Matrix Claims Address Jobs in Usa

The Claims Manager is responsible for overseeing the end-to-end claims operations within the MSO managed care delegated functions. This role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS guidelines, ensures that claims are processed accurately, timely, and in compliance with regulatory requirements and contractual obligations. The Claims Manager will lead the claims team, implement process improvements, and collaborate with internal and external stakeholders to optimize claims adjudication workflows.

This role requires high-level of decision-making and problem-solving skills in relates to claims operations, compliance, and process improvements. Deep understanding of Medi-Cal, Medicare Advantage, PACE, CMS, and DHCS regulations; ensuring full compliance across the department. Ability to manage multiple priorities, oversee department workflows, and optimize resource allocation. Responsible to design training programs for claims teams and leads initiatives to enhance team expertise. Excellent communication skills to interact with leadership, payers, providers, auditors, and MSO internal departments.

ESSENTIAL JOB FUNCTIONS:

• Oversee managed care claims processing, ensuring compliance with CMS, DHCS, and health plan guidelines.
• Monitor claims adjudication, ensuring accuracy, timeliness, and regulatory adherence.
• Develop and implement policies and procedures to improve claims processing efficiency.
• Work with IT and system vendors to optimize claims processing systems and troubleshoot issues.
• Lead and mentor the claims team, including Claims Supervisors and processors, ensuring high performance and engagement.
• Conduct regular performance evaluations, design training programs, provide training, and develop staff competencies.
• Establish and monitor productivity metrics to enhance team efficiency.
• Serve as the primary liaison with health plans, providers, auditors, and third-party administrators to resolve claims issues and disputes.
• Manage escalations, appeals, and grievances related to claims processing.
• Coordinate with provider relations to address claims denials and payment disputes.
• Identify areas for process improvement and implement best practices to enhance claims adjudication.
• Analyze claims data, trends, and key performance indicators to drive operational enhancements.
• Prepare reports for senior management on claims performance, backlog, and issue resolution.
• Direct supervision of a department involving responsibility for results in terms of costs, methods and personnel. Responsible for carrying out supervisory/managerial responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing and hiring of employees; planning, assigning, scheduling, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
• Performs other job duties as required by manager/supervisor.

QUALIFICATIONS:

• Bachelor's degree in business, healthcare administration, or related field is preferred; Associate’s degree may be considered with relevant, equivalent work experience.
• Experience: Minimum of 5 years in managed care claims and compliance field, with at least 3 years in a managerial role within an IPA, health plan, medical group, or TPA.
• Knowledge of: Medi-Cal and MA claims processing, CMS and DHCS regulations, capitated vs. fee-for-service (FFS) models, claims adjudication systems (e.g., EZ-CAP, HealthEdge, Tapestry, or similar).
• Skills: Strong analytical, problem-solving, and leadership skills. Proficiency in Excel, reporting tools, and claims systems.
• Certifications (Preferred): AAHAM, CPC, or other relevant claims-related certifications.

LANGUAGE:

• Must be able to fluently speak, read and write English.
• Fluency in other languages are an asset.

STATUS:

• This is an FLSA Exempt position.
• This is not an OSHA high-risk position.
• This is a full-time position.

NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).

The Broward County Board of Commissioners Risk Management Division are seeking a detail-oriented and experienced Claims Adjuster to manage Liability claims for [Broward County]. This role involves investigating, analyzing, and resolving claims while ensuring compliance with state regulations and organizational policies. The ideal candidate will have strong negotiation skills, analytical ability, and experience handling complex claims.

Benefits of Broward County Employment

High Deductible Health Plan - bi-weekly premiums:

Single $10.90 / Family $80.79

Includes a County Funded Health Savings Account of up to $2000 Annually

Consumer Driven Health Plan - bi-weekly premiums:

Single $82.58 / Family $286.79

Florida Retirement System (FRS) - Pension or Investment Plan

457 Deferred Compensation employee match

Eleven (11) paid holidays each year

Vacation (Paid Time Off) = 2 weeks per year

Up to 40 hours of Job Basis Leave for eligible positions

Tuition Reimbursement (Up to 2K annually)

Performs advanced specialized technical work in the investigation and adjustment of public liability and/or Workers' Compensation claims.

Works under general supervision, independently developing work methods and sequences.

