Bodily injury adjuster work from home jobs - 146 jobs

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you. About the role We are seeking highly organized and customer-focused Resolution Specialists to join our team. The successful candidate will be responsible for communicating with customers on the phone, educating and helping the customer work through their claim to the best possible outcome. This role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering service to all constituents of the claim. The claims you will handle will be transportation-related. The ideal candidate has a willingness to work through and design process that supports the quickest claim resolution with the best outcome. In addition, they will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements. Resolution Specialists are: Highly motivated and growth-oriented. Excited by the prospect of building a tech-driven claims org. Passionate specialists who care about the customer and their experience. Empathetic. Exercises empathy and patience towards everyone interacted with. Sense of urgency - AT ALL TIMES. That does not mean working at all hours. Creative. Finding the right exit ramp (pun intended) for the resolution of the claim that is in the client's best interest. Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational. Working toward a win/win claim resolution. Curious. Wanting to know the whole story so the right decisions are made early and take action to prompt a quick resolution. Anti-status quo. Not just wishing things were done differently but taking the appropriate actions to ensure it. Communicative. Professional written and oral communication with all parties to a claim. And did we mention a sense of humor? Claims are hard enough as it is. What we need We need our Resolution Specialists to do all the things typical to the role: Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests Manage an inventory of litigated and non-litigated cases Analyze and review auto insurance claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providers Ensure compliance with specific state regulations, policy provisions, and standard operating procedures Manage both non-litigation and litigation cases related to auto claims disputes, communicate with involved parties, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders Collaborate with defense counsel, claims counsel, and litigation claims management for strategic planning, including developing and maintaining positive working relationships with approved defense firms and other vendors in the industry Review legal documents and ensuring compliance with initial suit-handling plan of action Serve as corporate representative for discovery review and depositions, and appearing as Corporate Representative at depositions and trials when needed Analyze policy language and reaching appropriate coverage decisions, drafting frequent and complex coverage correspondence, and proactively managing non-litigated and litigated claim files from inception to closure Direct and control the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters Maintain adjuster licenses and continuing education requirements Requirements Active insurance adjuster's license by way of a designated home state, or home state Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications) Minimum of 3 years of experience on point and concentrated in transportation claims adjusting, ideally with: Third-party PD Third-party bodily injury, including catastrophic losses UM/UIM bodily injury Litigation experience PIP a plus, but not required Willing to obtain all licenses within 60 days, including completing state-required testing. Knowledge of state regulations, policy provisions, and standard operating procedures. Willingness to travel for clients and claims need Benefits Generous health-insurance package with nationwide coverage, vision, & dental 401(k) retirement plan with employer matching Competitive PTO policy - we want our employees fresh, healthy, happy, and energized! Generous family leave policy Work from anywhere to facilitate your work-life balance Apple laptop, large second monitor, and other quality-of-life equipment that might be needed. Technology is something that should make your life easier, not harder! Additionally, we will Provide a manageable pending to deliver the service in a way always wanted from a dedicated account. Listen to the Resolution Specialist's feedback to enhance and improve upon the long-standing challenges. Work toward reducing and eliminating all the administrative work from a Resolution Specialist. Foster a culture of empathy, transparency, and empowerment in a remote-first environment. At Reserv, we value diversity and believe that a variety of perspectives leads to innovation and success. We are actively seeking candidates who will bring unique perspectives and experiences to our team and welcome applicants from all backgrounds.

Experienced WC Claim Adjuster - California ADR Program (CA | Remote | SIP Required) Schedule: Monday-Friday, 8:00 AM-4:30 PM PT Salary Range: $80,000-$85,000 annually Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary The Workers' Compensation Claim Consultant is responsible for handling California workers' compensation claims for a single dedicated Alternate Dispute Resolution (ADR) client account. This role requires California jurisdiction experience and an active CA Adjuster's License, along with the Self-Insurance Administrator Certificate (SIP). You'll join a team of 10 adjusters and play a key role in ensuring quality claim handling through compliance with client guidelines, state laws, and CCMSI claim standards. Important - Please Read Before Applying This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Investigate, evaluate, and adjust assigned California workers' compensation claims in compliance with jurisdictional requirements and ADR processes. Establish and monitor reserves, authorize claim payments, and negotiate settlements within authority and client guidelines. Review medical, legal, and vendor invoices to confirm accuracy and appropriateness. Maintain thorough documentation and diary updates in the claim system. Communicate effectively with clients, claimants, and involved parties throughout the claim process. Participate in claim reviews, hearings, and mediations as needed. Ensure compliance with state laws, CCMSI claim handling standards, and client-specific requirements. Qualifications Three or more years of experience adjusting California workers' compensation claims California Adjuster's License Self-Insurance Administrator Certificate (SIP) Strong written and verbal communication skills Proficiency with Microsoft Office Suite (Word, Excel, Outlook) Nice to Have Experience with Alternate Dispute Resolution (ADR) claims Strong organization, multitasking, and customer service skills Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted hourly rate reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship CCMSI does not provide visa sponsorship for this position. ADA Accommodations CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #CaliforniaAdjuster #WorkersCompensation #ADRClaims #InsuranceCareers #ClaimsConsultant #CaliforniaJobs #RemoteAdjuster #SIPCertified #InsuranceProfessionals #ClaimsManagement #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote

Job Description As a Commercial Casualty Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without unnecessary delay. If you are optimistic, enjoy helping others in times of need, and are compassionate about making positive change in the world, this may be the role for you. Accountabilities: This position handles Commercial General Liability, Commercial Trucking, Director's & Officer Liability, Employment Practices Liability, Commercial Auto injuries, Contractor's Pollution Liability, Professional Liability and other Casualty exposures. Investigates coverage and cause of loss on routine to more complicated claims, which includes but is not limited to policy review, interviewing all parties associated with the loss and gathering and analyzing all necessary investigative documentation. Handles non-represented, represented and litigated injury and property damage claims including investigating and evaluating those exposures. Identifies exposures with significate severity to triage to the large loss team. Provides accurate assessments and negotiates fair and efficient claims resolutions while managing costs. Settles losses according to the documented damage, the language of the policy of insurance, pertinent regulatory and statutory considerations and within granted authority. Prepares written communication, including but not limited to settlement letters, disclaimers of coverage and reservation of rights letters. Maintains effective claim file documentation and diary system. Monitor diary to achieve timely development of file and timely disposition of the claim. Recognizes and pursues recovery opportunities and prepares submissions to SIU when indicated. Assigns and supervises field examiners and vendor resources, including but not limited to independent adjusters, engineers and other experts as needed. Assumes additional duties as defined. Required Qualifications: 5 or more years in the handling of Commercial Liability Claims. Understands concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims towards resolution using best practices. Ability to take responsibility and work independently in a home-based environment. Ability to negotiate skillfully in difficult situations. Willingness to travel periodically. Recommended Qualifications: Environmental claim experience is preferred. Propane Gas Distributors claim experience is preferred Bachelor's degree preferred New York, Florida or Texas claims handling license required If not licensed, willingness to obtain state licensing or certification where required within 30 days of employment Ability to formulate sound expense, indemnity, and business judgment while supporting loss evaluations and presenting them effectively. Basic computer skills including Microsoft applications Perform work related simple and advanced mathematical problems and calculations Compose written correspondence and factual reports which are well organized and concise, utilizing proper English, grammar, punctuation, and spelling Strong oral and written communication skills. Compensation: $59,400 - $99,000 commensurate with experience, plus bonus eligibility $65,400 - $109,000 commensurate with experience in CA, CT, MA, NJ, NY, and PA, plus bonus eligibility Benefits: We are proud to offer a robust benefits suite that includes: Competitive base salary plus incentive plans for eligible team members 401(K) retirement plan that includes a company match of up to 6% of your eligible salary Free basic life and AD&D, long-term disability and short-term disability insurance Medical, dental and vision plans to meet your unique healthcare needs Wellness incentives Generous time off program that includes personal, holiday and volunteer paid time off Flexible work schedules and hybrid/remote options for eligible positions Educational assistance #TMG

Porch Group is a leading vertical software and insurance platform and is positioned to be the best partner to help homebuyers move, maintain, and fully protect their homes. We offer differentiated products and services, with homeowners insurance at the center of this relationship. We differentiate and look to win in the massive and growing homeowners insurance opportunity by 1) providing the best services for homebuyers, 2) led by advantaged underwriting in insurance, 3) to protect the whole home. As a leader in the home services software-as-a-service (“SaaS”) space, we've built deep relationships with approximately 30 thousand companies that are key to the home-buying transaction, such as home inspectors, mortgage companies, and title companies. In 2020, Porch Group rang the Nasdaq bell and began trading under the ticker symbol PRCH. We are looking to build a truly great company and are JUST GETTING STARTED. Job Title: Liability Claims Examiner Location: United States Workplace Type: Remote Homeowners of America is a provider of Personal Lines Insurance products. We're always looking to add talented and passionate people to our team. We value the knowledge that comes from experienced individuals with diverse backgrounds and strengths that can contribute to the various departments within our company. Our shared values are no jerks, no egos, be ambitious, solve each problem, care deeply and together we win. Summary The Liability Claims Examiner is responsible for managing complex and litigated 3rd party claims arising under homeowners' insurance policies. This role involves investigating losses, evaluating coverage, assessing liability exposures, and directing litigation strategies to achieve fair and timely resolution of claims. The examiner will work closely with insureds, claimants, field adjusters, defense counsel, experts, and internal stakeholders ensuring compliance with company guidelines and regulatory requirements while mitigating risk and controlling costs. Liability Claims Examiners are responsible for requesting payments, documenting files, and preparing and issuing claim payment letters or denial letters when appropriate. What you Will Do As A Liability Claims Examiner Responsibilities: May include any or all the following. Other duties may be assigned. Investigate and Evaluate Claims: Review policy language, coverage issues, and liability exposures. Analyze incident reports, statements, expert opinions, and other evidence to determine liability and damages. Handles claims from all types of policies, including homeowners, dwelling fire, tenant, condo, and renters. Confers with legal counsel on claims involving coverage, legal, or complex matters Effectively manage difficult or emotional customer situations Litigation Management: Direct and oversee defense counsel in litigated matters, including strategy development, budgeting, and case progression. Attend mediations, settlement conferences, and trials as needed. Evaluate litigation reports and provide recommendations for resolution. Negotiation and Settlement: Negotiate settlements within authority limits to achieve equitable outcomes. Collaborate with legal counsel to resolve complex coverage and liability disputes. Financial Oversight: Establish and adjust reserves based on claim developments and litigation exposure. Monitor litigation costs and ensure adherence to budget guidelines. Seeking out and utilizing top vendors that build quality, increase efficiency, and reduce cost Communication and Documentation: Maintain accurate and detailed claim files, including litigation plans and correspondence. Communicate effectively with insureds, claimants, attorneys, and internal teams. Enters claims payments when applicable and maintains clean, concise, and accurate file documentation Manages correspondence and communication with various parties involved in the claim Draft and prepare letters and other correspondence related to the claim Compliance and Best Practices: Ensure adherence to claims handling guidelines, regulatory requirements, and ethical standards. Identify opportunities for process improvement and cost containment. Take on assignments and duties as requested by the management team What you Will Bring As A Liability Claims Examiner Bachelor's degree or equivalent experience Minimum 5+ years of liability claims experience, with a strong focus on litigated 3rd party claims Appropriate state adjuster license and continuing education credits In-depth knowledge of homeowners liability and med pay coverage, policy language, and litigation processes Strong negotiation, analytical, and decision-making skills Excellent written and verbal communication skills Ability to manage multiple complex cases and meet deadlines in a fast-paced environment Proficiency in claims management systems and Microsoft Office suite (Outlook, Word, Excel, PowerPoint) Works with integrity and ethics Exceptional customer service skills Effectively manages difficult or emotional customer situations Ability to read, write, and interpret routine correspondence, policies, and reports Makes decisions and completes activities in a confident and timely manner Follows Claims Handling Guidelines, policies and procedures Maintains confidentiality Works independently, with the ability to assess workload and plan accordingly to meet competing deadlines Cultivates environment of teamwork and collaboration Comprehensive and up-to-date knowledge of General Liability and P&C insurance, contractual policy language requirements and the implications of that language as it pertains to denial of claims Demonstrated commitment to continuing education in the industry through licensing or designations applicable to property and liability insurance field is preferred. Certificates, Licenses, Registrations Appropriate state adjuster license and continuing education credits. The application window for this position is anticipated to close in 2 weeks (10 business days) from December 17th, 2025. Please know this may change based on business and interviewing needs. At this time, Porch Group does not consider applicants from the following states for remote positions: Alaska, Arkansas, Delaware, Hawaii, Iowa, Maine, Mississippi, Montana, New Hampshire, and West Virginia. What You Will Get As A Porch Group Team Member Pay Range*: Annually$67,500.00 - $94,500.00 *Please know your actual pay at Porch will reflect a number of factors among which are your work experience and skillsets, job-related knowledge, alignment with market and our Porch employees, as well as your geographic location. Our benefits package will provide you with comprehensive coverage for your health, life, and financial wellbeing. Our traditional healthcare benefits include three (3) Medical plan options, two (2) Dental plan options, and a Vision plan from which to choose. Critical Illness, Hospital Indemnity and Accident plans are offered on a voluntary basis. We offer pre-tax savings options including a partially employer funded Health Savings Account and employee Flexible Savings Accounts including healthcare, dependent care, and transportation savings options. We provide company paid Basic Life and AD&D, Short and Long-Term Disability benefits. We also offer Voluntary Life and AD&D plans. Both traditional and Roth 401(k) plans are available with a discretionary employer match. Headspace is part of our employer paid wellbeing program and provides employees and their families access to on demand guided meditation and mindfulness exercises, mental health coaching, clinical care and online access to confidential resources including will preparation. Brio Health is another employer paid wellbeing tool that offers quarterly wellness challenges and prizes. LifeBalance is a free resource to employees and their families for year-round discounts on things like gym memberships, travel, appliances, movies, pet insurance and more. Our wellness programs include flexible paid vacation, company-paid holidays of typically nine per year, paid sick time, paid parental leave, identity theft program, travel assistance, and fitness and other discounts programs. #LI-JS1 #LI-Remote What's next? Submit your application and our Porch Group Talent Acquisition team will be reviewing your application shortly! If your resume gets us intrigued, we will look to connect with you for a chat to learn more about your background, and then possibly invite you to have virtual interviews. What's important to call out is that we want to make sure not only that you're the right person for us, but also that we're the right next step for you, so come prepared with all the questions you have! Porch is committed to building an inclusive culture of belonging that not only embraces the diversity of our people but also reflects the diversity of the communities in which we work and the customers we serve. We know that the happiest and highest performing teams include people with diverse perspectives that encourage new ways of solving problems, so we strive to attract and develop talent from all backgrounds and create workplaces where everyone feels seen, heard and empowered to bring their full, authentic selves to work. Porch is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected veteran status, or any other characteristic protected by applicable laws, regulations, and ordinances. Porch Group is an E-Verify employer. E-Verify is a web-based system that allows an employer to determine an employee's eligibility to work in the US using information reported on an employee's Form I-9. The E-Verify system confirms eligibility with both the Social Security Administration (SSA) and Department of Homeland Security (DHS). For more information, please go to the USCIS E-Verify website.

