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  • Michigan Homeowners Claim Representative II

    The Auto Club Group 4.2company rating

    Claim specialist job in Iowa City, IA

    Michigan Homeowners Claim Representative II - AAA The Auto Club Group Reports to: Claim Manager IWhat you will do: Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements, and establish clear evaluation and resolution plans for claims. Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system. Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss. Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills. Employees assigned to the Homeowner/CAT claim unit will handle claims generally valued between $5,000 and $25,000 (for the inside desk role) and up to $100,000 (for field role). Investigate claims requiring coverage analysis. When handling claims in the field, prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and update. Supervisory Responsibilities: None How you will benefit: A competitive annual salary between $64,000 - $72,000 ACG offers excellent and comprehensive benefits packages, including: Medical, dental and vision benefits 401k Match Paid parental leave and adoption assistance Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays Paid volunteer day annually Tuition assistance program, professional certification reimbursement program and other professional development opportunities AAA Membership Discounts, perks, and rewards and much more We're looking for candidates who:Required Qualifications (these are the minimum requirements to qualify) Education: Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience in property adjusting In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members. Experience: One year of experience or equivalent training in the following: Negotiating claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advance knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Knowledge of building construction and repair techniques Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines Work within assigned ACG Claim systems including basic PC software Perform basic claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound decision making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Research, analyze, and interpret subrogation laws in various states Strong negotiating skills Ability to work outside normal business hours as needed Preferred Qualifications: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Xactimate software experience/training or experience in an equivalent software Claims adjuster experience specifically in home/property claims preferred Experience working within a customer service setting Call center experience or experience handling high volume calls preferred, but not required Excellent communication skills both oral and written Experience working within an insurance or claims-based role for one year or more Full claims cycle experience preferred Work Environment This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $64k-72k yearly 1d ago
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  • Claims Specialist II - WC

