000 (Dependent on Experience)

Responsibilities

• Efficiently handle commercial first-party property and third-party general liability claims from inception to resolution.
• Review and set up new loss assignments promptly, adhering to departmental guidelines.
• Establish and regularly evaluate loss and expense reserves for adequacy and accuracy.
• Analyze and interpret policy language to make appropriate coverage decisions.
• Draft complex coverage correspondence, including reservation of rights and disclaimers, in compliance with state regulations.
• Communicate effectively with insureds, claimants, attorneys, agents, and regulatory agencies.
• Investigate coverage, liability, and damage issues, and execute appropriate action plans for claim resolution.
• Document all claim file activities, including strategies and plans of action.
• Direct and manage activities and costs of external vendors, such as adjusters and legal counsel.
• Present and discuss loss facts and issues in roundtable discussions with peers and management.
• Prepare and submit detailed reporting documents, including Large Loss Reports.
• Maintain required state adjuster licenses and comply with continuing education requirements.
• Serve as a technical resource by mentoring and sharing knowledge with team members.
• Participate in internal and external training sessions and provide feedback to the team.
• Collaborate with management and other departments as needed.
• Perform other duties as assigned.

Qualifications/Requirements

• Minimum of 5 years of experience in a carrier environment with a strong focus on CGL/BI claims.
• Proven litigation and coverage experience.
• Exceptional verbal and written communication skills.
• Strong analytical and problem-solving abilities.
• Proficiency in managing claim files and adhering to industry best practices.
• Ability to mentor and train team members effectively.
• Must hold and maintain required state adjuster licenses.
• Ability to work independently in a remote environment (except for Arizona-based candidates who may need to work onsite).

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