Claim Processor jobs at Auto-Owners Insurance

We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to: * Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. * Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. * Follow claims handling procedures and participate in claim negotiations and settlements. * Deliver a high level of customer service to our agents, insureds, and others. * Devise alternative approaches to provide appropriate service, dependent upon the circumstances. * Meet with people involved with claims, sometimes outside of our office environment. * Handle investigations by telephone, email, mail, and on-site investigations. * Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute. * Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials. * Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule. * Assist in the evaluation and selection of outside counsel. * Maintain punctual attendance according to an assigned work schedule at a Company approved work location. Desired Skills & Experience * A minimum of three years of insurance claims related experience. * The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision. * The ability to effectively understand, interpret and communicate policy language. * The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI

Network Adjusters is seeking an experienced General Liability/Construction Defect Claims Supervisor to join our third-party administrative insurance handling team. As a Claims Supervisor, you will oversee the full claims process in a fast-paced environment, ensuring compliance and service standards are met. You will hire, onboard, train, and develop a team of adjusters specializing in construction defect claims, guiding them in the proper investigation, documentation, and resolution of first and third party claims. This role offers the opportunity to build and grow a talented claims staff, provide technical support, maintain department protocols, and drive strong customer service outcomes while advancing your own leadership career. QUALIFICATIONS: Minimum of three years' experience as a supervisor/manager (preferably in insurance claims). Minimum of 5 years' experience handling general liability or construction defect claims. Strong leadership skills, with ability to motivate and develop a team. Superior working knowledge of case law, statutes, and procedures impacting the handling and value of claims. Ability to prioritize workload and handle multiple tasks. Analytical and problem-solving abilities, with a keen attention to detail. Desire to work in a fast-paced environment. Excellent evaluation and strategic skills required. Strong claim negotiation skills. Proficient in MS Office Suite and other business-related software. Polished and professional written and verbal communication skills. Bachelor's degree in a relevant field or equivalent work experience. RESPONSIBILITIES: Supervise a Team: Manage a team of claims adjusters, providing guidance, training, and support to ensure high-quality claim assessments and exceptional customer service. Coverage Analysis: Examine claim forms, policies, and other records to determine insurance coverage. Claims Processing: Oversee the entire claims process, including the evaluation of damages, determination of loss, settlement negotiations and resolution, while ensuring all compliance regulations are adhered to. Quality Assurance: Implement and monitor quality control measures (Best Practices) to ensure accurate and consistent claims handling in compliance with company guidelines and industry standards. Customer Service: Collaborate with carriers, attorneys, claimants, and internal policyholders to address inquiries, resolve disputes, and ensure a positive claims experience. Performance Metrics : Track and analyze key performance metrics to identify areas for improvement, set performance targets, and implement strategies to meet or exceed goals. Reporting: Generate and present regular reports to senior management and clients, highlighting department performance, trends, and areas for improvement. Compliance: Stay current with industry regulations and best claims practices to ensure that claims processes are compliant with all legal requirements. BENEFITS: 401(k) with company match / Retirement planning Paid time off / Company paid holidays Comprehensive health plans including dental and vision coverage Flex Spending Account Company paid life insurance Company paid long term disability Supplemental life insurance Opportunity to buy into short term disability Family leave Employee Assistance Program This role is based in Denver, CO, and we strongly prefer candidates who can work on-site. Remote arrangements may be considered only for exceptionally well-qualified applicants who meet all required criteria. The starting salary for this position is $110,000 - $140,000, depending on factors such as licensure, certifications, and relevant experience. Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.

Network Adjusters is seeking an experienced first party property damage Claims Supervisor to join our expanding team. As a Property Claims Supervisor, you will play a critical role in our claims department, overseeing the entire claims process in a fast-paced environment to ensure all compliance and service guidelines are met. You will manage a team of Adjusters who specialize in handling Commercial Property losses, ensuring each member of your team is properly investigating, documenting, and resolving their assigned claims. You will offer guidance and support to staff on claims-related technical matters and oversee adherence to department protocols and expectations when dealing with first-party and third-party claims. You will strive to exceed customer service benchmarks, take charge of continued education, and nurture the growth of your team, actively contributing to their career advancement. Become a part of our dynamic, energetic workforce in which you can make a difference. We are committed to encouraging your professional growth through a variety of development opportunities. QUALIFICATIONS: Minimum of five (5) years handling first party property claims; prior claim supervision & commercial claims experience preferred. Strong leadership skills, with ability to motivate and develop a team. Superior working knowledge of case law, statutes, and procedures impacting the handling and value of claims. Ability to prioritize workload and handle multiple tasks. Analytical and problem-solving abilities, with a keen attention to detail. Desire to work in a fast-paced environment. Excellent evaluation and strategic skills required. Strong claim negotiation skills. Proficient in MS Office Suite and other business-related software. Polished and professional written and verbal communication skills. Bachelor's degree in a relevant field or equivalent work experience. RESPONSIBILITIES: Supervise a Team: Manage a team of claims adjusters, providing guidance, training, and support to ensure high-quality claim assessments and exceptional customer service. Coverage Analysis: Examine claim forms, policies, and other records to determine insurance coverage. Claims Processing: Oversee the entire claims process, including the evaluation of damages, determination of loss, settlement negotiations and resolution, while ensuring all compliance regulations are adhered to. Quality Assurance: Implement and monitor quality control measures (Best Practices) to ensure accurate and consistent claims handling in compliance with company guidelines and industry standards. Customer Service: Collaborate with carriers, attorneys, claimants, and internal policyholders to address inquiries, resolve disputes, and ensure a positive claims experience. Performance Metrics : Track and analyze key performance metrics to identify areas for improvement, set performance targets, and implement strategies to meet or exceed goals. Reporting: Generate and present regular reports to senior management and clients, highlighting department performance, trends, and areas for improvement. Compliance: Stay current with industry regulations and best claims practices to ensure that claims processes are compliant with all legal requirements. BENEFITS: · 401(k) with company match / Retirement planning · Paid time off / Company paid holidays · Comprehensive health plans including dental and vision coverage · Flex Spending Account · Company paid life insurance · Company paid long term disability · Supplemental life insurance · Opportunity to buy into short term disability · Family leave · Employee Assistance Program About Network Adjusters, Inc. Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for almost seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York and Denver to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities. Please be advised this position is an in-office role located in Denver, CO. No remote opportunities are available at this time. The starting salary for this position is $85,000 - $110,000; factors such as licensing, certifications, work, and relative experience will be taken into consideration.

