• Manage a portfolio of claims presenting moderate to high complexity and exposure to ensure Industry Leading Customer Experience through exceptional service, unmatched relationships and superior claims outcomes • Contribute to the achievement of Claims department goals, established to achieve the company’s strategic objectives • Build and maintain strong relationships with agents and policyholders through being inclusive, communicative, accessible, and maintaining relevant, insightful, and informative file documentation • Directly handle an assigned portfolio of litigated and non-litigated commercial general and auto liability claims presenting moderate to high complexity and exposure across multiple jurisdictions • Conduct relevant, creative, and comprehensive investigation and evaluation on coverage, liability, and damages throughout the life of the claim by analyzing material facts, circumstances, and developments applying applicable law and legal principles • Positively influence claims outcomes through developing, continuously adjusting, and executing on action plans designed to achieve desired resolutions • Identify and pursue early resolution when appropriate • Identify and evaluate risk transfer • Proactively establish and adjust loss reserves throughout the life of the claim based on newly identified and material information and developments in order to reflect probable ultimate exposure • Report on and present large losses during file conferences and claim reviews • Serve as subject matter expert to less experienced staff • Participate in mediations and settlement conferences and attend trials • Negotiate settlements • Maintain current knowledge of multijurisdictional legal and regulatory claims developments and trends • Engage in/external resources as needed to achieve optimal claims outcomes while monitoring and mitigating costs • Adjudicate claims in accordance with Amerisure claims guidelines and quality standards

Role Description As an Appeals Specialist you will be responsible for being a product subject matter expert to provide full, fair appeal reviews for multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You will analyze and manage a caseload of appeals claims. You will review, investigate, and make claim determinations regarding coverage, compensability, and appropriateness of claims. You will provide technical information and detailed guidance to Claims management & teams regarding products, claims processes, regulations, and applicable systems for their assigned claims area. - Analyze & process claims by investigating & obtaining a wide range of complex information. - Apply claim policies & procedures and engage intervention of internal/external resources to ensure fair, ethical, & timely management of assigned claims. - Analyze and interpret complex coverage contracts to determine if eligibility is met. - Identify, interpret, and resolve gaps in financial calculations and offsets when applicable. - Research questions and escalations from Claims team; liaise with various stakeholders from across the business (Underwriting, Actuarial, Compliance, Account Management, etc.) to obtain needed information to clarify and address issues. - Provide customers with in-depth explanations of policy details, claim process, and claim determination. - Utilize internal reporting to identify trends and review/audit performance against team metrics. - Propose and develop practices & processes to improve performance and the customer experience. - Effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims workflow. - Provide detailed guidance & coaching to junior team members. Qualifications - 4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's) - 1 - 3+ Years of Short-Term and/or Long-Term Disability (Required) - Ability to communicate effectively (verbal/written) - Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) Requirements - Experience working with multiple products (Nice-to have) - Presentation training or skills (Nice-to have) - Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail (Nice-to have) - SystemOne experience (Nice-to have) Benefits - Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes - Leadership development and virtual training opportunities - PTO/parental leave - Competitive 401K and employee benefits - Free financial counseling, health coaching and employee assistance program - Tuition assistance program - Work arrangements that work for you - Effective productivity/technology tools and training

• Manages claims caseload and assists clients with inquiries • Evaluates claim information and makes initial claim handling decisions • Resolves inquiries from clients and Financial Representatives

Role Description Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Complex Construction Defect Commercial Claims Adjuster. This position can be located in one of our claims offices, with the possibility of working remotely. The successful candidate will directly handle Construction related claims. - Evaluate coverage issues and risk transfer opportunities. - Ensure appropriate investigation of the underlying facts and circumstances is carried out. - Retain and utilize proper experts where necessary. - Select and utilize appropriate counsel. - Employ proper negotiation strategies. - Report to a line of business executive. Qualifications - At least 7 years of experience in managing or litigating Construction Defect commercial liability claims. - Strong computer skills necessary to navigate our digital claim filing system. - Possesses a high level of technical claim and legal knowledge and skills. - Outstanding verbal and written communication abilities. - Ability to professionally interact at a high level with parties both internal and external to AmTrust. - Easily adapts to changing situations, requirements, or priorities. - Ability to effectively influence others without damaging relationships. - Skillful negotiator. - Home state adjuster license preferred. - CPCU designation/AIC certification preferred. Requirements - Identifying construction defect claim exposures and ensuring timely and accurate reserves. - Assessing insurance coverage issues and opportunities for risk transfer. - Proficiently communicate claim exposures both internally and externally. - Primary role in developing effective claims resolution strategies for optimal outcomes. - Role may involve occasional travel for mediations, trials, and related meetings. - Perform other duties as assigned. Benefits - Competitive compensation package. - Excellent career advancement opportunities. - Medical & Dental Plans. - Life Insurance, including eligible spouses & children. - Health Care Flexible Spending. - Dependent Care. - 401k Savings Plans. - Paid Time Off.