Responsibilities & Duties:Claims Processing and Assessment:
Evaluate incoming claims to determine eligibility, coverage, and validity.
Conduct thorough investigations, including reviewing medical records and other relevant documentation.
Analyze policy provisions and contractual agreements to assess claim validity.
Utilize claims management systems to document findings and process claims efficiently.
Communication and Customer Service:
Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements.
Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process.
Address customer concerns and escalate complex issues to senior claims personnel or management as needed.
Compliance and Documentation:
Ensure compliance with company policies, procedures, and regulatory requirements.
Maintain accurate records and documentation related to claims activities.
Follow established guidelines for claims adjudication and payment authorization.
Quality Assurance and Improvement:
Identify opportunities for process improvement and efficiency within the claims department.
Participate in quality assurance initiatives to uphold service standards and improve claim handling practices.
Collaborate with team members and management to implement best practices and enhance overall departmental performance.
Reporting and Analysis:
Generate reports and provide data analysis on claims trends, processing times, and outcomes.
Contribute to the development of management reports and presentations regarding claims operations.
$37k-51k yearly est. Auto-Apply 27d ago
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Claims Examiner II - Warranty
AIG Insurance 4.5
Claim processor job in Jeffersonville, IN
Claims Examiner II Warranty
About AIG Warranty
AIG Warranty delivers a full range of service solutions including warranty management administration, extended service contracts and mobile insurance theft/loss programs, customer service support, service network management, claims processing services, and service contract underwriting.
With over 20 years of experience, we are one of the Warranty and Service industry's leading providers, which is why many of the world's largest and most respected brands choose us. When retailers or manufacturers want flexible and innovative service solutions that will ensure the focus of building customer retention and customer satisfaction, they turn to us.
The Claims Examiner Role
Our Claims Examiner work directly with our Service Providers and our Customers to ensure that the project moves forward with the support they need. Claims Examiners are responsible for receiving incoming calls and emails from Service Providers needing authorization for repairs on major appliances, consumer electronics, heating and air, or other home systems. They also research part availability, and ensure pricing and quotes submitted are in line with industry standards. The Claims Examiners verify that failure and repairs are covered under the terms and conditions prior to authorizing the Service Providers to proceed with the project or reserving any payments.
Claims Examiners are the ones our clients turn to in times of need. They act with speed, composure, compassion, and knowledge to solve problems and the work they do every day is the heart of our business.
How you will create an impact
Answer incoming phone calls and emails from service partners and contract holders seeking repair authorizations, contract and payment statuses, and a variety of other needs.
Ask the right questions about the claim, evaluating each request to determine if Client should repair or replace the product.
Research claims to determine what coverage options were purchased; make denial/approval of claims per the terms and conditions.
Adjudicate claims for fair and reasonable repair charges.
Purchase small appliances, plumbing products, and HVAC equipment if necessary to fulfill contract requirements.
Maintain knowledge of covered equipment, as relates to the price/replacement value.
Handle research assignments and reporting as delegated by management.
Maintain good working relationship during all contacts with clients, even during difficult conversations.
Take responsibility for continuously improving processes and product knowledge, understanding of program coverage and exclusions.
What you'll need to succeed
A record of providing outstanding customer service
Excellent written and verbal communication skills with ability to adapt as the need requires
Experience in conflict resolution, or the ability to de-escalate tense situations, and comfortable in a role that requires some negotiations
Analytical skills and the ability to search the internet for answers and market data
Results oriented, and able to perform in a fast-paced environment and perform a wide variety of tasks and change focus quickly as internal and external demands change.
Excellent organizational skills- flexible with moving from project to project while keeping track of progress
Professional attitude- we are looking for someone enthusiastic, reliable, and a team player.
Basic Excel, Word, and Outlook skills
Excellent interpersonal skills
Ability to consistently meet deadlines
Understanding of Warranty or Insurance products is recommended but not required.
Prior claims experience preferred.
High school diploma or GED required.
#LI-HB1
At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.
Enjoy benefits that take care of what matters
At AIG, our people are our greatest asset. We know how important it is to protect and invest in what's most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.
Reimagining insurance to make a bigger difference to the world
American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world's most far-reaching property casualty networks. It is an exciting time to join us - across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become.
Welcome to a culture of inclusion
We're committed to creating a culture that truly respects and celebrates each other's talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG's greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.
AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories.
AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to *********************.
Functional Area:
CL - ClaimsService Net Warranty, LLC
$50k-76k yearly est. Auto-Apply 24d ago
Claims Processor - Casualty
Brotherhood Mutual Careers 3.9
Claim processor job in Fort Wayne, IN
Job Title: ClaimsProcessor - Casualty
FLSA Status: Non-Exempt
Job Family: Claims
Department: Casualty Claims
Responsible for effectively analyzing and resolving assigned minor casualty claims consistent with claims
department standards and company objectives.
POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
functions.
Identify and investigate coverage, damage and reserve adequacy issues on assigned claims.
Apply statutes, common law, and other applicable legal concepts.
Identify liability issues and communicate this to supervisor for possible file transfer.
