Claims Examiner
Claim processor job in North Carolina
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.
Auto-ApplyComplex Liability Claims Specialist - Commercial General Liability
Claim processor job in North Carolina
The Company
At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an “A” rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier.
Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago.
What you will do
The Specialist will be responsible for the management and effective resolution of high exposure, complex liability claims in multiple jurisdictions. The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Experience handling complex commercial general liability is required.
Key responsibilities
Responsible for thorough evaluation of coverage and proactive investigation, reserving, negotiating and managing the defense of complex liability claims in multiple jurisdictions.
Manage all claims in accordance with Utica National's established claim procedures.
Draft and present claim reviews to supervisor and upper management that provide full evaluation of coverage, liability and damages associated with claim, proposed plan to resolve claim and sufficient basis and support for authority requests above the Complex Liability Claims Specialist's individual monetary authority level.
Maintain timely and accurate claim reserves in accordance Utica National's reserving philosophy.
Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel's work product and working with defense counsel to efficiently and fairly resolve claims.
Participate as appropriate in litigation activities including settlement negotiations, depositions, conferences, hearings, alternative dispute resolution sessions and trials.
Maintain effective communications with insureds, claimants, agents, and other representatives involved in the claims cycle.
Achieve the service standard of “excellent” during all phases of claims handling.
Stay abreast of legal trends, case law, and jurisdictional environment and its impact on handling claims within the jurisdiction.
Responsible for analyzing and communicating changes in law, regulation, and custom to ensure consistent quality claim handling.
What you need
Four year degree or equivalent experience preferred.
Minimum of 5 years of commercial casualty claims handling experience working with high complexity litigated casualty claims.
Proven experience negotiating claims and active participation in alternative dispute resolution practices.
Experience with general liability, additional insured considerations and complex coverage determinations.
Licensing
Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment.
Salary range: $103,300 - $136,400
The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications.
Benefits:
We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following:
Medical and Prescription Drug Benefit
Dental Benefit
Vision Benefit
Life Insurance and Disability Benefits
401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
Health Savings Account (HSA)
Flexible Spending Accounts
Tuition Assistance, Training, and Professional Designations
Company-Paid Family Leave
Adoption/Surrogacy Assistance Benefit
Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
Student Loan Refinancing Services
Care.com Membership with Back-up Care, Senior Solutions
Business Travel Accident Insurance
Matching Gifts program
Paid Volunteer Day
Employee Referral Award Program
Wellness programs
Additional Information:
This position is a full time salaried, exempt (non-overtime eligible) position.
Utica National is an Equal Opportunity Employer.
Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy.
#LI-HL1
General Liability Claims Specialist
Claim processor job in Charlotte, NC
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
* Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
* Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
* Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
* Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
* Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
* Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* May serve as a mentor/coach to less experienced claim professionals
May perform additional duties as assigned.
Reporting Relationship
Typically, Manager or above
Skills, Knowledge & Abilities
* Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed.
* Demonstrated ability to develop collaborative business relationships with internal and external work partners.
* Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
* Demonstrated investigative experience with an analytical mindset and critical thinking skills.
* Strong work ethic, with demonstrated time management and organizational skills.
* Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
* Developing ability to negotiate low to moderately complex settlements.
* Adaptable to a changing environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas
Education & Experience:
* Bachelor's Degree or equivalent experience.
* Typically, a minimum four years of relevant experience, preferably in claim handling.
* Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Professional designations are a plus (e.g. CPCU)
#LI-LG1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
Auto-ApplyClaims Representative II
Claim processor job in North Carolina
Company Details
With over 35 years of proven expertise in the workers' compensation industry, Key Risk delivers innovative and responsive solutions that provide our clients the freedom to do what they do best. Offering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results.
All products and services are distributed through appointed insurance agents and brokers. Key Risk is a member company of W. R. Berkley Corporation, whose insurance company subsidiaries are rated A+ (Superior), Financial Size Category XV by A.M. Best Company and A+ (Strong), by S&P.
For further information about Key Risk please visit ***************
The company is an equal opportunity employer.
Responsibilities
Key Risk is looking for a Claims Representative who enjoys analysis and management of workers compensation claims.
Key functions include but are not limited to the following:
Analyzes and processes workers' compensation claims by investigating and gathering information to determine the exposure on the claim.
Negotiate settlement of claims up to designated authority level and makes claims payments.
Calculates and assigns timely an appropriate reserve to claims and continues to manage reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level.
Develops and manages claims though well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution.
Prepares necessary state filings within statutory limits.
Actively manages the litigation process; ensures timely and cost-effective claims resolution.
Coordinates vendor referrals for additional investigation and/or litigation management.
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims.
Frequently communicates with all appropriate parties involved with the claim.
Maintains professional client relationships.
Actively executes appropriate claims activities to ensure consistent delivery of quality claims services.
Qualifications
BA/BS Degree
2-3 years of workers compensation claims experience
Adjuster license strongly desired or ability to obtain license within six months
Knowledge of appropriate insurance principles and laws of workers' compensation, preferably jurisdiction specific.
Strong verbal and written communication
Strong interpersonal, time management and organizational skills.
Strong negotiation skills.
Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail.
Ability to perform with a sense of urgency.
Ability to work both independently and within a team environment.
Ability to travel for business purposes, approximately less than 10%.
Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.
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 Not ready to apply? Connect with us for general consideration.
Auto-ApplyClaims Analyst
Claim processor job in Charlotte, NC
Compensation: $23hr Job Overview - Claims Analyst - 33974 We are seeking a detail-oriented, motivated, and tech-comfortable professional to join our client's team as a Claims Analyst. This role is ideal for someone who brings energy, curiosity, and a willingness to learn, even without prior insurance experience. Our team values individuals who are eager to grow and build long-term expertise in a structured, accuracy-driven environment.
* Review insurance policy documents and accurately match them to the correct policy records
* Utilize Adobe to read, organize, and process documentation
* Perform data analysis and reconciliation using Excel and internal systems
* Maintain thorough attention to detail to ensure accuracy across all documentation
* Support the team by identifying discrepancies, correcting errors, and ensuring completeness of policy files
* Collaborate with internal team members to ensure smooth workflow and timely completion of tasks
* Assist in process improvements and contribute to operational efficiency
Requirements
* Strong attention to detail and comfort working with data
* Motivation to learn, grow, and develop long-term expertise
* Ability to stay organized and maintain accuracy with repetitive or document-heavy tasks
* Proficiency with Adobe (or ability to learn quickly)
* Basic to intermediate Excel skills (VLOOKUP, filtering, sorting preferred)
* Experience in a detail-driven administrative, coordination, or data-entry-focused role
* Familiarity with policy-related documentation or compliance processes (not required)
Sherpa Benefits
Sherpa offers benefits to contract employees who meet the following criteria:
* Must be a full-time employee (30+ weekly hours/+130 hours per month) to be eligible
* Medical plan offered is BCBSNC Blue Options PPO
* Premiums will be pre-taxed
* Sherpa pays a portion of the Employee only premium for medical
* 90 day waiting period from date of hire
* Medical, Dental, and Vision plans
Additional Job Details
Workplace Policy: #li-Hybrid
Seniority Level: Entry Level
Linked In Poster: #LI-KK1
About our Process
* We will notify you if you are selected as a candidate for this role. If not, but you fit our specializations, we'll consider you for future openings, and encourage you to apply for other Sherpa roles you're qualified for/interested in.
