Claim specialist jobs in Georgia - 263 jobs

** At Securian Financial, the internal title is Customer Benefit Payments Sr Rep** The Claims team is looking for a highly motivated, energized and positive individual. We work in a fast-paced, ever-changing environment where claim information needs to be processed efficiently and accurately. We take pride in providing high standards of performance to our customers and strive to exceed those standards. If you enjoy assisting people in their time of need, being customer focused and working in a team-oriented environment, then joining our team may be right move for you. Responsibilities include but not limited to: Serves department dedicated to issuing timely, accurate benefit payments to customers and channel partners. Tasks include payment processing, data entry, records management, fraud prevention, and loss or eligibility investigations. Provides effective, customer-centric, and compliant communication to internal and external resources, clients, and partners. Adjudicates payments in compliance with regulatory requirements and applicable law, engaging legal, medical, and investigative resources as necessary. Maintains accurate and complete payment record to improve the customer experience, quality review/audit process, and protect our company in the event of litigation and regulatory investigations. Makes critical risk assessments on behalf of Securian Financial and its clients. May manage or serve as subject matter expert for special projects. Ensures payment practices are efficient and in keeping with our organization's values and the highest ethical standards. Qualifications: Strong analytical skills and attention to detail Good judgment/decision-making skills and organizational skills Strong written and verbal communication skills Willingness to maintain a positive and compassionate attitude in a high volume setting Ability to work independently within a team environment Desire to provide world-class customer service Preferred qualifications: Experience on claims processing systems Financial institution background Demonstrated proficiency with Microsoft Word and Outlook Telephone customer service experience #LI-Hybrid This role requires 2 days onsite a month and for moments that matter. The estimated base pay range for this job is: $18.27 - $31.73 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information on base pay and incentive pay (if applicable) can be discussed with a member of the Securian Financial Talent Acquisition team. Be you. With us. At Securian Financial, we understand that attracting top talent means offering more than just a job - it means providing a rewarding and fulfilling career. As a valued member of our high-performing team, we want you to connect with your work, your relationships and your community. Enjoy our comprehensive range of benefits designed to enhance your professional growth, well-being and work-life balance, including the advantages listed here: Paid time off: We want you to take time off for what matters most to you. Our PTO program provides flexibility for associates to take meaningful time away from work to relax, recharge and spend time doing what's important to them. And Securian Financial rewards associates for their service by providing additional PTO the longer you stay at Securian. Leave programs: Securian's flexible leave programs allow time off from work for parental leave, caregiver leave for family members, bereavement and military leave. Holidays: Securian provides nine company paid holidays. Company-funded pension plan and a 401(k) retirement plan: Share in the success of our company. Securian's 401(k) company contribution is tied to our performance up to 10 percent of eligible earnings, with a target of 5 percent. The amount is based on company results compared to goals related to earnings, sales and service. Health insurance: From the first day of employment, associates and their eligible family members - including spouses, domestic partners and children - are eligible for medical, dental and vision coverage. Volunteer time: We know the importance of community. Through company-sponsored events, volunteer paid time off, a dollar-for-dollar matching gift program and more, we encourage you to support organizations important to you. Associate Resource Groups: Build connections, be yourself and develop meaningful relationships at work through associate-led ARGs. Dedicated groups focus on a variety of interests and affinities, including: Mental Wellness and Disability Pride at Securian Financial Securian Young Professionals Network Securian Multicultural Network Securian Women and Allies Network Servicemember Associate Resource Group For more information regarding Securian's benefits, please review our Benefits page. This information is not intended to explain all the provisions of coverage available under these plans. In all cases, the plan document dictates coverage and provisions. Securian Financial Group, Inc. does not discriminate based on race, color, religion, national origin, sex, gender, gender identity, sexual orientation, age, marital or familial status, pregnancy, disability, genetic information, political affiliation, veteran status, status in regard to public assistance or any other protected status. If you are a job seeker with a disability and require an accommodation to apply for one of our jobs, please contact us by email at , by telephone (voice), or 711 (Relay/TTY). To view our privacy statement click here To view our legal statement click here

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.

