Claims Representative, Auto Property Damage - Independent Agent Channel
Plymouth Rock Assurance 4.7
Claim processor job in Parsippany-Troy Hills, NJ
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 3d ago
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Senior General Liability Claim Representative
CWA Recruiting
Claim processor job in Union, NJ
Senior General Liability Claim Representative - Property & Casualty Insurance Industry
Union County NJ
The management of accounts and the processing of claims related to litigated matters in hotels, real estate, hospitality, liquor liability, general liability, and bodily injury cases is a specialized function. This role necessitates an individual with a personality geared toward customer satisfaction. Responsibilities also include the negotiation of claims that are under litigation.
Candidates should have at least 3 to 5 years of experience in handling middle market claims and possess a college degree. A valid New York adjuster's license is essential, while licenses from other states are considered a plus.
$48k-70k yearly est. 3d ago
Pharmacy Claims Specialist
Blinkrx
Claim processor job in Pittsburgh, PA
This is a full-time, onsite position based in Robinson Township.
Responsibilities:
Process pharmacy claims accurately and timely to meet client expectations
Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage
Maintain compliance with patient assistance program guidelines
Document all information and data discovery according to operating procedures
Research required information using available resources
Maintain confidentiality of patient and proprietary information
Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering
Requirements:
High school diploma or GED required, Bachelor's degree strongly preferred
One year of Pharmacy Experience, having resolved third party claims
Healthcare industry experience with claims background
Strong verbal and written communication skills
Attention to detail and a strong operational focus
A passion for providing top-notch patient care
Ability to work with peers in a team effort and cross-functionally
Strong technical aptitude and ability to learn complex new software
Location/Hours
Full time position hourly, on-site role in Pittsburgh (Robinson)
Availability for Monday-Friday across various 8 hours shifts : 8am- 4pm EST , 9am- 5pm EST, 1pm- 9pm EST
Availability for rotating Saturday shifts 9am-5pm
Scheduling flexibility, as your schedule may change over time according to business needs
Benefits
Medical, dental, and vision insurance plans that fit your needs
401(k) retirement plan
Daily snack stipend for onsite marketplace
Pre-tax transit benefits and free onsite parking
$38k-66k yearly est. 1d ago
Claims Examiner II (PIP)
Athens Administrators 4.0
Claim processor job in Parsippany-Troy Hills, NJ
DETAILS
Claims Examiner II - PIP
Department:
Property & Casualty
Reports To:
Claims Supervisor P&C
FLSA Status:
Exempt in all states but CA
Job Grade:
11
Career Ladder
Next step in progression could include Senior Claims Examiner
ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a “Best Place to Work.” Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property & Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today! POSITION SUMMARY Athens Administrators has an immediate need for a full-time Claims Examiner II to support our Property & Casualty department. Employees who live less than 26 miles from the Concord, CA, Orange, CA, San Antonio, TX, or Lake Mary, FL offices are required to work once a week in the office. The remaining days can be worked remotely if technical requirements are met, and the employee resides in a state Athens operates in (includes CA, CT, FL, GA, ID, IL, MA, NY, NC, NJ, OH, OK, OR, PA, SC, TN, TX, VA and WV). Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. We are totally unique in that we focus only on commercial business specialization across multiple coverage lines. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday through Friday at 37.5 hours per week. As an Inside Property and Casualty Claims Examiner II, this candidate will be responsible for the review, analysis, and process of moderate to severe no-fault auto liability claims with an opportunity to handle Commercial Property, Inland Marine, and General Liability claims. These claims are typically moderate exposure and may entail litigation and coverage issues. The goal of the position is to ensure the delivery of quality service to customers while protecting their interests. PRIMARY RESPONSIBILITIES Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned: Advanced knowledge in the following areas: 1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge, 2) functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated advanced analytical, decision making and negotiation skills.
Investigate, evaluate, and determine settlement value of moderate level PIP commercial auto claims
Within prescribed settlement authority for line of business, establish appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Make recommendations to set reserves at appropriate level for claims outside of authority level
Prepare comprehensive reports as required. Identify and communicate specific claim trends and account and/or policy issues to management
Manage the litigation process through the retention of counsel. Adhere to the line of business litigation guidelines to include budget, bill review and payment
Document and manage claims (i.e.: record statements, update diaries, write reports) from inception to closure.
Ensure appropriateness of all payments
Coordinate and work with a vendor service such as appraiser, independent adjusting firms, contractors, social media and private investigation and various other field service vendors
Facilitate between claimants, clients, brokers, and attorneys in resolution of liability claims
Exchange information with clients, claimants, insurance brokers, inspectors, producers, and account managers
Attend meetings and educational seminars for professional development
Maintain required licenses
Conduct quarterly claim reviews with the client
ESSENTIAL POSITION REQUIREMENTS The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations.
High School Diploma or equivalent (GED) required for all positions
AA/AS or BA/BS preferred but not required
Must possess a license from your domiciled (state you live in or designated home state) state and a minimum of one license in any of the following states: NY, TX, or FL
Additional State Adjuster License(s) may be required within 180 days
Maintain licenses and continuing education requirements in all states.