As a third-party administrator, Grand River Services specializes in first party property and third-party casualty claims. We work directly with insureds and agencies to provide a level of high touch service rarely found in today's marketplace. We are looking for a Commercial Claims Adjuster who is focused on accountability, exceptionally accurate case reserves, and outstanding agent satisfaction. What You'll Do Supports and demonstrates IMA's core values Values and understands the importance of diversity, equity, and inclusion among all IMA associates Manages multiple jurisdictions and multiple lines of business Works directly with insureds and agencies to provide excellent, high touch service Thinks critically to evaluate coverage, investigate claims, and negotiate settlements Maintains highly organized and detailed claims files Communicates a clear, concise action plan for moving cases to conclusion You Should Have 5-7+ years of claims handling experience Need to be located in either the Eastern or Central Time Zone Commercial General Liability experience required Multi-state experience a plus Multiple lines a plus Must be a licensed adjuster with the ability to obtain licenses in other states Ability to be cross trained to handle other lines of business Experience in handling bodily injury, med pay, and property damage claims Ability to handle and negotiate settlements on both non-litigated and litigated claims Must be comfortable and self-directed to work independently in a remote, virtual office environment Light to moderate travel to attend training, mediations, trials, and company functions Bachelor's degree preferred Valid driver's license required Strong proficiency with Microsoft products and agency systems #LI-JS1 If this role is hired in Los Angeles County, CA the following applies: Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prior Criminal history will only be considered after a conditional job offer is made and accepted. Applicants will have the opportunity to explain the circumstances surrounding any convictions, provide mitigating evidence, or challenge the accuracy of the background report. Salary Range$70,000-$90,000 USD Compensation & Benefits Being a part of IMA has its benefits. When you become part of the IMA family, you become eligible to take part in our valuable benefits and rewards package designed to benefit you, your family, and your life. Our plans are cost-effective, convenient and provide progressive ways for staying healthy, protecting loved ones, pursuing financial security and living a full and balanced life. This role is eligible for the following: Annual Performance Bonus, Stock Purchase, Medical Plans, Prescription Drugs, Dental, Vision, Family Assistance Program, FSA, HSA, Pre-Tax Parking Plan, 401(k), Life/AD&D, Accident, Critical Illness, Hospital Indemnity, Long Term Care, Short-term Disability, Long-term Disability, Business Travel Accident, Identity Theft, Paid Time Off, Flexible Work Options, Paid Holidays, Sabbatical, Gift Matching, Health Club Reimbursement, Personal and Professional Development. In addition to our robust benefits package, the final offer amounts will depend on a variety of factors, including the candidate's geographic location, prior relevant experience, and their knowledge, skills, and abilities. *These benefits do not apply to internship roles. Why Join IMA? We've built a reputation for putting our associates first What if we told you that you could be an integral part of an entrepreneurial, expanding company, develop lasting relationships, earn competitive benefits, plus claim part ownership? It's this unique ownership business model that makes working at IMA so appealing. We work in teams. We sell in teams. We win and prosper as a team We provide support systems and resources that enable each of our associates to focus on what they do best. And as an independent company based in the Midwest, we're big enough to write business all over the world and small enough to implement your ideas quickly. We are recognized nationally as a leader in our industry 2020-2023 Business Insurance Magazine Best Places to Work in Insurance 2023 Inc. Magazine's Best Workplaces 2023 Denver Business Journal's Best Places to Work 2022-2023 Connecticut Top Work Places 2021-2023 Inc. 5000's List of Fastest Growing Companies 2019-2022 Civic 50 Colorado Honoree Recognizing 50 Most Community-Minded Companies 2022-2023 Kansas City Business Journal's Best Places to Work 2021-2023 Charlotte Business Journal's Best Places to Work 2021-2023 Los Angeles Business Journal's Best Places to Work 2021-2023 The Salt Lake City Tribune Top Work Places 2021-2022 Puget Sound Business Journal's Washington's Best Workplaces 2021-2022 Wichita Business Journal's Best Places to Work, #1 in extra-large category 2021 Dallas Business Journal's Best Places to Work 2021 Alaska Journal of Commerce's Best Workplaces in Alaska This Job Description is not a complete statement of all duties and responsibilities comprising this position. The IMA Financial Group, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, The IMA Financial Group, Inc. complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? As an Field Property Claims Adjuster, you will investigate, evaluate, negotiate and resolve predominately property claims in a fair, prompt and equitable manner. You are a source of knowledge and comfort during difficult times. When faced with the destructive aftermath of a natural disaster, you help clients through the claims process. You also support them as they rebuild their businesses and resume their lives. Federated provides a defined training program to teach you the fundamentals of commercial claims and prepare you to serve clients. This is a home-based position with travel by car and/or plane frequently, including frequent overnight travel. Due to the travel involved, this employee must be living, or planning to relocate, within 1 hour of a major airport. Responsibilities * Evaluates claims, determines the validity of coverage, conducts necessary investigation, and appraises damage. * Explain policy coverage to clients and third parties. * Secures proper settlement documentation. Determines and authorizes settlement payments based on the results of the investigation and the determination of coverage/liability. * Determine the value of damaged items. * Negotiate settlements with clients or third parties. * Conducts field investigations. Makes recommendations for the resolution of claims exceeding authority limits. * Retains the services of and collaborates with outside experts such as medical specialists, appraiser, and engineers when deemed necessary to secure all relevant facts for proper evaluation of claims. * Negotiates directly with claimants and/or their attorneys to effect binding settlements. Attends hearings and trials to evaluate testimony. Minimum Qualifications * Current pursuing, or have obtained a four-year degree * Demonstrate the ability to proficiently and effectively manage work with minimal work direction * Strong analytical, computer and time management skills * Excellent written and verbal communication skills * Valid driver's license and acceptable driving record Physical Demand / Work Environment * Travel by car and/or plane frequently, including overnight and occasional multi-night travel * Occasionally adjust work schedule and/or work extra hours including evenings and weekends. * Ascend/descend a ladder * Lift, push and pull items weighing 60 pounds * Operate a variety of power equipment * Must have physical mobility, vision, and hearing necessary to traverse and evaluate claims damage Salary Range: $70,200 - $85,800 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team. What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy.