    UFG Career

    Claim specialist job in Cedar Rapids, IA

    UFG is currently hiring for a Claims Specialist II to work with our Workers Compensation team. This individual's primarily responsible for verifying applicable coverages, conducting timely and thorough research of the facts of a loss, analyzing compensability and evaluating benefits for reserve and settlement, and negotiating medium to occasional high complexity claims to resolution in accordance with claims best practices. The Claims Specialist II - Workers Compensation role demonstrates a strong desire to learn and grow, promotes a positive work environment, and embraces a strong service-oriented mindset in support of internal and external customers. This role requires strong communication skills, attention to detail, and the ability to handle multiple tasks efficiently and effectively. It also requires the ability to work independently with low to moderate levels of supervision. A strong desire to advance one's professional development is essential to this role. Essential Duties & Responsibilities: Review claim assignments to timely determine policy coverage, compensability of a claimed injury or illness and facilitation of medical, indemnity and other statutory workers' compensation benefits. If a coverage issue is relevant, review facts with a designated leader or mentor to determine a proper plan of action. Make prompt, meaningful contact with insureds and their employees to research facts by conducting interviews; securing, understanding and synthesizing information from relevant documents; identifying other relevant parties to a claim; and proactively supporting all parties with their commitment to outcomes. Establish rapport and an outcome focused relationship with insureds and their employees, as well as other internal and external stakeholders, through consistent on-going contact throughout the recovery process and claim resolution. Request and analyze medical records to determine compensability according to evidence-based causation by jurisdiction. Develop knowledge of how to conduct medical and legal research. Interact with medical providers to clearly define medical causation and establish treatment plans focused on recovery. Promptly and supportively inform insured and employees as well as other stakeholders of coverage and compensability decisions. Support stay-at-work or return-to-work opportunities for insureds and their employees. Propose and facilitate vocational support when appropriate by jurisdiction. Identify subrogation potential and document evidence in support of subrogation. Understand the subrogation mechanism and actively partner with internal and external subrogation partners to achieve outcomes with a goal to achieve global resolution. Identify potential Medicare eligibility and comply with all Medicare Secondary Payor requirements of law. Develop knowledge of Medicare settlement obligations. Assess and periodically re-assess the nature and severity of injury or illness. Design a plan of action focused on recovery and resolution in accordance with claims best practice guidelines by jurisdiction. Identify factors which could impact successful outcomes and collaborate with others on plans of action to mitigate impacts. Assess and periodically re-assess claim file reserves adequacy. This will be achieved through understanding medical diagnoses and care plan developments; thorough analysis of wage information and accurate calculations of indemnity benefits; and by securing and providing job descriptions specific to the employee to medical providers. Promptly identify factors of risk for increased loss and expense costs. Execute all technical claim handling functions such as documenting facts within the claims management system in a consistent, concise and clear manner; make timely decisions and promptly communicate decisions to stakeholders; process accurate benefit payments; and seek opportunities to mitigate claim handling expenses. Proactively seek resolution of claims by defining stakeholder outcome expectations early and often, managing processes focused on outcomes and engaging in direct negotiation, mediation, settlement conferences or hearings according to jurisdiction. Emphasis is placed on seeking opportunities to overcome resolution barriers. Comply with statute specific claims handling practices and reporting requirements. Inform underwriting of increased hazards or unusual circumstances concerning a risk/policy exposure. Participate in internal and external continuing education opportunities to maintain licensure and develop claim handling skills and abilities. Demonstrate a supportive attitude and presence within the team by adapting well to change in process or procedure. Share innovative ideas to improve work product and outcomes. Take initiative to identify and learn about areas of professional development. Proactively seek out opportunities to collaborate with peers. Demonstrate interest in one's own career development and interest in supporting peers with their development. Job Specifications: Education: High school diploma required. Post-Secondary education or Bachelor's degree preferred. Licensing/Certifications/Designations: Meet the appropriate state licensing requirements to handle claims. Within 1 year of hire, complete the Workers' Recovery Professional (WRP) certification program. Within 3 years of hire, complete the Workers' Compensation Law Associate (WCLA) certification program. Willingness to pursue other professional certifications or designations requested. Experience: 3+ years of general work experience. 5+ years of workers' compensation claims handling experience or a combination of workers' compensation claims handling experience and experience in a related field. Knowledge: General knowledge of insurance, medical and legal concepts is required with a high degree of ability to articulate knowledge verbally and in writing. Skills and Abilities: Service-Oriented Mindset Clear and Concise Communication Analytical and Critical Thinking Attitude of Collaboration and Curiosity Proactive Decision-making and Problem-solving Time management and Sense of Service Urgency Demonstrate mentorship within the team Actively demonstrate engagement in executing on claims initiatives Working Conditions: Working remote from home or general office environment. Occasionally the job requires working irregular hours. Infrequent overnight travel and weekend hours may be required. Pay Transparency Statement: UFG Insurance is committed to fair and equitable compensation practices. The base salary range for this position is $59,622 - $78,637 annually, which represents the typical range for new hires in this role. Individual pay within this range will be determined based on a variety of factors, including relevant experience, education, certifications, skills, internal equity, geography and market data. In addition to base salary, UFG Insurance offers a comprehensive total rewards package that includes: Annual incentive compensation Medical, dental, vision & life insurance Accident, critical Illness & short-term disability insurance Retirement plans with employer contributions Generous time-off program Programs designed to support the employee well-being and financial security. This pay range disclosure is provided in accordance with applicable state and local pay transparency laws. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and skills required. Additional tasks and requirements may be assigned, as necessitated by business need. UFG retains the right to modify the description of this job at any time.
    $59.6k-78.6k yearly 59d ago
  • Claims Specialist II - WC

