** At Securian Financial, the internal title is Customer Benefit Payments Sr Rep**
The Claims team is looking for a highly motivated, energized and positive individual. We work in a fast-paced, ever-changing environment where claim information needs to be processed efficiently and accurately. We take pride in providing high standards of performance to our customers and strive to exceed those standards. If you enjoy assisting people in their time of need, being customer focused and working in a team-oriented environment, then joining our team may be right move for you.
Responsibilities include but not limited to:
Serves department dedicated to issuing timely, accurate benefit payments to customers and channel partners.
Tasks include payment processing, data entry, records management, fraud prevention, and loss or eligibility investigations.
Provides effective, customer-centric, and compliant communication to internal and external resources, clients, and partners.
Adjudicates payments in compliance with regulatory requirements and applicable law, engaging legal, medical, and investigative resources as necessary.
Maintains accurate and complete payment record to improve the customer experience, quality review/audit process, and protect our company in the event of litigation and regulatory investigations.
Makes critical risk assessments on behalf of Securian Financial and its clients.
May manage or serve as subject matter expert for special projects.
Ensures payment practices are efficient and in keeping with our organization's values and the highest ethical standards.
Qualifications:
Strong analytical skills and attention to detail
Good judgment/decision-making skills and organizational skills
Strong written and verbal communication skills
Willingness to maintain a positive and compassionate attitude in a high volume setting
Ability to work independently within a team environment
Desire to provide world-class customer service
Preferred qualifications:
Experience on claims processing systems
Financial institution background
Demonstrated proficiency with Microsoft Word and Outlook
Telephone customer service experience
#LI-Hybrid
This role requires 2 days onsite a month and for moments that matter.
The estimated base pay range for this job is:
$18.27 - $31.73
Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information on base pay and incentive pay (if applicable) can be discussed with a member of the Securian Financial Talent Acquisition team.
Be you. With us. At Securian Financial, we understand that attracting top talent means offering more than just a job - it means providing a rewarding and fulfilling career. As a valued member of our high-performing team, we want you to connect with your work, your relationships and your community. Enjoy our comprehensive range of benefits designed to enhance your professional growth, well-being and work-life balance, including the advantages listed here:
Paid time off:
We want you to take time off for what matters most to you. Our PTO program provides flexibility for associates to take meaningful time away from work to relax, recharge and spend time doing what's important to them. And Securian Financial rewards associates for their service by providing additional PTO the longer you stay at Securian.
Leave programs: Securian's flexible leave programs allow time off from work for parental leave, caregiver leave for family members, bereavement and military leave.
Holidays: Securian provides nine company paid holidays.
Company-funded pension plan and a 401(k) retirement plan: Share in the success of our company. Securian's 401(k) company contribution is tied to our performance up to 10 percent of eligible earnings, with a target of 5 percent. The amount is based on company results compared to goals related to earnings, sales and service.
Health insurance: From the first day of employment, associates and their eligible family members - including spouses, domestic partners and children - are eligible for medical, dental and vision coverage.
Volunteer time: We know the importance of community. Through company-sponsored events, volunteer paid time off, a dollar-for-dollar matching gift program and more, we encourage you to support organizations important to you.
Associate Resource Groups: Build connections, be yourself and develop meaningful relationships at work through associate-led ARGs. Dedicated groups focus on a variety of interests and affinities, including:
Mental Wellness and Disability
Pride at Securian Financial
Securian Young Professionals Network
Securian Multicultural Network
Securian Women and Allies Network
Servicemember Associate Resource Group
For more information regarding Securian's benefits, please review our Benefits page.
This information is not intended to explain all the provisions of coverage available under these plans. In all cases, the plan document dictates coverage and provisions.
Securian Financial Group, Inc. does not discriminate based on race, color, religion, national origin, sex, gender, gender identity, sexual orientation, age, marital or familial status, pregnancy, disability, genetic information, political affiliation, veteran status, status in regard to public assistance or any other protected status. If you are a job seeker with a disability and require an accommodation to apply for one of our jobs, please contact us by email at ***********************, by telephone ************ (voice), or 711 (Relay/TTY).
To view our privacy statement click here
To view our legal statement click here
$18.3-31.7 hourly Auto-Apply 5d ago
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Claims Representative - Edina, MN
Federated Mutual Insurance Company 4.2
Claim processor job in Edina, MN
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 Edina, MN office, located at 7700 France Avenue South. 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 18d ago
Service Claims Analyst
Trane Technologies Plc 4.7
Claim processor job in Minneapolis, MN
At Trane TechnologiesTM and through our businesses including Trane and Thermo King, we create innovative climate solutions for buildings, homes, and transportation that challenge what's possible for a sustainable world. We're a team that dares to look at the world's challenges and see impactful possibilities. We believe in a better future when we uplift others and enable our people to thrive at work and at home. We boldly go.
What's in it for you:
Be a part of our mission! As a world leader in creating comfortable, sustainable, and efficient environments, it's our responsibility to put the planet first. For us at Trane Technologies, sustainability is not just how we do business-it is our business. Do you dare to look at the world's challenges and see impactful possibilities? Do you want to contribute to making a better future? If the answer is yes, we invite you to consider joining us in boldly challenging what's possible for a sustainable world.
Thrive at work and at home:
* Benefits kick in on DAY ONE for you and your family, including health insurance and holistic wellness programs that include generous incentives - WE DARE TO CARE!
* Family building benefits include fertility coverage and adoption/surrogacy assistance.
* 401K match up to 6%, plus an additional 2% core contribution = up to 8% company contribution.
* Paid time off, including in support of volunteer and parental leave needs.
* Educational and training opportunities through company programs along with tuition assistance and student debt support.
* Learn more about our benefits here!
Where is the work: On-site (5 days)
What you will do:
* Provide a best in class customer experience in the warranty and service environment
* Work with channel and field functions to understand channel and customer concerns and create solutions for warranty and service issues through strong customer service
* Analyzes and monitors a warranty and service claim information process to uphold policy guidelines and create process improvements
* Use claim analytics process to data mine, research and analyze dealer warranty and service performance to suggest and execute on improvements in process and systems
* Provide communication on warranty and service policy to channel and customers to ensure claims are filed within guidelines
* Support team efforts to manage and reduce warranty spend, accruals, and reserves
What you will bring:
* 3+ years of experience in customer service, claims analysis, warranty support, service or related field
* Customer focus and continuous improvement mentality
* Ability to collaborate, partner with both internal and external Customers
* Strong written and verbal communication skills
* Ability to learn and work in multiple systems
Compensation:
Base Pay Range: $ 45,000 - $70,000
Disclaimer: This base pay range is based on US national averages. Actual base pay could be a result of seniority, merit, geographic location where the work is performed.
