Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. Overview Role specifics: - Jurisdictions: Any - Licenses: Any (TX, FL, NY, HI and RI a plus) (Must acquire within specified timeframe) - Location: This role is eligible for fully remote work How you'll make an impact - Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims. - Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. - Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process - Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements. - Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. About You Potential candidates should have the following: - Claims Background: Commercial General Liability - Jurisdictional Experience: Open to any - Active Adjusters' licenses: TX, FL, NY, HI, RI and reciprocals As a key member of our Claims Adjuster team, you will: - Investigate, evaluate, and resolve complex GL BI claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution. - Work in partnership with our clients to deliver innovative solutions and enhance the claims management process - Think critically, solve problems, plan, and prioritize activities to optimally serve clients REQUIRED QUALIFICATIONS: - High School Diploma. - Minimum of 5 years related claims experience. - Appropriate licensing and/or certification in all states in which claims are being handled. - Knowledge of accepted industry standards and practices. - Computer experience with related claims and business software. DESIRED: - Bachelor's Degree. #LI-WG1 #LI-Remote Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve: - Medical/dental/vision plans, which start from day one! - Life and accident insurance - 401(K) and Roth options - Tax-advantaged accounts (HSA, FSA) - Educational expense reimbursement - Paid parental leave Other benefits include: - Digital mental health services (Talkspace) - Flexible work hours (availability varies by office and job function) - Training programs - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing - Charitable matching gift program - And more... **The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Role Description Advanced Hearing Providers (“AHP”) coordinates hearing healthcare services for employees with workers’ compensation claims. We connect patients with our nationwide network of qualified hearing healthcare providers on behalf of our clients; the payers and third-party administrators of workers’ compensation claims. We are seeking hard-working, self-motivated candidates with a positive attitude who are passionate about patient care and want to help people hear better. The position of Claims Specialist I (“CS I”) plays a critical role in the operation of the organization. The main function of an AHP CS I is coordinating authorized hearing healthcare for covered injured workers, demonstrating basic to intermediate competency within the role and duties assigned. AHP staff work as a TEAM and CARE– this is crucial! We expect team members to build trust and respect for each other by producing consistent results and going above and beyond, especially to help each other. Even though each CS will be working on their own assigned cases, interaction with other team members, clients, providers, and patients will occur often. This is a fully remote position; however, candidates must be able to work the core hours of 11:30 AM – 8:00 PM EST. The pay range for this role is $18.90-22.05 hourly. Responsibilities - Obtain a complete, thorough understanding of the workers’ compensation claims administration process, fees and participants. - Adhere to customer Service Level Agreements (SLAs) by maintaining contact with clients, providers, and claimants/patients as prescribed to ensure all parties are kept informed of the process status. - Successfully prioritize the workday utilizing our task-based systems, resulting in achieving daily completion of all required tasks (ensuring SLA compliance). - Ensure orders are properly documented in a timely manner. - Demonstrate an understanding of the workers’ compensation referral and RFA process. - Demonstrate an understanding of navigating client/claimant requirements to ensure billable item eligibility is reviewed prior to submitting requests to client. - Perform verification of all HCPC/CPT codes that will be requested, including verifying eligibility and confirming whether NCCI edits and/or a state fee schedule (SFS) is applicable. - Coordinate the completion of necessary documentation to be filed with state agencies when applicable. - Maintain a high degree of detail and accuracy throughout the claim administration process. - Cross utilize phone, email, and fax for communication to ensure efficient processing time. - Assist with phone answering and intake related duties. - Demonstrate basic to intermediate level process understanding and ability to critically think and solution for complex situations that arise. - Other duties as assigned by the manager. Qualifications - Advanced knowledge and experience with computer systems and business software programs, in particular Salesforce, Word, Excel, Outlook, Office 365 Apps and Adobe Acrobat. - Previous workers’ compensation, insurance claims management, and/or hearing healthcare industry experience is preferred. - Bilingual skills will be extremely helpful with some patients. - Excellent grammar and written skills. - Ability to type at a minimum of 40 WPM. - Ability to travel for training and occasional on-site meetings. Other Personal Characteristics and Experience - Communicate clearly, professionally and in a timely manner. - Manage multiple tasks simultaneously in a proficient manner. - Ability to maintain professional client and provider relationships. - Work collaboratively with colleagues, including regularly providing direct support by completing team members’ tasks for them as needed. - Understand when situational discretion must be employed in the handling and sharing of client, provider, and/or claimant information. - Self-motivated; ability to work independently. - Must have a high attention to detail. - Must be coachable and receptive to feedback. - Must be dependable and consistent. - Ability to take a proactive approach to all situations. - Driven by a focus on reaching a specific objective or accomplishing a given task. - Eagerness to adapt to new methods. - Obtain satisfaction from delivering great customer service. - Willing to try new things/operate outside of your comfort zone. Requirements - Reliable and secure Internet Service Provider at home (no public WiFi) for duration of working hours. - Sufficient room to set up a laptop, monitors, keyboard and mouse. - Comfortable space to work for duration of working hours. - Quiet, private and secure space in which to work. Benefits - Medical, dental, prescription, and vision benefits. - 24/7 virtual medical care. - Employee Assistance Program for you and your family. - 401(k) with company match. - Company-paid life insurance. - Supplemental insurance for yourself, your spouse/partner, and your children. - Short-term and long-term disability insurance. - Pre-tax Health Savings Account and Flexible Spending Accounts for Health Care or Dependent Care. - Pet Insurance. - Commuter accounts.

