We’re committed to putting people first – if you need an accommodation as you go through the job searching, application, and interviewing process, please click here for more information.
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Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly. Establishes action plans based on case facts, best practices, protocols, jurisdictional issues and available resources. Manages an inventory of property/casualty and disability claims (e.g. workers` compensation, general liability, commercial automobile, property, group benefits), evaluates compensability/liability and losses, and negotiates settlements within prescribed limits. Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols. Confirms or denies coverage based on facts obtained during the investigation and advises policyholders as to proper course of action. Makes effective use of loss management techniques (e.g. Immediate Contact Plan, L9 check, Disability Management, open end release, first call settlements) and other resources. Updates file and provide comprehensive reports as required. Effective interpersonal, analytical and negotiation abilities required Ability to provide information in a clear, concise manner with an appropriate level of detail Demonstrated ability to build and maintain effective relationships Demonstrated success in a professional environment; success in a customer service/retail environment preferred Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory Licensing may be required in some states", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "hybrid", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618515390058", "isPrivate": false, "latlongs": "33.0198431,-96.6988856"}, {"id": 618515407474, "name": "Claims Specialist - Rideshare Commercial Auto Claims Injury Adjuster", "posting_name": "Claims Specialist - Rideshare Commercial Auto Claims Injury Adjuster", "location": "Plano, Texas, United States", "locations": ["Plano, Texas, United States", "Boston, Massachusetts, United States", "Las Vegas, Nevada, United States", "Suwanee, Georgia, United States", "Chandler, Arizona, United States", "Lake Oswego, Oregon, United States", "Indianapolis, Indiana, United States", "Hoffman Estates, Illinois, United States", "Weatogue, Connecticut, United States", "Remote, Remote, United States"], "hot": 0, "department": "Claims", "business_unit": "3026-GRS-North America-US", "t_update": 1771258380, "t_create": 1770727500, "ats_job_id": "74528", "display_job_id": "2026-74528", "type": "ATS", "id_locale": "2026-74528-en", "job_description": "Manages an inventory of claims to evaluate compensability/liability. Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. Plans and conduct investigations of claims to confirm coverage and to determine liability, compensability and damages. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. Performs other duties as assigned. BS/BA degree or equivalent work experience. Minimum of 2 years' experience in claims adjustment, general insurance or formal claims training. Required to obtain and maintain all applicable licenses. Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU). Knowledge of claims investigation techniques, medical terminology and legal aspects of claims.", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "hybrid", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618515407474", "isPrivate": false, "latlongs": "33.0198431,-96.6988856"}, {"id": 618515472975, "name": "Senior Claims Representative - Rideshare Commercial Claims Auto Physical Damage Adjuster", "posting_name": "Senior Claims Representative - Rideshare Commercial Claims Auto Physical Damage Adjuster", "location": "Plano, Texas, United States", "locations": ["Plano, Texas, United States", "Boston, Massachusetts, United States", "Las Vegas, Nevada, United States", "Suwanee, Georgia, United States", "Chandler, Arizona, United States", "Lake Oswego, Oregon, United States", "Indianapolis, Indiana, United States", "Hoffman Estates, Illinois, United States", "Weatogue, Connecticut, United States", "Remote, Remote, United States"], "hot": 0, "department": "Claims", "business_unit": "3026-GRS-North America-US", "t_update": 1773144780, "t_create": 1770919500, "ats_job_id": "74573", "display_job_id": "2026-74573", "type": "ATS", "id_locale": "2026-74573-en", "job_description": "Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments. Extensive and timely direct interaction with Insured's, Claimants, Agent's and Internal Customers. Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues. Establishes claim reserve requirements and makes adjustments, as necessary, during the processing of the claims. Determines and negotiates settlement amount for damages claimed within assigned authority limits. Write simple to moderately complex property damage estimates or review auto damage estimates. Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate. Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistently with established guidelines and expectations. Alerts Unit Leader to the possibility of fraud or subrogation potential for claims being processed. Bachelor's Degree preferred. High school diploma or equivalent required. 1-2 years of experience. Claims handling skills preferred. Strong customer service and technology skills. Able to navigate multiple systems, strong organizational and communication skills. 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Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establish actions to be taken to resolve lawsuit. Includes determining loss coverage, amounts owed, discovery plans, setting reserves and negotiations. Establishes appropriate working team (Home Office Legal, Defense Counsel and Home Office Claims) based on allegations established in suit. Responsible for managing the practices and billing activities of outside counsel. Accountable for security of financial processing of claims, as well as security information contained in claims files. Trains and mentors staff as appropriate; manages relationships and acts as liaison with various business partners (e.g., Underwriting, Reinsurance, Etc.). Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to specialty coverage issues. May analyze the impact upon claims policies and procedures and advises Claims. Management so appropriate action can be taken where required. Participates in special projects. Bachelor's degree and 5 to 7 years claims adjusting experience. Advanced knowledge of Commercial Casualty claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the insurance legal and regulatory environment. Intermediate to advanced level of skill in the area of customer focus, problem solving, communications, gaining support, teamwork, and adaptability and demonstrated ability to work independently, achieve results and execute thoroughly. 