Claims Adjusters, Examiners, and Investigators

Excellence In Everything We Touch

Position Summary

Supervises and mentors a unit of claim adjusters and other staff and oversee the analysis, review and validation of claims under the direction of the Managing Director. Ensures processes and procedures, legal principals, and claim handling regulations are properly applied and adhered. This is an IN-OFFICE postion that will not convert to remote. Must be local to Phoenix AZ.

Responsibilities

+ Provides direction and supervision to adjusters and other staff.

+ Assigns work ensuring balanced workload for employees in unit.

+ Reviews all assignments seven days after creation or in accordance with service standards; continues to review CMS2 Diary at appropriate intervals.

+ If applicable, reviews reserves at least every 30 days and revises as necessary.

+ Reviews and corrects outgoing reports.

+ Monitors production, reviews CMS2 billing dockets and monitors gains and losses on contract accounts.

+ Recruits, hires and evaluates performance of personnel as authorized by Operations Manager or Service Center Manager.

+ Trains and develops new employees.

+ Completes file re-inspections and audits as requested

+ Recommends candidates for cross-training and advanced training.

+ Makes marketing and sales calls as necessary.

+ Promotes a good public image of the Company.

+ Maintains up-to-date knowledge of licensing and regulatory requirements of industry and ensure compliance of employees in unit.

+ Encourages employees to pursue continuing education and monitors their completion of required courses; continues own personal development through continuing education and seminars.

+ Maintain records such as sick leave, vacation, company car, expenses and budgets as necessary.

+ Upholds the Crawford Code of Business Conduct at all times.

+ Participates in special projects or performs duties in other areas as requested.

Requirements

+ High school diploma and at least two years college or an equivalent combination of education and experience.

+ At least 5 years of experience as an Adjuster, Adjuster in Charge, Claims Supervisor or Claims Manager.

+ Previous supervisory experience desirable.

+ Continuous interaction with adjusters, claimants and clients to exchange information; decisions may require analysis of alternative courses of action.

+ Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level.

+ Must possess a valid driver’s license.

+ Must complete continuing education requirements as outlined by Crawford Educational Services. Additional courses may be required by jurisdiction for maintenance of license.

+ Excellent verbal and written communication skills.

+ Analytical ability.

+ Good mathematical aptitude.

+ Good organizational and interpersonal skills.

+ Ability to effectively manage, supervise, and develop employees.

+ Thorough knowledge of services being delivered by branch office.

+ In-depth knowledge of insurance coverages, practices, and negotiating skills.

+ Familiarity with legal, medical and technical disciplines.

+ Computer skills

About Us

Why Crawford?

Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.

When you accept a job with Crawford, you become a part of the One Crawford family.

+ Our total compensation plans provide each of our employees with far more than just a great salary

+ Pay and incentive plans that recognize performance excellence

+ Benefit programs that empower financial, physical, and mental wellness

+ Training programs that promote continuous learning and career progression while enhancing job performance

+ Sustainability programs (https://www.crawco.com/about/social-responsibility) that give back to the communities in which we live and work

+ A culture of respect, collaboration, entrepreneurial spirit and inclusion

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

Posted Date4 hours ago(11/12/2024 2:29 PM)

Requisition ID2024-26552

Job LocationsAZ-Phoenix

Position TypeRegular Full-Time

CategoryClaims

Business UnitCSS - Platform Solutions

**Who Are We?**

Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

**Job Category**

Claim

**Compensation Overview**

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

**Salary Range**

$65,300.00 - $107,600.00

**Target Openings**

3

**What Is the Opportunity?**

This position is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment process. This may include interpreting and applying laws and statutes for multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.

As of the date of this posting, Travelers anticipates that this posting will remain open until November 12, 2024.

**What Will You Do?**

Customer Contacts/Experience:

+ Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follow-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions.

Coverage Analysis :

+ Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for moderate complexity Bodily Injury liability claims in assigned jurisdictions. Verifies the benefits available, the injured party's eligibility and the applicable limits. Addresses proper application of any deductibles, co-insurance, coverage limits, etc. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration issues such as Social Security, Workers Compensation or others relevant to the jurisdiction. Consults with Unit Manager on use of Claim Coverage Counsel.

