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PIP/Medical Adjuster

Progressive
Remote or Albany, NY
Join one of FORTUNE's 100 Best Companies to Work For !

As a medical claims representative trainee, you'll be instrumental in keeping the medical claims process efficient and supportive for our customers. Focusing on personal injury protection medical coverage, you'll analyze accident details, medical records and terminology. You'll also adjust claims while maintaining solid relationships with customers. Bring your passion for helping others and we'll teach you the insurance stuff - allowing you to be confident when speaking with customers or negotiating settlements with providers or attorneys.

Starting your role from home, you'll be provided virtual training and onboarding. You'll eventually transition into a hybrid in-office schedule where work from home days are possible, when we are ready to open our offices.

Duties & responsibilities after training

* Research policy contract, regulation and cause of injury to make coverage decisions
* Conducts research to understand correlations between medical records and motor vehicle accidents, injuries or medical conditions
* Identify and research wage loss expenses and documentation for payment consideration
* Review and interpret policy language when subrogation demands are received

Must-have qualifications

* Bachelor's degree or higher
* Instead of a degree, a minimum of five years of relevant work experience
* Instead of the above, a minimum combined total of five years of work experience and/or college education

Schedule: Monday-Friday, with flexible start time after training.

Compensation

* Once you complete training and pass any necessary testing requirements, your salary will be $50,000-$60,000/year, however, for the first few months you will be paid hourly based on your annual salary
* Gainshare bonus up to 16% of your eligible earnings based on company performance

Benefits

* 401(k) with dollar-for-dollar company match up to 6%
* Medical, dental & vision, including free preventative care
* Wellness & mental health programs
* Health care flexible spending accounts, health savings accounts, & life insurance
* Paid time off
* Paid & unpaid sick leave where applicable, as well as short & long-term disability
* Parental & family leave; military leave & pay
* Diverse, inclusive & welcoming culture with Employee Resource Groups
* Career development & tuition assistance

Equal Opportunity Employer

©2021 FORTUNE Media IP Limited. All rights reserved. Used under license.
New
3d ago

PIP Adjuster - MI

Hanover Insurance Group, Inc.
Remote or Howell, MI
Our Claims team is currently seeking a PIP Adjuster in our Howell, MI location.

The Hanover Insurance Group has adopted a Hybrid work model that allows for 2 or 3 days of remote work each week with the balance of time being in the office.

This is a full time, exempt role.

POSITION OVERVIEW:

Responsible for the investigation, negotiation and resolution of claims in accordance with policy provisions, best practices and jurisdictional requirements. Includes the input of claim data and guiding insureds and claimants through the claim process and options.

IN THIS ROLE, YOU WILL:

* Have or secure and maintain appropriate states adjuster license(s) and continuing education credits.
* Work within significant limits and authority on assignments of higher technical complexity and coordination.
* Use discretion and independent judgment in claim handling
* Possess demonstrated technical knowledge and skills, including product and industry, reflective of successful progression through various job family levels.
* Handle Claims that require investigation, analysis, evaluation and negotiation including interpretation of commercial coverage's.
* Be responsible for all aspects of each claim, including informal hearings, arbitrations and small claims litigation and maintaining a high level of productivity, confidentiality and customer service.
* Identify possibly suspicious claims
* Take recorded statements
* Work with the Special Investigations Unit to resolve and negotiate settlement

WHAT YOU NEED TO APPLY:

* Bachelor's Degree or equivalent experience.
* Typically 1-3 years experience
* Possess strong customer service skills and behaviors
* Strong organizational and time management skills
* Ability to negotiate skillfully in difficult situations with both internal and external groups
* Demonstrates strong written and verbal communication skills.
* Understanding of applicable statutes, regulations and case law
* Think critically and anticipate, recognize, identify and develop solutions to problems in a timely manner.
* Operates with latitude for un-reviewed action or decision.
* Proficient using paperless Claims systems

This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform.

BENEFITS:

We offer comprehensive benefits to enrich your health, financial security, and work/life balance. At The Hanover, you'll enjoy what you do and have the support you need to succeed. Benefits include:

* Medical, dental, vision, life, and disability insurance
* 401K with dollar-to-dollar company matching up to 6%
* Tuition reimbursement
* Paid time off
* 9 company holidays
* Flexible spending account
* Health savings account

EEO statement:

"The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law.

Furthermore, The Hanover Insurance Group is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law."

