• Support team discussions, aid in team claims issue resolution efficiently, and lead by example. • Accurately review, investigate, and verify coverage to ensure proper processing of medical claims, identifying key processing requirements based on Summary Plan Descriptions (SPD), policies, and departmental procedures • Foster a collaborative team culture through open, honest communication. • Assist with training new team members and support ongoing development through continuous education and skills training. • Support in helping develop team members to perform at their highest level by offering coaching and sharing expertise/best practices. • Review claims queues and provide expertise to address nuances with appropriate parties. • Continually meet department metrics and quality set forth by leadership Provide ongoing feedback to improve departmental workflows and procedures. • Communicate complex claims issues clearly through documentation and direct communications. • Process complex claim scenarios in accordance with Summary Plan Descriptions (SPDs). Areas of expertise include, but are not limited to: Coordination of Benefits (COB), Prior Authorization, Claim Adjustments, Health Reimbursement Arrangements (HRA), Transplant Claims, and High Dollar Claims Processing. • Provide feedback to leadership on system enhancements or training gaps.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Senior Claims Representative, reporting to the Claims Team Leader, plays a crucial role in investigating and managing claims efficiently and fairly, in accordance with established best practices. While this position is fully remote, the individual must reside in Alaska. Key Responsibilities: - Conduct thorough investigations by reviewing claims and policy information to assess the extent of the policy’s obligation to the insured. - Contact and interview insured individuals, claimants, witnesses, healthcare providers, attorneys, law enforcement, and other relevant parties to obtain necessary claim information. - Evaluate facts from investigations to determine liability and the company’s obligation under the policy contract. - Prepare comprehensive reports on investigations, settlements, claim denials, and evaluations of involved parties. - Set reserves within authority limits and recommend adjustments to the Team Leader as needed. - Regularly review claim progress with the Team Leader, identify challenges, and propose solutions. - Present unusual or potentially undesirable exposures to the Team Leader for review. - Collaborate with the team to develop improved methods for handling claims and ensuring timely, equitable settlements. - Obtain required documentation, such as releases, proofs of loss, or compensation agreements, and process claim payments efficiently. - Communicate claim decisions, including denials, to claimants, insureds, customers, or attorneys as appropriate. Company Description Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

Logistics at full potential. At GXO, we’re constantly looking for talented individuals at all levels who can deliver the caliber of service our company requires. You know that a positive work environment creates happy employees, which boosts productivity and dedication. On our team, you’ll have the support to excel at work and the resources to build a career you can be proud of. The Manager, Workers Compensation will lead the strategy and execution of GXO’s workers compensation program. This role will be responsible for building processes in partnership with GXO’s third party Workers Compensation Administrator and Risk Management, developing a holistic workers compensation approach in collaboration with various functional units (including Human Resources, EHS, Finance, Risk Management, Operations, etc.), and directly with GXO clients to develop processes that enables employees to receive adequate care after sustaining a workplace injury, business continuity while an injured employee is unable to work, and return to work requirements such as fitness for duty. This is a temporary position expected to last for the duration of a planned leave period. The assignment length may vary based on business needs. What you’ll do on a typical day: - Assists in development and measurement of annual objectives and key results (OKRs), Quarterly Targets, and Key Performance Indicators (KPIs) (including leading and lagging indicators) to ensure program objectives, tied to claim initiatives or strategies, are being met. Recommends strategies to meet or exceed goals. - Tracks, analyzes, and reports on key performance metrics and OKRs. May use data visualization tools to further illustrate key insights. Will communicate gaps, trends, or observations to leadership. - Supports the senior leadership by evaluating monthly, quarterly, and annual performance of vendors and subcontracted vendors through cost-benefit, feasibility, and trending analyses. Supports leadership by translating findings