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. What Makes This Opportunity Exciting? Are you a seasoned professional with a track record ininsurance claims? As an Experienced Claims Specialist at GEICO, you'll leverage your expertise to manage cases and contribute to your team's success. You'll be at the heart of our commitment to outstanding customer service. You'll manage multiple steps impacting the claims life cycle, providing guidance, support, and solutions to policyholders during times of uncertainty. Your expertise and compassion will make a meaningful impact on their lives while contributing to GEICO's reputation for excellence. Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures. Customer Service: Communicate professionally and empathetically with customers, addressing concerns and questions about their claims. Investigation: Conduct thorough investigations to determine the extent of coverage and assess any potential fraud. Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Workplace Flexibility: After completing a comprehensive 5-month in-office training and orientation, transition to a hybrid work model with the best of both worlds-spend 80% of your time in the office and 20% working remotely. Plus, take advantage of the GEICO Flex Program, which offers up to four additional weeks of remote work annually for even greater flexibility. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Access to GEICO Strive Program, providing associates with tuition assistance and access to high-quality education to advance their career. Incentives and Recognition: Pay Transparency: The starting salary for an Experienced Claims Specialist is between $31.62 per hour / $63,714 annually and $33.11 per hour / $66,736 annually. Sign-On Bonuses: $1,500 for active Florida All-Lines Adjuster License (6-20). Evening Shift Differentials: Earn a +10% pay differential for eligible shifts. Weekend Shift Differentials: Earn a +20% pay differential for eligible shifts. Additional Perks: Health & Wellness: Comprehensive healthcare and well-being support available on Day 1. 401(k) Match: From day one, you'll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your account each paycheck and vesting immediately. What We're Looking For: A passion for providing outstanding customer service. Strong interpersonal, communication, and problem-solving skills. Adaptability and attention to detail in a dynamic environment. 2+ years of prior claims experience in the insurance industry. Active Florida All-Lines Adjuster License (6-20) required. High School Diploma required, College degree (2-4 year) preferred. Ability to prioritize and multi-task, while navigating through multiple business applications. Computer proficiency, including familiarity with Microsoft Office Suite. Flexibility to work evenings, weekends, and holidays as needed. #geico600 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.

Claims Clerk Full TimeSME/Specialist Oakbrook Terrace, IL, US Salary Range:$50,500.00 To $57,500.00 Annually The Claims Clerk will be responsible for accurate, timely screening and distribution of incoming electronic claims correspondence. This role will aid the Analysts in timely processing of the claims and help secure a manageable turnaround time for the entire Claims Department. This position will report to the Claims Manager. Essential Elements Manage the Secure File Transfer Portal (SFTP) site ensure all reporting received is processed in a timely manner Download and pivot reports from Power BI, to locate all possible medical and prescription claims. Identify and review claims data ensuring data integrity Distributing claim requests for processing Convert the PDF claims received into an Excel Template for the Claims Analyst to upload and process Additional duties as assigned Requirements Education and Certifications Associates degree or commensurate experience required Experience Excel, Microsoft Office Suite, Power BI, Clerical functions Travel Required May need to travel to the home office quarterly Hybrid workplace

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. What Makes This Opportunity Exciting? Are you a seasoned professional with a track record in insurance claims? As an Experienced Claims Specialist at GEICO, you'll leverage your expertise to manage cases and contribute to your team's success. You'll be at the heart of our commitment to outstanding customer service. You'll manage multiple steps impacting the claims life cycle, providing guidance, support, and solutions to policyholders during times of uncertainty. Your expertise and compassion will make a meaningful impact on their lives while contributing to GEICO's reputation for excellence. Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures. Customer Service: Communicate professionally and empathetically with customers, addressing concerns and questions about their claims. Investigation: Conduct thorough investigations to determine the extent of coverage and assess any potential fraud. Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Workplace Flexibility: After completing a comprehensive 5-month in-office training and orientation, transition to a hybrid work model with the best of both worlds-spend 80% of your time in the office and 20% working remotely. Plus, take advantage of the GEICO Flex Program, which offers up to four additional weeks of remote work annually for even greater flexibility. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Access to GEICO Strive Program, providing associates with tuition assistance and access to high-quality education to advance their career. Incentives and Recognition: Pay Transparency: The starting salary for an Experienced Claims Specialist is between $31.62 per hour / $63,714 annually and $33.11 per hour / $66,736 annually. Sign-On Bonuses: $1,500 for active Florida All-Lines Adjuster License (6-20). Evening Shift Differentials: Earn a +10% pay differential for eligible shifts. Weekend Shift Differentials: Earn a +20% pay differential for eligible shifts. Additional Perks: Health & Wellness: Comprehensive healthcare and well-being support available on Day 1. 401(k) Match: From day one, you'll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your account each paycheck and vesting immediately. What We're Looking For: A passion for providing outstanding customer service. Strong interpersonal, communication, and problem-solving skills. Adaptability and attention to detail in a dynamic environment. 2+ years of prior claims experience in the insurance industry. Active Florida All-Lines Adjuster License (6-20) required. High School Diploma required, College degree (2-4 year) preferred. Ability to prioritize and multi-task, while navigating through multiple business applications. Computer proficiency, including familiarity with Microsoft Office Suite. Flexibility to work evenings, weekends, and holidays as needed. #geico600 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.