Investigation/Evaluation:

+ Investigates each claim to obtain relevant facts necessary to determine coverage, the extent of liability, damages, and contribution potential with respect to the various coverages provided through prompt contact with appropriate parties (e.g. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts). This may also include investigation of wage loss and essential services claims. Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Takes recorded statements as necessary. Utilizes evaluation documentation tools in accordance with department guidelines.

+ Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings.

+ Recognizes cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit.

Reserving:

+ Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities in accordance with established procedures to resolve claim in a timely manner.

Negotiation/Resolution:

+ Determines settlement amounts, negotiates and conveys claim settlements within authority limits to claimants or their representatives. Recognizes and implements alternate means of resolution. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to claimants.

+ Handles both unrepresented and attorney represented claims. May manage litigated claims on appropriately assigned cases. Develops litigation plan with staff or panel counsel, track and control legal expenses. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.

Insurance License:

+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.

+ Perform other duties as assigned.

**What Will Our Ideal Candidate Have?**

+ Bachelor's Degree preferred.

+ 2 years bodily injury liability claim handling experience preferred.

+ General knowledge and skill in claims handling and litigation.

+ Basic working level knowledge and skill in various business line products.

+ Demonstrated ownership attitude and customer centric response to all assigned tasks

+ Demonstrated good organizational skills with the ability to prioritize and work independently

+ Attention to detail ensuring accuracy

+ Keyboard skills and Windows proficiency, including Excel and Word - Intermediate

+ Verbal and written communication skills - Intermediate

+ Analytical Thinking- Intermediate

+ Judgment/Decision Making- Intermediate

+ Negotiation- Intermediate

+ Insurance Contract Knowledge- Intermediate

+ Principles of Investigation- Intermediate

+ Value Determination- Intermediate

+ Settlement Techniques- Intermediate

+ Medical Knowledge- Intermediate

**What is a Must Have?**

+ High School Degree or GED with a minimum of one year bodily injury liability claim handling experience or successful completion of Travelers Claim Representative training program is required.

**What Is in It for You?**

+ **Health Insurance** : Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.

+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.

+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.

+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.

+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

**Employment Practices**

Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.

In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.

If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email ([email protected]) so we may assist you.

Travelers reserves the right to fill this position at a level above or below the level included in this posting.

To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/ .

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

Sr. Claims Specialist, Professional Liability (Cyber)

**PRIMARY PURPOSE** **:** To analyze complex or technically difficult Cyber and other Professional Liability claims; to provide resolution of medium to highly complex nature claims; to perform within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.

**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

Claims Management and Processing:

+ Handle a diverse portfolio of cyber claims, including various Professional Liability claims, for various insurance company clients

+ Conduct comprehensive investigations into incidents, including data breaches, ransomware attacks, and business interruption claims

+ Analyze policy wordings and determine coverage applicability for each claim

+ Draft coverage letter

+ Maintain accurate claim files and documentation in compliance with client-specific guidelines and regulatory requirements

+ Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.

Client Relations:

+ Serve as the primary point of contact for assigned insurance company clients

+ Provide regular updates and reports to clients on claim status, trends, and potential high-exposure cases

+ Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.

+ Represents Company in depositions, mediations, and trial monitoring as needed.

Vendor Management:

+ Coordinate with and oversee external vendors, including forensic experts and legal counsel

+ Manage vendor expenses and ensure adherence to client-specific billing guidelines

+ Evaluate vendor performance and make recommendations for the vendor panel

Technical Expertise:

+ Stay current with evolving cyber threats, industry trends, and best practices in cybersecurity

+ Provide technical guidance to less experienced team members on complex cyber claims

Reporting and Analytics:

+ Prepare detailed claim reports and analyses for insurance company

+ Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.

+ Refers cases as appropriate to supervisor and management.

**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

+ Performs other duties as assigned.

+ Supports the organization's quality program(s).

