Claim processor jobs in North Little Rock, AR

Job Details AR North Little Rock TLI - North Little Rock, AR TransportationDescription The responsibility of this position is to be available for accident and incident reporting and be proactive in the claims management process. Essential job duties include: Managing the day to day activities involved with accident and incident documentation. Report all claims to the appropriate insurance company in a timely manner. Correspond with public on accident claims as needed. Request and approve payments below insurance deductibles. Elevate any claims disputes to the appropriate parties. Manage a reporting database used to run reports and pass along information to other departments. Prepare reports for bi-weekly claims meetings with management. Collect all documentation needed for catastrophic accidents as required. Assist other safety coordinators in day to day activates to include driver phone calls, e-log corrections, employment verifications, etc. Training other employees in all the above as assigned. Various projects as needed. Qualifications Education: HS diploma or equivalent required. Preferred knowledge, skills and abilities: High school or equivalent Claims management experience 2+ years preferred. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required: To stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee is frequently required to climb or balance; stoop, kneel, crouch, or crawl and talk or hear. The employee is occasionally required to sit. The employee must frequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, peripheral vision and depth perception. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Priority1 strives to go beyond simply offering jobs. We foster careers by creating a great working environment for our team members. We hire talented individuals who will provide the best support and can quickly adapt to the rapidly changing world of logistics. These talented men and women drive our business, and we are committed to their success. Priority1 was founded in 1995 with the same entrepreneurial spirit that still drives our business today. We are a mix of great people and great technology. Our success is driven by a strong partnership of employees, customers, and carriers. We also employ an industry-best Transportation Management System (TMS). We are a full service logistics company partnering with thousands of national and regional truckload and LTL carriers. We offer less than truckload (LTL), full truckload (TL), expedited, roadshow, warehousing, and ocean freight services. Responsibilities Filing claims on behalf of the customer Follow-up on the status internally, with the carriers, and with the agent partners Application of claim payments from the carrier Liaison between Agent Partners, Key Account Reps, and Carriers Owning the claims process and ensuring it is achieved successfully Qualifications Previous Customer Service experience preferred Skilled in both verbal and written communication Proven analytical and problem solving skills Capable of identifying customer needs and maintain and support a customer service philosophy Ability to use decision making skills to offer options and resolve problems in a variety of contexts in a fast paced environment. Has talent to exercise good judgment. Knack for adapting to constant changes in work environment, work assignments, and/or changes in priorities Education: College degree preferred or equivalent work experience. College hours or a college degree may be substituted for some experience as deemed appropriate. Compensation $15.25 per hour Medical Insurance with premiums paid at 100% for employees AND dependent. Dental Insurance 100% paid for Employee. Vision Insurance HSA with Employer Contributions Life Insurance Short Term Disability Long Term Disability 401(k) Plan Profit Sharing: Typical annual contribution of 15% of total eligible compensation Paid Holidays AND PTO Physical Requirements: Job functions require long periods of sitting and working from computer workstation; ability to multi-task, problem solve, and prioritize daily workload; excellent organization and record keeping skills; comfortable with oral and written communications, primarily on the telephone and email. Requires extended periods of sitting, normal walking, bending, twisting, and stretching. Capability of sight and hearing required. Ability to deal with stressful situations and occasionally working extended hours. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Priority1 is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Priority-1, Inc. will provide reasonable accommodations with the application process upon your request as required to comply with applicable laws. If you have a disability and require assistance in this application process, please email ***********************. #indeedsupport Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Priority1 strives to go beyond simply offering jobs. We foster careers by creating a great working environment for our team members. We hire talented individuals who will provide the best support and can quickly adapt to the rapidly changing world of logistics. These talented men and women drive our business, and we are committed to their success. Priority1 was founded in 1995 with the same entrepreneurial spirit that still drives our business today. We are a mix of great people and great technology. Our success is driven by a strong partnership of employees, customers, and carriers. We also employ an industry-best Transportation Management System (TMS). We are a full service logistics company partnering with thousands of national and regional truckload and LTL carriers. We offer less than truckload (LTL), full truckload (TL), expedited, roadshow, warehousing, and ocean freight services. Responsibilities Filing claims on behalf of the customer Follow-up on the status internally, with the carriers, and with the agent partners Application of claim payments from the carrier Liaison between Agent Partners, Key Account Reps, and Carriers Owning the claims process and ensuring it is achieved successfully Qualifications Previous Customer Service experience preferred Skilled in both verbal and written communication Proven analytical and problem solving skills Capable of identifying customer needs and maintain and support a customer service philosophy Ability to use decision making skills to offer options and resolve problems in a variety of contexts in a fast paced environment. Has talent to exercise good judgment. Knack for adapting to constant changes in work environment, work assignments, and/or changes in priorities Education: College degree preferred or equivalent work experience. College hours or a college degree may be substituted for some experience as deemed appropriate. Compensation $15.25 per hour Medical Insurance with premiums paid at 100% for employees AND dependent. Dental Insurance 100% paid for Employee. Vision Insurance HSA with Employer Contributions Life Insurance Short Term Disability Long Term Disability 401(k) Plan Profit Sharing: Typical annual contribution of 15% of total eligible compensation Paid Holidays AND PTO Physical Requirements: Job functions require long periods of sitting and working from computer workstation; ability to multi-task, problem solve, and prioritize daily workload; excellent organization and record keeping skills; comfortable with oral and written communications, primarily on the telephone and email. Requires extended periods of sitting, normal walking, bending, twisting, and stretching. Capability of sight and hearing required. Ability to deal with stressful situations and occasionally working extended hours. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Priority1 is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Priority-1, Inc. will provide reasonable accommodations with the application process upon your request as required to comply with applicable laws. If you have a disability and require assistance in this application process, please email ***********************. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Provides support for member correspondence activities. Responsible for generating clinical determination letters for members and providers, and following established guidelines and standards related to correspondence processing. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assists with generating clinical determination letters to members and providers, ensuring all letters are clear, accurate, and meet the required reading grade level. * Collaborates with internal teams to ensure correspondence meets regulatory requirements, including plain language and appropriate format. * Assists in monitoring letter queues to ensure timely generation and delivery of all necessary correspondence. * Responds to inquiries and assists with troubleshooting issues related to letter creation or delivery. * Supports ongoing feedback processes to ensure letters are accurate, integrate relevant information, and maintain high-quality standards. * Demonstrates strong attention to detail and accuracy when processing letters to meet company and regulatory standards. * Develops a basic understanding of healthcare programs, processes, and relevant software systems and applications. * Ensures clear and concise correspondence. * Supports internal teams, including working with both technical and non-technical staff to ensure proper letter production. Required Qualifications * At least 1 year of experience in an administrative support role, preferably within a health care environment supporting correspondence or clinical communications, or equivalent combination of relevant education and experience. * Previous experience as a Correspondence Processor at Molina. * Strong attention to detail, and ability to work within regulatory and internal requirements for letter generation. * Strong organizational and time-management skills, and ability to manage multiple letter queues and deadlines. * Excellent verbal and written communication skills, and ability to ensure clarity and precision in all correspondence. * Willingness to learn and adapt to new programs, software systems, and lines of business. * Ability to research, obtain feedback, and integrate necessary adjustments into letters to meet quality standards. * Ability to manage multiple tasks simultaneously, and ensure quality and compliance in all produced correspondence. * Ability to maintain confidentiality and ensure compliance with all relevant guidelines, regulations, and policies in processing of clinical correspondence. * Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet deadlines. * Ability to collaborate effectively with team members and internal departments. * Basic Microsoft Office suite/applicable software program(s) proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.16 - $31.71 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Acuity is seeking a Field Claims Representative to investigate, record facts, preserve evidence, determine coverage. The representative evaluates liability, exposure, subrogation potential and arrange for the disposition of claims through settlement or denial, including litigation. In this role, duties and responsibilities are to be carried out in the field and in person with a high level of frequency. Internal deadline to apply: September 12th, 2025 Candidates must reside in or be willing to relocate to the Little Rock, Arkansas area for this opportunity. ESSENTIAL FUNCTIONS: * Organizes work and arranges for immediate contact with all pertinent parties surrounding claim assignment. * Completes a thorough investigation to determine coverage, assess liability and evaluate damages. * Conducts investigations and provides customer follow-up in person. * Evaluates, revises or recommends reserve changes. * Inspects and determines property damage. * Understands basic anatomy, medical terminology and has ability to decipher medical records and bills. * Identifies and pursues all subrogation opportunities. * Employs customer service concepts and requirements. * Identifies potentially fraudulent claims and promptly refers them to the SIU. * Maintains a sense of urgency while implementing proactive claim handling plans and procedures. * Properly and effectively utilizes sound judgment, discretion and settlement authority to resolve claims through negotiation, settlement or denial. * Handles all claims as assigned, including claims in other districts as requested. * Maintains positive attitude. * Always represents the Company in a professional manner. * Maintains company property in good working order, requests new equipment and secures authorization for repairs. * Maintains working relationship with field sales force and underwriting department in securing and giving information on claims and regarding the risk desirability of insureds. * Supervises and directs defense attorneys in preparing a case for trial, including attending mediations and depositions. * Must have a valid driver's license and an acceptable motor vehicle record to operate a corporate vehicle. * Regular and predictable attendance. * Performs other duties as assigned. EDUCATION: College degree or equivalent. EXPERIENCE: Minimum 5 yrs of Multi line claim adjusting, preferably in the field. OTHER QUALIFICATIONS: * Knowledgeable in all matters relating to property and casualty claims practices, policies and procedures. * Good written and verbal communication skills. * Organizational and time management skills. * Basic understanding of state statutes and case laws. * Customer service oriented. * Efficient use of laptop and associated software, including e-mail and word processing. * Work independently. * Acuity does not sponsor applicants for U.S. work authorization.* This job is classified as exempt. The salary range for this position is $60,000-$123,000 annually. This salary range is an estimate, and the actual salary will vary based on applicant's education, experience, knowledge, skills, and abilities. We are an Equal Employment Opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. If you have a disability and require reasonable accommodations to apply or during the interview process, please contact our Talent Acquisition team at ******************. Acuity is dedicated to offering reasonable accommodations during our recruitment process for qualified individuals.

Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we're dedicated to providing exceptional service and innovative solutions, and we're looking for passionate individuals to be part of our dynamic team. If you're eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere! The Workers' Compensation Claims Representative under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Duties may include but are not limited to: Receive assignments. Reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business. Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract. Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Sets reserves within authority limits and recommends reserve changes to Team Leader. Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims. Settles claims promptly and equitably. Obtains releases and timely issues indemnity benefits if due and owing. Informs claimants, insureds/customers, or attorney of denial of claim when applicable. May assist Team Leader and company attorneys in preparing cases for trial by taking statements. Continues efforts to settle claims before trial. Refers claims to subrogation as appropriate. May participate in claim file reviews and audits with customer/insured and broker. Administers Workers' Compensation benefits timely and appropriately per Jurisdiction. Maintains control of claim's resolution process to minimize current exposure and future risks Establishes and maintains strong customer relations OTHER DUTIES MAY INCLUDE: Working all queues and diary in a timely manner Investigating compensability and benefit entitlement Reviewing and approving medical bill payments Managing vocational rehabilitation 1-4 years' experience handling Workers' Compensation claims Knowledge of claims handling and familiarity with claims terminologies Effective negotiation skills Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses. Ability to self-motivate and work independently, excels in organization and time management skills Knowledge of company products, services, coverages, and policy limits, along with awareness of the company's claims best practices and client service instructions Knowledge of applicable state and local laws. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.

Job Details Entry 5285 Goodwill Industries of Arkansas Inc - Little Rock, AR Full Time $15.25 - $15.25 Hourly DayPROCESSOR, E-COMMERCE is responsible for researching, listing, and providing accurate descriptions of donations that are selected to be sold through various online auction sites. Must meet or exceed the listing daily production goals. Uphold a positive work environment that follows Goodwill's Amazing Customer Experience (ACE) culture, Values, and Mission in everything you do and every interaction you have with co-workers, people served, donors, customers, and management. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Ensures work activities are being completed efficiently while maintaining compliance with all safety standards; ensures staff is adhering to all safety expectations and requirements for the workplace with an emphasis on neatness, cleanliness, and organization. This duty is performed daily. 2. Research items selected to be listed to ensure listing accuracy. Using web-based software to list our items on various auction sites. Expected to meet or exceed established daily quotas. This duty is performed daily. 3. Performs accurate initial sort and grading of donations to be listed. Supervises and performs posting of donations into the inventory system, shelving, and order processing. This duty is performed daily. 4. Works with management in identifying and addressing any quality control issues. This duty is performed weekly. 5. Maintain a positive work atmosphere by acting and communicating in a manner so that you get along with customers, people served, co-workers and management. This duty is performed daily. 6. Perform any other related duties as required or assigned. This duty is performed daily. 7. Perform any other related duties as required or assigned. Qualifications QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty mentioned satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. EDUCATION AND EXPERIENCE High school or GED, plus specialized schooling and/or on-the-job education in a specific skill area; e.g. data processing, clerical/administrative, equipment operation, etc, plus 0 to 6 months related experience and/or training or equivalent combination of education and experience. SOFTWARE SKILLS REQUIRED Basic: 10-Key, Other, Spreadsheet, Word Processing/Typing PHYSICAL ACTIVITIES The following physical activities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and expectations. Highly repetitive, low physical. Highly repetitive type of work which requires concentration in the performance of tasks for consistent time cycles as prescribed by the tasks. While performing the functions of this job, the employee is regularly required to sit, use hands to finger, handle, or feel, talk or hear; occasionally required to stand, walk, reach with hands and arms, taste or smell. The employee must occasionally lift and/or move up to 50 pounds; regularly lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision. ADDITIONAL INFORMATION Not indicated

Thank you for your interest in becoming part of the Oaklawn Team. We have an extraordinary legacy. We are a family with strong core values, providing a new level of excitement for our guests and Team Members as we aspire to be Arkansas' Employer of Choice. We are currently seeking a talented individual to become a Claims Clerk. An individual could be successful if they possess the following. ESSENTIAL DUTIES AND RESPONSIBILITIES Process all claims with the following protocol: Check to verify the claim form has been properly filled out Contact the Horsemen's Bookkeeper to verify sufficient money for claims plus tax Contact the Licensing Office to verify all entities are properly licensed Process the claim after the race by informing the Stewards who received the claimed horse Contact the person at the holding enclosure to give all information on the trainer During the morning entries hours, take entries in person or by telephone, process all entries taken and investigate horses that are placed on lists Maintains an attitude & philosophy consistent with the company Core Values and Standards of Behavior with internal & external guests Experience in regulatory, compliance or enforcement environment Other duties as assigned QUALIFICATION REQUIREMENTS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be at least 21 years of age. Must be able to read, write legibly, understand and speak English Must be able to work around horses Punctual attendance required Ability to work required overtime Highly organized and detail oriented Demonstrated ability to work within a team environment. Excellent problem-solving skills Ability to maintain a calm, professional and friendly demeanor in all situations Ability to handle several tasks at the same time Ability to work at a fast pace in often crowded/noisy environment Ability to work weekends, evenings and holidays Ability to stand for periods of time and work in inclement weather when necessary High School Graduate or GED required; bachelor's degree preferred SUPERVISORY RESPONSIBILITIES This job does not have supervisory responsibilities. LANGUAGE SKILLS Ability to read and interpret documents in English, such as safety rules, operating and maintenance instructions and procedure manuals. Ability to read and communicate verbally in English. Written communication skills in in English may also be required. CERTIFICATES, LICENSES, REGISTRATIONS Employee must be able to qualify for licenses and permits required by federal, state and local regulations. OAKLAWN IS AN EQUAL OPPORTUNITY EMPLOYER. It is Oaklawn's intent to provide a drug-free, healthy, safe and secure environment for our Team Members. All applicants must complete a pre-employment drug screen and background check.