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Conduct investigation to secure essential facts from injured worker, employer and providers regarding workers' compensations through telephone or written reports. Verifies information from claimants, physicians, and medical providers to assess compensability and/or causal relation of medical treatment, and make evaluations for cases with claim specific on-going medical management. Provides on-going medical case management for assigned claims. Initiates calls to injured worker and medical provider if projected disability exceeds maximum triage model projection or to resolve medical treatment issues as needed. Maintains contact with injured worker, provider and employer to ensure understanding of protocols and claims processing and medical treatment. Continually assesses claim status to determine if problem cases or those exceeding protocols should be referred to Claims Service Team and/or would benefit from, MP RN review or other medical /claims resources. Arranges Independent Medical Exam and Peer Review as necessary. Maintains accurate records and handles administrative responsibilities associated with processing and payment of claims. Records and updates status notes; documents results of contacts, relevant medical reports, and duration information per file posting standards including making appropriate medical information viewable to customers in Electronic Document Management (EDM). Generates form letters following set guidelines (i.e., letters to physicians projecting disability, letters confirming medical treatment and disability and letters outlining expected outcome to employers). Authorizes payment of medical payments and/or medical treatment. Recognizes potential subrogation cases, prepares cases for subrogation and refers these cases to the Subrogation Units. High school diploma plus 1-3 years' of related customer service experience or applicable insurance knowledge. Licensing required in some states. Effective analytical skills required to learn and apply basic policy/contract coverage and recognize questionable coverage/contract situations (which necessitate supervisory involvement) along with effective interpersonal skills to explain the facts and logic used to arrive at decisions in a way that the customer understands. Effective written skills to compose clear, succinct descriptions when posting files and drafting correspondence. Good telephone and typing skills required. 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Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. Performs other duties as assigned. Bodily injury experience is required. BS/BA degree or equivalent work experience. Minimum of 2 years experience in claims adjustment, general insurance or formal claims training. Required to obtain and maintain all applicable licenses. 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Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establish actions to be taken to resolve lawsuit. Includes determining loss coverage, amounts owed, discovery plans, setting reserves and negotiations. Establishes appropriate working team (Home Office Legal, Defense Counsel and Home Office Claims) based on allegations established in suit. Responsible for managing the practices and billing activities of outside counsel. Accountable for security of financial processing of claims, as well as security information contained in claims files. Trains and mentors staff as appropriate; manages relationships and acts as liaison with various business partners (e.g., Underwriting, Reinsurance, Etc.). Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to specialty coverage issues. May analyze the impact upon claims policies and procedures and advises Claims. Management so appropriate action can be taken where required. Participates in special projects. Bachelor's degree and 5 to 7 years claims adjusting experience. Advanced knowledge of commercial casualty claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the insurance legal and regulatory environment. Intermediate to advanced level of skill in the area of customer focus, problem solving, communications, gaining support, teamwork, and adaptability and demonstrated ability to work independently, achieve results and execute thoroughly. 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Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. Experience in handling Bodily Injury Claims is required. Experience in handling litigated claims is preferred but not required. Performs other duties as assigned. BS/BA degree or equivalent work experience. Minimum of 2 years' experience in claims adjustment, general insurance or formal claims training. 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Collaborate with internal partners (Underwriting, Risk Control, Reinsurance/Excess, Product, Subrogation, etc.) and provide technical insight on trends. Mentor/coach less experienced staff as appropriate and contribute to projects, training, or process improvements. Required: Bachelor's degree (or equivalent experience) and 5 to 7 years claims adjusting experience. Demonstrated experience handling high-severity and/or complex litigated claims, including coverage evaluation, reserving discipline, expert management, and negotiation/mediation. Commercial General Liability (CGL) claim experience. Commercial Auto Complex Bodily Injury claim experience. Strong litigation management skills (pleadings review, discovery strategy, counsel direction, negotiation) and ability to drive outcomes in adversarial environments. Strong written/oral communication skills, sound judgment, and the ability to influence across stakeholders with a focus on customer service. 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(max-width:989px){#advanced_menu_toggle[data-av_icon]:before{font-size:30px;font-weight:normal;font-family:'FontAwesome'!important;} #advanced_menu_toggle{border-width:0px;} .container{padding:0 30px;} .responsive .logo{padding-top:10px;} } .main_menu .current_page_item a .avia-menu-text{border-bottom:0!important;} @media screen and (max-width:767px){.rem-arrow a:before{content:' '!important;} .responsive #top #wrap_all .container{width:92%;max-width:92%;} #advanced_menu_toggle{left:0;right:auto;border-width:0px;} .responsive #top .logo{margin:0 auto;width:150px;} .responsive .logo img{max-height:40px;margin:0 auto!important;} #header_main{border-top:0;} } @media screen and (min-width:1024px){li#menu-item-13649 ul.sub-menu{left:207px!important;} li#menu-item-13649.dropdown_ul_available>a::after{font-family:FontAwesome;position:absolute;left:auto;margin:0 5px;font-size:10px;} } #top a:focus{outline-offset:-2px!important;opacity:1!important;} .inner-container 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background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-11981:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-1136:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-1435:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-3937:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-12966:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} .fa-brands{-webkit-font-smoothing: antialiased; font-style: normal; font-variant: normal; line-height: 1; text-rendering: auto;font-family: 'Font Awesome 6 Brands'} .position-details li{list-style-type: disc;} .header-wrapper{display:none!important;}.disability p {text-align:center!important;background-color:#F0F0F0!important; height:45px!important;padding-top:12px!important;} .disability a {color:blue!important;text-decoration:underline!important;} @media only screen and (max-width: 1325px){.disability p {height:67px!important;}} @media only screen and (max-width: 675px){.disability p {height:92px!important;}} @media only screen and (max-width: 480px){.disability p {height:114px!important;}}h4{margin-top: 5px;font-weight: 600;}