As an equal opportunity employer, Hanover does not discriminate against qualified individuals with disabilities. If you require a reasonable accommodation, as a candidate for employment, please inform The Hanover Talent Acquisition office.

Privacy Policy:

To view our privacy policy and online privacy statement, click here.

Applicants who are California residents: To see the types of information we may collect from applicants and employees and how we use it, please click here.

Other details

* Pay Type Salary

Apply Now

* Howell, MI, USA
New
3d ago

Catastrophe Adjuster - Remote

National General Insurance Company
Remote or Texas
Primary Purpose:Responsible for confirming coverage, investigating, negotiating, setting reserves and settling covered claims of moderate to complex exposure within their personal settlement authority. Perform duties in accordance with the Claim Handling Guidelines and managerial direction. May assist in the training and mentoring of other Adjusters.

Essential Duties and Responsibilities:Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.• Provide the best possible claim service to both internal and external customers• Promote teamwork and proactively seek opportunities to assist fellow associates with common challenges, i.e. systems use, file quality, etc.• Perform thorough investigation, confirm and interpret coverage issues, and draft the appropriate reservation of rights or disclaimer letters as needed for manager approval; refer files to SIU when qualifying issues arise• Assess if an on-site inspection is warranted and assign an Independent Adjusting Firm• Review Independent Adjuster report packages • Solicit estimates and photographs on smaller losses utilizing MyClaimPics to desk adjust claims• Retain cause and origin experts, engineers, building consultants and/or any other necessary experts as warranted with manager approval; obtain police, fire, weather reports, etc., as needed• Responsible for proper and timely reserving in accordance with our reserving philosophy• Update the claim database system with proper and adequate coding and documentation• Utilize and maintain diary on all open claims • Review all bills, estimates and Proofs of Loss prior to making settlement and payment of claim• Make recommendations to manager on damages exceeding adjuster's authority• Review vendors' bills for accuracy and resolve any billing issues and/or inconsistencies with the vendor • Determine subrogation/salvage potential on all claims; refer claim to subrogation when warranted• Handle or oversee CAT claims as needed• Assist in training and mentoring of other Adjusters upon request.

Required Skills and Competencies:The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.• Bachelor's Degree or in-lieu of degree equivalent education, training and work-related experience• Obtain/Maintain appropriate licensing or educational requirements • Possess solid knowledge of Homeowners policies, endorsements and state/local regulations• Ability to analyze and apply coverage on medium to complex loss scenarios• Ability to operate with a proactive claim handling mind set to drive results• Ability to resolve conflicts, problem solve and empathize with customers, both internally and externally• Ability to successfully work in a fast paced environment• Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)• Proficient in estimate writing software• Possess professional oral and written communication skills

Desired Skills:• 5+ years of experience in Property claims • Solid knowledge and experience in reviewing scope of damages and estimates

National General Holdings Corp. is an Equal Opportunity (EO) employer - Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.

In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.
National General is a fast paced, dynamic, and entrepreneurial organization. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Our team members live by and exemplify what we call the 4Es. At National General, we are Energized, Engaged, Empowered, and we Execute every day in order to provide an exceptional experience for our customers! We are passionate about our organization and the value that we add every day. A successful candidate with National General will embody the 4Es. Our team is poised to outperform the competition. We are National General Insurance and with us you can be extraordinary! Come join our team! To learn more click here (https://careers.nationalgeneral.com/) .
12d ago

Casualty Adjuster (Remote Option)

Shelter Insurance
Remote or Thompsons Station, TN
A company built to serve you. It's your career, Shelter it!

If interested, please apply by:

10/31/2021

Casualty Adjuster

$18.51 - $30.46 Salary Commensurate with Experience

Job Level: Individual Contributor

What You Will Be Doing:

Investigate, analyze, evaluate and settle insurance claims involving liability issues and bodily injury losses. Perform complete liability, coverage, and bodily injury investigations. Determine validity of claims, verify coverage, establish value of losses and negotiate settlements within limits of authority, consistent with established procedures and legal and contractual obligations. Coordinate claims handling of multiple adjusters. Consumer Reports will be ordered on final candidates.