* Non-Local Candidates: Please note that you are competing with local candidates who don't require relocation expenses and can start quickly, so let us know if you have plans to move to the area soon.
* Candidates for all Sherpa opportunities must be authorized to work in the United States.
* Sherpa is an Equal Opportunity Employer.
Claims Settlement Specialist
Claim processor job in Raleigh, NC
Now Hiring: Claims Settlement Specialist - Inspire, Lead, and Create Meaningful Impact!
Are you passionate about leading with purpose, empowering others, and making a lasting impact? We are looking for motivated individuals to join our team as Claims Settlement Specialist, where you'll mentor, inspire, and implement strategies that help individuals achieve financial and personal breakthroughs while building a career that aligns with your values.
Who We're Looking For:
✅ Visionary leaders who are passionate about servant leadership and impact
✅ Entrepreneurs and professionals eager to empower others while scaling success
✅ Licensed & aspiring Life & Health Insurance Agents (We'll guide you through licensing!)
✅ Individuals ready to lead with integrity, purpose, and a strong mission for success
As a Claims Settlement Specialist, you'll help individuals discover their potential, achieve financial independence, and create meaningful change in their lives and communities.
Is This You?
✔ Passionate about mentorship, leadership, and creating impact-driven success?
✔ A strong communicator who thrives on guiding and inspiring others?
✔ Self-driven, disciplined, and committed to personal and professional growth?
✔ Open to mentorship, leadership development, and continuous learning?
✔ Looking for a recession-proof career with unlimited earning potential?
If you answered YES, keep reading!
Why Become a Claims Settlement Specialist?
🚀 Work from anywhere - Build a career aligned with your values and goals.
💰 Uncapped earning potential - Part-time: $40,000-$60,000+/year | Full-time: $70,000-$150,000+++/year.
📈 No cold calling - Work with individuals who have already requested guidance.
❌ No sales quotas, no pressure, no pushy tactics.
🏆 Leadership & Ownership Opportunities - Develop and expand your own team.
🎯 Daily pay & performance-based bonuses - Direct commissions from top carriers.
🎁 Incentives & rewards - Earn commissions starting at 80% (most carriers) + salary.
🏥 Health benefits available for qualified participants.
This is more than just a career-it's an opportunity to lead with purpose, inspire positive change, and build a future that aligns with your mission and impact.
👉 Apply today and take your first step as a Claims Settlement Specialist!
(Results may vary. Your success depends on effort, skill, and commitment to learning and execution.)
Auto-ApplyClaims Auditor I, II & Senior
Claim processor job in Winston-Salem, NC
**Claims Auditor I, II and Senior** **Location :** 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 Auditor I** is responsible for pre and post payment and adjudication audits of high dollar claims for limited lines of business, claim types and products including specialized claims with appropriate guidance from management and peers.
The **Claims Auditor II** is responsible for audits of high dollar claims across the stop loss business, including specialized claims, working independently and without significant guidance.
The **Claims Auditor Senior** is responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims within Service Experience. Serves as the subject matter expert for the unit.
**How you will make an impact :**
+ Performs audits of high dollar claims.
+ Ensures claim payment accuracy by verifying various aspects of the claim including eligibility, pre-authorization, and medical necessity.
+ Contacts others to obtain any necessary information.
+ Completes and maintains detailed documentation of audit which includes decision methodology, system or processing errors, and monetary discrepancies which are used for financial reporting and trending analysis.
+ Provides feedback on processing errors; identifies quality improvement opportunities and initiates basic requests related to coding or system issues, where applicable.
+ Refers overpayment opportunities to Recovery Team.
+ **Claims Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines.
+ **Claims Auditor Senior** - all the above, plus : Service as a subject matter expert for Policy and Clinical Guidelines. Associates at this level serve as a mentor and resource to other audit staff. Must possess strong research and problem solving skills.
**Minimum Requirements :**
+ **Claims Auditor I :** Requires a HS diploma or GED and a minimum of 3 years of claims processing experience; or any combination of education and experience which would provide an equivalent background.
+ **Claims Auditor II :** Requires a HS diploma or GED and a minimum of 5 years of claims processing experience including a minimum of 1 year related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background.
+ **Claims Auditor Senior :** Requires a HS diploma or GED and a minimum of 4 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background.
**Preferred Skills, Capabilities & Experiences:**
+ Stop loss claims experience highly preferred.
+ Working knowledge of insurance industry and medical terminology; working knowledge of relevant systems and proven understanding of processing principles, techniques and guidelines strongly preferred.
+ Ability to acquire and perform progressively more complex skills and tasks in a production environment strongly preferred.
+ Strong research and problem solving skills preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is :
Claims Auditor I $21.41 to $38.88/hr
Claims Auditor II $22.54 to $40.94/hr
Claims Auditor Senior $25.69 to $46.64/hr
Locations: Illinois, Massachusetts, Minnesota, Washington State
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
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.
Claims Analyst/Lead Claims Analyst/Senior Claims Analyst (Full-Time)
Claim processor job in Raleigh, NC
MBP is looking for Claims Analyst/Lead Claims Analyst/Senior Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Highly proficient in Oracle P6 and experienced with one or more of the following: Microsoft Project, Phoenix Project Manager, or similar.
Responsibilities
Main Duties:
Performs review and analysis of construction claims.
Assists with development of contractor claims.
Develops and/or review time extension requests.
Assist with development of expert reports and exhibits.
Qualifications
Education
B.S. in Civil Engineering, Construction Management, or relevant experience which equates to this degree.
P.E. license, Certified Construction Manager, Planning and Scheduling Profession, or similar, certification preferred.
Skills and Abilities
Experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts.
Experience drafting expert reports and deliverables.
Proficient in Oracle P6 required and experienced with Microsoft Project desired.
Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
Ability to relate technical knowledge to a non-technical audience.