**QUALIFICATIONS**

**Education & Licensing**

Bachelor's degree from an accredited college or university required. JD preferred. Adjuster Licenses as required. Professional certification as applicable to line of business preferred.

**Experience**

At least five (5) years of claims management experience, with at least (2) years of cyber claims management experience, or equivalent combination of education and experience required.

**Skills & Knowledge**

+ In-depth knowledge of appropriate Cyber and other Professional Liability lines, including E&O, D&O, EPL, etc. insurance principles and laws for line-of-business handled, cost containment principles and procedures as applicable to line-of-business

+ Excellent oral and written communication, including presentation skills

+ PC literate, including Microsoft Office products

+ Analytical and interpretive skills

+ Strong organizational skills

+ Excellent negotiation skills

+ Good interpersonal skills

+ Ability to work in a team environment

+ Ability to meet or exceed Performance Competencies

**WORK ENVIRONMENT**

When applicable and appropriate, consideration will be given to reasonable accommodations.

**Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

**Physical** **:** Computer keyboarding, travel as required

**Auditory/Visual** **:** Hearing, vision and talking

**NOTE** **:** Credit security clearance, confirmed via a background credit check, is required for this position. A writing sample (a redacted coverage letter) is also requested.

_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

**Taking care of people is at the heart of everything we do. Caring counts**

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

Workers Compensation Claims Examiner | Remote | NE Jurisdictional Knowledge

**Workers Compensation knowledge of multiple states required. Heavy states are NJ, IL, PA, MA & VA, but covers most states in the eastern half of the US, with a total of 31 jurisdictions**

**EXPERIENCE WITH:**

+ **Reviewing complex claims**

+ **coordination of benefits**

+ **answering communication**

+ **medical management**

+ **analysis**

+ **organization**

+ **analytical and problem-solving skills**

+ **proficiency in MS Office products, specifically Excel**

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

+ Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

+ Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.

+ Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

+ Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.

+ Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

+ Enjoy flexibility and autonomy in your daily work, your location, and your career path.

+ Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

**ARE YOU AN IDEAL CANDIDATE?** To analyze **Workers Compensation** claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

**PRIMARY PURPOSE OF THE ROLE:** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**

+ Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

+ Negotiating settlement of claims within designated authority.

+ Communicating claim activity and processing with the claimant and the client.

+ Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

**QUALIFICATIONS**

Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.

High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.

Professional certification as applicable to line of business preferred.

**Jurisdiction Knowledge:** **NJ, IL, PA, MA & VA**

**Licensing:** **preferred, not required. will have to obtain post-hire, Sedgwick funded***

**TAKING CARE OF YOU**

+ Flexible work schedule.

+ Referral incentive program.

+ Opportunity to work in an agile environment.

+ Career development and promotional growth opportunities.

+ A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Work environment requirements for entry-level opportunities include:

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

\#claims #claimsexaminer #remote

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (60,250 - 84,350/yr). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

**Taking care of people is at the heart of everything we do. Caring counts**

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

**About this role:**

Wells Fargo is seeking an Analytics Senior Manager in the Inclearing/ACH team within Fraud & Claims Management (FCM) as part of Consumer and Small Business Banking Operations (CSBBO). Learn more about the career areas and lines of business at wellsfargojobs.com (https://www.wellsfargojobs.com/career-areas/) .

**In this role, you will:**

+ Lead Inclearing/ACH team to deliver best in class fraud prevention practices to enhance business management, executing on key initiatives, and processes across products and lines of business

+ Manage and develop team members to create, implement, and optimize fraud models and strategies with specific focus on Inclearing/ACH fraud

+ Plan, coordinate, and execute analytics efforts or results-oriented intelligence that support CSBBO-Fraud & Claims Management in order to determine current fraud trends and develop rules to mitigate

+ Engage and influence experienced leaders companywide to communicate and provide strategic consultation

+ Provide support for designing, testing, evaluating, implementing, measuring, monitoring, and managing Inclearing/ACH fraud models and strategies including partnership with the Artificial Intelligence (AI) team to stand up a new AI model