All locations Amelia, United States; Atlanta, United States; Dallas, United States; Denver, United States; Des Moines, United States; Fort Worth, United States; American Modern Insurance Group, Inc., a Munich Re company, is a widely recognized specialty insurance leader that delivers products and services for residential property - such as manufactured homes and specialty dwellings - and the recreational market, including boats, personal watercraft, classic cars, and more. We provide specialty product solutions that cover what the competition often can't. American Modern Insurance Group is recruiting Seasonal CAT Adjusters to join our CAT team! This is a temporary, full-time position till October/November and will be required to travel for CAT deployments across the United States. As a CAT Adjuster, you will be deployed to the front lines supporting customers in times of need and disaster when they need it the most. We're seeking an individual with excellent decision making skills, the ability to work under pressure, solid organizational skills, exemplary customer service skills, as well as time management skills to balance various tasks. A majority of claims handled would be catastrophe related (Occasionally, adjusters may handle day to day claims) Provide prompt contact and timely adjustment of assigned claims. Handle assigned claims from start to finish, including investigation, documentation, coverage analysis and subrogation/salvage assessment. Perform on-site inspections including carrying and setting up a 40-pound ladder, walking on roofs, and accessing tight spaces. Travel is expected about 75% of the time This career might be right for you if: Previous property claim handling experience is required. Preferably experience CAT property claims experience is required. Ability to perform physical inspections; climb roofs, stoop, bend, etc. Mobile home and Dwelling construction knowledge preferred. You must have a Bachelor's degree or equivalent work/industry experience. A clean driving record and a valid driver's license are required. Proficiency in Symbility, Xactimate or similar estimating platform experience Industry training, coursework, certifications are preferred. (AIC, CPCU, SCLA) Ability to lift, carry, set-up, ascend and descend ladders in excess of 40 pounds. Ability to complete field inspections (scope, diagram and estimate damages) At American Modern, we see Diversity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Apply Now Save job

General Job Title: Claims Technician Division: Group Claims Reports To: Claims Product Specialist and/or Claims Focus Group Leader, as per Beazley's organisation chart Key Relationships: Claims management and staff, underwriters, insureds, brokers and service providers Job Summary: An entry level claims handler proactively managing low-value/low-complexity claims with support from a line manager to help achieve the Beazley vision of being the highest performing specialist insurer through the proactive management of claims. To support claims management staff in the delivery of projects and improvement initiatives as required. To support claims management to - and work in - a manner that best meets the challenges of our clients. To engage in continuous professional development in claims management. FLSA: Exempt Key Responsibilities: Individual Claims Leadership * Develop capabilities to independently manage low value/low complexity claims on a proactive basis, with support from line management, from notification to closure, investing the necessary level of involvement required for each claim depending on the nature, category, maturity, type, and quantum of the claim. * Focus primarily on the management of claims with an expected, Blend estimated, or actual value at or below $100,000 and with limited complexity. * Escalate claims and issues as appropriate to line management where additional experience of knowledge is required or may be beneficial. * Adhere at all times to Beazley's Claims Reserving Philosophy and Standards. * Develop an understanding of Beazley's Conduct Risk Policy. Claims Portfolio Management Work alongside and support Assistant Claims Managers and Claims Managers in the management of the claims portfolio to optimise performance including the: * Review of individual claims within the portfolio on a regular basis and ensuring reserves and records are maintained in a timely manner as required by Beazley's claims controls and standards. Be cognizant of and flag trends identified by Claims team. Working with Underwriters * Start to develop working relationships with Underwriters. * When requested, provide input to Underwriters on existing insured's claims experience under supervision of senior Claims staff. Authority & Minimum Standards Observance * Operate within approved claims authorities at all times. * Maintain a thorough knowledge of industry regulations and minimum standards. * Ensure compliance with the regulations and Beazley's claims control standards and protocols. Supporting Senior Claims Handlers * Support Claims staff with any relevant tasks, projects or initiatives to further develop skills and understanding of the broader organisation. Operational * Assist to ensure the management of claims conforms to the agreed standardised processes and use of share service functions as appropriate. * Contribute to the commitment to and active development of a continuous improvement culture within the overall claims function. Professional Development * Proactively enhance professional skills and knowledge in claims management by engaging in continuous learning and development opportunities. Conflicts of Interest * Adhere to Beazley's Conflicts of Interest policy, alert the appropriate person to any potential conflicts of interest, and take steps to resolve them promptly. * Immediately advise your Head of or Group Head of Claims if any Beazley employee seeks to exert undue influence on you or