• 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 claims 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.

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Senior Claims Adjuster will play a critical role in delivering quality claim file management and an industry-leading customer claims experience., This will be completed by adhering to Pie’s Claims Best Practices and complying with regulatory and statutory requirements. This role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie’s customers.. How You’ll Do ItClaims Technical Management: - Independently handle all aspects of the workers’ compensation claims from set-up to closure. - Evaluate and handle high dollar, high exposure, complex claims. - Conduct timely 3-point contact investigation, with focus on continued investigation as facts of the case change. - Mitigate the complex exposure while achieving the best outcome. - Determine timely and accurate compensability decisions within statutory requirements. - Set and adjust timely/accurate reserves within authority limits to ensure reserving activities are consistent with the case facts and company best practices. - Ability to present claims to senior management, internal and external stakeholders. - Timely administration of statutory medical and indemnity benefits throughout the life of the claim. - Comply with all applicable statutory guidelines, rules, and regulations. - Control legal activity with defense counsel through the litigation process while managing legal fees and costs. - Prioritize early resolution opportunities, evaluate claim exposure and negotiate settlement. Claims Customer Service: - Serve as a point of contact for our partner agents and customers to provide general claim guidance and help set claim process expectations. - Assist as necessary in providing claim status to agents and insureds, coverage verification and loss run reports, etc. - Provide excellent customer service to internal and external customers and business partners. - Advocate to ensure that Pie has a leading claims customer experience. - Work to continuously improve our claims operations and look at opportunities and gaps in claim service, handling SOPs, protocols and processes. The Right Stuff - High School Diploma or equivalent is required. - Bachelor's Degree or equivalent experience with some college coursework is preferred. - Minimum of 5-years workers’ compensation claim adjusting experience is required (carrier background, preferred). - Claims experience working in at least two of these states is preferred: Alabama, Arkansas, Colorado, Connecticut, Delaware, DC, Indiana, Iowa, Kansas, Kentucky, Louisiana, Minnesota, Mississippi, Nebraska, New Hampshire, Rhode Island, Vermont, West Virginia, Wisconsin. - Ability to evaluate and identify high dollar, high exposure, complex claims. - Requires active licensing in applicable states Strong communication (written and verbal) skills, to deliver more complex information effectively. - Strong problem-solving skills to be able to manage complex tasks and work through to solutions with little guidance and direction. - Awareness of your own tasks and how it impacts the team and deliverables. - Experience using G-Suite Tools and collaboration tools like Slack is preferred. - Advanced knowledge of jurisdictional regulatory and statutory requirements and CMS/MSA requirements. - Advanced knowledge and experience in claim adjudication, medical, and litigation management. - Advanced ability to analyze and take necessary action in multiple focus areas based on several data points. - Ability to make claim decisions to mitigate exposure while achieving the best outcome. - Ability to use skills to overcome conflict and reach beneficial outcomes. - Ability to mentor junior adjusters. The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. Base Compensation Range $85,000—$110,000 USD Compensation & Benefits - Competitive cash compensation - A piece of the pie (in the form of equity) - Comprehensive health plans - Generous PTO - Future focused 401k match - Generous parental and caregiver leave - Our core values are more than just a poster on the wall; they’re tangibly reflected in our work Our goal is to make all aspects of working with us as easy as pie. That includes our offer process. When we’ve identified a talented individual who we’d like to be a Pie-oneer , we work hard to present an equitable and fair offer. We look at the candidate’s knowledge, skills, and experience, along with their compensation expectations and align that with our company equity processes to determine our offer ranges. Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members. Location Information Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet. Additional InformationPie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic. Pie Insurance participates in the E-Verify program. Please click here, here and here for more information. Pie Insurance is committed to protecting your personal data. Please review our Privacy Policy. Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process. Pie Named to 2025 America's Best Startup Employers Pie Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

