Claims Representative jobs at Amica Insurance - 47 jobs
Associate PIP Claims Representative
Amica Mutual Insurance 4.5
Claims representative job at Amica Insurance
Rhode Island Claims 10 Amica Center Blvd, Lincoln, RI 02865 Thank you for considering Amica as part of your career journey, where your future is our business. At Amica, we pride ourselves on being an inclusive and supportive environment. We all work together to accomplish the common goal of providing the best experience for our customers. We believe in trust and fostering lasting relationships for our customers and employees! We're focused on creating a workplace that works for all. We'll continue to provide training, guidance, and resources to make Amica a true place of belonging for all employees. Want to learn more about our commitment to diversity, equity, and inclusion? Visit our DEI page to read about it!
As a mutual company, our people are our priority. We seek differences of opinion, life experience and perspective to represent the diversity of our policyholders and achieve the best possible outcomes. Our office located in Lincoln, RI is seeking an Associate PIP ClaimsRepresentative to join the team!
Job Overview:
The job duties include but are not limited to handling personal lines Personal Injury Protection and Medical Payments insurance claims. Substantial customer contact via the telephone and correspondence is required. Responsibilities include working in an electronic claim file environment, taking claim telephone reports, investigating, negotiating and settling claims and general office functions.
Candidates will be required to obtain a state insurance license and meet continuing education requirements.
Responsibilities:
* Handling personal lines Personal Injury Protection and Medical Payments Insurance Claims
* Substantial customer contact via the telephone and correspondence is required
* Working in an electronic claim file environment, taking claim telephone reports, investigating, negotiating, and settling claims and general office functions
* Candidates will be required to obtain a state insurance license and meet continuing education requirements
Total Rewards:
* Medical, dental, vision coverage, short- and long-term disability, and life insurance
* Paid Vacation - you will receive at least 13 vacation days in the first 12 months, amounts could be greater depending on the role. While able to use prior to accrual, vacation time will accrue monthly.
* Holidays - 14 paid holidays observed
* Sick time - 6 days sick time at hire, 6 additional days sick time at 90 days of employment
* Generous 401k with company match and immediate vesting. Additionally, annual 3% non-elective employer contribution
* Annual Success Sharing Plan - Paid to eligible employees if company meets or exceeds combined ratio, growth and/or service goals
* Generous leave programs, including paid parental bonding leave
* Student Loan Repayment and Tuition Reimbursement programs
* Generous fitness and wellness reimbursement
* Employee community involvement
* Strong relationships, lifelong friendships
* Opportunities for advancement in a successful and growing company
Qualifications
* High School Diploma or equivalent education required
* Maintain state insurance license
* Excellent written and verbal communication skills
* Knowledge of Microsoft Excel, Word, and Outlook
* Previous insurance, claims, and customer service experience preferred
Amica conducts background checks which includes a review of criminal, educational, employment and social media histories, and if the role involves use of a company vehicle, a motor vehicle or driving history report. The background check will not be initiated until after a conditional offer of employment is made and the candidate accepts the offer. Qualified applicants with arrest or conviction records will be considered for employment.
The safety and security of our employees and our customers is a top priority. Employees may have access to employees' and customers' personal and financial information in order to perform their job duties. Candidates with a criminal history that imposes a direct or indirect threat to our employees' or customers' physical, mental or financial well-being may result in the withdrawal of the conditional offer of employment.
About Amica
Amica Mutual Insurance Company is America's oldest mutual insurer of automobiles. A direct national writer, Amica also offers home, marine and umbrella insurance. Amica Life Insurance Company, a wholly owned subsidiary, provides life insurance and retirement solutions. Amica was founded on the principles of creating peace of mind and building enduring relationships for and with our exceptionally loyal policyholders, a mission that thousands of employees in offices nationwide share and support
Equal Opportunity Policy: All qualified applicants who are authorized to work in the United States will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, family status, ethnicity, age, national origin, ancestry, physical and/or mental disability, mental condition, military status, genetic information or any other class protected by law. The Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are 40 years of age or older. Employees are subject to the provisions of the Workers' Compensation Act.
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$40k-50k yearly est. 7d ago
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Multi Line Adjuster
Geico 4.1
Providence, RI jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Multi-line Adjuster - Rhode Island.
*Starting pay rate varies based upon position and location. Ask your Recruiter for details!
