This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description - Investigate and determine compensability on workers' compensation claims - Develop and implement effective claim resolution strategies - Support return-to-work efforts through medical and disability management - Evaluate and negotiate claim settlements and work with defense to handle litigation matters - Ensure compliance with RI statutes, regulations, and Beacon’s internal guidelines - Reserve, process, and manage claims payments accurately and efficiently Qualifications - Direct experience managing Rhode Island Workers’ Compensation claims is required - Experience handling MA and CT Workers’ Compensation claims is preferred - Deep understanding of workers’ comp laws, claims practices, and medical terminology - Excellent communication, negotiation, and decision-making skills - Bachelor’s degree and/or 3–5 years of Workers’ Compensation adjusting experience - Proficiency in Microsoft Office and modern claims systems Benefits - Competitive Salary along with a broad range of compensation initiatives - Comprehensive health plans, life insurance, and wellness programs - Generous vacation time, plus telecommuting and flexible schedule options - Retirement savings plan and 401(k) educational programs - Access to learning and development opportunities for professional growth - A friendly and supportive atmosphere where teamwork and knowledge sharing are prioritized - Work-family balance supported through flexible arrangements - Dedication to the health and wellness of our employees—Beacon is a proud recipient of multiple Worksite Wellness Awards Company Description Beacon is an equal opportunity employer. We believe that fostering a lasting culture of inclusion and belonging is the most effective way to attract, develop, and retain a diverse workforce.

Role Description Exercises independent discretion or judgment in handling all types of catastrophe property claims. Also assists assigned field office when not on catastrophe deployment in handling day to day property claims. Join ERIE Insurance as a Catastrophe Property Adjuster and make a meaningful impact helping customers rebuild after major events. This role combines the flexibility of working from home with the opportunity to travel throughout our operating footprint to support policyholders when they need it most. Why This Role? - Work From Home: This is a fully remote position. We’re accepting applicants from across the ERIE Insurance operating footprint: Pennsylvania (PA), New York (NY), Maryland/Washington, DC (MD/DC), North Carolina (NC), Virginia (VA), West Virginia (WV), Tennessee (TN), Wisconsin (WI), Illinois (IL), Indiana (IN), Ohio (OH), and Kentucky (KY). - Travel Required: The majority of responsibilities involve travel to catastrophe sites and field inspections across our footprint. Unlike national carriers, ERIE’s regional footprint means shorter travel times to events — so you can focus on helping customers, not endless commutes. - Company Vehicle: A company car, maintenance, and paid gas card are provided. - Compensation & Growth: Fantastic bonus opportunities and long-term development with an award-winning insurance company. What You’ll Do: - Investigate, evaluate, and resolve property claims resulting from catastrophes, natural disasters, and large-scale events. - Conduct on-site inspections, estimate damages, and prepare detailed reports. - Provide clear, empathetic communication to policyholders throughout the claims process. - Partner with claims teams and external resources to deliver fair and timely resolutions. - Represent ERIE Insurance with professionalism and compassion in the field. Qualifications - Minimum Educational Requirements: High school diploma or equivalent required. - Additional Experience: Five years of claims handling experience, or equivalent, including two years of property claims handling experience, required. - Strong technical knowledge of structural damage repair and valuation techniques or equivalent required. - Proficiency with estimating software (preferably Symbility) or equivalent, preferred. - Incumbent must live in the territory assigned unless a change is approved by the company. - Position requires the incumbent to serve on the Catastrophe Team as a first responder which will include frequent travel on short notice to other locations for periods in excess of two consecutive weeks. - Designations and/or Licenses: Successful completion of Associate in Claims (AIC) program preferred. - Appropriate license as required by state. - Valid driver’s license and good driving record required. Requirements - Use of Personal Protective Equipment (PPE) is required for this role. - Ability to move over 50 lbs using lifting aide equipment; Often (20-50%) - Climbing/accessing heights; Moderate (30-40%) - Driving; Frequent (50-80%) - Lifting/Moving 0-20 lbs; Often (20-50%) - Lifting/Moving 20-50 lbs; Often (20-50%) - Manual Keying/Data Entry/inputting information/computer use; Often (20-50%) - Pushing/Pulling/moving objects, equipment with wheels; Occasional (<20%) Benefits - Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. - Low contributions to medical and prescription premiums. We currently pay up to 97% of employees’ monthly premium costs. - Pension: We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service. - 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. - Paid time off: Paid vacation, personal days, sick days, bereavement days and parental leave. - Career development: Including a tuition reimbursement program for higher education and industry designations. - Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.

Role Description The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote role. Essential Functions & Responsibilities - Receives Workers’ Compensation claim, confirms policy coverage and acknowledgement of the claim. - Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies. - Establishes reserves and authorizes payments within reserving authority limits. - Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim. - Coordinates early return-to-work efforts with the appropriate parties. - Manages subrogation and litigation of claim as it applies. - Manages potential claim recoveries of all types. - Reports claims to the excess carrier when applicable. - Communicates claim status with the customer and claimant. - Adheres to client and carrier guidelines and participates in claims review as needed. - Develops and maintains professional customer relationships. - Complies with rules and regulations of applicable state. - Additional duties as assigned. Qualifications - Excellent written and verbal communication skills. - Ability to assist team members to develop knowledge and understanding of claims practice. - Ability to identify, analyze and solve problems. - Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets. - Strong interpersonal, time management and organizational skills. - Ability to work both independently and within a team environment. - Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers’ Compensation. Requirements - Bachelor's degree or a combination of education and related experience. - Minimum of 3 years’ industry experience and claim handling. - Self-Insured Certificate preferred. - State Certification or license as an experienced claims adjuster. - Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel. Benefits - Comprehensive benefits package available for full-time regular employees. - Medical (HDHP) w/Pharmacy. - Dental and Vision insurance. - Long Term Disability. - Health Savings Account and Flexible Spending Account Options. - Life Insurance, Accident Insurance, Critical Illness Insurance. - Pre-paid Legal Insurance. - Parking and Transit FSA accounts. - 401K and ROTH 401K. - Paid time off. Company Description CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

• Acquire knowledge of the client’s claims adjudication system(s), member and provider contracts, and client claim payment policies and procedures. • Assist client in identifying, validating, and recovering claim overpayments. • Validate claims to ensure the accuracy of algorithms and that no refund has previously been posted to the client’s system(s) • Review and resolve disputed overpayments from client/provider. • Participate in knowledge sharing to brainstorm & resolve claim issues or seek clarifications. • Identify new overpayment opportunities by reviewing and researching areas such as CMS and Medicaid claims processing policies, adjustments by client’s internal unit/other vendors, client’s claims processing policies/system(s), provider, and member contracts. • Ideate, test, document & submit new overpayment trends/research scenarios. • Research potential new ideas and follow algorithm development process. • Assist Management with concept approval information needed for client approval on specific trends. • Always represent TREND and our clients in a professional manner • Cooperate with team members to meet goals and complete tasks in an efficient and effective manner. • Provide feedback to Management regarding inventory levels, algorithm effectiveness/productivity and new trend /ideas. • Collaborate with TREND Management to identify new opportunities, areas of improvement and innovate potential solutions. • Escalate to the manager any situation outside the employee’s control that could adversely impact the business relationship.