Claims Specialist Salary in New York, NY

Job Title: Complex Claims Specialist/Consultant - Financial InstitutionsLocation: Open to Chicago/Lisle, IL - Tarrytown, NY - Warren, NJ - Lake Mary, FL - Melville, NY - Wyomissing, PA - Radnor, PA - New York, NY - Brea, CA - DeWitt, NY - Atlanta, GAEssential Duties & Responsibilities: • Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed. • Prepares timely and thorough coverage analysis and may occasionally assign counsel on an insured's behalf. • Recommends appropriate reserves and attempts to effectively settle claims in most cost effective manner and ensuring timely issuance of disbursements. • Coordinates and performs investigations and evaluates claims and exposure through contact with insureds, brokers, other insurance carriers and defense counsel. • Utilizes negotiation skills to develop complex settlement packages or suggest resolution strategies. • Works with defense counsel, underwriters, brokers, and insureds regarding the handling and/or disposition of complex claims. • Analyzes claims activities and prepares reports for management. May be responsible for special projects and presentations. • Keeps current on state/territory regulations and issues as well as industry activity and trends. May perform additional duties as assigned. Skills, Knowledge & Abilities: • Solid knowledge of claims and insurance industry theory and practices. • Demonstrated technical expertise and product specific knowledge. • Strong interpersonal, communication and negotiation skills. Must have the ability to effectively interact with all levels of internal and external business partners. • Ability to work independently. • Strong analytical and problem solving skills. • Ability to exercise independent judgment and make critical business decisions effectively. • Solid knowledge of Microsoft Office Suite as well as other business-related software. Education & Experience: • Bachelor's degree or equivalent experience. Juris Doctorate strongly preferred. Professional designations preferred. • Specialist - Typically a minimum two to five years claims experience in professional liability or 2 plus years in a law firm handling professional liability claims for an insurance carrier handling professional and management liability claims involving banks, insurance companies and/or asset managers. • Consultant - Typically a minimum six years of relevant experience, preferably in claim handling • Public D&O experience strongly preferred

Location: Open to Chicago/Lisle, IL - Brea, CA - Wyomissing, PA - Lake Mary, FL - Plano, TX - DeWitt, NYEssential Duties & ResponsibilitiesPerforms a combination of duties in accordance with departmental guideline• Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted escalating issues as needed.• Sets activities reserves and authorizes payments within scope of authority. Ensures issuance of disbursements while managing loss costs and expenses.• Coordinates and performs investigations and evaluates claims and suits through contact with insureds claimants business partners witnesses and experts. Seeks early resolution opportunities. Identifies files that have potential fraud and refers to SIU.• Utilizes negotiation skills to develop complex settlement packages.• Identifies claims with third party recovery potential and coordinates with subrogation/salvage unit.• Partners with attorneys account representatives, agents, underwriters, doctors, nurse case managers, and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims.• Analyzes claims activities. Prepares and presents reports for management. May be responsible for special projects and presentations.• Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.• May provide guidance and assistance to other claims staff and functional areas.• Keeps current on state/territory regulations and issues as well as industry activity and trends. May perform additional duties as assigned.Reporting Relationship Manager or DirectorSkills Knowledge & Abilities• Solid knowledge of claims and insurance industry theory and practices.• Demonstrated technical expertise and product specific knowledge.• Strong interpersonal communication and negotiation skills. Ability to effectively interact with all levels of internal and external business partners.• Ability to work independently managing time and resources to accomplish multiple tasks and meet deadlines.• Strong analytical and problem solving skills enabling viable alternative solutions.• Ability to exercise independent judgement and make critical business decisions effectively assessing the merits of claims as well as evaluating claims based on a cost benefit analysis.• Solid knowledge of Microsoft Office Suite as well as other business-related software.• Ability to adapt to change and value diverse opinions and ideas.• Ability to fully comprehend claim information and to further articulate analyses of claims in internal reports.• Ability to handle claims with a proactive long-term view of business goals and objectives.Education & Experience• Bachelor's degree or equivalent experience. Professional designations preferred.• Specialist - Typically a minimum three to five years claims experience.• Consultant - Typically a minimum eight years claims experience

