Claims Representative
Claim specialist job in Bellevue, WA
LHH Recruitment Solutions is seeking an Claims Representative for our client in Bellevue, WA 98008 Our client is a leading asset manager dedicated to helping individuals, financial professionals and institutions design better portfolios.
Title: Claims Representative
Location: Bellevue, WA 98008
Pay: $26.00 - $40/hr
Hybrid: In-office Tuesday, Wednesday, Thursday
Summary
The Claims Representative manages and resolves property/casualty insurance claims efficiently and fairly. This role requires prior adjusting experience and focuses on training candidates on company-specific policies and systems-not basic claim handling. Active state adjuster license(s) are a plus.
Day-to-Day Responsibilities
Investigate and maintain claims: Gather reports, statements, photos, and estimates.
Evaluate claims: Assess coverage, damages, and liability.
Communicate with stakeholders: Policyholders, agents, legal reps; provide updates and explain processes.
Negotiate settlements: Ensure fairness within policy limits.
Document and report: Maintain accurate records for compliance.
Collaborate with other departments: Legal, underwriting, special investigations.
Ensure compliance: Adhere to state regulations and company guidelines.
Deliver excellent customer service: Professional and empathetic communication.
Qualifications
Education: Bachelor's degree not required.
Experience:
6 months to 3 years of property/casualty claims adjusting experience.
Must have verifiable adjusting experience; ready for advanced training.
Position- Claims Representative
📍
Location:
Bellevue, WA 98008
💵
Pay:
$26.00 - $40/hr
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to ******************************************* The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
San Francisco Fair Chance Ordinance
Patient Claims Specialist - Bilingual Only
Claim specialist job in Olympia, WA
We are united in our mission to make a positive impact on healthcare. Join Us!
South Florida Business Journal, Best Places to Work 2024
Inc. 5000 Fastest-Growing Private Companies in America 2024
2024 Black Book Awards, ranked #1 EHR in 11 Specialties
2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold)
2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara)
Who we are:
We Are Modernizing Medicine (WAMM)! We're a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany.
ModMed is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient experience within our passionate, high-performing Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring their account needs are met excellently. This direct interaction with our customers' patients makes you an integral part of ModMed's business. It opens the door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company that is genuinely Modernizing Medicine!
Your Role:
Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections
Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates
Input and update patient account information and document calls into the Practice Management system
Special Projects: Other duties as required to support and enhance our customer/patient-facing activities
Skills & Requirements:
High School Diploma or GED required
Availability to work 9:00 am - 6:00 pm PST
Minimum of 1-2 years of previous healthcare administration or related experience required
Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs)
Manage/ field 60+ inbound calls per day
Bilingual required (Spanish & English)
Proficient knowledge of business software applications such as Excel, Word, and PowerPoint
Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone
Ability and openness to learn new things
Ability to work effectively within a team in order to create a positive environment
Ability to remain calm in a demanding call center environment
Professional demeanor required
Ability to effectively manage time and competing priorities
#LI-SM2
ModMed Benefits Highlight:
At ModMed, we believe it's important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:
India
Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk,
Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,
Allowances: Annual wellness allowance to support your well-being and productivity,
Earned, casual, and sick leaves to maintain a healthy work-life balance,
Bereavement leave for difficult times and extended medical leave options,
Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,
Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.
United States
Comprehensive medical, dental, and vision benefits
401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
Generous Paid Time Off and Paid Parental Leave programs,
Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,
Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed,
Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning,
Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,
Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.
PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (*************************). Please check senders' email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.
Auto-ApplyAssociate Claim Rep - Casualty
Claim specialist job in Seattle, WA
Join Grange Insurance Association, a well-established leader in the insurance sector for over 130 years! Headquarters in the city of Seattle, with a footprint stretching across six Western states, we've been protecting families, farms, and businesses with unwavering commitment. As you embark on a fulfilling career with Grange, discover why our average employee tenure surpasses a decade. Make your mark with an organization that values quality, service, and the lasting impact you can bring!
This is a hybrid position, requiring 2 days in the Seattle office.
Position Overview:
Casualty Claims Representatives are an essential part of our team, managing the injury and damages portions of claims for Auto, Home Owners and Farm. Incumbents provide the support our customers need, while ensuring claims are resolved swiftly. Casualty Claims Reps analyze and determine the extent of Grange Insurance Association's Coverage and Liability concerning loss and damages on a claim.
Key Responsibilities:
Interpret policies, gather relevant details, and determine the appropriate course of action.
Investigate claims by contacting involved parties, assessing injuries, determining liability, and evaluating unrepresented bodily injury claims.
Negotiate settlements with customers and other insurance carriers.
Work effectively in a hybrid environment (in-office and remote), unless ADA accommodations apply.
Perform additional duties as assigned.
