Claims Adjusters, Examiners, and Investigators

**Who Are We?**

Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

**Job Category**

Claim

**Compensation Overview**

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

**Salary Range**

$65,300.00 - $107,600.00

**Target Openings**

2

**What Is the Opportunity?**

This position services Insureds/Agents in and around Phoenix, Arizona. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory.

Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.

This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.

**What Will You Do?**

+ Handles 1st party property claims of moderate severity and complexity as assigned.

+ Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.

+ Broad scale use of innovative technologies.

+ Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate.

+ Establishes timely and accurate claim and expense reserves.

+ Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.

+ Negotiates with multiple constituents, i.e.; contractors or insured’s representatives and conveys claim settlements within authority limits.

+ Writes denial letters, Reservation of Rights and other complex correspondence.

+ Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.

+ Meets all quality standards and expectations in accordance with the Knowledge Guides.

+ Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.

+ Manages file inventory to ensure timely resolution of cases.

+ Handles files in compliance with state regulations, where applicable.

+ Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.

+ Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.

+ Identifies and refers claims with Major Case Unit exposure to the manager.

+ Performs administrative functions such as expense accounts, time off reporting, etc. as required.

+ Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.

+ May provides mentoring and coaching to less experienced claim professionals.

+ May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.

+ CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states.

+ Must secure and maintain company credit card required.

+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.

+ On a rotational basis, engage in resolution desk technical work and resolution desk follow up call work.

+ This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position.

+ Perform other duties as assigned.

**What Will Our Ideal Candidate Have?**

+ Bachelor's Degree preferred.

+ General knowledge of estimating system Xactimate preferred.

+ Two or more years of previous outside property claim handling experience preferred.

+ Interpersonal and customer service skills – Advanced

+ Organizational and time management skills- Advanced

+ Ability to work independently – Intermediate

+ Judgment, analytical and decision making skills - Intermediate

+ Negotiation skills – Intermediate

+ Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively –Intermediate

+ Investigative skills – Intermediate

+ Ability to analyze and determine coverage – Intermediate

+ Analyze, and evaluate damages –Intermediate

+ Resolve claims within settlement authority – Intermediate

+ Valid passport preferred.

**What is a Must Have?**

+ High School Diploma or GED required.

+ A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required.

+ Valid driver's license required.

**What Is in It for You?**

+ **Health Insurance** : Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.

+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.

+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.

+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.

+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

**Employment Practices**

Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.

In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.

If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email ([email protected]) so we may assist you.

Travelers reserves the right to fill this position at a level above or below the level included in this posting.

To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/ .

Specialist Claims - CH07DE

We’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 – and to help others accomplish theirs, too. Join our team as we help shape the future.

This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, construction defect and construction related property damage claims from inception to final disposition. These claims will involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties to determine indemnity and contribution obligations and risk transfer opportunities. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required, as is prior experience handling construction defect and property damage claims. Excess claims handling experience is recommended, but not required.

Responsibilities include, but are not limited, to:

+ Managing a caseload of litigated and non-litigated construction claims under commercial general liability policies.

+ Conducting investigations and analyzing and evaluating the information learned.

+ Making coverage determinations and communicating written position(s) to insureds and other required parties.

+ Within prescribed authority levels, setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed adjustment.

+ Presenting cases to management for expense or indemnity reserve authority above established authority levels.

+ Developing and implementing resolution strategies to achieve high quality outcomes.

+ Proactively managing litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review.

+ Attending trials and mediations as necessary.

+ Contributing to broader claim and enterprise goals by participating in audits, projects and product development initiatives.

+ Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry trends, etc.

+ Working with business partners to evaluate and address claim trends and developments.

+ Addressing inquiries from agents and policyholders and providing superior customer service.

Position Requirements:

+ Bachelor’s degree preferred, law degree a plus or commensurate experience

+ Minimum of seven years handling complex litigated construction defect and property damage matters

+ Familiarity with owner and contractor controlled insurance policies and programs as well as wrap policies, is a plus

+ High level of discipline, results-oriented and able to focus on bottom line results

+ Superior analytical ability and organizational skills

+ Excellent oral and written communication skills

+ Excellent strategic thinking ability and execution skills

+ Excellent negotiation and advanced technical claim handling skills, including knowledge of coverage and tort laws

+ Full command of damages issues relative to high value construction defect and property damage claims

+ Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity

+ Ability to communicate thoughts clearly and concisely, and to influence and persuade others

+ Superior interpersonal skills

+ Ability to exceed expectations and influence others to do the same

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.