    UFG Insurance 4.7company rating

    Claim specialist job in Cedar Rapids, IA

    UFG is currently hiring for a Claims Specialist II to work with our Workers Compensation team. This individual's primarily responsible for verifying applicable coverages, conducting timely and thorough research of the facts of a loss, analyzing compensability and evaluating benefits for reserve and settlement, and negotiating medium to occasional high complexity claims to resolution in accordance with claims best practices. The Claims Specialist II - Workers Compensation role demonstrates a strong desire to learn and grow, promotes a positive work environment, and embraces a strong service-oriented mindset in support of internal and external customers. This role requires strong communication skills, attention to detail, and the ability to handle multiple tasks efficiently and effectively. It also requires the ability to work independently with low to moderate levels of supervision. A strong desire to advance one's professional development is essential to this role. Essential Duties & Responsibilities: * Review claim assignments to timely determine policy coverage, compensability of a claimed injury or illness and facilitation of medical, indemnity and other statutory workers' compensation benefits. If a coverage issue is relevant, review facts with a designated leader or mentor to determine a proper plan of action. * Make prompt, meaningful contact with insureds and their employees to research facts by conducting interviews; securing, understanding and synthesizing information from relevant documents; identifying other relevant parties to a claim; and proactively supporting all parties with their commitment to outcomes. * Establish rapport and an outcome focused relationship with insureds and their employees, as well as other internal and external stakeholders, through consistent on-going contact throughout the recovery process and claim resolution. * Request and analyze medical records to determine compensability according to evidence-based causation by jurisdiction. Develop knowledge of how to conduct medical and legal research. * Interact with medical providers to clearly define medical causation and establish treatment plans focused on recovery. * Promptly and supportively inform insured and employees as well as other stakeholders of coverage and compensability decisions. * Support stay-at-work or return-to-work opportunities for insureds and their employees. Propose and facilitate vocational support when appropriate by jurisdiction. * Identify subrogation potential and document evidence in support of subrogation. Understand the subrogation mechanism and actively partner with internal and external subrogation partners to achieve outcomes with a goal to achieve global resolution. * Identify potential Medicare eligibility and comply with all Medicare Secondary Payor requirements of law. Develop knowledge of Medicare settlement obligations. * Assess and periodically re-assess the nature and severity of injury or illness. Design a plan of action focused on recovery and resolution in accordance with claims best practice guidelines by jurisdiction. Identify factors which could impact successful outcomes and collaborate with others on plans of action to mitigate impacts. * Assess and periodically re-assess claim file reserves adequacy. This will be achieved through understanding medical diagnoses and care plan developments; thorough analysis of wage information and accurate calculations of indemnity benefits; and by securing and providing job descriptions specific to the employee to medical providers. Promptly identify factors of risk for increased loss and expense costs. * Execute all technical claim handling functions such as documenting facts within the claims management system in a consistent, concise and clear manner; make timely decisions and promptly communicate decisions to stakeholders; process accurate benefit payments; and seek opportunities to mitigate claim handling expenses. * Proactively seek resolution of claims by defining stakeholder outcome expectations early and often, managing processes focused on outcomes and engaging in direct negotiation, mediation, settlement conferences or hearings according to jurisdiction. Emphasis is placed on seeking opportunities to overcome resolution barriers. * Comply with statute specific claims handling practices and reporting requirements. * Inform underwriting of increased hazards or unusual circumstances concerning a risk/policy exposure. * Participate in internal and external continuing education opportunities to maintain licensure and develop claim handling skills and abilities. * Demonstrate a supportive attitude and presence within the team by adapting well to change in process or procedure. Share innovative ideas to improve work product and outcomes. Take initiative to identify and learn about areas of professional development. Proactively seek out opportunities to collaborate with peers. * Demonstrate interest in one's own career development and interest in supporting peers with their development. Job Specifications: Education: * High school diploma required. * Post-Secondary education or Bachelor's degree preferred. Licensing/Certifications/Designations: * Meet the appropriate state licensing requirements to handle claims. * Within 1 year of hire, complete the Workers' Recovery Professional (WRP) certification program. * Within 3 years of hire, complete the Workers' Compensation Law Associate (WCLA) certification program. * Willingness to pursue other professional certifications or designations requested. Experience: * 3+ years of general work experience. * 5+ years of workers' compensation claims handling experience or a combination of workers' compensation claims handling experience and experience in a related field. Knowledge: * General knowledge of insurance, medical and legal concepts is required with a high degree of ability to articulate knowledge verbally and in writing. Skills and Abilities: * Service-Oriented Mindset * Clear and Concise Communication * Analytical and Critical Thinking * Attitude of Collaboration and Curiosity * Proactive Decision-making and Problem-solving * Time management and Sense of Service Urgency * Demonstrate mentorship within the team * Actively demonstrate engagement in executing on claims initiatives Working Conditions: * Working remote from home or general office environment. * Occasionally the job requires working irregular hours. * Infrequent overnight travel and weekend hours may be required. Pay Transparency Statement: UFG Insurance is committed to fair and equitable compensation practices. The base salary range for this position is $59,622 - $78,637 annually, which represents the typical range for new hires in this role. Individual pay within this range will be determined based on a variety of factors, including relevant experience, education, certifications, skills, internal equity, geography and market data. In addition to base salary, UFG Insurance offers a comprehensive total rewards package that includes: * Annual incentive compensation * Medical, dental, vision & life insurance * Accident, critical Illness & short-term disability insurance * Retirement plans with employer contributions * Generous time-off program * Programs designed to support the employee well-being and financial security. This pay range disclosure is provided in accordance with applicable state and local pay transparency laws. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and skills required. Additional tasks and requirements may be assigned, as necessitated by business need. UFG retains the right to modify the description of this job at any time.
    $59.6k-78.6k yearly 60d+ ago
  • Claims Examiner