Qualifications:
REQUIRED:
Bachelor's degree and one year of work experience in the insurance industry; preference given to those with background in claims liability
In lieu of a degree, a total of three to five years of work experience, some of which must be claims handling in the insurance industry
Experience and ability to make decisions, problem solve, plan, prioritize and organize
Effective verbal and written communication
Excellent customer service skills
Comprehensive Benefits:
Pay Range: $24.52 to $39.16
Flexible hybrid work schedule (2 days per week in Seattle office required)
Medical, Dental, and Vision plans
401(k) plan with up to 5% match
Employer sponsored LTD, life insurance, and AD&D
Discretionary profit sharing and bonuses
Fully subsidized ORCA card and/or free parking for Seattle employees
Education Reimbursement
On-Site Fitness Center
Opportunities for career growth and advancement within the organization.
A supportive and collaborative work environment.
Ongoing training and professional development opportunities.
How to Apply:
If you are passionate about helping people, have a strong understanding of casualty claims , and are ready to join a dynamic team, we encourage you to apply.
Grange Insurance Association is an equal opportunity employer and welcomes all qualified candidates to apply.
Grange Insurance Association is committed to ensuring a diverse and inclusive workplace where all employees are treated with respect and dignity. We encourage applications from candidates of all backgrounds and experiences.
Auto-ApplyOutside Property Claim Representative Trainee - Seattle, WA
Claim specialist job in Federal Way, WA
**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**
$52,600.00 - $86,800.00
**Target Openings**
2
**What Is the Opportunity?**
This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.
As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.
This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.
This position services Insureds/Agents in and around Seattle, Washington. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory.
**What Will You Do?**
+ Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.
+ The on the job training includes practice and execution of the following core assignments:
+ Handles 1st party property claims of moderate severity and complexity as assigned.
+ Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.
+ Broad scale use of innovative technologies.
+ Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate.
+ Establishes timely and accurate claim and expense reserves.
+ Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
+ Negotiates and conveys claim settlements within authority limits.
+ Writes denial letters, Reservation of Rights and other complex correspondence.
+ Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
+ Meets all quality standards and expectations in accordance with the Knowledge Guides.
+ Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
+ Manages file inventory to ensure timely resolution of cases.
+ Handles files in compliance with state regulations, where applicable.
+ Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
+ Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
+ Identifies and refers claims with Major Case Unit exposure to the manager.
+ Performs administrative functions such as expense accounts, time off reporting, etc. as required.
+ Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
+ May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
+ Must secure and maintain company credit card required.
+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
+ In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards.
+ This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience preferred.
+ Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic
+ Verbal and written communication skills -Intermediate
+ Attention to detail ensuring accuracy - Basic
+ Ability to work in a high volume, fast paced environment managing multiple priorities - Basic
+ Analytical Thinking - Basic
+ Judgment/ Decision Making - Basic
+ Valid passport preferred.
**What is a Must Have?**
+ High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required.
+ Valid driver's license - required.
**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 ******************************************************** .
Claims Processor
Claim specialist job in Seattle, WA
Are you looking for a new career in a challenging industry? Does paid training for a job that provides a sense of accomplishment as you help others sounds like your perfect fit? If so, check out our role on our pension claims processing team! What you'll be doing...
As a pension claims processor, you will be assisting customers who are going through a significant change in their life-planning for retirement. You will have your own case load to manage that requires timely and accurately performed tasks according to benefit plan rules and federal time restrictions. You will:
* Meet with customers, by phone, to explain the pension claims process
* Verify benefit eligibility and follow up on eligibility issues
* Correspond with customers about documents necessary to complete their benefit claim
* Accurately enter data into claims processing system
Successful completion of the 12-week paid training program is required! Training begins in our Seattle, WA office on January 13, 2026.
Who you are...
* Organized. Able to juggle and prioritize workloads, have strong analytical skills
* Communicator. Strong verbally and in writing including interpersonal skills
* Service Minded. Passionate about customer service--delivering it like you expect to receive it
* Detailed. Attentive to detail with excellent problem-solving skills
* Technically Savvy. Proficient with technology, intermediate level with Excel and Word
Who we are...
Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package.
* Union scale wages, raises every 6 months, starting at $24.64/hr up to $34.30/hr.
* Medical, Dental, Vision & Rx benefits
* Employer provided/fully funded Defined Benefit Pension
* Up to 8.6 days of Paid Leave and 10 Holidays
* Strong team environment with good work-life balance
Auto-ApplyProperty Casualty Claims Representative
Claim specialist job in Bellevue, WA
Job Title: Property Casualty Claims Representative Type: Contract Compensation: $37/Hour Contractor Work Model: Hybrid Hours: Normal Daytime Shift // In office Tuesday, Wednesday and Thursday - office address is 3326 160th Ave SE Bellevue, WA 98008 - free parking
* This job is non-exempt in California, Colorado, New York, Washington
Qualification :
In essence, a Claims Representative is responsible for managing the entire claims process from start to finish, ensuring that claims are resolved fairly, promptly, and in a manner that aligns with the coverage provided by the policy, the policyholder's needs and the company's guidelines.