Logistics: PGBA - one of BlueCross BlueShield's South Carolina subsidiary companies Location: This position is full-time (40 hours/week) Monday-Friday from 8:00am-5:00pm. This role is located on-site at 200 N Dozier Blvd., Florence, SC 29501. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. What You'll Do: Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. Resolves system edits, audits and claims errors through research and use of approved references and investigative sources. Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary. To Qualify for This Position, You'll Need the Following: Required Education: High School Diploma or equivalent Required Skills and Abilities: Strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient spelling, punctuation and grammar skills. Good judgment skills. Basic business math skills. Required Software and Tools: Basic office equipment. We Prefer That You Have the Following: Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment. Preferred Skills and Abilities: Ability to use complex mathematical calculations. Preferred Software and Other Tools: Proficient in word processing and spreadsheet applications. Proficient in database software. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

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. Thats why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Bilingual (English/Spanish) Claims Service Specialist Tucson, ArizonaSalary: $20.84 per hour / $41,992.60 annually+10% Bilingual DifferentialClaim your career growth as a Bilingual Claims Service Specialist at GEICOs Tucson, Arizona office and be a part of one of the fastest-growing auto insurers in the United States! If you are motivated, all about solutions, and empathetic to the needs of customers, come grow a fulfilling career with us!Through our paid, industry-leading training, you will learn the ins and outs of the claims process and be ready to assist our Spanish-speaking policyholders when they need us the most during an accident. As a Bilingual Claims Service Specialist, you will collect facts about the accident, investigate claim details, and collect statements from involved parties. Our policyholders will count on your patience, support, and attention to detail to get them back on the road as quickly as possible. GEICO will also give you the space and grace to explore your abilities and learn new ones. So if you are ready to start growing your career, lets talk!Avanza profesionalmente con una compaa que valora la diversidad y la inclusin.Esta oportunidad es ideal para estudiantes, futuros estudiantes y aspirantes que valoran el aprendizaje continuo, ya que nuestros Representantes de Reclamos tienen el desafo constante de aprender y expandir su conocimiento de la industria de seguros y nuestra compaa. Adems, GEICO favorece la cultura de ascensos dentro de la empresa, as que abundan las oportunidades para que avances profesionalmente y seas recompensado por el trabajo duro y la perseverancia.Prepara tu pasin para ayudar a los dems, y marcar la diferencia y comienza una trayectoria laboral gratificante con GEICO hoy!Many associates see a base salary increase of 10% within their first year as a Bilingual Claims Service Specialist. Top associates can see increases up to 15%!Qualifications & Skills:Excellent verbal and written communication skills in English and SpanishExperience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction Solid computer multitasking skills Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities Ability to work comfortably and grow in a fast-paced, high-volume call center environment Minimum of high school diploma or equivalent, college degree or currently pursuing preferred Eagerness to explore new skills and openness to different career paths#geico700 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 lifes twists and turns. Our mission is to protect people when they need it most and were constantly evolving to stay ahead of their needs.Were an iconic brand that thrives on innovation, exceeding our customers expectations and enabling our collective success. From day one, youll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on peoples 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. Youll 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 familys 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.RequiredPreferredJob Industries Other

Job Title: Claims Processor - Casualty FLSA Status: Non-Exempt Job Family: Claims Department: Casualty Claims Responsible for effectively analyzing and resolving assigned minor casualty claims consistent with claims department standards and company objectives. POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Identify and investigate coverage, damage and reserve adequacy issues on assigned claims. Apply statutes, common law, and other applicable legal concepts. Identify liability issues and communicate this to supervisor for possible file transfer. Communicate with policyholders, agents, claimants, medical providers and other persons as needed. Direct independent adjusters, appraisers, and other support service providers to ensure effective and efficient claims resolution. Acquire, record and maintain all essential file documentation in accordance with established guidelines. Provide timely status reports regarding assigned claims to management and others. Identify and pursue cost containment/loss mitigation opportunities. Negotiate and resolve all assigned claims within established settlement authority in a prompt, fair and equitable manner. Participate and provide input in regularly scheduled departmental meetings involving collective decision making. Travel as needed to attend training programs and to conduct investigation relating to claims resolution. Further the attainment of overall claims department objectives by assisting other claims personnel as requested. Complete other projects as assigned. KNOWLEDGE, SKILLS, AND ABILITIES The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to effectively communicate with others (both oral and written). Must be able to make independent decisions. Must have strong interpersonal and organizational skills. Must have the ability to handle confrontational situations in a productive manner. Experience in investigation, customer service, and/or negotiation would be beneficial. Insurance, legal and/or medical knowledge would be of benefit. Should be able to sit for prolonged periods of time. Effectively interface with external contacts, Brotherhood employees, managers, and department staff members. EDUCATION AND/OR EXPERIENCE List Degree Requirement, Years' Experience, and Certifications Must have a high school diploma or equivalent. Must fulfill required adjuster licensing requirements. Bachelor's degree or equivalent related work experience desired. Insurance related course work would be of benefit. Terms and Conditions This description is intended to describe the general content of and requirements for the performance of this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Because the company's niche is the church and related ministries market, and because effective service requires a thorough understanding of this market, persons in this position must be familiar with church operations and must conduct themselves in a manner that will neither alienate nor offend persons within this target niche. Brotherhood Mutual Insurance Company reserves the right to modify, interpret, or apply this position description in any way the company desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. This position description is not an employment contract, implied or otherwise. The employment relationship remains “at-will”.