What We're Looking For:

* Investigative, analytical, organizational and decision-making skills
* Understanding of medical terminology
* Superior skills in negotiation, communication and customer service
* Ability to learn through on-the-job training/training courses and obtain multi state licensing
* Strong skills in technology
* Efficient in time management to maintain schedules and deadlines
* Ability to perform the essential functions of the position, with or without a reasonable accommodation

#IND1#
New
5d ago

Seasonal Crop Adjuster - Montana

Zurich
Remote or Stanford, MT
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This opportunity is for a Seasonal Crop Adjuster, a temporary role with flex hours.

What does the day to day look like?

  • Working from home, being out on a farm in your community/assigned territory.

  • Investigate, evaluate and conclude field inspections by following regulatory and company rules and procedures.

  • Ensuring that claims are handled in the most effective, efficient way while delivering a customer-centric level of claims service.

Candidate should reside anywhere in Montana as this is a virtual role.

Basic Qualifications:

  • High School Diploma or Equivalent and 6 or more months of experience in the agricultural area

  • Crop Adjuster Proficiency Program Certification (CAPP) must be obtained with 180 days of hire date.

  • Reliable personal transportation and travel within territory

  • Valid Driver's License

  • RCIS Crop Adjuster Physical Requirements: walk in agricultural fields up to 3 miles, climb agricultural storage bins up to 25 feet, lift 25 lbs to 50 lbs, work outdoors in varying temperatures/weather conditions.

Preferred Qualifications:

  • Excellent verbal, written and interpersonal communication skills

  • Strong organization and prioritization skills

  • Intermediate Microsoft Office skills


A future with Zurich

Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 148 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500 . Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please click here to learn more.

As a global company, Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Taken together, diversity and inclusion bring us closer to our common goal: exceeding our customers' expectations. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet

Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.

Location(s): AM - Montana Virtual Office

Remote Working: Yes

Schedule: Part Time

13d ago
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Accumulator Adjuster I

UPMC
Remote or Pittsburgh, PA
UPMC Health Plan is hiring a full-time Accumulator Adjuster I to support the Operations Support department. This is a Monday - Friday, daylight position. This is a hybrid role with remote/work-from-home privileges in PA and some travel into the office (Pittsburgh, PA) for trainings, meetings, department needs, etc.

The Accumulator Adjuster I will resolve moderate to complex pended claims while meeting or exceeding the designated production and quality standards. They will review and resolve simple to moderate accumulator discrepancies. They will analyze and monitors reports, claims, and data to measure performance outcomes.
**Responsibilities:**

+ Process/adjust most sensitive; high profile inventories such as high dollar claims; accumulator adjustments.Performs in accordance with system-wide competencies/behaviors.Provides quality customer service to internal and external customers.

+ Participates/partners in Quality Audit/training meetings for process improvement opportunities.Assist other departments as requested during periods of backlogs.Understands client performance expectations and aligns assigned responsibilities accordingly.

+ Working knowledge of McNet/Batch errors and resolution.Maintain employee and insured confidentiality.Reviews, monitors, and researches claim data, issues, and/or reports.

+ Meets or exceeds established tasks timeframes/deadlines.Provide weekly trending/work summary reports to management/Business Analyst team.Participate in the development/refinement of policies and procedures.

+ Research and respond to both external and internal inquiries in a timely manner.Assist with special projects as assigned.

**Qualifications**

+ High school graduate or equivalent required.

+ College degree preferred.

+ 3 years health insurance, claims processing and/or customer service experience preferred.

+ Knowledge of medical terminology, ICD-9 and CPT coding required.

+ Knowledge of commercial, Medicaid, and Medicare products preferred.

+ Competency in MS Office with strong emphasis on Excel, Word, and Access.

+ PC skills required.

+ Ability to demonstrate organizational, interpersonal, and communication skills.

+ Demonstrated analytical skills required.

+ Ability to work independently with minimum direction.

+ Ability to prioritize and perform multiple tasks to meet established deadlines.

+ Extensive knowledge/experience regarding medical accumulations/deductible/out-of-pocket is strongly preferred and a definite plus.

**Licensure, Certifications, and Clearances:**

+ Act 34 **UPMC is an Equal Opportunity Employer/Disability/Veteran**

REQNUMBER: 398894010
16d ago

Complex Liability Adjuster - Work from Anywhere

Guard Insurance Group
Remote or Richmond, VA
Berkshire Hathaway GUARD offers a collaborative company culture with outstanding benefits and competitive compensation. Our organization is still hiring during the Pandemic and we're looking for talented individuals to join our team and establish a rewarding career with us.

