NewDental Claims Resolutions Specialist CornerStone StaffingDental Claims Resolutions SpecialistIrving, TX$18.50–$19.50 / hourBy applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. • Submit corrected or rebilled claims with required documentation through NEA (National Electronic Attachments), clearinghouses, paper, or payer portals.
NewInside Property Adjuster Specialist - Specialty Claims Team USAAInside Property Adjuster Specialist - Specialty Claims TeamSan Antonio, TX$69,920–$125,850 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. The ideal candidate will possess strong virtual estimating skills for complex Condo claims, determine liability, litigation, and reconcile estimates while working in a telephone concentrated environment without physical inspection of loss.
Medical Billing Specialist Eye Centers of Southeast Texas - MilamMedical Billing SpecialistBeaumont, TX$15–$18 / hourFull timeThis role is responsible for ensuring accurate claim submission, payment posting, denial managment, and compliance with payer regulations. The ideal candidate will have knowledge of ophthalmolgy coding, insurance billing, claims processing and accounts receivable followup.
NewProject Controls Specialist System OneProject Controls SpecialistHouston, TX$124,400–$150,138 / yearDevelop and maintain Work Breakdown Structures (WBS) and project control hierarchies, building and managing schedules in Primavera (P6) including resource loading and milestones. Bachelor’s degree in Engineering, Construction Management, Project Management, Accounting, Business, or related field; advanced degree or AACE certification preferred.
Denial Appeals Specialist ProKatchersDenial Appeals SpecialistDallas, TX$21–$22 / hourLooking for someone with good attention to detail, experience with correspondence, mailing/submitting appeals (if possible), data entry. Draft non-clinical appeal letters for outpatient and pre-authorization denials .
NewFieldReady - Veteran Talent Development Program for Field Adjusters USAAFieldReady - Veteran Talent Development Program for Field AdjustersSan Antonio, TX
NewInsurance Senior Trial Attorney - Work From Home Sentry InsuranceInsurance Senior Trial Attorney - Work From HomeHouston, TXRemote7+ years of related work experience with experience as a licensed attorney in at least one state with some insurance defense litigation, and including experience taking/defending depositions, court appearances, handling dispositive motions, retaining expert witnesses, and trial experience as first chair or solo trial counsel. Handle pleadings, motion practice, depositions, written discovery, expert witness retention and discovery, dispositive motions, and trial preparation and presentation with minimal oversight.
Auto Liability PD Claims Specialist LonestarAuto Liability PD Claims SpecialistRichardson, TXExceptional communication skills-both verbal and written-will enable you to work seamlessly with internal teams and external customers, ensuring a collaborative approach to establishing facts and developing evidence. Strong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience and management and third-party customer relationships.
Sr. Technical Claims Specialist W. R. Berkley CorpSr. Technical Claims SpecialistHouston, TXThis includes specialized coverages, risk services that complement existing safety practices, and claims management that reflects our in-depth knowledge of hazards and losses normal to this industry. Technical Claims Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion.
Casualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistHouston, TXThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
Workers Compensation Claims Specialist, South Region Liberty Mutual Holding Company IncWorkers Compensation Claims Specialist, South RegionPlano, TXThe Workers Compensation Claims Specialist works within a Claims Team under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Responsibilities: Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (injured workers, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.
Auto Bodily Injury Claims Specialist LonestarAuto Bodily Injury Claims SpecialistRichardson, TXStrong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience, co-worker, management and third-party relationships. With 3-5 years of experience in Auto Bodily Injury/Casualty claims, you should possess a Texas Licensed Adjuster certification and familiarity with multi-state licensing is a plus.
Indemnity Claims Specialist CorVel Enterprise Claims, Inc.Indemnity Claims SpecialistDallas, TX$52,999–$85,473 / yearPart timeThe Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Senior Claims Specialist - CA Workers'''' Compensation Great American Insurance CompanySenior Claims Specialist - CA Workers'''' CompensationTX$110,000–$120,000 / yearAlthough we typically require 10+ years of experience, we will consider exceptional candidates with 7+ years of proven success in California workers' compensation claims adjusting experience with higher exposure claims. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use.
