• Work independently, processing claims via data entry for 90% of your day. • Be responsible for effectively adjudicating claims to meet production, quality, and other metrics in accordance with policy/procedures and regulatory guidelines. • Follow up on claims needing additional information. • Refer problem claims to a Lead and/or auditor for additional review. • Make sure that the integrity of the information is accurate and kept private according to HIPPA guidelines. • Work with specific software. • May be assigned special projects.

Role Description Ready for a change? Bring your mechanical background to Endurance and use your automotive knowledge in a professional remote environment. The Mechanical Claims Adjuster is responsible for investigating, evaluating and negotiating minor to complex vehicle repair claims and accurately determining coverage and liability (based on the reported fact scenario). You will be measured on your ability to provide accurate benefit and adjustment amounts on claims and reach fair, efficient claims resolutions while managing costs in accordance with policies and procedures. - Adjudicate and authorize claims within your dollar-limit authority. - Ensure the accuracy of coverage information when responding to inquiries by providing customer clarity on coverage and financial commitment. - Successfully handle an average of 50-70 inbound calls daily from repair centers and Endurance Customers/Contract Holders. - Review and determine claims based on the reported fact scenario given by the repair facility submitted through the online portal. - Collect and verify all diagnostic information provided by the repair facilities. - Respond to inquiries while providing information and explanations regarding Endurance's various levels of coverage. - Manage Workflow – Process and complete all requests and documents in accordance with established processes and procedures. - Achieve and maintain agreed-upon metrics within the scheduled time. - Establish, develop, and maintain positive business and customer relationships. - Being interactive and communicative with management and co-workers in a visible manner is an essential function of the job; therefore, camera usage is required for training, team meetings, and meetings with management. Qualifications - High school Diploma or equivalent work experience. - 1-2 years working at a dealership and/or independent auto repair shop. - 1-2 years of automotive repair procedures, processes, parts, and repair costs. - 1-2 years of proven success negotiating and problem-solving. - Ability to efficiently understand contracts/policies/procedures and apply them accordingly. - Must be able to communicate effectively with contract holders/customers, agents, dealers, internal staff, and upper management. - Experienced in ProDemand, Alldata, and Carfax is a plus. - Call-center experience is a plus. - Powersports (motorcycles, ATVs, UTVs, and personal watercraft) experience is a plus. Requirements - The candidate(s) offered this position will be required to submit to a background investigation. - Endurance Warranty is an E-Verify Company. Benefits - Paid training. - Work From Home Opportunity. - Computer Equipment Provided. - 401(k) with company match after 90 days of employment. - Medical, Dental, and Vision Insurance. - Voluntary Life Insurance. - Internet Stipend. - Paid Time Off. - Holiday Pay.

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Senior Claims Learning & Development Specialist is responsible for facilitating and supporting the design, delivery, and continuous improvement of Claims Learning & Development programs, including the creation of a Claims Skills School. This position will administer training and learning programs for workers' compensation claims, both in person and virtually, applying effective training methodologies and learning theory. The role partners closely with the Claims Quality & Compliance, Claims Adjudication, and Claims Technology teams, as well as other subject matter experts across the organization, to ensure training content reflects current processes, regulatory requirements, system capabilities, and industry best practices. How You’ll Do ItContent Delivery - Deliver training and facilitate learning sessions across in-person and virtual environments. - Facilitate development and skill building through exercises and activities that enhance the learning process. - Deliver just-in-time training and support during system implementations and process rollouts in partnership with the Claims Technology team. - Adapt training delivery methods based on learner feedback and performance data to maximize retention and application. - Facilitate knowledge-sharing sessions and best practice forums among claims team members. - Coach and mentor new claim adjusters through their onboarding journey, including claim trainees. Program Management - Collaborate with Claims leadership to identify training priorities and align learning initiatives with department goals and performance metrics. - Manage the development, implementation, iteration, and measurement of claims programs such as new hire onboarding, adjuster development, Claims Skills School, and other core claims programs. - Track and analyze key performance indicators related to training effectiveness such as adjuster proficiency levels, quality scores, and time to productivity for new hires. - Create and maintain a knowledge base or resource library for claims processes, system guides, and reference materials. - Deliver Claims All Hands presentations and communications related to learning initiatives, new programs, and skill development opportunities. - Support performance review processes by providing training recommendations and development plans for claims team members. Curriculum Design - Conduct training needs analyses to determine solutions to talent gaps. - Create engaging learning activities and compelling course content. - Design scenario-based learning modules that simulate real-world claims handling situations, including complex indemnity claims and reserve management decisions. - Develop specialized training curricula for workers' compensation claim processes, including jurisdiction-specific requirements and regulations. - Ensure all training materials comply with regulatory requirements, data privacy standards, and company policies. - Develop competency frameworks and learning paths for adjuster development at various levels. - Regularly review and update resources reflecting process changes and industry developments. Cross-Functional Collaboration - Partner with the Claims Quality & Compliance team to incorporate audit findings, quality trends, and regulatory updates into training programs, ensuring training addresses identified knowledge gaps and reinforces compliance requirements. - Collaborate with the Claims Adjudication team to ensure training content reflects current claim handling practices, Claims Best Practices, and operational workflows. - Partner with the Claims Technology team (including the Senior Claims Application Manager and Senior