Our success is founded on our strong reputation, and we have received an A+ "Superior" grade by the leading independent insurance rating organization. Backed by our ultimate parent company, Berkshire Hathaway Inc., our brand is founded upon trust, service, and innovation. If you're looking for an employer with integrity and flexibility, keep reading to learn about our benefits and job openings.
Benefits:

* Work life balance schedule- No Nights or Weekends!
* Generous vacation and sick time
* Closed on all major holidays
* Healthcare benefits begin on your first day of employment
* 401K with company match and profit sharing
* Every 5 years employees receive a generous monetary award to be used toward a vacation!
* Tuition reimbursement after six months of employment
* Discover opportunities to advance your career
* Be part of Berkshire Hathaway Inc., one of the world's most admired companies

Hiring and Working During the Pandemic:

* Virtual interviews
* Virtual employee onboarding and training
* Hybrid work model (Splitting time between working remotely and in the office)

We have implemented rigorous safety measures and policies to ensure our associates are protected when working in the office including following all federal and local safety precautions and mandates.

Berkshire Hathaway will continue to monitor the COVID-19 situation closely and will adjust our policies as needed to ensure the continued safety of our employees.

Responsibilities

We are seeking a Liability Adjuster. If you are focused on technology, are attentive to detail, enjoy the thrill of investigations and negotiations, then our team might be right for you!

The Liability Adjuster is responsible for conducting office investigations and adjusting commercial general liability and auto claims. The Adjuster is also responsible for, but not limited to:

* Investigating losses and identifying coverage issues
* Obtaining and reviewing evidence, reports, and medical records
* Establishing damages and reserves
* Processing payments
* Taking statements from insured's, claimants, and witnesses

Qualifications

* Prior experience adjusting liability and auto claims
* Excellent written and verbal communication skills
* Strong organizational and computer skills
* Excellent time management skills with the ability to prioritize
New
5d ago

Commercial Unrepresented Casualty Adjuster (Remote/Homebased)

Allstate
Remote
The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good.

You'll do all this in an environment of excellence and the highest ethical standards - a place where values such as integrity, inclusive diversity and accountability are paramount. We empower every employee to lead, drive change and give back where they work and live. Our people are our greatest strength, and we work as one team in service of our customers and communities.

Everything we do at Allstate is driven by a shared purpose: to protect people from life's uncertainties so they can realize their hopes and dreams. For more than 89 years we've thrived by staying a step ahead of whatever's coming next - to give customers peace of mind no matter what changes they face. We acted with conviction to advocate for seat belts, air bags and graduated driving laws. We help give survivors of domestic violence a voice through financial empowerment. We've been an industry leader in pricing sophistication, telematics, digital photo claims and, more recently, device and identity protection. We are the Good Hands. We don't follow the trends. We set them.
Compensation Data

Compensation range for this position is $55,000 - $74,500 per year, based on experience and qualifications

Sign on bonus: $1,000 if you have an active adjuster's license in FL, TX, or your home residence state

Job Description

Now is an exciting time to join Allstate! One of the world's most trusted brands is building a team of enthusiastic colleagues, who together, are helping guide customers to live a life well protected. Join us and you'll have everyday opportunities to learn, grow and shape your future while pursuing your desire to do good for others.

This is the opportunity you've been looking for to truly impact someone's life! Start your claims professional career today as an Experienced Commercial Unrepresented Casualty Adjuster and be part of our dynamic team!

A day in the life of an Unrepresented Casualty Adjuster:

* Communicate empathetically with customers and help them through their claim process in a fast, fair and easy manner
* Investigate single and multi-vehicle auto accidents involving property damage and/or bodily injury using innovative tools and technology to capture recorded statements, photos and/or the review of police reports to resolve losses.
* Document claims through active listening and use of data to investigate and assess claim coverage, liability, and damages while reviewing medical records and/or bills.
* Summarize liability decision and evaluate claim worth before negotiating and settling with customer in accordance with business unit methodologies.
* Use data and analytics to problem solve and contribute to team goals by sharing ideas and opinions.
* Flexibility to work independently as part of a virtual team.