+ Identify and recommend opportunities for alternatives, approaches, or solutions through the development and enhancement of fraud strategies and upstream controls to mitigate risk of event/intel and/or loss to Wells Fargo and its clients with specific focus on 3rd party victim fraud while engaging other fraud strategy and risk teams as needed

+ Determine appropriate strategy and actions of Analytics team to develop business or finance policies, approval or denial strategies, business line assignment methods, collections, and recovery strategies

+ Consult with partners to identify and define fraud trends and translate business needs into complex analysis designs, fraud strategies, and recommendations

+ Interpret and develop compliance and risk management requirements for supported area and work with other stakeholders to implement key risk initiatives for external agencies, regulatory bodies, and industry forums

+ Collaborate with and influence lines of business, business partners, industry forum managers, experienced consultants, and senior management on issues with high, critical impact on the success of the department such as with FCM-Detection Operations on alert prioritization and new detection opportunities

+ Lead a geographically diverse team of Analytic consultants in accomplishing goals

+ Manage allocation of people and financial resources for Analytics

+ Develop and guide a culture of talent development to meet business objectives and strategy

**Required Qualifications:**

+ 6+ years of Analytics experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education

+ 3+ years of management experience

**Desired Qualifications:**

+ 6+ yrs experience leading Fraud Strategy

+ 3+ yrs Leadership experience, including coaching, training, mentoring

+ Knowledge of industry fraud practices and trends

+ Knowledge of existing loss prevention Inclearing/ACH fraud strategies

+ Extensive knowledge and understanding of research and analysis

+ Demonstrate a working knowledge of internal and external fraud solutions and their capabilities

+ Ability to anticipate risk and examine short and long term consequences of data trends

+ Experience identifying areas of deficiencies/control breakdowns and providing recommendations

+ Ability to think creatively to find innovative solutions to complex analytical questions

+ High attention to detail and accuracy

+ Proven ability to assimilate information quickly and analyze complex problems

+ Demonstrated ability to prioritize effectively and learn quickly in a rapidly changing environment and function efficiently under short deadlines

+ Excellent verbal, written, and interpersonal communication skills

+ Ability to collaborate with all lines of business on new risk related products and capabilities or procedures, delivery channels and access devices

+ Detailed knowledge of Wells Fargo systems and applications

**Job Expectations:**

+ Ability to travel up to 5% of the time

+ This position is not eligible for Visa sponsorship

**Position Location:**

1525 W W T Harris Blvd, Charlotte, NC

800 S Jordan Creek Pkwy, West Des Moines, IA

2850 S Price Rd, Chandler, AZ

2200 Concord Pike, WILMINGTON, DE

**Pay Range**

Reflected is the base pay range offered for this position. Pay may vary depending on factors including but not limited to achievements, skills, experience, or work location. The range listed is just one component of the compensation package offered to candidates.

$111,100.00 - $217,200.00

**Benefits**

Wells Fargo provides eligible employees with a comprehensive set of benefits, many of which are listed below. Visit Benefits - Wells Fargo Jobs (https://www.wellsfargojobs.com/en/life-at-wells-fargo/benefits) for an overview of the following benefit plans and programs offered to employees.

+ Health benefits

+ 401(k) Plan

+ Paid time off

+ Disability benefits

+ Life insurance, critical illness insurance, and accident insurance

+ Parental leave

+ Critical caregiving leave

+ Discounts and savings

+ Commuter benefits

+ Tuition reimbursement

+ Scholarships for dependent children

+ Adoption reimbursement

**Posting End Date:**

16 Nov 2024

***** **_Job posting may come down early due to volume of applicants._**

**We Value Diversity**

At Wells Fargo, we believe in diversity, equity and inclusion in the workplace; accordingly, we welcome applications for employment from all qualified candidates, regardless of race, color, gender, national origin, religion, age, sexual orientation, gender identity, gender expression, genetic information, individuals with disabilities, pregnancy, marital status, status as a protected veteran or any other status protected by applicable law.

Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit’s risk appetite and all risk and compliance program requirements.

Candidates applying to job openings posted in US: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected characteristic.

