Claims Adjusters, Examiners, and Investigators

Sr Representative Claims - CH08BESr Representative Clms CA - CH08ANConsultant Claims CA - CH08BNConsultant Claims - CH08CE

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.

The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering superior customer service and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and procedures and statutory, regulatory and ethics requirements. The selected candidate will partner with Staff Legal and outside counsel to resolve General Liability cases including: Premise Liability, Operations Claims, Product Liability, Professional Claims, Advertising Injury claims, Homeowner Liability, Employment Liability exposures and others. Additional key responsibilities are as follows:

Claim File Management

+ Plan, recommend, reserve and execute file strategies including investigation, valuation, disposition and settlement of assigned claims, in a manner consistent with corporate claim settlement policies and procedures, and statutory, regulatory and ethics requirements

+ Properly assess the exposure of assigned claims. Plan and organize, establish priorities, anticipate issues, determine realistic completion dates, know and communicate the status of assignments, appropriately manage vendors

+ Develop advanced functional knowledge to appropriately interpret and apply insurance coverage. Develop technical and jurisdictional expertise

+ Maintain current knowledge of claim loss cost management initiatives, and utilize them appropriately and in a manner consistent with company practices and procedures

+ Identify and properly mitigation, subrogation, and other recovery opportunities

Customer Service

+ Maintain dedication to meeting or exceeding expectations and requirements of internal and external customers

+ Obtain first-hand customer information; use it for improvements in products and services

+ Establish and maintain effective relationships with customers, gaining their trust and respect. Demonstrate diplomacy and tact to effectively avoid or diffuse high-tension situations

Business Acumen and Technical Expertise

+ Utilize verbal and numerical critical thinking skills to gather information, apply sound reasoning and draw appropriate conclusions; make sound decisions based upon mixture of analysis, experience and judgment

+ Accurately resolve complex coverage and compensability issues

+ Possess the ability to investigate, evaluate and negotiate highly complex claims to appropriate disposition

+ Possess superior analytical and critical thinking skills; expert knowledge of complex medical terms, excellent time management abilities

+ Possess the advanced technical knowledge to properly reserve highly complex claims

+ Properly apply statutory laws and regulations of applicable jurisdiction

+ Demonstrate advanced expertise to utilize claim management practices to effectively manage loss costs

+ Expertly contribute to loss cost management by recognizing potential for Subrogation and Special Investigation

Teamwork and Team Building

+ Support and help create a team environment that celebrates diversity and inclusion

+ Support and assist in building a high performing team with diverse characteristics, where individual differences are valued

+ Build appropriate rapport and constructive and effective relationships with people inside and outside the organization

Location: This role will support the Eastern Region but candidates can be located anywhere within the U.S. and work their own time zone hours.

Start Date: Open

Hours: 8:00 AM- 5:00 PM Monday- Friday

Qualifications

+ 2 to 5+ years relevant experience managing general liability claims strongly preferred

+ Technical expertise in managing claims of high complexity

+ Strong computer proficiency in utilizing software programs

+ Excellent communication skills, oral, written, collaboration and negotiation

+ Excellent time management and organizational skills

+ Effective customer service skills

+ Adept at managing conflict as an opportunity to listen and share information while negotiating a win/win outcome that supports The Hartford's and the claimant’s best interests

+ Leader among claim handlers providing advanced expertise to teammates in solving problems

+ College degree preferred or 5+ years relevant work experience required

+ Consistent high level of performance and achievement over career span

+ State required certification exams and adjusting licenses

+ JD, SCLA or CPCU designation a plus

This position may be filled as a Senior Claim Representative or Consultant commensurate with a candidate’s experience:

Senior Rep ($61,600 - $94,800)• Lower complexity and lower value cases, generally up to $750k. • Low to moderate complexity litigation • Loss types include but are not limited to premises, products, and completed operations general liability losses

Consultant ($84,000 - $126,000)• Higher complexity and case values up to $1m+• Complex litigation with multiple co-defendants, multiple plaintiffs, and complex coverage and risk transfer issues • Able to handle a wide variety of litigation and/or loss types

Additional Information

+ This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Scottsdale, AZ Lake Mary, FL, Naperville, IL and Danbury, CT) 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 schedule, with the expectation of coming into an office as business needs arise.