You're provided with comprehensive training:

* We cover the cost to help you study for and earn your license
* We offer full paid virtual training plus on the job training
* Ongoing training opportunities for continuous improvement

Job Qualifications

You're a great Match for this Role if:

* 2+ years of unrepresented bodily injury claims handling experience is required
* You want to utilize your customer service skills to help restore peoples' lives
* You have a strong desire to make a difference through compassionate customer service
* You are willing to work flexible hours or weekends when our customers need you
* You can apply your knowledge of insurance policies, coverages, and regulations to claims processes and adhere to applicable legal compliance standards using your negotiation and/or arbitration skills.
* You can apply industry knowledge to support the business unit in support of team objectives by investigating and evaluating simple to moderately complex claims.
* You're an empathic, upbeat and friendly self-starter who can work independently, as well as, on a team
* You're excited about solving problems and coming up with creative solutions
* You're organized and able to multi-task in a fast-paced environment
* You're known for clear and professional communication - both written and verbal
* You have a bachelor's degree and/or prior experience in handling property damage and/or bodily injury claims
* Being bilingual and/or having prior military experience is a plus

We Offer:

* A culture of learning where you can expect to develop foundational skills for the future
* Leadership teams that are communicative and compassionate
* Impactful work by serving customers and the community in times of need
* Potential for flexible work arrangements
* A culture in which you dress for your day
* Recognition and advancement opportunities
* Paid Time Off, 401(k) and pension
* Medical, Dental, and Vision coverage
* You can view all Allstate benefits @ https://allstategoodlife.com

The candidate(s) offered this position will be required to submit to a background investigation, which includes a drug screen.

Good Work. Good Life. Good Hands .

As a Fortune 100 company and industry leader, we provide a competitive salary - but that's just the beginning. Our Total Rewards package also offers benefits like tuition assistance, medical and dental insurance, as well as a robust pension and 401(k). Plus, you'll have access to a wide variety of programs to help you balance your work and personal life -- including a generous paid time off policy. For a full description of Allstate's benefits, visit allstate.jobs/benefits/

Learn more about life at Allstate. Connect with us on Twitter, Facebook, Instagram and LinkedIn or watch a video.

Allstate generally does not sponsor individuals for employment-based visas for this position.

Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.

For jobs in San Francisco, please click "here" for information regarding the San Francisco Fair Chance Ordinance.

For jobs in Los Angeles, please click "here" for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.

To view the "EEO is the Law" poster click "here". This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs

To view the FMLA poster, click "here". This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.

It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
11d ago

Liability Adjuster

Erie Insurance
Colesville, MD
Division or Field Office:

Silver Spring Branch Office

Department of Position: Claims Department

Work from:

Home, Maryland/DC area

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 5,000 employees and over 2,200 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. To attract and retain the best talent, we reward our team members with competitive salaries and a very generous benefits package.

Position Summary

* This is a remote, work from home position.
* Must reside in the Maryland/DC area

Exercises independent discretion or judgment in handling of personal lines and commercial auto claims involving questionable or clear liability issues. Handles simple property damage and litigation claims, limited to small claims court.

Duties and Responsibilities

Establishes immediate contact with Policyholders and claimants, conducts investigations, interviews insureds, witnesses and physicians, evaluates and makes recommendations regarding coverage.

Sets and maintains adequate reserves, obtains reports and related materials, determines liability and total value of claim, and issues checks or declines payment.

Documents files and submits final report.

Identifies subrogation situations and initiates appropriate action.

Within designated authority, negotiates with plaintiff attorney as required.

Develops and applies a working knowledge of legal and medical claims terminology and procedures.

Attends industry-related training programs and attends other training sessions to stay current on policy changes, interpretation or new legislation.

Participates on Catastrophe Team when required.

This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident.

The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished.

Competencies

Ability To Learn And Follow Procedures

Ability To Maintain Composure

Ability to Manage Complexity

Decision Making

Developing And Maintaining Relationships

Influencing Skills

Information Management Skills

Interpersonal Communication

Job-Specific Knowledge

Planning And Organizing

Problem Analysis

Service Orientation

Stress Tolerance

Time Management

Qualifications

High school diploma or GED required. Bachelor's degree preferred. One year claims adjusting experience, preferably with casualty claims, or equivalent educational experience, required. Position requires incumbents to provide support for property claims during periods of heavy volume. Appropriate license as required by state.