Job Requirements:
Education: Bachelor's Degree or equivalent experience.
Field of Study: Liberal Arts, Business or a related discipline.
Experience: Generally, 6 months to 3 years of related experience.
ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services.
What you will be doing: A Claims Representative plays a crucial role in the insurance industry by managing and resolving insurance claims. The primary responsibility is to ensure that claims are handled efficiently, fairly, and in accordance with policy terms. Here's a breakdown of a Claim Representative's typical duties:
+ Investigates and Maintains Claims: You will gather information related to the claim, such as accident reports, statements from involved parties, photos, estimates, and any other necessary documentation.
+ Evaluating Claims: Assess the details of the claim, including policy coverage, the extent of damages, and liability.
+ Communicating with Stakeholders: You will serve as the main point of contact on each claim for policyholders, agents, legal representatives, and other involved parties. They provide updates on the status of the claim, answer questions, and explain the claims process via both verbal and formal written communication. This includes conveying simple to moderately complex information (coverage, decision, outcomes, etc.) to all appropriate parties and maintaining a professional demeanor in all situations.
+ Negotiating Settlements: Claims Representatives often negotiate settlements with claimants or their representatives. You will aim to reach agreements that are fair and within the limits of the policy coverage.
+ Documenting and Reporting: You will maintain detailed and accurate records of all communications, investigations, and decisions related to the claim. This essential task ensures compliance with company policies and legal requirements.
+ Collaborating with Other Departments: You may work with other departments, such as legal, underwriting, or special investigation units, to resolve claims. In Specialty Equipment, a Claims Representative also collaborates with Divisional leaders on complex claims.
+ Ensuring Compliance: Ensure that all claims are handled in line with industry regulations and company guidelines. This includes staying updated on relevant laws and best practices. Complying with and adhering to each state's handling requirements is an essential job function.
+ Providing Customer Service: Throughout the claims process, you will focus on delivering excellent customer service by being responsive, empathetic, and professional. Exceptional customer service helps to maintain the company's reputation and customer satisfaction.
System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
#M-PJ1
#LI-PJ1
#DI-
Ref: #860-IT Cincinnati
System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
Claims Recovery Analyst I
Claim specialist job in Seattle, WA
**This role is available remotely in Washington State Only.
Who we are
Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.
Our commitment is to:
Strive to apply an equity lens to all our work.
Reduce health disparities.
Become an anti-racist organization.
Create an equitable work environment.
About the Role
Responsible for conducting focused claim reviews and identifying and facilitating claim adjustments based on results found through Community Health Plan of Washington claim reviews or as identified by internal Community Health Plan of Washington departments. Responsible for sustaining processes and executing process improvement and quality monitoring. Responsible for contacting providers regarding negative balance collections.
Additionally, the role involves investigating and resolving escalated claims issues raised by internal Community Health Plan of Washington (CHPW) departments and committees. The incumbent monitors departmental compliance with state and CMS requirements, including managing the collection and submission of operational performance metrics and required data reporting. Finally, the position serves as a subject matter expert for Claims Recovery, contributing to companywide or specialized projects to improve processes and ensure accurate claims management.
To be successful in this role, you:
Have minimum two (2) years claims operations experience required, with proven broad knowledge and execution of quality improvement methods and tools or related experience. Experience in managed care preferred.
Have Medicaid Coordination of Benefits (COB) and Medicare Secondary Payor (MSP) experience preferred.
Have prior experience encouraging timely repayment from providers preferred.
Possess an understanding of the healthcare industry, specifically in the Operations area.
Have a GED or High School diploma or an equivalent combination of education and highly relevant experience in healthcare.
Essential functions and Roles and Responsibilities:
Identify and conduct focused and random claims audits.
Provide research for providers in a negative balance over 45 days.
Create demand letters and support collections effort.
Contacts providers to request refunds.
Regularly submit subrogation referrals.
Facilitate claim adjustments and system remediation as required.
Receive and research escalated claims issues identified by internal Community Health Plan of Washington departments and committees.
Regularly monitor departmental contractual compliance with state and CMS requirements including managing the collection and submission of required operational performance metrics and data reporting requirements.
Participate in companywide or specific projects as a subject matter expert for Claims Recovery.
Knowledge, Skills, and Abilities:
Analytical skills.
Project management skills and team facilitation skills.
Communication skills, both verbal and written.
Technical and process documentation skills.
Ability to work repetitive tasks.
Ability to work well with different people at all levels within the organization.
Ability to analyze, organize and prioritize work, while meeting multiple deadlines.
Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the job description, we encourage you to apply anyway.
As part of our hiring process, the following criteria must be met:
Complete and successfully pass a criminal background check.
Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.
Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency.
Vaccination requirement (CHPW offers a process for medical or religious exemptions)
Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.
Compensation and Benefits:
The position is FLSA Non-Exempt and is eligible for overtime and has a 5% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors.
CHPW offers the following benefits for Full and Part-time employees and their dependents:
Medical, Prescription, Dental, and Vision
Telehealth app
Flexible Spending Accounts, Health Savings Accounts
Basic Life AD&D, Short and Long-Term Disability
Voluntary Life, Critical Care, and Long-Term Care Insurance
401(k) Retirement and generous employer match
Employee Assistance Program and Mental Fitness app
Financial Coaching, Identity Theft Protection
Time off including PTO accrual starting at 17 days per year.
40 hours Community Service volunteer time
10 standard holidays, 2 floating holidays
Compassion time off, jury duty
Sensory/Physical/Mental Requirements:
Sensory*:
Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance.
Physical*:
Extended periods of sitting, computer use, talking and possibly standing.
Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion.
Frequent torso/back static position; occasional stooping, bending, and twisting.
Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching.
Mental:
Ability to learn and prioritize multiple tasks at a given time and have the capability of handling demanding situations. Analytical/problem solving/critical thinking ability.
Work Environment:
Office environment. Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.
Submarine Certification Specialist - Washington, D.C.
Claim specialist job in Navy Yard City, WA
Looking for an opportunity at a place you can have influence and make a difference every day? Then Serco has the right opportunity for you!
As the Program Analyst (Submarines), you will provide programmatic support to one of our NAVSEA customers in the Washington, DC area. Bring your expertise and collaborative skills to make an impact towards our military defense and safety of our sailors.
This position is contingent upon your ability to maintain/transfer your Secret clearance.
Serco is the prime on the SHAPM contract which deals with acquisition and construction of submarines. The Team Submarine concept unifies once diverse submarine-related activities into a single submarine-centric organization with the goal of eliminating traditional stovepipe structures and processes that created impediments and inefficiencies in the submarine research, development, acquisition, and maintenance communities. Team Submarine provides improved communication among the various offices that contribute to the overall success of the United States Submarine Force.
In this role, you will:
Provide Engineering and Technical support coordinating all matters relating to preparation, review and approval of Ship Certification correspondence for Fast Cruise and Sea Trials, Follow-On certifications and URO certifications.
Coordinate routing and processing of all ship certification documents for concurrence and approval signatures.
Prepare coordinated reports, presentations and briefings in support of program actions.
Analyzes requirements to develop program reporting including specifications, data gathering and analytical techniques, and evaluation methodology.
Support studies, surveys, reviews, and/or research projects to evaluate program accomplishments, effectiveness, and/or compliance with meeting specific goals, objectives, rules, and regulations.
Develop evaluation plans, metrics, procedures, and methodology as a result of studies performed.
Provide Subject Matter Expert (SME) support and assist the Government with technical analyses, inquiries, research, testing, data validation for any matters relating to US submarines.
Maintain applicable Plans of Actions and Milestones (POA&M) as directed/required.
Interface with stakeholders to identify, assign, and track action items, leveraging initiatives to benefit submarine sustainment support.
Collect information and provide recommendations to senior decision-makers through well-written documents.
Communicate with various Program Office representatives within NAVSEA and other Department of Navy organization in supporting PM concerns.
Coordinate with the technical community and develop white papers and presentations for the Government and the Navy on program status or issues impacting the program.
Organize and maintain Program tracking files/tools on program status, actions items and issues.
Support the team in performing additional duties and responsibilities as assigned.
Provide timely and efficient responses for all urgent tasking.
Ensure program correspondence and deliverables are in accordance with Serco's Quality Assurance Program.
Qualifications
To be successful in this role you will have:
An active or current DoD Secret clearance is required.
US Citizenship
Bachelor's Degree
An Associate's Degree and 2 years of additional experience will be considered in lieu of Bachelor's Degree or a High School Diploma/GED and 4 years of additional experience will be considered in lieu of Bachelor's Degree.
8 years of experience (Experience with Navy acquisition and/or In-Service Programs highly preferred)
Strong customer, interpersonal and organizational level communication skills (written and verbal).
Proficiency with Microsoft Office Suite programs, to include Excel and PowerPoint.
Written communication skills (e.g., drafting program impact statements and Congressional Appeals)
Experience leading a project and interfacing with an end item customer.
Ability to travel at least 10% of the time.
Additional desired experience and skills:
Active-Duty experience in submarine service (preferably SSN) is a plus.
Recent experience in Team Submarine would be ideal.
If you are interested in supporting and working with our military and sailors and a passionate Serco team- then submit your application now for immediate consideration. It only takes a few minutes and could change your career!
Meet Your Recruiter!
