• Analyzes insurance policies and other documents to determine insurance coverage. • Investigates and analyzes claim information to determine extent of liability. • Handles claims 1st Party Property Claims of a high level of complexity. • Assist in suits, mediations and arbitrations. Works with Counsel in the defense of litigation. • Sets timely, adequate reserves in compliance with the company’s reserving philosophy. • Engages experts to assist in the evaluation of the claim. • Monitors vendor performance and controls expense costs. • Evaluates, negotiates and determines settlement values. • Communicates with all interested parties throughout the life of the claim. Proactively discusses coverage decisions, the need for additional information, and settlement amounts with interested parties. • Handles all claims in accordance with Best Practices. • Responsible for monitoring and completing assigned claims inventory. • Acquire and maintain a state adjuster’s license and meet state continuing education requirements. • Updates and maintains the claim file. • Identifies opportunities for subrogation and ensures recovery interests are protected. • Identifies fraud indicators and refers files to SIU for further investigation. • Participates in claims audits, internal and external. • Provides oversight of TPAs

Role Description We are seeking a seasoned workers' compensation professional to work with clients to control costs and exposure and help injured workers get back to work. In this position, you will handle workers’ compensation claims involving litigated, loss time and complicated medical claims. This position offers a home-based work opportunity. The successful candidate must reside in the state of MN or SD to be considered. Qualifications - A minimum of three years of progressive workers’ compensation claims handling experience, including handling litigated claims and files with larger losses. - Proven decision making and problem-solving skills. - Excellent verbal and written communication skills. - Must be proficient in Microsoft Word and Excel. Benefits - Competitive wage and benefits package. - Medical, dental, and vision coverage. - Paid holidays. - Paid parental leave. - PTO. - 401K. - And much more! Company Description In our 30+-year history, we’ve soared to great heights, reimagined ourselves, and gained a profound awareness of the value we bring as experienced workers’ compensation insurance providers. Today our reputation has grown as the region’s leading workers’ compensation insurance writer. While our product is insurance, what we truly sell is safer workplaces, help for companies looking to protect their employees, and support for people at their most vulnerable. At RAS, we believe in an inclusive work environment, where employees are welcomed, valued, respected, and heard to ensure that individuals bring their best selves to work. RAS provides equal opportunities to all qualified candidates without regard to race, color, religion, sexual orientation, gender identity or expression, age, disability status, veteran status, national origin, or any other status protected under federal, state or local law.

Role Description Our client is seeking to add a Senior Workers' Compensation Claims Adjuster that would have the ability to work remotely. Responsibilities include moderate to complex Workers Compensation Claims throughout the Southeast US. This person would be required to investigate claims via telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information. This position is fully remote. - Process assigned claims and determine benefits due pursuant to the client contract. - Work proactively towards claims resolution with defense counsel and clients, while adhering to audit requirements and resolving claims in a timely manner. - Make timely claims payments and adjustments; communicate claim action/processing with claimant and client. - Ensure claim files are properly documented and claims coding is correct. - Provide comprehensive, complete thorough analysis of coverage determination. - Prepare detailed reports, review and prepare responsive correspondence to achieve settlement. Qualifications - 5-10 years of Workers' Compensation claims handling experience. - Active licenses in one or more of the following: NC, SC, and/or GA. - Litigation Experience Required. - Strong verbal and written communication skills. Benefits - $75K - $90K Annually (based on experience). - Annual bonus potential. - Flex schedule and ability to work remotely. - 401k Plan. - Health and Dental Plan. - Generous PTO. Company Description

Role Description Our client, a Nationally recognized P&C Insurance Company, is seeking a highly experienced Commercial Auto Large Loss Claims Specialist to join their team. This individual will be responsible for managing complex, high-exposure commercial auto, trucking, and medical transport claims involving severe injuries and significant financial exposure, from initial intake through final resolution. This role requires someone who can confidently navigate high-severity files, collaborate with counsel and vendors, and drive claims to efficient, compliant outcomes while maintaining exceptional service standards. This is a fully remote opportunity offering the chance to work on challenging, high-impact claims within a dynamic and supportive environment. - Manage and investigate 80 - 90 complex commercial auto claims involving severe bodily injury and large loss exposure. - Conduct detailed claim investigations including liability determination, coverage analysis, and damage evaluation. - Collaborate with legal counsel on litigated claims, providing documentation and strategy support as needed. - Evaluate medical documentation, accident reports, witness statements, and other evidence to determine claim value and exposure. - Negotiate settlements with claimants, attorneys, and other involved parties. - Maintain accurate and timely claim documentation in accordance with company procedures and regulatory requirements. Qualifications - 5 – 10+ years of Commercial Auto Bodily Injury claims experience. - Experience handling complex or large loss claims in excess of $500K - $1M. - Must have experience working directly for an Insurance Carrier. - Strong analytical, negotiation, and investigation skills. - Ability to manage multiple complex claims simultaneously while maintaining attention to detail. - Excellent communication and organizational skills. Benefits - $90,000 - $110,000 annual base salary (commensurate with experience). - Comprehensive Medical, Dental, and Vision insurance. - Flexible scheduling and ability to work fully remote. - Attractive PTO package. - Employer-matching 401(k).