ClaimClerk
)
Schedule: Monday-Friday, 7:30 a.m. - 4:00 p.m. (37.5 hours per week)
Salary Range:$12.00 - $15.50 per hour
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 ClaimClerk provides administrative support to both Liability and Workers' Compensation adjusters, ensuring accurate documentation and timely processing of claim-related tasks. This role requires strong attention to detail, organizational skills, and the ability to manage multiple priorities in a fast-paced environment. You'll work closely with a team of four and play a critical role in maintaining compliance and efficiency within the claims process.
Responsibilities When we hire claimclerks, we look for detail-oriented professionals who take pride in accuracy, organization, and supporting a team that delivers exceptional service. In this role, you'll help keep claims moving by managing documentation, deadlines, and communication with precision. What You'll Do
Match mail for assigned accounts and file claim-related documents
Follow up on bills and assist with claim file maintenance
Set up designated claim files and complete all setup instructions as requested
Summarize correspondence and medical records in claim log notes and file appropriately
Provide administrative support to claim staff on client-specific teams
Back up the receptionist as needed
Retrieve closed files and maintain storage organization
Photocopy claim documents and return provider calls as directed
Ensure compliance with service commitments established by the team
Qualifications Required:
High school diploma or equivalent
Proficiency in Microsoft Word, data entry, and typing skills
Strong attention to detail and organizational abilities
Nice to Have:
Experience with Microsoft Excel
Knowledge of medical terminology
Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required.
Why You'll Love Working Here
4 weeks
(Paid time off that accrues throughout the year in accordance with company policy)
+ 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 claimclerks stand out through accuracy, efficiency, and teamwork. We measure success by:
Quality administrative support - organized filing, accurate documentation, and dependable assistance to adjusters
Compliance & audit performance - adherence to client-specific and corporate standards for recordkeeping and data integrity
Timeliness & accuracy - prompt handling of mail, bills, and claim file updates with attention to detail
Team collaboration - proactive communication and responsiveness to adjuster and client needs
Professional judgment - maintaining confidentiality and prioritizing tasks effectively
Cultural alignment - understanding that every claim represents a real person and supporting the process with care
This is where we shine, and we hire clerks who want to shine with us.
Compensation & Compliance
The posted salary 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. This role may also qualify for bonuses or additional forms of pay.
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance.
Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.
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.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.
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.
#ClaimsCareers #InsuranceJobs #JacksonMSJobs #AdminSupport #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #NowHiring #ClericalJobs #TeamSupport #CCMSICareers #LI-InOffice #IND456
$12-15.5 hourly Auto-Apply 8d ago
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Auto Physical Damage Claim Rep (Remote)
Selective Insurance 4.9
Branchville, NJ jobs
About Us
At Selective, we don't just insure uniquely, we employ uniqueness.
Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year.
Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.
Overview
Join Our Team as an Auto Physical Damage Claim Representative at Selective!
As an Auto Physical Damage Claim Representative at Selective you will play a crucial role in ensuring our customers receive the best service possible. As part of this role, you will manage auto claims from start to finish. You will investigate all claim details by gathering information from insureds, claimants, witnesses, and repair shop personnel to conclude settlement or denial of the claim. As an Auto Physical Damage Claim Rep you will ensure claims are processed within company policies, procedures, and individual's prescribed authority with exceptional standards of performance. You will work in a collaborative and supportive environment, where you will have access to ongoing training and future development opportunities. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.
*Please also note, there are two weeks of mandatory onsite trainings. The week of 3/9/2026 will be held in our Charlotte, NC office and the week of 4/6/2026 will be held in our Richmond, VA office.
Responsibilities
Investigate claims through various methods of communication with claim parties. Analyze information obtained through investigation in order to evaluate assigned claims to determine the extent of loss and liability.
Review/analyze policy forms to determine the appropriate coverage for a loss, including limits and deductibles. Escalate claims appropriately when outside scope of handling for this position.
Establish and continuously review reserves and input claim information in the Claims System.
Update the claims system on a continual basis to accurately reflect status of assigned file and to initiate percentage of negligence on the part of the insured to determine "chargeability".
Document claim activity and maintain control of work through documentation and diary/task system.
Review and approve expenses incurred to investigate process and handle a claim. Recognizes fraudulent claims activity that would be subject to SIU referral in accordance with company guidelines and subsequent referral to law enforcement or regulatory agencies.
Direct customer to approved car rental vendor, aggressively manage car rental expenses, set up appropriate inspection and repair assignments, and process immediate removal of total loss vehicles to salvage yard.
Close claim by issuing check or denial. Issue appropriate letters based on state regulations and company directives. Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents on claim resolution. Utilize vendors and other resources as necessary to assist with resolving disputed claims. Explore subrogation opportunities on all claims assigned.
May handle low complexity property losses.
Qualifications
Knowledge and Requirements
Understanding of Commercial and Personal Automobile policy language and endorsements.
Adjuster licenses in states requiring same (obtain within 3 months of hire).