    Auxiant 3.1company rating

    Claim specialist job in Cedar Rapids, IA

    Full-time Description ************************ Auxiant's Mission Statement and Core Values Mission: An Independent TPA investing in People and Innovation to deliver expert-driven experiences with REAL Results. Core Values: Independent Solutions. REAL Results Respect Empowerment Agility Leadership Be part of a growing and prospering company as a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans with offices in Cedar Rapids, IA, Madison and Milwaukee, WI. Auxiant is a fast-growing,progressive company offering an excellent wage and benefit package. Job Summary: Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: Process claims in a timely manner with acceptable accuracy Answer inbound phone calls from members and providers. Handle correspondence from members and providers in a timely manner. Analyze self-funded health plans and use plan language to correspond to necessary inquiries, both verbally and written. Interpret plan design and language to analyze claim edits. Point of contact for clients and members. Work Customer Service Tickets. Nonessential Functions: Other duties as assigned or appropriate Education/Qualifications: Familiarity with ICD-10 and CPT coding Understanding of medical claims processing guidelines Proficient PC skills including email, record keeping, routine database activity, word processing, spreadsheet and 10-key QicLink experience Medical Terminology High school diploma and 1-2 years related experience; or equivalent combination of education and experience *Full benefits including: Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD, 401K, 3 weeks vacation, 9 paid holidays, casual dress code and more Job Type: Full-time Schedule: 8 hour shift Day shift Monday to Friday Work Location: In person
    $35k-48k yearly est. 21d ago
  • Adjudicator, Provider Claims

    Molina Healthcare Inc. 4.4company rating

    Claim specialist job in Cedar Rapids, IA

    Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. * Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. * Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. * Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. * Assists in reviews of state and federal complaints related to claims. * Collaborates with other internal departments to determine appropriate resolution of claims issues. * Researches claims tracers, adjustments, and resubmissions of claims. * Adjudicates or readjudicates high volumes of claims in a timely manner. * Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. * Meets claims department quality and production standards. * Supports claims department initiatives to improve overall claims function efficiency. * Completes basic claims projects as assigned. Required Qualifications * At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. * Research and data analysis skills. * Organizational skills and attention to detail. * Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Customer service experience. * Effective verbal and written communication skills. * Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $21.7-38.4 hourly 1d ago
  • Daily Claims Adjuster Cedar Rapids Iowa

    Cenco Claims 3.8company rating

    Claim specialist job in Cedar Rapids, IA

    CENCO Claims is hiring a Daily Property Adjuster to inspect and handle residential and commercial property claims in the Cedar Rapids area. This is a field-based role with steady claim volume and flexible scheduling. Key Responsibilities: Conduct on-site inspections and assess property damage Prepare estimates using Xactimate software Take clear photos and write accurate reports Communicate with policyholders and insurance carriers Submit complete claim files in a timely manner Qualifications: 2+ years of property adjusting experience preferred Proficiency in Xactimate Knowledge of property construction and damage assessment Strong time management and communication skills Reliable vehicle and valid driver's license Active Adjuster License What We Offer: Competitive per-claim compensation Regular claim assignments Flexible schedule Support from an experienced claims management team Opportunities for ongoing work and growth Apply Now!
    $43k-52k yearly est. Auto-Apply 60d+ ago
  • Branch Claims Representative

    Auto-Owners Insurance 4.3company rating

    Claim specialist job in Cedar Rapids, IA

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products Learn and comply with Company claim handling procedures Develop entry-level claim negotiation and settlement skills Build skills to effectively serve the needs of agents, insureds, and others Meet and communicate with claimants, legal counsel, and third-parties Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience Bachelor's degree or direct equivalent experience with property/casualty claims handling Ability to organize data, multi-task and make decisions independently Above average communication skills (written and verbal) Ability to write reports and compose correspondence Ability to resolve complex issues Ability to maintain confidentially and data security Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-KC1 #LI-Hybrid
    $32k-40k yearly est. Auto-Apply 44d ago
  • Independent Insurance Claims Adjuster in Cedar Rapids, Iowa

    Milehigh Adjusters Houston

    Claim specialist job in Cedar Rapids, IA

    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.
    $43k-52k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claim specialist job in Cedar Rapids, IA

    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.
    $44k-52k yearly est. Auto-Apply 43d ago
  • Claims Adjuster Trainee

    Progressive 4.4company rating

    Claim specialist job in Hiawatha, IA

    Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a claims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position, which means you'll be building relationships with customers over the phone. In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims. This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months. After that period, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office as often as you would like. Duties & responsibilities (upon completion of training) * Determine coverage * Determine liability (who's at fault for the damages) * Interview customers, claimants, and witnesses * Partner with appraisers/estimators to manage vehicle repairs * Negotiate with customers and other insurance carriers and resolve claims Must-have qualifications * Three years of work experience OR * Bachelor's degree OR * Two years work experience and an associate degree Schedule: Monday - Friday, 8:30 am - 5:30 pm during training; 8:00 am - 5:00 pm during onboarding; 9:00 am - 6:00 pm after onboarding. Location: Clive, Davenport, Hiawatha, or Sioux City, IA claims offices Compensation * Once you complete training and pass any necessary testing requirements, your salary will be $54,000-$57,500/year, however, during training, you'll be paid hourly based on your annual salary. * Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance Benefits * 401(k) with dollar-for-dollar company match up to 6% * Medical, dental & vision, including free preventative care * Wellness & mental health programs * Health care flexible spending accounts, health savings accounts, & life insurance * Paid time off, including volunteer time off * Paid & unpaid sick leave where applicable, as well as short & long-term disability * Parental & family leave; military leave & pay * Diverse, inclusive & welcoming culture with Employee Resource Groups * Career development & tuition assistance Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership. Applicants must be authorized to work for any employer in the U.S. without the need or potential need, of current or future sponsorship for employment. Progressive does not hire candidates with (e.g., F-1 CPT, OPT, or STEM OPT, H-1B, O-1, E-3, TN) statuses for this role. Equal Opportunity Employer For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at ************************************************************** Share: Email X Facebook LinkedIn Apply Now
    $54k-57.5k yearly 8d ago
  • Rec Marine Adjuster