Job Description Alternative Dispute Resolution (ADR) Claim Adjuster Remote At Frontline Insurance, we are on a mission to Make Things Better, and our Alternative Dispute Resolution (ADR) Claim Adjuster plays a pivotal role in achieving this vision. We strive to provide high quality service and proactive solutions to all our customers to ensure that we are making things better for each one. What makes us different? At Frontline Insurance, our core values - Integrity, Patriotism, Family, and Creativity - are at the heart of everything we do. We're committed to making a difference and achieving remarkable things together. If you're looking for a role, as an Alternative Dispute Resolution (ADR) Claim Adjuster, where you can make a meaningful impact and grow your career, your next adventure starts here! Our Alternative Dispute Resolution (ADR) Claim Adjusters enjoy robust benefits: Remote work schedule! Health & Wellness: Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and Long-Term). Financial Security: 401k Retirement Plan with a generous 9% match Work-Life Balance: Four weeks of PTO and Pet Insurance for your furry family members. What you can expect as an Alternative Dispute Resolution (ADR) Claim Adjuster: Review assigned claims promptly. Formulate and execute appropriate ADR strategy in compliance with statutory guidelines. Verify facts of loss and pertinent information to analyze and confirm coverage is appropriately applied. Handle the complete claim, including collecting and reviewing all loss related facts, performing an analysis under the terms of the insurance policy to make coverage recommendation and issue payments within applicable authority level. Review and analyze all claim material to determine the facts of loss, the investigation completed and/or needed and position file for appropriate resolution. What we are looking for as an Alternative Dispute Resolution (ADR) Claim Adjuster: Bachelor's degree in Business Administration or an industry related field Minimum of 7 years of experience in claim adjusting and/or training in Property and Casualty or equivalent combination of education and experience Minimum of 3 years of experience in the appraisal process Maintain active Florida 5-20 License and obtain licenses in Alabama, North Carolina, South Carolina, Virginia, and Georgia within 30 days of hire Why work for Frontline Insurance? At Frontline Insurance, we're more than just a workplace - we're a community of innovators, problem solvers, and dedicated professionals committed to our core values: Integrity, Patriotism, Family, and Creativity. We provide a collaborative, inclusive, and growth-oriented work environment where every team member can thrive. Frontline Insurance is an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

Claims Adjuster I (Worker's Compensation) - Southern Jurisdictions | 100% Remote (WFH) Opportunity Under direct supervision our Claims Adjuster I is responsible for timely and accurate management of workers' compensation claims with low to moderate medical and indemnity benefit exposure and minimal litigation. Preference given to candidates that have experience in FL, TN, MS, KY, AL, AR Essential Duties and Responsibilities Receives and reviews new claims involving low to moderate medical, indemnity and occasional legal exposure. Caseload may include complex Medical Only claims. Completes initial contacts to obtain necessary information, verify coverage, determine compensability and develop a plan of action. Completes and maintains accurate claim system data. Analyzes case facts to establish timely reserves using and building knowledge of medical-related costs and judgment about extent of disability. Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers. Accurately evaluates and pays benefits in compliance with statutory and company guidelines. Files appropriate state forms, as needed. Proactively coordinates or monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure. Working with supervisor, reviews and analyzes some legal issues. In collaboration with defense attorneys, proactively handles and mitigates exposure to litigation and prices up claims for minor settlements. Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure. Requirements 1 to 2 years of workers' compensation claims experience. Knowledge of workers' compensation laws, regulations and statutes. Excellent communication and customer service skills and knowledge of an imaged environment. Self-motivated with excellent analytical, problem solving and decision-making skills. Strong ability to multi-task and prioritize. Certification Must meet certification within state-mandated timeframe and maintain any required license through continuing education. WCCP, AIC, ARM, CPCU or other insurance certification preferred. Education Bachelor's degree or the above experience preferred. Work Environment: Remote: This role is a remote (work from home (WFH)) opportunity, and only open to candidates currently located in the United States and able to work without sponsorship. It requires a suitable space that provides a private and quiet workplace. Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary Range: $48,000 - $65,000 and a comprehensive benefits package, please follow the link to our benefits page for details! ********************************************************* About EMPLOYERS As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As “America's small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote

Claims Adjuster I (Worker's Compensation) - Southern Jurisdictions | 100% Remote (WFH) Opportunity Under direct supervision our Claims Adjuster I is responsible for timely and accurate management of workers' compensation claims with low to moderate medical and indemnity benefit exposure and minimal litigation. Preference given to candidates that have experience in FL, TN, MS, KY, AL, AR Essential Duties and Responsibilities * Receives and reviews new claims involving low to moderate medical, indemnity and occasional legal exposure. Caseload may include complex Medical Only claims. * Completes initial contacts to obtain necessary information, verify coverage, determine compensability and develop a plan of action. Completes and maintains accurate claim system data. * Analyzes case facts to establish timely reserves using and building knowledge of medical-related costs and judgment about extent of disability. * Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers. * Accurately evaluates and pays benefits in compliance with statutory and company guidelines. Files appropriate state forms, as needed. * Proactively coordinates or monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure. * Working with supervisor, reviews and analyzes some legal issues. In collaboration with defense attorneys, proactively handles and mitigates exposure to litigation and prices up claims for minor settlements. * Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure. Requirements * 1 to 2 years of workers' compensation claims experience. * Knowledge of workers' compensation laws, regulations and statutes. * Excellent communication and customer service skills and knowledge of an imaged environment. * Self-motivated with excellent analytical, problem solving and decision-making skills. Strong ability to multi-task and prioritize. Certification * Must meet certification within state-mandated timeframe and maintain any required license through continuing education. * WCCP, AIC, ARM, CPCU or other insurance certification preferred. Education * Bachelor's degree or the above experience preferred. Work Environment: Remote: This role is a remote (work from home (WFH)) opportunity, and only open to candidates currently located in the United States and able to work without sponsorship. It requires a suitable space that provides a private and quiet workplace. Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary Range: $48,000 - $65,000 and a comprehensive benefits package, please follow the link to our benefits page for details! ********************************************************* About EMPLOYERS As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As "America's small business insurance specialist", we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote

Job Description Are you a technician, service writer, or parts manager looking to get out of the shop and transfer your skills to a new career? Wise F&I is currently seeking full-time Claim Adjusters to support our VSC claims team and our continued business growth. This position is Monday through Friday with weekends off. We provide a competitive salary commensurate with experience, have 9 major holidays scheduled off annually - with pay, provide a robust health care and benefits package; in addition to, a bright, modern work space with optional stand-up desk capability. Remote position available if you reside outside the St. Louis metropolitan area. Primary Job Function: The Claims Adjuster is responsible for the set-up and processing of automotive VSC claims filed with our company that cover mechanical breakdown, appearance, tire & wheel and other benefits. This includes reviewing repair estimates, inspection reports, supporting documentation, communicating with repair facilities, and ultimately determining coverage. Company Description: Wise F&I delivers industry-leading administration services for automotive F&I-related, voluntary protection products such as VSC, Appearance, Tire & Wheel, Key Replacement, GAP and Theft-deterrent protection. We process and adjust claims for these contracts within programs that are underwritten by only Excellent (A- or better) rated Insurance Carriers. As a rapidly growing automotive F&I product provider with over 30 years of continuous operation in the Automotive F&I space, our operating partners include seasoned Insurance Agents, national Lenders and their client Automotive Dealers. Job Responsibilities / Tasks include: Working in a call center environment focused on handling calls daily within expected performance metrics, handle times, and volume. Reviewing claims using the adjudication process established by department and within company guidelines. Reviewing and verifying repair costs using standard "national labor and parts guides" (including labor rates and time) to ensure estimates are within approval guidelines. Verifying, analyzing, and investigating repair information to determine if coverage is within the guidelines of the service contract. Retrieving information from company systems and communicating information back to the customers, dealers, repair facilities, and vendors in a clear and concise manner. Determining the appropriate authorization amount based on contract guidelines via the use of good judgment combined with mechanical knowledge. Documenting all interactions, research, verifications and other claim-related information in the claim administration system. Ability to communicate effectively by telephone and email with retail and wholesale customers, repair facilities, and non-related parties using good customer service skills. Working pro-actively and cohesively as a member of the claims team. Attending training seminars and/or continuing education. Maintaining high customer service requirements and productivity standards. Working with management on specific issues as requested. Required Education and Skills include: High school diploma or GED preferred. Technical training or College Degree is a plus. Preferred 3 or more years of hands-on automotive repair or equivalent automotive technical experience. ASE or equivalent Manufacturer certification preferred. Outstanding verbal and written communication skills. Proficient use of current computer systems, Microsoft and web-based applications. Proficient use of communication tools for email, instant message and meeting platforms. Possess strong customer service skills including conflict avoidance/resolution, negotiation, and persuasive speaking. Possess problem solving, decisiveness and time management skills. Comprehensive Benefits: Competitive hourly wage (40 hrs/week) Annual Performance Evaluation w/ Compensation Review Bright, Modern Work Spaces 9 Paid Holidays (per year) Paid Vacation Days 401K Retirement Plan (100% company match up to 4% of income w/ immediate vesting) Insurance - paid benefits include Health, AD&D, Life and L/T Disability Voluntary benefits include Dental, Vision, Life and S/T Disability Convenient suburban location near intersection of I-270 and I-44 in southwest St. Louis County. We are an Equal Opportunity Employer.

Parker Loss Consultants, LLC To know more, visit us at ************************************* We are looking for an experienced Liability Adjuster to manage a caseload of moderate to high complexity liability claims from investigation to resolution. The ideal candidate has a deep understanding of legal liability concepts, strong negotiation skills, and the ability to work independently while meeting company and industry standards. Key Responsibilities: Investigate, evaluate, and resolve liability claims in a timely and efficient manner. Determine coverage, liability, and damages by reviewing documentation, interviewing involved parties, and analyzing relevant facts. Maintain accurate and organized claim files and documentation in accordance with regulatory and company guidelines. Communicate effectively with insureds, claimants and attorneys Negotiate settlements within authority limits and make sound recommendations for reserves and settlements on complex files. Collaborate with internal departments including underwriting, legal, and risk management. Stay updated on relevant laws, regulations, and industry best practices. Qualifications: NY License Minimum of 5 years of experience handling liability claims (general, auto, or professional liability preferred). Strong knowledge of insurance policy language, claim handling processes, and applicable legal regulations. Exceptional analytical, communication, and negotiation skills. Ability to manage a high-volume workload and prioritize effectively. Proficiency in claims management software and Microsoft Office Suite. Relevant adjuster's license(s) as required by state regulations. Preferred: Bachelor's degree or equivalent work experience. Designations such as AIC, CPCU, or similar certifications are a plus.