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’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:

$101,200 - $151,800

Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

About Us (https://www.thehartford.com/about-us) | Culture & Employee Insights (https://www.thehartford.com/careers/employee-stories) | Diversity, Equity and Inclusion (https://www.thehartford.com/about-us/corporate-diversity) | Benefits (https://www.thehartford.com/careers/benefits)

Human achievement is at the heart of what we do.

We believe that with the right encouragement and support, people are capable of achieving amazing things.

We put our belief into action by ensuring individuals and businesses are well protected, and by going even further – making an impact in ways that go beyond an insurance policy.

Nearly 19,000 employees use their unique talents in careers that span a variety of disciplines – from developing the latest technology to creating and promoting our products to evaluating future financial risks.

We’re also committed to programs that drive education and support volunteerism, which put human beings first. We do it because it’s the right thing to do, and because when our customers, communities and employees succeed, we all do.

About Us (https://www.thehartford.com/about-us)

Culture & Employee Insights (https://www.thehartford.com/careers/employee-stories)

Diversity, Equity and Inclusion (https://www.thehartford.com/about-us/corporate-diversity)

Benefits (https://www.thehartford.com/careers/benefits)

Legal Notice (https://www.thehartford.com/legal-notice)

Accessibility StatementProducer Compensation (https://www.thehartford.com/producer-compensation)

EEO

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Canadian Privacy Policy (https://www.thehartford.com/canadian-privacy-policy)

Unincorporated Areas of LA County, CA (Applicant Information)

Trustmark’s mission is to improve wellbeing – for everyone. It is a mission grounded in a belief in equality and born from our caring culture. It is a culture we can only realize by building trust. Trust established by ensuring associates feel respected, valued and heard. At Trustmark, you’ll work collaboratively to transform lives and help people, communities and businesses thrive. Flourish in a culture of diversity and inclusion where appreciation, mutual respect and trust are constants, not just for our customers but for ourselves. At Trustmark, we have a commitment to welcoming people, no matter their background, identity or experience, to a workplace where they feel safe being their whole, authentic selves. A workplace made up of diverse, empowered individuals that allows ideas to thrive and enables us to bring the best to our colleagues, clients and communities.

Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and completeness. Must comply with policy provisions and appropriate state and federal laws. Claim types include Wellness, Hospital Indemnity, Accident, Life, Long-Term Care (LTC), Disability and Critical Care.

**Key Accounabilities:**

Demonstrates strong understanding and performs claims handling processes and procedures related to Wellness, Hospital and Accident claims.Manages high volume of non-routine claims and phone calls.Explains more complex contract definitions to insureds both verbally and in writing.Processes claim operational activities which may include tax reporting, journal vouchers, overpayments or special investigation duties. Reviews and understands non-routine medical records.

**Minimum Requirements:**

High School Diploma or GED with 4 – 6 years of related experience.

Brand: Trustmark

Come join a team at Trustmark that will not only utilize your current skills but will enhance them as well.

**For the fourth consecutive year we were selected as a Top Workplace by the Chicago Tribune.** The award is based exclusively on Trustmark associate responses to an anonymous survey. The survey measured 15 key drivers of engaged cultures that are critical to the success of an organization.

All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran or disability.

Join a passionate and purpose-driven team of colleagues who contribute to Trustmark’s mission of helping people increase wellbeing through better health and greater financial security. At Trustmark, you’ll work collaboratively to transform lives and help people, communities and businesses thrive. Flourish in a culture where appreciation, mutual respect and trust are constants, not just for our customers but for ourselves.

Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match.

When you join Trustmark, you become part of an organization that makes a positive difference in people’s lives. You will play a vital role in delivering on our mission of helping people increase wellbeing through better health and greater financial security. Our customers tell us they simply appreciate the personal attention and knowledgeable service. Others tell us we’ve changed their lives.

At Trustmark, you’ll be part of a close-knit team. You’ll enjoy abundant opportunities to grow your career. That’s why so many of our associates stay at Trustmark and thrive. Trustmark benefits from more than 100 years of experience but pairs that rich history with a palpable sense of optimism, growth and excitement for what’s ahead – and beyond. This is a place where associates bring their whole selves to work each day. A place where you can be yourself. Whatever your beyond is, you can achieve it at Trustmark.

**Alternate Locations:** Work from Home

**Work Arrangement:**

Remote : Work at home employee residing outside of a commutable distance to an office location.

**Relocation assistance:** is not available for this opportunity.

**Requisition #:** 73969

**The Role at a Glance**

We are excited to bring on a Recertification Claims Specialist to our claims organization. This position will be reviewing claims that have been approved for the change in definition, there will be no pended claims

**What you'll be doing**

• Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when applicable.

• Collaborating with fellow case managers, nurse case managers, vocational case managers, and consulting physicians to make appropriate, ethical, and timely claim determinations.

• Reviewing complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning throughout the life of the claim.

• Providing exceptional customer service and proactively recognizing customer needs and areas of opportunity.

**What we’re looking for**

Must-haves:

• High School diploma or GED or minimum Associate degree in lieu of required experience.

• 3-5 years of claims experience directly aligned to the specific responsibilities for this role or;

For candidates with an Associate degree, 0-1 year claims experience directly aligned to the specific responsibilities for this role.

• Strong written and verbal communication skills.

• Excellent organization skills with the ability to multi-task.

**Application Deadline**

Applications for this position will be accepted through Friday, December 27. 2024, subject to earlier closure due to applicant volume.

**What’s it like to work here?**

At Lincoln Financial Group, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.

**What’s in it for you:**

+ Clearly defined career tracks and job levels, along with associated behaviors for each Lincoln leadership Attribute.

+ Leadership development and virtual training opportunities

+ PTO/parental leave

+ Competitive 401K and employee benefits (https://hrdirectdocs.lfg.com/misc/HR/Recruiting/BenefitsResourcesGuide.pdf)

+ Free financial counseling, health coaching and employee assistance program

+ Tuition assistance program

+ A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work hybrid situations

+ Effective productivity/technology tools and training

The pay range for this position is $53,500 - $92,500 with **anticipated pay for new hires between the minimum and midpoint of the range** and could vary above and below the listed range as permitted by applicable law. Pay is based on non-discriminatory factors including but not limited to work experience, education, location, licensure requirements, proficiency and qualifications required for the role. The base pay is just one component of Lincoln’s total rewards package for employees. In addition, the role may be eligible for the Annual Incentive Program, which is discretionary and based on the performance of the company, business unit and individual. Other rewards may include long-term incentives, sales incentives and Lincoln’s standard benefits package.

**About The Company**

Lincoln Financial Group helps people to plan, protect and retire with confidence. As of Dec. 31, 2023, approximately 17 million customers trust our guidance and solutions across four core businesses – annuities, life insurance, group protection and retirement plan services. As of December 31, 2023, the company had $295 billion in end-of-period account balances, net of reinsurance. Headquartered in Radnor, Pa., Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. Learn more at LincolnFinancial.com.

Lincoln is committed to creating a diverse and inclusive (https://www.lfg.com/public/aboutus/companyoverview/diversityinclusion?audience\_page\_id=1422918942386) environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Follow us on Facebook (http://www.facebook.com/lincolnfinancialgroup) , X (https://mobile.twitter.com/lincolnfingroup) , LinkedIn (https://www.linkedin.com/company/4307?trkInfo=tas%3Alincoln+financial%2Cidx%3A3-1-3&trk=tyah) , and Instagram (https://www.instagram.com/lincolnfingroup/) . For the latest company news, visit our newsroom (https://www.lincolnfinancial.com/public/aboutus/newsroom) .

**Be Aware of Fraudulent Recruiting Activities**

If you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters.

Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview. Please contact Lincoln's fraud team at [email protected] if you encounter a recruiter or see a job opportunity that seems suspicious.

**Additional Information**

This position may be subject to Lincoln’s Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.

Any unsolicited resumes or candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.

Lincoln Financial Group (“LFG”) is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, Veteran status, or genetic information. Applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.

This Employer Participates in E-Verify. See the E-Verify (https://www.e-verify.gov) notices.

Este Empleador Participa en E-Verify. Ver el E-Verify (https://www.e-verify.gov/es) avisos.

Lincoln Financial Group ("LFG") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information. Opportunities throughout LFG are available to employees and applicants and are evaluated on the basis of job qualifications. We have a drug free work environment and we perform pre-employment substance abuse testing.

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

Workers Compensation Claims Examiner | Remote | NE Jurisdictional Knowledge

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

+ Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

+ Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.

+ Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

+ Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.

+ Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

+ Enjoy flexibility and autonomy in your daily work, your location, and your career path.

+ Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

**ARE YOU AN IDEAL CANDIDATE?** To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

**PRIMARY PURPOSE OF THE ROLE:** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**

+ Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

+ Negotiating settlement of claims within designated authority.

+ Communicating claim activity and processing with the claimant and the client.

+ Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

**QUALIFICATIONS**

Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.

High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.

Professional certification as applicable to line of business preferred.

**Jurisdiction Knowledge: NJ, IL, PA, MA & VA**

**Licensing: WC Adjusters license preferred, not required. Will be expected to obtain post-hire.**

**TAKING CARE OF YOU**

+ Flexible work schedule.

+ Referral incentive program.

+ Opportunity to work in an agile environment.

+ Career development and promotional growth opportunities.

+ A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

\#claims #claimsexaminer #remote

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (60,250 - 84,350/yr). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

**Taking care of people is at the heart of everything we do. Caring counts**

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

Claims Examiner - Workers Compensation

**PRIMARY PURPOSE** : To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.

**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

+ Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.

+ Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.

+ Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.

+ Communicates claim action/processing with claimant, client and appropriate medical contact.

+ Ensures claim files are properly documented and claims coding is correct.

+ May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.

+ Maintains professional client relationships.

**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

+ Performs other duties as assigned.

+ Supports the organization's quality program(s).

**QUALIFICATION**

**Education & Licensing**

High school diploma or GED required. Licenses as required.

**Experience**

One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.

**Skills & Knowledge**

+ Excellent oral and written communication skills

+ PC literate, including Microsoft Office products

+ Analytical and interpretive skills

+ Strong organizational skills

+ Good interpersonal skills

+ Ability to work in a team environment

+ Ability to meet or exceed Performance Competencies

**WORK ENVIRONMENT**

When applicable and appropriate, consideration will be given to reasonable accommodations.

**Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

**Physical:** Computer keyboarding, travel as required

**Auditory/Visual:** Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

**Taking care of people is at the heart of everything we do. Caring counts**

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

**What’s Under the Hood**

DriveTime Family of Brands includes SilverRock, which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative services encompassing everything from GAP coverage to vehicle theft and GPS tracking to dealership fleet management. Our ancillary product expertise is proven with over 1 million service contracts, products, and warranties, and over $300 million in claims.

**That’s Nice, But What’s the Job?**

In short, as a Claims Adjuster, you will use your knowledge of vehicle systems and repairs to validate, approve, and authorize payment for repair recommendations on warranty claims. You’ll work over the phone with service advisers and technicians to ensure correct repairs are performed to help get our customers back on the road, so automotive experience is a must!

**So What Kind of Folks Are We Looking for?**

+ **Passionate and goal-oriented.** We are looking for someone that is enthusiastic about their career and is passionate about meeting and exceeding their goals.

+ **Excellent verbal and written communication skills.** The ability to talk and write with confidence, charisma, and competence to a wide variety of audiences.

+ **Agile in a fast-paced environment** . We move, and we move quickly. Thriving in and contributing to an environment that never stops is a must.

+ **Plays well with others.** You will be working in a high-functioning team environment. We work together and we win together.

+ **Works well in a time crunch.** There will be multiple time-sensitive requirements and you will need the ability to meet deliverable due dates.

+ **Fantastic problem solver!** Some calls will be challenging. Your goal is not only to find the problem but more importantly, find the solution.