Proficiency in reading/understanding construction plans and specifications.
Proficiency with Microsoft Office software programs including Word, Excel, and PowerPoint.
Experience providing training, supervision, proposal development, and business development desired.
Occasional overnight travel may be required.
STATUS:
Full-time
BENEFITS:
Competitive compensation with opportunities for semi-annual bonuses
Generous Paid Time Off and holiday schedules
100% Employer paid medical, dental, vision, life, AD&D, and disability benefits (for individual)
Health Savings Account with company contribution
401(k)/Roth 401(k) plan with company match
Tuition Assistance and Student Loan Reimbursement
Numerous Training and Professional Development opportunities
Wellness Program & Fitness Program Reimbursement
Applicants must be authorized to work in the U.S. without sponsorship.
MBP is an equal opportunity employer and does not discriminate on the basis of any legally protected status or characteristic. Protected veterans and individuals with disabilities are encouraged to apply.
Auto-ApplyClaims Investigator - Experienced
Claim processor job in Greensboro, NC
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.
Auto-ApplyInventory Claim Specialist
Claim processor job in Wendell, NC
Inventory Claims Coordinator
Department:
Warehouse Operations - 171032
Reports to:
Inventory Supervisor
Location:
Wendell, NC
Position Status:
Full-time
Status:
Hourly, Non-Exempt
Management Level:
Non-Management
JOB SUMMARY
The Inventory Claims Coordinator serves as a support element and liaison for all distribution centers and the dealer network. This person will be cross trained and gain exposure to many functions including claims processing, inventory investigations, dealer network relationship building and recording claim data.
KEY RESPONSIBILITIES OF JOB
The Inventory Claims Coordinator key responsibilities are outlined below:
Claims:
Resolve and process claim disputes
Technical drawing look-up
Inventory background investigations
Credit and Debit process on claim investigations
Issuing and monitoring call tags
Resolve and process freight claim disputes and tracking reimbursement if applicable
Inventory Management
Provide inventory control reporting and vendor reports
Track claim data and communicate common themes for mitigation
Directly or indirectly locate misplaced parts to help satisfy sale to customer/dealer
Help maintain or relay proper product identification and location accuracy and ability to transfer product to correct location if needed
Other Responsibilities
Determine and record data for KPI's
Promote dealer satisfaction utilizing customer service skills
EDUCATIONAL AND PHYSICAL REQUIREMENTS
High school diploma or GED equivalent required with minimum of 3 years' related experience
Associate or Bachelor degree with a minimum of 1 year experience
1-5 Years of related customer service or inventory experience.
Must be a team player with strong interpersonal communication skills
Good time-management skills and attention to detail
Outstanding written and oral communication skills with the ability to effectively present information
Proficiency in Microsoft programs, including Excel, a plus
SAP experience preferred
SalesForce experience preferred
Auto-ApplyClaims Specialist
Claim processor job in Charlotte, NC
Responsibilities: Processing fast paced inbound customer service calls. Taking inbound calls from clients Providers, Consumers and Insurance companies regarding medical billing. Resubmitting claims, and answering questions regarding benefits Demonstrates excellent customer service skills with the ability to take ownership in assisting, researching and resolving customer issues.
Performs other duties as assigned.
Requirements
Previous Call Center or Customer Service experience preferred.
Ability to develop rapport and demonstrate a caring attitude.
Clear, distinct oral and written communication skills.
Must be detail oriented.
Claims Specialist
Claim processor job in Charlotte, NC
Project Resources Group (PRG) is seeking a Claims Recovery Specialist for our Charlotte, NC office. Be part of our expanding team focused on recovering third-party property and utility damage claims, primarily in a B2B setting. We're looking for motivated, detail-oriented professionals with strong negotiation skills. Experience in collections or insurance adjusting is highly relevant and transferable. We offer a competitive base salary plus commission. Key Responsibilities
Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters.
Work directly with liable parties' insurance providers to defend and negotiate claims settlements.
Collaborate with claims departments and management of liable parties, from small businesses to large corporations to municipalities.
Learn, understand, and be able to utilize state dig laws and statutes, 811 excavator requirements, NESC standards, CGA guidelines, etc.
Develop a professional working relationship with damaging parties, on-site field investigators, management, and other personnel.
Conduct 40-50 inbound/outbound calls daily, approximately 2-2.5 hours of total talk time throughout the day.
Enter notes and documentation throughout the recovery process into the company's proprietary Claims Database Tool.
Use a calendar and diary system to coordinate handling claims to be worked twice weekly.
Follow advanced claim handling procedures as detailed by the OPD Claims Manager.
Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately.
Participate in weekly department meetings to discuss individual and team recovery tactics, strategies, and goals.
Maintain a working knowledge of the entire PRG claims recovery process.
Preferred Qualifications
Strong proficiency in Microsoft Word, Outlook, and Excel.
Tech-savvy with the ability to quickly adapt to new software and systems.
Excellent written and verbal communication skills, with an emphasis on professional phone and email correspondence.
Familiarity with the construction, cable, or utility locate industries is advantageous.
Understanding of B2B construction, claims management, recovery, or insurance claim negotiation and settlement processes is preferred.
Ideally, 3-5 years of experience in claims, recovery, and/or the insurance industry.
College education is preferred.
Bilingual in Spanish is a plus.
Compensation and BenefitsWe offer a competitive hourly pay ($19-$23/hour based on experience), plus the potential to earn substantial commissions up to $4,000-$10,000 monthly based on performance. Along with a comprehensive benefits package, including:
Medical, dental, and vision coverage for employees and dependents
401(k) retirement plan, with company match after 1 year
Short-term disability coverage after 1 year
Paid time off and holidays
Additional perks such as company-paid life insurance, and other supplemental insurances available
About PRG
Since 2001, PRG has been a leader in construction management and outside plant damage recovery for the telecommunications and utility industries. With 20+ offices and 800+ employees nationwide, we deliver industry-leading solutions with speed, accuracy, and expertise.
Equal Opportunity EmployerPRG is proud to be an Equal Opportunity Employer. PRG does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, pregnancy-related conditions, and lactation), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state, or local law and ordinances.#INDCS
Auto-ApplyAuto Claim Coordinator
Claim processor job in Charlotte, NC
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
$39,200.00 - $64,700.00
Target Openings
7
What Is the Opportunity?
Under moderate supervision, this position handles auto salvage files and coordinates sale of salvage asset by adhering to state titling laws/ regulations.
What Will You Do?
* Process necessary paperwork and title work to forward to appropriate salvage vendor.
* Review and determine the most viable disposal method while considering state titling laws/regulations. Set diaries for follow up to ensure prompt sale of asset.