The Claim Examiner Team Lead is a key resource for the Claim Examiner team, leveraging advanced expertise in claim adjudication, payment integrity and regulatory compliance. This position does not include direct supervisory responsibilities or formal performance reviews. Instead, the Team Lead provides support, coaching, and technical guidance to claim examiners, ensuring accuracy, efficiency, and adherence to CMS and company standards. Acting as a mentor, process improvement lead, and operational reviewer, the Team Lead drives continuous improvement, supports fraud, waste and abuse (FWA) prevention initiatives and collaborates with cross-functional teams to optimize claims processes and professional development. Key Responsibilities: Team Leadership and Enablement Provide direction, mentorship, and technical support for Claim Examiners, fostering a collaborative and high-performance environment. Act as the primary resource for escalated claims and technical questions, offering expert advice and facilitating team learning. Contribute to the development and delivery of training materials and workshops, supporting ongoing professional development. Lead and support onboarding of new Claim Examiners, ensuring effective orientation to claims processes, company policies, and regulatory requirements. Serve as a resource for new team members during their initial training period helping them integrate into the team and build foundation skills. Claim Adjudication and Payment Integrity Utilize in-depth knowledge of claims adjudication processes to ensure accurate and timely processing of Medicare Supplement claims. Review and analyze complex claims for proper application of policy provisions and regulatory requirements. Support payment integrity by verifying claims are processed correctly, assisting in identifying and correcting payment errors, and collaborating on payment integrity reviews. Fraud, Wast, and Abuse (FWA) Prevention Review claims for signs of fraudulent activity or proper hilling practices. Assist in enforcing policies and procedures to prevent, detect and address FWA in claims processing. Conduct investigations into suspected FWA activities and educate team members on prevention strategies. Regulatory Compliance and Quality Assurance Ensure claims processing complies with CMS guidelines, state regulations, and company policies. Conduct regular audits of claims to maintain high standards of quality and compliance. Stay informed about changes in Medicare regulations and communicate updates to the team. Claim Edit Logic Review and Collaboration Serve as an operational reviewer and subject matter expert for claim edit logic, providing input and feedback to technical, compliance, and analytics team. Participate in requirements gathering, validation, and documentation of logic changes, supporting audit readiness and continued improvement. Collaborate with IT and analytics teams on the implementation and optimization of claim edit logic, without direct responsibility for technical development or system configuration. Process Improvement and Operational Excellence Identify opportunities for process improvements and efficiencies in claim indexing, queue management and workflow. Lead or participate in process improvement initiatives, leveraging data analytics and trend analysis to drive operational enhancements. Prepare actionable insights for management review. Stakeholder Collaboration and Enablement Facilitate resolution of complex claims issues and drive alignment with CMS policies. Provide expert guidance and support to claim examiners and customer service representative regarding claim-related inquiries and escalations. Collorate with cross-functional teams (compliance, IT, analytics, customer service) to ensure seamless integration of new rules and system enhancements. Qualifications: Experience: 3+years of experience in healthcare claims analysis, medical coding, payment integrity or healthcare data analytics. Experience with Medicare payment methodologies and reimbursement rules preferred. Experience with clinical coding (CPT, HCPCS, ICD, NDC) and regulatory research preferred. Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or similar preferred credentials. Skills: Technical and Analytical: Advanced proficiency in SQL and Excel; experience with data visualization tools (Tableau, Power BI) and large datasets. Strong analytical, communication and problem-solving skills. Deep understanding of medical coding systems (CPT, HCPCS, ICD, DRG, NCD) and healthcare reimbursement methodologies. Communication and Collaboration: Excellent verbal and written communication skills; able to explain technical concepts to non-technical audiences and document logic/rationale for edits. Ability to work independently and collaboratively in cross-functional teams (technical, business operations, provider facing). Quality and Process Improvement Strong attention to detail and commitment to accuracy in edit development, testing, and documentation. Experience in quality assurance, UAT testing and continuous improvement of claims editing. Problem Solving and Initiative: Demonstrated ability to analyze root causes, troubleshoot issues and propose solutions for claims editing and payment integrity challenges. Proactive in identifying opportunities for edit optimization, regulatory compliance and operational efficiency. Work Environment / Physical Requirements: The work environment is a standard office setting with typical office equipment. This role involves professional collaboration with colleagues and clients. Responsibilities may involve extended periods of sitting, occasional walking between departments or meeting rooms, and periodic standing, reaching, stooping, and lifting office items weighing up to 25 pounds.