Physical Requirements

Lifting 0-20 lbs; Occasional (
Lifting 20-50 lbs; Occasional (
Lifting Over 50 lbs; Occasional (
Driving; Rarely

Pushing/Pulling; Occasional (
Manual Keying/Data Entry; Often (20-50%)

Climbing; Rarely

Nearest Major Market: Washington DC
26d ago

TPA Oversight Adjuster - Work from Anywhere

Berkshire Hathaway
Remote or Wilkes-Barre, PA
Berkshire Hathaway GUARD offers a collaborative company culture with outstanding benefits and competitive compensation. Our organization is still hiring during the Pandemic and we're looking for talented individuals to join our team and establish a rewarding career with us.

Our success is founded on our strong reputation, and we have received an A+ “Superior” grade by the leading independent insurance rating organization. Backed by our ultimate parent company, Berkshire Hathaway Inc., our brand is founded upon trust, service, and innovation. If you're looking for an employer with integrity and flexibility, keep reading to learn about our benefits and job openings.
Benefits: Work life balance schedule- No Nights or Weekends! Generous vacation and sick time Closed on all major holidays Healthcare benefits begin on your first day of employment 401K with company match and profit sharing Every 5 years employees receive a generous monetary award to be used toward a vacation! Tuition reimbursement after six months of employment Discover opportunities to advance your career Be part of Berkshire Hathaway Inc., one of the world's most admired companies Hiring and Working During the Pandemic: Virtual interviews Virtual employee onboarding and training Hybrid work model (Splitting time between working remotely and in the office) We have implemented rigorous safety measures and policies to ensure our associates are protected when working in the office including following all federal and local safety precautions and mandates. Berkshire Hathaway will continue to monitor the COVID-19 situation closely and will adjust our policies as needed to ensure the continued safety of our employees. Responsibilities The TPA Oversight Adjuster is responsible for conducting office investigations and adjusting Worker Compensation claims. The Program Oversight Adjuster Trainee is also responsible for, but not limited to: Oversee the WC claims handled by TPA Review and approve reserve requests from TPA adjusters Provide settlement authority Provide direction to TPA adjusters Perform quarterly file audits Review requests to overturn denials and approve or deny as appropriate Participate in calls with account manager to discuss all issues related to TPA claims Work with TPA adjuster to develop claim resolution strategies and plans of action Hold TPA adjuster accountable to GUARD standards regarding claim handling, litigation management, settlement and closure Work with out IT department to assist in troubleshooting any Tech issues between Guard and TPA Foster strong and productive relationship with the TPA and their adjusters Qualifications Multi-year experience handling Lost Time WC claims Experience handling claims in multiple WC jurisdiction Aggressive in working with others to bring claims to resolution and/or closure Excellent communication and organizational skills Experience in handling high exposure WC claims preferable.
23d ago

Seasonal Crop Adjuster - SW Kansas

Zurich Na
Remote or Kansas City, KS
60d+ ago

International Casualty and Crisis Management Loss Adjuster - Washington DC

Charles Taylor Plc
Washington, DC
39d ago

CGL Adjuster

Hanover Insurance Group, Inc.
Remote or Worcester, MA
12d ago

Seasonal Crop Adjuster - Wisconsin

Zurich
Remote or Wisconsin
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13d ago
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Complex Liability Adjuster - Work from Anywhere