Communicate with policyholders, agents, claimants, medical providers and other persons as
needed.
Direct independent adjusters, appraisers, and other support service providers to ensure effective
and efficient claims resolution.
Acquire, record and maintain all essential file documentation in accordance with established
guidelines.
Provide timely status reports regarding assigned claims to management and others.
Identify and pursue cost containment/loss mitigation opportunities.
Negotiate and resolve all assigned claims within established settlement authority in a prompt, fair
and equitable manner.
Participate and provide input in regularly scheduled departmental meetings involving collective
decision making.
Travel as needed to attend training programs and to conduct investigation relating to claims
resolution.
Further the attainment of overall claims department objectives by assisting other claims personnel
as requested.
Complete other projects as assigned.
KNOWLEDGE, SKILLS, AND ABILITIES
The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform
each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.
Must be able to effectively communicate with others (both oral and written).
Must be able to make independent decisions.
Must have strong interpersonal and organizational skills.
Must have the ability to handle confrontational situations in a productive manner.
Experience in investigation, customer service, and/or negotiation would be beneficial.
Insurance, legal and/or medical knowledge would be of benefit.
Should be able to sit for prolonged periods of time.
Effectively interface with external contacts, Brotherhood employees, managers, and department
staff members.
EDUCATION AND/OR EXPERIENCE
List Degree Requirement, Years' Experience, and Certifications
Must have a high school diploma or equivalent.
Must fulfill required adjuster licensing requirements.
Bachelor's degree or equivalent related work experience desired.
Insurance related course work would be of benefit.
Terms and Conditions
This description is intended to describe the general content of and requirements for the
performance of this position. It is not to be construed as an exhaustive statement of duties,
responsibilities, or requirements.
Because the company's niche is the church and related ministries market, and because effective
service requires a thorough understanding of this market, persons in this position must be
familiar with church operations and must conduct themselves in a manner that will neither
alienate nor offend persons within this target niche.
Brotherhood Mutual Insurance Company reserves the right to modify, interpret, or apply this
position description in any way the company desires. This job description in no way implies that
these are the only duties, including essential duties, to be performed by the employee occupying
this position. This position description is not an employment contract, implied or otherwise. The
employment relationship remains “at-will”.
$36k-48k yearly est. 42d ago
Claims Specialist - Hybrid (3 days in the office)
Swiss Re 4.8
Claim processor job in Fort Wayne, IN
Are you a claims professional with at least 3 years of Mortality Claims experience and an interest in career development? If so, this role may be for you! We are looking for a strategic thinker with leadership skills who has a desire to further hone this skillset and continue to grow their Claims career.
About the Role
This Claims Specialist position has responsibility for handling Mortality, while also supporting internal and external customers. You will manage a caseload of claims from receipt to final resolution of mortality, group life, accidental death, disability income, and wavier of premium claims
Additional key responsibilities include:
* Investigate, evaluate and settle claims, applying technical knowledge and people skills to effect fair and prompt claim resolution.
* Complete detailed reviews of claim related issues, document the claim file appropriately.
* Set and maintain appropriate and timely claim reviews and consultations for clients
* Maintain strong client focus by aggressively and proactively researching issues, providing support and assuring client satisfaction in a timely fashion.
* Support Underwriting team needs for Claim information and consultation on coverages.
* Provide quality claims input to the business as required e.g. changes to philosophy and best practice standards
* Support developing technical expertise e.g. participation inclaim seminars, training and audits
* Contribute required claims information for business reporting purposes
* Contribute to business projects and initiatives ensuring relevant claims issues are considered in broader based company activities
* Support development on processes/systems where required
* Adhere to risk management guidelines and practices
About the Team
The Life and Health team includes colleagues from multiple Swiss Re offices throughout the US. We are a diverse and inclusive team that works well in a collaborative environment while fostering and developing independent thought.
About You
You are focused, self-motivated and a confident decision maker who is proactive, well-organized and can work well both independently and as part of a team. You bring superior interpersonal, written & verbal communication skills enabling your past and future success in building and maintaining relationships. And you are comfortable interacting directly with insureds, brokers, attorneys, and key stakeholders at any level.
* 3 years' experience handling mortality claims, with some of this experience in a paperless environment.
* Experience with complex mortality claims a plus
* Excellent customer service skills and experience collaborating with underwriters, clients, brokers and internal and external business partners.
* Strong data analytic skills to include recognizing trends or patterns within claims.
* Interest in developing leadership and management skills
* Bachelor's degree or equivalent industry experience
Our company has a hybrid work model where the expectation is that you will be in the office three days per week. This role is not eligible for either relocation assistance or visa sponsorship.
The estimated base salary range for this position is $84,000 to $140,000. The specific salary offered for this, or any given role will take into account a number of factors including but not limited to job location, scope of role, qualifications, complexity/specialization/scarcity of talent, experience, education, and employer budget. At Swiss Re, we take a "total compensation approach" when making compensation decisions. This means that we consider all components of compensation in their totality (such as base pay, short-and long-term incentives, and benefits offered), in setting individual compensation.
About Swiss Re
Swiss Re is one of the world's leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. We cover both Property & Casualty and Life & Health. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world.
Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, race, ethnicity, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability.
If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience.
Swiss Re is an equal opportunity employer. It is our practice to recruit, hire and promote without regard to race, religion, color, national origin, sex, disability, age, pregnancy, sexual orientations, marital status, military status, or any other characteristic protected by law. Decisions on employment are solely based on an individual's qualifications for the position being filled.
During the recruitment process, reasonable accommodations for disabilities are available upon request. If contacted for an interview, please inform the Recruiter/HR Professional of the accommodation needed.
Keywords:
Reference Code: 136445
Nearest Major Market: Fort Wayne
Job Segment: Claims, Underwriter, Risk Management, HR, Insurance, Finance, Human Resources
$84k-140k yearly 9d ago
Claims Examiner
Harriscomputer
Claim processor job in Indiana
Responsibilities & Duties:Claims Processing and Assessment:
Evaluate incoming claims to determine eligibility, coverage, and validity.
Conduct thorough investigations, including reviewing medical records and other relevant documentation.
Analyze policy provisions and contractual agreements to assess claim validity.
Utilize claims management systems to document findings and process claims efficiently.
Communication and Customer Service:
Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements.
Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process.
Address customer concerns and escalate complex issues to senior claims personnel or management as needed.
Compliance and Documentation:
Ensure compliance with company policies, procedures, and regulatory requirements.
Maintain accurate records and documentation related to claims activities.
Follow established guidelines for claims adjudication and payment authorization.
Quality Assurance and Improvement:
Identify opportunities for process improvement and efficiency within the claims department.
Participate in quality assurance initiatives to uphold service standards and improve claim handling practices.
Collaborate with team members and management to implement best practices and enhance overall departmental performance.
Reporting and Analysis:
Generate reports and provide data analysis on claims trends, processing times, and outcomes.
Contribute to the development of management reports and presentations regarding claims operations.
$25k-41k yearly est. Auto-Apply 27d ago
Property Claims Specialist
Erie Insurance 4.6
Claim processor job in Evansville, IN
Division or Field Office: Indiana Branch Office Claims Department Work from: Remote Salary Range: $77,638.00-$124,019.00* salary range is for thislevel and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired.Position may be eligible for an annual bonus payment.
At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia.
Benefits That Go Beyond The Basics
We strive to be Above all in Service to our customers-and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including:
Premier health, prescription, dental, and vision benefits for you and your dependents.Coverage begins your first day of work.
Low contributions to medical and prescription premiums.We currently pay up to 97% of employees' monthly premium costs.
Pension.We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service.
401(k) with up to 4% contribution match.The 401(k) is offered in addition to the pension.
Paid time off.Paid vacation, personal days, sick days, bereavement days and parental leave.
Career development.Including a tuition reimbursement program for higher education and industry designations.
Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.
Position Summary
Exercises independent discretion or judgment in the handling of assigned property claims. Serves as a consultant to claims adjusters in their handling of property losses.
This is a remote, work from home position inIndiana
The selected candidate will ideally reside in Evansville or New Albany, IN and/or surrounding areas
A company car and equipment to work from home will be provided
Good time management and organization skills preferred
Ability to drive/travel regularly within the assigned territory
Duties and Responsibilities
Establishes immediate contact with Policyholders and claimants.
Conducts extensive investigations into causes and origins of all major property claims. Interviews insureds, claimants and others as required. Inspects property damage, reviews information to prepare estimates, evaluates and makes recommendations regarding coverage of claims, determines liability and total value of claims and negotiates settlements. Sets and maintains adequate reserves.
Exercises discretion and independent judgment in evaluating property damage in order to determine the extent of damage. Determines liability and total value of claim, develops estimate and obtains an agreed scope of work and cost of repair with contractor and/or Policyholder.
Determines value as they apply to the coverage.
Determines steps necessary to initiate investigation of a property loss. Uses outside experts and attorneys as required.
Documents claim files and submits final report to file for closure.
Assigns and supervises the handling of property losses by independent adjusters when necessary. Advises claims adjusters regarding handling of claims.
Conducts related training of field office claims personnel in the branch and at the Home Office.
Attends industry-related training programs to stay current on legal developments and ensure compliance with applicable laws and regulations impacting the operation of the department.
Establishes and maintains relationships with local, state and regional organizations and agencies which are involved in related activities.
Acts as coordinator of the Catastrophe Team activities at catastrophe site.
The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished.
This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become clear.
Capabilities
Values Diversity
Self-Development
Nimble Learning
Collaborates
Information Management Skills
Customer Focus
Cultivates Innovation
Job-Specific Knowledge
Instills Trust
Optimizes Work Processes (IC)
Ensures Accountability
Decision Quality
Qualifications
Minimum Educational and Experience Requirements
High School Diploma or GED and five years of claims handling experience (up to two years of equivalent may be substituted); or
Bachelor's Degree and three years of claims handling experience, (up to two years of equivalent experience may be substituted.)
Additional Experience
Working knowledge of Windows software required.
The position requires the incumbent to serve on Catastrophe Team, which may include travel on short notice to other locations for periods in excess of two consecutive weeks.
