National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. Job Description Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Every claim presents a new challenge. This role is ideal for someone who enjoys problem-solving, analyzing information, and making confident decisions while supporting customers and internal partners. Key Responsibilities • Applies increased experience in the Adjuster II level or a rotation into a specialty position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler, etc.) • For claims involving injuries (if handled), learns how to review, evaluate, and negotiate basic to moderate injury claims • Handles investigation regarding all aspects of advanced auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority • Recognizes and identifies body parts of a vehicle and understanding other potential property damage • Identifies customer needs and works to meet those needs using appropriate customer service skills • Determines subrogation or fraud potential and how to handle • Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Supervisory Responsibilities • This job does not have supervisory duties. Skills Case Management, Claims Administration, Claims Resolution, Claims Review, Insurance Claims Investigations Compensation Base compensation offered for this role is: Adjuster Analyst III: $21.20 -- $30.87/hr Adjuster Consultant I: $26.49 -- $37.50/hr Adjuster Consultant II: $28.03 -- $39.42/hr Adjuster Sr Consultant I: $35.82 -- $45.58/hr Compensation is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role. Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Companies & Partners Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident. Benefits National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.

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 - Liability PRIMARY PURPOSE: To analyze mid- and higher-level general liability 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 mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. - Assesses liability and resolves claims within evaluation. - 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. QUALIFICATION 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 - 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 $70,000 - $90,000/yr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As a Heavy Truck/Trailer Appraiser, you will investigate, evaluate, negotiate and resolve claims in a fair, prompt and equitable manner. You are a source of knowledge in auto and material damage with a focus on heavy trucks and trailers. When faced with the destructive aftermath of an accident, you help clients through the claims process. Federated provides a defined training program to teach you the fundamentals of commercial claims and prepare you to serve clients. This is a remote/home-based position that will require travel by car and/or plane frequently. Roughly 50% of your time will be spent traveling. Frequent overnight travel and occasional multi-night travel included. Responsibilities - Evaluates claims, determines validity of coverage, and conducts investigation. - Determines extent of damage through inspection of heavy trucks, trailers and other equipment. - Prepares written estimate of repair costs and/or conducts an investigation to determine actual cash value. - Negotiates directly with clients and third parties. - Obtains and evaluates written and recorded salvage bids in total loss cases. - Photographs damaged property as necessary to reflect the scope of the damage and the identity of the damaged property. - Documents all investigations conducted and action taken to provide a complete, accurate, and self-sustaining record for future reference. - Keeps technical manuals and electronic reference materials updated. - Maintains knowledge of industry developments, repair techniques, and procedures. - Plans and schedules work itinerary to make the most effective use of travel time. Qualifications - Prefer industry experience with heavy trucks & trailers with an interest in deepening industry and estimating knowledge. - Prefer two years’ automotive body experience or vocational training in related field, demonstrating basic understanding of automobile body parts or a four year degree. - Must demonstrate the ability to proficiently and effectively manage assigned claims with minimum work direction. - Prefer two years customer service experience. - Strong analytical, computer and time management skills. - Excellent written and verbal communication skills. - Valid driver’s license and acceptable driving record. Requirements - Travel by car and/or plane frequently, including overnight and occasional multi-night travel. - Work indoors and outdoors with exposure to noise, heat and/or cold. - Occasionally adjust work schedule and/or work extra hours including evenings and weekends. - Must have physical mobility, vision, and hearing necessary to traverse and evaluate claims damage. Salary Range $70,200 - $85,800. Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a member of the Recruiting team. Benefits - Wide variety of ways to support you both professionally and personally. - Opportunities for internal mobility and career development paths. - Exceptional benefits to nurture your personal life. - Competitive compensation and enticing bonus programs. - Cost-effective health insurance and robust pension and 401(k) offerings. - Paid volunteer time and opportunities for gift matching. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As an Eligibility Senior Representative, you play a critical role at the intersection of patients, providers, payers, and specialty pharmacy operations. You bring clarity to complex insurance benefits, remove barriers to care, and help ensure patients receive timely access to life-changing therapies. This role is ideal for someone who is confident, compassionate, and energized by making a meaningful difference every day. - Drive timely referral processing by proactively identifying and resolving drug coverage and eligibility issues that impact turnaround time and patient access. - Serve as a trusted liaison between internal teams and external partners, including payers, providers, and pharmaceutical manufacturers, to reduce client abrasion and improve outcomes. - Independently resolve complex patient claims and eligibility issues using advanced knowledge of medical and pharmacy benefits. - Ensure claims and referrals meet payer requirements by accurately validating codes, dates, authorizations, and coverage criteria. - Perform complex medical and pharmacy benefit verifications, applying payer-specific rules and sound judgment to support reimbursable services. - Communicate patient status clearly and confidently to internal and external stakeholders, providing expert guidance and next steps. - Handle escalations with professionalism and discretion, applying deep understanding of policies while knowing when to escalate appropriately. - Identify trends and root causes that affect patient access and operational performance, and contribute to continuous improvement efforts. - Support team capability by coaching and guiding less experienced colleagues with patience and clarity. - Adapt quickly in a dynamic environment, balancing priorities while maintaining accuracy, empathy, and accountability. Qualifications - High school diploma or GED. - Minimum of 3 years of relevant professional experience, including at least 2 years in healthcare with hands-on experience in medical or pharmacy insurance benefits. - Demonstrated experience in patient access, eligibility, benefits verification, or claims resolution. - Strong working knowledge of healthcare insurance terminology, processes, and payer requirements. - Proficiency with data entry and Microsoft Office tools. - Excellent verbal communication skills, including confidence handling complex or challenging conversations. - Proven ability to work independently, make sound decisions, and manage escalations with minimal supervision. - Advanced problem-solving skills and the ability to collaborate across departments to deliver solutions. Requirements - Bachelor’s degree (preferred). - Experience supporting specialty pharmacy or complex therapies (preferred). - Strong knowledge of Express Scripts, Inc. (ESI) products and services (preferred). - Experience training, mentoring, or coaching peers in processes and best practices (preferred). - Demonstrated ability to identify process gaps and contribute to operational improvements (preferred). Benefits - If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.