and providing actionable insights and recommendations for operational enhancement. - Analyzes industry benchmarks and drafts reports for use in evaluating comparative program performance. - Oversees and analyzes Return-to-Work performance against Workers Compensation strategy and ODG best practice guidelines to ensure optimal outcomes and to identify program gaps. Works closely with various business partners to develop initiatives to close gaps and increase temporary transitional duty utilization. Will lead process flow design and analysis on the integrated return-to-work (RTW)program. - Works with and supports the Director, EHS and VP, Environment Health Safety and Quality refining return-to-work (RTW) standard operating procedures (SOPs) for both Workers Compensation and Injury Benefit Programs. - Manages the Litigation Platform which includes evaluating defense counsel outcomes and providing recommendations to leadership on the basis of Litigation key performance indicators (KPIs) defense costs, rate structures and financial impact. - Assist in litigation reviews, recommending strategies for optimal or early resolution. - Works cross-functionally to review and recommend litigation management guidelines, Request for Proposal Documents, and provides recommendations as necessary. - Oversees the development of an internal scorecard for evaluating attorney performance: basis of duration, avg cost, fee/exp, flat rate vs hourly, closures, amount requested approved resolved. - Manages, controls, and mitigates exposures to litigation by identifying and analyzing litigation conversion triggers, implementing strategies, measuring impact and effectiveness. - Provides consultation on settlement and reserve requests up to $25,000. Supports leadership by evaluating complex claims and providing recommendation on mitigation strategies for optimal resolution. - Collaborates with external and internal partners such as Risk Management, HR, Safety and Legal to resolve or provide optimal solutions on mid-level to complex claims matters. - Primary advocate for Operations and employees on escalated matters - Works with and supports Risk Management, by recommending updates to workers compensation (WC) workflows, Risk Management website content, knowledge articles, standard operating procedures, and standard operating procedures (SOPs). - Manages day-to-day Workers Compensation training and communication platform. This requires working cross-functionally with internal and external business partners to determine critical business needs, develop a perpetual training program. - Works with Risk Management to design and manage an external quality assurance program to ensure compliance with best practices and promote proactive & optimal progression. Provides quarterly presentations to leadership on findings, trends, and recommendations for process improvement. - Supports leadership on business case development for projects or key initiatives. - Assists leadership by participating in vendor sourcing initiatives. - Collaborates with Leadership to conduct research and remain actively aware of industry best practices. What you need to succeed at GXO: At a minimum you’ll need: - Bachelor's Degree Business, Accounting, Finance, Risk Management or related field - 5 years progressive experience in finance or analytical role within a casualty brokerage firm, third-party claim administrator or corporate risk management department - 1-year leadership experience It’d be great if you also have: - Experience in drafting formal documents, developing, and delivering presentations, project planning and cross functional collaboration - Demonstrates strong analytical, critical thinking and problem-solving skills - Strong interpersonal and organizational skills - Experience with BI tools such as PowerBI or Tableau - Proficient with Excel, Word and PowerPoint - Querying experience with Risk Management Information System tools We engineer faster, smarter, leaner supply chains. GXO is a leading provider of cutting-edge supply chain solutions to the most successful companies in the world. We help our customers manage their goods most efficiently using our technology and services. Our greatest strength is our global team – energetic, innovative people of all experience levels and talents who make GXO a great place to work. We are proud to be an Equal Opportunity employer including Disabled/Veterans. GXO adheres to CDC, OSHA and state and local requirements regarding COVID safety. All employees and visitors are expected to comply with GXO policies which are in place to safeguard our employees and customers. All applicants who receive a conditional offer of employment may be required to take and pass a pre-employment drug test. The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. All employees may be required to perform duties outside of their normal responsibilities from time to time, as needed. Review GXO's candidate privacy statement here.