Position requires the incumbent to provide 24-hour availability for emergency claims service.
Designations and/or Licenses
Successful completion of Introduction to Claims (AIC 30) and AIC 35 preferred.
Appropriate license as required by state.
Valid driver's license and good driving record required.
Physical Requirements
Use of Personal Protective Equipment (PPE) is required for this role.
Ability to move over 50 lbs using lifting aide equipment; Often (20-50%)
Climbing/accessing heights; Moderate (30-40%)
Driving; Frequent (50-80%)
Lifting/Moving 0-20 lbs; Often (20-50%)
Lifting/Moving 20-50 lbs; Often (20-50%)
Manual Keying/Data Entry/inputting information/computer use; Often (20-50%)
Pushing/Pulling/moving objects, equipment with wheels; Occasional (
Nearest Major Market: Evansville
$77.6k-124k yearly 2d ago
Field Property Claims Representative II - Northern/Northeastern Indiana
Indiana Farmers Insurance 3.6
Claim processor job in South Bend, IN
Full-time Description
Indiana Farmers Insurance is currently looking for an experienced Field Property Claims Professional to join our Claims Team. This position is focused on all types of structures, including farm and commercial risks. The ideal candidate will service counties in the Northern/Northeastern portion of the state of Indiana.
The right candidate will investigate, assess damages, write structural property estimates, make coverage decisions, and ultimately resolve personal, commercial and farm property claims. As a Field Property Claims Representative II with Indiana Farmers Insurance, you will support our vision by driving prompt and fair claims resolutions.
Benefits for the Field Property Claims Representative II:
Free Health insurance
Free Dental insurance
Free Vision insurance
Free Life insurance
Free Short-Term & Long-Term Disability insurance
2% 401k Company Match
11% 401k Company Contribution
Excellent Paid Time Off
Generous paid time off Parental Leave
Day of Service
We promote from within our diverse workforce regularly and offer regular opportunities to learn and grow
Several committees to explore, to connect with coworkers and build relationships
Two robust Employee Assistance Programs for you and your family
Matching funds of up to $100 annually are available from the company for your favorite charitable organization
Associate recognition awards, fun gatherings, and opportunities to make friends are part of our culture
An on-site fitness center, as well as free and convenient parking right next to our building make life easier
Requirements
Qualifications and Responsibilities for the Field Property Claims Representative II include:
Experience and understanding of farm policies, farm structures and equipment, required
Experience and expertise in writing structural property estimates
Must be able to climb, access roofs, basements, crawlspaces, etc.
Minimum of three years field property claims experience, with an insurance carrier, required
College degree, preferred
Professional designation (CPCU, CSLA, AIC, etc.), strongly preferred
Identifying, investigating, and referring potentially fraudulent claims
Ability to read and interpret policies and endorsements
Working knowledge of Xactimate an added benefit
Strong analytical and problem-solving skills
Possess effective and positive interpersonal communication skills and demonstrating a professional, yet friendly demeanor
Ability to set customer expectations and meet and/or exceed them
Fairly and accurately assessing claims, in a timely good-faith manner, according to policies, procedures, and guidelines
Ability to work independently, be self-motivated, and detail-oriented
Ability to effectively cope with difficult individuals and situations
Valid driver's license with acceptable motor vehicle record
Why work for Indiana Farmers Insurance? Imagine working for an employer like this:
95% retention of its associates over the last 5 years
Financially stable as shown by our A- (Excellent) rating by AM Best
Truly customer focused
A strong legacy of excellent performance throughout our 148 years in business!
For more information about Indiana Farmers, please go to **********************************************
Indiana Farmers Insurance is an equal opportunity employer!
$27k-34k yearly est. 60d+ ago
Complex Claims Specialist
Berkley 4.3
Claim processor job in Indianapolis, IN
Company Details
Carolina Casualty is a member company of W. R. Berkley Corporation, an insurance holding company that is among the largest commercial lines insurance writers in the United States. We specialize in liability, physical damage, cargo and other insurance solutions for the commercial auto markets including trucking, public transportation and others.
The company is an equal employment opportunity employer.
Responsibilities
The primary role of a Complex Claims Specialist is to promptly and professionally ensure high quality claim handling by analyzing liability of claim submissions while making coverage determinations, investigating losses, conducting independent assessment as to the insured's exposure and moving cases towards timely resolution. You will be an effective source for help and support because of your deep knowledge and liability claim expertise.
Key Functions will include but not be limited to:
The Complex Claims Specialist is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. This person also:
Adjusts and resolves complex to severe commercial claims that may also include all phases of litigation for our Bodily Injury team.
Plans and conducts investigations of high severity claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Refers to claim to subrogation group or Special Investigations Unit as appropriate.
Assesses policy coverage for submitted claims and notifies the insured of any issues.
With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters.
Determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.
Reviews and analyses claim documentation and legal filings.
Assesses actual damages associated with claims and confidently conducts negotiation within assigned authority limits, to settle claims.
Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company.
Acts as senior technical professional on team, assisting team members with escalated issues.