** Position will be 50% working in the field and 50% working from home **
We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Adjuster! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, and customer's homes. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing vessels, motorcycles, RV and other specialty claims.
Qualifications & Skills:
Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits
Must attain and maintain the required licenses issued by state insurance departments
Willingness to be flexible with primary work location
Solid computer, mechanical aptitude, and multi-tasking skills
Effective attention to detail and decision-making skills
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
Minimum of high school diploma or equivalent, college degree or currently pursuing preferred
Requirements:
Experience appraising Vessels - 2 years minimum
Preferred experience appraising motorcycles and RV's
Strong Customer Service skills - Ability to interact with customers and repair facilities
Must be able to obtain/qualify for Rhode Island all line adjusters license
Annual Salary
$32.05 - $57.49
The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
$32.1-57.5 hourly Auto-Apply 60d ago
Multi Line Adjuster
Geico Insurance 4.1
Providence, RI jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Multi-line Adjuster - Rhode Island.
* Starting pay rate varies based upon position and location. Ask your Recruiter for details!
Position will be 50% working in the field and 50% working from home
We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Adjuster! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, and customer's homes. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing vessels, motorcycles, RV and other specialty claims.
Qualifications & Skills:
Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits
Must attain and maintain the required licenses issued by state insurance departments
Willingness to be flexible with primary work location
Solid computer, mechanical aptitude, and multi-tasking skills
Effective attention to detail and decision-making skills
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
Minimum of high school diploma or equivalent, college degree or currently pursuing preferred
Requirements:
Experience appraising Vessels - 2 years minimum
Preferred experience appraising motorcycles and RV's
Strong Customer Service skills - Ability to interact with customers and repair facilities
Must be able to obtain/qualify for Rhode Island all line adjusters license
Annual Salary
$32.05 - $57.49
The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
* Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
* Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
* Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
* Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
$32.1-57.5 hourly Auto-Apply 59d ago
Sr Claim Examiner- WC
Crawford & Company 4.7
New Orleans, LA jobs
We're Hiring: Senior Claims Examiner - Workers Compensation Work From Home Excellent Crawford Benefits that Empower Financial, Physical, and Mental wellness Great Bonus Opportunity Generous Employee Referral Bonus program ️ Access to Multiple Employee Discounts
We're looking for a Senior Claims Examiner - WC with a passion for claims management to join our team!
Licensing is required
Proven experience managing Multi‑jurisdictions Workers Compensation claims!
What You'll Do:
Investigate and settle advanced, large-loss, and complex claims promptly and equitably under minimal supervision, while managing moderate-to-difficult claims within established authority.
Review coverages, determine liability and compensability, gather essential information, arrange property damage appraisals, and settle claims using best practices.
Evaluate and set reserves, assist with litigation preparation, and contribute to team success by conducting training and mentoring new hires.
This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.
$40k-59k yearly est. Auto-Apply 4d ago
Sr Claim Examiner-Liability
Crawford & Company 4.7
New Orleans, LA jobs
We're Hiring: Senior Claims Examiner - Liability Work From Home Excellent Crawford Benefits that Empower Financial, Physical, and Mental wellness Great Bonus Opportunity Generous Employee Referral Bonus Program ️ Access to Multiple Employee Discounts We're looking for a Senior Claims Examiner - Liability with a passion for claims management to join our team!
Licensing is a requirement.
Proven expertise in managing complex liability claims.
What You'll Do:
Investigate and settle advanced, large‑loss, and complex claims promptly and equitably under minimal supervision, while working within established authority on moderate‑to‑difficult claims.
Review coverages, determine liability and compensability, secure information, arrange property damage appraisals, and settle claims utilizing claims best practices.
Evaluate and set reserves using independent judgment, assist supervisors and defense attorneys in preparing cases for litigation, and support team development by conducting training and mentoring new hires.
This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.
$40k-59k yearly est. Auto-Apply 4d ago
Sr Claim Examiner-Liability
Crawford & Company 4.7
New Orleans, LA jobs
We're Hiring: Senior Claims Examiner - Liability Work From Home Excellent Crawford Benefits that Empower Financial, Physical, and Mental wellness Great Bonus Opportunity Generous Employee Referral Bonus Program ️ Access to Multiple Employee Discounts We're looking for a Senior Claims Examiner - Liability with a passion for claims management to join our team!
Licensing is a requirement.
Proven expertise in managing complex liability claims.
