• Day-to-day processing of claims for accounts: • Responsible for processing of claims (medical, dental, vision, and mental health claims) • Claims processing and adjudication. • Claims research where applicable. • Reviews and processes insurance to verify medical necessities and coverage under policy guidelines (clinical edit logic). • Incumbents are expected to meet and/or exceed qualitative and quantitative production standards. • Investigation and overpayment administration: • Facilitate claims investigation, negotiate settlements, interpret medical records, respond to Department of Insurance complaints, and authorize payment to claimants and providers. • Overpayment reviews and recovery of claims overpayment; corrected financial histories of patients and service providers to ensure accurate records. • Utilize systems to track complaints and resolutions. • Other responsibilities include resolving claims appeals, researching benefits, verifying correct plan loading.

About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Overview Selective Insurance is seeking an E&S Liability Claims Technical Specialist to handle both non-litigated and litigated Excess & Surplus General Liability claims. This is a remote position. Responsibilities of this position include investigation, coverage analysis, risk transfer, evaluation, negotiation, and disposition of assigned claims. Must have expertise in handling a claim from start to finish including the initial contact with the insured, doing an investigation, conducting a full coverage review, tendering and responding to tenders, and identifying relevant legal and coverage issues. The individual in this position will also ensure claims are processed within company policies, procedures, and individual's prescribed authority with exceptional standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Responsibilities - Investigate litigated and non-litigated claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information. Attend mediations and trials as needed. - Analyze information, including depositions, expert reports, attorney evaluations, gained from discovery during litigation and pre-suit investigation in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. - Investigate coverage and draft tenders, responses to tenders, and draft coverage letters. - Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents. - Evaluate, negotiate and settle claims within delegated authority. Handle non-litigation and litigation files from start to finish. - Update MCS on a continual basis to accurately reflect status of each assigned file. Do a full liability and damages analysis. - Receive and approve expenses incurred to investigate, process, and handle a claim. - Prepare check requisitions for all loss and expense payments. - Explore salvage and subrogation potential on all claims. - Prepare for and participate in claims review and settlement conferences. - Close claim by issuing check or disclaimer and secure appropriate releases. Qualifications Knowledge and Requirements - Prior experience handling litigation preferred. - Excellent Customer Service Skills required - Multi State Licensing - Education and Experience - College degree preferred. - Minimum 7 years claims handling experience - Excess Surplus experience is a plus but not necessary. Total Rewards Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $84,000.00 - USD $127,000.00 /Yr. Additional Information Selective is an Equal Employment Opportunity employer. That means we respect and value every individual’s unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences – and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions. For Massachusetts Applicants It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Affinity Markets Travel Claims, is looking for a highly motivated, quick thinking and customer focused individual to join our Travel Claims Risk Management Team. Reporting to the Manager, this position requires an expert in travel claims (medical, trip cancellation/ interruption, baggage, accidental death and dismemberment, collision damage) for both Affinity Markets and Group Benefit programs. The incumbent will be responsible for mitigating financial, legal and reputational risks for Manulife. To be successful in this role, you must keep in mind that it is not only what you do, but how you do it as well. Position Responsibilities: - Work with Manulife’s Third Party Providers of emergency medical assistance who are seeking direction and advice on an active case. - Work with Manulife’s Third Party Providers of claims seeking direction, advice or policy interpretation. - Make final claims decisions, claims exceptions, and business decisions on contested and contentious claims. - Handle travel litigated claims including corresponding with internal and external legal counsel, make recommendations on legal strategies and settlement offers, and represent Manulife at legal proceedings (including mediations, arbitrations, examinations for discovery, trials). - Review and respond to appeals or correspondence submitted by lawyers on behalf of their clients. - Investigate, resolve, and respond to Escalated Complaints submitted to, but not limited to the President’s Office, the Ombud Liaison Office, Senior Management, Social Media and Insurance Regulators - Conduct monthly random and/ or focused audits of travel claims (medical, out-of-country