Develops and maintains excellent rapport with our agency force, insureds, claimants, experts, attorneys, and internal customers
Attend mediations, trials, and overnight travel as needed.
Qualifications
Bachelor's Degree
Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state`s tort laws as normally acquired through a bachelor`s degree (or equivalent training) plus 3 to 5 years directly related work experience.
Ability to investigate and evaluate complex liability claims.
Ability to analyze available information and make effective decisions.
Ability to evaluate damages and negotiate fair settlements.
Advanced analytical skills.
Advanced knowledge of coverage within the team's specialty or focus.
Litigation and mediation management experience required.
Excellent verbal and written communication skills.
Strong background in auto and general liability coverage analysis particularly involving commercial claims with complex issues.
Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
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. Sponsorship Details Sponsorship not Offered for this Role
$91k-109k yearly est. Auto-Apply 11d ago
Claims Negotiation Specialist
The Strickland Group 3.7
Claim processor job in Indianapolis, IN
Join Our Team as a Claims Negotiation Specialist!
Are you a strategic thinker with a passion for driving business growth and innovation? We are looking for a Claims Negotiation Specialist to develop data-driven strategies, identify new opportunities, and optimize business performance for long-term success.
Why You'll Love This Role:
📈 High-Impact Role - Shape business strategies that drive sustainable growth.
🚀 Career Advancement - Access professional development and leadership opportunities.
💡 Strategic Influence - Work closely with decision-makers to implement winning strategies.
💰 Competitive Compensation - Earn a stable income with performance-based incentives.
Your Responsibilities:
Analyze market trends, business performance, and competitive landscapes to identify growth opportunities.
Develop and implement data-driven growth strategies that optimize revenue and profitability.
Collaborate with cross-functional teams to align business strategies with company objectives.
Provide strategic recommendations on market expansion, customer acquisition, and operational efficiencies.
Monitor key performance indicators (KPIs) and adjust strategies to maximize success.
Identify and mitigate potential risks while exploring new business opportunities.
What We're Looking For:
Proven experience in business strategy, growth consulting, or a related field.
Strong analytical and problem-solving skills with expertise in market analysis.
Ability to develop and execute scalable growth strategies.
Excellent communication and presentation skills.
Experience working with executive leadership to drive business decisions.
Perks & Benefits:
Professional development and continuous learning opportunities.
Health insurance and retirement plans.
Performance-based bonuses and recognition programs.
Leadership growth and career advancement opportunities.
🚀 Ready to Drive Business Growth?
If you're passionate about helping businesses scale and succeed, apply today! Join us and be a key player in shaping innovative growth strategies.
Your journey as a Claims Negotiation Specialist starts here-let's unlock new opportunities together!
$43k-75k yearly est. Auto-Apply 60d+ ago
Medicare Supplement Claims Specialist
Everence Services 3.7
Claim processor job in Goshen, IN
Review health claims for the Medicare Supplement line of business. Interact with internal and external customers to answer questions, resolve issues, and address concerns while maintaining a professional image through excellent telephone etiquette and top-notch customer service.
RESPONSIBILITIES AND DUTIES
Approve or reject health claims according to Everence's policy and certificate guidelines.
Complete data entry into Group+ to adjudicate claims charges.
Perform appropriate correspondence via letter or telephone for claim completion.
Answer inquiries regarding eligibility and confirmation of benefits for coverage of proposed services for Medicare Supplement plans.
Answer inquiries regarding the status of claims payment for Medicare Supplement plans.
Document all customer service contacts.
Perform other duties and assignments as requested by the manager.
QUALIFICATIONS
Education: High School graduate preferred
Experience: Medical or insurance background is desirable
Skills and Abilities:
Excellent verbal and written interpersonal and communication skills, including advanced listening skills.
Customer-focused with the ability to adapt and respond sensitively to various customer types
Demonstrates positive leadership skills and takes initiative
Ability to make quick and appropriate decisions despite interruptions
Flexibility in adapting to changing work patterns and fluctuating workloads
Excel at problem solving
Strong attention to detail with the ability to multitask and prioritize while managing time efficiently
Skilled in using Microsoft Office software
Ability to cultivate and sustain a strong sense of teamwork
SUPERVISORY RESPONSIBILITIES: None SCHEDULE: Full-time
$51k-89k yearly est. Auto-Apply 9d ago
Bodily Injury Claims Specialist
Auto-Owners Insurance Co 4.3
Claim processor job in Mishawaka, IN
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to:
* Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss.
* Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage.
* Follow claims handling procedures and participate inclaim negotiations and settlements.
* Deliver a high level of customer service to our agents, insureds, and others.
* Devise alternative approaches to provide appropriate service, dependent upon the circumstances.
* Meet with people involved with claims, sometimes outside of our office environment.
* Handle investigations by telephone, email, mail, and on-site investigations.
* Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute.
* Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials.
* Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule.
* Assist in the evaluation and selection of outside counsel.
* Maintain punctual attendance according to an assigned work schedule at a Company approved work location.
Desired Skills & Experience
* A minimum of three years of insurance claims related experience.
* The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision.
* The ability to effectively understand, interpret and communicate policy language.