• Review and analyze accident reports, property damage, and bodily injury claims to determine liability.
• Investigate Workers' Compensation and Liability claims, including gathering evidence, interviewing witnesses, and reviewing police reports and medical records.
• Negotiate claim settlements with internal leadership, legal teams, and claimants.
• Attend mediations and provide support to the County Attorney's office during the claims process.
• Authorize and coordinate medical treatment, property restoration, and other claim-related actions.
• Calculate and process indemnity and medical benefits, impairment ratings, and ensure timely payments to avoid penalties.
• Monitor work status, medical treatment, and discharge papers for accurate claim closure.
• Identify potential fraud, subrogation opportunities, and underwriting/safety risks.
• Maintain accurate documentation and comply with state-mandated reporting requirements.
• Collaborate with medical professionals, internal divisions, and legal counsel on complex cases.

Requires two (2) years equivalent of higher-level education from an accredited college or university with major coursework in insurance, risk management, or closely related field.
(One year of relevant experience may be substituted for each year of required education.)

Requires four (4) years in adjusting workers' compensation and/or bodily injury/property damage liability claims or closely related experience.

Possession/retention of a Florida All-Lines Adjusters License (Type 6-20 or 7-20) from the State of Florida Division of Insurance Agent and Agency Services.

Must possess and maintain a valid Florida Class E Driver's License for duration of appointment.

Duties and Responsibilities

The functions listed below are those that represent the majority of the time spent working in this class. Management may assign additional functions related to the type of work of the job as necessary.

Reviews and analyzes reports of accidents including property damage and bodily injury to determine liability; reviews and analyzes Liability and/or Workers' Compensation claims and recommends appropriate action.

Consults on injury cases with various medical personnel in order to ascertain the extent and cost of treatment, loss of earning capacity and prognosis; confers with County physician on employment limitations.

Performs the calculation and payment of benefits whether indemnity and/or medical benefits, including entering all payments for benefits.

Coordinates the gathering of formal evidence by taking photographs, preparing diagrams and making measurements at accident scene; arranges for witnesses to appear at legal proceedings; and prepares accident reports.

For Workers Compensation claims the adjuster will contact the injured employee, employer, and medical provider to document the claim. For Liability claims the adjuster will contact the claimant, the division and any witnesses.

Contacts injured employee, employer, and medical provider to document claim. Conducts field investigations, face-to-face statements with employees, employer representatives and witnesses to understand the nature of the claim and gain an understanding of what occurred prior to the claim.

Negotiate claim settlements with the Director of Risk Management, the County Administrator, the County Attorney, claimants and/or their legal teams. Attend mediations with the County Attorneys office to support the claims process.

Provide advice regarding potential fraud, subrogation, and underwriting/safety risk, and communication with counsel.

Authorizes/coordinates medical treatment with walk-in facilities and specialists to update claim.

Analyze complex information from different sources, such as police reports, videos from surveillance cameras or audio, and other information to further understand the incident.

Make decisions for approvals of medical treatments and property restoration. Make determinations on liability or compensability for Workers Compensation claims. Apportion percentage of liability and negotiate settlement with claimant or claimant's attorney or Liability Claims.

Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.

Investigates liability claims; inputs data into the system association with findings.

Calculates/processes timely disability benefits and impairment ratings of 1% or more when given to issue benefits to avoid penalties.

Processes outgoing letters to injured employees and medical providers and places them on notice of action taking place.

Sets up medical only claims to document/update current work status and treatment.

Monitors/obtains discharge papers for impairment ratings and issues benefits when owed and paid within mandated timeframe to avoid penalties.

Monitors work status for a disability of 7 days or less through discharge for closing a claim.

Processes employee-received notices of outstanding medical bills to resolve non-payment issues.

Reviews/corrects reporting by Center for Medicare/Medicaid Services (CMS) for accuracy.

Denies/processes claims for non-work related injuries with timely electronic filing to avoid penalties.

The Workers Compensation Adjuster calculates/processes disability benefits for impairment ratings of 1% or more when issuing benefits to avoid penalties. Sets up medical claims to document/update current work status and treatment. Monitors/obtains medical records and work status to ensure timely calculation and payment of indemnity and impairment ratings, complete State EDI mandated reporting within regulated time frames to avoid penalties. Processes employee-received notices of outstanding medical bills to resolve non-payment issues. Reviews/corrects reporting by Center of Medicare/Medicaid Services (CMS) for accuracy.

For disability more than 8 days, initiates timely electronic filings to Division of Workers' Compensation.

Conducts recorded interviews with employees and witnesses.

Attends meetings with other Divisions, Professional Standards/Human Rights Section (PS/HRS), and Human Resources to discuss complex claims.

Performs related work as assigned.