* Review vendor invoices for appropriate expense management. Follow up with repair shop and/or salvage/storage vendors if errors are noted in bills. Challenge and negotiate to assure fair and reasonable expense management.
* Process credits/pay debits to claim file. Conduct periodic reconciliation review of credits/debits.
* Verify proper execution of inbound field titling documents; notify others for claim payment when appropriate. Help to resolve incorrectly executed titling documents when required. Contact appropriate parties as needed to obtain missing or incorrectly executed transferrable ownership documents, including keys, to resolve the salvage.
* Set minimum bids using salvage vendor pricing system. Input correct data for accurate pricing results. Provide counter bids when applicable. Re run vehicles based on office guidelines.
* Review auto sale lists-ensure accurate sale data, e.g., loss type, area of damage, vehicle year, make and model, and percent of damages. Review photos for appropriate picture quality, OEM or aftermarket parts, missing equipment, and damages not consistent with accident facts or auto appraisal, and odometer if applicable.
* Conduct random sale price audits attending internet auto auctions to compare sale price with gross proceeds.
* Complete and document quarterly review of reconciliation report.
* Update salvage capture screens throughout the process and document claim file with activities not listed in the salvage capture screens. Ensure current and accurate data integrity.
* Finalize left with owner vehicles and LWO title issues according to local office workflow.
* Determine proper location for return of closed file, e.g., subrogation, AD handler, closed file storage or appraiser.
* Complete First Notice of Loss as needed; resolve or transfer claim.
* Perform other duties as assigned.
What Will Our Ideal Candidate Have?
* Associate's Degree or Bachelor's Degree with 2 years of work and/or customer service related experience.
* Ability to work in a high volume, fast paced environment managing multiple priorities.
* Highly organized with ability to handle multiple tasks simultaneously to meet deadlines.
* Attention to detail ensuring accuracy.
* Intermediate knowledge of technology; including, Microsoft Word, Excel, e-mail, Web-enabled applications, and database software.
* Competency Levels:
* Analytical Thinking- Basic.
* Judgment/Decision Making- Basic.
* Communication- Basic.
* Insurance Contract Knowledge- Introductory.
What is a Must Have?
* High School Diploma or GED with one year of work or customer service related experience OR Bachelor's Degree.
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 *********************************************************
Medical Intake Processer
Claim processor job in Rocky Mount, NC
Temp
Medical Intake Processor- is responsible for gathering and processing patient information. This role focuses on initiating the patient's care journey by collecting essential data, verifying insurance, and scheduling appointments.
Responsibilities:
Gathering Patient Information: This includes collecting demographics, medical history, insurance details, and the reason for the patient's visit.
Data Entry and Record Management: Accurately entering patient information into electronic health records systems and ensuring data integrity.
Insurance Verification: Confirming patient insurance coverage and benefits to ensure proper billing and payment processes.
Appointment Scheduling: Scheduling appointments for consultations, procedures, and follow-up visits based on patient needs and facility availability.
Patient Communication: Answering patient inquiries, addressing concerns, and providing information about services and procedures.
Paperwork and Documentation: Preparing and managing patient paperwork, including admissions forms, consent forms, and other relevant documents.
HIPAA Compliance: Ensuring the confidentiality and privacy of patient information in accordance with HIPAA regulations.
Referrals and Coordination: Directing patients to appropriate departments or specialists and coordinating care transitions.
Clerical Duties: Performing general office tasks such as filing, copying, and faxing as needed.
Part-Time Clinical Examinations On-Site Examiner (OSE)
Claim processor job in Charlotte, NC
The National Board of Examiners in Optometry (NBEO) is looking for optometrists in the Charlotte, NC area to serve as Part-Time Clinical Examinations On-Site Examiners (OSEs).
Background:
Founded in 1951, the National Board of Examiners in Optometry is an independent, non-governmental, non-profit organization whose examinations are universally accepted for optometric licensure in the United States and internationally. NBEO's mission is to protect the public by developing, administering, scoring, and reporting results of valid examinations that assess competence in optometry.
NBEO is one of the few national boards in any profession with a repertoire of exams that include computer-based tests, an advanced competence exam, and clinical skills testing using standardized patients at the National Center of Clinical Testing in Optometry (NCCTO). We work to maintain the best possible environment for our employees, where people can learn and grow with the organization. We strive to provide a collaborative, creative environment where each person feels encouraged to contribute to our processes, decisions, planning and culture.
This role is a part-time, on-site position based in Charlotte, North Carolina.
Essential Duties and Responsibilities:
Appropriately score candidates in the Anterior Skills Station of the Part III Patient Encounters and Performance Skills (PEPS ) examination. The skills include Biomicroscopy, Goldmann tonometry, and 4-mirror Gonioscopy.
Follow scoring guidelines and all protocols accurately.
Ensure standardization and candidate fairness throughout the examination administration.
Ensure safety of all parties (standardized patients and candidates) in the examination administration.
Follow current policies and procedures for the NCCTO.
Provides other tasks as needed at the direction of the Clinical Examination Directors and/or Executive Director.
Qualifications:
Doctor of Optometry degree (OD) with 5 or more years of related experience (or equivalent combination of education and experience) and an active license. OSEs must be able to commit to at least one exam session per month.
Additional General Skills Required: Able to work collaboratively as part of a multi-disciplinary team, excellent written and oral communication skills, ability to handle complex tasks, strong organizational skills, ability to balance multiple competing priorities and maintain a high degree of responsiveness. Some travel may be required for this position.
Hours:
Testing is scheduled Monday - Saturday, from 9AM to 2:30PM
Location:
The Edison Building
Microsoft Way, Suite 250 (2
nd
Floor)
Charlotte, NC 28273
Applicants should send their resume and cover letter to Lana Stashchak, Clinical Examiner Coordinator at ****************************.
Easy ApplyMaterials Examiner and Identifier (Fork Lift Operator)
Claim processor job in Jacksonville, NC
Apply Materials Examiner and Identifier (Fork Lift Operator) Department of Defense Defense Logistics Agency Apply Print Share * * * * Save * This job is open to * Requirements * How you will be evaluated * Required documents * How to apply See below for important information regarding this job.
This is an Expeditionary Civilian (EC) position, and the incumbent will be designated as EE. In the event of a crisis situation, the incumbent may be required to deploy via temporary reassignment or be required to stay in place to support contingency operations.
Summary
See below for important information regarding this job.
This is an Expeditionary Civilian (EC) position, and the incumbent will be designated as EE. In the event of a crisis situation, the incumbent may be required to deploy via temporary reassignment or be required to stay in place to support contingency operations.