Exceptional customer service skills.
Education and Experience
College degree preferred.
1-3 years of claim handling experience preferred.
Total Rewards
Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page.
The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.
Pay Range
USD $42,000.00 - USD $58,000.00 /Yr.
Additional Information
Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.
For Massachusetts Applicants
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
$42k-58k yearly 5d ago
Claims Representative, Auto Property Damage - Independent Agent Channel
Plymouth Rock Assurance 4.7
Parsippany-Troy Hills, NJ jobs
The Auto Property Damage Claims Representative is responsible for managing Auto Property Damage claims within our “Auto PD Claim Unit.” This role demands a high level of customer service, patience, and professionalism while working in a fast-paced environment with significant phone interaction. Strong customer service, organizational, verbal, and written communication skills are essential. The ability to navigate adversarial situations with professionalism is critical. Comparative negligence claim handling experience is a plus but not required.
RESPONSIBILITIES
Policy Analysis:
Investigate and interpret policy provisions, endorsements, and conditions to determine coverage for automobile property claims.
Identify and investigate contested coverage claims that may require a roundtable discussion.
Claim Investigation:
Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties.
Secure and analyze pertinent records, documentation, and loss scene information to determine proximate cause, negligence, and damages.
Claims Management:
Evaluate and adjust reserves as necessary.
Prepare dispatch instructions for field personnel to inspect vehicles.
Negotiate and settle claims within individual authority limits and seek supervisor approval for claims exceeding authority or requiring additional guidance.
Maintain effective follow-up systems on pending files, advising insureds, claimants, and brokers on claim status.
Act as an intermediary between the company, preferred vendors, and customers to resolve disputes.
Ensure adherence to privacy guidelines, laws, and regulations in claims handling.
Subrogation and Legal Handling:
Investigate and initiate subrogation processes when applicable.
Handle and respond to special civil part lawsuits or intercompany arbitrations related to auto property damage claims.
Administrative Duties:
Manage a customer-focused phone environment by answering calls, returning voicemails, and responding to emails and text correspondence promptly.
Process incoming and outgoing mail timely and in accordance with state guidelines.
Complete other duties as assigned.
QUALIFICATIONS
Bachelor's degree required.
A minimum of 1 year of related PD claim experience is welcomed but not required.
Proficiency in personal computer skills, including Microsoft Office Suite.
Ability to prioritize and manage multiple tasks effectively.
Excellent communication, organizational, and customer service skills.
SALARY RANGE
The pay range for this position is $47,000 to $55,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
PERKS & BENEFITS
4 weeks accrued paid time off, 8 paid national holidays per year, and 2 floating holidays
Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
Annual 401(k) Employer Contribution
Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
Robust health and wellness program and fitness reimbursements
Various Paid Family leave options including Paid Parental Leave
Tuition Reimbursement
ABOUT THE COMPANY
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
$47k-55k yearly 2d ago
RI Accounting & Claims Handling Analyst
Munich Re 4.9
Princeton, NJ jobs
We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients.
The Company
Munich Re America Services (MRAS) is a shared service organization that delivers services to all Munich Re US P&C Companies and other group entities.
As a member of Munich Re's US operations, we offer the financial strength and stability that comes with being part of the world's preeminent insurance and reinsurance brand. Our risk experts work together to assemble the right mix of products and services to help our clients stay competitive - from traditional reinsurance coverages, to niche and specialty reinsurance and insurance products.
The Opportunity
Future focused and always one step ahead!
The Reinsurance Accounting & Claims Handling Analyst is responsible for the timely and accurate recording of client company contract, premium and loss related information into the Company's global reinsurance systems. Requires the ability to work with and analyze client reported data received in various levels of detail and formats.
Responsibilities
Responsibilities for this role will primarily focus on handling the following accounting related tasks with guidance and in accordance with agreed upon best practices, policies and procedures, and/or service level agreements:
Record client account statements in a timely and accurate manner
Investigate and resolve open payable/receivable balances
Prepare result dependent condition calculations
Processing payment transactions (incoming and outgoing) in accordance with contract terms
Accurately capture terms and conditions into global systems with guidance
Resolve quality assurance tasks or questions
Research and reconcile accounting matters related to statements of account
Participate in quarter close process
Participate in projects when needed
Qualifications
Successful candidates will possess the following skills/capabilities:
Bookkeeping and/or accounting experience
Associates or Bachelor's Degree, preferably in Accounting, Finance, Mathematics, Computer Science, Data Science/Analytics or equivalent experience.
Strong attention to detail, time management and decision-making skills
Interpersonal skills including verbal and written communication, relationships and teamwork
Solid math and analytic skills
Proficiency with Microsoft Office (Outlook, Word, Excel) which includes the ability to learn new and complex computer system applications. Data manipulation and analysis. Excel required.
The Company is open to considering candidates in Princeton, NJ. The salary range posted below applies to the Company's Princeton location.
The base salary anticipated for this position is $56,000. plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO).
