Cities and Villages Mutual Insurance Company Claims Specialist Wauwatosa, WIAPPLY HERE SERVICE FIRST. INSURANCE ALWAYS. Under the general supervision of the Worker's Compensation Claims Manager, this position is responsible for investigating, processing and adjusting worker's compensation claims. Some limited travel may be required with limited overnight stays. WHY JOIN THE CVMIC TEAM: - The ability to make a difference to our municipal clients/members! - Great variety in what you do each day - Flexibility with your schedule, including the ability to work remotely - A supportive team environment - Outstanding benefits that include: Company-paid retirement contribution into a Simplified Employee Pension (SEP) Plan: 12.1% of salary, after one year of employment, Company-paid health insurance premiums, and tuition reimbursement for continued opportunities for growth and development! View what employees say about working at CVMIC! Essential Duties & Responsibilities - Reviews first report of injury forms (WC-12) and follow up with claimants, insureds, medical providers or others in a timely manner to determine compensability. - Files required State forms in a timely and accurate manner. - Processes new claims, sets and monitors reserves. - Maintains up to date files and diaries on all active claims. - Interviews, telephones, or corresponds with municipal client/member representatives, employees, and supervisors, claimants, witnesses and medical personnel; reviews medical and hospital records in a timely manner to determine compensability while maintaining required confidentiality. - Recommends and sets up Independent Medical Evaluations, Vocational Evaluations and assigns Rehabilitation Nurses as necessary. - Reviews and pays medical bills and indemnity benefits. Submits medical bills for third party review. - Identifies and reports claims with re-insurance/excess insurance exposure to the carrier, Claims Manager and CEO. - Exercises discretion within settlement authority to pay, deny or settle claims and establish reserves on claims. Exercises discretion with respect to investigating claims and processing medical bills and indemnity payments. Discretion is also required with respect to all Company procedures to allow for the flexibility needed to process claims properly and in a timely manner. - Recommends litigation when settlement cannot be negotiated; Oversees litigation on contested cases. - Assigns work, provides oversight, and reviews files of the Med-Only Claims Specialist. - Monitors claims to identify and follow up on subrogation opportunities. Other Duties & Responsibilities - Attends Administrative hearings. - Conducts claim file review with municipal clients/members. - Provides Worker's Compensation training for municipal clients/members as needed. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - High School Diploma; - Associate's degree (A. A.) or equivalent from two-year college or technical school is preferred; - Three to five years related experience and/or training; or equivalent combination of education and experience. Knowledge, Skills & Abilities Knowledge of: - The principles and practices of worker's compensation claims handling. - Wisconsin Worker's Compensation Act, Administrative Code and case law. - Duty disability and long term disability benefits, including 40.63 and 40.65. - Claims software, Outlook, Excel and Microsoft Word or similar business software. - American's with Disabilities Act (ADA), Family & Medical Leave Act (FMLA), and Medicare set aside laws. Ability to: - Accurately calculate and verify indemnity payments as required by the Worker's Compensation Act and Wisconsin Administrative Code. - Handle sensitive situations in a professional manner that reflects favorably upon the municipal client/member and Company. - Communicate professionally, timely and effectively both orally and in writing. - Interact effectively with others inside and outside the organization. - Accurately and efficiently read, analyze, and interpret general business periodicals, medical reports, legal reports, and governmental regulations. - Accurately and efficiently write reports and business correspondence.. - Effectively and professionally present information and respond to questions from clients, claimants, medical service providers, attorneys and representatives from governmental agencies. Certificates, Licenses, Registrations - Must possess and maintain a valid Wisconsin driver's license during employment. - Must be able to provide an automobile with liability insurance limits acceptable to the company. We Make it Easy Founded in 1901, MRA is a nonprofit employer association that serves more than 4,000 employers, covering more than one million employees. As one of the largest employer associations in the nation, MRA helps its member organizations thrive by offering the most comprehensive assortment of HR services, information, education, and resources to help build successful workplaces and a powerful workforce. We partner with these companies working directly with their HR department and leadership to hire their talent. We are a direct line to the company, not an agency recruiter.