Overview
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Accepting applications
Open & closing dates
12/18/2025 to 12/26/2025
Salary $24.73 to - $28.84 per hour Pay scale & grade WG 6
Location
1 vacancy in the following location:
Camp Lejeune, NC
Remote job No Telework eligible No Travel Required 25% or less - You may be expected to travel for this position. Relocation expenses reimbursed No Appointment type Permanent - Multiple Appointment Types Work schedule Full-time Service Competitive
Promotion potential
6
Job family (Series)
* 6912 Materials Examining And Identifying
Supervisory status No Security clearance Other Drug test Yes Financial disclosure No Bargaining unit status Yes
Announcement number DLADispSvcs-26-12855943-MP Control number 852804700
This job is open to
Help
Internal to an agency
Current federal employees of the hiring agency that posted the job announcement.
Career transition (CTAP, ICTAP, RPL)
Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants.
Veterans
Veterans of the U.S. Armed Forces or a spouse, widow, widower or parent of a veteran, who may be eligible for derived preference
Military spouses
Military spouses of active duty service members or whose spouse is 100 percent disabled or died on active duty.
Individuals with disabilities
Individuals who are eligible under Schedule A.
Clarification from the agency
"Agency" means current permanent DoD employees. Veterans eligibilities include 30% or more Disabled Vet, Veterans Employment Opportunities Act (VEOA), Military Spouse Preference (MSP) eligibles, Retained Grade Preference (RGP) eligibles, and Military Reserve and National Guard Technician eligibles in the commuting area may also apply.
Videos
Duties
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* Receives, examines and determines the condition and disposition of a wide variety of materials.
* Reviews disposal turn-in document accompanying material. Compares data against property assuring correct information and proper documentation (e.g. stock number, nomenclature, quantity, unit of issue, disposal authority code, DEMIL, condition code).
* Visually inspects usable property for obvious signs of condition and determines acceptability.
* Determines condition and reportability and special handling requirements (e.g., hazardous material, precious metals, security, DEMIL, Special focus items, etc.) and assigns appropriate classification instructions for warehousing.
* Verifies accuracy of demilitarization codes, takes action to challenge questionable items/codes, and maintains segregated storage of property requiring DEMIL.
* Ensures proper certification is attached to turn-in document when demilitarized by host or generating activity.
* Performs special and periodic inventory of property; re-palletizes/re-locates property as necessary.
* Operates forklifts and related materials handling equipment to move, load and unload, stack or un-stack palletized materials, supplies, and equipment.
Requirements
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Conditions of employment
* Must be a U.S. citizen
* Tour of Duty: 1st Shift
* Security Requirements: Non Critical Sensitive
* Appointment is subject to the completion of a favorable suitability or fitness determination, where reciprocity cannot be applied; unfavorably adjudicated background checks will be grounds for removal.
* Fair Labor Standards Act (FLSA): Non-Exempt
* Selective Service Requirement: Males born after 12-31-59 must be registered or exempt from Selective Service.
* Recruitment Incentives: Not Authorized
* Bargaining Unit Status: Yes
* Selectees are required to have a REAL ID or other acceptable identification documents to access certain federal facilities. See *************************** for more information.
* Pre-Employment Physical: Required
* Expeditionary Civilian (EC): Emergency Essential; Non-Combat Essential
* Mission Essential - PD Designation: This is a Mission Essential (ME) position. The incumbent may be required to report to work in the event of a natural disaster, inclement weather, or crisis.
* Must be able to obtain and maintain a valid Material Handling Equipment (MHE) license.
* Must be able to obtain and maintain required hazardous materials handling certifications.
* Must be able to obtain and maintain licenses and/or certifications required by the installation, federal, state, and local laws.
Qualifications
Applicants will be rated in accordance with the Office of Personnel Management Qualification Standard for Trades and Labor Occupations. Although a specific length of time and experience is not required, you must meet any screen-out element listed, and show through experience and training that you possess the quality level of knowledge and skill necessary to perform the duties at the level for which you are applying. Emphasis is placed on how you gained the quality of experience, not necessarily the length of time, and the required ability or potential to perform the job. Applicants who do not meet the screen-out element (SOE) will be eliminated from further competition.
* Ability to do the work of a Materials Examiner and Identifier (FLO) without more than normal supervision
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Physical Effort:
Performs moderate to heavy lifting when moving material by hand or hand-truck. Ability to lift or carry items weighing up to 50 pounds. Heavier items are moved using weight-handling equipment or assistance from other workers. Work is performed on hard surfaces, rough terrain, and on forklifts. Assignments require prolonged work in tiring and uncomfortable positions, including standing, walking, bending, stooping, pushing, and pulling material.
Working Conditions:
Work is performed inside warehouses that may be hot, cold, damp, and drafty. Work extends to outside areas, such as dock areas, scrap yards, or other areas exposed to varying weather conditions. Exposure to physical hazards associated with scrap yards, open storage, and warehouse operations. Safety equipment is worn as required.
Additional information
This is an Expeditionary Civilian (EC) position, and the incumbent will be designated as (EE, NCE, etc.). In the event of a crisis situation, the incumbent may be required to deploy via temporary reassignment or be required to stay in place to support contingency operations. The incumbent may be required to take part in readiness exercises. This position cannot be vacated during a national emergency or mobilization without seriously impairing the capability of the organization to function effectively; therefore, the position requires the incumbent to be screened from military recall. Military Reservists selected for an EC position must arrange for removal from the reserve component prior to appointment to an EC position. This requirement must be met prior to placement in an EC position. Positions identified as EE are subject to deployment to combat support situations. Deployment will be via Temporary Duty (TDY) orders. Deployment may entitle the employee to additional monetary compensation dependent upon the deployment location. Additional allocations are based on the Department of State's determination of a combat zone.
The incumbent is subject to repeated deployments. Duration of deployment generally does not exceed six months with a possible dwell time of 12-18 months. The incumbent may be required to deploy as soon as 90 days from their return. The incumbent must sign the Statement of Understanding and Agreement for Expeditionary Civilian (EC) positions indicating at all times to meet and maintain readiness requirements and be fully equipped, trained and qualified to deploy. When not in a deployment status the work performed at your home station is to compliment the operations at the DLA Disposition Services location.
Reemployed Annuitants: This position does not meet criteria for appointment of Reemployed Annuitants. The DoD criteria for hiring Reemployed Annuitants can be found at: **********************************************************************************
Information for Veterans is available at: ************************************** As of 23 December 2016, Military retirees seeking to enter federal service in the Department of Defense now require a waiver if they would be appointed within 180 days following their official date of retirement.
