We’re committed to putting people first – if you need an accommodation as you go through the job searching, application, and interviewing process, please click here for more information.
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architecture. Technical & Product Delivery Lead your track to design, build, and launch the green-field Workers Compensation claims ecosystem--core and non-core capabilities--towards the North-Star architecture. Define, track, and communicate product & platform KPIs (e.g., claims cycle time, NPS, MTTR, cloud spend) with Product Owners to guarantee that every release delivers measurable customer and business value. Provide thought leadership in resilience, security, scalability, operational excellence, and cost optimization; continuously scout emerging technologies, run lean POCs, and shepherd viable solutions through ARB approval. Act as financial steward--forecast, track, and optimize both build and run costs (FinOps) to maximize ROI and minimize total cost of ownership over the platform's life-cycle. Initiate and foster collaborative relationships across business, operations, and technology leadership to drive the Evergreen roadmap from idea through production support. Bachelor's degree in Computer Science or equivalent experience. 5+ years of hands-on software development experience (preferably Java/Springboot), progressing through Senior/Principal Engineer to Solution Engineer or Architect. 2+ years formal people leadership or team-lead experience, including hiring, performance management, and mentoring. Proven success designing and delivering large-scale, cloud-native systems on AWS, leveraging modern DevSecOps, IaC, and CI/CD pipelines. Demonstrated ability to translate business strategy into actionable technical roadmaps, manage to KPIs and budgets, and articulate ROI for engineering investments. Excellent analytical, consultative, and communication skills with a track record of building consensus among diverse stakeholders. Guidewire, insurance, claims, or other highly regulated, data-intensive domain expertise. Hands-on experience with large transformation or legacy-replacement programs. FinOps, AWS Cloud Financial Management, or similar cost-optimization credentials. Scaled-Agile experience (SAFe, Nexus, etc.) and familiarity with Lean Portfolio Management. A life-long learner who stays on top of technology trends and encourages experimentation. A pragmatic, inclusive leader who builds psychological safety, values diverse perspectives, and empowers teams to take smart risks. A go-getter who owns outcomes, raises the bar for reliability, security, scalability, and cost efficiency--and inspires others to do the same. 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Expert knowledge of Small Commercial Complex claims investigation, coverage, reserving, expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the legal and regulatory environment Excellent written and oral communications skills required as well as strong interpersonal, analytical, investigative and negotiation skills Must be able to confidently and professionally handle conflict during negotiations while obtaining fair and reasonable outcomes Must have superior customer service aptitude and work well with customers, vendors and agents of diverse backgrounds Demonstrated ability to work independently, mentor other employees and serve as a subject matter expert Bachelor`s degree is preferred or equivalent work experience is required 7 to 9 years of directly related experience required Should actively pursue continuing education courses leading to industry certifications and participate in ongoing medical, legal and industry related trainings on an ongoing basis Must maintain all applicable licenses Manages, investigates and evaluates coverage, liability, damages, in order to negotiate and settle the most severe and catastrophic injury and/or liability and coverage complexity claims within prescribed authority. Using advanced negotiation skills, negotiates claims to fairly resolve pending inventory. Plans and conducts detailed investigations to analyze and confirm coverage and to determine liability, compensability and damages of claims. Effectively utilizes tools to evaluate claims. Obtains detailed coverage and liability statements on complex claims. Determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority. Succinctly and professionally present cases to senior leadership for reserves and evaluation authority as required by preset value ranges. Accountable for security of financial processing of claims, as well as security information contained in claims files. Proficiently and proactively handle the claim file through various phases of litigation. Independently review the applicability of coverage and civil law as well as local statutes. Recognize coverage issues and what policy language and facts should be considered. Attend mandatory and court ordered litigation events. Communicates with various parties associated with the claim. Respond to written and verbal inquiries in a timely and professional manner, ensuring compliance within all company and statutory guidelines. Prepare detailed and comprehensive initial reports and follow up reports with concise and effective action plans designed to move the claim towards resolution. Identifies potential suspicious claims and refers to the Special Investigation Unit and identifies opportunities for third party subrogation. Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to coverage issues. May analyze the impact upon claims policies and procedures and advises Claims Management. Participates in or leads special projects and mentors others. May assist with training. Serve as the backup for the manager when needed, reviewing file reports, evaluations, reserve recommendations and authority requests. Assist with learning and development of less tenured adjusters in various legal, injury and venue specific arenas and serve as a mentor and subject matter expert in areas of specialty. 