Equal Employment Opportunity:
We offer competitive compensation and comprehensive benefits and programs. We are an equal opportunity employer; all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, pregnancy, age, marital status, disability, status as a protected veteran, or any legally protected status.
$45k-70k yearly 41d ago
Claims Specialist
Bell Bank 4.2
Claim processor job in Bloomington, MN
The Claims Specialist position will manage the intake, review, processing, and oversight of multi-line insurance claims. This position provides consulting and advocacy on behalf of our clients throughout the process of a claim and the duration of the loss event. This position will play a vital role in our agency supporting fair and timely claims resolution for our clients.
Responsibilities
Serve as the primary liaison between the client and the insurance carrier during the claims process.
Maintain clear, timely, and professional communication with all stakeholders (clients, carriers, internal teams, legal counsel).
Document all claim activity, communications, and outcomes accurately in the agency's management system.
Adhere to all regulatory, ethical, and internal best practice standards.
Protect operations by keeping claims information confidential.
Receive initial claim information from clients and ensure timely and accurate reporting to the appropriate insurance carrier.
Input new claim data into the claims system, verify information, and maintain high data integrity.
Manage correspondence, create claim files, process documentation, and assist the rest of the team with requests as needed.
Prepare loss runs requests, basic claim status reports, and assist with reporting requirements.
Field general client or carrier inquiries and route complex coverage or resolution issues to experienced colleagues.
Participate in training and mentorship opportunities to develop foundational insurance knowledge, including policy language and industry standards.
Bell Bank Culture, Policy and Accountability Standards:
Know by name and face as many customers and employees as possible, calling them by name as often as possible.
Know and practice LOCBUTN, our Golden Rules, and Bell Bank Customer Service Standards.
Know, understand, and live the company values and bottom line.
Conduct activities consistent with established Bell Bank policies, procedures and systems, the Bell Bank Employee Conduct policies, the Bank Secrecy Act and all applicable state and federal laws and regulations.
All employees are responsible for information security, including compliance with policies and standards which protect sensitive information.
Prompt and reliable attendance.
Perform other duties as assigned.
Education, Experience, and Other Expectations
Bachelor's degree in business administration or related field.
1-2 years of experience handling multi-line claims.
Associate in Claims (AIC) or other related designations is an advantage.
Skills and Knowledge
Extensive knowledge of insurance-related policies and legislation.
Proficient in analytical math.
Excellent conflict resolution and organization skills.
Strong written and oral communication skills.
Accuracy in claim processing and documentation.
A growth mindset and ability to work independently but as part of a team environment.
$28k-37k yearly est. 3d ago
Northland Liability Major Case Claim Specialist
The Travelers Companies 4.4
Claim processor job in Saint Paul, MN
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. 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. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$104,000.00 - $171,700.00
Target Openings
1
What Is the Opportunity?
Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims.
Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.
Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required.
This position does not manage staff.
What Will You Do?
* Directly handle assigned severe claims.
* Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value.
* Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
* Work with Manager on use of Claim Coverage Counsel as needed.
* Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.
* Interview witnesses and stakeholders; take necessary statements, as strategically appropriate.
* Complete outside investigation as needed per case specifics.
* Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts.
* Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
* Maintain claim files and document claim file activities in accordance with established procedures.
* Develop and employ creative resolution strategies.
* Responsible for prompt and proper disposition of all claims within delegated authority.
* Negotiate disposition of claims with insureds and claimants or their legal representatives.
* Recognize and implement alternate means of resolution.
* Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
* Utilize evaluation documentation tools in accordance with department guidelines.
* Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis.
* Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure.
* Establish and maintain proper indemnity and expense reserves.
* Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims.
* Recommend appropriate cases for discussion at roundtable.
* Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
* Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others.
* Apply the Company's claim quality management protocols, and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance.
* Apply litigation management through the selection of counsel, evaluation.
* Perform other duties as assigned.
What Will Our Ideal Candidate Have?
* Bachelor's Degree.
* 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.
* Extensive working level knowledge and skill in various business line products.
* Excellent negotiation and customer service skills.
* Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills.
* Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims.
* Able to make independent decisions on most assigned cases without involvement of supervisor.
* Openness to the ideas and expertise of others and actively solicits input and shares ideas.
* Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices.
* Demonstrated strong coaching, influence and persuasion skills.
* Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise.
* Can adapt to and support cultural change.
* Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.
* Analytical Thinking - Advanced.
* Judgment/Decision Making - Advanced.
* Communication - Advanced.
* Negotiation - Advanced.
* Insurance Contract Knowledge - Advanced.
* Principles of Investigation - Advanced.
* Value Determination - Advanced.
* Settlement Techniques - Advanced.
* Litigation Management - Advanced.
* Medical Terminology and Procedural Knowledge - Advanced.
What is a Must Have?
* Four years bodily injury litigation claim handling experience or comparable claim litigation experience.
What Is in It for You?
* Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
* Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
* Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
* Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
* Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
$46k-62k yearly est. 3d ago
Senior Warranty Claims Coordinator
Graco 4.7
Claim processor job in Dayton, MN
Graco manufactures and markets premium equipment to move, measure, control, dispense and spray a wide variety of fluid and powder materials. What does that mean? Well, we pump peanut butter into your jar, and the oil in your car. We glue the soles of your shoes, the glass in your windows and the screen on your phone. We spray the finish on your vehicle, coatings on your pills, the paint on your house and texture on your walls. Graco is part of your daily life.
The Senior Warranty Claims Coordinator will lead the processing of warranty claims and returns with precision and efficiency, ensuring strict compliance with company policies and maintaining the highest standards of accuracy. This senior role will proactively collaborate with regional teams to address complex challenges in diverse markets, leveraging expertise to implement effective solutions. Additionally, the Senior Coordinator will play a pivotal role in enhancing customer support, ensuring a seamless and superior experience throughout the claims and returns process.
What You Will Do at Graco
Warranty Claims Processing
Oversee accurate and timely entry, validation, and reconciliation of warranty claims across CRM, WOW, ERP, and logistics systems (Precision and/or Brigg).