Drug-Free Workplace Policy
The Defense Logistics Agency is committed to maintaining a safe, drug-free workplace. All DLA employees are required to refrain from illegal drug use on and off duty. DLA conducts pre-employment, reasonable suspicion, post-accident, and random drug testing. Applicants tentatively selected for employment in testing designated positions will undergo a urinalysis to screen for illegal drug use prior to appointment. Refusal to undergo testing or testing positive for illegal drugs will result in withdrawal of the tentative job offer and a six-month denial of employment with DLA from the date of the drug test. Employees in drug testing designated positions are subject to random drug testing. The DLA drug testing panel tests for the following substances: marijuana, cocaine, opiates, heroin, phencyclidine, amphetamines, methamphetamines, fentanyl, norfentanyl, methylenedioxymethamphetamine, methylenedioxyamphetamine, and opioids.
ADVISORY: Use of cannabidiol (CBD) products may result in a positive drug test for marijuana. DLA employees are subject to Federal law and under Federal law, Marijuana is a Schedule I drug and is illegal.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
The assessments for this job will measure the following Job Elements/Competencies:
* Ability to do the work of a Materials Examiner and Identifier (FLO) without more than normal supervision
* Technical Practices
* Knowledge of Materials
* Ability to Interpret Instructions, Specification, etc. (other than blueprints)
* Skill in Dexterity and Safety
Once the application process is complete, a review of your resume and supporting documentation may be completed and compared against your responses to the assessment questionnaire to determine if you are qualified for this job. The rating you receive is based on your responses to the assessment questionnaire. The score is a measure of the degree to which your background matches the job elements/competencies required for this position. If your resume and/or supporting documentation is reviewed and a determination is made that you have inflated your qualifications and or experience, you may lose consideration for this position. Please follow all instructions carefully. Errors or omissions may affect your rating.
Benefits
Help
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required documents
Required Documents
Help
To apply for this position you must provide a complete Application Package. Each Application Package MUST include:
* Your Resume: IMPORTANT UPDATE: Your resume must not exceed two (2) pages. If your resume exceeds the two-page limit, you will be removed from consideration for this announcement. The resume and required supporting documentation should provide the minimum qualifications and relevant experience for the announced position. Must include the work schedule, hours worked per week, dates of employment, and duties performed. If multiple resumes are submitted by an applicant, only the last resume submitted will be reviewed for qualifications and referred for selection consideration, if eligible. The resume must not be more than 5MB and should be saved and uploaded as a PDF to maintain formatting and number of pages. We also accept GIF, JPG, JPEG, PNG, RTF, TXT, PDF, ODT or Word (DOC or DOCX). We do not accept PDF portfolio files. Page margins should be 0.5 inches, and font styles must be legible. Consider using 14-point size font for titles and 10-point for the main text. We recommend using a font like Lato, if available. Other widely available options are Calibri, Helvetica, Arial, Verdana, Open San Source Sans Pro, Roboto or Noro Sans.
* Applicable documents to support the eligibility(s) for which you are applying. Please review the following link for a listing of the additional documents you will need to provide: Supporting Documents.
Interagency Career Transition Assistance Program (ICTAP): If you are an eligible ICTAP applicant you may apply for special selection over other candidates for this position. To be well-qualified and exercise selection priority for this vacancy, displaced Federal employees must be rated at a score of 85 or higher for this position. ICTAP eligibles must submit one of the following as proof of eligibility for the special selection priority: a separation notice; a "Notice of Personnel Action" (SF-50) documenting separation; an agency certification that you cannot be placed after injury compensation has been terminated; an OPM notification that your disability annuity has been terminated; OR a Military Department or National Guard Bureau notification that you are retired under 5 U.S.C. 8337(h) or 8456.
Priority Placement Program (PPP) DoD Military Spouse Preference (MSP): In order to receive this preference, you must choose to apply using the "Priority Placement Program, DoD Military Spouse Preference (MSP)" eligibility. If you are claiming MSP and are determined to be among the Best Qualified for the position, you may be referred to the hiring manager as a priority applicant. To be eligible as a MSP, you must submit the following supporting documents with your application package: Spouse's Permanent Change of Station (PCS) orders; Marriage Certificate or License; PPP Self Certification Checklist; Veterans' Preference documentation (e.g., DD-214, VA Letter, Statement of Service, if applicable); Transcripts (if applicable). These documents must provide acceptable information to verify: Residency within the commuting area of your sponsor's permanent duty station (PDS); proof of marriage to the active duty sponsor; proof of military member's active duty status; and other documentation required by the vacancy announcement to which you are applying. NOTE: Previous federal employees must also submit the following additional documentation: SF-50s (e.g., LWOP, highest grade held, overseas appointments, etc.), SF-75 information, and documentation of performance rating of record (dated within the last 12 months). Selected PPP MSP applicants will need to certify they have not accepted nor declined another offer of permanent, Federal employment (to include NAF and the military exchange services) since relocating to the military sponsor's current duty station.
Priority Placement Program (PPP) DoD Retained Grade Preference (RGP): In order to receive this preference, you must choose to apply using the "Priority Placement Program, DoD Retained Grade Preference (RGP)" eligibility. If you are claiming RGP and are determined to be Well Qualified (score of 85 or above) for the position, you will be referred to the hiring manager as a priority applicant. Information and required documentation for claiming RGP may be found at the General Applicant Information and Definitions link below. To be eligible as a RGP, you must submit the following supporting documents with your application package: a signed Retained Grade PPP Self-Certification Checklist (DD3145-1 (whs.mil)); a copy of your Notification of Personnel Action (SF-50) effecting the placement in retained grade status; or a copy of the notification letter you received regarding the RIF or classification downgrade.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
How to Apply
Help
To apply for this position, you must complete the online application and submit the documentation specified in the Required Documents section below.
The complete application package must be submitted by 11:59 PM (EST) on the closing date to receive consideration.
* To begin, click Apply Online to access an online application. Follow the prompts to select your USAJOBS resume and/or other supporting documents. You will need to be logged into your USAJOBS account or you may need to create a new account.
* You will be taken to an online application. Complete the online application, verify the required documentation, and submit the application. NOTE: Resumes up to a total of two pages will be accepted. Your resume must not exceed two (2) pages. If your resume exceeds the two-page limit, you will be removed from consideration for this announcement.
* You will receive an email notification when your application has been received for the announcement.
* To verify the status of your application, log into your USAJOBS account, ************************ select the Application Status link and then select the More Information link for this position. The Application Status page will display the status of your application, the documentation received and processed, and your responses submitted to the online application. Your uploaded documents may take several hours to clear the virus scan process.