Job Title: Casualty Claims Examiner I Department: Insurance Country: United States of America State/Province: Arkansas City: Lowell Full/Part Time: Full time Under general supervision, this position is responsible for the investigation and resolution of moderately complex claims. This incumbent will work closely with internal and external contacts to investigate claims, negotiate settlements, and prepare reports to ensure accurate and timely processing of casualty claims. : Key Responsibilities: Utilize independent knowledge and experience to conduct claims investigations to determine liability exposure of each assigned claim. This investigation includes analysis of state and federal laws, retaining services of field investigators, outside legal counsel to obtain a full picture of exposure and documentation of all findings for each claim within the claims matter management system for management review as well as internal and external audit processes. Manage moderately complex claims involving alleged property damage and bodily injury through the interview of key witnesses, securing evidence, reviewing applicable statutes and laws, and analysis of estimates of repair, analyzing medical reports Handle all monetary aspects of assigned claims through the calculation of financial exposure analysis leading to the establishment of reserves at proper levels within assigned approval levels. And, by keeping management aware of claims with exposures above approved levels for continuous timely and efficient resolutions of assigned claims. Manage negotiations with claimants, claimant's legal representatives or third parties by utilizing strong communication and negotiation skills in sharing investigative results and rationale, listening to claimant perspective and arguments, and influencing claimant perspective to achieve consensus on appropriate and final resolution of assigned claims Utilize strong communication skills to keep all stakeholders aware of findings, decisions, and resolutions to support plans and initiatives to meet business unit needs while establishing accountability in achieving results and identifying and addressing improvement opportunities Prioritize and manage assigned claims workload to keep all involved parties informed and provide timely claims status updates Initiate prompt contact with claimants to obtain information and establish the claims process; process incoming calls, emails, and notifications to support workload surges and/or extenuating situations including the creation of accident reports from the accident hotline Collect and analyze data from internal departments and third-parties to create repair estimates for company equipment to subrogate against adverse parties; present collected data to adverse party for collection or reimbursement of damages Ensure compliance with company and departmental policies and procedures that support the mission, values, and standards of ethics and integrity of the company Pursue continual education in the practice of transportation claims management through internal training, seminars, and other educational materials to stay abreast of the changing claims and legal environment Qualifications: Minimum Qualification: High School Diploma/GED with 1-2 years of experience in Auto/General Liability Claims, Insurance, or related field, or suitable combination of education, experience, and training AND/OR Demonstration of the following skills and abilities through education, certifications, military, or other experiences Ability to uphold a professional demeanor in all customer interactions, demonstrating empathy and patience in the face of challenging situations Ability to accurately analyze situations and reach productive decisions based on informed judgment Ability to adapt to a dynamic work environment and shifting priorities and directives Ability to effectively transmit, receive, and accurately interpret ideas through various mediums Ability to work with a variety of individuals and groups in a constructive and collaborative manner Ability to capture and document relevant business information in an auditable, organized, and easily retrievable manner Ability to process information with high levels of accuracy Preferred Qualification: Bachelor's Degree with 1 year of experience in Auto/General Liability Claims, Insurance, or related field Experience in a call center, particularly within the Insurance industry Ability to maintain composure under pressure Ability to type at least 30 words-per-minute Knowledge of claim investigation procedures Knowledge of approaches and techniques for recognizing, anticipating, and resolving problems Proficiency in documenting case details accurately and assessing payment eligibility This position is not eligible for employment-based sponsorship. Compensation: Factors which may affect starting pay within this range may include skills, education, experience, geography, and other qualifications of the successful candidate. This position may be eligible for annual bonus and incentives based on profitability or volumes in accordance with the terms of the Company's bonus and incentive plans, as applicable and in effect from time to time. Benefits: The Company offers the following benefits for full-time positions, subject to applicable eligibility requirements, as may be in effect from time to time: medical benefit, dental benefit, vision benefit, 401(k) retirement plan, life insurance, short-term and long-term disability coverage, paid time off commensurate with tenure (includes vacation and sick time), six weeks of paid maternity leave along with two weeks of paid parental leave, and six paid holidays annually. Education: Bachelors: Law, GED (Required), High School (Required) Work Experience: Loss Prevention/Claims Management Job Opening ID: 00598752 Casualty Claims Examiner I (Open) “This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.” J.B. Hunt Transport, Inc. is committed to basing employment decisions on the principles of equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, persons with disabilities, protected veterans or other bases by applicable law.