In compliance with the District of Columbia's Equal Pay for Equal Work Act, the salary range for this role is $101,342.27 to $164,679.85 however, Serco considers several factors when extending an offer, including but not limited to, the role and associated responsibilities, a candidate's work experience, education/training, and key skills.
Company Overview
Serco Inc. (Serco) is the Americas division of Serco Group, plc. In North America, Serco's 9,000+ employees strive to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters.
To review Serco benefits please visit: ************************************************************ If you require an accommodation with the application process please email: ******************** or call the HR Service Desk at ************, option 1. Please note, due to EEOC/OFCCP compliance, Serco is unable to accept resumes by email.
Candidates may be asked to present proof of identify during the selection process. If requested, this will require presentation of a government-issued I.D. (with photo) with name and address that match the information entered on the application. Serco will not take possession of or retain/store the information provided as proof of identity. For more information on how Serco uses your information, please see our Applicant Privacy Policy and Notice.
Serco does not accept unsolicited resumes through or from search firms or staffing agencies without being a contracted approved vendor. All unsolicited resumes will be considered the property of Serco and will not be obligated to pay a placement or contract fee. If you are interested in becoming an approved vendor at Serco, please email *********************.
Serco is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Auto-ApplyDaily Claims Adjuster - Seattle, WA
Claim specialist job in Seattle, WA
CENCO is a trusted provider of property claims services, working with top insurance carriers to deliver dependable, efficient, and accurate adjusting solutions. We are currently hiring Daily Property Claims Adjusters to handle residential and commercial claims in Seattle and the surrounding Puget Sound region. This is a great opportunity for adjusters seeking consistent work and the freedom of independent field assignments.
Key Responsibilities:
Perform on-site inspections for property damage caused by wind, water, fire, and other covered perils.
Capture detailed documentation, including photos and thorough written reports.
Create accurate repair estimates using Xactimate or Symbility.
Communicate clearly and professionally with policyholders, contractors, and carriers.
Manage each claim efficiently and meet all required deadlines.
What You'll Need:
Licensing: Must have or be able to obtain a Washington adjuster license.
Software: Experience with Xactimate or Symbility preferred.
Tools & Transportation: Reliable vehicle, ladder, laptop, and adjusting tools.
Work Style: Self-directed, detail-oriented, and dependable.
Availability: Ability to quickly accept and complete assignments on schedule.
Why Work with CENCO?
Reliable claim volume in Seattle and nearby markets
Competitive pay with prompt compensation
Supportive team and streamlined systems that help you succeed
If you're looking for steady daily claims work and a reliable partner in the field, CENCO would love to hear from you!
Independent Insurance Claims Adjuster in Bremerton, Washington
Claim specialist job in Bremerton, WA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
Auto-ApplyField Claims Adjuster
Claim specialist job in Seattle, WA
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
Large Loss Claim Resolution Specialist, Personal Property
Claim specialist job in Tacoma, WA
In this role, you will manage, investigate, and resolve assigned Property Contents Claims that present high exposure or more complex under limited supervision. You will inspect, compile and value inventory of damaged/lost contents associated with property claims and provide policyholders with exceptional customer service. You may assist Claims Representatives with in-person inspection/policyholder contact where necessary, and act as technical resource for other Contents Specialists.
Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.
Employees may apply for a new role after completing 12 months of employment in their current position.
Responsibilities:
* Handles a majority of large loss claims assigned under little supervision.
* Investigates, determines coverage of loss, and adjusts all elements of Property Loss claims of high severity.
* Performs full on-site inventory inspection and scope of damages and able to communicate such to both policyholders and vendors.
* Provides quality customer service. Provides insured with policy information to include coverage, limitations, and able to explain settlement effectively.
* Oversees coordination of contents vendors, some which are third-party -including contractors, emergency repair teams, and cleaning services, negotiates service scopes and estimates, monitors performance, and ensure compliance with contract terms and safety standards.
* May be asked to perform field assist on files handled by other property departments with in-person inspection and/or policyholder contact when needed.
* Takes initiative to stay current on personal‑property standards, market trends, and products through continuing education, seminars, and industry publications.
Qualifications
* Strong written and oral communications skills required.
* Good interpersonal, analytical and negotiation skills required
* Effective negotiation skills.
* Customer service experience preferred
* Knowledge of coverages provided within various homeowner policies.
* Ability to effectively and independently manage workload while exhibiting good judgment.
* Experience in interior design, electronics, appliances, antique-collectibles, clothing and furniture retail preferred.
* The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience
* Ability to obtain proper licensing as required.