• Financial Acumen: Interprets and applies key financial indicators to make better business decisions. Determines and estimates the main direct and indirect costs; makes generally appropriate decisions regarding expenditures. Studies financial and quantitative information; uses data to improve performance.
• Decision Quality: Makes good and timely decisions that keep the organization moving forward. Knows when to act independently and when to escalate issues. Integrates various inputs, decision criteria, and trade-offs to make effective decisions. Typically makes good independent decisions.
• Optimizes Work Processes: Knows the most effective and efficient processes to get things done, with a focus on continuous improvement. Uses metrics and benchmarks to monitor accuracy and quality. Takes steps to make methods productive and efficient. Promptly and effectively addresses process breakdowns.
• Ensures Accountability: Holds self and others accountable to meet commitments. Accepts responsibility for own work, both successes and failures. Handles fair share and does not make excuses for problems. Usually meets commitments to others.
• Drives Results: Consistently achieves results, even under tough circumstances. Holds self to high standards of performance; sets some challenging goals; wants to achieve meaningful results; pursues initiatives/efforts to successful completion and closure. Focuses on key goals, even during setbacks and obstacles.
• Manages Conflict: Handles conflict situations effectively, with a minimum of noise. Seeks out a variety of opinions and options; maintains an open mind; takes steps to ensure conflict remains constructive; avoids polarized or unilateral decisions; seeks agreement on critical issues.
• Communicates Effectively: Develops and delivers multi-mode communications that convey a clear understanding of the unique needs of different audiences. Tailors communication content and style to the needs of others. Pays attention to others' input and perspectives, asks questions, and summarizes to confirm understanding.
• Situational Adaptability: Adapts approach and demeanor in real time to match the shifting demands of different situations. Takes steps to adapt to changing needs, conditions, priorities, or opportunities. Understands the cues that suggest a change in approach is needed; adopts new behaviors accordingly.

Physical Demands

Physical demands refer to the requirements for physical exertion and coordination of limb and body movement.

Performs sedentary work that involves walking or standing some of the time and involves exerting up to 10 pounds of force on a regular and recurring basis or sustained keyboard operations.

Unavoidable hazards refer to the job conditions that may lead to injury or health hazards even though precautions have been taken.

None.

County Core Values

All Broward County employees strive to demonstrate the County's four core behavioral competencies.

• Collaborates: Building partnerships and working collaboratively with others to meet shared objectives.
• Customer focus: Building strong customer relationships and delivering customer-centric solutions.
• Instills trust: Gaining the confidence and trust of others through honesty, integrity, and authenticity.
• Values differences: Recognizing the value that different perspectives and cultures bring to an organization.

Copyright 2025 Korn Ferry. ALL RIGHTS RESERVED

Broward County is an Equal Opportunity Employer committed to inclusion. Broward County is committed to providing equal opportunity and reasonable accommodations to qualified persons with disabilities. We support the hiring of people with disabilities; therefore, if you require assistance due to a disability, please contact the Professional Standards Section in advance at or email to make an accommodation request.

Note: During emergency conditions, all County employees are automatically considered emergency service workers. County employees are subject to being called to work in the event of a disaster, such as a hurricane, or other emergency situation and are expected to perform emergency service duties, as assigned.

All Broward County employees must serve the public and fellow employees with honesty and integrity in full accord with the letter and spirit of Broward County's Employee Code of Ethics, gift, and conflict of interest policies.

All Broward County employees must establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds, regardless of race, color, religion, sex, national origin, age, disability, marital status, political affiliation, familial status, sexual orientation, pregnancy, or gender identity and expression.

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate.

Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses within your locally assigned territory. Field Adjusters may travel outside of their local territory to respond to claims in other regions when needed. This is an hourly, non-exempt position with paid overtime available.

This is a field-based role in the Colorado Springs area. Candidates who are willing and able to work in this area are encouraged to apply.

What you'll do:

• Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability.

• Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.

• Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.

• Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing information involving complex policy terms and contingencies.

• Determines and negotiates complex claims settlement within authority limits. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes.

• Maintains accurate, thorough, and current claim file documentation throughout the claims process.

• Advance knowledge of estimating technology platforms and virtual inspection tools. Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims.

• Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.

• May be assigned CAT deployment travel with minimal notice during designated CATs.

• Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.

• Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience.

• Adjusts complex claims with attorney involvement.

• Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.

• May require travel to resolve claims, attend training, and conduct in-person inspections.

• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

• High School Diploma or General Equivalency Diploma.