any other team member to act improperly in the management, reserving, or settlement of any claim. General It is important that within all your interactions both internally and externally you adhere to Beazley's core values - Being Bold, Striving for Better, and Doing the Right Thing - as they contribute to an internal environment of teamwork and promote a positive brand image and experience to our external customers. We also expect Beazley employees to: * Comply with Beazley procedures, policies and regulations including the code of conduct which incorporates the FCA and PRA Conduct. * Undertake training on Beazley policies and procedures as delivered by your line manager, the Culture & People or assurance teams (compliance, risk, internal audit) either directly, via e-learning or the learning management system. * Display business ethics that uphold the interests of all our customers. * Ensure all interactions with customers are focused on delivering a fair outcome, including having the right products for their needs. * Comply with any specific responsibilities necessary for your role as outlined by your line manager, the Culture & People or assurance teams (compliance, risk, internal audit) and ensure you keep up to date with developments in these areas. This may include, amongst others, Beazley's underwriting control standards, Beazley's claims control standards, other Beazley standards and customer relationship management. * Carry out additional responsibilities as individually notified, either through your objectives or through the learning management system. These may include membership of any Beazley committees or working groups. Personal Specification: Education and Qualifications * Degree Educated / Bachelor's Degree Skills and Abilities * Analytical skills: Problem solving (broad-based, analytical, conceptual, creativity), Analysis of financial statements, Financial assessments of claims, Data analysis, Decision-making * Work management skills: Time and workload management, Self-starter, Planning, Achievement orientation, Productivity focus * Interpersonal skills: Ability to influence others, Client and broker management skills, Purposeful communication, Flexibility, Active listening Essential Criteria * Past claims experience establishing liability and/or settlement resolutions. * Functional knowledge & understanding: Claims management process, US/RoW Insurance market (general & focus group), US/RoW legal and regulatory environment, Alternative resolution approaches Aptitude and Disposition * Outcome focussed, self-motivated, flexible and enthusiastic * Professional approach to successfully interact with senior management/colleagues/external suppliers * Diplomatic Competencies * Problem-solving * Decisiveness * Customer-focused * Influencing others * Team work * Self-starter * Analytical thinking * Managing resources effectively * Technical competency and expertise Who We Are: Beazley is a specialist insurance company with over 30 years' experience helping people, communities and businesses to manage risk all around the world. Our mission is to inspire our clients and people with the confidence and freedom to explore, create and build - to enable businesses to thrive. Our clients want to live and work freely and fully, knowing they are benefitting from the most advanced thinking in the insurance market. Our goal is to become the highest performing sustainable specialist insurer. Our products are wide ranging, from cyber & tech insurance to marine, healthcare, financial institutions and contingency; covering risks such as the weather, film production or protection from deadly weapons. Our Culture We have a wonderful mix of cultures, experiences, and backgrounds at Beazley with over 2,000 of us working around the world. Employee's diversity, experience and passion allow us to keep innovating and moving forward, delivering the best. We are proud of our family-feel culture at Beazley that empowers our staff to work from when and where they want, in an adult environment that is big on collaboration, diversity of thought and personal accountability. Our three core values inspire the way we work and how we treat our people and customers. Be bold Strive for better Do the right thing Upholding these values every day has enabled us to become an innovative and responsive organization in touch with the changing world around us - our ambitious inclusion & diversity and sustainability targets are testament to this. We are a flexible and innovative employer offering a friendly, collaborative, and inclusive working environment. We actively encourage and expect applications from all backgrounds. Our commitment to fostering a supportive and dynamic workplace ensures that every employee can thrive and contribute to our collective success. Explore a variety of networks to assist with professional and/or personal development. Our Employee Networks include: Beazley RACE - Including, understanding and celebrating People of Colour Beazley SHE - Successful, High potential, Empowered women in insurance Beazley Proud - Our global LGBTQ+ community Beazley Wellbeing - Supporting employees with their mental wellbeing Beazley Families - Supporting families and parents-to-be We encourage internal career progression at Beazley, giving you all the tools you need to drive your own career here, such as: Internal Pathways (helping you grow into an underwriting role) iLearn (our own learning & development platform) LinkedIn Learning Mentorship program External qualification sponsorship Continuing education and tuition reimbursement Secondment assignments The Rewards The opportunity to connect and build long-lasting professional relationships while advancing your career with a growing, dynamic organization Attractive base compensation and discretionary performance related bonus Competitively priced medical, dental and vision insurance Company paid life, and short- and long-term disability