WHO WE ARE:The FoundRae Collection is more than jewelry. The pieces are modern heirlooms, ones that allow the wearer to express something of themself to the world. The FoundRae collection is intended to become part of the wearer, a second skin, to be an expression of identity and of personal values.The collection is founded on a lexicon of archetypal, mythological and classical symbols with the intention of inspiring the wearer to take the wisdom passed down through generations and apply that to one's own life. FoundRae is a reminder, one we wear against our hearts or on our hands, of our capacity for change and growth. When you wear one of these pieces, you are announcing to yourself and to the world that everything you want and everything you want to be is already inside you - all you have to do is claim it.WHO WE ARE LOOKING FOR: Client Experience Specialist POSITION SCOPE: The Client Experience Specialist is responsible for supporting the Direct to Consumer sales team and providing elevated customer service through all sales channels in a timely and skilled manner, while maintaining the standards and ethos of the FoundRae brand.RESPONSIBILITIES:Sales Ensure client satisfaction and create an elevated digital sales and client experienceAssist clients in finding the perfect pieces through digital channels while developing and maintaining relationships with each clientGracefully engage and convert in store visitors to long distance /long term clients by building authentic relationshipsShare and communicate Foundrae's aesthetic and mission to clientsEffectively communicate product knowledge, consistently staying up to speed as new merchandise is receivedSuccessfully reach weekly & monthly sales targetsRespond to all inquiries and/or issues in and ensure a consistently efficient, professional and accurate manner while offering the highest level of service to all clients at all timesClient CareRespond to email inquiriesPhone: answer client phone calls and questionsText: answer client service text messages and questionsConduct Virtual Video ConsultationsLiaise and communicate with Foundrae internal teams to obtain all necessary information regarding product inquiries or issuesStyling and Digital Assets Create sales tools, personalized for each client such as decks, videos and digital collateralMaintain visual, styling and brand aesthetic across digital sales channels (email, phone, text, virtual consultations)Customer Outreach Client information acquisitionNew client outreachManagement of client database, outreach appropriately to top clientsSupport Marketing initiatives with personal outreach and clientelingUtilize CRM software to maintain and grow client relationshipsRequirements:Associates or Bachelor's Degree preferredMinimum 2 years previous luxury retail and/or jewelry sales experience preferredHighly organized and detail orientedMust complete tasks in a timely manner with minimal supervisionFashion forward, intuitive, personable. A self-starter and multi-tasker with a positive attitude.Mac proficient, knowledge of design programs a huge plusThe appointed candidate will be offered an hourly rate between $22.00 - $25.00 plus the opportunity for commission, a comprehensive benefits package including: medical, short and long-term disability, various paid time off programs, employee discount/perks and retirement plan.Our Company's values:We value people: we want each other to be the best versions of who we can be.We value our relationships with our employees, suppliers and community.We value diversity and promote inclusivity with our words, actions and images.We value professional development and personal growth.We value community service and philanthropy.We value and foster creativity and self-expression.We value work/life balance.We value accountability for ourselves and the collective and show integrity through all our interactions.We value storytelling and reading.