+ For full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, WIFI, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 10 Mbps/75 Mbps will be required. To confirm whether your Internet system has sufficient speeds, please visit http://www.speedtest.net from your personal computer.

+ Licensing Requirements: As a condition of your employment, you must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance Claims in the states supported by your office. Continued employment with The Hartford is contingent upon the successful passage of the Licensing exam(s) within 30 business days from the completion of the licensing training.

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:

$61,600 - $126,000

The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience.

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

About Us (https://www.thehartford.com/about-us) | Our Culture (https://www.thehartford.com/about-us/corporate-culture) | What It’s Like to Work Here (https://www.thehartford.com/careers/our-employees) | Perks & Benefits (https://www.thehartford.com/careers/benefits)

Every day, a day to do right.

Showing up for people isn’t just what we do. It’s who we are – and have been for more than 200 years. We’re devoted to finding innovative ways to serve our customers, communities and employees—continually asking ourselves what more we can do.

Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable?

That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined.

And while how we contribute looks different for each of us, it’s these values that drive all of us to do more and to do better every day.

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

Our Culture

What It’s Like to Work Here (https://www.thehartford.com/careers/our-employees)

Perks & 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

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

California Privacy Policy

Your California Privacy Choices (https://www.thehartford.com/data-privacy-opt-out-form)

International Privacy Policy

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

Unincorporated Areas of LA County, CA (Applicant Information)

**Job Description**

At Boeing, we innovate and collaborate to make the world a better place. We’re committed to fostering an environment for every teammate that’s welcoming, respectful and inclusive, with great opportunity for professional growth. Find your future with us.

The Boeing Company’s Human Resources organization is currently seeking an **Experienced Customer Care Specialist - Benefits** to join our Heath and Insurance Operations team in **Mesa, AZ, Charleston, SC, Chicago, IL, or Seattle, WA.**

A successful candidate will have strong written and verbal communication skills, collaborate well cross-functionally, and be skilled in data integration and analysis.

**Position Responsibilities:**

+ Researches, responds to, and resolves inquiries and problems of various complexities referring to established precedents and policies regarding benefit issues and concerns.

+ May be called upon to resolve unique situations or issues.

+ Provides employee benefits presentations (e.g. new hire, group layoff, retirees) as required.

+ Responds to unique questions in a timely manner with thorough explanation and clear communication.

+ Researches and documents benefit provisions related to restructuring, as required.

+ Coordinates employee benefit data transfer with vendors and internal customers.

+ Validates and/or corrects employee data.

+ Researches, reviews and compiles benefit data for audits and other legal inquiries, as directed.

+ Compiles information relevant to benefit appeals from the appropriate sources and forward to supervision.

+ Compiles data and respond to benefit surveys.

+ Researches and validates general benefits data and performs other specific functions (e.g. pension calculations, deceased employee benefits processing, Qualified Domestic Relations Order, etc.).

+ Audits vendor/carrier compliance to performance standards and report status.

**This position is expected to be 100% onsite. The selected candidate will be required to work onsite at one of the listed location options.**

**Basic Qualifications (Required Skills/Experience):**

+ 3+ years of customer care experience working with multiple internal stakeholders and suppliers

+ 3+ years of experience establishing strong on-going communication with customers, suppliers and/or vendors

+ 1+ years of experience using critical business and financial acumen in order to influence and shape process and/or strategy

**Preferred Qualifications (Desired Skills/Experience):**

+ Experience presenting to HR teams and Vendors on employee benefits

+ Experience working on claims and appeals to support approval decisions

+ Experience working in a benefits role for a large company

**Drug Free Workplace:**

Boeing is a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria is met as outlined in our policies.

**Shift:**

This position is for 1st shift.

**Pay & Benefits:**

At Boeing, we strive to deliver a Total Rewards package that will attract, engage and retain the top talent. Elements of the Total Rewards package include competitive base pay and variable compensation opportunities.

The Boeing Company also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work.

The specific programs and options available to any given employee may vary depending on eligibility factors such as geographic location, date of hire, and the applicability of collective bargaining agreements.