**Applicants with Disabilities**

To request a medical accommodation during the application or interview process, visit Disability Inclusion at Wells Fargo (https://www.wellsfargojobs.com/en/diversity/disability-inclusion/) .

**Drug and Alcohol Policy**

Wells Fargo maintains a drug free workplace. Please see our Drug and Alcohol Policy (https://www.wellsfargojobs.com/en/wells-fargo-drug-and-alcohol-policy) to learn more.

**Wells Fargo Recruitment and Hiring Requirements:**

a. Third-Party recordings are prohibited unless authorized by Wells Fargo.

b. Wells Fargo requires you to directly represent your own experiences during the recruiting and hiring process.

**Req Number:** R-405334

**Who Are We?**

Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

**Job Category**

Claim

**Compensation Overview**

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

**Salary Range**

$65,300.00 - $107,600.00

**Target Openings**

2

**What Is the Opportunity?**

Under moderate supervision, this position is responsible for determining the best resource to properly resolve claims in unstaffed or remote regions nationwide (e.g.; desk adjustment, referral to Travelers staff adjuster or Independent Adjuster.) Handles claims involving first party property. investigation, evaluation, estimating and negotiation to ensure optimal claim resolution for building damage with some personal property and business property claims of low, medium to high severity and complexity.

Remote territory claims will have financial exposure on losses up to $25,000 on average. Requires working weekends and extended work days during higher claim volume with minimal notification. Takes Catastrophe Escalation calls and handles a wide variety of transferred customer inquiry calls requiring a Claim Handler skill set. May handle claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required in support of customer service including Pre-Claim Consultation.

This job does not manage others.

This is a hybrid work arrangement, requiring three days in office and allowing for two days work from home.

As of the date of this posting, Travelers anticipates that this posting will remain open until January 7, 2025.

**What Will You Do?**

+ Determines optimal resource for management of assigned files Options include desk adjustment, referral to Travelers staff adjuster or Independent Adjuster.

+ Utilizes mapping software to analyze claim location in proximity to staff adjusters.

+ Manages Independent Adjusters including timely delivery of service and validation of estimates, if applicable.

+ Reviews and approves all Independent Adjuster reports and billing.

+ Requires working weekends and extended work days during higher claim volume events with minimal notification.

+ Handles 1st party Property claims of low, medium to high severity and complexity as assigned.

+ Meets all quality standards and expectations per Best Practices.

+ Broad scale use of innovative technologies.

+ Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property claims under a variety of policies.

+ Establishes accurate scope of damages for building and contents losses and utilize as a basis for written estimates and/or computer assisted estimates.

+ Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, WC, GL and other areas of the business as needed.

+ Establishes timely and accurate claim and expense reserves.

+ Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.

+ Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles.

+ Negotiates and conveys claim settlements within authority limits.

+ Writes denial letters, Reservation of Rights and other complex. correspondence to insureds.

+ Performs other duties in support of the Catastrophe Response such as outbound contact calls, secondary claim severity triage, coordination of emergency services for claims assigned to other adjusters, fax and e-mail processing, mentoring of Enterprise Response Team members, etc. as required.

+ Maintains an effective diary system and document claim file activities in accordance with established procedures.

+ Manages file inventory to ensure timely resolution of cases.

+ Handles files in compliance with state regulations, where applicable.

+ Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.

+ Recognizes when to refer claims to Special Investigations Unit and/or Subrogation Unit.

+ Performs administrative functions such as expense accounts, time off reporting, etc. as required.

+ Performs other duties as assigned.

+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.

+ Perform other duties as assigned.

**What Will Our Ideal Candidate Have?**

+ Bachelors Degree preferred

+ General knowledge of estimating system Xactimate preferred.

+ Customer Service experience preferred.

+ Interpersonal and customer service skills - Advanced

+ Organizational and time management skills - Intermediate

+ Ability to work independently - intermediate

+ Judgment, analytical and decision making skills - Intermediate

+ Negotiation skills- Intermediate

+ Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively - Intermediate

+ Investigative skills - Intermediate

+ Ability to analyze and determine coverage - Intermediate

+ Analyze, and evaluate damages - Intermediate

+ Resolve claims within settlement authority - Intermediate

**What is a Must Have?**

+ High School Diploma or GED required.

+ A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required.

**What Is in It for You?**

+ **Health Insurance** : Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.

+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.

+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.

+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.

+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

**Employment Practices**

Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.

In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.

If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email ([email protected]) so we may assist you.

Travelers reserves the right to fill this position at a level above or below the level included in this posting.

To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/ .

**Who Are We?**

Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

**Job Category**

Claim

**Compensation Overview**

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

**Salary Range**

$48,700.00 - $80,400.00

**Target Openings**

8

**What Is the Opportunity?**

This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional Outside Property CAT position. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.

Start date for the position will be 1/13/2025.

As of the date of this posting, Travelers anticipated that this posting will remain open until 12/30/24.

**What Will You Do?**

+ Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.

+ The on the job training includes practice and execution of the following core assignments:

+ Requires extensive domestic/international travel and must be available for deployment within 24 hours of notification.

+ Handles 1st party property claims of moderate severity and complexity as assigned.

+ Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.

+ Broad scale use of innovative technologies.

+ Investigates and evaluates all relevant facts to determine coverage, damages and liability of first party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate.

+ Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, WC, GL and other areas of the business as needed.

+ Establishes timely and accurate claim and expense reserves.

+ Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.

+ Negotiates with multiple constituents, i.e.; contractors or insured’s representatives and conveys claim settlements within authority limits.

+ Writes denial letters, Reservation of Rights and other complex correspondence.

+ Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.

+ Meets all quality standards and expectations in accordance with the Knowledge Guides.

+ Maintains diary system, capturing all required data and documenting claim file activities in accordance with established procedures.

+ Manages file inventory to ensure timely resolution of cases.

+ Handles files in compliance with state regulations, where applicable.

+ Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.

+ Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.

+ Identifies and refers claims with Major Case Unit exposure to the manager.

+ Performs administrative functions such as expense accounts, time off reporting, etc. as required.

+ May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.

+ Ability to meet eligibility requirements to rent a vehicle required.

+ Must secure and maintain company credit card required.

+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.

+ In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards.

+ This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position.

+ Perform other duties as assigned.

**What Will Our Ideal Candidate Have?**

+ Bachelor’s Degree preferred or a minimum of two years of work OR customer service related experience preferred.

+ Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic.

+ Verbal and written communication skills –Intermediate.

+ Attention to detail ensuring accuracy - Basic.

+ Ability to work in a high volume, fast paced environment managing multiple priorities - Basic.

+ Analytical Thinking – Basic.

+ Judgment/ Decision Making – Basic.

+ Valid passport preferred.

**What is a Must Have?**

+ High School Diploma or GED and one year of customer service experience OR Bachelor’s Degree required.

+ Valid driver's license required.

**What Is in It for You?**

+ **Health Insurance** : Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.

+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.

+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.

+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.

+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

**Employment Practices**

Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.

In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.

If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email ([email protected]) so we may assist you.

Travelers reserves the right to fill this position at a level above or below the level included in this posting.

To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/ .

Job Description

What you'll do as a Customer Care Specialist I:

· Provide customer service to rental car customers by addressing general inquiries, receipts or payments pertaining to tolls and violations with a smile in your voice.

· Use tools and resources to reach a complete and accurate resolution.

· Ability to place clear and concise notes on customer accounts.

· Meet the performance goals established for efficiency, schedule adherence, quality, customer satisfaction and attendance.

· Other duties as assigned.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] .

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Skills and Requirements

High School Diploma or GED equivalent

· 6 months+ customer service experience (call-center preferred).

· Basic computer skills with the ability to navigate between applications, including Microsoft Office

· Passion for working in a team and being collaborative, but able to work independently.

· Outstanding interpersonal skills, strong work ethic, and self-motivated, with excellent communication skills and able to speak authentically.

· Flexibility to work any shift. Current hours of operation are between the hours of 9:00AM to 5:30PM EST time M-F. · Bi-lingual (Spanish) is a plus! null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].