+ **Positive emotional resilience.** This is an environment where you will be faced with challenging calls on a daily basis. We want to make sure you have the ability to rise past them while maintaining an optimistic attitude.

**The Specifics.**

+ High School diploma required; Associate or Bachelor’s deree is preferred

+ 3 + years of experience with current automotive mechanical and diagnostics

**So What About the Perks? Perks matter**

+ **Medical, dental, and vision, oh my!** DriveTime Family of Brands covers a sizable amount of insurance premiums to ensure our employees receive top-tier healthcare coverage.

+ **But Wait, There’s More.** 401(K), Company paid life insurance policy, short and long-term disability coverage to name a few.

+ **Growth Opportunities.** You grow, I grow, we all grow! But seriously, DriveTime Family of Brands is committed to providing its employees with every opportunity to grow professionally with roughly over 1,000 employees promoted year over year.

+ **Tuition Reimbursement.** We’re as passionate about your professional development as you are. With that, we’ll put our money where our mouth is.

+ **Wellness Program.** Health is wealth! This program includes self-guided coaching and journeys, cash incentives and discounts on your medical premiums through engaging in fun activities!

+ **Gratitude is Green.** We offer competitive pay across the organization, because, well… money matters!

+ **Work From Home.** Feel free to rock those yoga pants while still being camera ready, just make sure you have a conducive and quiet workspace with no distractions and reliable and secure internet.

+ **No Digital Nomads.** We’ll need you to work from your home address that will be in one of the states where we are licensed to do business.

+ **Consistent Work Schedule.** You’ll get a set schedule Monday through Friday, with rotating Saturdays! With that, we do ask for some flexibility and overtime as needed.

+ **If You’re in Town.** For those employees in AZ and TX, we have in-office and hybrid arrangements available. We may even ask to see to see you in-person occasionally.

+ **Game Room.** Gimme a break – no, not a Kit Kat ad but we do have a ping-pong table, a pool table and other games if you ever need a break in your day.

+ **In-House Gym.** We want our employees to be the best versions of themselves. So come early, take a break in your day, or finish strong with a workout!

+ **Enjoy Social Events?** Bring it on. Rally with your team for festive gatherings, team competitions or just to hang out!

+ **We Care and Value YOU!** Feel the love and let us treat you to company outings, personal rewards, amazing prizes & much more!

+ **15 Days of PTO and 8 Paid Holidays.** Not just lip service: we work hard, to play hard.

**Anything Else? Absolutely.**

DriveTime Family of Brands is Great Place to Work Certified! And get this: 90% of our rockstar employees say they feel right at home here. We could spend a lot of time having you read about ALL our awards, but we’ll save time (and practice some humility) just naming a few others; Comparably Awards: Best Company for Diversity, Best Company Culture and Best Company Leadership, oh and don’t forget Phoenix Business Journal Healthiest Employers (okay, we’ll stop there)!

Hiring is contingent upon successful completion of our background and drug screening process. DriveTime is a drug-free, tobacco-free workplace and an Equal Opportunity Employer.

And when it comes to hiring, we don't just look for the right person for the job, we seek out the right person for DriveTime. Buckle up for plenty of opportunities to grow in a professional, fun, and high-energy environment!

**Why USAA?**

Let’s do something that really matters.

At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation’s military, but we all share in the mission to give back to those who did. We’re working as one to build a great experience and make a real impact for our members.

We believe in our core values of honesty, integrity, loyalty and service. They’re what guides everything we do – from how we treat our members to how we treat each other. Come be a part of what makes us so special!

**The Opportunity**

As a dedicated **Staff Auditor,** you'll perform assignments related to Bank Fraud Management and Dispute Operations audits. Identifies problems for resolution in support of risk-based assurance and advisory engagements across the organization. Continuously enhances knowledge of fraud, financial crimes, and related consumer regulations and applies that knowledge to audit assignments. Performs risk and control identification and evaluation, increasingly complex audit techniques, research and analysis, and conducts client meetings and interviews. Adheres to the Institute of Internal Auditors' International Standards for the Professional Practice of Internal Auditing (Standards) and Code of Ethics.