What You'll Do:
Investigate and settle advanced, large-loss, and complex claims promptly and equitably under minimal supervision, while working within established authority on moderate-to-difficult claims.
Review coverages, determine liability and compensability, secure information, arrange property damage appraisals, and settle claims utilizing claims best practices.
Evaluate and set reserves using independent judgment, assist supervisors and defense attorneys in preparing cases for litigation, and support team development by conducting training and mentoring new hires.
This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.
Bachelor's degree or equivalent experience required.
Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
Ability to work independently while assimilating various technical subjects..
Strong written and oral communication, negotiation and presentation skills.
Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.
Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
License Requirements: Per State or Jurisdictional requirements.
#LI-EM3
Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
Develops subrogation and third party recovery potential and follows reclaim procedures.
Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
$40k-59k yearly est. 3d ago
Sr Claim Examiner- WC
Crawford & Company 4.7
New Orleans, LA jobs
We're Hiring: Senior Claims Examiner - Workers Compensation Work From Home Excellent Crawford Benefits that Empower Financial, Physical, and Mental wellness Great Bonus Opportunity Generous Employee Referral Bonus program ️ Access to Multiple Employee Discounts
We're looking for a Senior Claims Examiner - WC with a passion for claims management to join our team!
Licensing is required
Proven experience managing Multi-jurisdictions Workers Compensation claims!
What You'll Do:
Investigate and settle advanced, large-loss, and complex claims promptly and equitably under minimal supervision, while managing moderate-to-difficult claims within established authority.
Review coverages, determine liability and compensability, gather essential information, arrange property damage appraisals, and settle claims using best practices.
Evaluate and set reserves, assist with litigation preparation, and contribute to team success by conducting training and mentoring new hires.
This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.
Bachelor's degree or equivalent experience required. Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU)..
Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
Ability to work independently while assimilating various technical subjects..
Strong written and oral communication, negotiation and presentation skills.
Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.
Workers Compensation (WC) Adjuster License required according to jurisdictional requirements
#LI-EM3
Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
Analyzes claims activity and prepares reports for clients/carriers and management.
Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
Develops subrogation and third party recovery potential and follows reclaim procedures.
Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
$40k-59k yearly est. 3d ago
Sr Claim Examiner-Liability
Crawford & Company 4.7
New Orleans, LA jobs
We're Hiring: Senior Claims Examiner - Liability Work From Home Excellent Crawford Benefits that Empower Financial, Physical, and Mental Wellness Great Bonus Opportunity Generous Employee Referral Bonus Program ️ Access to Multiple Employee Discounts We're looking for a Senior Claims Examiner - Liability with a passion for claims management to join our team!
NY Licensing is a requirement.
Proven expertise in managing complex liability claims.
In this position, you will investigate and settle advanced, large-loss, complex claims promptly and equitably under minimal supervision. You will work within established authority on moderate‑to‑difficult claims, review coverages, determine liability and compensability, secure information, arrange property damage appraisals, and settle claims utilizing claims best practices. You will evaluate and set reserves using independent judgment, assist supervisors and defense attorneys in preparing cases for litigation, and conduct training while mentoring new hires.
This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.
$40k-59k yearly est. Auto-Apply 54d ago
Sr Claim Examiner- WC
Crawford 4.7
New Orleans, LA jobs
📢 We're Hiring: Senior Claims Examiner - Workers Compensation 💻 Work From Home 🧘 Excellent Crawford Benefits that Empower Financial, Physical, and Mental wellness 🎯 Great Bonus Opportunity 🤝 Generous Employee Referral Bonus program 🛍️ Access to Multiple Employee Discounts
💼 We're looking for a Senior Claims Examiner - WC with a passion for claims management to join our team!
📘 Licensing is required
🏅 Proven experience managing Multi‑jurisdictions Workers Compensation claims!
What You'll Do:
🔍 Investigate and settle advanced, large-loss, and complex claims promptly and equitably under minimal supervision, while managing moderate-to-difficult claims within established authority.
📄 Review coverages, determine liability and compensability, gather essential information, arrange property damage appraisals, and settle claims using best practices.
📊 Evaluate and set reserves, assist with litigation preparation, and contribute to team success by conducting training and mentoring new hires.
🌍 This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.
Bachelor's degree or equivalent experience required. Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU)..
Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
Ability to work independently while assimilating various technical subjects..
Strong written and oral communication, negotiation and presentation skills.
Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.