JOB DESCRIPTION Chubb's Global Safety, Security and Business Continuity (GSSBCM) has critical areas that are driven by a Duty of Care to protect our people, property, reputation, and brand. GSSBCM acts as a shared service to support Chubb Business Units and Corporate functions - as an integrator that can assist with reducing risk, and enhancing resilience, through deliberate planning, progressively challenging exercises, and transparent policies and processes. The Security Officer will be responsible for supporting the safety of all Chubb personnel, property and assets in greater New York City area. MAJOR DUTIES AND RESPONSIBILITIES: Monitor access points to the lobby, ensuring only authorized individuals enter the premises. Respond to incidents and critical situations in a calm problem-solving manner. Support regular and ad-hoc patrols of the lobby area and the outside perimeter to ensure compliance with security protocols. Familiarity with the facility including floor plans and number of employees/guests present daily. Offer directions and assistance to visitors including answering questions and escorting them to their destination. Write detailed reports and maintain accurate logs of security activities. Immediate notification to Site Supervisor and/or Director of Security upon any problematic incidents. Provide EP support as requested by Director of Security QUALIFICATIONS Bachelor'sABOUT US Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

JOB DESCRIPTION Chubb's Global Safety, Security and Business Continuity (GSSBCM) has critical areas that are driven by a Duty of Care to protect our people, property, reputation, and brand. GSSBCM acts as a shared service to support Chubb Business Units and Corporate functions - as an integrator that can assist with reducing risk, and enhancing resilience, through deliberate planning, progressively challenging exercises, and transparent policies and processes. The Security Officer - Roving Patrol - will be responsible for supporting the safety of all Chubb personnel, property and assets in greater New York City area. MAJOR DUTIES AND RESPONSIBILITIES: Respond to incidents and critical situations in a calm problem-solving manner. Conduct regular and ad-hoc patrols of the lobby area and the outside perimeter to ensure compliance with security protocols. Familiarity with the facility including floor plans and number of employees/guests present daily. Offer directions and assistance to visitors including answering questions and escorting them to their destination. Provide backup/support for reception and lobby support, where requested. Monitor access points to the lobby, ensuring only authorized individuals enter the premises. Write detailed reports and maintain accurate logs of security activities. Immediate notification to Site Supervisor and/or Director of Security upon any problematic incidents. QUALIFICATIONS Bachelor'sABOUT US Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

Project Specialist - Legal Tech, Law-Practice Operations, Legal Innovation & Operations Job Info 112466 Posting Expiration Date:Jun 30, 2024 Schedule Type:Full-Time Minimum Salary:$105000 Maximum Salary:$145000 Organization:Practice Operations Department:Legal Innovation & Operations Section:Prac Opers Legal Innov & Ops Location:NY-New York-4 Irving Pl Headquarters Similar Jobs Section Manager 3L - Practice Operations Investigations and Claims (https://careers.coned.com/jobs/14393802-section-manager) Project Manager - 3L - Energy & Environmental Law Project Manager Energy Policy & Regulatory Affairs - State Regulatory Affairs (https://careers.coned.com/jobs/14351779-project-manager) Assistant General Counsel - General Litigation Sr. Attorney - Commercial Transactions (https://careers.coned.com/jobs/14165676-sr-attorney) Job Description Mission Statement + Consolidated Edison Company of New York, Inc. (Con Edison), Orange & Rockland Utilities (O&R), and Consolidated Edison Transmission (CET) employees are required to follow health, safety, and environmental policies, EEO, Standards of Business Conduct, and all other applicable company policy and procedures. We all share a responsibility to advance the company’s mission by excelling at our three corporate priorities – safety of our people and the public, operational excellence in all that we do, and ensuring the best possible customer experience. Core Responsibilities + The Legal Innovation and Operations (LIO) team is seeking a Project Specialist to manage and support projects across the range of legal areas supported by the LIO team. The role requires flexibility to adapt to changing priorities, business, and organizational needs, including learning and managing new legal technologies. This role also requires the ability to operate independently and within a fast-paced environment and work proactively with internal and external stakeholders at various levels, including Law Department professionals, IT staff, and vendors. As legal technology is a rapidly changing industry, the Project Specialist is expected to be open-minded, thoughtful, strive to continuously build knowledge and skills, and manage change. This is a hybrid role. + The Project Specialist will provide LIO program support and collaborate to improve day-to-day efficiency, control costs, implement process improvements, and facilitate change. + Undertake administrative management, maintenance, and improvement assignments for identified tools and technology solutions. + Evaluate, test, train, implement, and support technology solutions utilized by the Law Department, interfacing with IT staff as needed. + Respond to Law Department end users requests in a timely and professional manner. Review, analyze, and