EGA Associates a service-disabled Veteran owned small business, SDVOSB, with a big impact! We work with schools, hospitals, state facilities, VA medical centers, and Department of defense facilities nationally. We are hiring Licensed Psychologist Examiner for an intermediate care facility. Responsibilities Administer and scores psychological tests, interprets and evaluates test results, and determines an individualized behavioral management/treatment program. Provide psychological counseling, cognitive behavior and psychosocial skills instruction, and behavior modification/management recommendations. Monitor behavior management and treatment programs, documents progress or regression, modifies programs, as necessary, and prepares and maintains progress reports on each client. Attend staff/professional meetings and workshops as scheduled to discuss progress/problems of clients and make recommendations regarding behavior management. conduct in-service training for direct care staff on implementation of behavior management procedures or may train family members on treatment methods to be continued at home. Supervise professional staff by interviewing, recommending for hire, assigning and reviewing work, training, and evaluating performance. Qualifications: Licensed as a Psychologist Examiner by the Arkansas State Board Independent Psychological Examiner (LPE-I) Benefits! EGA Associates, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

The Claims Denial Specialist works within the organization's revenue cycle to investigate, resolve, and appeal denied insurance claims. By identifying the root causes of denials, correcting errors, and communicating with insurance companies, they help prevent revenue loss and secure proper reimbursement for services. Core responsibilities Denial analysis and resolution: Research denied or rejected claims by reviewing insurance correspondence, billing and coding documentation, and patient medical records. Appeals processing: Prepare and submit detailed, well-argued appeals to insurance payers, often citing clinical documentation, payer-specific policies, and contractual language. Investigative follow-up: Follow up on appeals and resubmitted claims with insurance companies, typically by phone or through payer portals, to resolve outstanding issues and ensure timely reimbursement. Process improvement: Identify trends and patterns in claim denials to help prevent future errors. This often involves collaborating with other departments, such as billing and coding, to improve processes. Documentation and reporting: Accurately document all communication and actions taken on a claim within the patient accounting system. Create and deliver reports to management on denial trends and recovery efforts. Compliance monitoring: Stay up-to-date with changing regulations, payer guidelines, and billing rules for government programs (like Medicare and Medicaid) and commercial insurance. Essential qualifications and skills Healthcare knowledge: A strong understanding of the healthcare revenue cycle, medical terminology, and medical coding systems. Experience with electronic health record (EHR) systems and billing software. The ability to conduct root-cause analysis, recognize patterns in denial data, and use critical thinking to build effective appeal strategies. Excellent written communication for drafting persuasive appeal letters and verbal communication for interacting with payers, providers, and patients. Professional certifications such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) are often preferred or required. Meticulous attention to detail is necessary to review complex documentation, catch errors, and ensure all resubmissions are accurate and compliant.

SUMMARY: Responsible for obtaining insurance information from referring provider#s offices. Verifying benefits for clinical and procedural appointments. Building new patient accounts entering all relevant insurance information. Obtaining prior authorization from commercial, military, workers# compensation and motor vehicle insurance companies to ensure appropriate reimbursement. Must have a thorough understanding of the insurance process. Utilizes various avenues to verify coverage and document patient responsibility in each account to ensure correct copay/co insurance amounts are collected at each visit. Must be able to communicate inter-departmentally, with providers# offices as well as with insurance companies. Functions as subject matter expert to both internal and external customers. JOB REQUIREMENTS Education: High school diploma or equivalent Experience: 12 to 18 months related experience and/or training in the healthcare and/or office/clerical and customer service fields. Other: Preferred applicant will have a working knowledge of medical insurance including: Medicare, Medicaid, Military, Commercial, Motor Vehicle Accident and Workers# Compensation.############################################################################### Preferred Education: Associates Degree Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without an accommodation.# Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.# While performing the duties of this job, the employee is required to perform the following:# Must have the ability to communicate effectively, orally and in writing, to solve problems and make decisions.# Spend 8 hours or more in front of computer, monitor or similar screen utilizing keyboard and/or mouse, daily. Ability to occasionally stand and walk, occasionally bend, squat and twist, and occasionally lift 20 pounds with proper body mechanics.# Spends eight hours or more in front of computer, monitor or similar screen utilizing keyboard and/or mouse.# Must have a keen sense of hearing and visual acuity with or without correction.# Must be able to handle critical and highly stressful situations with efficiency and composure. Work Environment: Office setting, within a hospital environment Position Type and Expected Hours of Work This is a position in a hospital setting which is open 24 hours a day, 365 days a year. Office staff: 5 days a week, Monday # Friday 8 hour shifts SUMMARY: Responsible for obtaining insurance information from referring provider's offices. Verifying benefits for clinical and procedural appointments. Building new patient accounts entering all relevant insurance information. Obtaining prior authorization from commercial, military, workers' compensation and motor vehicle insurance companies to ensure appropriate reimbursement. Must have a thorough understanding of the insurance process. Utilizes various avenues to verify coverage and document patient responsibility in each account to ensure correct copay/co insurance amounts are collected at each visit. Must be able to communicate inter-departmentally, with providers' offices as well as with insurance companies. Functions as subject matter expert to both internal and external customers. JOB REQUIREMENTS Education: High school diploma or equivalent Experience: 12 to 18 months related experience and/or training in the healthcare and/or office/clerical and customer service fields. Other: Preferred applicant will have a working knowledge of medical insurance including: Medicare, Medicaid, Military, Commercial, Motor Vehicle Accident and Workers' Compensation. Preferred Education: Associates Degree Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without an accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to perform the following: Must have the ability to communicate effectively, orally and in writing, to solve problems and make decisions. Spend 8 hours or more in front of computer, monitor or similar screen utilizing keyboard and/or mouse, daily. Ability to occasionally stand and walk, occasionally bend, squat and twist, and occasionally lift 20 pounds with proper body mechanics. Spends eight hours or more in front of computer, monitor or similar screen utilizing keyboard and/or mouse. Must have a keen sense of hearing and visual acuity with or without correction. Must be able to handle critical and highly stressful situations with efficiency and composure. Work Environment: Office setting, within a hospital environment Position Type and Expected Hours of Work This is a position in a hospital setting which is open 24 hours a day, 365 days a year. Office staff: 5 days a week, Monday - Friday 8 hour shifts