Pay is based upon candidate experience and qualifications, as well as market and business considerations.

Summary pay range: $87,550 - $118,450

Applications for this position will be accepted until **Jun. 20, 2025**

**Export Control Requirements:** This is not an Export Control position.

**Relocation**

Relocation assistance is not a negotiable benefit for this position.

**Visa Sponsorship**

Employer will not sponsor applicants for employment visa status.

**Shift**

This position is for 1st shift

**Equal Opportunity Employer:**

Boeing is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law.

Boeing is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law.

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

**Job Posting Title**

Lead Claims Processor, Government Programs

**Job Description**

Adjudicate or submit claims and adjustments as required. Track and trend performance of root cause analysis and provide additional training as needed. Resolve claims edits and suspended claims.

**Responsibilities**

+ Adjudicate or submit claims and adjustments as required.

+ Implementation and maintenance of claims processing programs and procedures

+ Verify that claims are being adjudicated or submitted according to contracts in a consistent and accurate manner.

+ Manage projects and administrative duties as required by business need.

+ Lead and implement positive changes with a high level of quality and professionalism.

+ Provide backup support to other team/group members in the performance of job

+ Other duties as assigned

**Education & Experience**

+ Education Level

+ A Combination of Education and Work Experience May Be Considered.

+ Bachelors

+ Required

+ Yes

+ Yes

+ Fields of Study

+ Experience Level

+ 5+ years

+ Required

+ Yes

+ Details

+ Claims

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

**Additional Qualifications**

+ Ability to quickly use a 10-key machine

**Preferred Qualifications**

**Physical Demands**

+ Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"

+ Must be able to constantly operate a computer and/or other office productivity equipment

+ Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information

+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Potential pay for this position ranges from $21.15 - $31.73 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _

_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._

_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

**I. Job Summary**

Manages activities and staff in identifying and quantifying risk of loss, and controls "claims cost" through the management, control and evaluation of expenditures associated with loss.

**II. Essential Duties and Responsibilities**

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned.

+ Designs, implements and manages systems for effective claims handling with consideration given to reporting procedures, investigation, evaluation, reserving and recording practices to control "cost of loss".

+ Supervises loss adjusting firms to ensure satisfactory levels of service, favorable settlement and suitable pricing.

+ Coordinates communications between property underwriters and locations relating to loss control recommendations, ensuring all recommendations are evaluated.

+ In the event of a property loss, evaluates, documents and negotiates the settlement of the collectible property claim, ensuring compliance with statutory and policy requirements.

+ Analyzes and identifies State Regulations regarding the Company insurance program to ensure compliance with those regulations.

**III. Supervisory Responsibilities**

Will not supervise WM employees, but will manage external adjusters.

**IV. Qualifications**

The requirements listed below are representative of the qualifications necessary to perform the job.

A. Education and Experience

Required: Bachelor's Degree, or equivalent experience, in Human Resources, Business Administration or similar area of study, and seven to ten years previous experience.

Preferred: Master's Degree, or equivalent experience, in Human Resources, Business Administration or similar area of study, and seven to ten years previous experience.

B. Certificates, Licenses, Registrations or Other Requirements

None required.

C. Other Knowledge, Skills or Abilities Required

+ Must be authorized to work in the US.

**V. Work Environment**

Listed below are key points regarding environmental demands and work environment of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

Required to use motor coordination with finger dexterity (such as keyboarding, machine operation, etc.) most of the work day.

Normal setting for this job is: Remote.

The expected base pay range for this position across the U.S. is $103,445 to 139,955. This range represents a good faith estimate for this position. The specific salary offered to a successful candidate may be influenced by a variety of factors including the candidate’s relevant experience, education, training, certifications, qualifications, and work location.

**Benefits**

At WM, each eligible employee receives a competitive total compensation package including Medical, Dental, Vision, Life Insurance and Short Term Disability. As well as a Stock Purchase Plan, Company match on 401K, and more! Our employees also receive Paid Vacation, Holidays, and Personal Days. Please note that benefits may vary by site.

If this sounds like the opportunity that you have been looking for, please click “Apply.”

Equal Opportunity Employer: Minority/Female/Disability/Veteran

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Adjuster I Workers Compensation I CA experience required I Hybrid

**PRIMARY PURPOSE** **:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

+ Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.

+ Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.

+ Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.

+ Manages subrogation of claims and negotiates settlements.

+ Communicates claim action with claimant and client.

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

+ May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

+ Maintains professional client relationships.

**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

+ Performs other duties as assigned.

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

+ Travels as required.

**QUALIFICATIONS**

**Education & Licensing**

Bachelor's degree from an accredited college or university preferred.

**Experience**

Four (4) years of claims management experience or equivalent combination of education and experience required.

**Skills & Knowledge**

+ Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business

+ Excellent oral and written communication, including presentation skills

+ PC literate, including Microsoft Office products

+ Analytical and interpretive skills

+ Strong organizational skill

+ Good interpersonal skills

+ Excellent negotiation skills

+ Ability to work in a team environment

+ Ability to meet or exceed Service Expectations

**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.

_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_ **_($47,011 - $70,000_** **_)_** _. 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.**

**Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

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 dynamic Claim Specialist role will be part of a team of professionals who support the Hartford Global Specialty (HGS) Claims Division. Our ideal candidate will have expertise in primary and excess bodily injury and property damage general liability claims including excess auto liability, products liability, premises liability, some personal and advertising claims and pollution liability. We are seeking a motivated, self-starter who would enjoy a fast-paced collaborative work environment. The Claim Specialist will handle a caseload of complex, high-exposure claims under Excess General Liability and Environmental policies (primarily package policies that contain general liability and some professional liability coverage) from inception to final resolution. This team works closely with our underwriting, actuarial and legal partners to ensure the best possible result for our customers. Knowledge of excess claims handling, working with other insurers in a tower, risk transfer, negotiating and coverage issues is required.

Key responsibilities of this position include:

+ Conduct complex investigations and extensive claim file reviews on assigned cases

+ Determine coverage, draft position letters and communicate the coverage position(s) to insureds, business partners and legal counsel

+ Operate within prescribed authority levels to set appropriate expense and indemnity reserves

+ Regularly monitor indemnity reserves for any required adjustment

+ Present cases above authority level to leadership for expense/indemnity reserve and settlement authority

+ Develop and implement resolution strategies to achieve high quality outcomes

+ Pro-actively manage consultants and/or litigation and counsel throughout the case lifecycle

+ Directly oversee the litigation planning, execution, budget and bill review

+ Attend trials and mediations as necessary

+ Positively contribute to our claim and enterprise goals by participating in ad hoc audits, projects and product development initiatives

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

+ Collaborate with valued business partners to review and address claim trends

+ Address inquiries from agents and policyholders with a focus on providing superior customer service

Qualifications:

+ Bachelor’s Degree is required

+ Candidates with a JD license and specialization within environmental or construction case experience are preferred.

+ Minimum of 7 years of claims experience with strong preference for candidates who have handled excess general liability, pollution liability, construction or product liability claims or environmental policies.

+ Prior experience handling both primary and excess policy coverages/claims

+ Strong coverage acumen with the ability to readily apply the terms and conditions found in manuscript policies to the facts of the claim

+ High level of discipline, results-orientation and ability to drive bottom line results

+ Superior analytical ability and organizational skills

+ Effective interpersonal communication skills in both verbal and written formats

+ Proven strategic reasoning and execution skills

+ Excellent negotiation and advanced technical claim handling skills

+ Full command of issues and medicals relative to high value bodily injury 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 effectively communicate in a highly-matrixed environment

+ Readily able to influence and drive successful, collaborative claim outcomes

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:

$106,400 - $159,600

Equal Opportunity Employer/Sex/Race/Color/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

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

Benefits

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

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

EEO

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

California Privacy Policy

Your California Privacy Choices (https://www.thehartford.com/data-privacy-opt-out-form)

International Privacy Policy

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

Unincorporated Areas of LA County, CA (Applicant Information)

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Auto Claims Representative

**PRIMARY PURPOSE** : To analyze and process low to mid-level auto and transportation claims.

**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

+ Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.

+ Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution.

+ Identifies and pursues subrogation opportunities; secures and disposes of salvage.

+ Communicates claim action/processing with insured, client, and agent or broker when appropriate.