* The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues.
Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
Equal Employment Opportunity
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
* Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
#LI-DNI
$49k-65k yearly est. Auto-Apply 60d+ ago
Crop Insurance Adjuster - Eastern Indiana
Farmers Mutual Hail 4.3
Claim processor job in Indiana
Crop Insurance Adjuster
At Farmers Mutual Hail (FMH), our mission is simple: protect the livelihoods and legacies of America's farmers through the complete farm insurance solutions we offer. As America's Crop Insurance Company™, we are headquartered in the U.S. and have been owned by the farmers we insure for over 125 years.
As a full-time Crop Insurance Adjuster at FMH, you'll complete field inspections, read maps and aerial photos, measure fields, climb storage bins, and discuss findings of crop losses with producers to enable America's farmers to clothe, feed, and fuel the world. Due to the required travel, the potential candidate will need to be located in Eastern Indiana to be successful in this role.
BENEFITS:
Our employees appreciate our family-oriented culture, and we make sure their benefits reflect that. In addition to a competitive salary and bonuses, medical/dental/vision plan, 401(k) plan with a generous company match, you will be eligible for benefits such as:
Paid Parental leave and Caregiver leave
This position will receive a vehicle, cell phone, and paid expenses for travel
Employee appreciation events
Employee Assistance Program (EAP) for support when you and your family need it
REQUIREMENTS:
To be considered for this role, you will need the following:
Experience: A minimum of 1 to 5 years of crop insurance adjusting experience or an agriculture background is preferred.
Education: High school diploma or general education degree (GED) required; Associates and/or Bachelor's degree in business or an ag-related field preferred.
Skills: Must possess basic computer skills: Ability to use a computer, printer, scanner, Internet and Microsoft Office Products.
Additional Requirements: Must be available to attend all Company-mandated training events and conferences and be able to travel for work-related reasons for periods of time exceeding twenty-four (24) hours. Must be able to physically climb heights in excess or ten (10) feet, walk distances over ¼ mile over uneven terrain, and stand without rest for periods of time greater than one hour. Must maintain a valid driver's license, clean MVR, and own a vehicle.
RESPONSIBILITIES:
Understands and is able to work claims for all major crops, policy/plan types, in all stages of growth.
Effectively and clearly communicates regulations and interpretations to producers, agents, and Company staff regarding claims processes.
Stays current with RMA-requirements and maintains CAPP certification if working multi-peril crop insurance (MPCI) claims.
Maintains a State Adjuster License where required.
Does this sound like a good fit for you? Apply today through our website!
This position is not eligible for sponsorship for work authorization by Farmers Mutual Hail Insurance Company of Iowa. Therefore, if you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time.
Farmers Mutual Hail Insurance Company does not discriminate in employment (EOE). All qualified applicants are encouraged to apply. #LIDNP
$47k-63k yearly est. Auto-Apply 50d ago
Product Claims Specialist
Delta Faucet Company of Tennessee
Claim processor job in Indianapolis, IN
At Delta Faucet, we are committed to transforming everyday experiences with water through innovative products and exceptional service. As a leader in the plumbing industry, we take pride in our dedication to quality, sustainability, and customer satisfaction. We believe that diverse perspectives strengthen our mission to create solutions that inspire and elevate the lives of all our customers. We welcome individuals from all backgrounds to join us on this journey toward inclusivity and excellence.
Your Role at Delta Faucet
Delta Faucet Company has an opportunity for someone who enjoys resolving consumer and customer issues to ensure satisfaction with our products. When an experience with a Delta Faucet product does not meet expectations, this employee works in a team environment to resolve the issue.
The Product Claims Specialist will research and address inquiries from customers and/or agencies that distribute Delta Faucet products. This team member should be prepared to connect with consumers and customers with efficiency and excellence by phone, e-mail, in person, or through other channels.
The successful candidate will be able to work with a team as well as independently and have excellent follow-up and accountability for tasks.
This will be a hybrid role in our Indianapolis headquarters.
Responsibilities
Review returned products and call data to take next steps to resolve a customer's issue
Monitor e-mail and mail for receipt of subrogation or litigation paperwork and request / file needed information; communicate with Delta and Masco personnel as needed to resolve
Review Product Return data in Smartsheet and update the submitted data as needed
Evaluate Level 1 Product Returns and determine if the claim should be dispositioned or submitted to Delta's test lab for further evaluation
Submit returned product to Delta's test lab for evaluation when needed to evaluate product performance
Leverage internal information to answer questions from customers and internal personnel; questions can be both general and technical in nature
Communicate directly with customers, consumers, Contact Center employees, and sales personnel
Work with Delta Faucet's engineers and other technical resources to understand potential product issues and resolution
Request inspection of in-house stock when there is a potential non-conformance
Monitor and respond to on-line portal concerns professionally and efficiently
Work with product development teams on coordination of product field trials
Stay up to date on product changes and new products that are introduced
Address consumer or customer dissatisfaction with care, patience, and concern
Respond positively when faced with fast-paced decision making
Elevate issues within Delta Faucet Company when necessary
Additional responsibilities or projects may be assigned
Qualifications
The ideal candidate will possess a degree from a 4-year college or university and customer service experience
Working knowledge of Delta's products or plumbing products is desired
Proficient use of software, including the use of Microsoft products and Smartsheet, is required; SAP and Salesforce experience are a plus
The demonstrated ability to handle multiple tasks concurrently with attention to detail is required
The employee will need to make business decisions with little supervision
The candidate must possess strong written and verbal communication skills and must exhibit a high degree of professional excellence characterized by good judgment, initiative, and a high standard of ethics
A consistent track record of successfully completing assigned responsibilities without direct supervision required
Why Join Us?