insurance 401(k) plan with 5% company match and immediate vesting 22 days PTO (prorated for 1st calendar year of employment), 11 paid holidays per year, with the ability to flex the religious bank holidays to suit your religious beliefs Up to $700 reimbursement for home office setup Free in-office lunch, travel reimbursement for travel to office, and monthly lifestyle allowance Up to 26 weeks of fully paid parental leave Up to 2.5 days paid annually for volunteering at a charity of your choice Flexible working policy, trusting our employees to do what works best for them and their teams Salary for this role will be tailored to the successful individual's location and experience. The expected compensation range for this position is $70,000-$77,000 per year plus discretionary annual bonus. Don't meet all the requirements? At Beazley we're committed to building a diverse, inclusive, and authentic workplace. If you're excited about this role but your experience doesn't perfectly align with every requirement and qualification in the job specification, we encourage you to apply anyway. You might just be the right candidate for this, or one of our other roles. We are an equal opportunities employer and as such, we will make reasonable adjustments to our selection process for candidates that indicate that, owing to disability, our arrangements might otherwise disadvantage them. If you have a disability, including dyslexia or other non-visible ones, which you believe may affect your performance in selection, please advise us in good time and we'll make reasonable adjustments to our processes for you.

At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.What You'll DoAs an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include: Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations. Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies. Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic. Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning. Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives. Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support. Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations. Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery. Continue developing technical, analytical, and consulting skills while building credibility with clients. Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement. Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team. What You Bring Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred. Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles. Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance. Epic Resolute or other hospital billing system experience preferred; Epic certification a plus. Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required. Additional certifications such as CHC, CFE, or AHFI preferred. Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization. Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred. Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act. Willingness to travel up to 25%, based on client and project needs. How You'll Thrive Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions. Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships. Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time. Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment. Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility. Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.

Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. We are looking for a Claims Specialist - Auto to join our team. JOB SUMMARY Investigate, evaluate and settle more complex first and third party commercial insurance auto claims. JOB RESPONSIBILITIES Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with all relevant parties and documents communication as well as results of investigation. Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts. Travel is required to attend customer service calls, mediations, and other legal proceedings. JOB REQUIREMENTS High School Diploma; Bachelor's degree from a four-year college or university preferred. 10 plus years related experience and/or training; or equivalent combination of education and experience. • National Range : $82,800.00 - $97,300.00 • Ultimate salary offered will be based on factors such as applicant experience and geographic location. EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law. Benefits: We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************

Integrity. Care. Trust. Compassion. Expertise. Do these words resonate with you? These values of Builders culture create success in all we do. We strive to provide deeply supportive partnerships to our customers, agents, and each other. Builders is proud to be named among the Great Places to Work. Our award-winning culture has earned top marks in Company Direction, Employee Appreciation, Work-Life Balance, Leadership, and Compensation and Benefits. Our strong culture keeps us Built Strong in a forever-changing world, and our AM Best A Rating is evidence of our financial strength. Position Summary The General Liability Claims Specialist is responsible for the thorough investigation, evaluation and resolution of general liability/construction defect claims. The Specialist delivers quality technical outcomes while ensuring exceptional customer service throughout the claims process. Responsibilities Manage a diverse caseload of property and casualty claims, including general liability, construction defect, and automobile losses across multiple jurisdictions, utilizing best-in-class claims handling practices. Conduct thorough investigations and in-depth coverage analyses to make informed coverage determinations; draft clear, professional coverage correspondence and communicate decisions to policyholders and key stakeholders with minimal supervision. Oversee all aspects of the claims process, ensuring comprehensive and timely investigations. Establish