Guard Insurance Group
Remote or Parsippany-Troy Hills, NJ
New
5d ago

Complex Liability Adjuster - Work from Anywhere

Guard Insurance Group
Remote or Wilkes-Barre, PA
New
5d ago

Complex Liability Adjuster - Work from Anywhere

Guard Insurance Group
Remote or Alpharetta, GA
New
5d ago

TPA Oversight Adjuster - Work from Anywhere

Berkshire Hathaway
Remote or Wilkes-Barre, PA
23d ago

Complex Liability Adjuster - Work from Anywhere

Berkshire Hathaway
Remote or Wilkes-Barre, PA
23d ago

Hanover Programs - Regional Liability Adjuster

Hanover Insurance Group, Inc.
Remote or Worcester, MA
60d+ ago

TPA Oversight Adjuster - Work from Anywhere

Guard Insurance Group
Remote or Philadelphia, PA
60d ago

TPA Oversight Adjuster - Work from Anywhere

Guard Insurance Group
Remote or Rancho Cordova, CA
60d+ ago

General Adjuster

Optimal Solutions and Technologies
McLean, VA
New
3d ago

Claims Adjuster - Auto Damage

Progressive
Silver Spring, MD
26d ago

Property Adjuster

Crawford & Company
Bethesda, MD
52d ago

Claims Adjuster - Remote

American International Group
Remote or Fargo, ND
New
2d ago

Automotive Claims Adjuster

Hire Velocity
Remote or Saint Petersburg, FL
New
2d ago

Claims Adjuster

Encova
Remote or Virginia, MN
10d ago

Claims Adjuster

DCM Staffing
Remote or New York
New
6d ago

Automotive Claims Adjuster - Remote

Silverrock
Remote
New
1h ago

Automotive Claims Adjuster - Remote

Drive Time
Remote
New
2h ago

Field Claims Adjuster - Remote

Federated Mutual Insurance Company
Remote
New
2d ago

Remote Inside Property Adjuster

Liberty Mutual
Remote
New
2d ago

Field Property Claims Adjuster

Liberty Mutual
Ashburn, VA
New
2h ago

Property Adjuster

Crawford & Company
Bethesda, MD
51d ago

Property Adjuster

Crawford & Company
Fairfax, VA
60d+ ago

Property Adjuster

Crawford & Company
Fairfax, VA
60d+ ago

Claims Adjuster Trainee

Progressive
Remote or Riverside, CA
New
3d ago

Claims Adjuster Trainee

Progressive
Remote or Oldsmar, FL
New
3d ago

Property Adjuster

Crawford & Company
Remote or Boston, MA
10d ago

Average Salary For an Adjuster

Based on recent jobs postings on Zippia, the average salary in the U.S. for an Adjuster is $40,150 per year or $19 per hour. The highest paying Adjuster jobs have a salary over $51,000 per year while the lowest paying Adjuster jobs pay $31,000 per year

Average Adjuster Salary
$40,000 yearly
$19 hourly
Updated October 25, 2021
31000
10 %
40000
Median
51000
90 %

Highest Paying Cities For Adjuster

0 selections
CityascdescAvg. salaryascdescHourly rateascdesc
Los Angeles, CA
$50,797
$24.42
Austin, TX
$48,505
$23.32
Bismarck, ND
$46,480
$22.35
Carson City, NV
$46,451
$22.33
New York, NY
$46,329
$22.27
Annapolis, MD
$43,298
$20.82

5 Common Career Paths For an Adjuster

Owner

Owners, in the most basic sense, own the business, company, or organization. They are responsible for building the business. They create business plans and the general vision and mission of the company, set goals, work on these goals, and ensure that the business keeps running. They manage all aspects of their business, from finances to marketing to people, etc. When the business becomes stable, owners eventually hire more employees. As such, owners also become overseers who would ensure that the organization remains afloat.

Manager

Managers are responsible for a specific department, function, or employee group. They oversee their assigned departments and all the employees under the department. Managers are responsible that the department they are handling is functioning well. They set the department goals and the steps they must take to achieve the goals. They are also in charge of assessing the performance of their departments and their employees. Additionally, managers are responsible for interviewing prospective candidates for department vacancies and assessing their fit to the needs of the department. Managers also set the general working environment in the department, and they are expected to ensure that their employees remain motivated.

Senior Claims Representative

A senior claims representative serves as a client's primary point of contact when processing insurance claims. Their responsibilities include meeting with clients to identify their needs, gathering and verifying documentation, conducting investigations to determine the validity of insurance claims, liaising with external parties, and negotiating the amount of compensation. Furthermore, as a senior claims representative, it is essential to lead and serve as a mentor to junior claims representatives, all while implementing the company's policies and regulations, including its vision and mission.

Senior Claims Adjuster

A senior claims adjuster is in charge of inspecting and analyzing insurance claims to validate and adjust payments. Among their responsibilities include reviewing and verifying claims documents, visiting sites to investigate property damages and personal injuries, gathering evidence such as photos and videos, and conducting interviews with witnesses and clients. Moreover, as a senior claims adjuster, it is essential to lead and serve as a mentor to fellow claims adjusters while enforcing and promoting the company's policies and regulations.

Team Leader

Team leaders are responsible for managing a team for a specific project or work component. They primarily guide the team members and ensure that they are still working towards the set goals. Team leaders create strategies to reach goals, cascade the goals and strategies to team members, assign tasks, conduct periodic check-ups on the roadmap towards the goals, foster an engaging work environment, motivate and coach team members, monitor team performance, evaluate the strategies and come up with mitigating plans as needed. They are also responsible for reporting the team's progress to higher management.

Illustrated Career Paths For an Adjuster