DETAILS Claims Examiner II Department: Property & Casualty Reports To: Claims Supervisor P&C FLSA Status: Exempt in all states but CA Job Grade: 11 Career Ladder Next step in progression could include Senior Claims Examiner ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a “Best Place to Work.” Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property & Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today! POSITION SUMMARY Athens Administrators has an immediate need for a full-time Claims Examiner II to support our Property & Casualty department. Employees who live less than 26 miles from the Concord, CA, Orange, CA, San Antonio, TX, or Lake Mary, FL offices are required to work once a week in the office. The remaining days can be worked remotely if technical requirements are met, and the employee resides in a state Athens operates in (includes CA, CT, FL, GA, ID, IL, MA, NY, NC, NJ, OH, OK, OR, PA, SC, TN, TX, VA, and WV). Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. We are totally unique in that we focus only on commercial business specialization across multiple coverage lines. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday through Friday at 37.5 hours per week. As an Inside Property and Casualty Claims Examiner II, this candidate will be responsible for the review, analysis, and process of moderate to severe commercial auto claims with an opportunity to handle Commercial Property, Inland Marine, and General Liability claims. These claims are typically moderate exposure and may entail litigation and coverage issues. The goal of the position is to ensure the delivery of quality service to customers while protecting their interests. PRIMARY RESPONSIBILITIES Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned: Advanced knowledge in the following areas: 1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge, 2) functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated advanced analytical, decision making and negotiation skills. Investigate, evaluate, and determine settlement value or denial of liability for moderate to severe level commercial auto claims Within prescribed settlement authority for line of business, establish appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Make recommendations to set reserves at appropriate level for claims outside of authority level Prepare comprehensive reports as required. Identify and communicate specific claim trends and account and/or policy issues to management Manage the litigation process through the retention of counsel. Adhere to the line of business litigation guidelines to include budget, bill review and payment Document and manage claims (i.e.: record statements, update diaries, write reports) from inception to closure. Ensure appropriateness of all payments Coordinate and work with a vendor service such as appraiser, independent adjusting firms, contractors, social media and private investigation and various other field service vendors Facilitate between claimants, clients, brokers, and attorneys in resolution of liability claims Exchange information with clients, claimants, insurance brokers, inspectors, producers, and account managers Attend meetings and educational seminars for professional development Maintain required licenses Conduct quarterly claim reviews with the client ESSENTIAL POSITION REQUIREMENTS The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations. High School Diploma or equivalent (GED) required for all positions AA/AS or BA/BS preferred but not required Must possess a license from your domiciled (state you live in or designated home state) state and a minimum of one license in any of the following states: NY, TX, or FL Additional State Adjuster License(s) may be required within 180 days Maintain licenses and continuing education requirements in all states. Minimum of 5 years of commercial auto handling experience Knowledge of tort law, civil procedure, and contract law Knowledge of auto insurance laws, codes, procedures, and liability concepts Knowledge of property and casualty insurance policies Proficiency in investigation and resolution of minor to medium level auto physical damage claims. Limited minor BI claims may be optional Negotiation skills Relies on extensive experience and judgment to plan and accomplish goals in a fast-paced environment Well-developed verbal and written communication skills with strong attention to detail Excellent organizational skills and ability to multi-task Ability to type quickly, accurately and for prolonged periods Proficient in Microsoft Office Suite Ability to learn additional computer programs Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization Seeks to include innovative strategies and methods to provide a high level of commitment to service and results Ability to be demonstrate care and concern for fellow team members and clients in a professional and friendly manner Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor. Athens' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company. Must be able to reliably commute to meetings and events as required by this position APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at *********************************************** Feel free to include a cover letter if you'd like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: ************************************************************************************************** This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training. Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. THANK YOU! We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don't forget to check out our website at ******************* as well as our LinkedIn, Glassdoor, and Facebook pages! Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at https://*******************/careers/why-work-here