    Sedgwick 4.4company rating

    Claim specialist job in Cedar Rapids, IA

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims system. + Reviews survey reports and insurance policies to determine insurance coverage. + Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Appropriate state adjuster license is required. **Experience** 3 years or more of Marine Adjusting preferred. **Skills & Knowledge** + Strong oral and written communication skills + PC literate, including Microsoft Office products + Good customer service skills + Good organizational skills + Demonstrated commitment to timely reporting + Ability to work independently and in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity **Auditory/Visual** **:** Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $50k yearly 42d ago
  • Senior Claim Benefit Specialist

    CVS Health 4.6company rating

    Claim specialist job in Homestead, IA

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject matter expert by providing training, coaching, or responding to complex issues. May handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals. - Ensures all compliance requirements are satisfied and all payments are made against company practices and procedures. - Identifies and reports possible claim overpayments, underpayments and any other irregularities. - Performs claim rework calculations. - Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for claim or reconsideration. **Required Qualifications** - New York Independent Adjuster License - Experience in a production environment. - Demonstrated ability to handle multiple assignments competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG system knowledge **Education** **-** High School Diploma required - Preferred Associates degree or equivalent work experience. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $18.50 - $42.35 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 02/27/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $18.5-42.4 hourly 6d ago
  • Collateral Insurance Specialist

    Hills Bank 3.9company rating

    Claim specialist job in Hills, IA

    Job Description SCHEDULE: Full-time; Monday through Friday, (7:30 am - 5:30 pm) Average of 40 hours per week. BENEFITS: Our employees are our most valuable assets, so we invest in them with a comprehensive and competitive benefits package. Our philosophy of taking care of the customer extends to taking care of our employees so that they, in turn, can take good care of themselves and their families. Join Hills Bank and let us surprise you with even more perks! SCOPE: The Collateral Insurance Specialist will report directly to the Loan Servicing Supervisor and work closely with other loan operations personnel as well as lenders, customers, insurance agents, and regulatory agencies. The Collateral Insurance Specialist is responsible for maintaining the bank's hazard insurance tracking as well as the flood insurance program. Responsibilities for this position include processing incoming insurance policies for accuracy and continued coverage, insurance escrow billing and maintenance, as well as lapsed coverage follow up. This position is responsible for the force placed insurance portfolio, including all submittal and reconciliation of forced placed insurance policies, as well as the communication to customers regarding all insurance requirements, adhering to both state and federal regulations. This position will complete ongoing flood compliance reviews, ensuring the appropriate flood insurance requirements are met as well as education and support for lenders, customers, and the community. ACCOUNTABILITIES: Insurance Tracking: (20%) Process incoming hazard and flood insurance policies. Review each renewing flood insurance policy, cancelation or amendment to ensure proper flood insurance coverage is maintained. Document and communicate insurance cancellation and renewal issues with customers and lenders to ensure that proper insurance coverage is maintained at all times. Flood Review: (20%) Review all loan applications secured by real estate located within a Special Flood Hazard Area to determine the amount of flood insurance required and that the correct policy is obtained to ensure that all bank and federal regulations are met. Facilitate communication between lenders, customers and insurance personnel to maintain cohesive understanding of specific requirements and proper documentation for each loan closing. Administer the bank's flood insurance compliance program in accordance with federal regulations and bank policy. Insurance Escrow Processing: (20%) Complete payment processing for loans that escrow for hazard and flood insurance. Work with the insurance agents to ensure proper billing. Forced Placed Insurance Processing: (20%) Review each insurance policy as it cancels or expires to ensure proper coverage is maintained. Communicate insurance issues with customers and lenders, following state and federal regulations. Force placed insurance when necessary. Process monthly forced placed insurance reconciliation, refunds, and renewals. Compliance: (10%) Stay up to date on federal and state laws regarding hazard and flood insurance requirements for financial institutions. Assist in the development of manuals and supporting documentation to meet the bank's Business Continuity Plan requirements as well as provide training materials. Assist with the training of other staff in regards to flood insurance procedures and policies. Work closely with in-house, third party, state, and federal auditors/examiners in order to maintain or exceed the standard of excellence which has been set in recent years. General Department Duties: (10%) Assist with other specialized projects/duties in the Post Closing Department as needed. Assist in the development of manuals and supporting documentation to accomplish task/duties inherent in this position. As part of the overall team of bank employees, this position may be requested to assist in the support of other bank activities. Other duties as assigned. EDUCATION AND SPECIAL REQUIREMENTS: Must have Bachelor's degree in business or related field OR 1-2 years' experience in a related position in a community bank - OR - equivalent combination of education and experience. This job requires skills needed in a typical office environment. This includes computer skills, communications skills, as well as utilization of office equipment. EQUAL OPPORTUNITY EMPLOYER Job Posted by ApplicantPro
    $32k-37k yearly est. 15d ago
  • Claims Examiner