The salary estimate displayed represents the typical salary range for candidates hired in this position in Princeton, NJ. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range.
We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits:
Two options for your health insurance plan (PPO or High Deductible).
Prescription drug coverage (included in your health insurance plan).
Vision and dental insurance plans.
Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary.
Short and Long Term Disability coverage.
Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children).
Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity).
In addition to the above insurance offerings, our employees also enjoy:
A robust 401k plan with up to a 5% employer match
A retirement savings plan that is 100% company funded.
Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries.
Eligibility to receive a yearly bonus as a Munich Re employee.
A variety of health and wellness programs provided at no cost.
Paid time off for eligible family care needs.
Tuition assistance and educational achievement bonuses.
A corporate matching gifts program that further enhances your charitable donation.
Paid time off to volunteer in your community.
At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services.
We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
#LI-MB1
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$56k yearly 2d ago
Lead Claim Examiner I, CA
Amtrust Financial 4.9
Fresno, CA jobs
Requisition ID JR1005137 Category Claims - Workers Compensation Type Regular Full-Time
Responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claimants, ensuring that company resources are utilized in a cost effective manner in the process.
Those within a 50-mile radius of an AmTrust office will be expected to abide by a hybrid schedule
Responsibilities
Thoroughly investigating workers' compensation claims by contacting injured workers, medical providers, and employer representatives. Determining if claims are valid under applicable workers' comp statutes. Communicating with medical providers to develop and authorize appropriate treatment plans.
Reviewing and analyzing medical bills to confirm charges and treatment are workers' comp injury-related and in accordance with the treatment plan.
Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute
Answer questions regarding the status of pending claims from claimants, policyholders and medical providers.
Consult with attorneys regarding litigation management, settlement strategy and claim resolution.
Qualifications
2+ years experience as a Workers Comp adjuster handling California claims
Must be current on Continued Education Units
MS Office experience (Work, Excel, Outlook)
Effective negotiation skills
Strong verbal and written communication skills
Ability to prioritize work load to meet deadlines
Ability to manage multiple tasks in a fast-paced environment
Preferred:
SIP license
The expected salary range for this role is $39.66/hr-$44.75/hr.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
$39.7-44.8 hourly 3d ago
Sales Support Rotational Program - Colorado Springs or Denver, CO
Unitedhealth Group 4.6
Colorado Springs, CO jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
Consider the influence you can have on the quality of care for millions of people. Now, enhance that success with enthusiasm you can really feel. Great work is the product of solid purpose, conviction, and pride - pride in your ability and your product.
UnitedHealth Group offers a portfolio of products through two distinct platforms: United HealthCare (health benefits) and Optum (health services). At UnitedHealthcare Medicare & Retirement, we serve the fastest growing segment of our nation's population - 50 and older. And we're doing it with an intense amount of dedication. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of our 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to strengthen our health care system.
We offer a growth-based culture with extraordinary opportunities in our Early Careers Sales Support Rotational Program - we succeed by staying true to our mission to make health care work effectively and efficiently for seniors.
Program features:
Participate in a sales support rotational program that will accelerate your career with a company that will help you learn new skills and foster your continued growth
Collaborate with experienced professionals, mentors, and sales/sales support leaders
Build relationships within a close-knit community of peers involved in the sales support and sales rotational program to expand your network
Practical experience-based program in which participants are assigned projects in critical areas of the business
Program commitment is 26 months
Primary Responsibilities:
Participate in a 26-month Rotational Program that will provide a structured curriculum and on-the-job sessions that will expose you to broad skills, tools, and functional departments within the Sales & Distribution Organization. Along with training and a core role within the Producer Help Desk Sales Support organization, you will also experience two, six-month rotations fully submerged within a different part of the organization. From this, you will:
Complete two, six-month rotations outside of the Producer Help Desk (March - August) in areas including but not limited to Marketing, Product, Sales Operations, Workforce Management, and Business Development
Complete two, six-month long Sales Support Rotations (September - February) executing on the Producer Help Desk work via inbound telephonic interactions
Complete our two-month training program (June and July of year 1)
Sales Support Representatives are Sales Agent champions who address sales support, product, content, and technical needs through a variety of activities:
Build Agent sales success and loyalty through timely and effective interaction resolution, which includes telephonic sales interaction support, resource navigation, managing escalations, engaging appropriate resources as needed to drive sales transaction completion
Provide interaction resolution updates using effective oral and written communication
Interact with Sales Agents regularly via various communication channels; those channels may include inbound calls, inbound chats, inbound e-mails, or outbound calls as driven by business need
Other duties and projects needed and assigned by business management
In addition, the program supports additional professional development:
Gain industry knowledge
Enhance communication and presentation skills
Review reporting practices and utilize analytical skills
Learn and understand different work styles
Formalize individual development plans
Learn and live our corporate culture and values
Access a very comprehensive repository of online self-development tools and resources
*This is a full-time position with a start date of Monday, June 8, 2026*
*UnitedHealth Group is not able to offer relocation assistance for this position*
*UnitedHealth Group is not able to offer visa sponsorship now or in the future for this position*
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Currently in final year of obtaining a Bachelor's degree (or obtained degree no longer than 24 months prior to position start date, from an accredited college/university). Bachelor's Degree must be obtained prior to start of employment
Must be eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization (F-1 students with practical training and candidates requiring H-1Bs, TNs, etc. will not be considered)
Preferred Qualifications:
Work or volunteer experience in sales, customer service, health care, or health insurance
Experience with Microsoft Office products (Word, Excel, PowerPoint, Outlook)
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$20-35.7 hourly 2d ago
Claims Clerk (California)
Crawford & Company 4.7
Folsom, CA jobs
We're Hiring: ClaimsClerk (California) | On-site This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise. Why Join Crawford & Company? Offers Opportunity to Grow Your Network Salary: $24,531.51 - $44,850.11 / Annually
Excellent Crawford Benefits that Empower Financial, Physical, and Mental Wellness
Generous Employee Referral Bonus Program
Access to Multiple Employee Discounts
Role Overview:
Under direct supervision, performs a variety of claim clerical support duties for the Service Center or for the Claim Office.