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A Reliable Teammate: Whether you work at the office or from home, you adapt well to different environments, schedules, and the varying needs of our policyholders. A Customer-Centric Closer: While sales is in your title, integrity is in your nature. That means you sincerely care that our customers get exactly the quality products and services they need to embrace today and confidently pursue tomorrow. Position Details: From day one you will begin paid training in a remote work environment. All insurance representatives need to hold a Property & Casualty Insurance license. If you do not have one, no worries, paid training also includes licensing! Training extends over a period of 16 weeks for licensed hires and 18 weeks for unlicensed hires. Comprehensive medical benefits from Day 1. No cold calls, all incoming warm leads. Opportunities for rewards and recognition. Must be available to work a schedule of 4 weekdays and 1 weekend day with a mid-morning start time. Example 11am-8pm (CST). This schedule can be expected for a minimum of 12 months before consideration for another shift. All computer equipment is provided. You must be able to maintain department. Work at home (W@H) requirements which include a professional workspace/room with a dedicated desk and wired (cable, fiber of DSL service) high-speed internet connection with a minimum 100 MBps download speed and 20 MBps upload speed. 2-3 years sales experience preferred. 2 years of sales/service-related work experience required. 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This schedule can be expected for a minimum of 12 months before consideration for another shift. All computer equipment is provided. You must be able to maintain department. Work at home (W@H) requirements which include a professional workspace/room with a dedicated desk and wired (cable, fiber of DSL service) high-speed internet connection with a minimum 100 MBps download speed and 20 MBps upload speed. 2-3 years sales experience preferred. 2 years of sales/service-related work experience required. 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Manages, investigates, and resolves auto and homeowner's casualty claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority. Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status. Confers with trial counsel and prepares trial reports. Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports. Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority. Accountable for security of financial processing of claims, as well as security information contained in claims files. Responsible for managing the practices and billing activities of outside and in-house counsel. May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies. May be involved in special projects and/or mentoring at the direction of local management. 5+ years of litigation experience Expert knowledge of handling personal lines complex claims with severe to catastrophic injuries and fatalities Must have an advanced knowledge of coverage, liability, and complex claims handling procedures. Must be knowledgeable of state and federal laws in the adjuster's jurisdiction. A full working knowledge of claims operations and procedures is required. Strong written and oral communication skills required as well as strong interpersonal, analytical, investigative, and negotiation skills. The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 5-7 years of directly related experience. 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Support Senior Trial Counsel and Senior Litigation Counsel in all aspects of case handling through trial, including preparation, management, and assistance at every stage of the litigation process. Client Advisory and Relationship Management: Provide clear and reasoned legal opinions and strategic advice to Claims Representatives and insured clients. Develop and maintain strong client relationships through transparent and effective communication. Technology Utilization: Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team members and proficiency in remote work settings. Risk Evaluation and Case Resolution Facilitation: Identify, evaluate, and collaborate on strategies to mitigate legal risks, working closely with clients and senior counsel to facilitate effective resolutions. Documentation Accuracy and Compliance: Ensure all legal documents, pleadings, and motions are meticulously prepared, accurate, and compliant with applicable standards and client expectations. Timely Client Communication: Provide clear, consistent, and timely updates and recommendations to insured clients and claims professionals to maintain alignment with case objectives. Contribution to Organizational Improvement: Participate in initiatives aimed at enhancing efficiency, effectiveness, and best practices within Staff Legal and Global Legal & Compliance organizations. Ethical Compliance Adherence: Uphold the highest standards of legal ethics and compliance, following legal regulations and licensing requirements and promoting a culture of integrity within the legal team. Juris Doctor (JD) or LLB degree from an accredited law school. Admission to the bar in PA and in good standing; special licenses to practice before particular boards or federal courts may be required. General knowledge of insurance law Proficient in e-discovery, case management systems, and basic legal analysis tools. Strong analytical, research, and legal writing skills. Basic knowledge of negotiation techniques including preparation, active listening, and problem-solving. Demonstrated ability to manage cases from start to finish under supervision. Effective communication and persuasion skills, both written and oral. Ability to collaborate with clients, claims professionals, and senior attorneys. 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Commitment to achieving Fellowship in the Casualty Actuarial Society. Passing grades on a minimum of 2 Casualty Actuarial Exams is required. Minimum 2-4 years relevant experience required. Prior experience and knowledge of basic actuarial techniques and standards and insurance operations. Solid oral and written and presentation communication skills. Solid interpersonal skills and the ability to work in a team environment as well as independently. Ability to exercise discretion and apply independent judgment and critical thinking skills in execution of assignments. Ability to balance multiple projects with some direction. 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!important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} .fa-brands{-webkit-font-smoothing: antialiased; font-style: normal; font-variant: normal; line-height: 1; text-rendering: auto;font-family: 'Font Awesome 6 Brands'} .position-details li{list-style-type: disc;} .header-wrapper{display:none!important;}.disability p {text-align:center!important;background-color:#F0F0F0!important; height:45px!important;padding-top:12px!important;} .disability a {color:blue!important;text-decoration:underline!important;} @media only screen and (max-width: 1325px){.disability p {height:67px!important;}} @media only screen and (max-width: 675px){.disability p {height:92px!important;}} @media only screen and (max-width: 480px){.disability p {height:114px!important;}}h4{margin-top: 5px;font-weight: 600;}