Minimum of 5 years PIP claims handling experience
NY PIP experience preferred
Knowledge regarding the handling and resolutions of arbitrations relating to New York PIP
Knowledge of laws and regulations regarding PIP in multiple jurisdictions. Primary jurisdictions would be NY, FL, and NJ
Knowledge of tort law, civil procedure, and contract law
Knowledge of auto insurance laws, codes, procedures, and liability concepts
Knowledge of property and casualty insurance policies
Negotiation skills
Relies on extensive experience and judgment to plan and accomplish goals in a fast-paced environment
Well-developed verbal and written communication skills with strong attention to detail
Excellent organizational skills and ability to multi-task
Ability to type quickly, accurately and for prolonged periods
Proficient in Microsoft Office Suite
Ability to learn additional computer programs
Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution
Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization
Seeks to include innovative strategies and methods to provide a high level of commitment to service and results
Ability to be demonstrate care and concern for fellow team members and clients in a professional and friendly manner
Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor.
Athens' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company.
Must be able to reliably commute to meetings and events as required by this position
APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at *********************************************** Feel free to include a cover letter if you'd like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: ************************************************************************************************** This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training. Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. THANK YOU! We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don't forget to check out our website at ******************* as well as our LinkedIn, Glassdoor, and Facebook pages! Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at https://*******************/careers/why-work-here
$51k-77k yearly est. 60d+ ago
Claim Specialist - Property Field Inspection
State Farm 4.4
Claim processor job in New Brunswick, NJ
Being good neighbors - helping people, investing in our communities, and making the world a better place - is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good!
Grow Your Skills, Grow Your Potential
Responsibilities
Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and large losses.
We are looking for an experienced and highly skilled professional to contribute to our dynamic team. You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process while providing Remarkable service.
Key Responsibilities:
Conduct on-site inspections and assessments of property damages for both residential and commercial claims
Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently
May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions
Provide exceptional customer service throughout the claims process, addressing inquiries and concerns promptly and professionally
Gather necessary evidence, document findings, and prepare detailed reports to support the claims handling process
Investigate and adjust both personal and commercial property claims with exposures up to $500,000
Evaluate coverage and policy terms to determine the validity of claims and ensure compliance with local regulations
Negotiate and settle claims within the authorized limits, considering policy provisions, industry standards, and company guidelines
Where you'll work: This position is located in Brunswick, NJ. Competitive candidates should reside within one of the listed zip codes and will service this same territory: 08902 08810 08852 08824 08873 08823
This is a Remote-Field position in which you will work from home and utilize a mobile office/vehicle for in-person appointments. Although the primary work location is in the field, with a commutable distance from home, there will be opportunities for virtual work to be completed at home. Additionally, there may be occasions where you will be required to travel outside your assigned area to assist in other territories.
Hours of operation are continually evaluated and may change based on business need. Successful candidates are able and willing to work flexible schedules and may be asked to work overtime and/or irregular hours.
Qualifications
Competitive candidates must demonstrate:
Experience as a Property Field Inspection Claim Specialist in the insurance industry, specifically in property claims
Strong knowledge of property insurance policies, coverage and claim handling practices
Knowledge of both residential and commercial building construction
Familiarity with local regulations and compliance requirements in your assigned territory
Excellent communication and interpersonal skills to effectively interact with clients, agents, and other stakeholders
Proven effective communication skills to handle difficult/emotional conversations with a customer-minded focus
Proven ability to assess damages, estimate repair costs, and negotiate settlements
Detail-oriented with strong organizational and analytical skills
Proficient in using claims management software and other relevant tools
Physical agility to allow for: frequent lifting, carrying and climbing a ladder; ability to navigate roofs at various heights for inspection of both residential and commercial structures; ability to crawl in tight spaces
May be required to complete Rope and Harness Safety Training.
A valid driver's license is required
Preferred:
Bachelor's Degree in a related field or equivalent work experience
Experience in handling complex or high-value claims
Construction background
Water mitigation inspection experience
Xactimate, XactContents
Additional Details:
Employees must successfully complete all required training, including applicable licensing exam(s) and background checks required of various state(s).
State Farm recently implemented new pre-employment assessments. Candidates that have previously taken an assessment may be asked to participate in additional testing
Our Benefits
Because work-life balance is a priority at State Farm, compensation is based on our standard 38:45-hour work week!
Potential starting salary range: $73,824.56 - $112,500 annually
Starting salary will be based on skills, background, and experience
High end of the range limited to applicants with significant relevant experience
Potential yearly incentive pay up to 15% of base salary
At State Farm, we offer more than just a paycheck. Check out our suite of benefits designed to give you the flexibility you need to take care of you and your family!
Get Paid! On top of our competitive pay, you are eligible for an annual raise and bonus.
Stay Well! Focus on you and your family's health with our robust health and wellbeing programs. State Farm pays most of your healthcare premium, and we offer multiple healthcare plan options, including a high deductible plan. All medical plans provide 100% coverage for in-network preventative care, AND you and your family have access to vision, dental, telemedicine, 24/7 mental health professionals, and much more!
Develop and Grow! Take advantage of educational benefits like industry leading training programs, top-notch tuition assistance programs, employee resource groups, and mentoring.
Plan Ahead! Plan for those big moments in life with benefits like fertility/IVF/adoption assistance, college coaching, national discount programs, interactive monthly financial workshops, free financial coaching, and more. You can also start a savings account or consider financing through our State Farm Federal Credit Union!