$24.5k-44.9k yearly Auto-Apply 6d ago
Claims Clerk (California)
Crawford 4.7
Folsom, CA jobs
📢 We're Hiring: ClaimsClerk (California) | On-site 🌍 This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise. Why Join Crawford & Company? ✅ Offers Opportunity to Grow Your Network
✅ Salary: $24,531.51 - $44,850.11 / Annually
✅ Excellent Crawford Benefits that Empower Financial, Physical, and Mental Wellness
✅ Generous Employee Referral Bonus Program
✅ Access to Multiple Employee Discounts
📝 Role Overview:
📂 Under direct supervision, performs a variety of claim clerical support duties for the Service Center or for the Claim Office.
High school diploma or GED; or the equivalent in related work experience.
Must demonstrate basic knowledge of computer operations and of claim file systems and procedures.
2 yrs administrative experience preferred but not required.
Proficient in the Microsoft suite of products and like systems.
Must be capable of working in a fast paced environment.
Must be flexible, adaptable, and have excellent multi-tasking skills.
Must be technically proficient.
Excellent oral and written communication skills are essential.
#LI-EM3
Matches proper file and/or claim number on unidentified correspondence by use of the various automated systems for mail delivered by USPS/ACS/Unmatched mail queue in ODM.
Types a variety of material such as letters, benefit notices, or memorandums for medical appointment, attorneys, or external clients.
Performs control operator functions for various Service Center or Claim Office data systems.
Retrieves and/or re-files items from central storage facility and maintains accurate records of file activity.
Receives dock and messenger service deliveries and verifies accuracy of delivered material.
Prepares outgoing mail for shipment which includes the necessary attachments, wrapping, and sealing. This will include shipping/receiving computer equipment.
Performs a variety of clerical duties such as answering telephones, taking messages, dispersing faxes, making payments, sort/preparing files, and data entry.
Assists in updating jurisdictional notices and manuals used in the office.
Pulls files from storage for in-house state audits.
Prepares files in electronic form for state audits (payment history, file notes, and gathering medical reports).
Contacts agents and insured on routine claims to obtain coverage information or obtains through the various systems.
Issues payments, requests wage information for the adjusters, orders surveillance, and completes medical calls to obtain the current work status.
Schedules medical appointments and sends all appropriate correspondence relating to that appointment.
Performs other related work as required or requested.
Upholds the Crawford Code of Conduct.
$24.5k-44.9k yearly Auto-Apply 6d ago
Sr Claims Clerk
Crawford & Company 4.7
Lake Zurich, IL jobs
We're Hiring: Remote Sr. ClaimsClerk Work from the comfort of your home while making a real impact! As a Sr ClaimsClerk, you'll: Manage correspondence & documentation Handle mail & deliveries Support claims operations Maintain compliance & audit readiness
Provide clerical & client support
Apply today and start your journey with us!
$31k-36k yearly est. Auto-Apply 60d+ ago
Sr Claims Clerk
Crawford 4.7
Lake Zurich, IL jobs
💼 We're Hiring: Remote Sr. ClaimsClerk
Work from the comfort of your home while making a real impact! As a Sr ClaimsClerk, you'll:
✅Manage correspondence & documentation
✅Handle mail & deliveries
✅Support claims operations
✅Maintain compliance & audit readiness
✅Provide clerical & client support
📩 Apply today and start your journey with us!
High school diploma or GED; or the equivalent in related work experience.
Minimum 5 years of experience in the claims/liability environment or the equivalent, demonstrating a basic knowledge of computer operations and of claim file systems and procedures.
Must demonstrate basic knowledge of computer operations and of claim file systems and procedures.
Proficient in the Microsoft suite of products and like systems.
Must be capable of working in a fast paced environment.
Must be flexible, adaptable, and have excellent multi-tasking skills.