Workers Compensation (WC) Adjuster License required according to jurisdictional requirements
#LI-EM3
Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
Analyzes claims activity and prepares reports for clients/carriers and management.
Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
Develops subrogation and third party recovery potential and follows reclaim procedures.
Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
$40k-59k yearly est. Auto-Apply 5d ago
Sr Claim Examiner-Liability
Crawford 4.7
New Orleans, LA jobs
📢 We're Hiring: Senior Claims Examiner - Liability 💻 Work From Home 🧘 Excellent Crawford Benefits that Empower Financial, Physical, and Mental wellness 🎯 Great Bonus Opportunity 🤝 Generous Employee Referral Bonus Program 🛍️ Access to Multiple Employee Discounts
We're looking for a Senior Claims Examiner - Liability with a passion for claims management to join our team!
📘 Licensing is a requirement.
🏅 Proven expertise in managing complex liability claims.
📝 What You'll Do:
🔎 Investigate and settle advanced, large‑loss, and complex claims promptly and equitably under minimal supervision, while working within established authority on moderate‑to‑difficult claims.
📄 Review coverages, determine liability and compensability, secure information, arrange property damage appraisals, and settle claims utilizing claims best practices.
📊 Evaluate and set reserves using independent judgment, assist supervisors and defense attorneys in preparing cases for litigation, and support team development by conducting training and mentoring new hires.
🌍This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.
Bachelor's degree or equivalent experience required.
Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
Ability to work independently while assimilating various technical subjects..
Strong written and oral communication, negotiation and presentation skills.
Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.
Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
License Requirements: Per State or Jurisdictional requirements.
#LI-EM3
Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
Develops subrogation and third party recovery potential and follows reclaim procedures.
Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
$40k-59k yearly est. Auto-Apply 5d ago
Sr Claim Examiner-WC (CA)
Crawford & Company 4.7
Remote
We're Hiring: Senior Claims Examiner - Workers Compensation (California) Work From Home Salary: $52,309.37 - $95,657.13 / Annually Excellent Crawford Benefits that Empower Financial, Physical, and Mental wellness Great Bonus Opportunity Generous Employee Referral Bonus program
️ Access to Multiple Employee Discounts
This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.
We're looking for a Senior Claims Examiner - WC with a passion for claims management to join our team!
SIP certification is required
Proven experience managing California Workers Compensation claim!
In this position, you will investigate and settle advanced, large-loss, and complex claims promptly and equitably under minimal supervision. You will work within established authority on moderate-to-difficult claims, reviewing coverages, determining liability and compensability, securing statements and other essential information, and settling claims using claims best practices. You will also evaluate and set reserves using independent judgment, assist supervisors and defense attorneys in preparing cases for litigation, and support team development by conducting training and mentoring new hires.
$52.3k-95.7k yearly Auto-Apply 30d ago
Sr Claim Examiner-WC (CA)
Crawford 4.7
Remote
📢 We're Hiring: Senior Claims Examiner - Workers Compensation (California) 💻 Work From Home 💰 Salary: $52,309.37 - $95,657.13 / Annually 🧘 Excellent Crawford Benefits that Empower Financial, Physical, and Mental wellness 🎯 Great Bonus Opportunity
🤝 Generous Employee Referral Bonus program
🛍️ Access to Multiple Employee Discounts
This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.
We're looking for a Senior Claims Examiner - WC with a passion for claims management to join our team!
📘 SIP certification is required
🏅 Proven experience managing California Workers Compensation claim!
📝 In this position, you will investigate and settle advanced, large-loss, and complex claims promptly and equitably under minimal supervision. You will work within established authority on moderate-to-difficult claims, reviewing coverages, determining liability and compensability, securing statements and other essential information, and settling claims using claims best practices. You will also evaluate and set reserves using independent judgment, assist supervisors and defense attorneys in preparing cases for litigation, and support team development by conducting training and mentoring new hires.
Bachelor's degree or equivalent experience required.
Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
Ability to work independently while assimilating various technical subjects..
Strong written and oral communication, negotiation and presentation skills.
Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.
Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
License Requirements: Per State or Jurisdictional requirements.
Workers Compensation (WC) Adjuster License required according to jurisdictional requirements
#LI-EM3
Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
Analyzes claims activity and prepares reports for clients/carriers and management.
Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
Develops subrogation and third party recovery potential and follows reclaim procedures.
Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
$52.3k-95.7k yearly Auto-Apply 31d ago
Sr Claim Examiner- WC
Crawford 4.7
Remote
Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Evaluates and sets reserves using independent judgment. Assists supervisor and company attorneys in preparing cases for litigations. Conducts training and mentors new hires.
Bachelor's degree or equivalent experience required. Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU)..
Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
Ability to work independently while assimilating various technical subjects..
Strong written and oral communication, negotiation and presentation skills.
Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.
Workers Compensation (WC) Adjuster License required according to jurisdictional requirements
Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
Analyzes claims activity and prepares reports for clients/carriers and management.
Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
Develops subrogation and third party recovery potential and follows reclaim procedures.
Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
$56k-84k yearly est. Auto-Apply 3d ago
Telephone Claims Adjuster
Allstate 4.6
Remote
National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.
Job Description
Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority.
Every claim presents a new challenge.
This role is ideal for someone who enjoys problem-solving, analyzing information, and making confident decisions while supporting customers and internal partners.
Key Responsibilities
• Applies increased experience in the Adjuster II level or a rotation into a specialty position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler, etc.)
• For claims involving injuries (if handled), learns how to review, evaluate, and negotiate basic to moderate injury claims
• Handles investigation regarding all aspects of advanced auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority
• Recognizes and identifies body parts of a vehicle and understanding other potential property damage
• Identifies customer needs and works to meet those needs using appropriate customer service skills
• Determines subrogation or fraud potential and how to handle
• Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department
Supervisory Responsibilities
• This job does not have supervisory duties.
Compensation
Base compensation offered for this role is:
Adjuster Analyst III: $21.20 -- $30.87/hr
Adjuster Consultant I: $26.49 -- $37.50/hr
Adjuster Consultant II: $28.03 -- $39.42/hr
Adjuster Sr Consultant I: $35.82 -- $45.58/hr
Compensation is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role.
Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.
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 Know Your Rights” 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.
National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A- (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. 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.
Companies & Partners
Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.
Benefits
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 **************.
$26.5-45.6 hourly Auto-Apply 6d ago
Claims Specialist- Liab
Crawford 4.7
Remote
Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only claims. Documents and monitors open case inventory to ensure proper/timely closing and billing of files. Makes decisions on claims within delegated limited authority.
College degree or the equivalent education and experience.
Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc).
Demonstrates a thorough working knowledge of claim processing and claim policies and procedures.
Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions
Demonstrates effective and diplomatic oral and written communication skills.
Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others.
Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level. Must possess a valid driver's license. Must complete continuing education requirements as outlined by Crawford Educational Services. Additional courses may be required by jurisdiction for maintenance of license.
Conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages. Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims.
Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves within designed authority, as necessary, during the processing of the claim.
Identifies applicable wage loss expenses and wage exposures.
Documents receipt and contents of claim documents including medical reports, police reports etc. Interacts frequently with claimant to understand nature and extent of injury and medical conditions. Reviews and handles other correspondence within authority including material from the team members, and/or clients.
Approves payments within scope of payment authority
Evaluate claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations.
Keep Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refer matters beyond limits of authority and expertise to Team Manager for direction.
With the team managers' guidance, provides input on the completion of status reports, initiate's activity checks and/or widow's statement of dependency forms.
Completes all reporting forms and file documentation.
Adheres to client and carrier guidelines and prepares written updates for supervisor to review.
Develops subrogation/third party recovery potential and follows recovery procedures
Participates in claim reviews as applicable.
Performs other related duties as required or requested.
$42k-65k yearly est. Auto-Apply 19d ago
Multi Line Adjuster
Geico Insurance 4.1
New Bedford, MA jobs
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Multi-line Adjuster - Rhode Island.
* Starting pay rate varies based upon position and location. Ask your Recruiter for details!
Position will be 50% working in the field and 50% working from home
We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Adjuster! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, and customer's homes. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing vessels, motorcycles, RV and other specialty claims.
Qualifications & Skills:
Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits
Must attain and maintain the required licenses issued by state insurance departments
Willingness to be flexible with primary work location
Solid computer, mechanical aptitude, and multi-tasking skills
Effective attention to detail and decision-making skills
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
Minimum of high school diploma or equivalent, college degree or currently pursuing preferred
Requirements:
Experience appraising Vessels - 2 years minimum
Preferred experience appraising motorcycles and RV's
Strong Customer Service skills - Ability to interact with customers and repair facilities
Must be able to obtain/qualify for Rhode Island all line adjusters license
Annual Salary
$32.05 - $57.49
The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
* Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
* Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
* Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
* Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
$32.1-57.5 hourly Auto-Apply 59d ago
Claims Adjuster Trainee
Allstate Insurance Co 4.6
Remote
National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.