Take a Little “You” Time! You will have access to our generous time off policies designed so you can plan around holidays, family events, volunteering, or just to take a relaxing day off. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Give Back! We offer several ways to give back through our Matching Gift Program, Good Neighbor Grant Program, and the Employee Assistance Fund.
Finish Strong! Plan for retirement using free financial advisors and a 401(k) plan with company contributions of up to 7% of your salary.
Visit our State Farm Careers page for more information on our benefits, locations, and the hiring process of joining the State Farm team!
PandoLogic. Category:Insurance, Keywords:Insurance Examiner, Location:New Brunswick, NJ-08906
$73.8k-112.5k yearly 1d ago
Claims Specialist
Berkley 4.3
Claim processor job in New Jersey
Company Details
Berkley Luxury Group is an operating unit of W.R. Berkley Corporation, one of America's largest commercial lines writers in the United states. At Berkley Luxury Group we offer tailored, all-inclusive insurance solutions for luxury condo, co-op, rental properties and fine dining restaurants.
Berkley Luxury Group has been a mainstay in the commercial real estate and hospitality business since 1986. We specialize in luxury condominiums, cooperatives, and apartments in the habitational space, Class A Office buildings and fine dining restaurants in the hospitality space. BLG maintains a standard of prompt and fair settlement of claims, and endeavors to treat insureds and brokers in a partnership-like manner.
BLG has developed a strategic plan to grow their success by expanding their footprint geographically and adding complementary products. At BLG there is a shared vision to be the best option for its customers. We aim to provide comprehensive insurance solutions, use enhanced data and technology to make more informed decisions and rely on a field-based underwriting, claims and loss control model to be closer to our customers and brokers. Our goal is to provide superior services and products to these unique businesses.
At Berkley Luxury Group, our employees are our most important asset. We recognize that if we properly support and develop our employees, they will become our primary sustainable competitive advantage and the key to achieving success. As such, we have created a high performing culture incorporating our values into work practices, policies, and processes to foster, reinforce and sustain an environment where employees share a strong sense of purpose, commitment, and motivation to meet and exceed their goals.
As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions. W. R. Berkley Corporation, and all member insurance companies, are rated A+ (Superior) by A.M. Best Company and carry Standard & Poor's Financial Rating of A+ (Strong).
The company is an equal opportunity employer.
Responsibilities
Berkley Luxury is seeking a Senior Claims Specialist to join our team! This role is located is our new Parsippany NJ office.
As a Claim Specialist, you will manage a wide range of commercial lines casualty claims, focusing on developing and implementing effective resolution strategies while delivering exceptional customer service.
In this role, you will ensure high-quality claims handling through investigation, accurate analysis of coverage and liability, precise damage assessment, and resolution of claims, including those in litigation.
As a key member of the casualty team, you will also help foster a culture of accountability, collaboration, continuous learning, and proactive performance improvement-contributing to both departmental excellence and the overall success of the company.
Conduct thorough investigation and expert analysis of claims facts to determine coverage, liability, and applies appropriate legal concepts to evaluate damages and recommend appropriate course of action.
Analyze and interpret policy language and case law in conjunction with specific loss facts to reach appropriate coverage decisions and write appropriate coverage correspondence in compliance with state statutes and regulations.
Demonstrate a strong sense of urgency in promptly conducting comprehensive claims investigations to assess damages and liability, establish accurate reserves, and actively pursue timely and appropriate resolutions.
Prepare and present reports for management that accurately reflect loss development, potential/actual financial exposures, risk transfer, reserve adjustments, coverage issues, and claim resolution strategies.
Resolve claims through negotiation, mediation, and arbitration with minimal assistance.
Address inquiries from brokers and policyholders and provide superior customer service.
Attend and participate in industry related conferences, seminars, and webinars and demonstrating a personal commitment to professional development.
Ensure claims handling compliance and alignment with insurance regulations and Company policies.
May participate in projects and other corporate initiatives such as audits, task forces, focus groups, etc.
Other duties as required.
Qualifications
Education
Bachelor's degree or equivalent experience
JD degree a plus
Experience
5-7 years of experience handling commercial general liability claims.
Experience managing litigated claims and working with defense counsel.
Proven track record of effective claims resolution and negotiation.
Technical Skills
Strong knowledge of claims investigation techniques, liability assessment, and damage evaluation.
Demonstrated expertise in legal processes and litigation management.
Ability to interpret and apply policy language accurately.
Analytical & Decision-Making
Demonstrated critical thinking and sound judgment in analyzing claims.
Advanced analytical abilities to evaluate liability, quantify damages, and determine exposure.
Proven capacity to make prompt, well-reasoned, and evidence-based decisions.
Communication & Interpersonal
Excellent written, verbal, and presentation communication skills.
Effective communicator with diverse stakeholders, including policyholders, claimants, attorneys, and internal teams.
Strong negotiation skills
Organizational & Time Management
Strong organizational skills with attention to detail.
Effectively manages priorities and meets deadlines in a fast- paced environment.
Team & Culture Fit
Takes ownership, shows initiative, and approaches problem-solving with a proactive mindset.
