Adjuster - Specialty Casualty Claims
$85k - $115kMerchants Mutual Insurance
Adjuster – Specialty Casualty Claims
Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for an Adjuster – Specialty Casualty Claims to join our Claim Legal Group located in Buffalo, New York.
The Adjuster - Specialty Casualty Claims will become part of a dedicated team focusing on providing high-level technical expertise in the handling of commercial umbrella, excess liability, multi-party catastrophic injury, property damage, and construction defect claims.
Merchants Insurance Group, rated A- (Excellent) with a stable outlook by the A.M. Best Company, is proud to be one of Buffalo Business First 's Best Places to Work in Western New York (2023-2025), a Fast Track company (2019-2025), and a Top Private Company (2019-2025). Merchants was also granted the Ward's 50® designation as a top-performing property-casualty insurance company for four consecutive years (2021-2024) and has been granted the Ivans Spark Award for innovation (2024-2025). In October 2024, Newsweek and Statista included Merchants Insurance Group on their first-ever America's Most Reliable Companies list, which highlights organizations that other companies can feel confident doing business with in 2025. Of 1,500 B2B companies evaluated, Merchants was one of only 300 companies to make the list.
Merchants offers its colleagues a Hybrid work schedule. The Hybrid work schedule requires 8 full days per month in the office, with the option to work the remaining days at home or in the office. This exciting Hybrid Work benefit offers colleagues a flexible work schedule with the ability to remain connected with their Merchants team and colleagues.
Essential Duties and Responsibilities include, but are not limited to:
- Cultivating relationships with claims and other internal staff, policyholders, attorneys, agents and a variety of service providers and experts all while working towards achieving the most optimal outcomes for Merchants and our policyholders.
- Provides high level technical expertise in the handling of complex and high exposure liability and extra-contractual claims.
- Manages a pending claim inventory of select complex high exposure claims consisting of commercial umbrella, excess liability, multi-party catastrophic injury, property damage and construction defect claims.
- Responsible for staying current in case law development as well as statutory and regulatory changes impacting liability claims or coverage interpretation and serving as a training and information resource for casualty and litigation claim representatives and claim management.
- Responsible for all claim handling activities on assigned high exposure claims through disposition, including investigation, litigation management, evaluation, procuring appropriate settlement authority, engaging in settlement negotiations, providing instruction and guidance on risk transfer and coverage issues, training and development of claim staff through informal knowledge transfer and formal training activities, preparing for and presenting claims to the Large Loss Committee, and ensuring proper reinsurance reporting and communication.
Qualifications & Skills:
- Qualified candidates will have a 4-year degree or equivalent work-related experience.
- 5 plus years complex high exposure claim handling experience.
- Training & Coaching Skills.
- Strong policy interpretation and coverage analysis skills.
- Familiarity with various regulatory and judicial venues.
- Strong communication and negotiation skills.
- Well-organized and effective at managing competing deadlines/responsibilities.
- Ability to work collaboratively with others in the planning and execution of complex resolution strategies.
- Computer skills including Microsoft Office products and document imaging systems.
Merchants Insurance Group offers a competitive pay scale. The estimated salary for this role ranges from $85,000 - $115,000 based on leveling and geography, along with an equity component and a comprehensive benefits package. This range is merely an estimate; actual compensation may deviate from this range based on skills, experience and qualifications.
Merchants Insurance Group Benefits:
- Welcoming and positive work environment.
- Flexible work arrangements, including flex scheduling and summer hours.
- Hybrid work schedule. The Hybrid work schedule will require 8 full days per month in the office, with the option to work the remaining days per month at home or in the office.
- Competitive pay scale.
- Generous paid time off package.
- Full Benefits: Health, Dental, Vision, Life Insurance, Short Term Disability, 401(k) employer match amount is 100% up to 6% of your annual contributions. You are immediately 100% vested in the employer match dollars.
- Outstanding company bonus program
- Tuition Reimbursement.