timely and appropriate reserves within designated authority, continuously evaluating and adjusting as necessary throughout the life of the claim. Assess liability, analyze exposure, and strategically negotiate claims to fair and efficient resolution. Identify and pursue risk transfer opportunities and enforce additional insured provisions to mitigate exposure. Maintain detailed, accurate, and organized documentation in all claim files, supporting transparency and compliance. Manage litigation toward prompt and cost-effective resolution. Prepare high-quality, timely reporting, including large loss summaries and reinsurance updates. Optimize claim outcomes through careful vendor management and cost control. Negotiate and resolve claims within established authority, balancing efficiency with fairness. Foster productive communication and collaboration with internal partners-such as Underwriting, Auditing, and Compliance-and external stakeholders, including agents, insureds, and claimants. Meet or exceed quality performance benchmarks and service expectations. Participate in hearings, pre-trial conferences, settlement discussions, trials, and related proceedings, as required. Perform other duties as assigned. Qualifications Bachelor's degree or an equivalent combination of education and experience in the insurance field Ten or more years of experience processing auto and/or general liability claims with five or more years of experience processing construction defect claims Senior Claim Law Associate (SCLA) or Chartered Property Casualty Underwriter (CPCU) designation Georgia Adjuster License along with additional state licenses, as applicable Knowledge of construction defect and auto liability laws, rules and regulations Skill in analysis, time management, prioritization, negotiation and project management; ability to multi-task effectively while paying attention to detail Self -motivated, flexible with the capacity to work autonomously while ensuring transparent communication with internal leadership Skill in interpersonal interactions, with the ability to collaborate effectively with individuals at all organizational levels and with external stakeholders; skill in customer service and problem-solving Proficient in both verbal and written communication with the ability and commitment to maintain confidentiality Proficient with Microsoft Office Suite and function specific software applications Let's talk benefits! Competitive Salary Bonus Structure Profit Sharing Medical, Dental, Vision Insurance Employer Paid Short Term Disability Employer Paid Long Term Disability Employer Paid Life Insurance Voluntary Life Insurance 401K with Company Match PTO About Builders Builders is a mid-sized mutual with remarkable strengths. Rated A by AM Best, Builders has forged rock-solid financial strength and a reputation for reliability and fairness in fulfilling our promises to customers. Kind, collaborative, and customer-centric, our experienced and passionate teams foster a rewarding atmosphere of excellence, trust, and mutual respect, meriting the “Culture Excellence” honors from Top Workplaces. Flexible and highly personal, our experts leverage deeply supportive partnerships with knowledgeable independent agencies to drive better services and protection for policyholders. Our financial excellence, amazing people, and powerful partnerships build outstanding outcomes and peace of mind for our agents and their clients. This is what we mean by Insurance Built Strong . Builders Insurance Group is an Equal Opportunity Employer. We welcome applicants from all walks of life and don't discriminate based on any protected status. Join us in creating a diverse and inclusive workplace! If, during the application process you need assistance, or an accommodation due to a disability, please contact *******************.

The Claims Specialist position is an on-site role based at our corporate headquarters in Savannah, Georgia. This role will play a key part in supporting and managing the claims process, working closely with cross-functional teams across the organization to help reduce and prevent accidents, injuries, and property damage involving both employees and customers, while promoting a proactive, safety-focused culture company-wide. ESSENTIAL DUTIES AND RESPONSIBILITIES Responsibilities: Will assist with the management process of claims for all lines of insurance to include property, general liability, auto, unemployment, and workers' compensation. Utilizes skills and trend-tracking to assist in reducing accidents, and occupational injuries. Coordinates claim notification with the insurance carriers and serves as a point of contact for all assigned claims with the insurance carriers. Contacts employees and customers with potential claims to assist in mitigating potential loss and further injuries. Assist with all Parker's Workers' Compensation (WC) Claims, Unemployment Claims, General Liability Claims, and all other from initial notification through to claim closure, including reviewing, analyzing, and approving authority amounts. Case management can include scheduling of appointments, obtaining current medical information, assisting managers with the transition of injured employees back to work, and assisting the injured employee. Ensure continued communication with injured parties to include customers, workers and leaders of the injured worker. May act as Parker's representative for depositions, informal conferences, mediations, and/or hearings pertaining to claims, working with assigned attorneys as necessary. Prepares Parker's written responses to unemployment claims based upon a summary of facts compiled from files, personnel records and interviews. May prepare cases for and represents Parker's at unemployment claim appeal hearings. Provides personnel employment information and verification, questions witnesses and claimant to ascertain facts of separation and presents