Collaborative team player dedicated to achieving shared goals.
Committed to continuous improvement and ongoing professional development.
Supports and upholds the company's commitment to equal employment opportunity.
Additional Company Details The company is an equal opportunity employer.
We do not accept any unsolicited resumes from external recruiting firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role includes:
Base Salary Range: $83,000 - $156,000
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Eligible to participate in the annual discretionary bonus program.
Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. Sponsorship Details Sponsorship not Offered for this Role Not ready to apply? Connect with us for general consideration.
$83k-156k yearly Auto-Apply 45d ago
Associate Claims Examiner
Markel Corporation 4.8
Claim processor job in Summit, NJ
What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.
Join us and play your part in something special!
This position will be responsible for the resolution of low complexity and low exposure claims and provide support to other team members as directed. This position will work closely with their manager to train and develop fundamental claims handling skills.
Associate Claims Examiner will be responsible for the resolution of claims with the Prompt Resolution Team (PRT) of lower complexity and exposure. This position will have decision-making authority in the amount of $25,000 and work under the general direction of their manager. The ACE position supports all product lines in Casualty with particular emphasis on Binding and Commercial Wholesale Primary and Small Commercial Programs.
Job Responsibilities
* Confirms coverage of claims by reviewing policies and documents submitted in support of claims.
* Conducts, coordinates and directs investigation into loss facts and extent of damages.
* Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure.
* Strong emphasis on customer service to both internal and external customers is a major focus for the ACE as this role will handle small commercial claims that require excellent customer service to insureds and agents.
* Set reserves within authority (up to $25,000) and resolve claims within a prompt timeframe avoiding expense relating to independent adjusting.
Required Qualifications
* Must have or be eligible to receive claims adjuster license.
* Successful completion of basic insurance courses or achievement of industry designations.
* Ability to be trained in insurance adjusting up to two years of claims experience.
* 2-4 years of experience in general liability, construction defect, or related liability lines preferred.
* Bachelor's degree preferred
* Excellent written and oral communication skills.
* Strong organizational and time management skills.
#LI-Hybrid
US Work Authorization
US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.
Pay information:
The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The salary for the position is $25 - $38.25 with a 10% bonus potential.
Who we are:
Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.
We're all about people | We win together | We strive for better
We enjoy the everyday | We think further
What's in it for you:
In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.
* We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life.
* All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.
* We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.
Are you ready to play your part?
Choose 'Apply Now' to fill out our short application, so that we can find out more about you.
Caution: Employment scams
Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that:
* All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings.
* All legitimate communications with Markel recruiters will come from Markel.com email addresses.
We would also ask that you please report any job employment scams related to Markel to ***********************.
Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.
Should you require any accommodation through the application process, please send an e-mail to the ***********************.
No agencies please.
$49k-72k yearly est. Auto-Apply 60d+ ago
Workers Compensation Claims Specialist, East
CNA Holding Corporation 4.7
Claim processor job in Wyomissing, PA
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).
JOB DESCRIPTION:
Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:
Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols.
Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
May serve as a mentor/coach to less experienced claim professionals
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or above
Skills, Knowledge & Abilities
Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed.
Demonstrated ability to develop collaborative business relationships with internal and external work partners.
Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
Demonstrated investigative experience with an analytical mindset and critical thinking skills.
Strong work ethic, with demonstrated time management and organizational skills.
Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
Developing ability to negotiate low to moderately complex settlements.
Adaptable to a changing environment.
Knowledge of Microsoft Office Suite and ability to learn business-related software.
Demonstrated ability to value diverse opinions and ideas
Education & Experience:
Bachelor's Degree or equivalent experience.
Typically a minimum four years of relevant experience, preferably in claim handling.
Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience.
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
Professional designations are a plus (e.g. CPCU)
#LI-AR1
#LI- Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut,
Illinois
,
Maryland,
Massachusetts
,
New York and Washington,
the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
$54k-103k yearly Auto-Apply 14d ago
Damage Claims Specialist
HTSS, Inc.
Claim processor job in Allentown, PA
Are you an insurance professional with experience in claims handling? Do you have a strong understanding of state regulations and a proven record of providing excellent customer service? If so, we want you on our team! We are seeking a Damage Claims Specialist to manage and process customer property damage claims related to utility service operations. This role is responsible for ensuring accurate and timely claims processing while maintaining compliance with state regulations and the Company's tariff. From the initial claim submission to final resolution, you will oversee the entire claims process, ensuring proper documentation, maintaining tracking reports, and addressing customer inquiries.
Job Qualifications:
Bachelor's Degree (preferred); High School Diploma or equivalent (required)
Minimum of three (3) years experience in claims handling
Proficiency in Microsoft Office Suite, especially Word and Excel
Strong verbal and written communication skills
Excellent problem-solving and conflict-resolution abilities
High attention to detail and ability to work independently
Pay: Based on experience
This is a full-time, temporary role expected to last at least 6 months.