To preview the questionnaire, please go to *********************************************************
Agency contact information
DLA Disposition Svcs POC
Phone ************ Email ******************************************* Address DLA Disposition Services
74 Washington Avenue North
Suite 6
Battle Creek, MI 49017-3092
US
Next steps
Once you successfully complete the application process, you will receive a notification of receipt. Your application package will be reviewed to ensure you meet the basic eligibility and qualifications requirements, and you will receive a notification. A review may be completed of your online questionnaire and the documentation you submitted to support your responses. Applicants that are found among the most highly qualified may be referred to the hiring official for consideration, and you will receive a notification of referral. The selecting official may choose to conduct interviews, and as part of the selection process, applicants may be required to complete additional supplemental documents. Once the selection is made, you will receive a notification of the decision. If interviews are conducted, DLA uses a technique called Behavior Based Interviewing (BBI). Be sure to check your USA Jobs account for your notification updates.
Additional guidance on writing a federal resume can be found at: USAJOBS Help Center - How do I write a resume for a federal job? The resume builder can help you create a resume using these recommendations and uses the information in your USAJOBS profile to help you get started.
For Important General Applicant Information and Definitions go to: ******************************************************************
Fair and transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
Criminal history inquiries Equal Employment Opportunity (EEO) Policy
Financial suitability New employee probationary period
Privacy Act Reasonable accommodation policy
Selective Service Signature and false statements
Social security number request
Required Documents
Help
To apply for this position you must provide a complete Application Package. Each Application Package MUST include:
* Your Resume: IMPORTANT UPDATE: Your resume must not exceed two (2) pages. If your resume exceeds the two-page limit, you will be removed from consideration for this announcement. The resume and required supporting documentation should provide the minimum qualifications and relevant experience for the announced position. Must include the work schedule, hours worked per week, dates of employment, and duties performed. If multiple resumes are submitted by an applicant, only the last resume submitted will be reviewed for qualifications and referred for selection consideration, if eligible. The resume must not be more than 5MB and should be saved and uploaded as a PDF to maintain formatting and number of pages. We also accept GIF, JPG, JPEG, PNG, RTF, TXT, PDF, ODT or Word (DOC or DOCX). We do not accept PDF portfolio files. Page margins should be 0.5 inches, and font styles must be legible. Consider using 14-point size font for titles and 10-point for the main text. We recommend using a font like Lato, if available. Other widely available options are Calibri, Helvetica, Arial, Verdana, Open San Source Sans Pro, Roboto or Noro Sans.
* Applicable documents to support the eligibility(s) for which you are applying. Please review the following link for a listing of the additional documents you will need to provide: Supporting Documents.
Interagency Career Transition Assistance Program (ICTAP): If you are an eligible ICTAP applicant you may apply for special selection over other candidates for this position. To be well-qualified and exercise selection priority for this vacancy, displaced Federal employees must be rated at a score of 85 or higher for this position. ICTAP eligibles must submit one of the following as proof of eligibility for the special selection priority: a separation notice; a "Notice of Personnel Action" (SF-50) documenting separation; an agency certification that you cannot be placed after injury compensation has been terminated; an OPM notification that your disability annuity has been terminated; OR a Military Department or National Guard Bureau notification that you are retired under 5 U.S.C. 8337(h) or 8456.
Priority Placement Program (PPP) DoD Military Spouse Preference (MSP): In order to receive this preference, you must choose to apply using the "Priority Placement Program, DoD Military Spouse Preference (MSP)" eligibility. If you are claiming MSP and are determined to be among the Best Qualified for the position, you may be referred to the hiring manager as a priority applicant. To be eligible as a MSP, you must submit the following supporting documents with your application package: Spouse's Permanent Change of Station (PCS) orders; Marriage Certificate or License; PPP Self Certification Checklist; Veterans' Preference documentation (e.g., DD-214, VA Letter, Statement of Service, if applicable); Transcripts (if applicable). These documents must provide acceptable information to verify: Residency within the commuting area of your sponsor's permanent duty station (PDS); proof of marriage to the active duty sponsor; proof of military member's active duty status; and other documentation required by the vacancy announcement to which you are applying. NOTE: Previous federal employees must also submit the following additional documentation: SF-50s (e.g., LWOP, highest grade held, overseas appointments, etc.), SF-75 information, and documentation of performance rating of record (dated within the last 12 months). Selected PPP MSP applicants will need to certify they have not accepted nor declined another offer of permanent, Federal employment (to include NAF and the military exchange services) since relocating to the military sponsor's current duty station.
Priority Placement Program (PPP) DoD Retained Grade Preference (RGP): In order to receive this preference, you must choose to apply using the "Priority Placement Program, DoD Retained Grade Preference (RGP)" eligibility. If you are claiming RGP and are determined to be Well Qualified (score of 85 or above) for the position, you will be referred to the hiring manager as a priority applicant. Information and required documentation for claiming RGP may be found at the General Applicant Information and Definitions link below. To be eligible as a RGP, you must submit the following supporting documents with your application package: a signed Retained Grade PPP Self-Certification Checklist (DD3145-1 (whs.mil)); a copy of your Notification of Personnel Action (SF-50) effecting the placement in retained grade status; or a copy of the notification letter you received regarding the RIF or classification downgrade.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
Complex Liability Claims Specialist - Primarily NY / New York Labor Law
Claim processor job in North Carolina
The Company
At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an “A” rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier.
Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago.
What you will do
The Specialist will be responsible for the management and effective resolution of high exposure, complex liability claims in primarily New York venues, inclusive of New York Labor Law claims. The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Experience handling complex commercial general liability is required.
Key responsibilities
Responsible for thorough evaluation of coverage and proactive investigation, reserving, negotiating and managing the defense of complex liability claims in primarily New York jurisdictions.
Manage all claims in accordance with Utica National's established claim procedures.
Draft and present claim reviews to supervisor and upper management that provide full evaluation of coverage, liability and damages associated with claim, proposed plan to resolve claim and sufficient basis and support for authority requests above the Complex Liability Claims Specialist's individual monetary authority level.
Maintain timely and accurate claim reserves in accordance Utica National's reserving philosophy.
Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel's work product and working with defense counsel to efficiently and fairly resolve claims.
Participate as appropriate in litigation activities including settlement negotiations, depositions, conferences, hearings, alternative dispute resolution sessions and trials.
Maintain effective communications with insureds, claimants, agents, and other representatives involved in the claims cycle.
Achieve the service standard of “excellent” during all phases of claims handling.
Stay abreast of legal trends, case law, and jurisdictional environment and its impact on handling claims within the jurisdiction.