    Auxiant 3.1company rating

    Claim specialist job in Cedar Rapids, IA

    Full-time Description ************************ Auxiant's Mission Statement and Core Values Mission: An Independent TPA investing in People and Innovation to deliver expert-driven experiences with REAL Results. Core Values: Independent Solutions. REAL Results Respect Empowerment Agility Leadership Be part of a growing and prospering company as a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans with offices in Cedar Rapids, IA, Madison and Milwaukee, WI. Auxiant is a fast-growing,progressive company offering an excellent wage and benefit package. Job Summary: Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: Process claims in a timely manner with acceptable accuracy Answer inbound phone calls from members and providers. Handle correspondence from members and providers in a timely manner. Analyze self-funded health plans and use plan language to correspond to necessary inquiries, both verbally and written. Interpret plan design and language to analyze claim edits. Point of contact for clients and members. Work Customer Service Tickets. Nonessential Functions: Other duties as assigned or appropriate Education/Qualifications: Familiarity with ICD-10 and CPT coding Understanding of medical claims processing guidelines Proficient PC skills including email, record keeping, routine database activity, word processing, spreadsheet and 10-key QicLink experience Medical Terminology High school diploma and 1-2 years related experience; or equivalent combination of education and experience *Full benefits including: Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD, 401K, 3 weeks vacation, 9 paid holidays, casual dress code and more Job Type: Full-time Schedule: 8 hour shift Day shift Monday to Friday Work Location: Remote or Hybrid
    $35k-48k yearly est. 21d ago
  • Claims Rep-Inside

    United Fire Group 4.7company rating

    Claim specialist job in Cedar Rapids, IA

    United Fire Group is seeking an inside claims representative for the central plains region in our Cedar Rapids office. This position will investigate, evaluate, negotiate and settle commercial and personal property and casualty claims. This position is eligible for telecommuting. Relocation assistance is provided. Job Functions • Review assignments to determine severity, coverages and appropriate action. • Conduct phone interviews and take recorded statements from all parties possessing facts regarding the claim. • Review and interpret policy coverage to determine whether the claim is payable under the policy, deductible, actual cash value or replacement cost. • Write reports for the claim file to document all activity related to loss. • Evaluate the loss/damages. • Prepare files for arbitration. • Negotiate with contractors or repair facilities regarding extent of damage and method of repair. Recover salvage and sell to appropriate salvage buyer. • Keep current on court cases, changes in law, values and prices of property and materials. • Promote positive working relationships with agents. • Participate in company sponsored educational programs to develop and maintain knowledge of products, producers and industry trends. • Perform other job duties as assigned. • Regular attendance. United Fire Group is seeking an inside claims representative for the central plains region in our Cedar Rapids office. This position will investigate, evaluate, negotiate and settle commercial and personal property and casualty claims. This position is eligible for telecommuting. Relocation assistance is provided. Job Functions • Review assignments to determine severity, coverages and appropriate action. • Conduct phone interviews and take recorded statements from all parties possessing facts regarding the claim. • Review and interpret policy coverage to determine whether the claim is payable under the policy, deductible, actual cash value or replacement cost. • Write reports for the claim file to document all activity related to loss. • Evaluate the loss/damages. • Prepare files for arbitration. • Negotiate with contractors or repair facilities regarding extent of damage and method of repair. Recover salvage and sell to appropriate salvage buyer. • Keep current on court cases, changes in law, values and prices of property and materials. • Promote positive working relationships with agents. • Participate in company sponsored educational programs to develop and maintain knowledge of products, producers and industry trends. • Perform other job duties as assigned. • Regular attendance. The ideal candidate will have two to five years of property and casualty claims experience. A four year college degree preferred. Must have knowledge of the law (civil, traffic, contractual), construction, medicine, auto and building repair, math, mechanical aptitude, repair techniques, labor and material prices. Must be able to read, comprehend and interpret policy language and apply to loss. Possess analytical ability to determine reserves. Must possess negotiation skills, human relations skills, analytical skills, organizational skills, as well as oral and written communication skills. Must be able to work with little guidance or direction. Equal Opportunity Employer United Fire Group has a policy to provide equal opportunity for all. We continue to take positive action to recruit, hire, train, transfer and promote persons in all job categories based on the individual's ability to perform the job and without regard to race, color, religion, creed, sex, age, national origin, sexual orientation, disability or genetics. Skills & Requirements The ideal candidate will have two to five years of property and casualty claims experience. A four year college degree preferred. Must have knowledge of the law (civil, traffic, contractual), construction, medicine, auto and building repair, math, mechanical aptitude, repair techniques, labor and material prices. Must be able to read, comprehend and interpret policy language and apply to loss. Possess analytical ability to determine reserves. Must possess negotiation skills, human relations skills, analytical skills, organizational skills, as well as oral and written communication skills. Must be able to work with little guidance or direction. Equal Opportunity Employer United Fire Group has a policy to provide equal opportunity for all. We continue to take positive action to recruit, hire, train, transfer and promote persons in all job categories based on the individual's ability to perform the job and without regard to race, color, religion, creed, sex, age, national origin, sexual orientation, disability or genetics.
    $30k-38k yearly est. 60d+ ago
  • Adjudicator, Provider Claims