":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues. Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position. This includes two computer monitors, a laptop, keyboard and mouse. ","job_category":"Customer Service","job_state":"AZ","job_title":"Remote - Claims Adjuster - Automotive","date":"2025-12-18","zip":"85001","position_type":"Full-Time","salary_max":"55,000. 00","salary_min":"50,000. 00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer. ","

Our Company: At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in creating a culture where every associate can learn and grow. We strive to create a work environment to meet associate needs and we are determined to achieve excellence in everything we do. This is an opportunity to join a dynamic team in a company that is a leader in the minimum limits auto insurance space and functions with a small company, entrepreneurial style. This position will require someone with an understanding that one needs to have a “roll up your sleeves” attitude to help make things happen. Job Summary: The Claims Adjuster Trainee will complete a series of Self-Study courses, classroom training and On The Job training to prepare for promotion to Adjuster Level 1 position. In addition, the Claims Adjuster Trainee will complete the necessary pre-requisite course work required to take and pass the Georgia Resident Adjuster Property and Casualty examination. The Claims Adjuster Trainee is responsible for investigating, reserving, negotiating and settling assigned property and casualty claims within provided authority. Ensures that all assigned claims are resolved timely and fairly in accordance with the policy contract based on the damages presented. The Claims Adjuster Trainee will work with minimal authority under direct supervision. Job Responsibilities: • Complete required training courses with a successful score • Obtain State of Georgia Resident Adjuster Property and Casualty license and maintain license through completion of state mandated Continuing Education. • Provide quality service to all parties involved in assigned claims. • Conduct thorough investigations into coverage, liability and damages for assigned claim in accordance with Claims Best Practices. Qualifications: Required • Bachelor's degree • Ability to pass State of Georgia Resident Adjuster Property and Casualty licensing exam. Preferred • Bilingual (Spanish) Core Competencies: • Attention to detail and ability to multi-task. • Excellent verbal and written communication skills. • A high degree of motivation and team orientation. • Strong computer skills. • Desire to develop new skills and grow in career. Our Values: We are direct, results driven, and dedicated to the success of the business and each other. In addition, we operate against these five key values, reflected in how we work with each other every day: • Honor: We do what is right, even when no one is looking. We play by the rules; integrity is of utmost importance. • Discipline: We are most efficient and resourceful in how we work… striving to be better than our competition. • Common Sense: We are relentlessly logical. We value an approach to our business that acknowledges the obvious and errs on the side of simplicity. • Financial Strength: Fundamental to our prosperity is an ever-vigilant focus on rigorous financial discipline. These practices enable us to navigate through all business cycles. • Dedication: We demonstrate a deep-seated respect for our Associates and customers. We listen and respond as best we can - for without them, our business would not exist. This indicates the essential responsibilities of the job. The duties described are not to be interpreted as being all-inclusive to any specific associate. Management reserves the right to add to, modify, or change the work assignments of the position as business needs dictate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. This job description does not represent a contract of employment. Employment with AssuranceAmerica is at-will. The at-will relationship can be terminated at any time , with or without reason or notice by either the employer or the associate. AssuranceAmerica is an Equal Opportunity Employer

Job Description Ready for a change? Bring your mechanical background to Endurance and use your automotive knowledge in a professional remote environment. The Mechanical Claims Adjuster is responsible for investigating, evaluating and negotiating minor to complex vehicle repair claims and accurately determining coverage and liability (based on the reported fact scenario). You will be measured on your ability to provide accurate benefit and adjustment amounts on claims and reach fair, efficient claims resolutions while managing costs in accordance with policies and procedures. Key Responsibilities: Adjudicate and authorize claims within your dollar-limit authority. Ensure the accuracy of coverage information when responding to inquiries by providing customer clarity on coverage and financial commitment. Successfully handle an average of 50-70 inbound calls daily from repair centers and Endurance Customers/Contract Holders. Review and determine claims based on the reported fact scenario given by the repair facility submitted through the online portal. Collect and verify all diagnostic information provided by the repair facilities. Respond to inquiries while providing information and explanations regarding Endurance's various levels of coverage. Manage Workflow - Process and complete all requests and documents in accordance with established processes and procedures. Achieve and maintain agreed-upon metrics within the scheduled time. Establish, develop, and maintain positive business and customer relationships. Being interactive and communicative with management and co-workers in a visible manner is an essential function of the job; therefore, camera usage is required for training, team meetings, and meetings with management. Key to Success: High school Diploma or equivalent work experience. 1-2 years working at a dealership and/or independent auto repair shop. 1-2 years of automotive repair procedures, processes, parts, and repair costs 1-2 years of proven success negotiating and problem-solving Ability to efficiently understand contracts/policies/procedures and apply them accordingly. Must be able to communicate effectively with contract holders/customers, agents, dealers, internal staff, and upper management. Experienced in ProDemand, Alldata, and Carfax is a plus Call-center experience is a plus The candidate(s) offered this position will be required to submit to a background investigation. Compensation Ranges - $21.64-$23 Hourly Our Benefits Include: Paid training Work From Home Opportunity Computer Equipment Provided 401(k) with company match after 90 days of employment Medical, Dental, and Vision Insurance Voluntary Life Insurance Internet Stipend Paid Time Off Holiday Pay Learn more about life at Endurance-connect with us on LinkedIn, Facebook, Instagram, and Twitter. Equal Employment Opportunity Endurance Warranty Services is proud to be an equal-opportunity employer. We celebrate our employees' differences, including race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, and Veteran status. Our differences are what make us better together. Endurance Warranty is an E-Verify Company. About Endurance Endurance Warranty has been honored with multiple Stevie Awards for being a great place to work, and we're growing rapidly. We're a fast-paced company offering limitless opportunities to grow your career. Thanks to our dedicated employees, we provide best-in-class auto repair coverage to customers across the country, protecting people from unexpected and costly breakdowns for almost 15 years. At Endurance, we embrace the entrepreneurial spirit, and you'll play a role in shaping this dynamic industry. We offer great pay, amazing benefits, and the opportunity to learn and grow. When you work for Endurance, you're working for a company that cares about you and your future. We empower employees to lead, drive change and give back where they work and live. Our people are our greatest strength, and we're proud to work as a diverse team to serve our customers and our community. Therefore, we've been honored as a top place to work, including multiple StevieⓇ Awards for the best workplace and great employer. For the last several years, Endurance has also earned a spot-on Selling Power's "50 Best Companies to Sell For" and consistently makes industry lists from Crain's and Inc. magazine for our continuous and significant growth. Experts in the industry recognize that our employees care as well-Consumer Affairs highly recommends Endurance, and our customers highly rate us on Google, Trustpilot, and other major online review sites. Come accelerate your career with us. We'll give you the tools you need to succeed at work and the flexibility to enjoy life outside of your job.