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture. Our Property Claims department is seeking a Senior Field Property Adjuster for the Manassas, Virginia territory. This is a remote Full-time/Exempt role with field investigations. POSITION OVERVIEW: The Sr Adjuster Field Service Claims is responsible for independently managing moderate to complex and high-value field property claims. This role requires advanced investigation, evaluation, and negotiation skills to resolve field property claims. It involves thorough analysis, collaboration with internal teams and external experts, and will require travel on short notice. Strong technical expertise and the ability to manage claims in accordance with policy provisions, regulations, and best practices are essential to delivering high-quality service and outcomes. IN THIS ROLE, YOU WILL: - Independently manage field property claims, including those requiring outside field investigations and catastrophe (CAT) response. - Lead thorough investigations, assess coverage, and issue appropriate documentation including reservation of rights and coverage letters. Escalate issues as needed. - Identify and proactively pursue opportunities to transfer risk to the appropriate entities for the benefit of insureds and business partners. - Maintain comprehensive and detailed claim records, ensuring proper documentation and compliance with jurisdictional requirements. - Identify and assign subrogation potential appropriately; set up files to support successful recovery efforts. - Ensure all claims activities comply with regulatory and company standards. Execute jurisdictional compliance requirements and support others in understanding regulatory obligations. - Investigate and manage suspicious claims using advanced techniques and tools; refer to the Special Investigation Unit (SIU) as needed. Maintain awareness of fraud indicators and regulatory reporting obligations. - Set reserves, authorize payments, and make financial decisions within authority and contribute to reserving accuracy and efficiency. - Coordinate with internal and external stakeholders including legal, underwriting, vendors, and agents. Lead cross-functional meetings and communicate complex information clearly to diverse audiences. - Use advanced tools and analytics to identify trends, correct inconsistencies, and improve claims handling efficiency. Ensure proper data ingestion, labeling, and protection of personally identifiable information (PII). - Maintains comprehensive factual and organized claim records and prepares detailed reports summarizing findings and recommendations. - Serve as a mentor to junior adjusters, providing guidance on complex claims, compliance, and litigation processes. Support training initiatives and contribute to the development of best practices and educational materials. - Deliver empathetic, clear communication throughout the claims process. Educate claimants and stakeholders, affirm next steps, and ensure a positive customer experience. - May represent the company in mediations, arbitrations, and trials. - Must have and maintain appropriate state adjuster licenses, continuing education credits, and a valid driver’s license. WHAT YOU NEED TO APPLY: - Bachelor’s degree or equivalent experience with claim handling. Typically requires 5–10 years of adjusting experience. - Strong knowledge of local geography, regulations, and public safety agencies, as well as the ability to build rapport with insureds and navigate the insurance and legal climate. Strong working knowledge of applicable statues, regulations, case law, and third-party legal liability concepts. - Skilled in negotiation and developing strategies to influence outcomes. Demonstrates sound judgment and decision-making, including litigation and compliance matters. - Communicates clearly and effectively in both verbal and written formats across a variety of situations. Selects appropriate communication channels and consistently demonstrates empathy toward all stakeholders. - Highly organized with the ability to manage complex workflows and project work. Demonstrates strong time management and desk management skills, - Makes informed decisions based on thorough analysis of complex issues. Evaluates risks and outcomes, acts independently within authority, and identifies patterns in claims to support resolution strategies. - Ability to collaborate with internal and external experts, including legal, underwriting, and other stakeholders to ensure thorough evaluation. - Ability to quickly assess customer concerns and anticipate questions, communicate and translate complex and technical terms clearly with easily understood language; deliver difficult messages when needed. - Skilled in using claims systems and Microsoft Office Suite. - Ability to use a personal computer and other standard office equipment. - Ability to sit and/or stand for extended periods. - Required to work on-site as needed. - Ability to travel as necessary. - Ability to work in a fast paced, changing or stressful environment. - Ability to perform work in a noisy/loud work environment. - May be required to have and maintain sufficient home-based internet connection. - Ability to operate a motor vehicle 4-5 hours per day and to get in and out of the vehicle numerous times during the day. - Ability to load and unload equipment and supplies weighing up to 30 pounds from a motor vehicle as needed to perform field work. - Ability to bend, walk, and climb for several consecutive hours while inspecting damaged buildings, often with utilities turned off or inoperable. - Ability to use a ladder safely to get on and off roofs and maintain balance while inspecting roofs. - Ability to perform field work in adverse weather. This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform. CAREER DEVELOPMENT: It’s not just a job, it’s a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you – at every level – to grow and develop. BENEFITS: We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. At The Hanover, you’ll enjoy what you do and have the support you need to succeed. Benefits include: - Medical, dental, vision, life, and disability insurance - 401K with a company match - Tuition reimbursement - PTO - Company paid holidays - Flexible work arrangements - Cultural Awareness Day in support of IDE - On-site medical/wellness center (Worcester only) - Click here for the full list of Benefits EEO statement: The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law. Furthermore, The Hanover Insurance Group is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law.” As an equal opportunity employer, Hanover does not discriminate against qualified individuals with disabilities. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at:HRServices@hanover.com and include the link of the job posting in which you are interested. Privacy Policy: To view our privacy policy and online privacy statement, click here. Applicants who are California residents: To see the types of information we may collect from applicants and employees and how we use it, please click here. Compensation: The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Additional compensation may include an annual bonus (which could take the form of a general bonus, sales incentive, or short-term incentive), long-term incentive or spot recognition awards. The posted range reflects our ability to hire at different position titles and levels depending on background and experience.