resolve issues, utilizing creative solutions and collaborating with IT staff when necessary. + Assist to identify and implement new Law Department technology tools and technology solutions. + Provide project management support for various LIO and Law Department initiatives (technology upgrades, technology implementations, cybersecurity drills, etc.). + Manage procurement, budgeting, vendor management, information resources, and other LIO responsibilities. + Maintain and update content on the Law Department's SharePoint and intranet sites, to provide self-service for the Department, practice groups, and customers. + Update and create new forms, processes, and tools for the Law Department, using MS Forms, MS Lists, and other Company technology platforms. Contribute to LIO's automation efforts through increased use of Power Automate, Power Apps, and similar tools. + Assist with solutions controls and reporting tasks, including SOX audits and ad hoc requests. + Support and manage additional projects and initiatives within the Department. + Responsible for additional tasks and duties to support the LIO team. + Assist the Company during system emergencies by performing a System Emergency Assignment. This may require off-hour and weekend emergency response. Required Education/Experience + Bachelor's Degree and Four years related work experience Direct responsibility for project tasks and technology solutions or + Master's Degree and Three years related work experience Direct responsibility for project tasks and technology solutions Relevant Work Experience + 3-5 years Experience managing and implementing technology solutions, and comfort with learning (and self-learning) new tools and systems Required + 3-5 years Demonstrated experience managing projects and using project management skills to set objectives and achieve successful results. Required + 3-5 years Proficiency with Microsoft Office Suite and O365, including MS Outlook, MS Word, MS Forms, MS Excel, and MS PowerPoint. Proficiency with SharePoint and OneDrive. Required + Excellent organizational, interpersonal, leadership, and communications skills. Required + Demonstrated experience working both independently and as part of a team. Required + Proven track record of collaborating with cross-functional groups and building relationships with stakeholders to set objectives and produce results. Required + Ability to handle confidential and proprietary information using excellent discretion and judgment. Required + Must show strong attention to detail and be able to multi-task in fast-paced environments. Required + Proven track record of breaking down processes and identifying key pain points in order to deliver business improvements. Required + 3-5 years Experience in legal operations, in an in-house legal department, in a law-firm, and/or supporting legal technology solutions and end users (document management, matter management, contract management, e-billing, knowledge management, workflow solutions, etc.) Preferred Licenses & Certifications + Driver's License Required + Other: Project Management Certification (PMP, CAPM, Legal Project Management, etc.) Preferred Other Physical Demands + Must be able to respond to Company emergencies by performing a System Emergency Assignment to restore service to our customers. Technical Difficulty Statement + For technical issues, please contact us at [email protected] Equal Opportunity Employer + Consolidated Edison Company of New York, Inc. (Con Edison), Orange & Rockland Utilities (O&R), and Consolidated Edison Transmission (CET) are equal opportunity employers. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of the individual’s actual or perceived disability, protected veteran status, race, color, creed, religion, sex, age, national origin, gender, gender identity, gender expression, genetic information, marital status, sexual orientation, citizenship, domestic violence victim status, or any other actual or perceived status protected by law.

LHH Recruitment Solutions is seeking a Claims Specialist for a great plaintiff law firm. This opportunity is full time and hybrid out of New York, NY. Hours: 9:30am - 5:30pm, overtime when necessaryResponsibilitiesFormat documents and communications for clients; review documents (release/document verification) for production to defense counsel for quality controlCalendar and entry of case info into database; run and analyze client data reportsPerform intake and initial filtering of client inquiries; analyze and summarize client inquiries to identify trends and patterns requiring further actionPreparation of submissions involving large volumes of individual claimsEnsure that case documents accurately reflect a client's information; keep track of communications or developments relating to client cases and deadlinesPrepare and send client communicationsWork with attorneys to plan data gathering and settlement update workflowsAssist with the development of processes and technological systems for addressing large volumes of client interactionsQualifications1-2 years of securities claims experience requiredMust be willing and available to work overtime, both evening and weekendsFamiliarity with Filesite and client management systems or databases preferredStrong written and oral communication skills and strong interpersonal skillsMust possess great attention to detail and analytical and critical thinking skillsStrong organizational and time-managementProficient with Microsoft Word and Excel; Strong technical skills and ability to quickly learn new litigation support softwareBenefitsThis is a posting on the behalf of LHH's client. Benefits may include PTO and health insurance. The salary range is $50K-$55K.

