About the Role:
Our client, a leading national insurance carrier, is seeking an experienced Workers’ Compensation Claims Adjuster to join their claims team. This individual will be responsible for managing a caseload of complex workers’ compensation claims from initial filing through resolution, ensuring timely and fair claim outcomes while maintaining compliance with state regulations and company guidelines.

Compensation:

• $40.00 - $50.00/year(based on experience)
• Opportunity to work with a reputable insurance carrier known for a collaborative and supportive culture
• Comprehensive benefits package including medical, dental, and vision
• Opportunities for career growth within a stable and respected insurance organization.
• 100% remote work environment

Responsibilities

• Investigate, evaluate, and resolve workers’ compensation claims in accordance with applicable laws and company policies.
• Determine compensability, establish reserves, and authorize payments for medical and indemnity benefits.
• Coordinate and communicate with claimants, employers, medical providers, attorneys, and other stakeholders throughout the claim lifecycle.
• Develop strategies for efficient and cost-effective claim resolution, including litigation management when applicable.
• Maintain accurate claim documentation and ensure timely reporting in accordance with state requirements.
• Stay current on jurisdictional laws, medical treatment trends, and best practices in workers’ compensation claims handling.

Requirements

• 5+ years of experience handling workers’ compensation claims for an insurance carrier or TPA.
• Strong knowledge of North Carolina, South Carolina, and/or Alabama workers’ compensation statutes and regulations.
• Excellent communication, negotiation, and analytical skills.
• Ability to manage a high-volume caseload effectively and independently.
• NC, SC, and/or AL State adjusting license required.

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 leading Property & Casualty Insurance Carrier, is seeking an experienced Total Loss Claims Manager to lead a high-performing team responsible for the investigation, evaluation, negotiation, and resolution of automobile total loss claims. This leadership role will oversee claim operations, drive performance metrics, ensure regulatory compliance, and provide coaching and development to a team of Total Loss Adjusters and Supervisors.

The ideal candidate will possess strong technical expertise in total loss claim handling, actual cash value (ACV) evaluations, salvage operations, title processing, and settlement negotiations, along with a proven track record of claims leadership and operational excellence. Total loss management typically includes oversight of ACV evaluations, settlement negotiations, salvage recovery, cost control, quality assurance, and staff development.

Compensation & Benefits

• $95,000 - $120,000/year (based on experience)
• Comprehensive benefits offering
• Remote flexibility
• Opportunity for growth within a rapidly expanding organization

Qualifications

• Bachelor's Degree preferred or equivalent industry experience.
• 7+ years of Auto Physical Damage and/or Total Loss Claims experience.
• 3+ years of Claims Leadership experience, including direct people management.
• Strong understanding of:
  • Total Loss regulations and state-specific requirements
  • ACV methodologies and valuation tools
  • Salvage and title processing
  • First-party and third-party auto claims
  • Claims litigation and regulatory compliance
• Proven ability to coach, mentor, and develop claims professionals.
• Experience managing claim quality, operational metrics, and financial performance.
• Strong analytical, organizational, and decision-making skills.
• Excellent written and verbal communication abilities.
• Proficiency with claims management systems and valuation platforms.

Key Responsibilities

• Lead, mentor, and develop a team of Total Loss Claims Adjusters, Senior Adjusters, and Team Leads.
• Oversee day-to-day operations of the Total Loss unit, ensuring timely and accurate claim resolution.
• Monitor claim inventory, productivity, cycle times, quality metrics, and customer service standards.
• Review and approve high-exposure, complex, and escalated total loss claims.
• Ensure compliance with state regulations, company guidelines, and claims best practices.
• Manage Actual Cash Value (ACV) evaluations, settlement authority, salvage disposition, title processing, and vendor relationships.
• Analyze department performance and implement process improvements to increase efficiency and reduce claim costs.
• Conduct file audits, quality reviews, and performance evaluations.
• Collaborate with SIU, Legal, Underwriting, Compliance, and Claims Leadership on complex matters.
• Serve as the primary escalation point for customer complaints, disputed valuations, and regulatory concerns.
• Develop and execute training programs for new and existing staff.
• Assist with catastrophe response planning and workload management during surge events.

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INDTJG-CTT

TPA Oversight Claims Specialist - Remote

Job Summary

Our client is seeking an experienced Commercial General Liability Claims Specialist to provide claims oversight for their TPA.  Experience handling Commercial General Liability, including complex bodily injury, property damage, premises liability, Labor Law, and litigation matters. 

