• To analyze and process low to mid-level auto total loss and transportation claims. • Processes total loss claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. • Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution. • Identifies and pursues subrogation opportunities; secures and disposes of salvage. • Communicates claim action/processing with insured, client, and agent or broker when appropriate. • Maintains professional client relations. • Performs coverage, liability, and damage analysis on all claims assignments. • Performs other duties as assigned. • Supports the organization's quality program(s). • Travels as required.

• Determine compensability and/or coverage issues for loss time workers' compensation claims. • Effectively manage a caseload of loss time claims from numerous jurisdictions. • Negotiate and direct settlements under management's review. • Gather medical and factual evidence to determine compensability. • Direct outside investigation and handle litigation files within given authority. • Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers.

Role Description ADP is hiring a Lead Claims Examiner. In this position you will perform the following basic functions: - Supervisory responsibility for Claims Examiner I and Senior Examiner. - Aid in overall claim cost reduction by coordinating efforts between all involved vendors, clients, and WES. - Monitor applicable claims assigned to Claims Examiner I and Senior Examiner. - Ensure TPA/Carrier accountability in agreed performance standards and coordinate needs for changes with Claims Director. - Accumulate data for the purpose of creating standards for measurement of various claim-related issues, as well as customer service and internal staff performance. At ADP we are driven by your success. We engage your unique talents and perspectives. We welcome your ideas on how to do things differently and better. In your efforts to achieve, learn and grow, we support you all the way. If success motivates you, you belong at ADP. We strive for every interaction to be driven by our CORE values: - Insightful Expertise - Integrity is Everything - Service Excellence - Inspiring Innovation - Each Person Counts - Results-Driven - Social Responsibility Responsibilities - Reviews and recommends acceptability of all Workers' Compensation Claims within claim distribution. - Accountability for the Claim Unit's efforts in all RTW efforts, OSHA documentation, and all documentation of claim activity according to stated claim procedures. - Works directly with Claims Director to determine workloads and the necessity of procedure changes within the Claims Unit. - Assists in online audits of TPA to ensure quality compliance of claim procedures and client satisfaction in Workers' Compensation claims handling. - Maintaining e-time and PTO/Sick time coordination for the Claims Unit; has one administrative direct report and mentor/coaching responsibilities for the Claims Examiner. - Responsible for communication with internal/external clients, claimants, related vendors, as well as TPA/Carrier activity for TotalSource work-site employee claims, including personal visits to each region. - Requires basic knowledge of Workers' Compensation laws for all jurisdictions. - Attends professional development courses and seminars to keep TotalSource current with related workers' compensation laws and standards. - Represents client in legal activities related to Workers' Compensation Claims within authority. - To review, audit, and support the examiner positions. - To generate routine reports for productivity level evaluation. - To support the Claims Director in daily/monthly/quarterly tasks and projects that aid in the claim operation reach its specified goals. Qualifications - 5 years WC Indemnity adjusting or industry-related experience. - 2 years working within TotalSource functions to ensure familiarity with all functions outside of Risk Management. - At least 1 year supervisory experience. - College degree or 5 years of adjusting or industry-related experience. Preferred Qualifications - Maintain knowledge of basic Workers' Compensation Laws in all applicable jurisdictions. - Stay abreast of strategies and current industry-related ideologies in dealing with Workers' Compensation Claims. - Maintain adequate resources to enable continued education in Workers' Compensation and RTW issues.

• Obtain and review all required documentation to prepare and file post‑foreclosure mortgage claims • Navigate multiple systems, websites, and client platforms to research and collect claim data • Identify missing or deficient documentation and follow up with clients, attorneys, vendors, and property preservation companies • Prepare claims and supporting documents, ensuring accuracy, completeness, and compliance • Accurately calculate claim amounts and balance claims to client systems • Update and maintain client and internal systems with timely and accurate information • Review claims against federal, state, investor, and insurer guidelines, policies, and procedures • Reconcile discrepancies and document findings or required corrections • Monitor daily reports to ensure claims are processed within required timelines • Communicate with clients, investors, insurers, and vendors regarding claim status • Support quality control reviews and implement required corrections • Perform general administrative duties and special projects as assigned