a closing summary statement of the employer's position to the hearing officer. Prepares client witnesses for hearing appearances. Case preparation for hearings involves document gathering and organization, unemployment law research, and defense strategies. Maintains frequent telephone contact with management and leaders, gathering facts necessary to determine if unemployment claims are disputable and explaining unemployment rules, regulations, decisions and options. Refers information ascertained during investigations to the Claims team, Operations, and/or Human Resources, as necessary, when possible EEOC charges, wrongful discharge, or threatened litigation facts may have been uncovered. Other similar duties as required. Knowledge, Skills, and Abilities: Strong attention to detail Advanced skills in the use of Windows-based office software: Microsoft Office, Word, Excel, and PowerPoint and G-Suite products Must possess strong analytical and problem-solving skills Able to manage multiple priorities Able to research, collect, and analyze data and prepare written and oral reports Knowledge of claims processing techniques Able to analyze, classify, and rate risks, exposure, and loss expectancies Knowledge of workers' compensation laws and requirements, safety, loss control, and risk management principles Principles, practices, and procedures of general business including knowledge of the unemployment compensation system, filing appropriate unemployment responses, and personnel administration including legal aspects of hiring and firing; and the relationship of the Federal Unemployment Tax Act and the various state acts; knowledge of state and federal unemployment laws, rules and regulations. Highly organized and able to track a project from initial contact through the end of the project Ability to effectively communicate information and ideas in written and verbal format EDUCATION AND REQUIREMENTS Required: Associate or Bachelor's degree or equivalent experience 1-2 years' experience processing workers' compensation, general liability, and/or unemployment claims Experience in creating reports Preferred: ARM, CRM or similar designation 4+ years' experience processing workers' compensation, general liability, and/or unemployment claims TRAVEL As required PHYSICAL REQUIREMENTS Prolonged periods sitting/standing at a desk and working on a computer

The Claims Specialist position is an on-site role based at our corporate headquarters in Savannah, Georgia. This role will play a key part in supporting and managing the claims process, working closely with cross-functional teams across the organization to help reduce and prevent accidents, injuries, and property damage involving both employees and customers, while promoting a proactive, safety-focused culture company-wide. ESSENTIAL DUTIES AND RESPONSIBILITIES Responsibilities: * Will assist with the management process of claims for all lines of insurance to include property, general liability, auto, unemployment, and workers' compensation. * Utilizes skills and trend-tracking to assist in reducing accidents, and occupational injuries. * Coordinates claim notification with the insurance carriers and serves as a point of contact for all assigned claims with the insurance carriers. * Contacts employees and customers with potential claims to assist in mitigating potential loss and further injuries. * Assist with all Parker's Workers' Compensation (WC) Claims, Unemployment Claims, General Liability Claims, and all other from initial notification through to claim closure, including reviewing, analyzing, and approving authority amounts. * Case management can include scheduling of appointments, obtaining current medical information, assisting managers with the transition of injured employees back to work, and assisting the injured employee. * Ensure continued communication with injured parties to include customers, workers and leaders of the injured worker. * May act as Parker's representative for depositions, informal conferences, mediations, and/or hearings pertaining to claims, working with assigned attorneys as necessary. * Prepares Parker's written responses to unemployment claims based upon a summary of facts compiled from files, personnel records and interviews. * May prepare cases for and represents Parker's at unemployment claim appeal hearings. Provides personnel employment information and verification, questions witnesses and claimant to ascertain facts of separation and presents a closing summary statement of the employer's position to the hearing officer. Prepares client witnesses for hearing appearances. Case preparation for hearings involves document gathering and organization, unemployment law research, and defense strategies. * Maintains frequent telephone contact with management and leaders, gathering facts necessary to determine if unemployment claims are disputable and explaining unemployment rules, regulations, decisions and options. * Refers information ascertained during investigations to the Claims team, Operations, and/or Human Resources, as necessary, when possible EEOC charges, wrongful discharge, or threatened litigation facts may have been uncovered. * Other similar duties as required. Knowledge, Skills, and Abilities: * Strong attention to detail * Advanced skills in the use of Windows-based office software: Microsoft Office, Word, Excel, and PowerPoint and G-Suite products * Must possess strong analytical and problem-solving skills * Able to manage multiple priorities * Able to research, collect, and analyze data and prepare written and oral reports * Knowledge of claims processing techniques * Able to analyze, classify, and rate risks, exposure, and loss expectancies * Knowledge of workers' compensation laws and requirements, safety, loss control, and risk management principles * Principles, practices, and procedures of general business including knowledge of the unemployment compensation