Section Manager 3L - Practice Operations Investigations and Claims Job Info 112459 Posting Expiration Date:Jun 21, 2024 Schedule Type:Full-Time Minimum Salary:$140000 Maximum Salary:$190000 Organization:Practice Operations Department:Center of Excellence Section:Prac Opers Inv & Claims Location:NY-New York-4 Irving Pl Headquarters Similar Jobs Project Specialist - Legal Tech, Law-Practice Operations, Legal Innovation & Operations (https://careers.coned.com/jobs/14398187-project-specialist) Project Manager - 3L - Energy & Environmental Law Project Manager Energy Policy & Regulatory Affairs - State Regulatory Affairs (https://careers.coned.com/jobs/14351779-project-manager) Assistant General Counsel - General Litigation Sr. Attorney - Commercial Transactions (https://careers.coned.com/jobs/14165676-sr-attorney) Job Description Mission Statement + Consolidated Edison Company of New York, Inc. (Con Edison), Orange & Rockland Utilities (O&R), and Consolidated Edison Transmission (CET) employees are required to follow health, safety, and environmental policies, EEO, Standards of Business Conduct, and all other applicable company policy and procedures. We all share a responsibility to advance the company’s mission by excelling at our three corporate priorities – safety of our people and the public, operational excellence in all that we do, and ensuring the best possible customer experience. Core Responsibilities + The Law Department, Practice Operations - Center of Excellence, is seeking an initiative taking candidate who can exercise independent judgment and render sound business decisions on personal injury and property damage lawsuits and claims. The Section Manager is responsible for directing investigators and managers handling personal injury and property damage litigation and claims pending against the Company. + The ideal candidate must be an experienced leader, detail orientated, well organized and meet deadlines in a high-volume environment while effectively interacting with employees, and stakeholders. This is a hybrid role. + Manage, supervise, train, and coordinate the activities of managers, investigators, hearing representatives and support personnel responsible for the review, evaluation, processing, investigation, preparation, and resolution of personal injury and property damage claims/lawsuits and violations against the Company. + Manage, and coordinate activities of supervisory and investigative staff; review and evaluate employee performance; understand, update and establish procedures, protocols and policies for Law Department investigators and record searchers; identify and recommend changes to enhance efficiency and effectiveness; and monitor investigative assignments for timely completion. + Must be available 24/7 to be on call and/or participate in off-hour emergency response and System Emergency Assignment activities as required. + Assist in the coordination and managing of the roster for investigators assigned to respond to system emergencies. + Responsible for leading the Law Department's response to serious incidents and system emergencies; work with team members, other departments/organizations, and outside experts to determine the root cause of incidents; assist in formulating a defense in anticipation of litigation that may arise from the incidents. + Coordinate, schedule, and participate in case reviews and strategy sessions; make recommendations concerning ongoing investigations and trial preparations; and assist in evaluating cases and establishing reserves. + Ensure investigations are conducted in compliance with best practices and applicable standards. + Lead the hiring, development, and training of staff; maintain plans for cross-training and succession planning. + Review and analyze reports from outside experts and approve case-related expenditures. + Prepare quarterly and annual reports for the Department Manager, Associate General Counsel, and Vice President. + Handle sensitive and confidential matters. + Travel within the Company service territory, and to customer, supplier, and other locations, is required. + Proficient with the Microsoft suite of products, case management software, research databases, and company complaint and incident documentation. + Perform other related tasks and assignments. Required Education/Experience + Bachelor's Degree and 8 years relevant work experience. Relevant Work Experience + 8 years Experience in litigation and 4-5 years experience in investigation of personal injury and property damage claims or lawsuits. Required + 5 years of Supervisory experience. Required + 5 years of Understanding of Con Edison's Electric Operations, Gas Operations, Steam Operations systems or Construction. Preferred + 5 years of Experience with evidence preservation, surveillance rules, and evidentiary rules for litigation in NYS. Preferred Skills & Ability + Effective conflict management skills + Well organized, detail oriented and flexible to handle multiple assignments + Strong written and verbal communication skills Licenses & Certifications + Driver's License Required Physical Demands + Sit or stand to use a keyboard, mouse, and computer for the duration of the workday Other Physical Demands + Must be able to respond to Company emergencies by performing a System Emergency Assignment to restore service to our customers. + Must be able and willing to travel within O&R and CECONY service territory, as needed. + Must be available 24/7, and available to be on call and/or participate in off-hour emergency response activities as required. Technical Difficulty Statement + For technical issues, please contact us at [email protected] Equal Opportunity Employer + Consolidated Edison Company of New York, Inc. (Con Edison), Orange & Rockland Utilities (O&R), and Consolidated Edison Transmission (CET) are equal opportunity employers. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of the individual’s actual or perceived disability, protected veteran status, race, color, creed, religion, sex, age, national origin, gender, gender identity, gender expression, genetic information, marital status, sexual orientation, citizenship, domestic violence victim status, or any other actual or perceived status protected by law.