The **Team Leader, Absence Claims Management** is responsible for leading a team of Absence Management Case Managers to get results within their team and the organization. The Team Leader will serve as a primary resource and provide direction to team members by setting objectives, communicating progress, and holding the staff accountable for adhering to all quality assurance, turnaround time, operational efficiency, and best practice standards. The Team Leader is responsible for assisting staff with career development and career progression, along with encouraging candor and challenging the status quo to continuously improve the way we work. The Team Leader partners with internal cross functional areas for program direction, goal setting, service delivery and development of action plans and using bench strength.

The Team Leader will validate that all FML, STD, State, and PFL are accurately adjudicated according to plan provisions, established standard methodologies and within state and federal guidelines. The Team Leader must be able to manage and resolve issues that pertain to claim administration procedures, cost containment activities, reports, quality control and complex customer issues. The Team Leader will work with external customers/clients to enhance the overall experience for the customer. The Team Leader is responsible for the overall functioning of the team and communicating to leadership on team status and performance.

**You will:**

+ Partner with leadership to develop and communicate objectives and performance goals for the team.

+ Manage direct reports’ performance by coordinating with HR to implement coaching plans and performance improvement plans.

+ Develop employee goals to promote career growth that enhance level of knowledge for future opportunities.

+ Collaborate with internal business partners including Short Term Disability, Long Term Disability, Service, Sales and Account Management, Group Quality Management, and other areas within the Company.

+ Create regular action plans based on results from employee engagement surveys – the Team Leader owns and acts on engagement survey results.

+ Review and analyze daily, weekly, and monthly reports on team productivity 1) for operational reporting and monitoring purposes; 2) to identify trends and training opportunities; and 3) to create action plans for improvement.

+ Review processes/reports regularly for process improvement opportunities.

+ Own relationship with client and get involved, when necessary, in meetings, phone calls, and closing the loop on service issues.

+ Prioritize the customer/client experience in day-to-day interactions and processes.

+ Identify Continuous Improvement opportunities by reviewing process and eliminating unnecessary steps.

+ Empower staff to submit process improvement ideas to revise workflows and procedures.

+ Support claims initiatives by encouraging/providing relevant feedback and acting as a change leader for project rollouts.

+ Schedule and facilitate team meetings and individual touchpoints.

+ Mentor, coach, supervise and develop talent of direct reports by acting as a partner in recommending and coordinating training resources, tools, and plans for individuals to achieve personal and departmental goals and objectives.

+ Review claim staff QA/CMA assessments for training or enhancement opportunities.

+ Use data and analytics to improve or change business process/procedures and team outcomes procedures and team outcomes.

**You have:**

+ Bachelor’s degree in related field and/or equivalent relevant disability work experience; integrated absence management preferred.

+ 5+ years of disability claims experience.

+ 3+ years of demonstrated leadership experience.

+ Extensive knowledge of disability products, business rules and procedures.

+ Familiarity with mandated state and federal regulations.

+ Professional oral, written and presentation skills.

+ Proven organizational and time management skills.

+ Excellent math aptitude and analytical skills

+ Strong PC skills, including Microsoft Office applications.

**Leadership Behaviors**

Team Leadership – Hire, develop and retain top talent. Recognize and reward team members. Model leadership behavior and act as a servant leader to ensure team success. Communicate effectively with team, champion, and challenge changes with positivity. Own messaging and decision making. Lead team through ambiguity.

Problem Solving – Be creative and take calculated risks to achieve goals and deliverables. Make mistakes and learn quickly from them, model this behavior for your team.

Customer/Client Focused – Act with urgency and ownership to resolve customer issues. Proactively identify and resolve issues when possible. Work to ensure self and team prioritize the customer experience.

Results Focused – drive team to achieve results, focusing on desired outcomes. Action plan for team management despite operational challenges.

**LOCATION:**

This is a flexible remote position. Minimal travel expected into one of our office locations for leadership meetings or training.

**Salary Range**

$57,330.00 - $94,185.00

The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

**Our Promise**

At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

**Inspire Well-Being**

As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues.