+ Maintains professional client relations.

+ Performs coverage, liability, and damage analysis on all claims assignments.

**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

+ Performs other duties as assigned.

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

+ Travels as required.

**QUALIFICATIONS**

**Education & Licensing**

Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position.

**Experience**

Three (3) years of personal line or commercial line property claims management experience or equivalent combination of education and experience required to include knowledge of construction basics. Property estimating software experience a plus.

**Skills & Knowledge**

+ Familiarity with personal and commercial lines policies and endorsements

+ Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims.

+ Knowledge of total loss processing, State salvage forms and title requirements.

+ Excellent oral and written communication, including presentation 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 Service Expectations

**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

**NOTE** : Credit security clearance, confirmed via a background credit check, is required for this position.

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.

_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_ **_($39,536 - $55,350_** **_)_** _. 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.**

**Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Auto Claims Representative

**PRIMARY PURPOSE** : To analyze and process low to mid-level auto and transportation claims.

**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

+ Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.

+ Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution.

+ Identifies and pursues subrogation opportunities; secures and disposes of salvage.

+ Communicates claim action/processing with insured, client, and agent or broker when appropriate.

+ Maintains professional client relations.

+ Performs coverage, liability, and damage analysis on all claims assignments.

**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

+ Performs other duties as assigned.

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

+ Travels as required.

**QUALIFICATIONS**

**Education & Licensing**

Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position.

**Experience**

Three (3) years of personal line or commercial line property claims management experience or equivalent combination of education and experience required to include knowledge of construction basics. Property estimating software experience a plus.

**Skills & Knowledge**

+ Familiarity with personal and commercial lines policies and endorsements

+ Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims.

+ Knowledge of total loss processing, State salvage forms and title requirements.

+ Excellent oral and written communication, including presentation 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 Service Expectations

**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

**NOTE** : Credit security clearance, confirmed via a background credit check, is required for this position.

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.

_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_ **_($39,536 - $55,350_** **_)_** _. 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.**

**Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Auto Claims Representative

**PRIMARY PURPOSE** : To analyze and process low to mid-level auto and transportation claims.

**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

+ Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.

+ Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution.

+ Identifies and pursues subrogation opportunities; secures and disposes of salvage.

+ Communicates claim action/processing with insured, client, and agent or broker when appropriate.

+ Maintains professional client relations.

+ Performs coverage, liability, and damage analysis on all claims assignments.

**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

+ Performs other duties as assigned.

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

+ Travels as required.

**QUALIFICATIONS**

**Education & Licensing**

Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position.

**Experience**

Three (3) years of personal line or commercial line property claims management experience or equivalent combination of education and experience required to include knowledge of construction basics. Property estimating software experience a plus.

**Skills & Knowledge**

+ Familiarity with personal and commercial lines policies and endorsements

+ Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims.

+ Knowledge of total loss processing, State salvage forms and title requirements.

+ Excellent oral and written communication, including presentation 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 Service Expectations

**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

**NOTE** : Credit security clearance, confirmed via a background credit check, is required for this position.

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.

_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_ **_($39,536 - $55,350_** **_)_** _. 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.**

**Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Examiner - Liability

**PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

+ Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

+ Assesses liability and resolves claims within evaluation.

+ Negotiates settlement of claims within designated authority.

+ Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.

+ Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.

+ Prepares necessary state fillings within statutory limits.

+ Manages the litigation process; ensures timely and cost effective claims resolution.

+ Coordinates vendor referrals for additional investigation and/or litigation management.

+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.

+ Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.

+ Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.

+ Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.

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

+ Refers cases as appropriate to supervisor and management.

**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

+ Performs other duties as assigned.

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

+ Travels as required.

**QUALIFICATION**

**Education & Licensing**

Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

**Experience**

Five (5) years of claims management experience or equivalent combination of education and experience required.

**Skills & Knowledge**

+ Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

+ Excellent oral and written communication, including presentation skills

+ PC literate, including Microsoft Office products

+ Analytical and interpretive skills

+ Strong organizational skills

+ Good interpersonal skills

+ Excellent negotiation skills

+ Ability to work in a team environment

+ Ability to meet or exceed Service Expectations

**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.

_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_ **_($61,857 - $95,000_** **_)_** _. 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.**

**Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**