And many more exciting company benefits!!
Merchants Insurance Group 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 veteran status. Merchants Insurance Group supports a safe workplace through pre-employment background screenings.
$85k - $115k
...Adjuster - Specialty Casualty Claims Hybrid Work Schedule Buffalo, NY Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for an Adjuster - Specialty Casualty Claims to join our Claim Legal Group located in...ClaimsTemporary workSummer workWork at officeImmediate startWork from homeFlexible hours$30 - $35 per hour
...Bedford, New Hampshire Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for a Property Claim Adjuster to join our Claims team located in our home office located in Buffalo, New York or one of our Regional Offices located...ClaimsHourly payTemporary workSummer workWork at officeImmediate startRemote workHome officeFlexible hours2 days per week- ...liability, property damage, and bodily injury claims. An employee in this class is responsible... ...to the position. Evaluates and adjusts individual case approaches in concert with... ...Knowledge of reference materials in the field of casualty and loss. Knowledge of laws relating to...ClaimsWork at office
- ...A leading claims adjustment firm in Buffalo is seeking Independent Insurance Claims Adjusters to support individuals and businesses recovering from unforeseen disasters. This position offers a flexible, rewarding career path with competitive compensation and opportunities...ClaimsFlexible hours
$85k - $95k
...Overview Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for a Litigation Adjuster to join our growing Claims Legal Team at our Corporate Headquarters in Buffalo, New York. The Litigation Adjuster will focus on auto...ClaimsTemporary workWork at officeFlexible hours2 days per week$38 - $47 per hour
Our client is seeking to add a temporary Workers Compensation adjuster to their team. The ideal candidate will have 3+ years experience handling lost time claims for New York jurisdiction, from inception to close. #INDJ Required Qualifications 3+ years handling NY Lost...ClaimsHourly payTemporary workLocal area$65.3k - $97k
...today and take the first step to Destination: Progress. As a claims adjuster specialist , you'll play a critical role managing attorney... ...Auto and/or commercial insurance experience NY Casualty Experience Compensation $65,300 - $97,000/year (salary...ClaimsTemporary workWork experience placementH1bWork at officeFlexible hours- ...A leading claims adjustment firm is urgently seeking Independent Insurance Claims Adjusters to meet the growing demand due to recent storm-related events. This position offers flexibility, autonomy, and competitive compensation while playing a crucial role in assisting...Claims
- ...INSURANCE ADJUSTER CAREER OPPORTUNITIES Licensed Adjusters & Career-Entry Applicants Welcome No prior insurance adjusting experience is... ...you interested in building a career as an Independent Insurance Claims Adjuster? With continued storm activity and catastrophic...ClaimsFlexible hours
- ...A leading insurance adjusting company is seeking Licensed Claims Adjusters in Town of Lancaster, NY. This role offers a rewarding career path where you can assist clients in recovering from disasters while enjoying flexibility and competitive compensation. Comprehensive...ClaimsFlexible hours
- ...A leading claims management firm in Buffalo, NY, seeks an experienced Auto Field Appraiser. This role involves handling field appraisal assignments, inspecting vehicles, and negotiating repair costs. Candidates should have four years in insurance or body shop experience...Claims
$85k - $95k
...Buffalo, New York Litigation Adjuster Hybrid Work Schedule: 2 full days per week in the office; remaining days can be worked from home... ...Essential Duties and Responsibilities Cultivating relationships with claims and other internal staff, policyholders, attorneys, agents and...ClaimsTemporary workSummer workWork at officeImmediate startWork from homeFlexible hours2 days per week$23 per hour
...day in your life.” ~ Confucius Join a team that is re-defining specialty pharmacy! See below for open job opportunities. If you do not see... ...by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests....ClaimsFull timeTemporary workLocal areaRemote workRelocation package- ...role: We are seeking a detail-oriented Claims Process & Training Specialist to design,... ...Subrogation), Appeals Design and deliver specialty claims training as needed to support new... ...training materials (including COB, adjustments, and corrected claims) and advising on the...ClaimsWork at officeWork from home
$23 per hour