Job Responsibilities and Requirements Obtains and analyzes information to make claim decisions and payments on LTD, Voluntary disability and Waiver of Premium claims. The goal of the position/role is to consistently render appropriate claim determinations based on a review of all available information and the terms and provisions of the applicable policy. * Reviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim. * Adjudicates claims accurately and fairly in accordance with the contract, appropriate claim policies and procedures, and state and federal regulations, meeting productivity and quality standards based on product line. * Utilizes appropriate medical and risk resources, adhering to referral polices, and transferring claims to the appropriate risk level in a timely manner. * Conducts in-depth pre-existing condition or contestable investigations if applicable. * Calculates benefit payments, which may include partial disability benefits, integration with other income sources, survivor benefits, residual disability benefits, etc. * Develops and maintains on-line claim data (and paper file if applicable). * Provide customer service that is respectful, prompt, concise, and accurate in an environment with competing demands. Analysis and Adjudication * Fully investigates and adjudicates a large volume simple to complex claims. * Identifies and investigates change in Total Disability definition (any occ). * Independently reviews and manage claims with high degree of complexity within the $1,500 per month approval authority limit. * Independently makes the determination if a policyholder with life policy up to $125,000 is eligible for a waiver of premium. * Majority of work is not subject to supervisor review and approval. Case Management * Consistently manage assigned case load of 60-80 simple to complex cases independently. * Collaborates with team members and management in identifying and implementing improvement opportunities. REQUIRED KNOWLEDGE, SKILLS, ABILITIES, COMPETENCIES, AND/OR RELATED EXPERIENCE * or equivalent experience gained from any combination of formal education, on-the-job training, and/or work and life experience* Required Knowledge, Skills, Abilities and/or Related Experience * High School Diploma or GED. Associates degree in Business, Finance, Social Work, or Human Resources preferred. Level I LOMA designation preferred. * 2 years experience processing long term disability claims. * Demonstrated understanding of claim management techniques and critical thinking in activities requiring analysis and/or investigation. * Experience working in confidential/protected identification environments. * Knowledge of medical terminology. * Good math and calculation skills. * Proven ability to work well in a high-visibility, public-oriented environment. Ability to Travel: None PHYSICAL REQUIREMENTS When used in the description below, the following terms are defined as: "Occasional": done only from time to time, but necessary when it is performed "Frequent": regularly performed; generally an act that is required on a daily basis "Continuous": typically performed for the majority of an employee's shift Sitting for prolonged periods of time, frequently standing, walking distances up to one mile, bending, crouching, kneeling, reaching, occasionally lifting 25lbs, extensive typing, picking up and holding small objecting and otherwise using primarily the fingers rather than the entire hand. Employee is required to have visual acuity sufficient to perform activities such as preparing and analyzing data and figures; transcribing notes; viewing a computer terminal and extensive reading. Employee is required to have hearing sufficient to understand verbal instruction and answer telephones. Reliance Matrix will provide qualified employees with a reasonable accommodation in accordance with applicable law. CORE VALUES * Collaboration * Compassion * Empowerment * Integrity * Fun The above description reflects the general details considered necessary to describe the principle responsibilities and functions of the job identified and shall not be construed as a detailed description of all the work requirements that may be inherent to this job. The expected hiring range for this position is $50,920.00 - $68,750.00 annually. This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions. These ranges may be modified in the future. Work location may be flexible if approved by the Company. What We Offer At Reliance Matrix, we believe that fostering an inclusive culture allows us to realize more of our potential. And we can't do this without our most important asset-you. That is why we offer a competitive pay package and a range of benefits to help team members thrive in their financial, physical, and mental wellbeing. Our Benefits: * An annual performance bonus for all team members * Generous 401(k) company match that is immediately vested * A choice of three medical plans (that include prescription drug coverage) to suit your unique needs. For High Deductible Health Plan enrollees, a company contribution to your Health Savings Account * Multiple options for dental and vision coverage * Company provided Life & Disability Insurance to ensure financial protection when you need it most * Family friendly benefits including Paid Parental Leave & Adoption Assistance * Hybrid work arrangements for eligible roles * Tuition Reimbursement and Continuing Professional Education * Paid Time Off - new hires start with at least 20 days of PTO per year in addition to nine company paid holidays. As you grow with us, your PTO may increase based on your level within the company and years of service. * Volunteer days, community partnerships, and Employee Assistance Program * Ability to connect with colleagues around the country through our Employee Resource Group program Our Values: * Integrity * Empowerment * Compassion * Collaboration * Fun EEO Statement Reliance Matrix is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment depends solely on your qualifications. #LI-Remote #LI-MR1

Job Summary:The Claims Examiner I is responsible for adjudicating individual and group voluntary benefits claims, including Critical Illness, Accident, Hospital Indemnity, Short Term Disability, Short Term Care, and Life products. This role ensures the accurate entry of claims data while conducting thorough reviews and analyses to determine eligibility. As an entry-level position, the Claims Examiner I works closely with more senior examiners to ensure the accurate and timely processing of claims. This role supports the company's mission by maintaining high standards of accuracy and efficiency in claims adjudication.Key Responsibilities: Deliver exceptional service to claimants, internal teams, and external customers, aligning with company values. Process and adjudicate routine claims for Critical Illness, Accident, Hospital Indemnity, Short Term Disability, Short Term Care, and Life products under direct supervision. Investigate, resolve, and make decisions on less complex claims, ensuring full compliance with company policies and industry regulations. Ensure claims are processed in compliance with company policies and industry regulations. Meet or exceed minimum production averages and accuracy targets for payment, procedure, and financial goals. Participate in the development and implementation of policies and procedures to improve claim handling processes. Assist in enhancing claims processes to boost operational efficiency while maintaining compliance. Consistently meet production and accuracy targets, including payment, procedure, and financial goals. Collaborate with team members and other departments to ensure seamless claims handling and customer service. Day-to-Day Activities: Review and enter claims data accurately. Conduct thorough reviews and analyses to determine eligibility. Communicate with claimants and other stakeholders to gather necessary information and provide updates. Research and resolve discrepancies in claims data. Participate in team meetings and training sessions to stay updated on policies and procedures. Contribute to various claims-related projects and process improvement initiatives. Qualifications: High school diploma or equivalent required; Bachelor's degree preferred. Minimum of 1 year of claims experience preferred, with exposure to group and/or individual products. Basic understanding of claims processing and settlement practices. Strong communication and interpersonal skills. Ability to manage multiple priorities and meet deadlines. Basic knowledge of regulatory standards and compliance requirements. Skills: Analytical Skills: Ability to review claim details, medical records, and policy provisions to make informed decisions. Claims examiners must analyze information to determine coverage and benefits accurately. Attention to Detail: Precision in reviewing documentation, identifying discrepancies, and ensuring all required information is present before making a decision. This skill is crucial for accurate claim adjudication. Communication Skills: Strong written and verbal communication abilities to clearly explain claim decisions to stakeholders. Claims examiners must also effectively communicate with internal teams. Time Management: Efficient handling of multiple claims and tasks, ensuring timely adjudication within set deadlines. Time management is vital for managing high workloads and meeting service-level agreements. Problem-Solving: Capacity to address complex claims scenarios, interpret policy language, and find solutions to claims issues. Claims examiners need to resolve questions or disputes related to coverage. Knowledge of Policy Provisions: Deep understanding of policy terms, conditions, and exclusions for accident indemnity, hospital indemnity, short-term care, critical illness, and disability coverage. This is necessary for accurate application of benefits. Regulatory Compliance Awareness: Knowledge of relevant insurance laws and regulations to ensure all claims are handled in compliance with legal and regulatory requirements. Work Environment / Physical Requirements:The work environment is a standard office setting with typical office equipment. This role involves professional collaboration with colleagues and clients. Responsibilities may involve extended periods of sitting, occasional walking between departments or meeting rooms, and periodic standing, reaching, stooping, and lifting office items weighing up to 25 pounds.