Analyze claims that fall outside published policies, determine root causes, and recommend appropriate resolutions or policy clarifications.
Ensure accurate matching of warranty RGAs (WRAs) to returned products and validate disposition outcomes.
Direct coordination of returned product flow to engineering, vendors, quality, or used equipment programs, ensuring proper documentation and traceability.
Customer and Distributor Interaction
Respond to customer and distributor inquiries and disputes
Clearly communicate warranty policy and any references to policy to both internal teams and external customers and distributors.
Collaborate closely with Sales, Engineering, Quality, Logistics, Finance, and regional teams to drive timely resolution and alignment.
Influence stakeholder decisions by providing data-driven insights and expert recommendations.
Documentation and Reporting
Ensure integrity, accuracy, completeness and up-to-date warranty claim files and databases.
Analyze warranty data and trends to identify risks, recurring issues, and opportunities for cost reduction and performance improvement.
Develop and report on key warranty metrics, supporting leadership decision-making and continuous improvement initiatives.
Contribute to forecasting and strategic planning related to warranty exposure and program effectiveness.
Process Improvement
Support continuous improvement initiatives to enhance warranty processes, controls, and customer experience.
Champion customer adoption of online warranty claim submission tools.
Support change management efforts by documenting best practices, training materials, and process updates.
Additional Responsibilities
Generate and implement plans to increase customer participation in online warranty claim generation.
Coordinate continual improvement initiatives for warranty processes.
Define, implement, and monitor enhancements to warranty systems and policies.
Other duties as assigned.
What You Will Bring to Graco
2 year degree post-secondary education in business, accounting or other related field, or equivalent education and experience.
4+ years of experience in a high-volume customer service environment or equivalent.
Advanced proficiency with PC tools, including word processing, spreadsheets, and database applications, with a focus on optimizing workflows.
Exceptional oral, written, and telephone communication skills, with the ability to convey complex information clearly and effectively.
Proven expertise in negotiation, problem-solving, and high-stakes decision-making.
Superior organizational skills with the ability to prioritize and manage multiple, competing issues in a dynamic environment.
Extensive product knowledge and technical proficiency to address warranty claims and product return inquiries, supported by at least four years of hands-on experience with products and parts.
Accelerators
Global industrial manufacturing experience and knowledge.
Multilingual skills, with a preference for Spanish.
#LI-AI1
#LI-Hybrid
Applicants must be legally authorized to work in the United States. This role is not eligible for immigration sponsorship now or in the future (e.g., H-1B, TN, F-1 OPT).
At Graco, you truly make a difference. Your unique talents contribute to our organizational growth and future. Not only do you make a difference, but Graco's culture empowers employees to create their own career path. Whether you choose to advance within your current department or explore new opportunities in different divisions, you have the ability to build your future. Our managers are here to provide support and guidance as you continue to grow within your career.
Graco has excellent opportunities available to individuals who want to be part of a fast-moving, growing company that is committed to quality, innovation and solving fluid handling problems for our customers. Graco is proud to be named a Best Place to Work by Fortune Magazine in 2016, 2018, 2019, 2021 & 2022. Graco offers attractive compensation, benefits and career development opportunities. Graco's comprehensive benefits include medical, dental, stock purchase plan, 401(k), tuition reimbursement and more.
Our company uses E-Verify to confirm the employment and eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit *********************
The base pay range for this position is listed below, exclusive of fringe benefits or other compensation. If you are hired, your final base hourly rate will be determined based on factors such as geographic location, skills, competencies, education, and/or experience. In addition to those factors, we will also consider internal equity of our current employees. Please keep in mind that the range provided is the full base salary range for the role. Hiring at or near the maximum of the range would not be typical to allow for future and continued salary growth.
$21.35 - $37.40
$45k-55k yearly est. Auto-Apply 60d+ ago
Complex Claims Specialist
Lockton 4.5
Claim processor job in Minneapolis, MN
Lockton is currently seeking a Clinical Claims Specialist within our Specialty Practice unit. The objective of this role is to improve and reduce the severity of complex and catastrophic claims, reduce the cost of risk while improving the health of our employer client's employee health plan.
* Provide explanation of disease states and associated costs to internal and external stakeholders.
* Provide cost-of-care estimates used in the risk assessment of stop loss underwriting.
* Consult with and advise underwriting on medical/clinical care approaches, standards of care and research of data for new business and renewals.
* Serve as a resource regarding medical necessity issues, standards of care and analysis for the reimbursement of submitted stop loss claims.
* Review claims and clinical documents to identify and monitor opportunities to increase member quality of care and overall cost reduction.
* Collaborate with various key stake holders to strategize clinical and cost savings strategies and assist on execution of plan.
* Coordinate implementation of claims savings solutions with Lockton Client Service Teams, TPAs, and stop loss carriers including regular tracking to measure savings and plan performance.
* Manage and organize task lists and open items and cases.
* Attend team clinical rounds to discuss cases and strategy solutions.
$41k-50k yearly est. 19d ago
Commercial Lines Claims Specialist
AAA Mid-Atlantic
Claim processor job in Lexington, MN
* Top 100 Agency for 2025 * Best Agencies to Work for in 2024 by the Insurance Journal * Big "I" Best Practices Agency in 2023 * Annual bonus eligibility * No weekends required - great work/life balance * 3+ weeks of Paid Time Off * 8 Paid Company Holidays
We are looking for someone who will
* Manage the claims reporting process for agency clients.
* Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
* Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information.
* Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed.
* Prepare reports by collecting and summarizing information as requested by management.
Why Join AAA Club Alliance and the Energy Insurance team?
* A base rate of $20.00 to $25.00/hour, depending on experience and geographic location.
* Annual bonus potential
Do you have what it takes?
* Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc.
* Strong communication skills (both verbal and written) and attention to detail
* Strong time management skills
* Ability to obtain property and casualty license within 60 days of hire
Full time Associates are offered a comprehensive benefits package that includes:
* Medical, Dental, and Vision plan options
* Up to 2 weeks Paid parental leave
* 401k plan with company match up to 7%
* 2+ weeks of PTO within your first year
* Paid company holidays
* Company provided volunteer opportunities + 1 volunteer day per year
* Free AAA Membership
* Continual learning reimbursement up to $5,250 per year
* And MORE! Check out our Benefits Page for more information
ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance.