If you are ready to take on this role, we encourage you to apply today through the HTSS website or by emailing resume to ********************
$40k-71k yearly est. Easy Apply 2d ago
Damage Claims Specialist
HTSS
Claim processor job in Allentown, PA
Are you an insurance professional with experience in claims handling? Do you have a strong understanding of state regulations and a proven record of providing excellent customer service? If so, we want you on our team! We are seeking a Damage Claims Specialist to manage and process customer property damage claims related to utility service operations. This role is responsible for ensuring accurate and timely claims processing while maintaining compliance with state regulations and the Company's tariff. From the initial claim submission to final resolution, you will oversee the entire claims process, ensuring proper documentation, maintaining tracking reports, and addressing customer inquiries.
Job Qualifications:
Bachelor's Degree (preferred); High School Diploma or equivalent (required)
Minimum of three (3) years experience in claims handling
Proficiency in Microsoft Office Suite, especially Word and Excel
Strong verbal and written communication skills
Excellent problem-solving and conflict-resolution abilities
High attention to detail and ability to work independently
Pay: Based on experience
This is a full-time, temporary role expected to last at least 6 months.
If you are ready to take on this role, we encourage you to apply today through the HTSS website or by emailing resume to ********************
$40k-71k yearly est. Easy Apply 60d+ ago
Claims Specialist
Henderson Brothers Inc. 3.8
Claim processor job in Pittsburgh, PA
Job Description
Details
Job Title: Claims Specialist
Department: Commercial Lines
Division: Risk Control/Claims
Reports To: Claims Supervisor
Contract: No
FLSA status: Exempt
Position Description
The Claims Specialist will provide heroic claims service by assisting with the management of all claims from the initial report of the claim to the closing to ensure the best outcome for all our customers.
Primary Responsibilities & Duties
Support and manage claim process for clients who are/and are not on a Client Service Plan. This includes initial claim reporting, carrier correspondence, data collection, and internal documentation.
Manage daily client correspondences in regard to claims and claim updates.
Manage data entry in agency management system.
Aid clients through property damage restoration process.
All other duties as assigned.
Position-specific Competencies
Effective Communication: Can clearly articulate oneself in a professional manner with the ability to read the audience and adapt. Possesses the intuition on what information to communicate, feedback to provide, and the right manner of delivery. Practices active listening with patience and can restate opinions accurately, as needed.
Attention to Detail: Ability to achieve thoroughness and accuracy when accomplishing a task. Strong ability to focus and provide thorough attention.
Relationship Management: Possesses the ability to create and maintain strong relationship with business owners and contacts.
Decision Quality: Consistently makes good decisions. Through analysis, wisdom, experience, and judgement can accurately act in the best interest of colleagues and clients.
HBI Competencies
Integrity: Conducts business with the utmost moral decency. A trusted advisor who displays the highest standard of ethics.
Heroic Service: White glove approach to client service and satisfaction. Can anticipate needs, and consistently exceeds expectations.
Teamwork: Works well with others towards a shared goal. Actively participates, shares responsibilities and rewards, and contributes to the effectiveness of the group.
Kindness: Shows concern and consideration for others. Is generous with time, talent, and overall possess a willingness to help.
Qualifications
Bachelor's degree or insurance designation preferred
1-3 years of claims experience required
CIA, ARM, CLA, etc. preferred but not required
*if you are not licensed, you will be required to obtain licensure within first 90 days of hire*
An insurance background or understanding of different types of insurance coverage is beneficial, but not required
Strong verbal communication and listening skills
Proficient in Microsoft Office products such as Word, PowerPoint, and Excel
Proficient virtual communication skills-preferably Zoom
Work Environment
This position requires travel capabilities. A valid driver's license is necessary to provide self-transportation to client meetings, events, and seminars. Local travel up to 50%.
While performing the responsibilities of the job, these work environment characteristics are representative of the environment the job holder will encounter. Reasonable accommodations may be made to enable people with disabilities to perform the essential functions of the job.
EEO Statement
Henderson Brothers supports workplace diversity and does not discriminate on the basis of race, color, religion, gender identity or expression, national origin, age, military service eligibility, veteran status, sexual orientation, marital status, physical or mental disability, or any other protected class.
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$61k-98k yearly est. 6d ago
Claims Specialist - Auto
Philadelphia Insurance Companies 4.8
Claim processor job in Harrisburg, PA
Marketing Statement:
Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.
We are looking for a Claims Specialist - Auto to join our team.
JOB SUMMARY
Investigate, evaluate and settle more complex first and third party commercial insurance auto claims.
JOB RESPONSIBILITIES
Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
Communicates with all relevant parties and documents communication as well as results of investigation.
Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts.
Travel is required to attend customer service calls, mediations, and other legal proceedings.
JOB REQUIREMENTS
High School Diploma; Bachelor's degree from a four-year college or university preferred.
10 plus years related experience and/or training; or equivalent combination of education and experience.
• National Range : $82,800.00 - $97,300.00
• Ultimate salary offered will be based on factors such as applicant experience and geographic location.
EEO Statement:
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Benefits:
We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
$82.8k-97.3k yearly Auto-Apply 60d+ ago
Auto Claims Specialist I (Manheim)
Cox Enterprises 4.4
Claim processor job in Manheim, PA
Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Arbitrator I Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox location Travel % No Work Shift Day Compensation Hourly base pay rate is $16.59 - $24.86/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program.