* Completion of advanced property training.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
* California
* Los Angeles Incorporated
* Los Angeles Unincorporated
* Philadelphia
* San Francisco
Auto-ApplyMedical Claims Specialist
Claim specialist job in Seattle, WA
UW Medicine Faculty Practice Plane Services has and outstanding opportunity for a **Claims Specialist (Patient Account Representative 2).** This position is responsible for claims review, clearing claim edits, and timely and accurate submission of claims (both electronic and paper)
**WORKING SCHEDULE:**
+ Monday - Friday, Full-time
+ Remote
**PRIMARY JOB RESPONSIBILITIES:**
+ Review charges that may need to be routed to a different account type (VA, ACC, MVA), create new account types as needed, and add (or link) the correct coverage(s) to the new accounts.
+ Review charges for any coverage errors and research available resources (EEV, payer websites, phone call to insurance) to determine correct information needed to clear the charge edit as appropriate.
+ Resolve all pre-processing claim edits that indicate errors needing correction. This may involve updating patient registration information, posting rejections, or forwarding the claim to a medical coding specialist for review and coding changes prior to submitting the claim for payment.
+ Resolve all coverage/registration denials
+ Continuously evaluate own work product to diagnose trends or patterns of errors needing corrections, and make recommendations to management regarding building in new edits, deactivating obsolete edits, or modifying existing edits to improve efficiency.
+ Assimilate and operationalize all quarterly/yearly updates to each payer's billing rules, guidelines, exceptions, and carve-outs, making sure we've captured any changes that may require building additional charge edits or claim edits.
+ Prepare and submit pre-authorization questionnaires to Qualis or ProviderOne for any Health Care Authority claims requiring pre-authorization.
+ Process all account merge requests in a timely manner when it's determined there are duplicate patient accounts in our EPIC billing system.
+ Review HMC Trauma Registry daily, flag all trauma-related accounts with UWPTRM patient notice, and follow up with Harborview staff to obtain ISS scores.
+ Complete retro adjudication (VFO) process using assigned work queues when new coverages are added to patient accounts by other areas, including reviewing for incorrect payments from insurance or patient, and rebill charges accordingly.
+ Update or correct patient registration/demographics on accounts in the EPIC billing system.
+ Update/edit charge entry detail for Medicare claims that have been corrected and need to be resubmitted electronically.
+ Research and navigate a variety of databases to obtain/verify claim/eligibility information via payer websites and/or confer with payers by phone.
+ Process claim attachments and secondary claims.
+ Review and identify corrected claims to ensure that all necessary documentation is compiled for submission to payers.
**MINIMUM REQUIREMENTS:**
+ High School graduation or equivalent AND two years of experience in patient accounting, customer service, or a related office environment.
+ Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.
UW Medicine **Faculty Practice Plan Services (FPPS)** supports **UW Physicians (UWP)** , a practice group for more than 3,000 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Neighborhood Clinics, UW Medical Center - Northwest, the UW School of Medicine, Valley Medical Center, and Airlift Northwest. UWP members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Children's Hospital.
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$47,724.00 annual
**Pay Range Maximum:**
$68,244.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
L&I Subrogation Specialist (Program Specialist 3)
Claim specialist job in Tumwater, WA
Our Mission: Keep Washington Safe and Working! Our Values: Customer Focus, One L&I, Respect, Diversity, Equity and Inclusion, Learning and Growth, Reliability Job Highlights The Department of Labor & Industries (L&I), Crime Victims Compensation Program (CVCP) is seeking candidates for an exciting opportunity as a Subrogation Specialist (Program Specialist 3).
In this position, you will analyze crime victim's tort claims, perform legal research and analysis, represent the Crime Victims Compensation Program at mediations, collaboratively negotiate final settlements, and perform collections on behalf of the CVCP.
Why work for us:
The Crime Victims Compensation Program (CVCP) is located within the Administrative Services Division of L&I. The mission of our program is to reduce the financial impact of violent crime on victims and their families. Our goal is to prevent further hardship and suffering by providing benefits to victims as quickly as possible.
The CVCP is a strong, dynamic team with a positive goal-oriented atmosphere. We strive to ensure we are customer focused, offer learning and development opportunities to support your continued growth, as well as maintain a work life balance. We are a great agency with a commitment to a values-based culture and growth mindset.
Who you are:
* You are detail oriented and have experience interpreting and applying laws, rules and policies to inform your decisions.
* You demonstrate critical thinking, and have a good grasp of negotiating insurance settlements, personal injury and first/third party claims.
* You are able to communicate with a wide range of groups and individuals clearly and concisely both orally and in writing.
* You have the ability to comprehend and explain complex processes in a way that makes them easy to understand.
* You have highly developed interpersonal skills, are approachable, listen and authentically connect with individuals who have varying perspectives and priorities.
* If this sounds like you, we encourage you to apply to be a part of our team!
Some of what you'll do:
* Review and analyze claims to determine appropriate recovery actions.
* Request and process settlement documents related to first party, third party, and/or civil recovery from attorneys or insurance companies. Review the settlement release to ensure the department's right to restitution is not compromised.
* Negotiate with multiple insurance companies, (auto, life, homeowners and medical) to recover benefits paid by CVCP.