    Molina Healthcare Inc. 4.4company rating

    Claim specialist job in Iowa City, IA

    Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. * Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. * Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. * Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. * Assists in reviews of state and federal complaints related to claims. * Collaborates with other internal departments to determine appropriate resolution of claims issues. * Researches claims tracers, adjustments, and resubmissions of claims. * Adjudicates or readjudicates high volumes of claims in a timely manner. * Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. * Meets claims department quality and production standards. * Supports claims department initiatives to improve overall claims function efficiency. * Completes basic claims projects as assigned. Required Qualifications * At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. * Research and data analysis skills. * Organizational skills and attention to detail. * Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Customer service experience. * Effective verbal and written communication skills. * Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $21.7-38.4 hourly 1d ago
  • Independent Insurance Claims Adjuster in Waterloo, Iowa

    Milehigh Adjusters Houston

    Claim specialist job in Waterloo, IA

    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.
    $43k-52k yearly est. Auto-Apply 60d+ ago
  • Rec Marine Adjuster

    Sedgwick 4.4company rating

    Claim specialist job in Coralville, IA

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims system. + Reviews survey reports and insurance policies to determine insurance coverage. + Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Appropriate state adjuster license is required. **Experience** 3 years or more of Marine Adjusting preferred. **Skills & Knowledge** + Strong oral and written communication skills + PC literate, including Microsoft Office products + Good customer service skills + Good organizational skills + Demonstrated commitment to timely reporting + Ability to work independently and in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity **Auditory/Visual** **:** Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $50k yearly 42d ago
  • Collateral Insurance Specialist