Salary

• $95,000 to $135,000 base salary (based on experience)
• Average 10% bonus
• Comprehensive benefits package

Job Description

• Provide TPA oversight for moderate to higher exposure General Liability claims 
• Conduct claims reviews, approve reserves, and direct claims to closure 
• Collaborate with various internal and external partners for data, loss runs, and risk potential
• Ensure compliance with state and federal regulatory requirements
• Participate in audits, reporting, and continuous improvement initiatives

Requirements

• 8+ years of general liability claims experience 
• Proven expertise in handling high-severity general liability claims, including premises liability, New York Labor law, bodily injury, and litigated matters
• Experience handling multi-jurisdictional claims with a carrier.
• Strong analytical and decision-making skills
• Excellent communication and presentation abilities
• Bachelors Degree preferred

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-KT1

Senior Workers’ Compensation Claims Adjuster

Job Summary

Seeking a highly skilled and experienced Senior Workers’ Compensation Claims Adjuster to join a team. The ideal candidate will possess strong litigation skills and the ability to manage claims of medium complexity and severity, including litigated files. This position offers the flexibility of a hybrid work environment (onsite Tuesdays and Wednesdays).

Compensation Package

• Salary Range: $90,000 - $100,000 annually
• Employment Type: Full-time, Direct Hire

Responsibilities

• Collaborate and communicate with agents, policyholders, and internal stakeholders on claims of medium complexity/severity.
• Investigate losses, identify coverage, determine compensability, and analyze documents and legal pleadings.
• Develop and execute action plans to proactively resolve claims, evaluate damages, negotiate settlements, and close claims in a timely manner.
• Establish and maintain accurate reserves for each claim to reflect financial exposure.
• Engage and manage external resources as needed to ensure proper claim resolution while controlling costs.
• Collaborate with legal counsel to manage litigated claims effectively.
• Review and interpret commercial insurance policies and communicate coverage issues clearly, both verbally and in writing.

Qualifications/Requirements

• Bachelor’s degree or equivalent combination of education and experience.
• Minimum of 3 years of experience handling workers’ compensation indemnity claims of medium complexity/severity.
• Jurisdictional expertise and certification in Arizona claims is required.
• Licensing to cover Arizona, Utah, Texas, and Colorado is mandatory.
• Familiarity with Guidewire (Claims Center) is preferred.
• AIC or SLA certification is a plus.
• Proficient in Microsoft Office Suite and other relevant computer skills.
• Strong analytical skills with exceptional attention to detail.
• Excellent verbal and written communication skills for interaction with internal and external stakeholders.
• Demonstrated ability to build positive relationships and partnerships across departments and with external customers.

#LI-BC1

Senior Workers’ Compensation Claims Adjuster

Job Summary

Seeking a highly skilled and experienced Senior Workers’ Compensation Claims Adjuster to join a team. This role involves managing workers’ compensation claims of medium complexity and severity, This position offers the flexibility of a hybrid work environment (onsite Tuesdays and Wednesdays).

Compensation Package

• Hourly Rate: $40 - $44/hour
• Employment Type: Temp-to-Hire

Responsibilities

• Collaborate and communicate with agents, policyholders, and internal stakeholders to manage claims of medium complexity/severity.
• Investigate losses, identify coverage, determine compensability, and analyze documents and legal pleadings.
• Develop and execute action plans to resolve claims proactively, including evaluating damages, negotiating settlements, and concluding claims in a timely manner.
• Establish and maintain accurate reserves to reflect financial exposure.
• Engage and manage external resources as needed while monitoring and controlling associated costs.
• Collaborate with legal counsel to manage litigated claims effectively.
• Review and interpret commercial insurance policies and communicate coverage issues clearly, both verbally and in writing.

Qualifications/Requirements

• Education: Bachelor’s degree or equivalent combination of education and experience.
• Experience: Minimum of 3 years handling workers’ compensation indemnity claims of medium complexity/severity.
• Licensing: Must be licensed to handle claims in Arizona (certification required), as well as Utah, Texas, and Colorado.
• Technical Skills: Familiarity with Guidewire (Claims Center) is preferred. Proficiency in Microsoft Office Suite is required.
• Certifications: AIC or SLA certification is preferred.
• Personal Equipment: Must have access to a personal computer.
• Strong analytical skills, attention to detail, and the ability to build positive relationships with internal and external stakeholders.
• Excellent verbal and written communication skills.

#LI-BC1

Senior Claims Representative - Professional Liability

Job Summary

Seeking a highly skilled and experienced Senior Claims Representative to join a team. In this role, you will be responsible for managing a diverse portfolio of miscellaneous professional liability claims, including both litigated and non-litigated cases. This position requires a strong understanding of coverage analysis, claim resolution strategies, and litigation management.

Compensation Package

• Salary Range: $110,000 - $140,000 annually
• Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.

Responsibilities

• Manage an active desk of litigated and non-litigated claims of varying complexity under miscellaneous professional liability coverages.
• Evaluate coverage issues, identify risk transfer opportunities, and draft detailed coverage letters.
• Recognize exposures and ensure reserves are adequate and timely.
• Proactively manage claim resolution, including forming and implementing resolution strategies, settlement valuation, and obtaining settlement authority.
• Manage litigation by selecting appropriate experts, planning, budgeting, and partnering with defense counsel.
• Actively participate in mediations, trials, and other related meetings as needed.
• Maintain adjuster licenses as required and ensure compliance with established guidelines.
• Document claim files thoroughly and accurately.
• Manage allocated loss adjustment expenses through strategic handling and bill review/payment processing.