Job Description
This position facilitates the resolution of customer claims and concerns (includes all physical and digital/online transactions) after a sale and is responsible for the timely and successful arbitration of vehicles between buyer and seller in accordance with auction and NAAA policies. The role will work to gain familiarity with fundamental arbitration concepts, procedures, standards, policies and systems. This position requires organization and management of sale day activities including post sale inspections and sale day arbitrations.
Job Responsibilities:
Basic Functional Duties
* With guidance, performs basic Arbitrator duties, including:
* Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines.
* Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision making.
* Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases.
* Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution.
* Uses appropriate levels/limits of financial approval authority to resolve cases.
* Evaluates claims by obtaining, comparing, evaluating, and validating various forms of information.
* Prepares and facilitates communications for resolution via telephone, email, and in-person discussion.
* Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold.
* Monitors and maintains accurate files for each arbitration case, verifying accuracy of all required documentation, including invoices and settlement agreements.
* Engages with supervisor/manager to determine if escalation is required.
Knowledge & Subject Matter Milestones
* Demonstrates an understanding of investigating claims and negotiating and influencing others while maintaining a positive client experience.
* Gains familiarity and understanding of Arbitration concepts and procedures.
* Gains foundational understanding of auction-specific operational and administrative processes.
* Learns and adheres to National Auto Auction Association (NAAA) arbitration standards, Manheim Marketplace Policies, and relevant legal requirements.
Client Interaction/Communication Responsibilities
* Advises clients of the arbitration claim process, company policies, any auction- or account-specific guidelines, and NAAA guidelines.
* Facilitates both written and verbal communications between buyers, sellers, and various auction team members and third parties to actively gather information necessary to guide parties toward agreement and resolution, while maintaining an awareness of goals and objectives.
* Provides relevant information such as claim status to clients.
Other Duties
* Demonstrates safety commitment by following all safety and health procedures and modeling the appropriate behaviors.
* Participates in support of all safety activities aligned with Safety Excellence.
* Performs other duties as assigned.
Qualifications and Experience
* Education
* High School Diploma or equivalent required.
* Bachelor's degree preferred.
* Experience
* Previous experience in claims management and/or problem and conflict resolution preferred. Claim adjuster experience is a plus.
* 1-2 years of experience in areas of responsibility.
* 1+ years of automotive, mechanical, and/or body shop experience preferred.
* Skills and Abilities
* Active Listening
* Accuracy and Attention to Detail
* Resilience/Adaptability
* Demonstrates Empathy
* Verbal and Written Communication
* Decision Making
* Customer Focus
* Time Management
* Conflict Resolution
* Builds Positive Relationships
YDGCOX
Drug Testing
To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited.
Benefits
Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave.
About Us
Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship.
Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.
$16.6-24.9 hourly Auto-Apply 19d ago
Auto Claims Specialist I (Manheim)
Cox Holdings, Inc. 4.4
Claim processor job in Manheim, PA
Company
Cox Automotive - USA
Job Family Group
Vehicle Operations
Job Profile
Arbitrator I
Management Level
Individual Contributor
Flexible Work Option
No remote option; must work at a specified Cox location
Travel %
No
Work Shift
Day
Compensation
Hourly base pay rate is $16.59 - $24.86/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program.
Job Description
This position facilitates the resolution of customer claims and concerns (includes all physical and digital/online transactions) after a sale and is responsible for the timely and successful arbitration of vehicles between buyer and seller in accordance with auction and NAAA policies. The role will work to gain familiarity with fundamental arbitration concepts, procedures, standards, policies and systems. This position requires organization and management of sale day activities including post sale inspections and sale day arbitrations.
Job Responsibilities:
Basic Functional Duties
With guidance, performs basic Arbitrator duties, including:
Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines.
Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision making.
Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases.
Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution.
Uses appropriate levels/limits of financial approval authority to resolve cases.
Evaluates claims by obtaining, comparing, evaluating, and validating various forms of information.
Prepares and facilitates communications for resolution via telephone, email, and in-person discussion.
Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold.
Monitors and maintains accurate files for each arbitration case, verifying accuracy of all required documentation, including invoices and settlement agreements.
Engages with supervisor/manager to determine if escalation is required.
Knowledge & Subject Matter Milestones
Demonstrates an understanding of investigating claims and negotiating and influencing others while maintaining a positive client experience.
Gains familiarity and understanding of Arbitration concepts and procedures.
Gains foundational understanding of auction-specific operational and administrative processes.
Learns and adheres to National Auto Auction Association (NAAA) arbitration standards, Manheim Marketplace Policies, and relevant legal requirements.
Client Interaction/Communication Responsibilities
Advises clients of the arbitration claim process, company policies, any auction- or account-specific guidelines, and NAAA guidelines.
Facilitates both written and verbal communications between buyers, sellers, and various auction team members and third parties to actively gather information necessary to guide parties toward agreement and resolution, while maintaining an awareness of goals and objectives.
Provides relevant information such as claim status to clients.
Other Duties
Demonstrates safety commitment by following all safety and health procedures and modeling the appropriate behaviors.
Participates in support of all safety activities aligned with Safety Excellence.
Performs other duties as assigned.
Qualifications and Experience
Education
High School Diploma or equivalent required.
Bachelor's degree preferred.
Experience
Previous experience in claims management and/or problem and conflict resolution preferred. Claim adjuster experience is a plus.
1-2 years of experience in areas of responsibility.