#WorkwithImpact About Us: Castlemain supports people and communities to understand and access class action settlements and community programs through clear, trauma-informed, and culturally grounded communication. With more than 200 team members, many of whom are Indigenous, we deliver services in English, French, and several Indigenous languages across the country. At Castlemain, we are committed to creating a workplace where people feel respected. To learn more about who we are, visit https://www.castlemain.com/ This role supports the Federal Indian Hospitals Settlement.by helping Class Members navigate the claims process. Castlemain ensures Claimants can access, understand, and respond to the Settlement, while providing support to complete and submit claims. This permanent full-time position is open to candidates who demonstrate a working proficiency in the Inuktitut language. About the Opportunity: - Provide trauma-informed, culturally safe support to Class Members (virtually and in-person), including guidance on claim forms, resources, and the claims process. - Collaborate with Claims Helpers to ensure coordinated, effective support and address any service gaps. - Build and maintain relationships with communities, organizations, and local partners. - Assist Claimants with claim completion, status updates, appeals, and connections to mental health, legal, and cultural support. - Participate in ongoing training and learning to strengthen skills and deliver effective support throughout the Settlement Claims Process. About You: You experience working with Indigenous Peoples and communities (three years or more), developed through community, professional roles, or lived experience, as well as: - Strong knowledge and awareness of Indigenous culture, history, and the impacts of trauma.   - An in-depth understanding of colonial policies, discriminatory laws and the impacts of colonization on Indigenous peoples as well as governance structure of Indigenous communities.   - Ability to travel across Canada; up to 30% of the role, with individual trips of up to 7-10 days in duration.   - An intermediate understanding of technology and online platforms, or a strong aptitude for learning new tools quickly. - Ability to access your local airport and possible nearby work locations. - Access to a quiet workspace and internet.  - Bilingual proficiency in English and Inuktitut. Successful candidates will be required to complete both a Criminal Record Check (CRC) and a Vulnerable Sector Check (VSC) as a condition of employment. Compensation: Starting annual compensation of $60,000-$65,000 (full-time equivalent) plus a rewarding benefits package. Candidates living in northern or remote communities may be eligible for a Northern Allowance. Eligibility and tier placement are based on Canada Revenue Agency zone designations. How to Apply: If this role sounds like a good fit, we invite you to submit your resume to https://www.castlemain.com/about/careers/ At Castlemain, we know not everyone’s experience fits a checklist. If this role interests you and you feel you can contribute, we encourage you to apply. We value curiosity, and the unique perspectives people bring. Castlemain is committed to making our hiring process accessible and supportive. If you need accommodation at any stage of the application or interview process, please let us know. We are happy to work with you to ensure your needs are met.

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 - Jurisdictions: Texas - Licenses: TX adjusters license - 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, 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 • Claims Background: Minimum of 3-5 years of hands on workers compensation adjusting experience including handling a lost time/indemnity desk plus litigation. • Jurisdictional Experience: Texas Workers Compensation • Active Adjusters' licenses: TX adjusters license required As a key member of our experienced Claims Adjuster team, you will: • Investigate, evaluate, and resolve complex workers compensation claims applying your 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 tasks to optimally serve clients and claimants REQUIRED QUALIFICATIONS: • High School Diploma. • Minimum of 5 years related claims experience. • Appropriately licensed and/or certified 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-HS1 #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.

About the role We are seeking a highly organized and detail-oriented Trucking Total Loss Adjuster to join our Transportation Claims team. In this role, you’ll specialize in managing total loss claims for heavy-duty and commercial vehicles, working directly with fleet managers, repair shops, salvage yards, independent adjusters, and valuation vendors to expedite accurate and fair settlements. You'll be responsible for reviewing damage appraisals and determining when units are economically impractical to repair, coordinating salvage disposition, and verifying total loss valuations based on vehicle specs, condition, mileage, and configuration. Your day-to-day will involve overseeing an active inventory of trucking claims, prioritizing critical cases, and ensuring timely communication with insureds, claimants, and partners across the logistics and transportation space. You’ll also be expected to analyze downtime and loss-of-use exposures and manage rental and replacement vehicle considerations when applicable. What you'll do - Provide prompt, courteous, and high-quality customer service to all policyholders and claimants by answering customer calls and resolving customer requests - Gather necessary information from customers, fleet contacts, and third-party operators to successfully adjudicate the claim and explain policy, coverage, and appropriate course of action - Manage an inventory of commercial auto and trucking claims, establish initial reserves for all potential exposures (including physical damage, loss-of-use, and cargo when applicable), and adjust as appropriate throughout the claim - Coordinate with salvage vendors and transportation providers for the timely pickup and movement of damaged units, and assist with downtime or rental reimbursement as applicable - Recognize recovery opportunities related to subrogation, salvage, and total loss situations, particularly in multi-vehicle commercial incidents - Ensure compliance with specific state regulations, motor carrier filings, policy provisions, and internal standard operating procedures - Negotiate and communicate all total loss settlements per company and state guidelines within approved payment authority, with special attention to commercial vehicle specs, equipment add-ons, and lienholder requirements - Provide input for continuous development of claims guidelines, best practices, and process improvements specific to the trucking and logistics sector - Oversee and direct outside investigative service providers (e.g., independent adjusters, appraisers, and engineers), and work closely with the client, client counsel, and investigative services to resolve the claim - Engage in learning opportunities to build knowledge of commercial auto claims, fleet risk exposures, regulatory trends, legal precedents impacting transportation claims, and policy updates Qualifications - Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications) - Minimum of 3 years of experience on point and concentrated in transportation claims adjusting, ideally with: - - Total Loss adjusting experience - Large commercial vehicles (Trucks, busses, fleet vehicles) - Third-party Property Damage Liability - Have an active adjuster license in your home state or designated home state (if your state does not offer one) and be willing to obtain all required licenses within 60 days - Knowledge of state regulations, policy provisions, and standard operating procedures - Commercial experience preferred - Ability to analyze and evaluate complex data and make sound decisions based on established guidelines, policies, and procedures - Curious and motivated by problem solving and questioning the status quo - Desire to engage in learning opportunities and continuous professional development - Willingness to travel for client and claims needs Benefits - Generous health-insurance package with nationwide coverage, vision, & dental - 401(k) retirement plan with employer matching - Competitive PTO policy – we want our employees fresh, healthy, happy, and energized! - Generous family leave policy after 8 months of continuous work - Work from anywhere to facilitate your work life balance - Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder! Additionally, we will - Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role - Work toward reducing and eliminating all the administrative work from an adjuster role - Foster a culture of empathy, transparency, and empowerment in a remote-first environment At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!