Job Category:
Insurance
$20-25 hourly Auto-Apply 60d+ ago
Northland Liability Major Case Claim Specialist
Travelers 4.8
Claim processor job in Saint Paul, MN
Who Are We?
Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job CategoryClaimCompensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. 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. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range$104,000.00 - $171,700.00Target Openings1What Is the Opportunity?Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims.
Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.
Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required.
This position does not manage staff.What Will You Do?
Directly handle assigned severe claims.
Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value.
Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
Work with Manager on use of Claim Coverage Counsel as needed.
Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.
Interview witnesses and stakeholders; take necessary statements, as strategically appropriate.
Complete outside investigation as needed per case specifics.
Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts.
Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
Maintain claim files and document claim file activities in accordance with established procedures.
Develop and employ creative resolution strategies.
Responsible for prompt and proper disposition of all claims within delegated authority.
Negotiate disposition of claims with insureds and claimants or their legal representatives.
Recognize and implement alternate means of resolution.
Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
Utilize evaluation documentation tools in accordance with department guidelines.
Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis.
Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure.
Establish and maintain proper indemnity and expense reserves.
Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims.
Recommend appropriate cases for discussion at roundtable.
Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others.
Apply the Company's claim quality management protocols, and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance.
Apply litigation management through the selection of counsel, evaluation.
Perform other duties as assigned.
What Will Our Ideal Candidate Have?
Bachelor's Degree.
10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.
Extensive working level knowledge and skill in various business line products.
Excellent negotiation and customer service skills.
Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills.
Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims.
Able to make independent decisions on most assigned cases without involvement of supervisor.
Openness to the ideas and expertise of others and actively solicits input and shares ideas.
Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices.
Demonstrated strong coaching, influence and persuasion skills.
Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise.
Can adapt to and support cultural change.
Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.
Analytical Thinking - Advanced.
Judgment/Decision Making - Advanced.
Communication - Advanced.
Negotiation - Advanced.
Insurance Contract Knowledge - Advanced.
Principles of Investigation - Advanced.
Value Determination - Advanced.
Settlement Techniques - Advanced.
Litigation Management - Advanced.
Medical Terminology and Procedural Knowledge - Advanced.
What is a Must Have?
Four years bodily injury litigation claim handling experience or comparable claim litigation experience.
What Is in It for You?
Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
$34k-58k yearly est. Auto-Apply 4d ago
Claims Auditor
Healthez 3.7
Claim processor job in Minneapolis, MN
The Opportunity
HealthEZ is seeking a Healthcare Claims Auditor who is responsible for creating and maintaining audit procedures, auditing internal company departments, claims, payments, and statements. The Healthcare Claims Auditor will serve clients, employers and members. This individual will collaborate with all departments to increase revenue and decrease expenses.
What you'll do
Conduct Claims and Statement audits
Provide audit results for Senior Management
Audit a percentage of third-party administrator claims and provide feedback
Provide feedback to Management and Staff regarding auditing results
Work with department heads to create and develop company audit procedures for all business units
Create audit procedures for medical/dental claims
Perform other tasks as assigned
Qualifications
What we expect from you
Bachelor's degree or equivalent experience
Minimum of 5 years claims processing experience
Detail oriented with excellent written and verbal communication skills
Ability to multi-task and prioritize
Training/Auditing experience preferred
Ability to provide constructive feedback on results
Software: Must be proficient in Excel, Outlook, Word, PowerPoint, and the Ability to learn new systems
We make healthcare EZ!
Additional Opportunity Details:
Target Base Compensation Range for this role is $22.00-25.00/hr.*
* Factors that may be used to determine your actual salary include your job specific skills, education, training, job location, number of years of experience related to this role and comparison to other employees already in this role.
Employee benefits are part of the competitive total rewards package that HealthEZ provides to you. Our comprehensive benefits program includes health benefits, retirement plan (401k), paid time away, paid leaves (including paid parental leave) and more.
HealthEZ recognizes its responsibilities under federal, state, and local laws requiring non-discriminatory employment practices. All employment decisions, practices and procedures will be carried out without regard to race, color, creed, religion, sex (including pregnancy), sexual orientation, national origin or ancestry, age, marital status, disability, family status, status with regard to public assistance, or any other characteristic protected under applicable local, state, and federal laws.
HealthEZ is proud to be an equal opportunity employer.
$22-25 hourly 5d ago
PL CLAIM SPECIALIST
Sedgwick 4.4
Claim processor job in Saint Paul, MN
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work
Fortune Best Workplaces in Financial Services & Insurance
PL CLAIM SPECIALIST
**PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
+ Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
+ Negotiates claim settlement up to designated authority level.
+ Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
+ Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
+ Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
+ Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
+ Represents Company in depositions, mediations, and trial monitoring as needed.
+ Communicates claim activity and processing with the client; maintains professional client relationships.
+ Ensures claim files are properly documented and claims coding is correct.
+ Refers cases as appropriate to supervisor and management.
+ Delegates work and mentors assigned staff.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred.
**Experience**
Six (6) years of claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business
+ Excellent oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Excellent negotiation skills
+ Good interpersonal skills
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical** **:** Computer keyboarding, travel as required
**Auditory/Visual** **:** Hearing, vision and talking
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $117,000 - $125,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
$30k-37k yearly est. 7d ago
Claims Examiner - Liability
Imagine Staffing Technology 4.1
Claim processor job in Eden Prairie, MN
Job DescriptionJob Title: Claims Examiner - LiabilityLocation: Eden Prairie, MinnesotaHire Type: ContingentPay Range: $30.50/hour Work Type: Full-time Work Model: Remote (cannot live in CA or NY) Work Schedule: Monday - Friday, 8am - 4:30pm (Preferred to work CST standard) Recruiter Contact: Natalie Dunn, natalie@marykraft.com Sean Craft, sean@marykraft.com Nature & Scope:Positional OverviewThe Imagine Group is recruiting for a Claims Examiner - Liability on behalf of our client, a leading global provider of technology-enabled risk, benefits, and integrated business solutions, delivering claims management, loss control, and employee benefits administration services across a wide range of industries in Eden Prairie, Minnesota. Known for its client-focused approach and data-driven insights, the organization helps businesses navigate complex challenges while improving outcomes for employees and customers alike.In this role, you will be responsible for investigating, evaluating, and managing liability claims from initial intake through resolution, ensuring timely and accurate outcomes. You will analyze coverage, determine liability exposure, negotiate settlements, and maintain compliance with applicable laws, regulations, and best practices while delivering high-quality service to all stakeholders.Role & Responsibility:Tasks That Will Lead to Your Success
Analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Assesses liability and resolves claims within evaluation.