We offer a flexible work environment that requires an individual to be **in the office 4 days per week.** This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Charlotte, NC, or Tampa, FL. Relocation assistance is **not** available for this position.

**What you'll do:**

+ Executes audit program assignments timely and professionally with guidance and support from the Auditor-in-Charge (AIC) in support of the annual audit plan and audit priorities.

+ Independently and accurately tests basic business, application, and/or IT general controls (ITGC)

+ Identifies control deficiencies in testing, discusses with Auditor-in-Charge (AIC) and/or Audit management and begins to understand how to initiate control improvement recommendations for assigned work.

+ Reviews, analyzes, and interprets data collected from multiple sources to ensure valid conclusions are drawn during testing

+ Attends and participates in team audit activities like planning and scoping, business understanding/walkthroughs, review of risk assessment and testing for assigned areas of responsibility and demonstrates critical thinking ability.

+ Executes on audit documentation techniques including key risks and controls alignment to audit test objectives and conclusions; is accountable for completing own work paper documentation within quality standards.

+ Communicates effectively and shares findings and audit reports with AIC, team members, and may present to business leaders.

+ Provide updates to the engagement level risk & control matrix and other audit documentation as deemed appropriate by AIC or team leadership.

**What you have:**

+ Bachelor's degree in Business or relevant field such as Finance, Accounting, Business, or Information Technology.

+ Four additional years of related experience beyond minimum required may be substituted in lieu of a degree.

+ If Bachelor’s degree, 2 years of audit, financial, insurance, banking, information technology or related business experience.

+ Experience applying audit, risk or compliance acumen in a business/professional environment.

+ If advanced degree, up to 2 years of experience applying audit, risk, or compliance acumen in a business/professional environment.

+ Experience effectively communicating Controls with business partners.

**What sets you apart:**

+ Prior experience working in a fraud-related role (e.g., fraud investigations, fraud QA/QC, fraud compliance testing, fraud risk management, fraud internal audit, fraud consulting, etc.) for a large financial institution

+ Fraud-related certification (e.g., CFE, CAMS, CAFS etc.) or undergraduate/advance degree in fraud, investigations, forensic accounting, financial crimes, or related discipline

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

**What we offer:**

**Compensation:** USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. The salary range for this position is: $61,110 - $116,800 **.**

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

**Benefits:** At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, please visit our benefits page on USAAjobs.com

_Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting._

_USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran._

**If you are an existing USAA employee, please use the internal career site in OneSource to apply.**

**Please do not type your first and last name in all caps.**

**_Find your purpose. Join our mission._**

USAA is unlike any other financial services organization. The mission of the association is to facilitate the financial security of its members, associates and their families through provision of a full range of highly competitive financial products and services; in so doing, USAA seeks to be the provider of choice for the military community. We do this by upholding the highest standards and ensuring that our corporate business activities and individual employee conduct reflect good judgment and common sense, and are consistent with our core values of service, loyalty, honesty and integrity.

USAA attributes its long-standing success to its most valuable resource: our 35,000 employees. They are the heart and soul of our member-service culture. When you join us, you'll become part of a thriving community committed to going above for those who have gone beyond: the men and women of the U.S. military, their associates and their families. In order to play a role on our team, you don't have to be connected to the military yourself – you just need to share our passion for serving our more than 13 million members.

USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.

California applicants, please review our HR CCPA - Notice at Collection (https://statmcstg.usaa.com/mcontent/static\_assets/Media/enterprise\_hr\_cpra\_notice\_at\_collection.pdf) here.

USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

(Hybrid) Claim Examiner - Workers Compensation | IL Jurisdiction

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

+ Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

+ Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.

+ Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

+ Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.

+ Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

+ Enjoy flexibility and autonomy in your daily work, your location, and your career path.

+ Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

**ARE YOU AN IDEAL CANDIDATE?** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

**OFFICE LOCATIONS**

Chicago, IL - Hybrid

Naperville, IL - Hybrid

Other hybrid office locations as noted in posting.

**PRIMARY PURPOSE OF THE ROLE:** To analyze high-level Illinois Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**

+ Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

+ Negotiating settlement of claims within designated authority.

+ Communicating claim activity and processing with the claimant and the client.

+ Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

**QUALIFICATIONS**

Education & Licensing: 5+ years of claims management experience or equivalent combination of education and experience required.

+ High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.

+ Professional certification as applicable to line of business preferred.

**Licensing / Jurisdiction Knowledge: Active adjusters license not required for the state of IL.**

**TAKING CARE OF YOU**

+ Flexible work schedule.

+ Referral incentive program.

+ Career development and promotional growth opportunities.

+ A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (_ 65,000 - 80,0). _A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ \#claimsexaminer #claims #hybrid

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

**Taking care of people is at the heart of everything we do. Caring counts**

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

**Clean Harbors** is seeking a **Traveling** **Remediation** **Field Inspector.** The **Field Inspector** oversees and documents daily site activities for remediation and emergency response projects. In addition, Field Inspector collects soil and groundwater samples, air monitoring data and completion of field activities. Field Inspector will work under the direct supervision of the Field Project Manager/Field Supervisor and will assist in the completion of a project.

**_***_** _An exciting way to build a career with Clean Harbors using this role as a steppingstone to work through the chain of the Field Services team and ultimately into a Project Manager position while gaining the necessary skills and experience to do so._

**Location:** Utah or Arizona

**Pay:** $25/HR; Substantial Overtime; Per Diem

**Travel 95-100% required:** This position will travel 6 weeks on the road and 1-week home paid.

**Per Diem available daily, travel costs covered by the company.

**Why work for Clean Harbors?**

+ Health and Safety is our #1 priority and we live it 3-6-5;

+ Competitive wages;

+ Comprehensive health benefits coverage after 30 days of full-time employment;

+ Group 401K with company matching component;

+ Opportunities for growth and development for all the stages of your career;

+ Generous paid time off, company paid training and tuition reimbursement;

+ Positive and safe work environments.

**Key Responsibilities:**

+ Ensuring that Health and Safety is the number one priority by complying with all safe work practices, policies, and processes and acting in a safe manner at all times;

+ Accurately and completely document site activities including cost tracking, worksheets, waste shipping logs, manifest management, health and safety, documentation of meetings and conference calls and other paperwork via laptop or mobile device;

+ Work in field with hands on labor alongside crew and Project Manager/Field Service Supervisor;

+ Travel to different project locations including Wastewater Treatment plants, soil remediation locations, and more;

+ Reading and understanding of project documents and contracts;

+ Will gain 40-hour Hazwoper, OSHA 10 and possibly more certifications through the company;

+ Learn to calibrate air monitoring meters and associated Health & Safety equipment;

+ Work on project financial tracking and assist in various project administrative functions, including generation of required reports, etc.;

+ Ordering and receiving supplies for projects;

+ Possibly operate some heavy equipment.

**What does it take to work for Clean Harbors?**

+ High School Diploma or equivalent is required;

+ Bachelor’s degree in Environmental Science or Engineering required or 1-3 years of experience in the field in lieu;

+ Valid Drivers License and clean MVR;

+ Be safety orientated and have a commitment to safety;

+ Willing to do manual labor;

+ Willing to work outside in all kinds of weather, utilizing prescribed Personal Protective Equipment;

+ Should have working knowledge of Microsoft Office software and professional level written / oral communication skills. Civil Engineering / construction / survey experience a plus.

**40-years of sustainability in action.** At Clean Harbors, our mission is to create a safer, cleaner environment through the treatment, recycling, and disposal of hazardous materials. Clean Harbors is the leading provider of environmental, energy and industrial services throughout the United States, Canada, Mexico and Puerto Rico. Everywhere industry meets environment, Clean Harbors is on-site, providing premier environmental, energy and industrial services. We are solving tough problems through innovation and proven methodology – come be part of the solution with us.

**Join our safety focused team today.** To learn more about our company, and to apply online for this exciting opportunity, visit us at https://careers.cleanharbors.com/ .

Clean Harbors is an equal opportunity employer. We do not discriminate against applicants due to race, ancestry, color, sexual orientation, gender identity, national origin, religion, age, physical or mental disability, veteran status, or on the basis of any other federal, state/provincial or local protected class.

_Clean Harbors is a Military & Veteran friendly company._

_*CH #LI-SE1_