• 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

• Advanced knowledge of estimating losses using Xactimate or similar tools and platforms.

• Proficient knowledge of residential construction.

• Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations.

• Proficient negotiation, investigation, communication, and conflict resolution skills.

• Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.

• Ability to travel 50-75% of the year (local & non-local) and/or work catastrophe duty when needed.

• Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

• Successful completion of a job-related assessment may be required.

What sets you apart:

• Hands-on experience in the field handling high-severity and complex property claims such as fire, water damage, vandalism, malicious mischief, foreclosures, earth movement, collapse, and liability.

• Residential property field adjusting experience with dwelling, structure and additional living expenses.

• Experience working directly for a standard insurance carrier handling claims from start to finish (first notice of loss, reviewing policy, making coverage decisions)

• Proficient in using estimating platforms and virtual inspection tools like Xactimate, ClaimXperience and XactAnalysis

• Insurance industry designations such as AINS (Associate in General Insurance), CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims), or SCLA (Senior Claims Law Associate) or actively pursuing

• Active Property & Casualty adjuster license

• Currently reside in the Colorado Springs area, enabling quicker response times for local claims and a better understanding of regional risks

• US military experience through military service or a military spouse/domestic partner

Physical Demand Requirements:

• May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces. 

• May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license.

• May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.

• May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.

Compensation range: The salary range for this position is: $72,080 - $129,740.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate.

Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses within your locally assigned territory. Field Adjusters may travel outside of their local territory to respond to claims in other regions when needed. This is an hourly, non-exempt position with paid overtime available.

This is a field-based role in Rhode Island and surrounding areas. Candidates who are willing and able to work in this area are encouraged to apply.

What you'll do:

• Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability.

• Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.

• Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.

• Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing information involving complex policy terms and contingencies.

• Determines and negotiates complex claims settlement within authority limits. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes.

• Maintains accurate, thorough, and current claim file documentation throughout the claims process.

• Advance knowledge of estimating technology platforms and virtual inspection tools. Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims.

• Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.

• May be assigned CAT deployment travel with minimal notice during designated CATs.

• Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.

• Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience.

• Adjusts complex claims with attorney involvement.

• Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.

• May require travel to resolve claims, attend training, and conduct in-person inspections.

• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

• High School Diploma or General Equivalency Diploma.

• 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

• Advanced knowledge of estimating losses using Xactimate or similar tools and platforms.

• Proficient knowledge of residential construction.

• Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations.

• Proficient negotiation, investigation, communication, and conflict resolution skills.

• Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.

• Ability to travel 50-75% of the year (local & non-local) and/or work catastrophe duty when needed.

• Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

• Successful completion of a job-related assessment may be required.

What sets you apart:

• Hands-on experience in the field handling high-severity and complex property claims such as fire, water damage, vandalism, malicious mischief, foreclosures, earth movement, collapse, and liability.

• Residential property field adjusting experience with dwelling, structure and additional living expenses.

• Experience working directly for a standard insurance carrier handling claims from start to finish (first notice of loss, reviewing policy, making coverage decisions)

• Proficient in using estimating platforms and virtual inspection tools like Xactimate, ClaimXperience and XactAnalysis

• Insurance industry designations such as AINS (Associate in General Insurance), CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims), or SCLA (Senior Claims Law Associate) or actively pursuing

• Active Property & Casualty adjuster license

• Currently reside in the Rhode Island or surrounding area, enabling quicker response times for local claims and a better understanding of regional risks

• US military experience through military service or a military spouse/domestic partner

Physical Demand Requirements:

• May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces. 

• May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license.

• May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.

• May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.

Compensation range: The salary range for this position is: $76,400 - $137,520.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate.

Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses within your locally assigned territory. Field Adjusters may travel outside of their local territory to respond to claims in other regions when needed. This is an hourly, non-exempt position with paid overtime available.

This is a field-based role in Rhode Island and surrounding areas. Candidates who are willing and able to work in this area are encouraged to apply.

What you'll do:

• Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability.

• Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.

• Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.

• Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing information involving complex policy terms and contingencies.

• Determines and negotiates complex claims settlement within authority limits. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes.

• Maintains accurate, thorough, and current claim file documentation throughout the claims process.

• Advance knowledge of estimating technology platforms and virtual inspection tools. Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims.

• Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.

• May be assigned CAT deployment travel with minimal notice during designated CATs.

• Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.

• Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience.

• Adjusts complex claims with attorney involvement.

• Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.

• May require travel to resolve claims, attend training, and conduct in-person inspections.

• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

• High School Diploma or General Equivalency Diploma.

• 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

• Advanced knowledge of estimating losses using Xactimate or similar tools and platforms.

• Proficient knowledge of residential construction.

• Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations.

• Proficient negotiation, investigation, communication, and conflict resolution skills.

• Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.

• Ability to travel 50-75% of the year (local & non-local) and/or work catastrophe duty when needed.

• Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

• Successful completion of a job-related assessment may be required.

What sets you apart:

• Hands-on experience in the field handling high-severity and complex property claims such as fire, water damage, vandalism, malicious mischief, foreclosures, earth movement, collapse, and liability.

• Residential property field adjusting experience with dwelling, structure and additional living expenses.

• Experience working directly for a standard insurance carrier handling claims from start to finish (first notice of loss, reviewing policy, making coverage decisions)

• Proficient in using estimating platforms and virtual inspection tools like Xactimate, ClaimXperience and XactAnalysis

• Insurance industry designations such as AINS (Associate in General Insurance), CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims), or SCLA (Senior Claims Law Associate) or actively pursuing

• Active Property & Casualty adjuster license

• Currently reside in the Rhode Island or surrounding area, enabling quicker response times for local claims and a better understanding of regional risks

• US military experience through military service or a military spouse/domestic partner

Physical Demand Requirements:

• May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces. 

• May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license.

• May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.

• May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.

Compensation range: The salary range for this position is: $76,400 - $137,520.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. Recognizes and empathizes with members’ life events, as appropriate.

Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses within your locally assigned territory. Field Adjusters may travel outside of their local territory to respond to claims in other regions when needed. This is an hourly, non-exempt position with paid overtime and CAT pay available.

This is a local field-based role in the New Orleans, LA area. Candidates who are willing and able to work in the this area are encouraged to apply.

What you'll do:

• Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability.

• Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.

• Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.

• Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing information involving complex policy terms and contingencies.

• Determines and negotiates complex claims settlement within authority limits. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes.

• Maintains accurate, thorough, and current claim file documentation throughout the claims process.

• Advance knowledge of estimating technology platforms and virtual inspection tools. Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims.

• Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.

• May be assigned CAT deployment travel with minimal notice during designated CATs.

• Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.

• Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience.

• Adjusts complex claims with attorney involvement.

• Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.

• May require travel to resolve claims, attend training, and conduct in-person inspections.

• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

• High School Diploma or General Equivalency Diploma.

• 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

• Advanced knowledge of estimating losses using Xactimate or similar tools and platforms.

• Proficient knowledge of residential construction.

• Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations.

• Proficient negotiation, investigation, communication, and conflict resolution skills.

• Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.

• Ability to travel 50-75% of the year (local & non-local) and/or work catastrophe duty when needed.

• Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

• Successful completion of a job-related assessment may be required.

What sets you apart:

• Experience on a Property Catastrophe team handling inside or field claims (i.e. wind, hail, hurricane, flooding)

• Experience adjusting large loss complex property claims caused by catastrophic events

• Residential property adjusting experience handling DWG, APS and ALE adjustments

• Experience working directly for a standard insurance carrier handling claims from start to finish (first notice of loss, reviewing policy, making coverage decisions).

• Estimate writing skills using Xactimate, ClaimX or virtual estimating

• Xactimate level 1 and/or level 2 certification

• Insurance Industry designations such as AINS, CPCU, AIC, SCLA

• Currently hold an active P&C Adjuster license

• Available to work extended hours to support CAT claims

• Currently reside in the New Orleans, LA area

• US military experience through military service or a military spouse/domestic partner

Physical Demand Requirements:

• May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces. 

• May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license.

• May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.

• May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.

Compensation range: The salary range for this position is: $69,920 - $125,850.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate.

Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses within your locally assigned territory. Field Adjusters may travel outside of their local territory to respond to claims in other regions when needed. This is an hourly, non-exempt position with paid overtime available.

This is a field-based role in the Charleston, SC area. Candidates who are willing and able to work in this area are encouraged to apply.

What you'll do:

• Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability.

• Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.

• Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.

• Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing information involving complex policy terms and contingencies.

• Determines and negotiates complex claims settlement within authority limits. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes.

• Maintains accurate, thorough, and current claim file documentation throughout the claims process.

• Advance knowledge of estimating technology platforms and virtual inspection tools. Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims.

• Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.

• May be assigned CAT deployment travel with minimal notice during designated CATs.

• Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.

• Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience.

• Adjusts complex claims with attorney involvement.

• Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.