Must be technically proficient.
Excellent oral and written communication skills are essential.
#LI-RG1
Matches proper file and/or claim number on unidentified correspondence by use of the various automated systems for mail delivered by USPS/ACS/Unmatched mail queue in ODM.
Types a variety of material such as letters, benefit notices, or memorandums for medical appointment, attorneys, or external clients.
Performs control operator functions for various Service Center or Claim Office data systems.
Retrieves and/or re-files items from central storage facility and maintains accurate records of file activity.
Receives dock and messenger service deliveries and verifies accuracy of delivered material.
Prepares outgoing mail for shipment which includes the necessary attachments, wrapping, and sealing. This will include shipping/receiving computer equipment.
Performs a variety of clerical duties such as answering telephones, taking messages, dispersing faxes, making payments, sort/preparing files, and data entry.
Assists in updating jurisdictional notices and manuals used in the office.
Pulls files from storage for in-house state audits.
Prepares files in electronic form for state audits (payment history, file notes, and gathering medical reports).
Contacts agents and insured on routine claims to obtain coverage information or obtains through the various systems.
Issues payments, requests wage information for the adjusters, orders surveillance, and completes medical calls to obtain the current work status.
Schedules medical appointments and sends all appropriate correspondence relating to that appointment.
Performs other related work as required or requested.
Upholds the Crawford Code of Conduct.
$31k-36k yearly est. Auto-Apply 60d+ ago
Claims Clerk
Crawford 4.7
Berkeley Heights, NJ jobs
Under direct supervision, performs a variety of claim clerical support duties for the Service Center or for the Claim Office.
High school diploma or GED; or the equivalent in related work experience.
Must demonstrate basic knowledge of computer operations and of claim file systems and procedures.
2 yrs administrative experience preferred but not required.
Proficient in the Microsoft suite of products and like systems.
Must be capable of working in a fast paced environment.
Must be flexible, adaptable, and have excellent multi-tasking skills.
Must be technically proficient.
Excellent oral and written communication skills are essential.
Matches proper file and/or claim number on unidentified correspondence by use of the various automated systems for mail delivered by USPS/ACS/Unmatched mail queue in ODM.
Types a variety of material such as letters, benefit notices, or memorandums for medical appointment, attorneys, or external clients.
Performs control operator functions for various Service Center or Claim Office data systems.
Retrieves and/or re-files items from central storage facility and maintains accurate records of file activity.
Receives dock and messenger service deliveries and verifies accuracy of delivered material.
Prepares outgoing mail for shipment which includes the necessary attachments, wrapping, and sealing. This will include shipping/receiving computer equipment.
Performs a variety of clerical duties such as answering telephones, taking messages, dispersing faxes, making payments, sort/preparing files, and data entry.
Assists in updating jurisdictional notices and manuals used in the office.
Pulls files from storage for in-house state audits.
Prepares files in electronic form for state audits (payment history, file notes, and gathering medical reports).
Contacts agents and insured on routine claims to obtain coverage information or obtains through the various systems.
Issues payments, requests wage information for the adjusters, orders surveillance, and completes medical calls to obtain the current work status.
Schedules medical appointments and sends all appropriate correspondence relating to that appointment.
Performs other related work as required or requested.
Upholds the Crawford Code of Conduct.
$28k-34k yearly est. Auto-Apply 17d ago
Claims Clerk
Crawford & Company 4.7
Berkeley Heights, NJ jobs
Under direct supervision, performs a variety of claim clerical support duties for the Service Center or for the Claim Office.
$28k-34k yearly est. Auto-Apply 17d ago
Claims Representative
The Strickland Group 3.7
Tallahassee, FL jobs
Join Our Team as a Claims Representative! Are you passionate about helping others, building relationships, and making a meaningful impact? We're looking for driven individuals to join our dynamic team as Claims Representative, where you'll receive top-tier training, mentorship, and unlimited income potential.
NOW HIRING:
✅ Licensed Life & Health Agents
✅ Unlicensed Individuals (We'll guide you through the licensing process!)
We're looking for motivated individuals who want to grow into leadership roles or create a rewarding part-time income stream.
Is This You?
✔ Passionate about helping clients find financial security?
✔ Willing to invest in yourself and your professional growth?
✔ Self-motivated, disciplined, and eager to succeed?
✔ Coachable and ready to learn from top industry professionals?
✔ Interested in a business that is recession- and pandemic-proof?
If you answered YES, keep reading!
What We Offer:
💼 Flexible Work Environment - Work remotely, full-time or part-time, on your own schedule.
💰 Unlimited Earning Potential - Part-time: $40,000-$60,000+/month | Full-time: $70,000-$150,000+++/month.
📞 Warm Leads Provided - No cold calling; you'll assist clients who have already requested help.
❌ No Sales Quotas, No High-Pressure Tactics.
🧑 🏫 Comprehensive Training & Mentorship - Learn from top-performing professionals.
🎯 Daily Pay - Get paid directly by the insurance carriers you work with.