Job DescriptionOur client is seeking a skilled Multiline Auto Claims Examiner to join their team. This key role focuses on investigating and resolving moderate to complex auto liability and bodily injury claims, ensuring fair and efficient outcomes while maintaining compliance with all regulatory standards. The ideal candidate will have a strong background in casualty claims, particularly auto liability, and will demonstrate excellent judgment in evaluating exposures and negotiating settlements.Key Responsibilities: Investigate and evaluate Auto Liability and Bodily Injury claims to determine coverage, liability, and damages. Manage claims through all stages, including litigation, negotiation, and settlement. Review and analyze medical records, accident reports, and legal documentation to accurately assess claims. Collaborate with defense counsel and other experts to ensure cost-effective and timely resolutions. Provide clear communication and updates to policyholders, claimants, and brokers. Maintain accurate claim documentation in the claims management system. Ensure all claim handling complies with regulatory requirements and internal company guidelines. Requirements: 3 - 8+ years of experience handling Commercial or Personal Auto Liability and Bodily Injury claims, preferably with an insurance carrier. Active adjuster license strongly preferred. Strong negotiation and litigation management skills with a proven ability to drive equitable settlements. Solid analytical, organizational, and problem-solving skills. Proficiency with claims management software and Microsoft Office Suite. Bachelor's degree preferred. Salary & Benefits: $70,000 to $90,000+ annual base salary (depending on experience) plus bonus potential Generous PTO and paid holidays Competitive 401k with employer matching contributions Comprehensive health, dental, and vision coverage Professional growth opportunities within a supportive team environment

Job DescriptionOur client is seeking a skilled Multiline Auto Claims Examiner to join their team. This key role focuses on investigating and resolving moderate to complex auto liability and bodily injury claims, ensuring fair and efficient outcomes while maintaining compliance with all regulatory standards. The ideal candidate will have a strong background in casualty claims, particularly auto liability, and will demonstrate excellent judgment in evaluating exposures and negotiating settlements.Key Responsibilities: Investigate and evaluate Auto Liability and Bodily Injury claims to determine coverage, liability, and damages. Manage claims through all stages, including litigation, negotiation, and settlement. Review and analyze medical records, accident reports, and legal documentation to accurately assess claims. Collaborate with defense counsel and other experts to ensure cost-effective and timely resolutions. Provide clear communication and updates to policyholders, claimants, and brokers. Maintain accurate claim documentation in the claims management system. Ensure all claim handling complies with regulatory requirements and internal company guidelines. Requirements: 3 - 8+ years of experience handling Commercial or Personal Auto Liability and Bodily Injury claims, preferably with an insurance carrier. Active adjuster license strongly preferred. Strong negotiation and litigation management skills with a proven ability to drive equitable settlements. Solid analytical, organizational, and problem-solving skills. Proficiency with claims management software and Microsoft Office Suite. Bachelor's degree preferred. Salary & Benefits: $70,000 to $90,000+ annual base salary (depending on experience) plus bonus potential Generous PTO and paid holidays Competitive 401k with employer matching contributions Comprehensive health, dental, and vision coverage Professional growth opportunities within a supportive team environment

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. Thats why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Bilingual (English/Spanish) Claims Service Specialist Tucson, ArizonaSalary: $20.84 per hour / $41,992.60 annually+10% Bilingual Differential Claim your career growth as a Bilingual Claims Service Specialist at GEICOs Tucson, Arizona office and be a part of one of the fastest-growing auto insurers in the United States! If you are motivated, all about solutions, and empathetic to the needs of customers, come grow a fulfilling career with us! Through our paid, industry-leading training, you will learn the ins and outs of the claims process and be ready to assist our Spanish-speaking policyholders when they need us the most during an accident. As a Bilingual Claims Service Specialist, you will collect facts about the accident, investigate claim details, and collect statements from involved parties. Our policyholders will count on your patience, support, and attention to detail to get them back on the road as quickly as possible. GEICO will also give you the space and grace to explore your abilities and learn new ones. So if you are ready to start growing your career, lets talk! Avanza profesionalmente con una compaa que valora la diversidad y la inclusin. Esta oportunidad es ideal para estudiantes, futuros estudiantes y aspirantes que valoran el aprendizaje continuo, ya que nuestros Representantes de Reclamos tienen el desafo constante de aprender y expandir su conocimiento de la industria de seguros y nuestra compaa. Adems, GEICO favorece la cultura de ascensos dentro de la empresa, as que abundan las oportunidades para que avances profesionalmente y seas recompensado por el trabajo duro y la perseverancia. Prepara tu pasin para ayudar a los dems, y marcar la diferencia y comienza una trayectoria laboral gratificante con GEICO hoy! Many associates see a base salary increase of 10% within their first year as a Bilingual Claims Service Specialist. Top associates can see increases up to 15%! Qualifications & Skills:Excellent verbal and written communication skills in English and SpanishExperience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction Solid computer multitasking skills Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities Ability to work comfortably and grow in a fast-paced, high-volume call center environment Minimum of high school diploma or equivalent, college degree or currently pursuing preferred Eagerness to explore new skills and openness to different career paths #geico700 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 lifes twists and turns. Our mission is to protect people when they need it most and were constantly evolving to stay ahead of their needs.Were an iconic brand that thrives on innovation, exceeding our customers expectations and enabling our collective success. From day one, youll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on peoples 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. Youll 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 familys 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.RequiredPreferredJob Industries Other