* Perform legal research, interpret RCW 7.68, case law, legal opinions and court rules supporting CVCP's right to recovery.
* Administers basic math calculations accurately and specified mathematical formulas to determine amounts of the settlement and how it will be distributed for attorney fees and costs, the victim's and CVCP's share of the settlement and any remaining balances that can be used to offset future claim expenses.
* Resolves any remaining issues that can delay the settlement with the attorney, victim or insurer(s).
* Evaluate factual and legal issues of liability (tort and case law) and determine whether to approve settlements that do not fully reimburse claim expenses, or whether to exercise discretionary authority to compromise CVCP's lien or negotiate settlement action with attorneys and insurers.
* Issue first and third-party Order and Notices confirming the settlement distribution to the victim's attorney or unrepresented victims and monitors the case for payment of CVCP's share of the settlement.
* Issues lien letters to insurers and attorneys not1tymg them to CVCP's lien for expenses paid on claims and CVCP's right to recovery.
* Issues requests for restitution from criminal offenders to the victims/witness advocates with the prosecuting attorney's office.
Required:
* Paralegal Certification from an approved paralegal program, or Bachelor's Degree in a related field.
* Two years of experience in legal or insurance setting involving complex claims or personal injury issues.
Please note: Additional qualifying experience in claims or insurance adjusting claims investigations, collections or related field may be substituted year for year of education (Bachelor's Degree).
Desired:
* Two (2) years or more dealing with subrogation, restitution, and collections. Knowledge of RCW 7.68.050 and RCW 9.94A.753.
Things You Need To Know
To help you maintain a proper work-life balance, teleworking is one of the work schedule options for this position. L&I also offers flexible custom work schedules.
State employees who meet the qualifications will become eligible for a generous retirement package at the end of the employee's career. Click on the "Benefits" tab to learn more.
At L&I, your voice matters. In addition, L&I is a diverse state agency dedicated to the safety and health and security of Washington's 3.3 million workers. Take a look at this brief video and learn more about why L&I is an employer of choice.
For this position, telework is permitted full time, after the 6 month training period. Training will be done in the office, in person. The assigned duty station for this position is Tumwater, Washington.
For positions where in-office work is necessary, the frequency of telework will be discussed with the supervisor of the position at the time of offer.
To receive more information on opportunities at L&I sign up for GovDelivery and select L&I job alerts.
Application process
We will contact the top candidates directly to interview for this position. Because we base the selection on information provided by you, it is in your best interest to identify the knowledge, skills, and abilities that address the required and desirable qualifications described in the announcement.
Please include the following documents with your application:
* A cover letter describing specific qualifications.
* A current resume detailing applicable experience and education.
* A list of at least three professional references with current telephone numbers.
Please do not attach or place any medical information (vaccination status included) within the application, resume, or cover letter. If you do, we will have to reject your application to safeguard others from receiving your confidential information. You will have to remove the confidential information before you can apply again.
To learn more about our hiring process timeline at L&I please visit our L&I recruiting page at Hiring Process at L&I. If you would like to read our website in a language other than English, scroll up to the top of the page to select your language of choice from the banner.
Background Check Notice
Prior to a placement in this position, a background check, including criminal history record will be conducted. Information from your background check will not necessarily preclude employment but will be considered in determining your eligibility to perform the requirements of the position.
Other information
For positions requiring travel, you must have a valid unrestricted driver's license and have insurance if driving a privately owned vehicle on state business.
* This position is represented by the Washington Federation of State Employees (WFSE).
* Candidates who are offered a job with L&I must possess work authorization that does not require sponsorship by the employer for a visa now or in the future.
* The Department of Labor & Industries complies with the employment eligibility verification requirements of the federal employment eligibility verification form, I-9. The selected candidate must be able to provide proof of identity and eligibility to work in the United States consistent with the requirements of that form on the first day of employment.
* Please note: L&I may use this announcement to fill multiple permanent and/or non-permanent positions.
* Applicants selected to move forward in the hiring process may be contacted by email to schedule a skills assessment. Assessments are proctored remotely via Zoom or Microsoft Teams.
Did You Know?
Washington is America's Top State to live, play, and work, according to U.S. News (2021). Join the L&I team and enjoy all the Evergreen State has to offer.
In addition to offering a positive balance between life and work, L&I provides one of the most competitive benefits packages in the nation. We also believe your voice matters. We value our employees and their work-life balance by encouraging flexible schedules. L&I is a diverse state agency dedicated to the safety and health and security of Washington's 3 million workers.
Veterans Preference
Applicants wishing to claim Veterans Preference should attach to their application a copy of their DD-214 (Member 4 copy), NGB 22, or signed verification of service letter from the United States Department of Veterans Affairs. Please blackout any personally identifiable data such as Social Security numbers. For further information, contact L&I's ***************.