Job Description
The Claims Inside Auto Trainee Analyst II is responsible for investigating and confirming the facts of loss for automobile accidents. This role determines coverage, liability, damages and otherwise adjusts and negotiates claims within authority.
National General is seeking motivated individuals to begin a rewarding career in the insurance industry as Claims Adjuster Trainees! In this role, you'll be responsible for investigating and verifying the details of automobile accidents, including obtaining police reports, collecting witness statements, confirming coverage, and determining liability. The ideal candidates are detail-oriented, organized, adaptable, able to handle difficult consumer conversations, enjoy investigative work, and are passionate about helping others navigate challenging situations.
Key Responsibilities
• Handles basic investigation regarding most aspects of auto claims (coverage, liability and damages)
• Identifies customer needs and works to meet those needs using appropriate customer service skills
• Applies a basic understanding of systems and technology used within the company
• Partners to determine subrogation or fraud potential and how to handle
• Exhibits basic understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department
• Begins recognizing and identifying body parts of a vehicle and other potential property damage
Supervisory Responsibilities
• This job does not have supervisory duties.
#LI-AS2
Compensation
Base compensation offered for this role is $22.84 - 29.57/hour and is based on experience and qualifications.
Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) as applicable for the role.
Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.
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 Know Your Rights” 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.
National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A- (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. 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.
Companies & Partners
Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.
Benefits
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 **************.
$22.8-29.6 hourly Auto-Apply 3d ago
Claims Resolution Adjuster II (PST/MST) - Remote
Allstate 4.6
Remote
At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Job Description
A day in the life of a Claims Resolution Adjuster 2 and what it takes to do the job!
As a Claims Resolution Adjuster 2, your main focus will be investigating automobile accidents involving single or multiple vehicles which result in property damage and/or bodily injury. You will have the convenience of working remotely from your home while efficiently handling your responsibilities. You will assess coverage, liability, and damages while providing exceptional customer service throughout your day. Customer communication will take place through different channels, including voice calls, email, and text messages. Through the utilization of innovative platforms and tools, you will engage in negotiation processes to reach fair injury settlements with all parties involved.
The Claims Resolution Adjuster 2 will primarily be responsible for the liability investigation and ultimate decisions, identifying injured parties beyond who is listed at FNOL, and recognizing impactful risk potential on claim files. They will be responsible for supporting the claimant throughout the vehicle restoration process and providing feedback on the Auto process in general. The Claims Resolution Adjuster and Casualty Adjusters will work hand-in-hand throughout the claims process.
You'll wear a few hats to fill a few roles throughout your day that all require a level of experience:
The Customer Service Expert - you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Casualty claim. You lead with empathy, always.
The Investigator - you'll confidently and independently investigate casualty (and applicable LOB (line of business)) claims by performing detailed reviews of damage and interpreting policies to determine coverage.
The Effective Communicator - you'll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You'll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress.
The Negotiator - you will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations.
The Problem Solver - you'll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.
The Recorder - you'll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You'll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim.
Preferred Qualifications:
2+ years claims adjusting experience determining liability
California claim handling experience, a plus
Claims investigation and negotiation experience is preferred
Experience with liability investigations, investigating coverage, PD coverage, set MOI, rental and resolving liability a plus
Proficient communication skills, especially over the phone, to establish rapport and assess claims accurately
Strong critical thinking and problem-solving skills to evaluate and negotiate injury claims successfully
Remote Work:
This position is not available to residents of California, Alaska, Hawaii and Puerto Rico.
Schedule: 8 hours shift between the hours of 8:00am - 6:00pm PST or MST zone. This will be Monday - Friday with potential Saturday duty rotation.
This position is a permanent remote home-based role. Your home office does not need to be near an Allstate office, but it does need to be in the United States.
When you work from home full time, you'll need:
A dedicated workspace in your residence that is private and free from distractions
A minimum internet bandwidth of 50 MB down/5 MB up
Appropriate work surface and seating.
What will Allstate provide?
A technology bundle that includes all equipment needed to perform your work from home (laptop, monitors, headset, keyboard, mouse)
Connectivity reimbursement of $80 per month to offset some of the cost of internet
Notice of Licensing Requirement
As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license which includes passing an additional background check with the Department of Labor. If applicable, you will be required to secure license(s) within 60 days of hire.