Casualty Claims Specialist First Chicago Insurance Company (FCIC)Casualty Claims SpecialistHouston, TXThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.
Experienced Claims Specialist GEICO GENERAL INSURANCE COMPANYExperienced Claims SpecialistRichardson, TX$26.31–$39.21 / hourYou'll manage multiple steps impacting the claims life cycle, providing guidance, support, and solutions to policyholders during times of uncertainty. Enjoy GEICO Flex, additional weeks annually to work off-site, meeting location and work guidelines.
Sr. Technical Claims Specialist BerkleySr. Technical Claims SpecialistHouston, TexasThis includes specialized coverages, risk services that complement existing safety practices, and claims management that reflects our in-depth knowledge of hazards and losses normal to this industry. Technical Claims Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion.
Claims Specialist - Property Philadelphia Insurance CompaniesClaims Specialist - PropertyPlano, TX$84,422–$99,320 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Claims Specialist - G/L Philadelphia Insurance CompaniesClaims Specialist - G/LPlano, TXEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Sr. Claims Specialist - G/L Philadelphia Insurance CompaniesSr. Claims Specialist - G/LPlano, TX$112,000–$125,000 / yearMarketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Senior Claims Specialist, Cyber Markel Group IncSenior Claims Specialist, CyberPlano, TXThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. • Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Bilingual Medical Benefits and Claims Specialist Team1MedicalBilingual Medical Benefits and Claims SpecialistHouston, TXThey are primarily responsible for but not limited to responding to incoming hotline inquiries as they relate to benefits and eligibility verification, claim status (with the ability to identify if a claim requires reconsideration), authorization status, and complaints. In the spirit of pay transparency, we want to share the base hourly pay rate for this position is $19.69 per hr, not including benefits, potential bonuses or additional compensation.
Claims Specialist - General Liability The Hartford Insurance Group IncClaims Specialist - General LiabilitySan Antonio, TX$107,600–$161,400 / yearOur ideal candidate will have expertise in primary and excess bodily injury and property damage general liability claims including excess auto liability, products liability, premises liability, some personal and advertising claims and some pollution liability. The Claim Specialist will handle a caseload of complex, high-exposure claims under Excess General Liability and Environmental policies (primarily package policies that contain general liability and some professional liability coverage) from inception to final resolution.
Claims Specialist Liberty Mutual Holding Company IncClaims SpecialistPlano, TXAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.
Claims Specialist, Coverage & Liability Unit Tesla IncClaims Specialist, Coverage & Liability UnitAustin, TX2 years of experience handling claims with expertise in coverage, investigation, litigation, negotiation, damage/injury evaluation, personal injury protection, medical payments coverage, salvage, and subrogation. Benefits: Along with competitive pay as a full-time Tesla employee, you are eligible for the following benefits at day 1 of hire: Medical plans: Plan options with 0 payroll deduction.
Medical Billing and Claims Specialist PEDIATRIC CARDIOLOGY CONSULTANTS OF SOUTH TEXASMedical Billing and Claims SpecialistLIVE OAK, TXGeneral Administrative Duties:Answer incoming phone calls, manage emails, and respond to patient inquiries regarding appointments, billing, or general clinic information. The ideal candidate will provide excellent customer service, manage patient check-in/check-out, prior authorizations and handle billing tasks.
Claims Specialist Senior - Injury The Progressive CorpClaims Specialist Senior - InjuryMcAllen, TX$77,000–$93,500 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Senior Technical Claims Specialist, Construction Complex Liberty Mutual Holding Company IncSenior Technical Claims Specialist, Construction ComplexPlano, TX$105,000–$130,000 / yearWere seeking an experienced claims professional who thrives on challenging, high-exposure commercial casualty matters arising from construction operations including complex Commercial General Liability (CGL) and Construction Injury/Liability claims (all litigated or high-exposure losses $500,000+). There is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub offices (Boston, MA; Westborough, MA; Plano, TX; Suwanee, GA; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Las Vegas, NV, Chandler, AZ or Weatogue, CT).
