Title: Senior Workers Compensation Claims Adjuster Location: Minneapolis United States Job Description: 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: - Claims Background: Workers Compensation - Jurisdictional Experience: MN, SD - Active Adjusters' licenses: Applicable licensure - 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 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-KD1 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.

Adjust complex auto and homeowner bodily injury claims, investigate loss details, evaluate and negotiate claims, and deliver exceptional member service through proactive communication and timely updates.

Title: Claims Examiner, Commercial Auto Location: Morristown, NJ United States of America New York, NY United States of America Jersey City, NJ United States of America Alpharetta, GA United States of America Philadelphia, PA United States of America Job Description: With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary The Auto Claims Examiner – Property Damage is responsible for the investigation, evaluation and resolution of commercial automobile claims involving property damage. You will be Arch’s point of contact with customers – directing and making decisions regarding the repair process from beginning to end. Managing your own inventory while working independently, you’ll work closely with body shops and others to negotiate repair pricing and assess liability. Ideal candidates will possess leadership and conflict management skills, along with strong attention to detail and a passion for providing excellent customer service. The ideal candidate is customer and technically focused to ensure we’re achieving industry best outcomes all while making sure we’re delivering on our promise to our customers Responsibilities - Investigate, evaluate, and resolve commercial auto claims nationwide that involve an inventory of physical damage claims, salvage, rental and other related claims. - Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis - Execute on claims strategies to achieve claims quality, customer service and operational objectives - Coordinate vehicle inspections, review estimates, determine total loss evaluations, manage rental and salvage and set clear expectations and timelines - Document information related to the claim and make decisions consistent with claims standards and local laws - Evaluate and handle claim payments - Review and determine validity of any supplement requests - Serve as a mentor to less-experienced claims professionals. - Support the strategy and operations of Auto claims. - Assists in industry analysis and benchmarking studies - Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves - Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims - Other duties as assigned. Experience & Required Skills - Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines - Strong time management and organizational skills - Creative, out of the box thinker who refuses to accept the status quo. - Ability to take part in active strategic discussions - Ability to work well independently and in a team environment - Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word - This role is a hybrid role, 3 days a week in office - Willing and able to travel 10% Education - One to three (1-3) years of working experience at a commercial auto carrier handling material damage claims nationally. Claims experience with Commercial Middle Market Customers a plus. - Bachelor's degree - Proper adjuster licensing in all applicable states #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. For NY/NJ: $75,000 - $85,000/year For Alpharetta, O'Fallon: $60,000 - $70,000/year - Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. - Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn’t the right fit but you’re interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. 14400 Arch Insurance Group Inc.

Role Description The Claims Coordinator ensures accuracy and timely filing for all dental claims for assigned office and reports problems and issues on follow up report to dental office. Reviews Accounts Receivable reports on assigned rotation for all offices, following up on outstanding insurance claims and balances; working problem EOBs, denials, and processing appeals as needed. Responsibilities - Reviews clinical note, x-rays, and account ledger for cohesion of information - Creates and submits e-claims and paper claims attaching any necessary x-rays, notes, narratives, charting, etc. This includes ortho claims - Sends claims through clearing house and manages all invalid and rejected claims - Claims should be sent out within 48 hours of the date of service - Any account or claim issues are included on a Follow Up report to the dental office or assigned to the designated DO team member within PMS with the expectation that answers and corrections will be made within 48 hours of sending the report - If accounts are unresolved from the dental office from the follow up report, an Urgent Weekly Report goes to the dental office - Files corrected claims triaged from the AR Specialist based on returned problem EOBs - Manages Accounts Receivable report on an assigned schedule, reviewing accounts for outstanding insurance claims and balances - Calls and follows up with insurance companies on claims issues and non-payments - Maintains and completes all appeals and requests from insurance companies - Reviews returned EOBs: - Denials - manages info needed for appealing claims - Denials - manages info needed for missing information or attachments - Corrected claims and/or retractions - Tracks all outstanding insurance balances by category and reporting to OM when completed Administrative Responsibilities - Participates in special projects and tasks as assigned - Fills in for other Claims/AR Coordinators as needed - Assists and conducts training of new CBO team members - Attends and contributes to monthly meetings - Reports to CBO-RCM with any grievances or issues Qualifications - Previous experience in dental office administration, dental billing, or insurance claims processing is highly beneficial - Candidates with experience in medical claims processing may also be considered - Familiarity with dental terminology and procedures is essential for accurately processing claims and communicating with dental providers and insurance companies - A good understanding of dental insurance policies, coverage limitations, and claim submission procedures is necessary, including knowledge of common insurance codes (e.g., CDT codes) and claim forms (e.g., ADA dental claim form) - Detail-oriented to accurately review claims, ensure all necessary information is included, and identify any discrepancies or errors - Strong communication skills for interacting with patients, dental providers, insurance companies, and other staff members, including both verbal and written communication skills - Ability to effectively manage and prioritize multiple tasks, such as processing claims, following up on outstanding payments, and resolving claim disputes - Proficiency with dental practice management software and other computer applications used for claim processing and administrative tasks is typically required - Good customer service skills for addressing inquiries and concerns in a professional and empathetic manner - Ability to troubleshoot issues related to claim processing, billing errors, or insurance coverage discrepancies - Knowledge of and adherence to legal and ethical guidelines related to patient privacy (HIPAA) and billing practices is essential Benefits - Health and dental benefits - 401(k) - Holiday pay - Paid time off