Role Description - 100% remote role offering flexibility and work-life balance. - Lead and develop a team of 12-15 direct reports, supporting a collaborative, performance-driven culture. - Operate within daytime hours (8:00–4:30 CST), with shared leadership support for off-shift coverage on a rotating schedule. - Hands-on leadership role where you can make an immediate impact and grow your career. Responsible for overseeing the Claims Intake department offering supervision and leadership to ensure day-to-day business needs are completed accurately and timely and in accordance with client and regulatory requirements. What will YOU be working on? - Act as a subject matter expert for the Claims Intake team; answering questions to internal and external contacts and resolving matters that may fall outside of the established workflows. - Assist with escalated issues on behalf of Claims Intake staff. Work with internal staff as needed to ensure resolution of escalated issues. - Assist as a point of contact for system upgrades for the team. Coordinates testing with the team, and other operational departments and reports issues appropriately for resolution. - Oversee staff timecard and PTO requests to ensure timely and accurate reporting, and adequate coverage to meet client Service Level Agreements. - Works within Operational budget requirements. - Manage the daily work plan assignments and monitor work volumes to ensure all submissions and/or special handling requests are completed within client specific timeframes. - Provide support to the Claims Intake team. - Maintain and monitor individual/team performance to ensure compliance with department guidelines, standards and established expectations. - Evaluate employee and team performance to identify training and development needs. - Collaborate with Manager and Support Specialist to develop, maintain and facilitate all training and materials to ensure staff is appropriately trained to successfully perform their roles. - Proactively communicate updates and changes to client requirements and reference materials in a timely manner. - Facilitate quick and accurate issue resolution by developing and maintaining collaborative working relationships with internal departments. - Proactively identify potential issues and communicate to management. Ability to critically think about how workflow decisions will impact department along with downstream impacts. - Partner with Manager in implementing process improvements. Work closely with management team in identifying process, tool and efficiency improvements. - Assist in the development of workflow documentation and policies and procedures. - Assist in the ongoing evaluation of policies and procedures and assist in development and implementation of new efficiencies based on assessments. - Participate in internal and external audits and provide thorough documentation and research as needed. - Work with Manager to identify, develop and implement best practices to ensure improved efficiency, cost effectiveness, and that contractual requirements are met and/or exceeded. Qualifications - High school diploma or equivalent. - 2-4 years of prior job-related experience in a leadership role. - Excellent written and communication skills. - Excellent customer service skills including active listening and the ability to diffuse difficult situations. - Ability to use effective judgment and prior experience to troubleshoot common issues. - Ability to organize work appropriately to meet deadlines. - Ability to utilize resources to solve problems independently. - Excellent time management skills and can demonstrate ability to make appropriate decisions when faced with conflicting deadlines or needs. - Intermediate knowledge of Microsoft Office products (Word, Excel, and PowerPoint). Requirements - Associate or bachelor’s degree. - Experience working in a dental or medical environment. - Knowledge of Enterprise System. - Advanced knowledge of Microsoft Office Suite (Word, Excel, PowerPoint).