Claims Specialist - Auto Philadelphia Insurance CompaniesClaims Specialist - AutoPlano, TexasEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Personal and Advertising Injury Liability Claims Specialist The Hartford Insurance Group IncPersonal and Advertising Injury Liability Claims SpecialistSan Antonio, TXRemote$107,600–$161,400 / yearInternet Connectivity Requirement/Remote Positions: For 100% remote positions, we require that (1) you have high speed broadband cable internet service with minimum upload/download speeds of 3Mbps/30Mbps and (2) your Internet provider supplied device is to be hardwired to the Hartford issued router and/or computer. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Indemnity Claims Specialist CorVel CorpIndemnity Claims SpecialistDallas, TX$52,999–$85,473 / yearThe Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Field Office - Claims Specialist (Bilingual) (Spanish) Social Security AdministrationField Office - Claims Specialist (Bilingual) (Spanish)Big Spring, TX$40,736–$80,243 / yearGS-7: One (1) year of specialized experience at the GS-5 level (or equivalent) that demonstrates the ability to (1) assist individuals in establishing their entitlement to receive benefits (e.g., retirement, disability, public aid, insurance, taxes, etc.); (2) adjudicate, authorize or reconsider claims; (3) explain benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) entitlements or requirements to the general public; (4) evaluate benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) program operations to assess the integrity and quality; or (5) interpret benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) program requirements to formulate policies, procedures or guidelines. If you are using experience to qualify, you must have: GS-5: Three years of general experience equivalent to the next lower grade level in the federal service that demonstrates the ability to 1) review problems to identify significant factors, gather pertinent data, and recognize solutions; 2) plan and organize work; and 3) communicate effectively orally and in writing.
Complex Liability Claims Specialist - Commercial General Liability Utica National Insurance GroupComplex Liability Claims Specialist - Commercial General LiabilityRichardson, TX$103,300–$140,000 / yearThe ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities.
General Liability Claims Specialist Amtrust Financial Services IncGeneral Liability Claims SpecialistDallas, TXThe Claims Specalist is responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claimants, ensuring that company resources are utilized in a cost effective manner in the process for General liability claims within BI. Determines, reviews and analyzes coverages that may or may not apply to the claim; Plans, executes and reviews investigations-coverage, liability and/or damages - including the securing of a signed or recorded statement of the insured, claimant and/or witnesses.
Warranty Claims Specialist Abacus Plumbing, Air Conditioning and ElectricalWarranty Claims SpecialistHouston, Texas$18–$20 / hour
Global Cargo Claims Specialist Crane Worldwide Logistics LLCGlobal Cargo Claims SpecialistHouston, TXPart timeUnderstanding of basic accounting principles and processes; computer skills – including heavy Excel knowledge; verbal and written communication skills; adept at problem resolution. Collect, organize, analyze and provide claim reports to management and other departments as required.
Auto and General Liability Claims Specialist The Hartford Insurance Group IncAuto and General Liability Claims SpecialistSan Antonio, TX$107,600–$161,400 / yearProviding support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity; Work with business partners to evaluate and address claim trends and developments; and. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Scottsdale, AZ, Alpharetta, GA, and Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Claims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster Liberty Mutual Holding Company IncClaims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims AdjusterPlano, TXAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Westborough, MA; Hoffman Estates, IL; Weatogue, CT; Indianapolis, IN; Plano, TX; Suwanee, GA; or Lake Oswego, OR; Las Vegas, NV; Chandler, AZ.
Claims Specialist - Rideshare Commercial Auto Claims Injury Adjuster Liberty Mutual Holding Company IncClaims Specialist - Rideshare Commercial Auto Claims Injury AdjusterPlano, TXQualifications BS/BA degree or equivalent work experience Minimum of 2 years experience in claims adjustment, general insurance or formal claims training Required to obtain and maintain all applicable licenses Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU) Knowledge of claims investigation techniques, medical terminology and legal aspects of claims. • Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate.