**Health Care**

+ Choice of medical plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits

+ Dental plan

+ Vision plan

+ Health care accounts – flexible spending, health reimbursement, and health savings accounts

+ Critical illness insurance

**Life and Disability Insurance**

+ Company-paid Life and Disability insurance plus voluntary supplemental coverage

+ Accident insurance

**Retirement and Financial**

+ 401(k) retirement plan with a company match, plus an annual age/service-based Company contribution and an annual profit-sharing contribution, if applicable

+ Complimentary 1:1 financial guidance with a licensed Fidelity representative

**Time Off and Remote Work**

+ Flexible work arrangements (part in-person/part remote)

+ Unlimited paid time off for most roles plus time off for volunteering, jury duty, voting, and bereavement

+ Personal holidays for colleagues to use in recognition of religious, cultural, or civic days

+ Paid parental leave and paid family and medical leave policies

**Emotional Well-being and Work-Life**

+ Emotional well-being, mental health, and work/life resources powered by Spring Health

+ Wellness programs, including fitness program and equipment reimbursement

+ Child, adult, and elder back-up care support through Bright Horizons

+ Adoption assistance

+ College planning

+ Tuition reimbursement

+ Student loan assistance

+ Commuter benefits in select metropolitan areas

**Equity & Inclusion**

Opportunities to build inclusive and meaningful connections through involvement in colleague-led affinity groups:

+ Employee Resource Groups:

+ Colleague Connection Committees

+ Community Involvement Committees

A culture that encourages colleagues to bring their authentic selves to work

+ Voluntary self-ID

+ Pronunciation and phonetic spelling of names

**_Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits._**

**Equal Employment Opportunity**

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

**Accommodations**

Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [email protected] .

**Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.**

Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being — mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com .

**About Sutherland**

Artificial Intelligence. Automation.Cloud engineering. Advanced analytics.For business leaders, these are key factors of success. For us, they’re our core expertise.

We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence.

We’ve created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless “as a service” model.

For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA.We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new possibilities, transformative outcomes and enduring relationships.

Sutherland

_Unlocking digital performance. Delivering measurable results._

This is a full-time permanent healthcare claims adjudicator position. A claims adjudicator determines how much money will be paid after an insurance claim has been examined. This is not a customer service or customer facing position. This is a data entry position where you will be processing medical claims per the specific client requirements. Claims can vary and are highly customized depending on the service level. You will work independently with the assistance of knowledge base and support personnel. You will also be expected to meet all Key Performance Indicators and Quality goals throughout Training and beyond.

What you will be doing as a Claims Examiner:

+ 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

We offer:

+ Salary of $13.50/hour + monthly incentives up to $1500/month

+ Monthly rewards & recognition programs

+ Medical, dental and vision benefits

+ Paid training & PTO

+ Cross program and advancement opportunities – 80% of our frontline leaders have been promoted from within

+ Employee Discounts

+ EAP & Health and Wellness programs including a personal trainer dedicated to Sutherland

+ Health or health insurance claims experience

+ Knowledge of medical terminology

+ Some experience in a medical office

+ Accurate typing of 40 WPM

We will provide equipment, however to work from home, you must have:

+ Excellent Internet connectivity:

+ Internet access speeds of 2 Mbps upload and 10 Mbps download – the faster the better!

+ In-house network, and a hard-wired Internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (wireless and/or satellite Internet Service Providers are not compatible with our systems)

+ A quiet and distraction-free, secure place to work.

**_IMPORTANT NOTE_** : This job is open only to residents of the United States, and you must be authorized to work in the US in order to be considered for employment.

**_About Us_**

_Sutherland, recently recognized as a Great Place to Work in the US, is a digital transformation company, making digital processes feel more human for the customers that we serve. We have been helping customers globally, across industries from financial services to healthcare, entertainment to retail, insurance to gaming, and everything in between, provide exceptional experiences for their customers for over 35 years._

EEOC and Veteran Documentation

During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.

At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all

Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.

Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.

\#SP

EEOC and Veteran Documentation

During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.

At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all

Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.

Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.