Claims Business Systems Analyst) to develop and deliver end-user training for system enhancements, new features, and platform updates, ensuring training is ready at go-live. - Engage with subject matter experts across Claims Operations, Regulatory Compliance, Managed Care, and Vendor Management to ensure training content reflects current processes and best practices. - Support change management efforts for system rollouts, process changes, and organizational initiatives. Communication & Stakeholder Engagement - Communicate effectively to a variety of audiences in both written and verbal form. - Deliver complex information or new concepts in a manner conducive to learning. - Develop and maintain training calendars, scheduling in-person and virtual sessions to accommodate diverse learner needs and business requirements. - Follow up with Claims leadership post-training to measure effectiveness of training sessions. - Report on impact of training programs to demonstrate value and inform continuous improvement. The Right Stuff - High School diploma or GED required. Bachelor's degree preferred; Graduate degree (Master's, JD, or Ph.D.) preferred - Minimum 8 years of related experience required. - Proven experience designing and delivering training programs in a claims or insurance environment. - 5+ years of experience in instructional design, curriculum development, and training delivery preferred. - 8+ years of Workers' Compensation claim handling experience preferred. - California jurisdiction knowledge preferred. The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. Base Compensation Range $100,000—$125,000 USD Compensation & Benefits - Competitive cash compensation - A piece of the pie (in the form of equity) - Comprehensive health plans - Generous PTO - Future focused 401k match - Generous parental and caregiver leave - Our core values are more than just a poster on the wall; they’re tangibly reflected in our work Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations. Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members. Location Information Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet. Additional InformationPie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic. Pie Insurance participates in the E-Verify program. Please click here, here and here for more information. Pie Insurance is committed to protecting your personal data. Please review our Privacy Policy. Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process. Pie Named to 2025 America's Best Startup Employers Pie Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Senior Claims Adjuster will play a critical role in delivering quality claim file management and an industry-leading customer claims experience., This will be completed by adhering to Pie’s Claims Best Practices and complying with regulatory and statutory requirements. This role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie’s customers.. How You’ll Do ItClaims Technical Management: - Independently handle all aspects of the workers’ compensation claims from set-up to closure. - Evaluate and handle high dollar, high exposure, complex claims. - Conduct timely 3-point contact investigation, with focus on continued investigation as facts of the case change. - Mitigate the complex exposure while achieving the best outcome. - Determine timely and accurate compensability decisions within statutory requirements. - Set and adjust timely/accurate reserves within authority limits to ensure reserving activities are consistent with the case facts and company best practices. - Ability to present claims to senior management, internal and external stakeholders. - Timely administration of statutory medical and indemnity benefits throughout the life of the claim. - Comply with all applicable statutory guidelines, rules, and regulations. - Control legal activity with defense counsel through the litigation process while managing legal fees and costs. - Prioritize early resolution opportunities, evaluate claim exposure and negotiate settlement. Claims Customer Service: - Serve as a point of contact for our partner agents and customers to provide general claim guidance and help set claim process expectations. - Assist as necessary in providing claim status to agents and insureds, coverage verification and loss run reports, etc. - Provide excellent customer service to internal and external customers and business partners. - Advocate to ensure that Pie has a leading claims customer experience. - Work to continuously improve our claims operations and look at opportunities and gaps in claim service, handling SOPs, protocols and processes. The Right Stuff - High School Diploma or equivalent is required. - Bachelor's Degree or equivalent experience with some college coursework is preferred. - Minimum of 5-years workers’ compensation claim adjusting experience is required (carrier background, preferred). - Preferred claims experience in the following jurisdictions: Maryland, New Jersey and Pennsylvania. - Ability to evaluate and identify high dollar, high exposure, complex claims. - Requires active licensing in applicable states Strong communication (written and verbal) skills, to deliver more complex information effectively. - Strong problem-solving skills to be able to manage complex tasks and work through to solutions with little guidance and direction. - Awareness of your own tasks and how it impacts the team and deliverables. - Experience using G-Suite Tools and collaboration tools like Slack is preferred. - Advanced knowledge of jurisdictional regulatory and statutory requirements and CMS/MSA requirements. - Advanced knowledge and experience in claim adjudication, medical, and litigation management. - Advanced ability to analyze and take necessary action in multiple focus areas based on several data points. - Ability to make claim decisions to mitigate exposure while achieving the best outcome. - Ability to use skills to overcome conflict and reach beneficial outcomes. - Ability to mentor junior adjusters. The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. Base Compensation Range $85,000—$110,000 USD Compensation & Benefits - Competitive cash compensation - A piece of the pie (in the form of equity) - Comprehensive health plans - Generous PTO - Future focused 401k match - Generous parental and caregiver leave - Our core values are more than just a poster on the wall; they’re tangibly reflected in our work Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations. Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members. Location Information Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet. Additional InformationPie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic. Pie Insurance participates in the E-Verify program. Please click here, here and here for more information. Pie Insurance is committed to protecting your personal data. Please review our Privacy Policy. Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process. Pie Named to 2025 America's Best Startup Employers Pie Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE