CrawlJobs Logo

Claims Adjuster Sr.

bbrown.com Logo

Brown & Brown UK

Location Icon

Location:
United States , Ephrata

Category Icon
Category:
Insurance

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

80000.00 - 90000.00 USD / Year
Save Job
Save Icon
Job offer has expired

Job Description:

Individuals whose primary responsibility involves managing claim files on behalf of clients for claims service business operations, requiring independent decision making, and high level of judgment and knowledge regarding the claim handling function. Handling and supervision of complex and litigated claims with authority for settlement. Responsible for the investigation of coverage, liability, and damages, negotiating with claimants, attorneys, and other insurance carriers, through the life of a claim.

Job Responsibility:

  • Make themselves familiar with the Litigation Guidelines and Claims Best Practices, enforce these guidelines, and report to leadership in Claims when they are not complied with
  • Review lawsuits and formulate a plan of action with the assigned attorney
  • Monitor progress and keep the insured informed
  • Make sure all information is documented in the claim file
  • Report claims status and any mandatory exposure to the excess carrier pursuant to Claims Best Practices, the MOC and the excess carrier policies
  • Attend mediation hearings, present insurance company’s position, and defend insured
  • Communicate with clients to discuss claims and recommend strategies to reduce overall exposure
  • Present clear and concise file presentation using the computer task system in Origami to track workflow
  • Other job-related projects or assignments as delegated

Requirements:

  • Four years general claims experience OR eight years general insurance experience
  • Must obtain AIC Designation and State License
  • Knowledge of Claims Best Practices and Litigation Guidelines
  • General knowledge pertaining to the legal process and procedures
  • Ability to navigate through Outlook, Microsoft Teams, Excel, Origami, Word Merge, ISO Search
  • Ability to perform research on the Internet relating to claims information and data
  • Excellent oral and written communication skills and ability to work together as a team
  • Possess a positive attitude, strong interpersonal skills, organizational skills, and computer skills
  • Professional office dress is mandatory
  • Must present oneself in a professional manner, including personal hygiene and appearance
  • Regular attendance is essential and expected for the effective operation of the company
  • Manual dexterity, arm, and upper body range of motion sufficient for use of a keyboard, mouse, and telephone on a constant basis for at least 7-10 hours per day
  • Speech and hearing are sufficient for in-person and telephone communication on a constant basis for at least 7-10 hours per day
  • Vision sufficient for the use of a computer monitor
  • Ability to sit at a desk on a constant basis for at least 7-10 hours per day
What we offer:
  • Medical/Rx
  • Dental
  • Vision
  • Life Insurance
  • Disability Insurance
  • ESPP
  • 401k
  • Student Loan Assistance
  • Tuition Reimbursement
  • Free Mental Health & Enhanced Advocacy Services
  • Paid Time Off
  • Holidays
  • Preferred Partner Discounts

Additional Information:

Job Posted:
February 20, 2026

Expiration:
February 20, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
Icon
Brown & Brown UK - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Claims Adjuster Sr.

Insurance Claim Analyst

Working as part of an integrated strategic claims oversight team, this position ...
Location
Location
United States , Hingham
Salary
Salary:
67000.00 - 75000.00 USD / Year
anntaylor.com Logo
Ann Taylor
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Experience in the insurance industry as an adjuster or in a corporate insurance capacity a plus
  • Strong written and oral communication skills necessary
  • Proficient in Excel
  • Knowledge of Oracle and SAP a plus
  • Knowledge of insurance or workers comp terminology and concepts a plus
Job Responsibility
Job Responsibility
  • Operational effectiveness of claims process and strategy across workers comp, general liability and auto claims
  • Develop and maintain strong partnerships with peers across the organization and primary contact for internal and external contacts on all casualty claims
  • Recommend and help to maintain day-to-day claim processes that drive Insurer/TPA performance
  • Monitors compliance with company policy regarding loss-reporting and claim handling standards and works collectively with Asset Protection to identify non-compliant reporting trends and drive improved reporting across field, DC and office locations
  • Monitors all open claims for proper reserving and adjuster performance and assist the Sr. Mgr. of Claims with achieving optimal claim service deliverables and working claims toward final resolution
  • Monitors claim frequency and/or severity within locations and communicates concerns across the Insurance, Store Facilities and Asset Protection Teams
  • Assist Mgr of Occ Health with the tracking and documentation of disability periods associated with workers comp claims in the internal rmis system
  • Assist with tracking and documentation of information required for the Y/E Dept of Labor/Osha recordkeeping process
  • Track and document litigation data in rmis system
  • Provides back-up to Sr. Claim Manager on all claim related invoicing
What we offer
What we offer
  • Merchandise discount at select KnitWell Group brands
  • Support for individual development plus opportunities for career mobility within our family of brands
  • A culture of giving back – local volunteer opportunities, annual donation and volunteer match to eligible nonprofit organizations, and philanthropic activities to support our communities
  • Medical, dental, vision insurance & 401(K)
  • Employee Assistance Program (EAP)
  • Time off – paid time off & holidays
  • Fulltime
Read More
Arrow Right
New

Senior Claims Representative

The Senior Claims Representative manages high priority accounts and catastrophic...
Location
Location
United States , Carmel
Salary
Salary:
Not provided
bbrown.com Logo
Brown & Brown UK
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate’s or Bachelor’s degree in business, financial related discipline, or Human Resources (preferred)
  • Proficient with Microsoft, Windows, Excel, IVOS, etc.
  • Exceptional telephone demeanor
  • Ability to maintain a high level of confidentiality
  • 3 – 5 years’ experience in similar position
  • Insurance and/or Industry certification or designation
Job Responsibility
Job Responsibility
  • Maintain a claim inventory as deemed appropriate by management
  • Verify, research evaluate and make recommendations on appropriate coverage on each claim, using discretionary judgment
  • Make timely contact with members, injured workers, agents, providers, attorneys, etc.
  • Investigate claim with phone interviews/emails and obtain appropriate documentation
  • Evaluate exposure and adjust reserves as required
  • Conclude claim processing in accordance with company standards
  • Meet with members, agents, injured workers, attorneys, etc. as deemed necessary
  • Provide training and act as a mentor for members and other claims personnel
  • Travel to annual workers compensation conference and/or attend educational seminars
  • Other job-related projects or assignments as delegated
What we offer
What we offer
  • Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
  • Financial Benefits: ESPP
  • 401k
  • Student Loan Assistance
  • Tuition Reimbursement
  • Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
  • Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more
  • Fulltime
Read More
Arrow Right
New

Sr. Finance Specialist SSC

Aim of the position: The Collection Specialist is responsible for managing the p...
Location
Location
Hungary , Budapest
Salary
Salary:
Not provided
fedex.com Logo
Fedex
Expiration Date
April 30, 2026
Flip Icon
Requirements
Requirements
  • High school education
  • Knowledge of the main finance procedures
  • Fluent English
  • Minimum 3–5 years of collection experience/AR experience, preferably in an SSC environment
  • Strong customer service skills
Job Responsibility
Job Responsibility
  • Initiating collection actions via phone and email
  • Identifying potential risks affecting incoming payments
  • Reviewing customer accounts to identify discrepancies, adjustments, or missed payments, and initiating issue resolution
  • Tracking actions and updating customer records to document contact dates, issues, and resolutions, and scheduling follow-ups
  • Monitoring credit release screens to ensure shipments are executed in a timely manner and accounts remain within assigned terms and credit limits
  • Responding to payment-related customer claims
  • Providing statements, invoice copies, and supporting documentation to customers
  • Participating in projects
  • Collaborating with Sales, Operations, Treasury, Accounts Payable, and Cash Application teams
  • Performing any other activities that contribute to the reduction of outstanding customer balances, elimination of aged debt, improvement of customer satisfaction, and enhancement of processes
  • Fulltime
Read More
Arrow Right

Sr. Associate, Field Effectiveness

Join Amgen’s Mission of Serving Patients. At Amgen, if you feel like you’re part...
Location
Location
India , Hyderabad
Salary
Salary:
Not provided
amgen.com Logo
Amgen
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Master’s degree & 4+ years of experience in sales analytics, sales operations, and/or field effectiveness
  • Bachelor’s degree & 6+ years of experience in sales analytics, sales operations, and/or field effectiveness
  • Experience in the bio/pharmaceutical or healthcare industry
  • Hands-on ability to write SQL queries and perform data analysis, data visualization, and reporting
  • Proficiency in relevant software and technologies such as: Sales planning and operations platforms (targeting, alignment, roster management)
  • CRM systems such as Veeva
  • Business intelligence/reporting tools (e.g., Tableau, Power BI, Excel)
  • Strong analytical skills and attention to detail
  • ability to translate complex datasets into clear, actionable insights
  • Effective communication skills, both written and verbal, with the ability to prepare reports and present findings clearly to stakeholders
Job Responsibility
Job Responsibility
  • Field Data Analysis & Insights: Analyze data from Veeva CRM, distribution partners, claims, and patient services
  • Conduct analysis of execution for Field Sales teams to assess reach, frequency, HCP engagement trends, and account targeting effectiveness
  • Deliver reports and insights for sales leadership and cross-functional teams
  • Operational Execution & Field Enablement: Support territory alignments, roster updates, and call-plan execution
  • Ensure operational delivery of tools used by the field—e.g., Veeva CRM, Next Best Action dashboards, digital companion tools, Alerts, and call plan refreshes
  • Provide issue support and escalate as needed
  • Sales Force Size/Structure & Deployment: Assist with field size, structure, and deployment analyses
  • Support coverage and targeting evaluations
  • Adjust alignments based on market dynamics and business priorities
  • Field Force Effectiveness: Enhance field productivity, including call planning, coverage optimization, and targeting
What we offer
What we offer
  • Competitive and comprehensive Total Rewards Plans that are aligned with local industry standards
Read More
Arrow Right
New

Staff Pharmacist

We’re building a world of health around every individual — shaping a more connec...
Location
Location
United States , Miramar
Salary
Salary:
60.00 - 76.00 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
March 30, 2026
Flip Icon
Requirements
Requirements
  • Active Pharmacist License in the state where the Store is located
  • Active National Provider Identifier (NPI)
  • Not on the DEA Excluded Parties list
  • Regular and predictable attendance, including nights and weekends
  • Ability to complete required training within designated timeframe
  • Ability to concentrate on a task over a period of time
  • Ability to pivot quickly from one task to another to meet patient and business needs
  • Ability to confirm prescription information and label accuracy, ensuring patient safety
  • Actively look for ways to help people, and do so in a friendly manner
  • Notice and understand patients’ reactions, and respond appropriately
Job Responsibility
Job Responsibility
  • Living our purpose by helping to manage and improve patient health through safe and appropriate dispensing, counseling, and immunizing practices
  • Taking direction from the Pharmacy Manager and overseeing the pharmacy as their proxy during bench shifts without overlap, including strengthening pharmacy performance measures through effective coaching and consistent follow-up of pharmacy team members and providing feedback about pharmacy team performance to the Pharmacy Manager as needed
  • Assumes Pharmacy Manager’s day-to-day duties when serving as the only or the primary pharmacist-on-duty
  • Supporting safe and accurate prescription fulfillment by following—and directing the pharmacy team to follow—pharmacy workflow procedures and utilizing the safety guardrails at every workstation
  • Contributing to positive patient experiences by showing empathy and genuine care, and coaching the pharmacy team to do the same: demonstrating compassionate care, collaborating with the patient’s total healthcare team, and proactively resolving insurance and/or medication issues
  • Proactively offering and delivering immunizations to keep patients healthy
  • engaging and supporting Pharmacy Technicians to learn to immunize
  • Supporting the effective management of pharmacy inventory by following—and coaching the pharmacy team to follow—all inventory best practices, with a special focus on protecting cold chain products for our patients and our business
  • Partnering with the Pharmacy Manager to ensure pharmacy operations are compliant with the appropriate state Board of Pharmacy regulations at all times
  • escalating issues or concerns to the Pharmacy Manager and/or Rx DL for timely resolution if/as needed
What we offer
What we offer
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Fulltime
Read More
Arrow Right
New