* There are multiple positions open across the 26 states in which we operate. The current locations for which we are seeking CAT Claim Reps are located in the job posting.* Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated claims professional to join our team. The position requires the following, but is not limited to: * Frequent travel up to 21 days at a time and is required upon short notice to location of catastrophe, which would most likely be out of state. * Can meet the physical demands required for the position including carrying and climbing a ladder. * Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses. * Familiar with insurance coverage by studying insurance policies, endorsements and forms. * Work towards the resolution of claims, possibly attending arbitrations, mediations, depositions or trials as necessary. * Ensure that claims payments are issued in a timely and accurate manner. Desired Skills & Experience * Bachelor's degree or equivalent experience * Minimum of 2 years claims handling experience or comparable experience * Field claims experience with multi-line property and casualty claims and wind/hail * Proficient with Xactimate software * Above-average communication skills (written and verbal) * Ability to resolve complex issues * Organize and interpret data * Ability to handle multiple assignments * Possess a valid driver's license * Military experience is considered Benefits Competitive salary, matching 401(k) retirement plans, fully funded pension plan, bonus programs, paid holidays, vacation days, personal days, paid sick leave and a comprehensive health care plan. Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-KC1 #LI-Hybrid

Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records. ESSENTIAL JOB DUTIES: * Provides telephone, administrative and data entry support for the coordination of benefits (COB) team. * Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads. * Updates the other insurance table on the claims transactional system and COB tracking database. * Review of claims identified for overpayment recovery. REQUIRED QUALIFICATIONS * At least 1 year of administrative support experience, or equivalent combination of relevant education and experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines. * Strong verbal and written communication skills. * Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders. * Microsoft Office suite proficiency. PREFERRED QUALIFICATIONS: * Health care experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCore Pay Range: $21.16 - $31.71 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Details Entry 5261 Rogers - Rogers, AR Full Time $15.25 Hourly DayPROCESSOR, E-COMMERCE is responsible for researching, listing, and providing accurate descriptions of donations that are selected to be sold through various online auction sites. Must meet or exceed the listing daily production goals. Uphold a positive work environment that follows Goodwill's Amazing Customer Experience (ACE) culture, Values, and Mission in everything you do and every interaction you have with co-workers, people served, donors, customers, and management. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Ensures work activities are being completed efficiently while maintaining compliance with all safety standards; ensures staff is adhering to all safety expectations and requirements for the workplace with an emphasis on neatness, cleanliness, and organization. This duty is performed daily. 2. Research items selected to be listed to ensure listing accuracy. Using web-based software to list our items on various auction sites. Expected to meet or exceed established daily quotas. This duty is performed daily. 3. Performs accurate initial sort and grading of donations to be listed. Supervises and performs posting of donations into the inventory system, shelving, and order processing. This duty is performed daily. 4. Works with management in identifying and addressing any quality control issues. This duty is performed weekly. 5. Maintain a positive work atmosphere by acting and communicating in a manner so that you get along with customers, people served, co-workers and management. This duty is performed daily. 6. Perform any other related duties as required or assigned. This duty is performed daily. 7. Perform any other related duties as required or assigned. Qualifications QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty mentioned satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. EDUCATION AND EXPERIENCE High school or GED, plus specialized schooling and/or on-the-job education in a specific skill area; e.g. data processing, clerical/administrative, equipment operation, etc, plus 0 to 6 months related experience and/or training or equivalent combination of education and experience. SOFTWARE SKILLS REQUIRED Basic: 10-Key, Other, Spreadsheet, Word Processing/Typing PHYSICAL ACTIVITIES The following physical activities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and expectations. Highly repetitive, low physical. Highly repetitive type of work which requires concentration in the performance of tasks for consistent time cycles as prescribed by the tasks. While performing the functions of this job, the employee is regularly required to sit, use hands to finger, handle, or feel, talk or hear; occasionally required to stand, walk, reach with hands and arms, taste or smell. The employee must occasionally lift and/or move up to 50 pounds; regularly lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision. ADDITIONAL INFORMATION Not indicated

**Job Title:** Senior Casualty Claims Examiner **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part Time:** Full time Under general supervision, this position is responsible for the investigation and resolution of significant to catastrophic claims. This incumbent will work closely with internal and external contacts to investigate claims, negotiate settlements, and prepare reports to ensure accurate and timely processing of casualty claims. This role will serve as a team lead to less experienced team members, lead initiatives when claims should be escalated to additional professionals, and provide settlement authority within designated limits to promote efficient resolutions. **:** **Key Responsibilities:** + Utilize independent knowledge and experience to conduct claims investigations to determine liability exposure of each assigned claim. This investigation includes analysis of state and federal laws, retaining services of field investigators, outside legal counsel to obtain a full picture of exposure and documentation of all findings for each claim within the claims matter management system for management review as well as internal and external audit processes. + Manage significant to catastrophic claims involving alleged property damage and bodily injury through the interview of key witnesses, securing evidence, reviewing applicable statutes and laws, analysis of estimates of repair, and analyzing medical reports + Handle all monetary aspects of assigned claims through the calculation of financial exposure analysis leading to the establishment of reserves at proper levels within assigned approval levels. And, by keeping management aware of claims with exposures above approved levels for continuous timely and efficient resolutions of assigned claims. + Manage negotiations with claimants, claimant's legal representatives or third parties by utilizing strong communication and negotiation skills in sharing investigative results and rationale, listening to claimant perspective and arguments