At Delta Faucet Company, our people are our greatest assets. We value different perspectives and fostering an inclusive environment. You'll have the opportunity to shape the future of our brand, working alongside passionate professionals committed to excellence and innovation. Join us to lead progressive growth and make a significant impact within a leading organization.
Here are some of the benefits we offer for your personal and professional growth:
Culture: Recognized and award-winning reputation for equality, diversity and inclusion, flexibility, work-life balance, and more.
Wellbeing: Comprehensive benefit plans; retirement, savings, tuition reimbursement, and employee incentive programs; resources for mental, physical, and financial wellbeing.
Learning & Development: LinkedIn Learning access; internal opportunities to work on projects cross-company.
Social Impact: Four employee-led and self-directed Business Resource Groups; Paid volunteer day annually; Employees share their time, skills and talent with charities and nonprofit organizations across the U.S. and around the globe.
Company: Delta Faucet CompanyFull time Hiring Range: $20.70 - $32.45Actual compensation may vary based on various factors including experience, education, geographic location, and/or skills.
Delta Faucet Company
(the “Company”) is an equal opportunity employer and
we
strive to employ the most qualified individuals for every position
.
The Company makes employment decisions only based on merit. It is the Company's policy to prohibit discrimination in any employment opportunity (including but not limited to recruitment, employment, promotion, salary increases, benefits, termination and all other terms and conditions of employment) based on race, color, sex, sexual orientation, gender, gender identity, gender expression, genetic information, pregnancy, religious creed, national origin, ancestry, age, physical/mental disability, medical condition, marital/domestic partner status, military and veteran status, height, weight or any other such characteristic protected by federal, state or local law. The Company is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all people involved in the operations of the Company regardless of where the employee is located and prohibits unlawful discrimination by any employee of the Company.
Delta Faucet Company is an E-Verify employer. E-Verify is an Internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States. Please click on the following links for more information.
E-Verify Participation Poster:
English & Spanish
E-verify Right to Work Poster: English, Spanish
$20.7-32.5 hourly Auto-Apply 39d ago
Claims Intake Analyst
The Medical Protective Company 3.8
Claim processor job in Fort Wayne, IN
Meet MedPro Group. We're an industry-leading Berkshire Hathaway insurance company with a passion for our clients and our team. We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: protecting those who have made it their mission to serve and care for others. Never considered the insurance industry before? We think you should.
In this role, you will…
* Interact with insured at time of loss notification and perform initial coverage review.
* Insure all initial claim investigations are executed with timeliness and accuracy.
* Work with multiple departments/functions in the resolution of customer issues.
* Facilitate and expedite the workflow between the field and home offices.
* Provide full-range of administrative office and management support.
* Perform miscellaneous duties as assigned by manager.
We are looking for candidates with…
* Background in insurance, healthcare or law industries preferred.
* Strong proven ability to operate independently and prioritize assignments.
* Ability to work well under pressure and within time constraints.
* Ability to effectively manage several projects/priorities simultaneously.
* Outstanding interpersonal skills to include both written and oral (focus on critical listening).
* Excellent organizational and teamwork skills; creative problem solving.
* Typing proficiency and computer skills (Word, Excel, PowerPoint) and ability to learn new technologies.
* College degree or equivalent experience with relevant experience preferred.
Why MedPro?
MedPro Group's mission is built on a century-old legacy of protecting those who protect others. From our roots in our hometown of Fort Wayne, Indiana, we've worked diligently to become the nation's premier healthcare liability coverage provider, currently insuring more than 300,000 customers. With that growth, we've built a significant presence in all 50 states. Our team works across the country to provide the best strategies to mitigate risk and preserve the reputations of those who have entrusted their good name to us. That passion - built on a foundation of a culture that values uncompromised integrity, obsessive client focus, great teamwork, and a long-term mindset - makes MedPro a preferred employer that many call their career home.
General:
MedPro Group is an Equal Opportunity Employer.
$37k-53k yearly est. 36d ago
Medical billing/claims
Healthcare Support Staffing
Claim processor job in Jeffersonville, IN
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Daily Responsibilities:
• Post cash to patient and insurance accounts for services rendered
• Identify, resolve and rebalance keying errors in patient accounts
• Update insurance changes, read EOB's, preform insurance verification and file up for patients
Qualifications
Requirements
:
• HS diploma or GED
• 1+ year experience in billing/claims background
• Strong communication and Microsoft Office skills
Additional Information
Hours for this Position:
Full time: M-F 8am-5pm
3+month contract (project based)
Interested in being Considered?