Senior Managing Consultant, AI Strategy (Financial Services)

Reporting to the Principal and working closely with the Mastercard AI team, the ...
Location
Location
Brazil , Sao Paulo
Salary
Salary:
Not provided
mastercard.com Logo
Mastercard
Expiration Date
March 27, 2026
Flip Icon
Requirements
Requirements
  • 8+ years leading data-driven strategies and delivering measurable outcomes (preferably in financial services, payments, or card issuing)
  • GenAI Hands-on experience: Developed and deployed GenAI use cases with proven value from end to end. Developed tools with open source LLM models (e.g., Deepseek, Liama)
  • Thought Leadership: Demonstrated history of publishing, speaking at conferences, or driving innovative AI solutions in a recognized industry setting
  • Communication: Excellent executive-level presentation skills and the ability to translate complex AI concepts for non-technical stakeholders
  • Agile Mindset: Familiarity with agile methodologies, iterative development, and modern technology project management practices
  • Financial Services Domain: Deep understanding of the payments ecosystem and key operational challenges relevant to card issuers
  • Leadership: Experience managing direct reports and/or cross-functional teams, with a track record of mentoring talent and building high-performing groups
  • Education: Bachelor’s degree (or higher) in computer science, engineering, or related fields
  • Master’s degree or equivalent advanced study strongly preferred
Job Responsibility
Job Responsibility
  • Develop AI-Driven Strategies for Business Impact
  • Lead Rapid, Iterative AI Delivery
  • Expand Thought Leadership & External Network
  • Innovate & Scale the AI Operating Model
What we offer
What we offer
  • Impact at Scale: Collaborate with top-tier clients in the financial services space to drive transformational AI initiatives
  • Thought Leadership Platform: Shape industry perspectives by publishing, attending major events, and building an influential network
  • Professional Growth: Develop your leadership and technical skills by working on cutting-edge projects with leading experts in applied AI
  • Innovative Culture: Contribute to a dynamic environment that values experimentation, knowledge sharing, and continuous improvement
  • Fulltime
Read More
Arrow Right
New

Pharmacy Technician

We’re building a world of health around every individual — shaping a more connec...
Location
Location
United States , Roanoke
Salary
Salary:
16.00 - 24.00 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
March 28, 2026
Flip Icon
Requirements
Requirements
  • Must be at least 18 years of age
  • Licensure requirements vary by state
  • Attention and Focus: The ability to concentrate on a task over a period of time without being distracted
  • Customer Service Orientation: Actively look for ways to help people, and do so in a friendly manner
  • Notice and understand customers’ reactions, and respond appropriately
  • Communication Skills: Use and understand verbal and written communication to interact with customers and colleagues
  • Actively listening by giving full attention to what others are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times
  • Mathematical Reasoning: The ability to use math to solve a problem, such as calculating day’s supply of a prescription
  • Problem Resolution: Is able to judge when something is wrong or is likely to go wrong
  • recognizing there is a problem
Job Responsibility
Job Responsibility
  • Manage all assigned pharmacy workstations and tasks to support the team’s ability to promptly, safely and accurately fill patient prescriptions all while providing caring service that exceeds customer expectations
  • Deliver compassionate care to our millions of patients every day
  • Ensure all medication needs and regulatory compliance standards are met for our patients
  • Demonstrate ethical conduct and maintain patient confidentiality at all times
What we offer
What we offer
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Parttime
Read More
Arrow Right
New

