Description Join our team this June 2026! Liberty Mutual’s Personal Lines Casualty team is hiring experienced Claims Specialist to manage attorney‑represented and litigated auto and homeowner bodily injury claims. If you have strong litigation experience, sound judgment, and a commitment to excellent customer service, we want to hear from you. Advance your career with a supportive team and meaningful work that makes a difference. Apply today! Responsibilities: - Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels. - Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. - Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status. - Confers with trial counsel and prepares trial reports. - Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. - Responds to various written and telephone inquiries including status reports. - Ensures adequacy of reserves. - Recommends reserve increases on cases in excess of authority. - Accountable for security of financial processing of claims, as well as security information contained in claims files. - Updates files and provides comprehensive reports as required. - Responsible for managing the practices and billing activities of outside and in-house counsel. - Expected 10% travel for trials, mediations, and in-person events. Preferred Experience: - 2+ years of First Party Claims handling. - 2+ years of Personal Lines Third Party Auto Casualty experience. - 2+ years of Litigation experience. This is a fully remote opportunity for candidates who live more than 50 miles from our claims offices. Candidates who reside within a 50 mile radius will go into the office 2 times per month. The following states are excluded from eligibility: California, Idaho and Washington. Qualifications - Strong written and oral communications skills required. - Strong interpersonal, analytical, negotiation and investigative skills required. - Customer service experience preferred. - Strong competency of legal liability, general insurance policy coverage and State Tort Law. - The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 3 years of directly related experience. - Ability to obtain proper licensing as required. About UsPay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.   We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://LMI.co/Benefits    Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.    Fair Chance Notices  - California - Los Angeles Incorporated - Los Angeles Unincorporated - Philadelphia - San Francisco

Title: Claims Associate - Workers Compensation Location: Cincinnati United States Job Description: 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 Associate - Workers Compensation This position offers a hybrid work schedule, with 2 days per week in our Blue Ash office. and the remainder remote. PRIMARY PURPOSE: To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. - Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. - Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. - Communicates claim action/processing with claimant, client and appropriate medical contact. - Ensures claim files are properly documented and claims coding is correct. - May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims. - Maintains professional client relationships. ADDITIONAL FUNCTIONS and RESPONSIBILITIES - Performs other duties as assigned. - Supports the organization's quality program(s). QUALIFICATION Education & Licensing High school diploma or GED required. Licenses as required. Experience One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Skills & Knowledge - Excellent oral and written communication 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 Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. TAKING CARE OF YOU BY - We offer a diverse and comprehensive benefits package including: - Three Medical, and two dental plans to choose from. - Tuition reimbursement eligible. - 401K plan that matches 50% on every $ you put in up to the first 6% you save. - 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. 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 $18.00 - $23.00/HR. 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.

Job Title: Appeals Specialist – Entry Level Location: Remote (EST/CST hours) Schedule: Monday–Friday, 8 AM–6 PM EST (training 9 AM–6 PM EST, no time off during training) Duration: 6 months (possibility to extend or convert) Experience Level: Entry Level Position Purpose Supports the documentation and processing of appeals, disputes, and reconsiderations to ensure compliance with state and NCQA requirements. This role ensures timely review, accurate routing, and proper case resolution while maintaining strict adherence to company policies and standards. Key Responsibilities - Perform data entry to track, log, and process appeals, disputes, and reconsiderations in accordance with regulatory and accreditation guidelines. - Prepare correspondence and maintain documentation files for appeals and disputes. - Review and investigate appeals, disputes, and reconsideration requests to determine appropriate follow-up actions. - Conduct research to evaluate and respond to appeals, ensuring timely decisions. - Prepare case files with supporting documentation and determinations for review and reporting. - Gather data to track and report on trends and outcomes, including outreach for status updates and determinations. - Collaborate cross-functionally to ensure accuracy, efficiency, and compliance in case handling. - Comply with all company policies, standards, and quality requirements. Qualifications - Education: High school diploma or GED required. - Experience: 1–2 years of claim processing, prior authorizations, or utilization management experience. - Disqualifiers: Lack of claims/authorization experience, unrelated recent roles, or excessive job hopping. Job Type & Location This is a Contract to Hire position based out of Troy, MI. Pay and BenefitsThe pay range for this position is $23.00 - $23.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace TypeThis is a fully remote position. Application DeadlineThis position is anticipated to close on Mar 20, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