If you are interested in applying to this position, please click Apply Now or reach Stephanie Z directly at 407-636-7030 ext.
220.
$38k-57k yearly est. 2d ago
Claims Representative - Indianapolis, IN
Federated Mutual Insurance Company 4.2
Claim processor job in Indianapolis, IN
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 Indianapolis, IN office, located at 9785 Crosspoint Blvd. A work from home option is not available.
Responsibilities
* Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way.
* Explain policy coverage to policyholders and third parties.
* Complete thorough investigations and document facts relating to claims.
* Determine the value of damaged items or accurately pay medical and wage loss benefits.
* Negotiate settlements with policyholders and third parties.
* Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars.
Minimum Qualifications
* Current pursuing, or have obtained a four-year degree
* Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields
* Ability to make confident decisions based on available information
* Strong analytical, computer, and time management skills
* Excellent written and verbal communication skills
* Leadership experience is a plus
Salary Range: $63,800 - $78,000
Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team.
What We Offer
We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You.
Employment Practices
All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization.
If California Resident, please review Federated's enhanced Privacy Policy.
Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals who possess proven investigative skill sets within the industry, as well as honesty, integrity, self-reliance, resourcefulness, independence, and discipline. Good time management skills are a must.
Must have reliable transportation, digital recorder and digital camera. Job duties include, but are not limited to, taking in-person recorded statements, scene photos, writing a detailed, comprehensive report, client communications, as well as meeting strict due dates on all assignments.
If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your resume. Only the finest individuals are considered for hire. Visit our website and find out why at ******************
The Claims Investigator should demonstrate proficiency in the following areas:
AOE/COE, Auto, or Homeowners Investigations.
Writing accurate, detailed reports
Strong initiative, integrity, and work ethic
Securing written/recorded statements
Accident scene investigations
Possession of a valid driver's license
Ability to prioritize and organize multiple tasks
Computer literacy to include Microsoft Word and Microsoft Outlook (email)
Full-Time benefits Include:
Medical, dental and vision insurance
401K
Extensive performance bonus program
Dynamic and fast paced work environment
We are an equal opportunity employer.
$31k-42k yearly est. Auto-Apply 60d+ ago
Claims Representative
Inteletech Global
Claim processor job in Evansville, IN
Job Title: Claims Representative The Hoosier Lottery Claims Representative Temp will assist customers with the claims process of Hoosier Lottery prizes, questions related to Hoosier Lottery products and other duties as needed. •Greet customers upon arrival in the Claims Center;
•Ensure all proper documentation is presented prior to claim processing;
•Assist Hoosier Lottery staff with daily office duties;
•Answer claims hotline and assist customers with questions;
•Assist with PR photos of winners when needed..
Job Requirements
•High School diploma or equivalent ;
•Excellent customer service skills;
•General knowledge of and ability to operate a telephone and cash register;
•Basic knowledge of clerical procedures, methods, and principles;
•Proficient in office software, including Microsoft Outlook, Microsoft Excel and Microsoft Word;
•Proficient with modern office equipment including computer, fax machine, and scanners
Required/Desired Skills:
High School Diploma or Equivalent
Required: 0 years of experiencex`
Excellent Customer Service Skills
Required: 0 years of experience
General Knowledge of and Ability to Operate a Telephone and Cash Register
Required: 0 years of experience
Basic Knowledge of Clerical Procedures, Methods, and Principles
Required: 0 years of experience
Proficiency in Office Software (Microsoft Outlook, Microsoft Excel, Microsoft Word)
Required: 0 years of experience
Proficiency with Modern Office Equipment (computer, fax machine, scanners)
Required: 0 years of experience
Compensation: $15.23 - $16.80 per hour
About Us We're more than Software Company with a creative side. We're a full-service creative studio with a serious technology background. We take a holistic view of sales and marketing, building digital brands that deliver real value to our client.
As a marketing agency, our innovative digital strategies grab and hold people's attention, and produce the communication and organizing tools needed for success. With a mix optimized to the specific goals of each client and the character of their target customer demographics, we provide true integration across media platforms and channels.
Our Vision
Inteletech Global, Inc provides consulting services to assist clients with their ongoing demand for changing IT environments. The early 2000s were an exciting time for IT. Digital technology was transforming our lives, and with each innovation, it became clear that digital was the future.
We use our Global Delivery Model for the success of every engagement. Improve effectiveness and efficiency of IT application environments by adopting re-usable software platforms. Our onsite teams work directly with our clients to understand and analyze the current-state of problems and design specifically tailored conceptual solutions.
$15.2-16.8 hourly Auto-Apply 60d+ ago
Claims Representative I (Health & Dental)
Carebridge 3.8
Claim processor job in Indianapolis, IN
Title: Claims Representative I (Health & Dental) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Claims Representative I responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.
How you will make an impact:
* Learning the activities/tasks associated with his/her role.
* Works under direct supervision.
* Relies on others for instruction, guidance, and direction.
* Work is reviewed for technical accuracy and soundness.
* Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
* Researches and analyzes claims issues.
Minimum Requirements
* HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences
* Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.