Staff Pharmacist

We’re building a world of health around every individual — shaping a more connec...
Location
Location
United States , Saint Albans
Salary
Salary:
60.00 - 73.00 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
March 29, 2026
Flip Icon
Requirements
Requirements
  • Active Pharmacist License in the state where the Store is located
  • Active National Provider Identifier (NPI)
  • Not on the DEA Excluded Parties list
  • Regular and predictable attendance, including nights and weekends
  • Ability to complete required training within designated timeframe
  • Ability to concentrate on a task over a period of time
  • Ability to pivot quickly from one task to another to meet patient and business needs
  • Ability to confirm prescription information and label accuracy, ensuring patient safety
  • Actively look for ways to help people, and do so in a friendly manner
  • Notice and understand patients’ reactions, and respond appropriately
Job Responsibility
Job Responsibility
  • Living our purpose by helping to manage and improve patient health through safe and appropriate dispensing, counseling, and immunizing practices
  • Taking direction from the Pharmacy Manager and overseeing the pharmacy as their proxy during bench shifts without overlap, including strengthening pharmacy performance measures through effective coaching and consistent follow-up of pharmacy team members and providing feedback about pharmacy team performance to the Pharmacy Manager as needed
  • Assumes Pharmacy Manager’s day-to-day duties when serving as the only or the primary pharmacist-on-duty
  • Supporting safe and accurate prescription fulfillment by following—and directing the pharmacy team to follow—pharmacy workflow procedures and utilizing the safety guardrails at every workstation
  • Contributing to positive patient experiences by showing empathy and genuine care, and coaching the pharmacy team to do the same: demonstrating compassionate care, collaborating with the patient’s total healthcare team, and proactively resolving insurance and/or medication issues
  • Proactively offering and delivering immunizations to keep patients healthy
  • engaging and supporting Pharmacy Technicians to learn to immunize
  • Supporting the effective management of pharmacy inventory by following—and coaching the pharmacy team to follow—all inventory best practices, with a special focus on protecting cold chain products for our patients and our business
  • Partnering with the Pharmacy Manager to ensure pharmacy operations are compliant with the appropriate state Board of Pharmacy regulations at all times
  • escalating issues or concerns to the Pharmacy Manager and/or Rx DL for timely resolution if/as needed
What we offer
What we offer
  • Affordable medical plan options
  • a 401(k) plan (including matching company contributions)
  • an employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • paid time off
  • flexible work schedules
  • family leave
  • dependent care resources
  • colleague assistance programs
  • tuition assistance
  • Fulltime
Read More
Arrow Right
Jobs by Category
Art and Entertainment Jobs Banking Jobs Call Center Jobs Construction Jobs Consulting Jobs Customer Service Jobs Education Jobs Energy Jobs Finance Jobs Gastronomy Jobs Health and Beauty Jobs Hospitality and Tourism Jobs Human Resources Jobs Insurance Jobs IT - Administration Jobs IT - Software Development Jobs Legal Jobs Logistics Jobs Manufacturing Jobs Marketing, Digital Marketing, SEO, SEM Jobs Media Jobs Nursing Jobs Office Administration Jobs Pharmacy Jobs Physical Work Jobs Public Relations Jobs Public Sector Jobs Purchasing Jobs Quality Control Jobs Real Estate Jobs Research and Development Jobs Sales Jobs
Job Positions Jobs by Country
United States Jobs United Kingdom Jobs India Jobs Canada Jobs Australia Jobs Germany Jobs Ireland Jobs Poland Jobs
Company
Blog About Us Contact
Follow Us
Facebook
X (Twitter)
LinkedIn
Instagram
CrawlJobs Group
ITFlashcards AllDevBlogs
© 2026 CrawlJobs Ltd. All Rights Reserved
Terms & Conditions Privacy Policy