Role Description If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. A $2,500 SIGN-ON BONUS will be given to all external candidates hired into this role. Half of the bonus will be paid after 3 months of employment and the remainder will be paid after 9 months of employment. - This role covers the San Angelo, TX and surrounding areas. - The ideal candidate will live in San Angelo, TX or surrounding area. - This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). - Claims inspections will include onsite and virtual inspection. - Depending on claim volume, this role may also support additional territories in a desk adjuster capacity. - Occasional overnight travel may be required in this role. - Relocation assistance may be available for qualified candidates who reside more than 50 miles outside of the territory. Qualifications - 3-5 years of insurance field/property claims handling or adjusting experience - Solid experience/proficiency with Xactimate - Solid experience writing own estimates and handling claims start to finish - Construction background/experience - Residential, Roofing, Remodeling, Water mitigation, etc. - Strong customer service competency - Strong written & verbal communication skills - CAT duty is a requirement of this role Requirements - Handles all assigned claims promptly and effectively, with little to no direction and oversight. - Makes decisions within delegated authority as outlined in company policies and procedures. - Determines proper policy coverages and applies appropriate claims practices to resolve cases in alignment with company guidelines. - Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy. - Maintains current knowledge of insurance and applicable product/services; court decisions which may impact the claims function; current guidelines; and policy changes and modifications. - Maintains current knowledge of local industry repair procedures and local market pricing. - Submits severe incident reports, reinsurance reports and other information to claims management as needed. - Partners with Special Investigations Unit and Subrogation to identify fraud and subrogation opportunities. - Assists or prepares files for lawsuit, trial, or subrogation. - Initiates and conducts follow-ups through proficient use of claims and other related business systems. - Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers. - Adheres to high standards of professional conduct while providing delivery of outstanding claim's service. - May perform other responsibilities as assigned. Benefits - Medical, Dental, Vision - 401k with company match - Company-paid Pension plan - Paid time off and more!

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role offers an exciting opportunity to lead and shape a high-performing claims team in a fast-paced, technology-driven insurance environment. The Complex and Represented Claims Manager will oversee desk adjusters handling property claims, appraisals, mediations, and pre-suits, ensuring operational excellence and superior customer service. You will play a pivotal role in developing claims processes, training and mentoring staff, and collaborating with internal teams and external contractors to achieve organizational goals. This position combines leadership, technical expertise, and hands-on involvement in complex claims, offering a rewarding chance to make a direct impact on both team performance and operational success. Travel within the U.S. for meetings and training is expected, while the role remains fully remote. - Lead, mentor, and develop a team of desk adjusters to ensure efficient, accurate, and high-quality claims handling. - Analyze and report team performance metrics to optimize workflow, customer service, and overall operational efficiency. - Manage selection, evaluation, and retention of contractors, adjusting firms, and other external experts supporting claims operations. - Establish and maintain comprehensive claims handling guidelines, ensuring consistency and adherence to best practices. - Conduct audits, business reviews, and quality assessments of team members and external providers to maintain compliance and performance standards. - Participate in special projects and contribute to continuous improvement initiatives across the claims function. Qualifications - Bachelor’s degree or equivalent experience in a related field. - 5+ years as a desk adjuster in homeowner/property insurance, handling all perils (fire, hail, wind, water, theft, lightning, vandalism, etc.). - 3+ years of management experience leading a team of 5–10 adjusters in the P&C insurance space. - Strong technical expertise in loss estimating, homeowner policy coverages, construction, and claims processes. - Experience with contractors, vendors, Proof of Loss evaluation, CRN, DTPA, NOI, mediations, and appraisals. - Current or eligible adjuster licensing in relevant U.S. states (FL, TX, NY, LA) and familiarity with HAAG certification is a plus. - Proficiency in MS Office, Slack, Teams, and claims-related software; Symbility experience is advantageous. - Exceptional communication, organizational, and problem-solving skills, with the ability to thrive in a metrics-driven environment. - Ability to manage multiple priorities, provide solutions to complex situations, and maintain high attention to detail. Benefits - Competitive base salary of $90,000–$105,000 per year, plus potential bonuses or incentives. - Comprehensive medical, dental, and vision coverage. - Short- and long-term disability (company-paid) and voluntary life & AD&D options. - Flexible healthcare and dependent care accounts (FSA/HSA). - 401(k) with generous matching and no vesting schedule. - 20 days of PTO annually (prorated based on hire date). - Fully remote work with designated quiet workspace and reliable internet connectivity. - Opportunity to work in a collaborative, innovative, and fast-paced insurance technology environment.