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description A day in the life of a Large Loss Field Property Adjuster, and what it takes to do the job!  As a Large Loss Field Property Adjuster, you will provide exceptional service to our policyholders. Your primary responsibility will involve traveling to our customers' homes to conduct on-site inspections, investigate coverage, prepare estimates, and settle claims promptly and efficiently. Additionally, you will handle virtual claims countrywide, leveraging various platforms and software such as Xactimate and ClaimsX Video Collaboration. Your expertise will be particularly focused on large scale fire and water losses, ensuring our customers receive the highest level of support and resolution for these specific claims.    You'll wear a few hats that will require a level of experience:  - The Customer Service Expert –you’ll live into Allstate’s Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each claim. You lead with empathy, always.   - The Investigator – you’ll confidently and independently investigate property claims by performing detailed reviews of damage and interpreting policies to determine coverage.   - The Effective Communicator – you’ll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You’ll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress.   - The Negotiator – You will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations.  - The Problem Solver –you’ll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.   - The Recorder – you’ll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained in. You’ll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim.      Preferred Qualifications:  - 4+ years’ previous experience as an outside adjuster is highly desired.  - Experience handling claims with multiple trades and over $100,000 in losses.   - Proficiency in using Xactimate and other relevant software for estimating. - Strong critical thinking and technical skills to assess damages accurately and expedite claims settlements.  - Excellent communication and interpersonal skills to provide exceptional customer service.  - Ability to travel to customers' homes and handle virtual claims countrywide effectively.  - Detail-oriented and organized, with a focus on delivering high-quality work.  - This position is not available for California, Alaska, Hawaii or Puerto Rico residents.  Required Qualifications: - Residency within the posted location is mandatory for this role.  - Must be able to carry a 50-pound ladder and access roofs with up to a 6/12 pitch. - Valid driver's license and willingness to travel as part of the job requirements.  You’re provided with comprehensive training:  - The training program is designed to help you build a claims foundation and understand the systems and processes in your day-to-day work. - Ongoing training opportunities for continuous improvement happen regularly on the job. - You will be required to attend approximately 2 weeks of training that will take place in Dallas, TX.   Notice of Licensing Requirement:  - As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license which includes passing an additional background check with the Department of Labor. If applicable, you will be required to secure license(s) within 60 days of hire.  - If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed.    Sign On Bonus:   - You may be eligible for a $1,000 Licensing Sign on Bonus if you have the applicable active licenses needed for this role.  This could include Home Resident Property & Casualty License, Designated Home State (DHS) Florida or Texas License, and/or applicable Appraiser License.  - Current employees or candidates who have previously worked for Allstate, including its family of companies, are not eligible for this sign-on bonus.    Company Car:  - Based on our Company Car Guidelines, this role may qualify for a company car. Our leadership team determines this based on annual work mileage for this location. You may be required to use your personal vehicle until these guidelines are met. We offer mileage reimbursements for personal vehicle usage during work.    Allstate Benefits:  Being a part of Allstate means you receive a benefits package from Day 1 of employment.  This includes time off, healthcare, retirement, and more.  That is why as an Allstater, you’ll enjoy a Total Rewards package that includes:  - Competitive pay with needed support for continuous development and career advancement.  - Flexibility in scheduling and a time off policy that helps support your work/life balance.  - Initial and ongoing training to get you proficient in your new role.  - Comprehensive benefits like a 401K/pension, education reimbursement, and programs to help you balance work with the rest of your life. Visit www.allstategoodlife.com to learn more. #LI-AK2 Skills Active Listening, Communication, Critical Thinking, Customer Service, Empathy, Multitasking, Property Adjusting, Time Management, Working Independently, Xactimate (Estimating Software) Compensation Base compensation offered for this role is $72,000-$117,700 annually and is based on experience and qualifications. The candidate(s) offered this position will be required to submit to a background investigation. 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. Allstate generally does not sponsor individuals for employment-based visas for this position. 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.

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 Sr. Claims Specialist, Professional Liability | Medical Malpractice (Long Term Care) | Florida PRIMARY PURPOSE: To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Analyzes and processes complex or technically difficult medical malpractice 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. - Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. - Negotiates claim settlement up to designated authority level. - Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life. - Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement. - Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. - Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients. - Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. - Represents Company in depositions, mediations, and trial monitoring as needed. - Communicates claim activity and processing with the client; maintains professional client relationships. - Ensures claim files are properly documented and claims coding is correct. - Refers cases as appropriate to supervisor and management. - Delegates work and mentors assigned staff. ADDITIONAL FUNCTIONS and RESPONSIBILITIES - Performs other duties as assigned. - Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred. Experience Six (6) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge - In-depth knowledge of appropriate medical malpractice 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 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 - Excellent negotiation 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. 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. 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.