Responsible for analyzing and communicating changes in law, regulation, and custom to ensure consistent quality claim handling.
What you need
Four year degree or equivalent experience preferred.
Minimum of 5 years of commercial casualty claims handling experience working with high complexity litigated casualty claims.
Proven experience negotiating claims and active participation in alternative dispute resolution practices.
Experience with general liability, additional insured considerations and complex coverage determinations.
Experience with New York Labor Law Claims strongly preferred.
Licensing
Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment.
Salary range: $103,300 - $136,400
The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications.
Benefits:
We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following:
Medical and Prescription Drug Benefit
Dental Benefit
Vision Benefit
Life Insurance and Disability Benefits
401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
Health Savings Account (HSA)
Flexible Spending Accounts
Tuition Assistance, Training, and Professional Designations
Company-Paid Family Leave
Adoption/Surrogacy Assistance Benefit
Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
Student Loan Refinancing Services
Care.com Membership with Back-up Care, Senior Solutions
Business Travel Accident Insurance
Matching Gifts program
Paid Volunteer Day
Employee Referral Award Program
Wellness programs
Additional Information:
This position is a full time salaried, exempt (non-overtime eligible) position.
Utica National is an Equal Opportunity Employer.
Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy.
#LI-HL1
Claims Representative II
Claim processor job in High Point, NC
Company Details
With over 35 years of proven expertise in the workers' compensation industry, Key Risk delivers innovative and responsive solutions that provide our clients the freedom to do what they do best. Offering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results.
All products and services are distributed through appointed insurance agents and brokers. Key Risk is a member company of W. R. Berkley Corporation, whose insurance company subsidiaries are rated A+ (Superior), Financial Size Category XV by A.M. Best Company and A+ (Strong), by S&P.
For further information about Key Risk please visit ***************
The company is an equal opportunity employer.
Responsibilities
Key Risk is looking for a Claims Representative who enjoys analysis and management of workers compensation claims.
Key functions include but are not limited to the following:
Analyzes and processes workers' compensation claims by investigating and gathering information to determine the exposure on the claim.
Negotiate settlement of claims up to designated authority level and makes claims payments.
Calculates and assigns timely an appropriate reserve to claims and continues to manage reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level.
Develops and manages claims though well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution.
Prepares necessary state filings within statutory limits.
Actively manages the litigation process; ensures timely and cost-effective claims resolution.
Coordinates vendor referrals for additional investigation and/or litigation management.
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims.
Frequently communicates with all appropriate parties involved with the claim.
Maintains professional client relationships.
Actively executes appropriate claims activities to ensure consistent delivery of quality claims services.
Qualifications
BA/BS Degree
2-3 years of workers compensation claims experience
Adjuster license strongly desired or ability to obtain license within six months
Knowledge of appropriate insurance principles and laws of workers' compensation, preferably jurisdiction specific.
Strong verbal and written communication
Strong interpersonal, time management and organizational skills.
Strong negotiation skills.
Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail.
Ability to perform with a sense of urgency.
Ability to work both independently and within a team environment.
Ability to travel for business purposes, approximately less than 10%.
Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.
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
Auto-ApplyInventory Claim Specialist
Claim processor job in Wendell, NC
Job Description
Inventory Claims Coordinator
Department:
Warehouse Operations - 171032
Reports to:
Inventory Supervisor
Full-time
Status:
Hourly, Non-Exempt
Management Level:
Non-Management
JOB SUMMARY
The Inventory Claims Coordinator serves as a support element and liaison for all distribution centers and the dealer network. This person will be cross trained and gain exposure to many functions including claims processing, inventory investigations, dealer network relationship building and recording claim data.
KEY RESPONSIBILITIES OF JOB
The Inventory Claims Coordinator key responsibilities are outlined below:
Claims:
Resolve and process claim disputes
Technical drawing look-up
Inventory background investigations
Credit and Debit process on claim investigations
Issuing and monitoring call tags
Resolve and process freight claim disputes and tracking reimbursement if applicable
Inventory Management
Provide inventory control reporting and vendor reports
Track claim data and communicate common themes for mitigation
Directly or indirectly locate misplaced parts to help satisfy sale to customer/dealer
Help maintain or relay proper product identification and location accuracy and ability to transfer product to correct location if needed
Other Responsibilities
Determine and record data for KPI's
Promote dealer satisfaction utilizing customer service skills
EDUCATIONAL AND PHYSICAL REQUIREMENTS
High school diploma or GED equivalent required with minimum of 3 years' related experience
Associate or Bachelor degree with a minimum of 1 year experience
1-5 Years of related customer service or inventory experience.
Must be a team player with strong interpersonal communication skills
Good time-management skills and attention to detail
Outstanding written and oral communication skills with the ability to effectively present information
Proficiency in Microsoft programs, including Excel, a plus
SAP experience preferred
SalesForce experience preferred
Claims Processing Expert
Claim processor job in Raleigh, NC
Join Our Dynamic Insurance Team - Unlock Your Potential!
Are you ready to take control of your future and build a career in one of the most stable and lucrative industries? We are seeking driven individuals to join our thriving insurance team, where you'll receive top-tier training, support, and unlimited income potential.
NOW HIRING:
✅ Licensed Life & Health Agents
✅ Unlicensed Individuals (We'll guide you through the licensing process!)
We're looking for our next leaders-those who want to build a career or an impactful part-time income stream.
Is This You?
✔ Willing to work hard and commit for long-term success?
✔ Ready to invest in yourself and your business?
✔ Self-motivated and disciplined, even when no one is watching?
✔ Coachable and eager to learn?
✔ Interested in a business that is both recession- and pandemic-proof?
If you answered YES to any of these, keep reading!
Why Choose Us?
💼 Work from anywhere - full-time or part-time, set your own schedule.
💰 Uncapped earning potential - Part-time: $40,000 - $60,000 /month | Full-time: $70,000 - $150,000+++/month.
📈 No cold calling - You'll only assist individuals who have already requested help.
❌ No sales quotas, no pressure, no pushy tactics.
🧑 🏫 World-class training & mentorship - Learn directly from top agents.
🎯 Daily pay from the insurance carriers you work with.
🎁 Bonuses & incentives - Earn commissions starting at 80% (most carriers) + salary
🏆 Ownership opportunities - Build your own agency (if desired).
🏥 Health insurance available for qualified agents.
🚀 This is your chance to take back control, build a rewarding career, and create real financial freedom.
👉 Apply today and start your journey in financial services!
(
Results may vary. Your success depends on effort, skill, and commitment to training and sales systems.
)
Auto-Apply