🎁 Bonuses & Incentives - Earn commissions starting at 80% (most carriers) + salary
🏆 Leadership & Growth Opportunities - Build your own agency (if desired).
🏥 Health Insurance Available for qualified agents.
🚀 Start a meaningful career where you help clients secure their futures while securing your own.
👉 Apply today and take the first step toward success!
(
Your success depends on effort, skill, and commitment to training and sales systems.
)
$30k-38k yearly est. Auto-Apply 60d+ ago
Claims Clerk
Western Growers 3.2
Irvine, CA jobs
Description Western Growers Health─a part of Western Growers Family of Companies─provides employer-sponsored health benefit plans to meet the needs of those working for the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association (est. 1926) to support the business interests of employers in the agriculture industry.
Our mission at Western Growers Health is to deliver value to employers by offering robust health plans that meet the needs of a diverse workforce. By working at Western Growers Health, you will join a dedicated team of employees who care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to Western Growers Health today!
Compensation: $39,208 - $55,972 with a rich benefits package that includes profit-sharing.
JOB DESCRIPTION SUMMARYThis position reports to the Supervisor, Claims Operations in a production environment and is responsible for supporting the claims department by preparing claim receipts and all related correspondence for the department. Qualifications
High school diploma or equivalent and one (1) to three (3) years of Business experience with knowledge of generally accepted procedures, analytical abilities or equivalent combination of education and experience preferred.
Knowledge of generally accepted health care eligibility and billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA).
Computer aptitude with Word, Excel and Outlook and the ability to develop a strong proficiency working with a proprietary Health Care system.
Experience providing Customer Service to a variety of client contacts via email and telephone.
Ability to research and resolve technical issues and/or client problems as they arise with minimal direction.
Proficient written and oral communication skills to include modern business communications, formatting of professional letters, reports, and phone etiquette.
Skills to establish priorities, multi-task, work under pressure and deadlines, work independently with minimal supervision or in team environment.
General knowledge of health insurance operations and industry.
Ability to work overtime as needed, based on department needs
Spanish bilingual (verbal/written) abilities a plus.
Duties And ResponsibilitiesClerical Support
Review and sort incoming USPS mail for distribution to outside vendors or internal personnel
Review and sort claims and supporting documents, received via fax and email.
Prescreen, prep and scan documentation for distribution to examiners.
Organize, log and process special handling checks which are returned to department, in accordance with clients specified requirements.
Review and return incomplete claims which are unidentifiable and cannot be processed by Examiners.
Serve as daily support for company receptionist.
Serve as pre-processor of medical and dental claims.
Review and post claim payment information from outside vendor as needed.
Upload, from Wellpoint Anthem system, claims for priority distribution for end of contract.
Department Operations
Maintain department standards and production goals.
Monitor logs, prescreening daily for timely processing.
Log and process, in accordance with client specifications, checks requiring client second signature and mail accordingly.
Sort, log and distribute various specialty checks.
Log, Monitor and report daily paper, correspondence claims inventory.
Keep record of work complete for weekly inventory reports.
Other
Utilize all capabilities to satisfy one mission - to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, be self-accountable, create a positive impact, and be diligent in delivering results.
All other duties as assigned.
Physical Demands/Work EnvironmentThe physical demands and work environment described here represent those that an employee must meet to successfully perform this job's essential functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.
$39.2k-56k yearly Auto-Apply 60d+ ago
Claims QR Technician
Associated Administrators 4.1
Remote
The Claims Quality Review Technician is responsible for performing detailed quality reviews of processed claims to ensure accuracy and compliance with eligibility rules, benefits paid, client requirements and applicable legislative and regulatory guidelines.
"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by /Role."
Key Duties and Responsibilities
Reviews processed claims, including hospital, medical, dental, vision, prescription and time loss to confirm accuracy and appropriate adjudication of benefits.
Identify and document quality trends, provide feedback, and assist management in monitoring processing performance against established standards.
Reviews and interprets new benefit plans and/or benefit plan changes, develops resource materials and acts as a resource for staff.
Conducts training for new and current employees on claims adjudication, contract language, benefit interpretation, claims QR process and departmental procedures.
Collaborate with internal partners to resolve complex claim issues and support continuous improvement.
Performs other duties as assigned.
Minimum Qualifications
High school diploma or GED required
5+ years of related experience, including claims processing, training and/or claims quality review.
Strong understanding of claims processing guidelines and benefit plan structures, and regulatory requirements.
Demonstrated analytical, research, and problem-solving abilities with strong attention to detail.
Working knowledge of CPT, HCPC and ICD-10 coding
Proficiency in Microsoft Word, Excel and Outlook.
Preferred Qualifications
Experience working in a Taft-Hartley environment
Prior quality assurance or audit -focused experience
Familiarity with automated claims platforms.
*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice.
Working Conditions/Physical Effort
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift 15 pounds at times.
Disability Accommodation
Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at ******************************, and we would be happy to assist you.