1+ years of automotive, mechanical, and/or body shop experience preferred.
Skills and Abilities
Active Listening
Accuracy and Attention to Detail
Resilience/Adaptability
Demonstrates Empathy
Verbal and Written Communication
Decision Making
Customer Focus
Time Management
Conflict Resolution
Builds Positive Relationships
YDGCOX
Drug Testing
To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited.
Benefits
Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave.
About Us
Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship.Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.
Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently-empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers' Compensation Claims Specialist to join our team. Experience handling claims in Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa is preferred.
Essential Responsibilities:
Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
Investigates, evaluates, and resolves Workers' Compensation claims.
Mediates situations as they arise between the insured and the insurance company, with some support from leader as needed, to include researching coverage issues.
Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
Generates checks for indemnity and medical payments daily.
Develops and monitors consistency in procedural matters of the claims handling process with CRS.
Compiles and interprets Workers' compensation reports on designated accounts, as requested.
Ability to adjudicate lost time claims.
Participates in claim reviews and attends Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone.
Performs special projects and other duties as requested.
Qualifications:
Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Willingness and ability to obtain additional state specific licenses during duration of employment as needed.
Experience: 2-4 years claims experience with strong background in Workers' Compensation coverage.
Technical Competencies: Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims. Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims.
Here's a little bit about us:
At Creative Risk Solutions, you'll be part of a collaborative, innovative team that values trust, communication, and client focus. We offer competitive compensation, comprehensive benefits, and opportunities for professional growth within the Holmes Murphy family.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
The salary range for this role is $45,800- $78,800. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development.
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1
Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently-empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers' Compensation Claims Specialist to join our team. Experience handling claims in Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa is preferred.
Essential Responsibilities:
Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
Investigates, evaluates, and resolves Workers' Compensation claims.
Mediates situations as they arise between the insured and the insurance company, with some support from leader as needed, to include researching coverage issues.
Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
Generates checks for indemnity and medical payments daily.
Develops and monitors consistency in procedural matters of the claims handling process with CRS.
Compiles and interprets Workers' compensation reports on designated accounts, as requested.
Ability to adjudicate lost time claims.
Participates in claim reviews and attends Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone.
Performs special projects and other duties as requested.
Qualifications:
Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Willingness and ability to obtain additional state specific licenses during duration of employment as needed.
Experience: 2-4 years claims experience with strong background in Workers' Compensation coverage.
Technical Competencies: Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims. Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims.
Here's a little bit about us:
At Creative Risk Solutions, you'll be part of a collaborative, innovative team that values trust, communication, and client focus. We offer competitive compensation, comprehensive benefits, and opportunities for professional growth within the Holmes Murphy family.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
The salary range for this role is $45,800- $78,800. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development.
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1
$45.8k-78.8k yearly Auto-Apply 29d ago
Third Party Claims Specialist
DCS Asset Maintenance 4.5
Claim processor job in Hazleton, PA
DCSAM is a family owned and operated business with treating all employees like family at the core of our values. Our employees provide innovative, safe, and high-quality infrastructure/maintenance contracting services to State DOTs, railroads, and other commercial/residential customers across the entire United States. Employees receive generous compensation packages, employee engagement events & career development programs, just to name a few of the perks of being part of the DCSAM family!
To provide quality service, we need top-of-the-line employees. That is why we offer great compensation, awesome benefits, and a work environment worth bragging about!
Job Description
Claims Specialist will support asset management projects by providing accurate billing, collection and payment processing for claims related to highway and bridge asset repairs and/or incident management. This is an onsite position located at the corporate office in Hazleton PA.
Duties include - but not limited to:
Contacting insurance companies to obtain claim information relative to incidents and/or open claims in instances where vehicle owners have not notified insurance companies.
Coordinate with project offices to obtain accurate information, records and photos needed to create invoices.
Creation and submission of accurate invoices to insurance carriers and vehicle owners.
Contacting insurance companies for payment status and mailing follow-up letters to vehicle owners for claims that remain unpaid at 30, 60 & 90 days.
Accurately updating claim records for any contact or actions taken on claim invoice.
Create and run reports as necessary for claim tracking and follow-up
Support to project offices as necessary - including police report investigation and contacting insurance companies.
Ability to prioritize workload and assist coworkers as necessary for heavy workload and/or vacation coverage.
Provides general office support as needed for mail, payment processing and assistance to 3rd Party Claims Manager.
Other duties as assigned.
Qualifications
EDUCATION:
High School Diploma is required.
EXPERIENCE:
Prior experience in insurance claims preferred - 2 years or more relative experience
Excellent computer skills - Proficient in Microsoft Office Word & Excel
Customer service focused
Detail oriented
Self-starter - ability to work independently.
Ability to interact productively and positively in a team environment.
Ability to communicate effectively and professionally in both verbal and written form.
PHYSICAL REQUIREMENTS:
Ability to talk, hear and speak to coworkers, insurance carriers and vehicle owners over the phone.
Able to use hands and fingers to use keyboard, operative office equipment, phones, and mobile devices.
Able to see and read on computer screens and paper, close vision.
Ability to lift and carry items up to 10 pounds.
Ability to sit at a desk comfortably while working on a computer for extended periods of time.