medical, visitor-to-Canada, trip cancellation/ interruption, baggage, accidental death and dismemberments) and credit card benefits (collision damage, personal effects, extended warranty) processed by Manulife’s Third Party Providers - Assist in annual on-site audits of Manulife’s Third Party Providers of claims and assistance and perform follow-ups to ensure appropriate responses and action plans are implemented. - Provide input on contract wording for new and existing products and plans. Required Qualifications: - 3-5 years’ experience in adjudication claims, preferably life, health or travel. - Proven analytical, problem solving, decision making, and negotiation skills. Preferred Qualifications: - University degree in any discipline or equivalent work experience. - Knowledge of medical terminology, medications and their applications, diseases, tests, and treatment modes is an asset. - You think big and have the ability to evaluate alternatives and assess risks in making timely and effective decisions. - You get things done together - Exceptional interpersonal skills with a high level of professionalism enabling to build strong relationships and to collaborate effectively. - You own it - Ability to identify potential problems and risks, and be accountable for solutions. - Exceptional customer service skills with the ability to respond under high pressure or difficult/ sensitive situations. - Strong organizational skills with the ability to effectively prioritize competing tasks. - Bilingualism (English and French) is an asset. If the successful candidate is in Québec, proficiency in both languages will be required to support clients from various provinces outside of Quebec. When you join our team: - We’ll empower you to learn and grow the career you want. - We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words. - As part of our global team, we’ll support you in shaping the future you want to see. #LI-REMOTE The role being advertised is an existing vacancy. About Manulife and John Hancock Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit https://www.manulife.com/en/about/our-story.html. Manulife is an Equal Opportunity Employer At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law. It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact hr@manulife.com. Referenced Salary Location CAN, Ontario - Full Time Remote Working Arrangement Remote Salary range is expected to be between $51,975.00 CAD - $86,625.00 CAD Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. If you are applying for this role outside of the primary location, please contact hr@manulife.com for the salary range for your location. Manulife offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans. We also offer eligible employees various retirement savings plans (including pension and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in Canada includes holidays, vacation, personal, and sick days, and we offer the full range of statutory leaves of absence. If you are applying for this role in the U.S., please contact hr@manulife.com for more information about U.S.-specific paid time off provisions. We use data and analytics technologies, such as artificial intelligence (AI), and automated processing tools, to analyze and process the information you provide to us or third parties in the application process. For more information, please refer to our personal information collection statement.

We are actively hiring for a 100% work-from-home position open to motivated individuals with no prior experience required. This is a legitimate remote opportunity with structured training, clear expectations, and consistent work. You will be guided step-by-step and supported by a fully remote team to ensure success from day one. If you’re dependable, comfortable using a computer, and ready to start a real work-from-home role immediately, this position is a great fit. WHAT YOU’LL DO - Making outgoing calls, emails, texts and chats from clients - Follow simple workflows and instructions - Maintain accuracy and attention to detail - Communicate professionally with internal teams as needed - Meet basic performance expectations after training WHO THIS ROLE IS FOR (ICA) You’re a great fit if you: - Want a stable, legitimate work-from-home job - Are comfortable working independently - Have basic computer and internet skills - Are reliable, organized, and coachable - Are ready to start right away - Must be 18+ and authorized to work in the U.S. - Must be willing to get Licensed in Life and Health Insurance - No experience needed - Entry-level friendly - Full Training provided IDEAL MINDSET (Filters the Right Applicants) - Takes responsibility seriously - Willing to learn and follow systems - Understands remote work still requires consistency - Looking for long-term opportunity, not side gigs WHAT WE OFFER - 100% Remote / Work-From-Home - Full training and onboarding - Supportive remote management - Long-term role with growth potential - Consistent workload and expectations TREND KEYWORDS (JazzHR + Search Boost) Work from home job Remote hiring now No experience remote job Entry-level work from home Online job opportunity Immediate start remote Virtual position Fully remote role APPLICATION PROCESS (Urgency = Volume) Apply today to be considered. Qualified candidates will be contacted quickly for next steps. Positions are limited and filled on a rolling basis.