Negotiates settlement of claims within designated authority.
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
Prepare necessary state filings within statutory limits.
Manages the litigation process; ensures timely and cost-effective claims resolution.
Coordinates vendor referrals for additional investigation and/or litigation management.
Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
Manages claim recoveries, including but not limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
Ensures claim files are properly documented and claims coding is correct.
Refers cases as appropriate to supervisor and management
Performs other duties as assigned.
Supports the organization's quality program(s).
Travel as required.
Skills & ExperienceQualifications That Will Help You Thrive
Bachelor's degree from an accredited college or university preferred.
Professional certification as applicable to line of business preferred.
Experience 2-4 years of claims management experience or equivalent combination of education and experience required.
Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products.
Analytical and interpretive skills.
Strong organizational skills.
Good interpersonal skills.
Excellent negotiation skills.
Ability to work in a team environment.
Ability to meet or exceed Service Expectations.
$30.5 hourly 6d ago
Entry Level Claims Coordinator
Ascensionpoint Recovery Services
Claim processor job in Saint Louis Park, MN
AscensionPoint Recovery Services, LLC(“APRS”) is a Minnesota based nationally licensed collection agency specializing in probate receivable management services. APRS' core competency is managing debt recovery for credit grantors, service providers and healthcare companies. APRS prides itself on its unwavering commitment to provide the best possible debt solutions to its clients making APRS a leader within the collection industry.
This position is onsite at our St Louis Park, MN office. Pay is starting at 18/hr.
Position summary
The Claims Coordinator will be responsible for searching for probates filed in probate courts throughout the United States via web, phone and mail by following the established guidelines.
Essential Duties and Responsibilities
Follow established policies, procedures, and training guidelines.
Meet goals and productivity standards.
Maintain queue of accounts with regular review, phone calls/web searches and miscellaneous research and follow-up work.
Serve as an active member of the team contributing to a positive work environment.
Preserve confidentiality and security of sensitive information.
Work on other assigned projects/initiatives as assigned.
Competencies
Excellent interpersonal, verbal and written communication skills.
Results-oriented.
Genuine desire to learn.
Computer proficiency.
Education and Experience
Two years experience in credit, collection, or customer service work preferred.
High school diploma or equivalent required.
We are proud to offer the following benefit package to all our full-time employees:
Full-Time Work Schedule - 40 hours/week
Great Schedules Available - No Weekend Shifts!
Medical Insurance (Health Club Membership Discounts)
Dental Insurance
Vision Insurance
Short Term Disability Insurance
Long Term Disability Insurance
Term Life Insurance
401(k) Plan with a Company Match
Paid Time Off (PTO)
Holiday Pay
Competitive Compensation Package
Casual Dress
Employee Assistance Program
Great Work/Life Balance
Career Advancement Opportunities
Employee Referral Bonus
Must be able to successfully complete a comprehensive credit and criminal background check which includes a drug test to be completed within 48 hours of the request. If you are interested in applying for this position, please respond to this ad with a cover letter, resume, and salary requirements.
EOE - No recruiters or phone calls please
Job Type: Full-time
$33k-41k yearly est. Auto-Apply 7d ago
AV Curriculum and Certification Specialist
Milestone Av
Claim processor job in Saint Paul, MN
Thank you for your interest in becoming part of the team at Legrand!
The L&D Program Specialist will assist the design, delivery, and management of impactful learning experiences for internal teams, customers, and industry partners. This role combines instructional design expertise with program management for certifications and Legrand AV University initiatives, ensuring our training ecosystem supports sales enablement, customer success, and partner engagement. The position will be involved in online and in-person training programs, certification tracks, and collaborative efforts with industry partners to elevate knowledge and adoption of our solutions.DUTIES AND ACCOUNTABILITIES
Assist L&D Leadership with strategic planning and program design.
Manage certification programs for dealers, installers, and partners, including AV University partnerships and industry alignment.
Assist instructional designers, SMEs, and others involved in training development.
Oversee learning metrics, certification tracking, and reporting through LMS platforms.
Lead initiatives for learning assessment and evaluation, including formative and summative assessments, gamification, and certification exams.
Identify learning gaps and opportunities through empathy interviews and feedback; design and implement strategies to enhance learner experience, loyalty, and retention.
Create innovative, engaging learning experiences for customers and partners, including interactive activities, simulations, and games that drive retention and knowledge transfer.
Assist with instructional design-analysis, design, development, multimedia creation, and program evaluation
Transform lecture material and presentations into compelling, effective training content.
Collaborate with SMEs across the organization to ensure accuracy and relevance.
Administer and optimize online learning platforms - Legrand AV University, SharePoint Sites, including reporting and analytics.
Develop expertise in Articulate 360 and video editing tools to produce interactive, high-quality content and learning modules.
Maintain accurate archives of course documentation, certification records, and departmental tracking.
Drive cross-functional collaboration to gather insights and improve efficiencies.
Lead special projects related to training, enablement, and partner engagement.
Provide input and guidance on instructional programs developed by Product Management Teams of Legrand AV.
Stay current on emerging training technologies and methodologies.
Deliver high-quality work and meet commitments consistently.
Promote workplace safety and participate in safety programs and initiatives.
Demonstrate core values: Integrity, Customer Responsiveness, Innovation, Passionate Contribution & Empowerment, and Continuous Improvement.
Travel occasionally for off-site training and trade show events (minimal).
JOB REQUIREMENTSEssential Knowledge, Skills and Abilities Required:
A growth mindset coupled with a strong drive to get better and be better at your craft.
Expertise in the “how” of instructional design, including how people learn, how best to engage them, and how to leverage tools and resources to be both effective and efficient.
Demonstrated ability to produce high-quality, engaging learning products, including training videos, animations, and other multimedia learning activities.
Familiarity and experience with applying sound instructional design theory to the creation of L&D programs and initiatives, including online courses and Instructor-Led Training (ILT).
Strong project management skills along with excellent written and oral communication skills.
Ability to get work done on time, rinse and repeat.