    Hills Bank 3.9company rating

    Claim specialist job in Hills, IA

    SCHEDULE: Full-time; Monday through Friday, (7:30 am - 5:30 pm) Average of 40 hours per week. BENEFITS: Our employees are our most valuable assets, so we invest in them with a comprehensive and competitive benefits package. Our philosophy of taking care of the customer extends to taking care of our employees so that they, in turn, can take good care of themselves and their families. Join Hills Bank and let us surprise you with even more perks! SCOPE: The Collateral Insurance Specialist will report directly to the Loan Servicing Supervisor and work closely with other loan operations personnel as well as lenders, customers, insurance agents, and regulatory agencies. The Collateral Insurance Specialist is responsible for maintaining the bank's hazard insurance tracking as well as the flood insurance program. Responsibilities for this position include processing incoming insurance policies for accuracy and continued coverage, insurance escrow billing and maintenance, as well as lapsed coverage follow up. This position is responsible for the force placed insurance portfolio, including all submittal and reconciliation of forced placed insurance policies, as well as the communication to customers regarding all insurance requirements, adhering to both state and federal regulations. This position will complete ongoing flood compliance reviews, ensuring the appropriate flood insurance requirements are met as well as education and support for lenders, customers, and the community. ACCOUNTABILITIES: Insurance Tracking: (20%) Process incoming hazard and flood insurance policies. Review each renewing flood insurance policy, cancelation or amendment to ensure proper flood insurance coverage is maintained. Document and communicate insurance cancellation and renewal issues with customers and lenders to ensure that proper insurance coverage is maintained at all times. Flood Review: (20%) Review all loan applications secured by real estate located within a Special Flood Hazard Area to determine the amount of flood insurance required and that the correct policy is obtained to ensure that all bank and federal regulations are met. Facilitate communication between lenders, customers and insurance personnel to maintain cohesive understanding of specific requirements and proper documentation for each loan closing. Administer the bank's flood insurance compliance program in accordance with federal regulations and bank policy. Insurance Escrow Processing: (20%) Complete payment processing for loans that escrow for hazard and flood insurance. Work with the insurance agents to ensure proper billing. Forced Placed Insurance Processing: (20%) Review each insurance policy as it cancels or expires to ensure proper coverage is maintained. Communicate insurance issues with customers and lenders, following state and federal regulations. Force placed insurance when necessary. Process monthly forced placed insurance reconciliation, refunds, and renewals. Compliance: (10%) Stay up to date on federal and state laws regarding hazard and flood insurance requirements for financial institutions. Assist in the development of manuals and supporting documentation to meet the bank's Business Continuity Plan requirements as well as provide training materials. Assist with the training of other staff in regards to flood insurance procedures and policies. Work closely with in-house, third party, state, and federal auditors/examiners in order to maintain or exceed the standard of excellence which has been set in recent years. General Department Duties: (10%) Assist with other specialized projects/duties in the Post Closing Department as needed. Assist in the development of manuals and supporting documentation to accomplish task/duties inherent in this position. As part of the overall team of bank employees, this position may be requested to assist in the support of other bank activities. Other duties as assigned. EDUCATION AND SPECIAL REQUIREMENTS: Must have Bachelor's degree in business or related field OR 1-2 years' experience in a related position in a community bank - OR - equivalent combination of education and experience. This job requires skills needed in a typical office environment. This includes computer skills, communications skills, as well as utilization of office equipment. EQUAL OPPORTUNITY EMPLOYER
    $32k-37k yearly est. 14d ago
  • Analyst, Claims Research

    Molina Healthcare 4.4company rating

    Claim specialist job in Cedar Rapids, IA

    Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of processing errors through research and analysis, coordinating and engaging with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. **Essential Job Duties** - Serves as claims subject matter expert - using analytical skills to conduct research and analysis to address issues, requests, and support high-priority claims inquiries and projects. - Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. - Manages and leads major claims projects of considerable complexity and volume that may be initiated internally, or through provider inquiries/complaints, or legal requests. - Assists with reducing rework by identifying and remediating claims processing issues. - Locates and interprets claims-related regulatory and contractual requirements. - Tailors existing reports and/or available data to meet the needs of claims projects. - Evaluates claims using standard principles and applicable state-specific regulations to identify claims processing errors. - Applies claims processing and technical knowledge to appropriately define a path for short/long-term systematic or operational fixes. - Seeks to improve overall claims performance, and ensure claims are processed accurately and timely. - Identifies claims requiring reprocessing or readjudication in a timely manner to ensure compliance. - Works collaboratively with internal/external stakeholders to define claims requirements. - Recommends updates to claims standard operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing. - Fields claims questions from the operations team. - Interprets, communicates, and presents, clear in-depth analysis of claims research results, root-cause analysis, remediation plans and fixes, overall progress, and status of impacted claims. - Appropriately conveys claims-related information and tailors communication based on targeted audiences. - Provides sufficient claims information to internal operations teams that communicate externally with providers and/or members. - Collaborates with other functional teams on claims-related projects, and completes tasks within designated/accelerated timelines to minimize provider/member impacts and maintain compliance. - Supports claims department initiatives to improve overall claims function efficiency. **Required Qualifications** - At least 3 years of medical claims processing experience, or equivalent combination of relevant education and experience. - Medical claims processing experience across multiple states, markets, and claim types. - Knowledge of claims processing related to inpatient/outpatient facilities contracted with Medicare, Medicaid, and Marketplace government-sponsored programs. - Data research and analysis skills. - Organizational skills and attention to detail. - Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Ability to work cross-collaboratively in a highly matrixed organization. - Customer service skills. - Effective verbal and written communication skills. - Microsoft Office suite (including Excel), and applicable software programs proficiency. **Preferred Qualifications** - Health care claims analysis experience. - Project management experience. - QNXT, Salesforce and basic SQL To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $46.42 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $28k-37k yearly est. 3d ago

Learn more about claim specialist jobs

How much does a claim specialist earn in Cedar Rapids, IA?

The average claim specialist in Cedar Rapids, IA earns between $20,000 and $53,000 annually. This compares to the national average claim specialist range of $27,000 to $67,000.

Average claim specialist salary in Cedar Rapids, IA

$33,000

What are the biggest employers of Claim Specialists in Cedar Rapids, IA?

The biggest employers of Claim Specialists in Cedar Rapids, IA are:
  1. UFG Insurance
  2. UFG Career
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