Claims Representative - Liability
Hortica
Claims Representative-Liability You will investigate and resolve insurance claims with a focus on accuracy, efficiency, and fair resolution and independently manage caseloads and negotiate settlements. What You'll Do As a Claims Representative-Liability, you will: Verify coverage by thoroughly reviewing the policies and interpreting policy terms, conditions and language. Evaluate liability by taking recorded statements, reviewing police reports, and compiling other pertinent evidence. Negotiate or deny liability based on the investigation outcome. Evaluate physical damage and bodily injury claims based on estimates, photos, appraisals, medical reports, medical bills, and other evidence. Working closely with medical providers, repair shops and/or contractors to facilitate necessary and related services. Set appropriate claim reserves in a timely manner based on ongoing evaluations of liability. Negotiate bodily injury settlements with policyholders, claimants, attorneys, and other insurance carriers to reach fair resolutions within established guidelines. Ensure claims are paid promptly and within authorized limits. Ensure compliance with industry regulations, legal requirements, and internal policies by thoroughly documenting all decisions, communications, and activities throughout the entire claims process. Provide empathetic and supportive service to customers as they navigate challenging situations, clearly explaining the claims process, keeping them informed of their claim process, and communicating decisions along with the reasoning behind them. Ability to obtain and maintain state licensing requirements What it Takes Bachelor's degree or equivalent work experience Minimum 1 year of related work experience Prior attorney rep experience highly preferred Ability to review and analyze detailed documents, insurance policies, coverages, medical bills and records Ability to make appropriate claim decisions, prioritize, and manage workload; time limit demands Effective verbal and written communication skills Demonstrated fundamental negotiation skills At Sentry, your total rewards go beyond competitive compensation. We're committed to supporting the whole you, which is why we offer a comprehensive package designed to help you thrive both professionally and personally. Hybrid Flexibility: Enjoy the best of both worlds. With optional work from home on Mondays and Fridays and join your team in the office Tuesday through Thursday to collaborate and learn. We provide the technology and tools you need for both your office and home workspace from day one. Dining on Us: Depending on your location, we may provide a stipend that can be used at our on-site cafeteria or a meal allowance to keep you fueled. Continuous Learning: Unlock your potential through Sentry University and take advantage of our tuition reimbursement program. Comprehensive Benefits: We support your whole self with group medical, dental, and vision insurance along with parental leave, pet insurance, caregiver leave, and wellness resources. Options for HSA, FSA, and Dependent Care FSA are available. Work-Life Balance: Enjoy your generous Paid Time Off allowance to rest and take advantage of paid Volunteer Time Off to support your community. Investing in Your Future: We're committed to your long-term financial well-being. We offer a 100% company match on the first 8% you contribute to your 401(k) each pay period, and those funds vest immediately. Giving Back: Through the Sentry Foundation, we're proud to support the United Way and make a difference in our communities. Why Join Sentry? At Sentry, we believe our people are the heart of our success. We're proud to be recognized for the culture we've built, earning spots on Forbes' lists for America's Best Midsize Employers and Best Employers for New Grads, as well as Newsweek's America's Greatest Workplaces for Women and Diversity. These honors reflect our commitment to your professional satisfaction and growth. Building on a Legacy Our future is bright, but it's anchored in a long history of stability. Since our founding in 1904, we've dedicated ourselves to helping businesses protect their futures. That trust has made us one of the largest and most financially stable mutual insurance companies in the U.S. We're proud to have maintained an A+ rating from A.M. Best, the industry's leading authority, for over 30 years. Your Career, Our Community Whether you're working at our headquarters in Stevens Point, Wisconsin, or one of our many offices across the country, you'll find a challenging and rewarding environment. Explore the Our Teams tab on our Career Page to see the diverse career paths we offer, with a focus on ongoing development and professional growth. Ready to own your future? Join us at Sentry, opportunities await! Equal Employment Opportunity Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation. Hortica
$74.2k - $92.7k
Claims Representative II, Professional Liability Pay Information: Non Exempt, $74,200 - $92,700 per year Location: Remote first work environment with occasional travel and in office meetings. Preference for candidates in California, Oregon, Washington, and Nevada. Who...SuggestedRemote workNight shift- ...Vanguard Claims Administration is seeking experienced 1099 Independent Liability Claims Adjusters to handle NYCHA claims throughout New York City and the surrounding... ...Interview claimants, witnesses, property representatives, and other involved parties. Gather and document...SuggestedFor contractorsWork at officeFlexible hours
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...Underwriter to help launch and grow a new Miscellaneous Professional Liability (MPL) program. This role will be responsible for underwriting... ...and emerging issues. Collaborate with actuarial, claims, legal, operations, product, and compliance partners to support...SuggestedMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$76k - $141.3k
...ratio goals within assigned territory by reviewing and analyzing claims, loss history and taking appropriate action on individual... ...national salary range for Sr Underwriter, Brokerage Management Liability - E&S/Specialty : $76,000.00-$141,300.00The expected starting salary...Full timeContract workTemporary workPart timeCasual workWork at officeNight shift2 days per week- Sedgwick is seeking a remote Claims Adjuster - Liability to analyze and manage general liability claims. The ideal candidate will hold a Bachelor's degree and possess at least 4 years of experience in liability claims management. Your responsibilities will include assessing...Remote jobFlexible hours
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...employees are used to their fullest potential. CNA is one of the premier providers of professional liability insurance. We currently have an opening for a Complex Claims Consultant to handle Architect and Engineer liability claims. These claims can be highly complex in...Full timeFor contractorsWork experience placementWork at officeLocal areaFlexible hoursShift work2 days per week$59.9k - $98.2k
Zurich is seeking an experienced Litigation Claims Specialist to join its Commercial General Liability team. At Zurich North America Claims, we recognize that flexibility and work-life balance are key considerations when choosing your next career move. Our hybrid work...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$69.1k - $124.4k
...Category Insurance Position Summary To examine, adjust, defend claims and lawsuits against our insureds. The role entails reviewing policies... ..., resolving questions of coverage, investigating, and making liability determinations, and evaluating damages such as property damage...- Coverys, Inc. is seeking a claims professional to interview insureds, claimants, witnesses and other parties to assess liability exposure. You will secure records, evaluate cases, and document investigations and negotiations to support timely resolutions. The role requires...