Ability to demonstrate flexible and efficient time management and to appropriately prioritize workload based upon organization or department needs.
Detail orientation and excellent follow-through skills.
Minimum Education and Experience Required:
Bachelor's Degree with a minimum of 3-5 years of e-learning and/or traditional instructional design experience.
Proven experience designing high-quality e-learning modules and delivering impactful Instructor-Led Training (ILT) that enhances retention and supports revenue growth.
Strong background in curriculum development for certification programs and partner training initiatives, ensuring alignment with industry standards and business objectives.
Familiarity with AV industry organizations and standards, including InfoComm, CEDIA, AIA, and BICSI, with the ability to integrate these frameworks into training programs.
Demonstrated success collaborating with SMEs to create effective learning solutions, including structured kick-off processes and stakeholder alignment.
Preferred Qualifications:
Experience applying instructional techniques and design methods specifically for manufacturer product training within the AV industry.
Ability to develop curriculum and training programs that showcase AV technologies, ensuring content is engaging, retention-focused, and aligned with revenue growth objectives.
Familiarity with AV industry standards and organizations such as InfoComm, CEDIA, AIA, and BICSI, and the ability to incorporate these frameworks into training initiatives.
Strong understanding of AV technology and equipment, with the capability to translate complex technical concepts into clear, impactful learning experiences.
Special Job Requirements:
Ability to work flexible hours as needed - particularly at planned sales and customer meetings.
WORKING CONDITIONS/PHYSICAL DEMANDS
While performing the duties of this job, the employee is regularly required (for the majority of the working day) to sit and make coordinated movements of the fingers for data entry on a keyboard. Duties will occasionally require the employee to be able to reach above shoulder level, reach below knee level, bend, stoop, squat/kneel; and lift, push or pull up to 50 pounds.
General office environment.
Long-distance or air travel as needed - not to exceed 10% travel.
Note: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Legrand is proud to be an Equal Opportunity Employer. You will be considered for this position based upon your experience and education, without regard to race, color, religion, age, sex, national origin, sexual orientation, ancestry; marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.
If you'd like to work in a fun, creative, business-casual environment that offers a comprehensive benefit package, we encourage you to apply!
Legrand is an equal employment opportunity employer.
For California residents, please see the link for the Privacy Notice for Candidates. California law requires that we provide you this notice about the collection and use of your personal Information.
$30k-55k yearly est. Auto-Apply 42d ago
Housing Certification Specialist
Accessible Space Inc. 3.5
Claim processor job in Saint Paul, MN
We are seeking a Full-Time Housing Certification Specialist for our administrative office located in Saint Paul, MN. (Hybrid schedule available) The Housing Certification Specialist will assist managing our properties by ensuring that allprocesses and documentation related to move-in and certifications are incompliance with rules and regulations set forth by the United States Departmentof Housing and Urban Development (HUD)
Housing Certification Specialist qualifications:
Experience in high volume Property Management including calculating rents
A minimum of two years of administrative experience
Proficiency in all standard administrative functions
Strong computer and data processing skills
Excellent organizational skills and demonstrate attention to detail
Certified Occupancy Specialist (COS) Certification, knowledge of Section 8, 202 PRAC and 811 PRAC a plus
ASI offers a competitive wage with attractive benefit package Health/Dental
Paid Time off
Life Insurance
Wellness RebateEmployee Assistance Program
Tuition Reimbursement
Convenient location (I-94 & 280) Central Corridor Light Rail, Bus line,free parking. Casual work environment, free fitness center, restaurant on site, and many places to eat nearby! Great location for walking whether on break or lunch - indoors and outdoors!
Apply now!
$25k-31k yearly est. 7d ago
Pre Certification Specialist
Twin Cities Spine 3.8
Claim processor job in Minneapolis, MN
We are seeking a motivated and talented Pre Certification Specialist to join our busy, fast paced specialty office at Twin Cities Spine Center (TC Spine). Come be a part in our patient's lives and work for an organization that has consistently been named one of the area's Top Workplaces.
The Pre Certification Specialist plays a critical role in ensuring a smooth and efficient surgical authorization process for Twin Cities Spine Center (TC Spine) patients. This position requires a strong understanding of health insurance providers' prior authorization policies and procedures, combined with exceptional communication and customer service skills. Primary responsibilities include obtaining required prior authorization/notification from insurance companies prior to the procedures, serving as a knowledgeable resource for patients, answering questions and addressing concerns about insurance coverage, costs and authorization criteria, all while communicating effectively with patients, insurance representatives, and physician teams to ensure timely approvals. This position strives to minimize authorization turnaround time, enhancing patient satisfaction and reducing delays in care.
Job Responsibilities:
Obtains documents and submits online insurance prior authorizations for surgical procedures
Verify patient eligibility and coverage using online/web-based systems and direct communication with patient or insurance company.
Effectively communicates and compassionately with patients, answering questions about insurance coverage and prior authorization criteria.
Serve as a liaison between patients, physicians, business office, primary care providers and insurance companies to facilitate timely approvals.
Resolve denials and manage appears in collaboration with providers and patients.
Obtains additional pre-certification coverage when required and/or informs all parties of approval or denial of requests.
Reviews and updates patient demographic and insurance information in the patients electronic medical record
Monitors utilization of resources to ensure all services are covered and meet insurance pre-certification coverage guidelines
Fosters a customer focused environment prioritizing clear communication and exceptional service
Continually stays updated with new insurance policies/procedures by reviewing monthly or quarterly newsletters from insurance companies
Ensures authorizations are updated as DOS changes
Job Requirements:
2-3 years recent insurance/business office experience; prior authorization experience required
In depth knowledge of various insurance companies and their surgical protocols/policies
Medical terminology, spine anatomy background; preferably orthopedic
Minimum of a High School Diploma
Advance knowledge of MS Office Suite
Proficient with healthcare software including the use of Electronic Medical Records (EMR), EPIC and NextGen preferred
Ability to adapt to different working styles and effectively communicate with patients, staff and providers using excellent interpersonal and verbal/written communication skills
Ability to effectively manage and prioritize multiple tasks, frequent interruptions, and details with accuracy
Ability to resolve basic service recovery issues and understand when to escalate to next level
Ability to work with people of all ages, ethnicities, and backgrounds
Benefits:
Medical, Dental, and Vision Insurance
Group Life and AD&D coverage
Company Paid Short and Long Term Disability coverage
Flexible Spending and Health Saving Account options
401(k) plan through salary deferrals
PTO and Paid Holidays
The above description is intended to provide a general outline of some of the basic job requirements and responsibilities and is not all inclusive. Job responsibilities, required skills, and working conditions are also subject to change from time to time.