Title: Workers' Compensation Claim Specialist Location: Concord, California, United States Job ID 2026-6574 Category Claims Overview Workers' Compensation Claim Specialist Location: Concord, CA (reporting remotely) Schedule: 8:00am-4:30pm Salary Range: $85,000 - $98,000 (depending on experience) Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We are seeking a driven and compassionate Workers’ Compensation Claim Specialist to join our team and make a meaningful impact in the lives of injured workers. In this role, you will take ownership of a dedicated portfolio of claims for a single healthcare account - managing a high level of complexity that includes both severe and litigated claims. You will lead investigations, determine compensability, and guide each case toward a fair and timely resolution. This position offers the opportunity to grow your technical expertise and can serve as an advanced development path for future supervisory or management roles. As a Claim Specialist, you play a vital role in delivering the high‑quality service our clients count on and upholding CCMSI’s commitment to excellence. Responsibilities When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. - Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws. - Establish reserves and/or provide reserve recommendations within established reserve authority levels. - Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution. - Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority. - Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate. - Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.) - Review and maintain personal diary on claim system. - Assess and monitor subrogation claims for resolution. - Compute disability rates in accordance with state laws. - Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process. - Provide notices of qualifying claims to excess/reinsurance carriers. - Compliance with Corporate Claim Handling Standards and special client handling instructions as established. Qualifications Required: - 5+ years of Workers’ Compensation claims handling experience, including full claim investigation, evaluation, and resolution. - Experience handling high level complexity healthcare account (including litigated claims) - SIP - Responsiveness to internal and external client needs. - Strong analytical and negotiation abilities. - Knowledge of all lower‑level claim position responsibilities. Nice to Have: - Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required. - Bachelor's degree is preferred but not required - Professional designations such as AIC, ARM, or CPCU are preferred but not required Why You’ll Love Working Here - 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year - Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance - Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) - Career growth: Internal training and advancement opportunities - Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: - Quality claim handling – thorough investigations, strong documentation, well-supported decisions - Compliance & audit performance – adherence to jurisdictional and client standards - Timeliness & accuracy – purposeful file movement and dependable execution - Client partnership – proactive communication and strong follow-through - Professional judgment – owning outcomes and solving problems with integrity - Cultural alignment – believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws. Our Core Values At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who: - Lead with transparency We build trust by being open and listening intently in every interaction. - Perform with integrity We choose the right path, even when it is hard. - Chase excellence We set the bar high and measure our success. What gets measured gets done. - Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. - Win together Our greatest victories come when our clients succeed. We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkComp #ClaimsCareers #TPA #CareerGrowth #WorkersCompAdjuster #ESOP #CaliforniaJobs #InsuranceCareers #RemoteWork #IND123 #LI-Remote

Title: Claims Officer - Motor Location: 11 Waymouth Street Australia AUS - Adelaide - 11 Waymouth Street AUS - VIC - Melbourne AUS - NSW - Parramatta AUS - NSW - Newcastle Full time Job requisition id 355197 The purpose of this role is to deliver claims service by accurately assessing policy coverage, investigating, evaluating, and negotiating assigned cases to resolution. Motor Claims Officer Location: Adelaide, SA Type: 12 month fixed term contract The opportunity Time Type: Full time Worker Type: Employee The purpose of this role is to deliver claims service by accurately assessing policy coverage, investigating, evaluating, and negotiating assigned cases to resolution. The opportunity At QBE it’s not just what we do, but how we do it – we are a diverse team of insurance professionals with a focus on service excellence for our valued customers and stakeholders. This is an exciting opportunity to join an established team looking after motor claims within Elders portfolio. You will ideally have claims experience although if you have exceptional call centre/customer service experience and are keen to learn a new industry this could also be the opportunity for you! About QBE We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to and benefit from: - ‘Hybrid Working’ – a mix of working from home and in the office to enhance your work/life balance - Free holistic wellbeing coaching, nutritional, confidential counselling, financial and legal advice - Life Leave, supporting the life events we all experience, leaving your annual leave for rest. Your new role Promote QBE’s products and services through fostering great relationships with customers and stakeholders, showcasing our QBEDNA and company values Provide an exceptional operational and customer service experience for diverse internal and external stakeholders including our customers, Elders Agent, organisations, and partnerships Process claims in line with set procedures and policies, ensuring that claims are documented correctly, and resolved with a prompt and effective outcome Deliver high quality customer service and develop a good working relationship with all customers and service providers Manage claims using the appropriate external and internal specialists to achieve the settlement outcome efficiently and effectively Enhance and develop your own technical expertise and participate in professional development and training where required About you To be successful in this role, you will have: Previous experience within insurance claims is highly advantageous although not mandatory Previous experience in call centre, customer service and/or administration Strong customer service skills with a highly supportive approach A passion for making a difference and helping people in their time of need An engaging and courteous phone manner with the ability to type and talk concurrently Ability to handle multiple and competing tasks to meet customer needs Excellent organisational skills with the ability to critically assess and analyse tasks Benefits We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to and benefit from: - ‘Hybrid Working’ – a mix of working from home and in the office to enhance your work/life balance - Free holistic wellbeing coaching, nutritional, confidential counselling, financial and legal advice - Life Leave, supporting the life events we all experience, leaving your annual leave for rest How to Apply If you’re looking for a career that combines your expertise and your empathy, click Apply today. Successful applicants will need to complete work rights, police and credit checks through our online provider as a condition of employment. Your career. At the heart of it. QBE recognises the value of diverse perspectives and experience. We are committed to an inclusive workplace where everyone feels valued and respected for who they are. To keep an eye on future opportunities with QBE through our careers page Careers | QBE Insurance Group, as your background and expertise could be a great fit for other roles down the line. you can sign up for job alerts. Skills: Case Management, Claims Settlement, Collaboration Tools, Communication, Critical Thinking, Customer Service, Data Privacy, Detail-Oriented, Insurance Policies, Intentional collaboration, Managing performance, Prioritization, Problem Solving, Risk Assessments, Standards Compliance Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.