• May require travel to resolve claims, attend training, and conduct in-person inspections.

• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

• High School Diploma or General Equivalency Diploma.

• 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

• Advanced knowledge of estimating losses using Xactimate or similar tools and platforms.

• Proficient knowledge of residential construction.

• Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations.

• Proficient negotiation, investigation, communication, and conflict resolution skills.

• Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.

• Ability to travel 50-75% of the year (local & non-local) and/or work catastrophe duty when needed.

• Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

• Successful completion of a job-related assessment may be required.

What sets you apart:

• Hands-on experience in the field handling high-severity and complex property claims such as fire, water damage, vandalism, malicious mischief, foreclosures, earth movement, collapse, and liability.

• Residential property field adjusting experience with dwelling, structure and additional living expenses.

• Experience working directly for a standard insurance carrier handling claims from start to finish (first notice of loss, reviewing policy, making coverage decisions)

• Proficient in using estimating platforms and virtual inspection tools like Xactimate, ClaimXperience and XactAnalysis

• Insurance industry designations such as AINS (Associate in General Insurance), CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims), or SCLA (Senior Claims Law Associate) or actively pursuing

• Active Property & Casualty adjuster license

• Currently reside in the Charleston area, enabling quicker response times for local claims and a better understanding of regional risks

• US military experience through military service or a military spouse/domestic partner

Physical Demand Requirements:

• May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces. 

• May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license.

• May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.

• May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.

Compensation range: The salary range for this position is: $67,750 - $121,950.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

The Broward County Board of County Commissioners is seeking qualified candidates for Claims Adjuster in the Risk Management Division.We are seeking a detail-oriented and customer-focused Worker's Compensation Claims Adjuster to join our team. In this role, you will investigate, evaluate, and settle insurance claims in accordance with company policies and regulatory requirements. You will work closely with policyholders, legal representatives, and other stakeholders to ensure fair and timely resolution of claims.
Benefits of Broward County Employment

High-Deductible Health Plan - bi-weekly premiums:

Single $10.90 / Family $80.79

Includes a County Funded Health Savings Account of up to $2000 Annually

Consumer Driven Health Plan - bi-weekly premiums:

Single $82.58 / Family $286.79

Florida Retirement System (FRS) - Pension or Investment Plan

457 Deferred Compensation employee match

Eleven (11) paid holidays each year

Vacation (Paid Time Off) = 2 weeks per year

Up to 40 hours of Job Basis Leave for eligible positions

Tuition Reimbursement (Up to 2K annually)

The functions listed below are those that represent the majority of the time spent working in this class. Management may assign additional functions related to the type of work of the job as necessary.

For Workers Compensation claims the adjuster will contact the injured employee, employer, and medical provider to document the claim. For Liability claims the adjuster will contact the claimant, the division and any witnesses.

The Workers Compensation Adjuster calculates/processes disability benefits for impairment ratings of 1% or more when issuing benefits to avoid penalties. Sets up medical claims to document/update current work status and treatment. Monitors/obtains medical records and work status to ensure timely calculation and payment of indemnity and impairment ratings, complete State EDI mandated reporting within regulated time frames to avoid penalties. Reviews/corrects reporting by Center of Medicare/Medicaid Services (CMS) for accuracy.

Contacts injured employee, employer, and medical provider to document claim. Conducts field investigations, face-to-face statements with employees, employer representatives and witnesses to understand the nature of the claim and gain an understanding of what occurred prior to the claim.

Consults on injury cases with various medical personnel in order to ascertain the extent and cost of treatment, loss of earning capacity and prognosis confers with County physician on employment limitations.

Performs the calculation and payment of benefits whether indemnity and/or medical benefits, including entering all payments for benefits.

For disability more than 8 days, initiates timely electronic filings to Division of Workers' Compensation.

Calculates/processes timely disability benefits and impairment ratings of 1% or more when given to issue benefits to avoid penalties.

Authorizes/coordinates medical treatment with walk-in facilities and specialists to update claim.

Processes outgoing letters to injured employees and medical providers and places them on notice of action taking place.

Sets up medical only claims to document/update current work status and treatment.

Monitors work status for a disability of 7 days or less through discharge for closing a claim.

Processes employee-received notices of outstanding medical bills to resolve non-payment issues.

Monitors/obtains discharge papers for impairment ratings and issues benefits when owed and paid within mandated timeframe to avoid penalties.

Denies/processes claims for non-work-related injuries with timely electronic filing to avoid penalties.

Conducts recorded interviews with employees and witnesses.