Twin Cities Spine Center is an Equal Employment Opportunity Employer, and provides reasonable accommodation to qualified disabled individuals in accordance with applicable federal and state law.
$25k-33k yearly est. Auto-Apply 12d ago
AV Curriculum and Certification Specialist
Legrand 4.2
Claim processor job in Minnetonka, MN
Thank you for your interest in becoming part of the team at Legrand!
The L&D Program Specialist will assist the design, delivery, and management of impactful learning experiences for internal teams, customers, and industry partners. This role combines instructional design expertise with program management for certifications and Legrand AV University initiatives, ensuring our training ecosystem supports sales enablement, customer success, and partner engagement. The position will be involved in online and in-person training programs, certification tracks, and collaborative efforts with industry partners to elevate knowledge and adoption of our solutions.DUTIES AND ACCOUNTABILITIES
Assist L&D Leadership with strategic planning and program design.
Manage certification programs for dealers, installers, and partners, including AV University partnerships and industry alignment.
Assist instructional designers, SMEs, and others involved in training development.
Oversee learning metrics, certification tracking, and reporting through LMS platforms.
Lead initiatives for learning assessment and evaluation, including formative and summative assessments, gamification, and certification exams.
Identify learning gaps and opportunities through empathy interviews and feedback; design and implement strategies to enhance learner experience, loyalty, and retention.
Create innovative, engaging learning experiences for customers and partners, including interactive activities, simulations, and games that drive retention and knowledge transfer.
Assist with instructional design-analysis, design, development, multimedia creation, and program evaluation
Transform lecture material and presentations into compelling, effective training content.
Collaborate with SMEs across the organization to ensure accuracy and relevance.
Administer and optimize online learning platforms - Legrand AV University, SharePoint Sites, including reporting and analytics.
Develop expertise in Articulate 360 and video editing tools to produce interactive, high-quality content and learning modules.
Maintain accurate archives of course documentation, certification records, and departmental tracking.
Drive cross-functional collaboration to gather insights and improve efficiencies.
Lead special projects related to training, enablement, and partner engagement.
Provide input and guidance on instructional programs developed by Product Management Teams of Legrand AV.
Stay current on emerging training technologies and methodologies.
Deliver high-quality work and meet commitments consistently.
Promote workplace safety and participate in safety programs and initiatives.
Demonstrate core values: Integrity, Customer Responsiveness, Innovation, Passionate Contribution & Empowerment, and Continuous Improvement.
Travel occasionally for off-site training and trade show events (minimal).
JOB REQUIREMENTSEssential Knowledge, Skills and Abilities Required:
A growth mindset coupled with a strong drive to get better and be better at your craft.
Expertise in the “how” of instructional design, including how people learn, how best to engage them, and how to leverage tools and resources to be both effective and efficient.
Demonstrated ability to produce high-quality, engaging learning products, including training videos, animations, and other multimedia learning activities.
Familiarity and experience with applying sound instructional design theory to the creation of L&D programs and initiatives, including online courses and Instructor-Led Training (ILT).
Strong project management skills along with excellent written and oral communication skills.
Ability to get work done on time, rinse and repeat.
Ability to demonstrate flexible and efficient time management and to appropriately prioritize workload based upon organization or department needs.
Detail orientation and excellent follow-through skills.
Minimum Education and Experience Required:
Bachelor's Degree with a minimum of 3-5 years of e-learning and/or traditional instructional design experience.
Proven experience designing high-quality e-learning modules and delivering impactful Instructor-Led Training (ILT) that enhances retention and supports revenue growth.
Strong background in curriculum development for certification programs and partner training initiatives, ensuring alignment with industry standards and business objectives.
Familiarity with AV industry organizations and standards, including InfoComm, CEDIA, AIA, and BICSI, with the ability to integrate these frameworks into training programs.
Demonstrated success collaborating with SMEs to create effective learning solutions, including structured kick-off processes and stakeholder alignment.
Preferred Qualifications:
Experience applying instructional techniques and design methods specifically for manufacturer product training within the AV industry.
Ability to develop curriculum and training programs that showcase AV technologies, ensuring content is engaging, retention-focused, and aligned with revenue growth objectives.
Familiarity with AV industry standards and organizations such as InfoComm, CEDIA, AIA, and BICSI, and the ability to incorporate these frameworks into training initiatives.
Strong understanding of AV technology and equipment, with the capability to translate complex technical concepts into clear, impactful learning experiences.
Special Job Requirements:
Ability to work flexible hours as needed - particularly at planned sales and customer meetings.
WORKING CONDITIONS/PHYSICAL DEMANDS
While performing the duties of this job, the employee is regularly required (for the majority of the working day) to sit and make coordinated movements of the fingers for data entry on a keyboard. Duties will occasionally require the employee to be able to reach above shoulder level, reach below knee level, bend, stoop, squat/kneel; and lift, push or pull up to 50 pounds.
General office environment.
Long-distance or air travel as needed - not to exceed 10% travel.
Note: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Legrand is proud to be an Equal Opportunity Employer. You will be considered for this position based upon your experience and education, without regard to race, color, religion, age, sex, national origin, sexual orientation, ancestry; marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.
If you'd like to work in a fun, creative, business-casual environment that offers a comprehensive benefit package, we encourage you to apply!
Legrand is an equal employment opportunity employer.
For California residents, please see the link for the Privacy Notice for Candidates. California law requires that we provide you this notice about the collection and use of your personal Information.
$24k-36k yearly est. Auto-Apply 60d ago
Northland Liability Major Case Claim Specialist
Travelers Insurance Company 4.4
Claim processor job in Saint Paul, MN
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. 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. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$104,000.00 - $171,700.00
**Target Openings**
1
**What Is the Opportunity?**
Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims.
Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.
Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required.
This position does not manage staff.
**What Will You Do?**
+ Directly handle assigned severe claims.
+ Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value.
+ Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
+ Work with Manager on use of Claim Coverage Counsel as needed.
+ Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.
+ Interview witnesses and stakeholders; take necessary statements, as strategically appropriate.
+ Complete outside investigation as needed per case specifics.
+ Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts.
+ Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
+ Maintain claim files and document claim file activities in accordance with established procedures.
+ Develop and employ creative resolution strategies.
+ Responsible for prompt and proper disposition of all claims within delegated authority.
+ Negotiate disposition of claims with insureds and claimants or their legal representatives.
+ Recognize and implement alternate means of resolution.
+ Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
+ Utilize evaluation documentation tools in accordance with department guidelines.
+ Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis.
+ Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure.
+ Establish and maintain proper indemnity and expense reserves.
+ Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims.
+ Recommend appropriate cases for discussion at roundtable.
+ Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
+ Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others.
+ Apply the Company's claim quality management protocols, and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance.
+ Apply litigation management through the selection of counsel, evaluation.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Bachelor's Degree.
+ 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.
+ Extensive working level knowledge and skill in various business line products.
+ Excellent negotiation and customer service skills.
+ Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills.
+ Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims.
+ Able to make independent decisions on most assigned cases without involvement of supervisor.
+ Openness to the ideas and expertise of others and actively solicits input and shares ideas.
+ Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices.
+ Demonstrated strong coaching, influence and persuasion skills.
+ Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise.
+ Can adapt to and support cultural change.
+ Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.
+ Analytical Thinking - Advanced.
+ Judgment/Decision Making - Advanced.
+ Communication - Advanced.
+ Negotiation - Advanced.
+ Insurance Contract Knowledge - Advanced.
+ Principles of Investigation - Advanced.
+ Value Determination - Advanced.
+ Settlement Techniques - Advanced.
+ Litigation Management - Advanced.
+ Medical Terminology and Procedural Knowledge - Advanced.
**What is a Must Have?**
+ Four years bodily injury litigation claim handling experience or comparable claim litigation experience.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
$46k-62k yearly est. 3d ago
Complex Claims Coordinator
Lockton 4.5
Claim processor job in Minneapolis, MN
Lockton is currently seeking a Complex Claims Coordinator within our Specialty Practice unit. The objective of this role is to improve and reduce the severity of complex and catastrophic claims, reduce the cost of risk while improving the health of our employer client's employee health plan.
* Provide explanation of disease states and associated costs to internal and external stakeholders.
* Provide cost-of-care estimates used in the risk assessment of stop loss underwriting.
* Consult with and advise underwriting on medical/clinical care approaches, standards of care and research of data for new business and renewals.
* Serve as a resource regarding medical necessity issues, standards of care and analysis for the reimbursement of submitted stop loss claims.
* Review claims and clinical documents to identify and monitor opportunities to increase member quality of care and overall cost reduction.
* Collaborate with various key stake holders to strategize clinical and cost savings strategies and assist on execution of plan.
* Coordinate implementation of claims savings solutions with Lockton Client Service Teams, TPAs, and stop loss carriers including regular tracking to measure savings and plan performance.
* Manage and organize task lists and open items and cases.
* Attend team clinical rounds to discuss cases and strategy solutions.
$36k-44k yearly est. 19d ago
Pre Certification Specialist
Twin Cities Spine Center 3.8
Claim processor job in Minneapolis, MN
We are seeking a motivated and talented Pre Certification Specialist to join our busy, fast paced specialty office at Twin Cities Spine Center (TC Spine). Come be a part in our patient's lives and work for an organization that has consistently been named one of the area's Top Workplaces.
The Pre Certification Specialist plays a critical role in ensuring a smooth and efficient surgical authorization process for Twin Cities Spine Center (TC Spine) patients. This position requires a strong understanding of health insurance providers' prior authorization policies and procedures, combined with exceptional communication and customer service skills. Primary responsibilities include obtaining required prior authorization/notification from insurance companies prior to the procedures, serving as a knowledgeable resource for patients, answering questions and addressing concerns about insurance coverage, costs and authorization criteria, all while communicating effectively with patients, insurance representatives, and physician teams to ensure timely approvals. This position strives to minimize authorization turnaround time, enhancing patient satisfaction and reducing delays in care.
Job Responsibilities:
* Obtains documents and submits online insurance prior authorizations for surgical procedures
* Verify patient eligibility and coverage using online/web-based systems and direct communication with patient or insurance company.
* Effectively communicates and compassionately with patients, answering questions about insurance coverage and prior authorization criteria.
* Serve as a liaison between patients, physicians, business office, primary care providers and insurance companies to facilitate timely approvals.
* Resolve denials and manage appears in collaboration with providers and patients.
* Obtains additional pre-certification coverage when required and/or informs all parties of approval or denial of requests.
* Reviews and updates patient demographic and insurance information in the patients electronic medical record
* Monitors utilization of resources to ensure all services are covered and meet insurance pre-certification coverage guidelines
* Fosters a customer focused environment prioritizing clear communication and exceptional service
* Continually stays updated with new insurance policies/procedures by reviewing monthly or quarterly newsletters from insurance companies
* Ensures authorizations are updated as DOS changes
Job Requirements:
* 2-3 years recent insurance/business office experience; prior authorization experience required
* In depth knowledge of various insurance companies and their surgical protocols/policies
* Medical terminology, spine anatomy background; preferably orthopedic
* Minimum of a High School Diploma
* Advance knowledge of MS Office Suite
* Proficient with healthcare software including the use of Electronic Medical Records (EMR), EPIC and NextGen preferred
* Ability to adapt to different working styles and effectively communicate with patients, staff and providers using excellent interpersonal and verbal/written communication skills
* Ability to effectively manage and prioritize multiple tasks, frequent interruptions, and details with accuracy
* Ability to resolve basic service recovery issues and understand when to escalate to next level
* Ability to work with people of all ages, ethnicities, and backgrounds
Benefits:
* Medical, Dental, and Vision Insurance
* Group Life and AD&D coverage
* Company Paid Short and Long Term Disability coverage
* Flexible Spending and Health Saving Account options
* 401(k) plan through salary deferrals
* PTO and Paid Holidays
The above description is intended to provide a general outline of some of the basic job requirements and responsibilities and is not all inclusive. Job responsibilities, required skills, and working conditions are also subject to change from time to time.
Twin Cities Spine Center is an Equal Employment Opportunity Employer, and provides reasonable accommodation to qualified disabled individuals in accordance with applicable federal and state law.
How much does a claim processor earn in Bloomington, MN?
The average claim processor in Bloomington, MN earns between $26,000 and $64,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.