COMPANY OVERVIEW Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for [a] Coverage and Qualification Adjuster(s) to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success is a commitment to providing quality service to our agents and customers, by providing disciplined underwriting, and strategic claims handling. Our ongoing efforts to invest substantial resources in personnel and technology are the foundation of our promise of assuring maximum efficiency and specialized operations in the industry. We are proud that our independent agents and customers have recognized our dedication by making UAIC the market leader in every state where we conduct business. Auto PIP Claims experience required - This is a fully remote opportunity, and the ideal candidate will have an active adjuster's license, in Florida or Texas. SCOPE: As a Coverage and Qualification Adjuster, you will be responsible for reviewing and processing Personal Injury Protection claims, ensuring compliance with company policies and state regulations. This role involves assessing the validity of claims, determining coverage limits, and facilitating timely and accurate settlements. DUTIES: - Review and assess PIP claims to determine coverage eligibility. - Analyze medical records, police reports, and other relevant documents to evaluate the extent of injuries and to establish proof of loss. - Interpret insurance policies, contracts, and state regulations to determine the extent of coverage applicable to each claim. - Communicate with claimants, medical professionals, attorneys, and other parties involved in the claim process to gather necessary information and documentation. - Provide clear and concise explanations of coverage decisions to claimants. - Conduct interviews with claimants to gather necessary information that supports an objective final disposition of the claims. These interviews may be conducted under oath or via phone. - Maintain accurate and organized claim files with all pertinent information, including correspondence, medical records, and assessment reports. - Issue payments for approved claims in accordance with company policies. - Ensure compliance with state laws, regulations, and company policies in all claim handling activities. - Generate and submit reports on claims activity, trends, and performance metrics. - Identify and investigate potentially fraudulent activities related to PIP claims. - Collaborate with the special investigation unit (SIU) when fraud is suspected. - Provide excellent customer service by addressing inquiries, concerns, and providing timely updates to claimants. - Prepare reports and documentation for internal purposes, regulatory compliance, and potential legal proceedings. EDUCATION: - Associate or bachelor’s degree preferred and/or a minimum of 3 years of related work experience, preferably with PIP claims. - Active Adjuster’s license required SKILLS & EXPERIENCE: - Bilingual (English & Spanish) preferred - Knowledge of insurance principles, policies, and procedures. - Strong analytical, negotiation, and communication skills. - Ability to work independently and efficiently manage a caseload. - Proficient in Guidewire, Word, Excel, Windows-based applications and internet usage. - Must be familiar with forms, procedures, regulations, coverages, and claims processes. - Must be able to exercise good judgment and state opinions assertively. - Must be able to write and speak clearly and concisely. - Must be able to perform work effectively in a highly intense environment and handle multiple tasks and demands simultaneously. - Must illustrate analytical skills to identify, gather, and organize information. - Must be able to work independently in a team environment. BENEFITS: - 401(k) Retirement Savings Plan with employer match. - Comprehensive Medical, Prescription Drug, Vision, and Dental Insurance - Paid Time Off, Holidays, and Leave programs. - Flexible spending accounts - Basic Life Insurance and Voluntary Life/ADD - Short Term and Long-Term Disability UAIC participates in the E-Verify program to confirm the employment eligibility of all newly hired employees. For more information about E-Verify, please visit https://www.e-verify.gov/. UAIC is an Equal Opportunity Employer and is committed to the principle of equal employment opportunity for all employees. All employment decisions at UAIC are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, or belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. PIP Coverage and Qualification Adjuster