$120k - $180k
...responsibilities. Ideal candidates will have at least 8 years of experience in underwriting, particularly in life science products liability, and possess excellent communication and organizational skills. A competitive compensation plan and robust benefits package are...$115k - $135k
...Our client is looking to add a Senior Commercial Liability Claims Consultant with strong New York Labor Law experience to manage and provide claims oversight for complex exposures. This person would be responsible for overseeing, identifying, evaluating, and mitigating...Full timeContract workFor contractors- ClaimsPro LP, part of Davies, provides insurance claims management services across the US, handling liability, auto, property and marine claims. The role is remote with occasional travel and requires 2-5 years of claims experience and active state licensing. The ideal...Remote jobWork at office
$70k - $80k
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto | General Liability | Bodily Injury | New Jersey Claims Required PRIMARY PURPOSE OF THE ROLE To investigate, evaluate, negotiate, and...Work at officeFlexible hours- Raphael & Associates is seeking an experienced Field Adjuster to investigate property, general liability and auto claims while delivering excellent customer service in a fast-paced environment. You will manage claims from intake through resolution, conduct on-site investigations...
- Allied World is seeking a Sr. Claims Analyst focused on Primary Construction to navigate complex liability claims in a multi-state environment including New York and New Jersey. You will collaborate with underwriting, actuarial, finance, and operations to deliver superior...Work at office
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- Senior Claim Specialist Regular or Temporary: Regular Language Fluency: English (Required) Work Shift: 1st Shift (United States of America... ...relevant documentation. Evaluate exposure and potential liability based on policy language and facts. Negotiate settlements within...Remote jobFull timeTemporary workWork at officeShift workDay shift
- Markel is seeking a Senior Claims Examiner in the New York area. The role focuses on resolution of moderate to high complexity claims with exposure, including D&O, EPL, and Fiduciary Liability, from coverage inquiry through liability assessment and quantum analysis. The...
- Davies North America seeks a Senior Excess Adjuster to investigate, evaluate and resolve high-exposure liability claims, including CGL, auto and professional liability, with emphasis on coverage, reserves, and reporting to carriers. This remote Florida role requires five+...Remote job
- Description If you’re looking for a claims role where you can make a real impact—not just manage a desk—this is it. Our Construction Liability team handles moderate to high-exposure 3rd party bodily injury and general liability property damage claims for some of the largest...Contract workFor contractorsFor subcontractorWork at officeLocal areaRemote work
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- Sedgwick Claims Management Services Ltd seeks an experienced claims professional to adjudicate complex Medical Malpractice and Professional Liability claims. You will investigate, evaluate coverage, and drive strategic resolutions in a fast-paced, client-focused setting...Remote job
- Sedgwick Claims Management Services Ltd is seeking a claims professional to analyze mid- to high-level general liability claims and determine benefits due. You will assess liability, manage reserves, and coordinate settlements in collaboration with clients and claimants...
$78k - $134.09k
...resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in... ...job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and...Full timeWork at officeLocal areaRemote workWork from home$110.52k - $161.08k
...validation of our reputation as an excellent underwriting company.Why Join Our Team?Are you an experienced claims professional with deep expertise in liability and umbrella/excess claims? Join a dynamic, growing claims team where your technical skills, strategic thinking...Full timeWork at officeLocal areaFlexible hours$97k - $189k
...responsible for the overall management of the most complex liability construction defect claims. Recognized as the most senior technical expert in the... ...and issues industry activity and trends. May represent company in industry trade groups or other important events...Full timeWork experience placementWork at officeFlexible hours
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