If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed.
#LI-BC1
Skills
Business Communications, Claims Adjustments, Claims Resolution, Critical Thinking, Fraud Investigations, Information Collection, Insurance Claims, Insurance Claims Investigations, Liability Investigations, Time Management
Compensation
Compensation offered for this role is 50,000.00 - 75,050.00 annually and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.
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 Know Your Rights” 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.
At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Job Description
This job is responsible for providing a superior level of customer service and attention to customers who have a vehicle that needs repaired. The individual virtually inspects damage to a vehicle (which may include automobiles, motorcycles, all-terrain vehicles and recreational vehicles), writes damage repair estimates, completes total loss valuations and negotiates moderately complex and occasionally complex settlements with repair facilities, tow yards, customers, and estimates repair times for rental/loss of use. The individual works independently, prioritizes the individual's own responsibilities, and manages the individual's own workload and is responsible for explaining coverage, estimates, claims, settlement, and rental processes to agents and/or customers.
Preferred Qualifications:
18 months or more of Auto Collision estimating in CCC One, Audatex, or Mitchell
Previous experience in total loss adjustment or a related field is highly desirable.
Proficiency in using estimating software and valuation tools for virtual assessments.
Strong analytical skills to evaluate moderate to complex vehicle damages effectively.
Excellent negotiation and communication skills to interact with customers and stakeholders remotely.
Ability to work independently and manage time efficiently in a virtual work environment.
Detail-oriented and organized, with a commitment to delivering accurate and timely results.
You'll wear a few hats to fill a few roles throughout your day that all require a level of experience.
The Customer Service Expert- you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each auto claim. You lead with empathy, always.
The Investigator- you'll confidently and independently investigate claims by performing detailed reviews of damage and interpreting policies to determine coverage.
The Effective Communicator- you'll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You'll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress.
The Negotiator- You will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations.
The Problem Solver - you'll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.
The Recorder- you'll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You'll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim.
Allstate Benefits
Allstate cares about you and your wellbeing. We offer a comprehensive total rewards package that includes pay, benefits, and programs to help you balance work with the rest of your life. You can choose whatever benefits are most important you. Here are some of our benefits:
Medical, dental, and vision coverage
Allstate pension plan and 401(k) savings plan
Ayco financial coaching
Spring Health mental and emotional wellbeing resources
Paid parental leave
Adoption reimbursement
Paid time off
Tuition reimbursement
Wellness incentives
Allstate Foundation donation match and grant opportunities
Visit ************************** to learn more.
Work Location
Your home office does not need to be near an Allstate office, but it does need to be in the United States. This position is not available for California, Alaska, and Hawaii residents.
When you work from home full time, you'll need:
A dedicated workspace in your residence that is private and free from distractions
A minimum internet bandwidth of 50 MB down/5 MB up
Appropriate work surface and seating
What will Allstate provide:
A technology bundle that includes all equipment needed to perform your work from home (laptop, monitors, headset, keyboard, mouse)
Connectivity reimbursement of $80 per month to offset some of the cost of internet
Notice of Licensing Requirement
As a condition of employment, you'll be expected to obtain an adjuster's and appraisers license based on state specific requirements
All required licenses must be obtained within 60 days of hire
You must maintain all licensing required for your role. This includes any continuing education and/or other state-affiliated requirements for licensing renewal
Skills
Claims Processing, Estimatics, Negotiation, Policy Interpretation
Compensation
Compensation offered for this role is 56,000.00 - 92,000.00 annually and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.
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 Know Your Rights” 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.
$43k-54k yearly est. Auto-Apply 3d ago
Associate APD Claims Queue Representative
Amica Mutual Insurance 4.5
Claims representative job at Amica Insurance
APD Claims Queue Representative Rhode Island Claims 10 Amica Way, Lincoln, RI 02865 Thank you for considering Amica as part of your career journey, where your future is our business. At Amica, we pride ourselves on being an inclusive and supportive environment. We all work together to accomplish the common goal of providing the best experience for our customers. We believe in trust and fostering lasting relationships for our customers and employees! We're focused on creating a workplace that works for all. We'll continue to provide training, guidance, and resources to make Amica a true place of belonging for all employees. Want to learn more about our commitment to diversity, equity, and inclusion? Visit our DEI page to read about it!