Title: Senior Claims Officer Location: Parramatta Australia Job Description: Primary Details Time Type: Full time Worker Type: Employee - Locations: Brisbane / Newcastle / Sydney / Melbourne (open to other QBE offices) - Permanent, full-time role - Working Style Hybrid - two days in the office each week, with one designated anchor day set by your team leader - Hours: Monday to Friday, 8:45am - 5:00pm The Opportunity Shape the Future of High-Value Commercial Claims Ready to take the next step in your commercial property claims career? Join QBE as a Senior Claims Officer and play a key role in managing large and complex commercial property claims. This is a fantastic opportunity to use your technical expertise, customer focus, and resilience to deliver exceptional outcomes while continuing to grow within one of Australia's leading insurers. About QBE - At QBE, we get to the heart of what matters for our customers. And we do it all with a human touch. - We're an international insurer with more than 13,000 people working across 26 countries - which means we're big enough for your ambitions, yet small enough for you to make a real impact. It's an exciting time. We're building momentum towards our vision to become the most consistent and innovative risk partner. - What if you could have a positive impact - at work and in the world? As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. Your new role In this important role, you will: - Manage an end-to-end portfolio of large loss and complex commercial property claims, with support from highly experienced leaders - Deliver an exceptional customer experience through clear, proactive, and empathetic communication across verbal, written, and face-to-face interactions - Build strong, trusted relationships with brokers, customers, suppliers, and internal partners - Thrive in a dynamic, fast-paced environment where no two days look the same - Help drive continuous improvement across the broader claims function by applying your expertise and insights About You To succeed and grow in this role, you will bring: - Corporate property claims experience, including ISR (Industrial Special Risks) claims - A calm and resilient approach, with the confidence to make sound decisions even under pressure - Strong interpersonal skills and the ability to guide customers and stakeholders through complex situations with clarity and empathy - Solid computer skills, a willingness to learn new systems, and the ability to prioritise effectively - A proactive, self‑motivated mindset with a passion for delivering excellence and embracing change - A commitment to continuous improvement and contributing to the overall performance of the claims function Benefits We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to and benefit from: - 'Hybrid Working' - a mix of working from home and in the office to enhance your work/life balance - Free holistic wellbeing coaching, nutritional, confidential counselling, financial and legal advice - 18 weeks' gender-equal flexible leave for all new parents, including paid super Awards & Recognition We value our employee's experience with us and are proud to have been recognised for the following awards: - 2025 Winner of Excellence in Diversity, Equity & Inclusion Award at the Insurance Business Australia Awards for our Respect@QBE program - 2023 Most Inclusive Workplace at the Australian HR Institute (AHRI) Awards - Ranked in the top ten in the AAGE Top Graduate Employers 2025 for medium sized program as voted by graduates Skills: Case Management, Claims Administration, Claims Settlement, Collaboration Tools, Communication, Critical Thinking, Customer Service, Data Privacy, Insurance Policies, Intentional collaboration, Managing performance, Negotiation, Problem Solving, Risk Assessments, Sound Judgment Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.