Please note, this role requires frequent travel in the Southeastern NY area - this area includes travel in Greene, Ulster, Duchess, Westchester, Sullivan, Putnam, Orange and Rockland Counties, with occasional travel to Northern New Jersey. and the surrounding areas.Successful candidates must reside in this area.QUALIFICATIONS:• Licensed Auto Damage Appraiser required.• A driver's license in good standing is required.• Minimum of 5 years of relevant estimating experience.• Experience in using auto estimating software (i.e. CCC, Audatex, Mitchell).• Industry designations/technical certifications preferred, but not required (i.e. I-CAR).• Familiar with and knowledgeable about repair facilities in the assigned territory• Light truck/Heavy Equipment estimating experience preferred, but not required.• Superior knowledge and understanding of auto body repair techniques, terminology, and vehicle construction.• Strong understanding of the insurance policies offered by the company.• Strong understanding of MA unfair claims practices and insurance regulations.PHYSICAL REQUIREMENTS:• Must be able to work outside in inclement weather conditions and drive substantial distances.• Must be physically able to inspect the underside of and around vehicles, and/or inspect vehicles in tight quarters at body shops and salvage yards, etc.At Preferred, we understand the importance of holistic health. To meet the diverse needs of our employees, we offer a comprehensive set of benefits:FinancialShort-term disability, long-term disability, and life insurance coverage are provided at no costOptional benefits include enhanced life insurance and critical illness plans401k plan with an employer contribution that you will receive regardless of your own contribution to the planPension PlanCertain positions may also be eligible for short-term incentive plans.SocialGenerous paid time off, offering of 25 days at hire (prorated based on start date for the first year)7 days of paid sick leave10 paid company holidaysPersonalized paid time off after 3 years!EmotionalAccess to Modern Health, a provider of accessible, personalized mental health carePhysicalMedical, dental, and vision coverage options begin on the first day of employmentFlex Spending Accounts and Health Savings Accounts (with employer contribution) are available based on the medical plan you chooseYOUR PURPOSE AND FUNCTION IN OUR COMPANY:The Material Damage Claim Specialist will investigate, evaluate, negotiate, and settle assigned claims as defined by the on-site investigation, damage appraisal, and face to face representation of Preferred Mutual. The Material Damage Claim Specialist will also represent the Claims Department through visitations with our agency partners.The Material Damage Claim Specialist will:• Be responsible for writing auto appraisals for both repairable and total losses, completing desk reviews, re-inspections, and aiding in the claim investigation as needed.• Promptly schedule assignments and travel to location of vehicle.• Control indemnity and expense through the inspection of losses and consistently writing fair and accurate appraisals.• Provide outstanding customer service and exude a highly professional appearance.• Ensure proper file documentation and reporting.• Identify potentially fraud claims and report them to the SIU and the inside claim handler, and work to support any additional investigation necessary.• Provide or facilitate answers to any questions relating to the appraisal or repair process.• Provide support to colleagues as necessary• Conduct appraisals audits and re-inspections of independent appraisers as needed.• Develop a rapport with brokers and agency partners in his or her territory.• Work with Claims Leadership and other teams to achieve departmental and corporate goals.• Lead industry research initiatives relating to repair and appraisal.• Support the Claims and Corporate Mission, Vision, and Value Proposition.KEY CAPABILITIES FOR SUCCESS:• Engaging and outgoing personality, with a passion for helping customers.• Strong organizational and time management skills.• Able to work independently with limited supervision.• Demonstrated ability to effectively communicate in both verbal and written form.• Exhibit the solid negotiation skills to necessary to reach agree repair figures with body shop personnel.• Ability to handle complex and/or uncommon damage scenarios.• Self-motivated and pursues opportunities for self-improvement and the advancement of the unit, department, and Enterprise.• Supportive of continued process improvement as well as the achievement of stated goals and objectives.ABOUT US: As a mutual company, we are independent by nature, so we think about insurance solutions a little differently. Through listening, problem solving, examining your challenges and collaborating on the right solutions for you, Preferred Mutual independent agents provide flexible solutions and adapt to your evolving needs. We do the same for our employees. We are process and domain experts, focused on the solutions that deliver results for our clients and our company. We offer a great work environment, professional development, challenging careers, and competitive compensation. With Preferred, there are no surprises. You can count on us to deliver on our promises and be there when you need us, as your insurance provider and your employer. Preferred Mutual is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.DISCLAIMER: This role (job) description indicates in general terms, the type and level of work performed as well as the typical responsibilities of employees in this classification. The duties described are not to be interpreted as being all-inclusive to any specific employee. Management reserves the rights to add, modify, change or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the job. Nothing in this position description changes the at-will employment relationship existing between Preferred Mutual Insurance Company and its employees.The base pay range for this position is $67,500 to $96,000 paid on a salaried basis. The rate offered to any candidate will be reflective of the candidate's experience and any relevant education, certification, or qualifications related to their ability to perform the responsibilities of this position as permitted by law.