...by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.... ...years of experience in pharmacy or prior authorizations ~ Specialty pharmacy experience Ready to make a meaningful impact?...ClaimsFull timeTemporary workLocal areaRemote workRelocation package$71k - $104k
...your career in workers' compensation and claims support? Join ESIS, a leader in risk... ...applicable resident or designated home state adjuster's license is required for ESIS Field... ...provides commercial and personal property and casualty insurance, personal accident and...ClaimsFull timeContract workTemporary workWork experience placementLocal area$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE... ...college or university preferred. Secure and maintain the State adjusting licenses as required for the position. Familiarity with personal...ClaimsContract workWork at officeLocal areaFlexible hours- .... The role focuses on researching billing policies, processing claims, and ensuring accuracy across payer types while maintaining patient... .... The ideal candidate will have 1–3 years of medical or specialty pharmacy infusion billing experience, strong communication skills...Claims
$120k - $135k
...Jacobs is where you belong. This candidate will work in the claims department, analyzing delay claims brought against the State within... ...even better. If you require further support or reasonable adjustments with regards to the recruitment process (for example, you require...ClaimsFull timeContract workFor contractorsWork at officeMonday to Friday- ...Claims And Program Representative As a Claims and Program Representative, you will: Handle calls through the Nationwide Toll-Free Service (NTFS) which may come from any area within the network or from another network. Develop and maintain liaison with railroad...ClaimsWork at officeLocal area
$120k - $135k
...s #1 Program Management and Construction Management-for-Fee firm, then Jacobs is where you belong. This candidate will work in the claims department, analyzing delay claims brought against the State within a geographic region. The successful candidate will be responsible...ClaimsFull timeContract workFor contractorsMonday to Friday$18.25 - $21.25 per hour
...Analyst with Dental experience. The Billing Analyst will be responsible for processing and managing dental patient billing, insurance claims, and payments accurately and in a timely manner. The role involves overseeing the entire claims management process from claims...ClaimsFull timePart timeAfternoon shift$130k
...Conducts drug utilization reviews as needed Manages rejected claims Provides troubleshooting functions for third party... ...a retail pharmacy setting highly preferred. Experience serving specialty populations, including transgendered patients, highly preferred...ClaimsFull timeLocal area- Independent Health is seeking a claims adjudication specialist to review and process medical, facility, professional, member-submitted, pharmacy and dental claims. You will adjudicate based on policies, examine payments, and resolve related issues. Required are a high...ClaimsWork at office
$137.91k - $172.39k
...work for us?Alkegen brings together two of the world’s leading specialty materials companies to create one new, innovation-driven leader... ...related topics.Improve customer satisfaction metrics (PPM, warranty claims, audit scores).Operational Quality & PerformanceEstablish KPIs...ClaimsFull time$66k
...understand their challenges. Responsibilities The Workers Compensation Claims Consultant serves as a strategic advisor to clients, delivering... ...: AIC Designation or equivalent insurance designation Property/Casualty License preferred Experience/Skills: 5+ years' of workers'...ClaimsLocal area$18 per hour
...on-site! Shift: Days - 8:00am - 4:00pm Responsibilities Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy system. Skilled nursing facility, assisted living facility and private pay pharmacy claim billing...ClaimsFull timeWork at officeLocal areaShift work$41k - $75k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsFor contractorsWork at officeFlexible hours- ...Medical Record Unit Examiner I/II/III (Claims) (Finance) Job Description: Summary: Responsible for managing and providing divisional support to all Medical Records Unit (MRU) activities such as medical record requests, receipts, research and tracking through the medical...ClaimsWork at officeLocal areaRemote work
- ...Job Description Job Description Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management. At Hancock, we are at the forefront of claims resolution...ClaimsPermanent employmentFor contractors
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Adjuster - Specialty Casualty Claims. Be the first to apply!