Zenith American Solutions
Real People. Real Solutions. National Reach. Local Expertise.
We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.
We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!
We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!
$34k-42k yearly est. Auto-Apply 60d+ ago
Claims Representative - Tampa, FL
Federated Mutual Insurance Company 4.2
Tampa, FL jobs
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?
Are you looking to make a change to work for a company that values work/life balance? Federated Insurance has a career opportunity for you in this office-based Auto and Commercial Liability Claims Adjuster position. No specific state experience is required.
Responsibilities
Gather evidence and document claims facts.
Determine the value of damaged items.
Understand and explain insurance policy coverage to clients and third parties.
Negotiate settlements with clients or third parties.
Resolve claims, which may include paying or denying claims.
Communicate with clients, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair, and courteous way.
Occasionally handle defending policyholders in court, compromising, or recovering outstanding dollars.
Minimum Qualifications
Current pursuing, or have obtained a four-year degree
1-5 years' experience in handling auto or general liability claims.
Strong analytical, computer, and time management skills
Excellent written and verbal communication skills
Salary Range: $63,800 - $78,000
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.
$63.8k-78k yearly Auto-Apply 18d ago
Claims Representative - Rancho Cordova, CA
Federated Mutual Insurance Company 4.2
Rancho Cordova, CA jobs
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?
Customer-focused, source of knowledge and comfort, desire to help, professional, self-motivated - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss.
No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients.
This is an in-office position that will work out of our Rancho Cordova, CA office, located at 10850 Gold Center Drive. A work from home option is not available.
Responsibilities
Work with policyholders, attorneys, and others to ensure claims are resolved in a prompt, fair and courteous way.
Explain policy coverage to policyholders and third parties.
Complete thorough investigations and document facts relating to claims.
Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars.
Minimum Qualifications
Current pursuing, or have obtained a four-year degree
Experience in a customer service role in industries such as retail, hospitality, logistics, banking, equipment dealerships, equipment rental, sales or similar fields
Ability to make confident decisions based on available information
Strong analytical, computer, and time management skills
Excellent written and verbal communication skills
Leadership experience is a plus
Salary Range: $63,800 - $78,000
Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. In addition, this position is eligible for a Geographic Differential Payment. Details of this benefits will be discussed in the interview process.)
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.
$63.8k-78k yearly Auto-Apply 18d ago
Claims Representative - Glendale, AZ
Federated Mutual Insurance Company 4.2
Glendale, AZ jobs
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?
Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss.
No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients.
This is an in-office position that will work out of our Glendale, AZ office, located at 5701 W. Talavi Blvd. A work from home option is not available.
Responsibilities
Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way.
Explain policy coverage to policyholders and third parties.
Complete thorough investigations and document facts relating to claims.
Determine the value of damaged items or accurately pay medical and wage loss benefits.
Negotiate settlements with policyholders and third parties.
Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars.
Minimum Qualifications
Current pursuing, or have obtained a four-year degree
Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields
Ability to make confident decisions based on available information
Strong analytical, computer, and time management skills
Excellent written and verbal communication skills
Leadership experience is a plus
Salary Range: $63,800 - $78,000
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.
$63.8k-78k yearly Auto-Apply 17d ago
Claim Clerk - Administrative Support - In Office
Cannon Cochran Management 4.0
Claims clerk job at CCMSI
ClaimClerk
)
Schedule: Monday-Friday, 7:30 a.m. - 4:00 p.m. (37.5 hours per week)
Salary Range:$12.00 - $15.50 per hour
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 ClaimClerk provides administrative support to both Liability and Workers' Compensation adjusters, ensuring accurate documentation and timely processing of claim-related tasks. This role requires strong attention to detail, organizational skills, and the ability to manage multiple priorities in a fast-paced environment. You'll work closely with a team of four and play a critical role in maintaining compliance and efficiency within the claims process.
Responsibilities When we hire claimclerks, we look for detail-oriented professionals who take pride in accuracy, organization, and supporting a team that delivers exceptional service. In this role, you'll help keep claims moving by managing documentation, deadlines, and communication with precision. What You'll Do
Match mail for assigned accounts and file claim-related documents
Follow up on bills and assist with claim file maintenance
Set up designated claim files and complete all setup instructions as requested
Summarize correspondence and medical records in claim log notes and file appropriately
Provide administrative support to claim staff on client-specific teams
Back up the receptionist as needed
Retrieve closed files and maintain storage organization
Photocopy claim documents and return provider calls as directed
Ensure compliance with service commitments established by the team
Qualifications Required:
High school diploma or equivalent
Proficiency in Microsoft Word, data entry, and typing skills
Strong attention to detail and organizational abilities
Nice to Have:
Experience with Microsoft Excel
Knowledge of medical terminology
Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required.