Reviews and analyzes reports of accidents including property damage and bodily injury to determine liability; reviews and analyzes Liability and/or Workers' Compensation claims and recommends appropriate action.

Coordinates the gathering of formal evidence by taking photographs, preparing diagrams and making measurements at accident scene; arranges for witnesses to appear at legal proceedings; and prepares accident reports.

Negotiate claim settlements with the Director of Risk Management, the County Administrator, the County Attorney, claimants and/or their legal teams. Attend mediations with the County Attorney's office to support the claims process.

Provide advice regarding potential fraud, subrogation, and underwriting/safety risk, and communication with counsel.

Analyze complex information from different sources, such as police reports, videos from surveillance cameras or audio, and other information to further understand the incident.

Make decisions for approval of medical treatments and property restoration. Make determinations on liability or compensability for Workers Compensation claims. Apportion percentage of liability and negotiate settlement with claimant or claimant's attorney or Liability Claims.

Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.

Investigates liability claims, inputs data into the system association with findings.

Attends meetings with other Divisions, Professional Standards/Human Rights Section (PS/HRS), and Human Resources to discuss complex claims.

Performs related work as assigned.

Physical Demands

Physical demands refer to the requirements for physical exertion and coordination of limb and body movement.

Performs sedentary work that involves walking or standing some of the time and involves exerting up to 10 pounds of force on a regular and recurring basis or sustained keyboard operations.

Unavoidable hazards refer to the job conditions that may lead to injury or health hazards even though precautions have been taken.

None.

Competencies

• Financial Acumen

• Decision Quality

• Optimizes Work Processes

• Ensures Accountability

• Drives Results

• Manages Conflict

• Communicates Effectively

• Situational Adaptability

• Collaborates: Building partnerships and working collaboratively with others to meet shared objectives.
• Customer focus: Building strong customer relationships and delivering customer-centric solutions.
• Instills trust: Gaining the confidence and trust of others through honesty, integrity, and authenticity.
• Values differences: Recognizing the value that different perspectives and cultures bring to an organization.

Network Adjusters is seeking experienced Claims Adjusters to handle Property losses at our offices located in Farmingdale, NY and Denver, CO. This role supports the investigation, evaluation, negotiation, and resolution of first-party commercial property insurance claims while delivering consistent, high-quality claims management in alignment with industry best practices.

This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.

About the Role

Property Claims Adjusters are responsible for managing first and third-party commercial property claims from inception through closure. Claims may include fire, water, theft, or other property damage exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, determine coverage, negotiate settlements, and handle litigated matters as needed while maintaining strict adherence to state regulations and claims handling expectations, and clear, timely, and professional communication with all involved parties.

Adjusters routinely address damaged property, gather statements from claimants and witnesses, coordinate with contractors and external experts, and ensure all claim activity complies with state-specific regulations and Network Adjusters’ Best Claims Practices. This is a desk-based role.

Responsibilities

• Deliver superior customer service to insureds, claimants, carrier clients, and internal stakeholders while meeting all client-specific reporting and analysis requirements
• Review and analyze coverage using policy conditions, provisions, exclusions, and endorsements, including jurisdictional considerations such as negligence laws, financial responsibility limits, and immunity
• Investigate claims to establish negligence, determine liability, and identify potential sources of recovery through fact-finding and interviews
• Manage property damage and other first-party losses requiring specialized investigation and coordination with external experts in compliance with applicable laws
• Establish, maintain, and adjust claim and expense reserves in a timely manner
• Develop, document, and execute plans of action for claim resolution, including effective diary management and follow-up
• Document all claim activities in accordance with established procedures and Best Practices
• Draft and issue denial letters, reservation of rights, tenders, and other routine or complex correspondence
• Collaborate with senior technical claim personnel to ensure proper file handling and strategic guidance
• Determine settlement values using independent judgment, applicable limits, and deductibles, and negotiate settlements within assigned authority
• Identify and pursue subrogation opportunities when applicable
• Ensure compliance with all state-specific regulatory requirements and quality standards
• Manage multiple competing priorities to ensure timely payments, follow-up, and resolution

Qualifications

• Minimum 2 years of experience handling first-party property claims (commercial experience preferred)
• College or technical degree, or equivalent relevant business experience
• Ability to obtain and maintain required adjuster licenses, including completion of continuing education
• Strong verbal and written communication skills with a customer-focused, empathetic approach
• Proficiency in MS Word, Outlook, Excel, and general business software
• Strong analytical, investigative, and decision-making skills, with high attention to detail and accuracy
• Excellent negotiation and conflict management abilities
• Strong organizational and time management skills, with the ability to multitask in a fast-paced environment
• Ability to maintain confidentiality and exercise sound judgment
• Bilingual proficiency preferred but not required