Department: Claims Schedule: Monday to Friday; flexibility for additional hours as needed. Salary: Commensurate based on experience and qualifications About Responsive Founded in 2007 and headquartered in Plantation, Florida, Responsive is a leading provider of personal auto insurance in Florida. We collaborate with thousands of agents from the most respected insurance agencies to deliver world-class service and claims experiences. Responsive stands for making auto insurance simple, affordable, and hassle-free; a promise we deliver through innovation, feedback, and a commitment to excellence. Why Join Responsive? At Responsive, we're committed to supporting our team with comprehensive benefits and a positive work environment, including: Employer-Paid Healthcare: Medical, dental, and vision plans with free preventative care. Retirement Savings: 401(k) with company match. Wellness Programs: Mental health support and wellness initiatives. Career Development: Training and growth opportunities in a collaborative environment. What You'll Do As a Claims Adjuster, you'll guide customers through the claims process with empathy and expertise. From investigating coverage to resolving disputes, you'll handle claims from start to finish while maintaining strong relationships with customers and stakeholders. Responsibilities include: Investigating, evaluating, and resolving insurance claims. Reviewing policies to verify coverage and address coverage issues. Managing customer interactions with professionalism and accuracy. Responding to demands, requests, and questions with clear, well-documented communication. Collaborating with attorneys, medical providers, and other stakeholders. Maintaining detailed and timely records. Ensuring compliance with federal, state, and company regulations. Requirements What We're Looking For Education: Bachelor's degree. Licensing: Active Florida 6-20 All Lines Adjuster License. Language Skills: Fluent in Spanish and English (written and verbal proficiency required). Skills: Strong analytical, problem-solving, and communication skills. Proficiency in Microsoft Office. Experience: Customer-focused with experience in high-volume environments that require time management and attention to detail. Mindset: Self-motivated, team-oriented, and adaptable. Our Culture Responsive is a dynamic, inclusive workplace where integrity, innovation, and collaboration thrive. We foster an environment where employees are encouraged to: Adapt: Embrace change and continuously improve. Collaborate: Work transparently and respectfully with others. Engage: Show curiosity and a commitment to serving customers and teammates. Be Data-Driven: Leverage insights to drive decisions and improvements. Responsive provides equal employment opportunities (EEO) to all employees and applicants, fostering a diverse and inclusive workplace. #claimsadjuster

Insight Global is looking for an Outpatient Facility Claim Follow Up Representative to support a large hospital system in the Maryland/DC area. This person is responsible for managing post-billing, specifically for Blue Cross Blue Shield, claim activity, for three acute hospital centers in Washington, DC. This role focuses on resolving underpayments, denials, and contract interpretation issues-not clinical denials or patient balances. The representative ensures accurate reimbursement by analyzing Explanation of Benefits (EOBs), identifying discrepancies, and initiating corrective actions with payers. This team focuses on facility claims only, and this role is focused only on outpatient claims follow up, specifically to BCBS. The role focuses on resolving technical denials (underpayment or partial payment issues, authorization issues, COB issues, coding issues, misinterpretation of contract issues, etc.). Primary Responsibilities: Claims Management: - Take ownership of outpatient hospital claims after billing, especially those that are denied or underpaid. - Determine what was paid, what was denied, and why. - Identify and resolve technical denials related to coding, coordination of benefits (COBs), charge discrepancies, contract interpretation, etc. Payer Interaction: - Handle all outpatient claims for Blue Cross Blue Sheild CareFirst and/or BlueCard. - Understand and navigate multiple contracts. - Utilize BCBS portal to follow up and resolve outstanding claim issues. Analytical Review: - Differentiate between pricing errors vs. payment errors. - Accurately price claims based on contract terms and identify variances. Scope of Work: - Outpatient facility claims ONLY - Technical denials ONLY We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements - High school diploma or equivalent - Outpatient hospital billing experience - Experience with facility claims follow-up & appeals handling o Experience with UB04 forms o This team handles all technical denials (underpayment or partial payment issues, authorization issues, COB issues, coding issues, misinterpretation of contract issues, etc.) - Strong experience working with BlueCross BlueShield CareFirst and/or BlueCard o Familiarity using payer portal, their escalation process, how to read and interpret contracts - Experience meeting a productivity standard of following up on ~55 claims per day. - Knowledgeable of ICD + CPT Codes - Attention to Detail: o Must be able to spot errors and inconsistencies in claims and contracts. - Analytical Thinking: o Capable of identifying discrepancies in claim pricing vs. payment. Must be able to determine whether a claim was underpaid, denied, or priced incorrectly. - Independent & Fast Learner - Tech Savvy (Excel, Teams, etc.) and experience working fully remotely - Experience with systems: Med-Connect for medical records, RCI (repository where denials go), Envision (SMS), Epic