As a mutual company, our people are our priority. We seek differences of opinion, life experience and perspective to represent the diversity of our policyholders and achieve the best possible outcomes.
Our office located in Lincoln, RI is seeking a Customer Service ClaimsRepresentative to join the team!
Job Overview
In compliance with state licensing requirements and company guidelines; handle telephone calls, electronic and written communication and other customer contacts with a reasonable level of difficulty to their conclusion. Work with a minimal degree of independence, applying communication and service skills to handle adverse situations by representing the Company's position in a sophisticated and professional manner. Seek additional guidance and authority when necessary.
Responsibilities
* Handle claim-related communications and take appropriate action to address stakeholder needs, consider additional claim exposures, and make proper data entries into the claim system.
* Build favorable working relationships with all employees and help to maintain a strong culture of collaboration, communication, and service.
* Act to resolve issues within designated authority level.
* Develop a working understanding of the laws and regulations that impact claims handling
* Identify claim files that merit SIU and/or subrogation referral for supplemental claim handling.
* Secure and maintain licenses in designated states and complete continuing education as needed for compliance.
* May be called upon to handle other duties as required.
Qualifications
* High school diploma or equivalent education required
* Previous insurance, claims, and customer service experience preferred
* Strong organizational, time management and priority-setting skills
* Strong written and verbal communication skills
* Ability to work with appropriate supervision
* Strong interpersonal skills
* Solid decision-making skills, ability to handle conflicts and deal with difficult situations
* Knowledge of Microsoft Office and computer systems
* Committed to improving one's professional knowledge through continuing education
Salary
A starting annual salary of $43,105.
Schedule
The 37.5-hour schedule will be Monday through Friday either 11:45 AM - 8 PM or a condensed scheduled from 12:30 - 8 PM., with the potential to work holidays and a few Saturdays per year.
This position requires you to work in the office every scheduled business day with the possibility to work from home 2 days a week after you have undergone the proper training and have shown the ability to do so.
Amica conducts background checks which includes a review of criminal, educational, employment and social media histories, and if the role involves use of a company vehicle, a motor vehicle or driving history report. The background check will not be initiated until after a conditional offer of employment is made and the candidate accepts the offer. Qualified applicants with arrest or conviction records will be considered for employment.
The safety and security of our employees and our customers is a top priority. Employees may have access to employees' and customers' personal and financial information in order to perform their job duties. Candidates with a criminal history that imposes a direct or indirect threat to our employees' or customers' physical, mental or financial well-being may result in the withdrawal of the conditional offer of employment.
Total Rewards
* Medical, dental, vision coverage, short- and long-term disability, and life insurance
* Paid Vacation - you will receive at least 13 vacation days in the first 12 months; amounts could be greater depending on the role. While able to use prior to accrual, vacation time will accrue monthly.
* Holidays - 14 paid holidays observed
* Sick time - 6 days sick time at hire, 6 additional days sick time at 90 days of employment
* Generous 401k with company match and immediate vesting. Additionally, annual 3% non-elective employer contribution
* Annual Success Sharing Plan - Paid to eligible employees if company meets or exceeds combined ratio, growth and/or service goals
* Generous leave programs, including paid parental bonding leave
* Student Loan Repayment and Tuition Reimbursement programs
* Generous fitness and wellness reimbursement
* Employee community involvement
* Strong relationships, lifelong friendships
* Opportunities for advancement in a successful and growing company
About Amica
Amica Mutual Insurance Company is America's oldest mutual insurer of automobiles. A direct national writer, Amica also offers home, marine and umbrella insurance. Amica Life Insurance Company, a wholly owned subsidiary, provides life insurance and retirement solutions. Amica was founded on the principles of creating peace of mind and building enduring relationships for and with our exceptionally loyal policyholders, a mission that thousands of employees in offices nationwide share and support.
Equal Opportunity Policy: All qualified applicants who are authorized to work in the United States will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, family status, ethnicity, age, national origin, ancestry, physical and/or mental disability, mental condition, military status, genetic information or any other class protected by law. The Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are 40 years of age or older. Employees are subject to the provisions of the Workers' Compensation Act.
Amica Mutual Insurance Company is committed to protecting job seekers from recruitment fraud. We never request sensitive personal information or payment during the interview process. All legitimate job opportunities are listed on our official careers site: ************************** Learn more in the "Is Amica hiring?" section of our FAQ.
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