Compensation & Benefits

• Salary: Starting from $65,000+ annually (negotiable based on licensure, certifications, and experience)
• Training, development, and career growth opportunities
• 401(k) with company match and retirement planning
• Paid time off and company-paid holidays
• Comprehensive medical, dental, and vision insurance
• Flexible Spending Account (FSA)
• Company-paid life insurance and long-term disability
• Supplemental life insurance and optional short-term disability
• Strong work/family and employee assistance programs
• Employee referral program

Locations

Farmingdale, NY and Denver, CO

This role is on-site only; remote or hybrid arrangements are not available.

About Network Adjusters

Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results—the proof is in our extensive track record of settled claims and unmatched recovery abilities.

Network Adjusters is seeking experienced Claims Adjusters to handle General Liability and/or Construction Defect losses at our offices located in Denver, CO and Farmingdale, NY. This role supports the investigation, evaluation, negotiation, and resolution of third-party construction defect claims, including property damage and liability exposures, while delivering consistent, high-quality claims management in alignment with industry best practices.

This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.

About the Role

Construction Defect Claims Adjusters are responsible for managing complex third-party claims related to construction projects from inception through closure. Claims may include third-party property damage, bodily injury, and other specialized construction-related exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, determine coverage, negotiate settlements, and handle litigated matters as needed while maintaining clear, professional communication with all involved parties.

Adjusters routinely conduct site inspections, gather statements from claimants, witnesses, and contractors, coordinate with external experts, and ensure all claim activity complies with state-specific regulations and Network Adjusters’ Best Claims Practices. This is a desk-based role.

Responsibilities

• Apply in-depth knowledge of General Liability and Construction Defect claims to manage complex third-party property damage, bodily injury, and related losses
• Deliver high-quality customer service to insureds, claimants, carrier clients, and internal stakeholders
• Review and analyze coverage by applying policy conditions, provisions, exclusions, and endorsements, and address jurisdictional considerations such as negligence laws, immunity, and financial responsibility limits
• Investigate claims to determine liability and potential sources of recovery by contacting, interviewing, and coordinating with appropriate parties and external experts
• Effectively manage litigated claims, including coordination with defense and coverage counsel
• Establish, document, and maintain appropriate claim and expense reserves in a timely manner
• Develop and execute plans of action for claim resolution, including diary management and timely follow-up
• Determine settlement values using independent judgment, applicable limits, and deductibles, and negotiate settlements within assigned authority
• Draft denial letters, reservation of rights, tenders, and other routine or complex claim correspondence
• Identify and pursue subrogation opportunities when applicable
• Prepare client-specific reports and detailed claim analyses, and consult with senior technical staff to ensure proper file handling
• Document all claim activity in accordance with established procedures and Best Practices
• Ensure compliance with all state-specific regulatory requirements and quality standards
• Manage multiple competing priorities to ensure timely payments, follow-up, and claim resolution

Qualifications

• 2–5 years of claims handling experience, preferably in third-party General Liability and/or Construction Defect
• College or technical degree, or equivalent relevant business experience
• Ability to obtain and maintain required adjuster licenses, including completion of continuing education
• Strong analytical, investigative, decision-making, and negotiation skills, with the ability to manage conflict effectively
• Excellent verbal and written communication skills, with a customer-focused and empathetic approach
• Strong organizational and time management skills with the ability to multitask in a fast-paced environment
• High attention to detail, accuracy, confidentiality, and sound judgment
• Proficiency in MS Word, Outlook, Excel, and standard business software
• Bilingual proficiency preferred but not required

Compensation & Benefits

• Salary: $75,000–$100,000 annually (based on licensure, certifications, and experience)
• Training, development, and career growth opportunities
• 401(k) with company match and retirement planning
• Paid time off and company-paid holidays
• Comprehensive medical, dental, and vision insurance
• Flexible Spending Account (FSA)
• Company-paid life insurance and long-term disability
• Supplemental life insurance and optional short-term disability
• Strong work/family and employee assistance programs
• Employee referral program

Locations

Denver, CO and Farmingdale, NY

Remote opportunities may be available for experienced candidates who meet all required criteria.

About Network Adjusters

Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results—the proof is in our extensive track record of settled claims and unmatched recovery abilities.