and influencing claimant perspective to achieve consensus on appropriate and final resolution of assigned claims. + Utilize strong communication skills to keep all stakeholders aware of findings, decisions, and resolutions to support plans and initiatives to meet business unit needs while establishing accountability in achieving results and identifying and addressing improvement opportunities. + Prioritize and manage assigned claims workload to keep all involved parties informed and provide timely claims status updates + Initiate prompt contact with claimants to obtain information and establish the claims process; process incoming calls, emails, and notifications to support workload surges and/or extenuating situations including the creation of accident reports from the accident hotline. + Collect and analyze data from internal departments and third-parties to create repair estimates for company equipment to subrogate against adverse parties; present collected data to adverse party for collection or reimbursement of damages + Ensure compliance with company and departmental policies and procedures that support the mission, values and standards of ethics and integrity of the company + Pursue continual education in the practice of transportation claims management through internal training, seminars, and other educational materials to stay abreast of the changing claims and legal environment + Retain and manage outside counsel to assist in the investigation, preservation, and documentation of any significant to catastrophic claims. Utilizing independent knowledge and experience to interpret legal guidance in forming personal evaluations of claims from a liability and financial exposure standpoint. + Retain and manage outside counsel in the defense of matters in which the company has been named in legal proceedings. Utilizing the guidance and legal opinion of outside counsel in assisting to form the defense of these litigated matters as well as the potential path to resolution. + Provide training and mentoring to Claims Examiner I and II roles within the Casualty team to assist with onboarding of new team members; support through approval of additional settlement and reserving authority levels and in the assistance of claims resolution **Qualifications:** **Minimum Qualifications:** High School Diploma/GED with 5 years of experience in Auto/General Liability Claims, Insurance, or related field, or suitable combination of education, experience, and training AND/OR Demonstration of the following skills and abilities through education, certifications, military, or other experiences: + Ability to uphold a professional demeanor in all customer interactions, demonstrating empathy and patience in the face of challenging situations + Ability to accurately analyze situations and reach productive decisions based on informed judgment + Ability to adapt to a dynamic work environment and shifting priorities and directives + Ability to effectively transmit, receive, and accurately interpret ideas through various mediums + Ability to work with a variety of individuals and groups in a constructive and collaborative manner + Ability to capture and document relevant business information in an auditable, organized, and easily retrievable manner + Ability to process information with high levels of accuracy **Preferred Qualifications:** + Bachelor's Degree with 5 years of experience in Auto/General Liability Claims, Insurance, or related field + Experience in a call center, particularly within the Insurance industry + Ability to maintain composure under pressure + Ability to type at least 30 words-per-minute + Knowledge of claim investigation procedures + Knowledge of approaches and techniques for recognizing, anticipating, and resolving problems + Proficiency in documenting case details accurately and assessing payment eligibility This position is not eligible for employment-based sponsorship. **Compensation:** Factors which may affect starting pay within this range may include skills, education, experience, geography, and other qualifications of the successful candidate. This position may be eligible for annual bonus and incentives based on profitability or volumes in accordance with the terms of the Company's bonus and incentive plans, as applicable and in effect from time to time. **Benefits:** The Company offers the following benefits for full-time positions, subject to applicable eligibility requirements, as may be in effect from time to time: medical benefit, dental benefit, vision benefit, 401(k) retirement plan, life insurance, short-term and long-term disability coverage, paid time off commensurate with tenure (includes vacation and sick time), six weeks of paid maternity leave along with two weeks of paid parental leave, and six paid holidays annually. **Education:** Bachelors: Law (Required), Bachelors: Pre-Law (Required), Doctorate: Law, GED, High School **Work Experience:** Loss Prevention/Claims Management **Job Opening ID:** 00604206 Senior Casualty Claims Examiner (Open) **_"This job description has been designed to indicate the general nature and level of work performed by employees within this_** **_classification._** **_It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job._** **_To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions."_** **_J.B. Hunt Transport, Inc. is committed to basing employment decisions on the principles of equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, persons with disabilities, protected veterans or other bases by applicable law._** **Fortune 500 experience. Career advancement. Nationwide relocation possibilities.** Headquartered in Northwest Arkansas, J.B. Hunt is a dominant force in transportation and logistics, offering exciting career opportunities both at corporate and at field locations across the country. There are a variety of job types that support our business, so no matter your passion, J.B. Hunt is the place to jumpstart your career. **Why J.B. Hunt?** J.B. Hunt is a leading transportation and logistics company for one simple reason - our people. The career possibilities and benefits of working at J.B. Hunt are endless. From competitive salary and benefits packages, to defined career paths and growth opportunities, we take care of our people and take great pride in our efforts to build and sustain an inclusive workplace for all employees. **What are we looking for?** J.B. Hunt welcomes high-energy, forward-thinking people of all backgrounds and experience levels to join our team. We offer full-time, entry level, professional and management opportunities across all departments. Whether you are fresh out of school or bring years of industry experience, a role at J.B. Hunt could take your career to the next level. J.B. Hunt is proud to serve individuals of all abilities. If you need assistance completing your application, please contact us at ************************* . J.B. Hunt Transport, Inc. affirms its belief in equal employment opportunity for all employees and applicants for employment in all terms and conditions of employment. J.B. Hunt is committed to both the spirit and the letter of affirmative action law and continues its good-faith efforts to comply with all applicable government laws and regulations. The company is committed to basing employment decisions on the principles of equal employment opportunity. J.B. Hunt will recruit, hire, compensate, offer benefits to, upgrade, train, layoff, terminate, and/or promote individuals without discrimination in regards to race, color, religion, sex, national origin, age, sexual orientation, gender identity, status as a qualified individual with a disability, status as a protected veteran, or other bases by applicable law. J.B. Hunt Transport, Inc. offers reasonable accommodation in the employment process for individuals with disabilities. If you need assistance in the application process due to a disability, you may request accommodation at any time by calling **************.