NewM&A Specialist Diedre Moire Corp.M&A SpecialistDallas, TX$300,000–$400,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Tax Accountant Attorney Mergers Acquisitions Divestitures Equity Funds Tax JD CPA MBA Representations Warranties Insurance RWI Transactional Risk Insurance #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs. Shall: • Determine acceptability of Representations and Warranties Insurance and Transactional Risk Insurance options for Mergers and Acquisitions deals using high level financial risk analysis and negotiating with buyers and sellers.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistTXRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Senior Environmental Technical Claims Specialist Argo Group International Holdings IncSenior Environmental Technical Claims SpecialistTX$99,200–$118,100 / yearAlternatively, we are also open to consider candidates working from home anywhere in the continental United States This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and contributing to providing superb results for our clients. Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C.
Senior Construction Defect Technical Claims Specialist Team Lead Argo Group International Holdings IncSenior Construction Defect Technical Claims Specialist Team LeadTXRemote$156,000–$187,500 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Qualifications / Experience Required: A deep knowledge of construction defect claims adjudication, along with an exceptional focus on customer service, typically achieved through: A minimum of seven years' experience adjudicating construction defect claims with exposure of $100,000 or more.
Claims Specialist Allied TechClaims SpecialistAustin, TXRemote$48,000–$60,000 / yearGreat claims processing support is about more than processing paperwork -- it's about helping clients keep claims accurate, organized, and on-track and helping policyholders experience a smooth filing process. Familiarity with Google Workspace, Microsoft Office, Microsoft Teams, Slack, Zoom, project management tools, and AI productivity tools.
Insurance Claims Specialist (Construction Defects and Property Damage) DPRInsurance Claims Specialist (Construction Defects and Property Damage)Dallas, TexasAct as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements. DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets.
Insurance Claims Specialist (Construction Defects and Property Damage) DPR Construction IncInsurance Claims Specialist (Construction Defects and Property Damage)Houston, TXKey Skills: • Basic working knowledge and familiarity of: • Commercial General Liability • Property Insurance (Including Inland Marine and Builder's Risk) • Pollution Liability • Professional Liability • Controlled Insurance Programs (CCIP/OCIP) • RMIS Systems • Construction Industry Expertise • Strategic thinking • Strong written and oral communication skills • High level of EQ (Soft skills) • Self-Starter • Highly organized and responsive; ability to meet deadlines • Detail Oriented • Contractual risk assessment • Dispute management • Integrity • Ability to mentor and inspire others • Team player • Willingness to understand and advance the DPR Culture • Proactive Learner. Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements.
Litigated Claims Specialist, General Liability Zurich Insurance Group LtdLitigated Claims Specialist, General LiabilityAddison, TXIf youre passionate about resolving complex issues, collaborating with sharp legal and business minds, and delivering outstanding service to clients, this role could be the next exciting step in your career. Using your litigation expertise and strategic mindset, you will: Handle complex litigated claims from start to finish with a focus on quality, efficiency, and service excellence.
ESIS Senior Claims Specialist, WC Chubb LtdESIS Senior Claims Specialist, WCDallas, TX$71,000–$104,400 / yearAbility to plan, organize, and implement general business and people management practices, supported by completion of management and technical programs, business or legal coursework, or equivalent practical experience. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industrys broadest selections of risk management solutions covering both pre- and post-loss services.
Senior Inland Marine Technical Claims Specialist Argo Group International Holdings IncSenior Inland Marine Technical Claims SpecialistHouston, TX$151,000–$181,250 / yearQualifications / Experience Required: A deep knowledge of adjudicating commercial Inland Marine claims typically achieved through a minimum of: Seven years' experience adjudicating inland marine policy claims, particularly motor truck cargo claims, with exposure of $100,000 or more. Essential Responsibilities: Working with limited oversight under broad management direction, adjudicate highly complex claims, at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.