Diversity, Equity, and Inclusion Employer
L&I employees come from all walks of life. We strive to hire great people from a wide variety of backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
We believe in the importance of recognizing the value each of us contribute to the success of the agency mission. Having a diverse workforce is this agency's greatest resource of strength and knowledge. It is through the combination of talents and abilities that we can pursue finding effective measures to provide the best customer service. We are committed to building a diverse and inclusive workplace for everyone and we strongly mean everyone.
The State of Washington is an equal opportunity employer. Persons with a disability who need accommodation in the application process or testing process, or those needing this announcement in an alternative format, may call ************. TTY users should first call 711 to access the Washington Relay Service.
You are welcome to include the name and pronoun you would like to be referred to in your materials and we will honor this as you interact with our award-winning diverse and inclusive organization.
For more Information
If you have any questions regarding this job posting, program, or the agency, please contact Haleigh Missildine (she/her/hers) at ******************.
Outside Property Claim Representative Trainee - Seattle, WA
Claim specialist job in Federal Way, WA
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
$52,600.00 - $86,800.00
Target Openings
2
What Is the Opportunity?
This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.
As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.
This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.
This position services Insureds/Agents in and around Seattle, Washington. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory.
What Will You Do?
* Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.
* The on the job training includes practice and execution of the following core assignments:
* Handles 1st party property claims of moderate severity and complexity as assigned.
* Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.
* Broad scale use of innovative technologies.
* Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate.
* Establishes timely and accurate claim and expense reserves.
* Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
* Negotiates and conveys claim settlements within authority limits.
* Writes denial letters, Reservation of Rights and other complex correspondence.
* Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
* Meets all quality standards and expectations in accordance with the Knowledge Guides.
* Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
* Manages file inventory to ensure timely resolution of cases.
* Handles files in compliance with state regulations, where applicable.
* Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
* Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
* Identifies and refers claims with Major Case Unit exposure to the manager.
* Performs administrative functions such as expense accounts, time off reporting, etc. as required.
* Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
* May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
* Must secure and maintain company credit card required.
* In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
* In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards.
* This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position
* Perform other duties as assigned.
What Will Our Ideal Candidate Have?
* Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience preferred.
* Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic
* Verbal and written communication skills -Intermediate
* Attention to detail ensuring accuracy - Basic
* Ability to work in a high volume, fast paced environment managing multiple priorities - Basic
* Analytical Thinking - Basic
* Judgment/ Decision Making - Basic
* Valid passport preferred.
What is a Must Have?
* High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required.
* Valid driver's license - required.
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 *********************************************************
Independent Insurance Claims Adjuster in Seattle, Washington
Claim specialist job in Seattle, WA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
Auto-ApplyField Claims Adjuster
Claim specialist job in Redmond, WA
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
Large Loss Claim Resolution Specialist, Personal Property
Claim specialist job in Olympia, WA
In this role, you will manage, investigate, and resolve assigned Property Contents Claims that present high exposure or more complex under limited supervision. You will inspect, compile and value inventory of damaged/lost contents associated with property claims and provide policyholders with exceptional customer service. You may assist Claims Representatives with in-person inspection/policyholder contact where necessary, and act as technical resource for other Contents Specialists.
Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.
Employees may apply for a new role after completing 12 months of employment in their current position.
Responsibilities:
* Handles a majority of large loss claims assigned under little supervision.
* Investigates, determines coverage of loss, and adjusts all elements of Property Loss claims of high severity.
* Performs full on-site inventory inspection and scope of damages and able to communicate such to both policyholders and vendors.
* Provides quality customer service. Provides insured with policy information to include coverage, limitations, and able to explain settlement effectively.
* Oversees coordination of contents vendors, some which are third-party -including contractors, emergency repair teams, and cleaning services, negotiates service scopes and estimates, monitors performance, and ensure compliance with contract terms and safety standards.
* May be asked to perform field assist on files handled by other property departments with in-person inspection and/or policyholder contact when needed.
* Takes initiative to stay current on personal‑property standards, market trends, and products through continuing education, seminars, and industry publications.
Qualifications
* Strong written and oral communications skills required.
* Good interpersonal, analytical and negotiation skills required
* Effective negotiation skills.
* Customer service experience preferred
* Knowledge of coverages provided within various homeowner policies.
* Ability to effectively and independently manage workload while exhibiting good judgment.
* Experience in interior design, electronics, appliances, antique-collectibles, clothing and furniture retail preferred.
* The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience
* Ability to obtain proper licensing as required.
* Completion of advanced property training.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
* California
* Los Angeles Incorporated
* Los Angeles Unincorporated
* Philadelphia
* San Francisco
Auto-ApplyField Claims Adjuster
Claim specialist job in Olympia, WA
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
Independent Insurance Claims Adjuster in Olympia, Washington
Claim specialist job in Olympia, WA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
Auto-Apply