Why You'll Love Working Here
4 weeks
(Paid time off that accrues throughout the year in accordance with company policy)
+ 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 claimclerks stand out through accuracy, efficiency, and teamwork. We measure success by:
Quality administrative support - organized filing, accurate documentation, and dependable assistance to adjusters
Compliance & audit performance - adherence to client-specific and corporate standards for recordkeeping and data integrity
Timeliness & accuracy - prompt handling of mail, bills, and claim file updates with attention to detail
Team collaboration - proactive communication and responsiveness to adjuster and client needs
Professional judgment - maintaining confidentiality and prioritizing tasks effectively
Cultural alignment - understanding that every claim represents a real person and supporting the process with care
This is where we shine, and we hire clerks who want to shine with us.
Compensation & Compliance
The posted salary 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. This role may also qualify for bonuses or additional forms of pay.
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance.
Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.
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.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.
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.
#ClaimsCareers #InsuranceJobs #JacksonMSJobs #AdminSupport #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #NowHiring #ClericalJobs #TeamSupport #CCMSICareers #LI-InOffice #IND456 We can recommend jobs specifically for you! Click here to get started.
$12-15.5 hourly Auto-Apply 9d ago
Inside Claims Representative
Tower Hill Insurance Group 4.7
Gainesville, FL jobs
Reviews and analyzes first party homeowners' claims to determine extent of insurance carrier's liability, determines the extent of damaged property, and recommends settlement amounts in order to conclude claims with policyholders in accordance with policy provisions and applicable insurance statutes and laws.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Reviews the insurance policy, endorsements, and related information in order to make a coverage determination.
Conducts the appropriate claim investigation and directs the investigation of any assigned independent or other vendor. Interviews and consults with involved parties to gather pertinent information. Records statements per company and client guidelines.
Obtains any physical evidence, develops third party information and theory of liability, conducts interviews, and secures official records.
Provides prompt service to all stakeholders utilizing phone, fax, mail and electronic mail. Communicates with all customers in a professional manner.
Reviews other adjusters' reports, damage estimates, expert reports and any other documentation needed to make the appropriate coverage and loss decisions to conclude assigned claims.
Able to write/create simple estimates based on customer's information or other pertinent information.
Makes recommendations and decisions based on claim documentation and investigation.
Maintains file documentation, file notes and investigation documentation on each assigned claim in accordance with client company guidelines.
Maintains open claim inventory per company and client company guidelines.
Communicates with Claims management consistent with company guidelines.
Operates in accordance with applicable State statutes.
Maintains state(s) licensing requirement as necessary including Continuing Education requirements.
Participates in depositions as needed.
Negotiates within authority and per client guidelines to settle claims and/or to present claims to client for consideration.
Provides support to other members of the technical claims staff.
Participates in CAT Duty as required.
Performs other duties as determined by management.
QUALIFICATIONS
College degree (four-year college/university) or equivalent professional education and experience combined; Minimum of 1 year related adjusting experience and successful completion of claims training program.
Insurance adjusters license(s) as applicable to the position.
Benefits:
Health Insurance
Health Reimbursement Account
Flexible Spending Account
Dental Insurance
401K
Paid Time Off
Paid Holidays
Short & Long Term Disability Insurance
Life Insurance
SUMMARY:
Reviews and analyzes first party homeowners' claims to determine extent of insurance carrier's liability, determines the extent of damaged property, and recommends settlement amounts in order to conclude claims with policyholders in accordance with policy provisions and applicable insurance statutes and laws.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Reviews the insurance policy, endorsements, and related information in order to make a coverage determination.
Conducts the appropriate claim investigation and directs the investigation of any assigned independent or other vendor. Interviews and consults with involved parties to gather pertinent information. Records statements per company and client guidelines.
Obtains any physical evidence, develops third party information and theory of liability, conducts interviews, and secures official records.
Provides prompt service to all stakeholders utilizing phone, fax, mail and electronic mail. Communicates with all customers in a professional manner.
Reviews other adjusters' reports, damage estimates, expert reports and any other documentation needed to make the appropriate coverage and loss decisions to conclude assigned claims.
Able to write/create simple estimates based on customer's information or other pertinent information.
Makes recommendations and decisions based on claim documentation and investigation.
Maintains file documentation, file notes and investigation documentation on each assigned claim in accordance with client company guidelines.
Maintains open claim inventory per company and client company guidelines.
Communicates with Claims management consistent with company guidelines.
Operates in accordance with applicable State statutes.
Maintains state(s) licensing requirement as necessary including Continuing Education requirements.
Participates in depositions as needed.
Negotiates within authority and per client guidelines to settle claims and/or to present claims to client for consideration.
Provides support to other members of the technical claims staff.
Participates in CAT Duty as required.
Performs other duties as determined by management.
QUALIFICATIONS
College degree (four-year college/university) or equivalent professional education and experience combined; Minimum of 1 year related adjusting experience and successful completion of claims training program.
Insurance adjusters license(s) as applicable to the position.
Benefits:
Health Insurance
Health Reimbursement Account
Flexible Spending Account
Dental Insurance
401K
Paid Time Off
Paid Holidays
Short & Long Term Disability Insurance
Life Insurance