Additional Information
Benefit Highlights:
Challenging and rewarding work environment
Competitive Compensation
Excellent Medical, Dental, Vision and Prescription Drug Plan
401(K)
Generous Paid Time Off
Career Development
Pay rate: $20.00-23.00/hour depending on experience
Come be a part of the DeAngelo family, today!
DCSAM is an equal opportunity employer and complies with all hiring and employment regulations. In the event an ADA accommodation is needed, DCSAM is happy to help all employees achieve gainful employment in an atmosphere where they are appreciated and respected. DCSAM offers subcontracting services to government agencies as such, candidates may be subject to pre-employment screenings such as criminal background checks, pre-employment, post-accident & reasonable impairment drug screenings, motor vehicle record checks, etc. as such, DCSAM complies with all federal and state regulatory guidelines including the FCRA.
$20-23 hourly 20d ago
Claims Specialist
Sales Match
Claim processor job in Newark, NJ
Job Title: Remote Claims Specialist
Hourly Pay: $22 -$27/hour
We are looking for a skilled Claims Specialist to join our work-from-home team. In this role, you will assist in processing and reviewing insurance claims, ensuring all necessary information is gathered, and helping resolve claims efficiently. If you have strong attention to detail and enjoy supporting customers through the claims process, this is a great opportunity for you.
Key Responsibilities:
Assist in processing insurance claims, ensuring accuracy and timely resolution
Review claims documentation, including reports, medical records, and other evidence
Communicate with claimants, insurance adjusters, and third parties to gather information
Help resolve disputes or issues with claims and escalate when necessary
Maintain detailed records of claims progress and updates
Ensure compliance with industry regulations and internal policies
Provide excellent customer service and answer inquiries related to claims
Qualifications:
Experience in insurance, claims handling, or a related field
Strong attention to detail and organizational skills
Excellent communication and customer service abilities
Ability to handle multiple claims and prioritize effectively in a remote environment
Familiarity with insurance policies and claims procedures is a plus
Must have reliable internet and a quiet, dedicated workspace
Perks & Benefits:
100% remote work flexibility
Competitive hourly pay: $22 - $27
Paid training and professional development opportunities
Flexible work hours, including evening and weekend options
Opportunities for career growth in the insurance industry
A supportive and team-oriented work environment
$22-27 hourly 60d+ ago
Claims Processing Specialist
Blackburn's Physicians Pharmacy 3.5
Claim processor job in Tarentum, PA
Job Opening: Claims Processing Specialist at Blackburn's
Are you a detail-oriented professional with a passion for the healthcare industry? Blackburn's is looking for a Claims Processing Specialist to join our Corporate Claims department and perform third-party medical billing functions. If you thrive in a fast-paced environment and possess excellent organizational and communication skills, this could be the perfect opportunity for you!
What You'll Do:
Manage and verify third-party medical claims for accuracy and compliance.
Collaborate with cross-functional teams to resolve billing discrepancies and insurance denials.
Process claims efficiently while adhering to strict filing deadlines.
Contribute to the improvement of billing processes to reduce denials and increase efficiency.
Utilize your strong communication skills to work with internal teams and external clients.
Why Join Us? At Blackburn's, we're committed to creating a positive impact in the healthcare industry by delivering quality products and services. As part of our team, you'll have access to in-house training, opportunities for career growth, and a collaborative work environment. We offer competitive pay, benefits, and the chance to be part of a company that values its employees.
Work Hours: 8:00 a.m. - 4:30 p.m. or 8:30 a.m. - 5:00 p.m.
If you have a passion for medical billing and enjoy working in a dynamic, fast-paced environment, we'd love to hear from you!
Apply today and join us in making a difference at Blackburn's!
Qualifications
What We're Looking For:
Prior experience in healthcare-related industries, preferably with third-party medical billing.
Strong attention to detail, time management, and the ability to juggle multiple tasks.
Excellent interpersonal skills, with the ability to work both independently and as part of a team.
Proficiency in Microsoft Office, with knowledge of Word and Excel.
Ability to work independently, prioritize workload, and adapt to changing environments.
$25k-32k yearly est. 18d ago
Litigation Claims Specialist
Questor Consultants, Inc.
Claim processor job in Deptford, NJ
Job DescriptionRisk Intermediary located in New Jersey seeks a VP of Claims for a Municipal Insurance fund. Claims handled are Workers Comp, Property and Liability and Professional Liability. Fund has 28 members submitting New Jersey based Public Entity based claims.
This position will lead operational and administrative claims functions including reserving.
Will also manage TPA relationships and direct TPA's Workers Comp activities.
Will also manage staff Liability Litigation Managers and lead claims reporting.
Require JD with 20 years experience in an Insurance Claims Department, TPA or Risk Management Department.
Knowledge of New Jersey Civil Tort and Workers Comp claims systems.
Advanced skills in Coverage Analysis, Litigation Management and Negotiation.
Auto Liability, General Liability and Employer Liability claims.
Knowledge needed in MS Office Products (Word, Excel and Powerpoint).
Will work remote but must be within driving distance of office.
Will manage 9-12 people.
Minimal travel.
Salary $150-200k no bonus opportunity.
How much does a claim processor earn in Allentown, PA?
The average claim processor in Allentown, PA earns between $22,000 and $69,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.