POSITION MISSION: Provide prompt contact, investigation, and coverage determinations of assigned claims while demonstrating a high level of customer service. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Contact insureds, claimants, and all other relevant parties to facilitate the processing of claims. Investigate claims promptly according to policy provisions while promoting a high level of customer service. Demonstrates a comprehensive knowledge of insurance policies and Rockingham guidelines to provide coverage determination through policy interpretations. Identify claims having potential for increased exposure, such as third-party bodily injury claims, referring to Claims Supervisor as applicable. Provide policyholders and claimants guidance throughout the claim process. Maintain an effective claim diary system through accurate documentation of all claim activities in accordance with established procedures. OTHER DUTIES: Support claims supervisor as requested Other duties as assigned KNOWLEDGE, SKILLS, AND ABILITIES: The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform each essential duty satisfactorily. Ability to work comfortably and grow in a fast-paced high volume call environment Experience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities Demonstrate the ability to multitask across multiple platforms routinely Demonstrates personal computer literacy and effectively uses all relevant company automation. CORE COMPETENCIES: Attention to detail Critical thinking Time management Organization Communication skills QUALIFICATIONS: High school diploma or GED required; undergraduate degree preferred. One year of experience working in the insurance industry preferred. Proficiency in Microsoft Office products Strong oral and written communication skills displaying professionalism in language, tone, and style to understand client needs and feedback. Projects a positive, professional image knowing they represent the company to the customer. PHYSICAL DEMANDS: Position operates in a professional office environment and routinely uses standard office and mobile equipment such as computers, phones, and photocopiers. Largely sedentary role with majority of work performed using a computer and phone. Please note, this position description is not designed to cover a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Requirements: PI54d082a75481-31181-39236173

Join Our Team as a Claims Processing Expert! Are you a data-driven marketer who thrives on turning insights into impactful strategies? We are looking for a Claims Processing Expert to analyze key performance metrics, optimize marketing campaigns, and drive data-backed decision-making. Why You'll Love This Role: 📊 Data-Driven Impact - Play a critical role in shaping marketing strategies through analytics. 🚀 Career Growth - Access professional development and leadership opportunities. ⏰ Work-Life Balance - Enjoy a flexible schedule with full-time opportunities. 💰 Competitive Compensation - Earn a stable income with performance-based incentives. Your Responsibilities: Analyze marketing campaign performance, customer behavior, and market trends. Develop and track key performance indicators (KPIs) to measure marketing effectiveness. Provide data-driven insights and recommendations to optimize marketing strategies. Work with cross-functional teams to ensure data accuracy and consistency. Utilize analytics tools (Google Analytics, Tableau, etc.) to generate reports and dashboards. A/B test campaigns and refine strategies based on data insights. What We're Looking For: Proven experience in marketing analytics, data analysis, or a related field. Proficiency in analytics tools such as Google Analytics, Tableau, or SQL. Strong analytical and problem-solving skills. Ability to translate complex data into actionable marketing strategies. Experience with digital marketing metrics, reporting, and performance optimization. Perks & Benefits: Professional development and continuous learning opportunities. Health insurance and retirement plans. Performance-based bonuses and recognition programs. Leadership growth and career advancement opportunities. 🚀 Ready to Turn Data into Growth? If you're passionate about leveraging data to drive marketing success, apply today! Join us and help shape data-driven marketing strategies that make an impact. Your journey as a Claims Processing Expert starts here-let's optimize for success together!

Join Our Dynamic Insurance Team - Unlock Your Potential! Are you ready to take control of your future and build a career in one of the most stable and lucrative industries? We are seeking driven individuals to join our thriving insurance team, where you'll receive top-tier training, support, and unlimited income potential. NOW HIRING: ✅ Licensed Life & Health Agents ✅ Unlicensed Individuals (We'll guide you through the licensing process!) We're looking for our next leaders-those who want to build a career or an impactful part-time income stream. Is This You? ✔ Willing to work hard and commit for long-term success? ✔ Ready to invest in yourself and your business? ✔ Self-motivated and disciplined, even when no one is watching? ✔ Coachable and eager to learn? ✔ Interested in a business that is both recession- and pandemic-proof? If you answered YES to any of these, keep reading! Why Choose Us? 💼 Work from anywhere - full-time or part-time, set your own schedule. 💰 Uncapped earning potential - Part-time: $40,000 - $60,000 /month | Full-time: $70,000 - $150,000+++/month. 📈 No cold calling - You'll only assist individuals who have already requested help. ❌ No sales quotas, no pressure, no pushy tactics. 🧑 🏫 World-class training & mentorship - Learn directly from top agents. 🎯 Daily pay from the insurance carriers you work with. 🎁 Bonuses & incentives - Earn commissions starting at 80% (most carriers) + salary 🏆 Ownership opportunities - Build your own agency (if desired). 🏥 Health insurance available for qualified agents. 🚀 This is your chance to take back control, build a rewarding career, and create real financial freedom. 👉 Apply today and start your journey in financial services! ( Results may vary. Your success depends on effort, skill, and commitment to training and sales systems. )