Qualifications/Requirements

• Education:

  • Bachelor’s degree (BA/BS) required.
  • Industry designations such as AIC, SCLA, or CPCU are a plus.

• Experience:

  • Minimum of 3+ years of experience handling professional liability claims preferred.
  • At least 2 years of experience managing an active desk of litigated and non-litigated claims.
  • Experience with Errors & Omissions (E&O) claims is required.
  • Experience with Employment Practices Liability Insurance (EPLI) is highly desired.

• Licenses:

  • Active adjuster license in at least one state is required.

• Skills:

  • Strong analytical, organizational, and time management skills.
  • Excellent written and verbal communication skills.
  • Ability to work independently and meet deadlines in a fast-paced environment.
  • Proficiency in MS Word, Excel, and internet applications.
  • Strong negotiation skills and the ability to execute sound judgment in sensitive situations.
  • Highly attentive to detail and able to prioritize tasks effectively.

Preferred Knowledge

• Prior experience handling litigated claims.
• Familiarity with managing claims for a variety of professions, including real estate agents, insurance agents, lawyers, accountants, and more.
• Ability to work collaboratively in a virtual office environment.

#LI-BC1

About the Company:
Our reputable and growing client, known for providing exceptional claims service and tailored solutions to its policyholders, is currently seeking an experienced Casualty Claims Adjuster to join their team and handle a diverse portfolio of casualty claims.

Compensation and Benefits

• $35.00 - $45.00/hr.
• Annual bonus potential
• Health, dental, and vision insurance
• 401(k)
• Remote work flexibility

Qualifications:

• 5+ years of experience handling casualty or general liability claims.
• Strong knowledge of insurance policies, liability concepts, and claim handling procedures.
• Experience handling litigated and non-litigated claims preferred.
• Excellent written and verbal communication skills.
• Proficient in claims management systems and Microsoft Office.
• Adjuster license required in applicable states

Key Responsibilities:

• Manage a caseload of general liability/casualty claims from inception through resolution.
• Conduct thorough investigations including obtaining statements, police reports, and other necessary documentation.
• Evaluate coverage and determine liability based on available evidence and policy language.
• Negotiate settlements with claimants, attorneys, or other parties.
• Maintain accurate documentation and comply with internal and external reporting requirements.
• Collaborate with defense counsel, medical experts, and other professionals as needed.
• Maintain knowledge of industry trends, jurisdictional regulations, and company best practices.

#LI-MW1

INDTJG-CTT

Job Responsibilities

• Responsible for managing a caseload of commercial auto and general liability claims from inception to resolution.
• Investigate, evaluate, and negotiate claims to ensure fair and timely settlements for policyholders while effectively managing costs and exposures for the insurance carrier.
• Interpret general liability insurance policies to determine coverage and liability.
• Negotiate settlements with claimants, attorneys, and other involved parties to achieve fair and cost-effective resolutions.
• Evaluate settlement options and make recommendations based on liability exposure and policy provisions.

Salary/Benefits

• $80,000 - $90,000+/year (Depending on Experience)
• Annual bonus of up to $5,000
• Medical benefits and 401(K)

Requirements

• 6+ years of experience handling commercial auto and general liability/bodily injury claims (slip & falls, premise, etc.)
• Previous experience handling litigated claims
• As many state adjuster's licenses as possible
• Experience handling claims for property management (i.e. apartment complexes) is required

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-MW1
#LI-PR1
INDTJG-CTT

• $95K - $120K Annually (based on experience)
• Annual bonus potential
• Flex schedule and ability to work remotely

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-PR1
#LI-MW1

About the Role:
Our client, a leading national insurance carrier, is seeking an experienced Workers’ Compensation Claims Adjuster to join their claims team. This individual will be responsible for managing a caseload of complex workers’ compensation claims from initial filing through resolution, ensuring timely and fair claim outcomes while maintaining compliance with state regulations and company guidelines.

Compensation:

• $40.00 - $50.00/year(based on experience)
• Opportunity to work with a reputable insurance carrier known for a collaborative and supportive culture
• Comprehensive benefits package including medical, dental, and vision
• Opportunities for career growth within a stable and respected insurance organization.
• 100% remote work environment

Responsibilities

• Investigate, evaluate, and resolve workers’ compensation claims in accordance with applicable laws and company policies.
• Determine compensability, establish reserves, and authorize payments for medical and indemnity benefits.
• Coordinate and communicate with claimants, employers, medical providers, attorneys, and other stakeholders throughout the claim lifecycle.
• Develop strategies for efficient and cost-effective claim resolution, including litigation management when applicable.
• Maintain accurate claim documentation and ensure timely reporting in accordance with state requirements.
• Stay current on jurisdictional laws, medical treatment trends, and best practices in workers’ compensation claims handling.

Requirements

• 5+ years of experience handling workers’ compensation claims for an insurance carrier or TPA.
• Strong knowledge of New England workers’ compensation statutes and regulations.
• Excellent communication, negotiation, and analytical skills.
• Ability to manage a high-volume caseload effectively and independently.
• CT or VT State adjusting license required.

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-MW1