The Claims Denial Specialist works within the organization's revenue cycle to investigate, resolve, and appeal denied insurance claims. By identifying the root causes of denials, correcting errors, and communicating with insurance companies, they help prevent revenue loss and secure proper reimbursement for services. Core responsibilities Denial analysis and resolution: Research denied or rejected claims by reviewing insurance correspondence, billing and coding documentation, and patient medical records. Appeals processing: Prepare and submit detailed, well-argued appeals to insurance payers, often citing clinical documentation, payer-specific policies, and contractual language. Investigative follow-up: Follow up on appeals and resubmitted claims with insurance companies, typically by phone or through payer portals, to resolve outstanding issues and ensure timely reimbursement. Process improvement: Identify trends and patterns in claim denials to help prevent future errors. This often involves collaborating with other departments, such as billing and coding, to improve processes. Documentation and reporting: Accurately document all communication and actions taken on a claim within the patient accounting system. Create and deliver reports to management on denial trends and recovery efforts. Compliance monitoring: Stay up-to-date with changing regulations, payer guidelines, and billing rules for government programs (like Medicare and Medicaid) and commercial insurance. Essential qualifications and skills Healthcare knowledge: A strong understanding of the healthcare revenue cycle, medical terminology, and medical coding systems. Experience with electronic health record (EHR) systems and billing software. The ability to conduct root-cause analysis, recognize patterns in denial data, and use critical thinking to build effective appeal strategies. Excellent written communication for drafting persuasive appeal letters and verbal communication for interacting with payers, providers, and patients. Professional certifications such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) are often preferred or required. Meticulous attention to detail is necessary to review complex documentation, catch errors, and ensure all resubmissions are accurate and compliant.

Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we're dedicated to providing exceptional service and innovative solutions, and we're looking for passionate individuals to be part of our dynamic team. If you're eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere! The Workers' Compensation Claims Representative under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Louisiana jurisdiction experience is required. Duties may include but are not limited to: * Receive assignments. * Reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business. * Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. * Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract. * Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. * Sets reserves within authority limits and recommends reserve changes to Team Leader. * Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. * Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims. * Settles claims promptly and equitably. * Obtains releases and timely issues indemnity benefits if due and owing. * Informs claimants, insureds/customers, or attorney of denial of claim when applicable. * May assist Team Leader and company attorneys in preparing cases for trial by taking statements. Continues efforts to settle claims before trial. * Refers claims to subrogation as appropriate. * May participate in claim file reviews and audits with customer/insured and broker. Administers Workers' Compensation benefits timely and appropriately per Jurisdiction. Maintains control of claim's resolution process to minimize current exposure and future risks * Establishes and maintains strong customer relations OTHER DUTIES MAY INCLUDE: * Working all queues and diary in a timely manner * Investigating compensability and benefit entitlement * Reviewing and approving medical bill payments * Managing vocational rehabilitation * 1-4 years' experience handling Workers' Compensation claims * Knowledge of claims handling and familiarity with claims terminologies * Effective negotiation skills * Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses. * Ability to self-motivate and work independently, excels in organization and time management skills * Knowledge of company products, services, coverages, and policy limits, along with awareness of the company's claims best practices and client service instructions * Knowledge of applicable state and local laws. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.

We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims Become familiar with insurance coverage by studying insurance policies, endorsements and forms Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary Ensure that claims payments are issued in a timely and accurate manner Handle investigations by phone, mail and on-site investigations Desired Skills & Experience Bachelor's degree or direct equivalent experience handling property and casualty claims A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims Field claims handling experience is preferred but not required Knowledge of Xactimate software is preferred but not required Above average communication skills (written and verbal) Ability to resolve complex issues Organize and interpret data Ability to handle multiple assignments Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNP #LI-Hybrid