• Various Domain experience; Health Care, Financial, etc• Experience using Agile, Waterfall, or hybrid methodology• Specific tools, languages and specialty skills may varyMust:• Azure, Dev Ops, Sprint (Agile), Scrum Ceremonies• Extensive experience reading/manipulating 837 files is criticalPreferred:• Experience working with AvailityEssential functions:• Specifically focuses on assisting with EDI 837 file testing (reading, loading, manipulating) within the context of an IT squad.• Working alongside other stakeholders to achieve successful implementation of new workflow (able to quickly learn and communicate clearly to others to align standard work).• Creates a test approach, identifying scope of testing with risk-based approach for each feature or scope of work in a project effort identifying test environments, dependencies, constraints, prioritizing test cases and scheduling time for the testing.• Responsible for ensuring end to end testing methodology including all appropriate documentation and requirements.• Sets up software and hardware in the test lab, per specs.• Ensures test results are accurate, thorough and appropriately documented.• Communicates results and coordinates logistics to the Systems Analysts, Developers, and other key IT staff and leadership as appropriate.• Documents problems or results inconsistent with expected results.• Performs quality assurance tests on all work and performs detailed analysis on test results.• Certifies application for release to the next testing stage or to the production environment. Generates and distributes periodic status reports for testing.• Sets up and executes complex scripts independently.• Sets up test data beds based on data matching specific test conditions.• Creates and executes moderately complex SQL queries.• Executes automated test scripts.• Writes/coordinates resolution of system defects. Ensures appropriate hand-offs and re-testing• May provide technical guidance to other IT Testing Specialists.• Participates in requirements gathering sessions or solicits information on incomplete requirements.• Participates in facilitation and coordination of user acceptance testing.• Design tests to aid learning and mitigate risks.• Work with developers to create automated tests.• Work with business analysts and business stakeholders to undertake exploratory testing.• Ensures stories contain specific acceptance test conditions which communicate objectives to both technical and non-technical stakeholders.• Knowledge of performance and security vulnerability testing is a plus.• Assist product owner in coming up with the acceptance criteria for user stories.REQUIREMENTS:• Must have strong knowledge of SDLC• Must have strong knowledge of STLC• Must have strong knowledge of Testing concepts• Must be able to create and execute test cases• Thorough understanding of the business process(s) and flows involved in the system capabilities being tested• Thoroughly understands As-Is and To-Be business processes to understand what's changing• Ability to communicate with the business in business language and with developers in technical language• Must have strong PC skills and demonstrated proficiency in the MS Office Suite products• Must have experience loading, reading, and manipulating 837 claim files (XML).Experience with testing management tools:o Manual: Selenium, Appium, JMeter, Jenkins, TestLink, Mantis, Postman, Firbug, etc• Must have the ability to extract data utilizing moderately complex SQL queries• Ability to read logical and physical data models and understand the relationship between various tables• Ability to clearly identify data needs and requirements for the respective test efforts• Ability to execute automated test scripts as needed• Ability to read various system input/output files; XML, Flat, 834, 835, 837, etc.• Must have the ability to create unique test scenarios