Summary: This position is responsible for investigating, evaluating and negotiating settlement of assigned large loss Commercial Auto Body Injury Claims in accordance with best practices and to promote retention or purchase of insurance from Grange Enterprise. If you're excited about this role but don't meet every qualification, we still encourage you to apply! At Grange, we value growth and are committed to supporting continuous learning and skill development as you advance in your career with us. What You'll Be Doing: Pursuant to line of business strategies and good faith claim settlement practices, investigates, evaluates, negotiates, and resolves (within authorized limits) assigned claims. Demonstrates technical proficiency, routinely handling the most complex claims with minimal manager oversight. Establishes and maintains positive relationships with both internal and external customers, providing excellent customer service. Assists in building business relationships with agents, insureds and Commercial Lines partners through regular, effective and insightful communications. May include face-to-face as needed. Will be the “point person” (when required) for certain identified large customer accounts where specialized communication and handling are required. Regularly develops and mentors other associates. Assists leadership in advancing the technical acumen of the department through the development of formal and informal training and resources. Establishes and maintains proper reserving through proactive investigation and ongoing review. Assists other departments (when required) with investigations. May be assigned general liability claims during high volume workload periods. Demonstrates effectiveness and efficiencies in managing diary system and handling workload with limited supervision or direction. What You'll Bring To The Company: High school diploma or equivalent education plus five (5) years claims experience with at least three (3) years of Commercial Casualty experience. Experience in General Liability preferred. Bachelor's degree preferred. Must possess strong communication and organization skills, critical thinking competencies and be proficient with personal computer. Requires excellent decision-making ability, a broad depth of experience and technical competence and capacity to manage work to meet time sensitive deadlines. Demonstrated ability to interact with internal and external customers in a professional manner. State specific adjusters' license may be required. About Us: Grange Insurance Company, with $3.2 billion in assets and more than $1.5 billion in annual revenue, is an insurance provider founded in 1935 and based in Columbus, Ohio. Through its network of independent agents, Grange offers auto, home and business insurance protection. Grange Insurance Company and its affiliates serve policyholders in Georgia, Illinois, Indiana, Iowa, Kentucky, Michigan, Minnesota, Ohio, Pennsylvania, South Carolina, Tennessee, Virginia, and Wisconsin and holds an A.M. Best rating of "A" (Excellent). Grange understands that life requires flexibility. We promote geographical diversity, allowing hybrid and remote options and flexibility in work hours (role dependent). In addition to competitive traditional benefits, Grange has also created unique benefits based on employee feedback, including a cultural appreciation holiday, family formation benefits, compassionate care leave, and expanded categories of bereavement leave. Who We Are: We are committed to an inclusive work environment that welcomes and values diversity, equity and inclusion. We hire great talent from various backgrounds, and our associates are our biggest strength. We seek individuals that represent the diversity of our communities, including those of all abilities. A diverse workforce's collective ideas, opinions and creativity are necessary to deliver the innovative solutions and service our agency partners and customers need. Our core values: Be One Team, Deliver Excellence, Communicate Openly, Do the Right Thing, and Solve Creatively for Tomorrow. Our Associate Resource Groups help us create a more diverse and inclusive mindset and workplace. They also offer professional and personal growth opportunities. These voluntary groups are open to all associates and have formed to celebrate similarities of ethnicity/race, nationality, generation, gender identity, and sexual orientation and include Multicultural Professional Network, Pride Partnership & Allies, Women's Group, and Young Professionals. Our Inclusive Culture Council, created in 2016, is focused on professional development, networking, business value and community outreach, all of which encourage and facilitate an environment that fosters learning, innovation, and growth. Together, we use our individual experiences to learn from one another and grow as professionals and as people.  We are committed to maintaining a discrimination-free workplace in all aspects, terms and conditions of employment and welcome the unique contributions that you bring from education, opinions, culture, beliefs, race, color, religion, age, sex, national origin, handicap, disability, sexual orientation, gender identity or expression, ancestry, pregnancy, veteran status, and citizenship.

Are you an experienced claims professional ready to take on complex cases and make a meaningful impact? MEM Insurance is seeking a seasoned Claims Representative to join our dynamic Claims team. In this role, you will manage a caseload of high-exposure workers' compensation claims, oversee advanced medical case management, and develop tailored Return-to-Work plans. You'll collaborate with vocational consultants, legal counsel, and internal teams to ensure compliance, negotiate settlements, and deliver exceptional service to our policyholders. This position offers the opportunity to work independently while providing leadership on complex claims and contributing to workflow improvements. Essential Duties and Responsibilities Manage complex workers' compensation claims involving high financial exposure, sensitive issues, or extended life cycles. Investigate coverage and compensability, ensuring thorough documentation and compliance with state statutes. Oversee advanced medical case management, including coordination with Nurse Case Managers and external vendors. Develop and implement Return-to-Work plans for high-risk claims, collaborating with vocational consultants and legal counsel. Identify and investigate potential fraud and subrogation opportunities, partnering with the Special Investigation Unit. Establish and maintain accurate claim reserves within authority levels, ensuring timely responsiveness to changing circumstances. Evaluate and negotiate settlements within approved authority levels, including structured settlements and Medicare compliance. Collaborate with legal counsel to manage litigation and ensure adherence to MEM guidelines. Maintain accurate system data and prepare reports for management on high-profile claims. Foster cross-departmental collaboration with Underwriting, Premium Consultation, and Loss Prevention. Provide mentorship and training to junior adjusters, supporting professional growth and team development. Qualifications High school diploma or equivalent required; bachelor's degree preferred. Associate in Claims (AIC) designation preferred. Valid driver's license required; Texas-All Lines license preferred. 3-5 years of claims handling experience, primarily in Workers' Compensation. Company Culture and Values At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other's growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered. Diversity Statement MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities. Total Rewards Overview Health Plans: Medical, Dental, and VisionIncludes fertility benefits, fully paid preventative care, and adult orthodontia. Employer-Paid Life and Disability Benefits:Life Insurance (3x base salary), AD&D, Short and Long-term Disability. Wellness and Recognition Program: Employer-paid incentives for employees and spouses. Flexible Spending Account and Dependent Care options Health Savings Account: Generous employer contribution. Time Away from Work:Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave. Employee Assistance Programs 401k Retirement Plan: Employer match and profit sharing. Adoption Assistance and Tuition Assistance Notice Regarding Use of Artificial IntelligenceMEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative** to join our team in **for a remote position** . This is a US based, W-2 project. All candidates will be paid through NTT DATA only. **Role Responsibilities** **- Pay rate is $18.00** -Processing of Professional claim forms files by provider -Reviewing the policies and benefits -Comply with company regulations regarding HIPAA, confidentiality, and PHI -Abide with the timelines to complete compliance training of NTT Data/Client -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as per turnaround time/SLAs -Ensure claims are adjudicated as per clients defined workflows, guidelines -Sustaining and meeting the client productivity/quality targets to avoid penalties -Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. -Timely response and resolution of claims received via emails as priority work -Correctly calculate claims payable amount using applicable methodology/ fee schedule **-Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities** **-Time management with the ability to cope in a complex, changing environment** **-Ability to communicate (oral/written) effectively in a professional office setting** **Required Skills/Experience** + 1+ year(s) hands-on experience in **Healthcare Claims Processing** + **Previously performing - in P&Q work environment; work from queue; remotely** + 2+ year(s) using a computer with Windows applications using a keyboard, **navigating multiple screens and computer systems, and learning new software tools** + Key board skills and computer familiarity - + **Toggling back and forth between screens** /can you navigate multiple systems. + Working knowledge of MS office products - Outlook, MS Word and **MS-Excel** . **Preferences** Amisys &/or Xcelys Preferred About NTT DATA: NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com. NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team. Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is **$18.00/hourly** . This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.