system, filing appropriate unemployment responses, and personnel administration including legal aspects of hiring and firing; and the relationship of the Federal Unemployment Tax Act and the various state acts; knowledge of state and federal unemployment laws, rules and regulations. * Highly organized and able to track a project from initial contact through the end of the project * Ability to effectively communicate information and ideas in written and verbal format EDUCATION AND REQUIREMENTS Required: * Associate or Bachelor's degree or equivalent experience * 1-2 years' experience processing workers' compensation, general liability, and/or unemployment claims * Experience in creating reports Preferred: * ARM, CRM or similar designation * 4+ years' experience processing workers' compensation, general liability, and/or unemployment claims TRAVEL * As required PHYSICAL REQUIREMENTS * Prolonged periods sitting/standing at a desk and working on a computer

Summit Spine and Joint Centers is a rapidly expanding Pain Management Group looking to add an experienced Medical Billing Specialist to our team. With twelve ambulatory surgery centers and twenty-three clinic locations across the State of Georgia, Summit Spine is winning the race to become the largest comprehensive spine and joint care provider in the state. We are looking for a motivated and hard-working Claims Processor who can join our growing team of professionals. Job Duties: Audits and ensure claim information is complete and accurate. claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management. Ensures accurate and timely billing of HCFA 1500 claims. Ensures that files are documented with appropriate information (i.e., date stamped, logged, signed, etc.). Creates logs for providers of pending medical encounters and or encounters with errors. Work directly with other billing staff and management to meet end of month closing deadlines. Able to work with clearinghouse rejections, print, and mail secondaries. Address inquiries from insurance companies, patients, and providers. Understands CPT, ICD10, HCPCS coding and modifiers. Knowledge of third-party payers, HMOs, PPOs, Medicare, Medicaid, Worker's Compensation, etc. Knowledge of ERAs, EOBs Knowledge of payer specific/LCD guidelines Understanding of health plan benefits (deductibles, copays, coinsurance) and eligibility verification Must be proficient with spreadsheets and word processing applications. Qualifications: Minimum of 3 years' experience with medical billing or revenue cycle in a medical setting Experience with Medicare, Medicaid, Commercial insurance plans, Workers' comp, and Personal Injury cases. Knowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management Knowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials. Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required. Excellent computer skills and familiarity with Microsoft Office Comfortable working in a growing, dynamic organization and able to navigate change. Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environment. Bachelor's degree preferred. Experience using eClinicalWorks preferred. Experience with high level procedure billing and coding for Pain Management preferred The position is full time with competitive salary, PTO, health benefits and 401k match. The ideal candidate will be located in Georgia and able to be present at our administrative office, or near Austin, Texas where other members of the billing team are located.

Claims Specialist Program Are you looking to help people and make a difference in the world? Have you considered a position in the fast-paced, rewarding world of insurance? Yes, insurance! Insurance brings peace of mind to almost everything we do in our lives-from family trips to your first car to weddings and college graduations. As a valued member of our claims team, you'll help our customers get back on their feet and restore their lives when catastrophe strikes. The details When you're part of the Claims Specialist Program, you'll acquire various investigative techniques and work with experts to determine what caused an accident and who is at fault. You'll independently manage an inventory of claims, which may include conducting investigations, reviewing medical records, and evaluating damages to determine the severity of each case. You'll resolve cases by working with individuals or attorneys to settle on the value of each case. You will have required comprehensive training, one-on-one mentoring, and a strong pay-for-performance compensation structure at a global Fortune 100 company. Make a difference in the world with Liberty Mutual. Qualifications What you've got You have 0-2 years of professional experience. A strong academic record with a cumulative 3.0 GPA preferred You have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism. You possess strong negotiation and analytical skills. You are detail-oriented and thrive in a fast-paced work environment. You must have permanent work authorization in the United States. What we offer Competitive compensation package Pension and 401(k) savings plans Comprehensive health and wellness plans Dental, Vision, and Disability insurance Flexible work arrangements Individualized career mobility and development plans Tuition reimbursement Employee Resource Groups Paid leave; maternity and paternity leaves Commuter benefits, employee discounts, and more Learn more about benefits at ************************** A little about us As one of the leading property and casualty insurers in the country, Liberty Mutual is helping people embrace today and confidently pursue tomorrow. We were recognized as a ‘2018 Great Place to Work' by Great Place to Work US, and were named by Forbes as one of the best employers in the country for new graduates and women-as well as for diversity. 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. We can recommend jobs specifically for you! Click here to get started.

Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Arbitrator I Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox location Travel % No Work Shift Day Compensation Hourly base pay rate is $16.59 - $24.86/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program. Job Description This position facilitates the resolution of customer claims and concerns (includes all physical and digital/online transactions) after a sale and is responsible for the timely and successful arbitration of vehicles between buyer and seller in accordance with auction and NAAA policies. The role will work to gain familiarity with fundamental arbitration concepts, procedures, standards, policies and systems. This position requires organization and management of sale day activities including post sale inspections and sale day arbitrations. Job Responsibilities: Basic Functional Duties With guidance, performs basic Arbitrator duties, including: Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines. Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision making. Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases. Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution. Uses appropriate levels/limits of financial approval authority to resolve cases. Evaluates claims by obtaining, comparing, evaluating, and validating various forms of information. Prepares and facilitates communications for resolution via telephone, email, and in-person discussion. Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold. Monitors and maintains accurate files for each arbitration case, verifying accuracy of all required documentation, including invoices and settlement agreements. Engages with supervisor/manager to determine if escalation is required. Knowledge & Subject Matter Milestones Demonstrates an understanding of investigating claims and negotiating and influencing others while maintaining a positive client experience. Gains familiarity and understanding of Arbitration concepts and procedures. Gains foundational understanding of auction-specific operational and administrative processes. Learns and adheres to National Auto Auction Association (NAAA) arbitration standards, Manheim Marketplace Policies, and relevant legal requirements. Client Interaction/Communication Responsibilities Advises clients of the arbitration claim process, company policies, any auction- or account-specific guidelines, and NAAA guidelines. Facilitates both written and verbal communications between buyers, sellers, and various auction team members and third parties to actively gather information necessary to guide parties toward agreement and resolution, while maintaining an awareness of goals and objectives. Provides relevant information such as claim status to clients. Other Duties Demonstrates safety commitment by following all safety and health procedures and modeling the appropriate behaviors. Participates in support of all safety activities aligned with Safety Excellence. Performs other duties as assigned. Qualifications and Experience Education High School Diploma or equivalent required. Bachelor's degree preferred. Experience Previous experience in claims management and/or problem and conflict resolution preferred. Claim adjuster experience is a plus. 1-2 years of experience in areas of responsibility. 1+ years of automotive, mechanical, and/or body shop experience preferred. Skills and Abilities Active Listening Accuracy and Attention to Detail Resilience/Adaptability Demonstrates Empathy Verbal and Written Communication Decision Making Customer Focus Time Management Conflict Resolution Builds Positive Relationships Drug Testing To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited. Benefits Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. About Us Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship.Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.

Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Arbitrator I Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox location Travel % No Work Shift Day Compensation Hourly base pay rate is $16.59 - $24.86/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program. Job Description This position facilitates the resolution of customer claims and concerns (includes all physical and digital/online transactions) after a sale and is responsible for the timely and successful arbitration of vehicles between buyer and seller in accordance with auction and NAAA policies. The role will work to gain familiarity with fundamental arbitration concepts, procedures, standards, policies and systems. This position requires organization and management of sale day activities including post sale inspections and sale day arbitrations. Job Responsibilities: Basic Functional Duties * With guidance, performs basic Arbitrator duties, including: * Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines. * Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision making. * Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases. * Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution. * Uses appropriate levels/limits of financial approval authority to resolve cases. * Evaluates claims by obtaining, comparing, evaluating, and validating various forms of information. * Prepares and facilitates communications for resolution via telephone, email, and in-person discussion. * Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold. * Monitors and maintains accurate files for each arbitration case, verifying accuracy of all required documentation, including invoices and settlement agreements. * Engages with supervisor/manager to determine if escalation is required. Knowledge & Subject Matter Milestones * Demonstrates an understanding of investigating claims and negotiating and influencing others while maintaining a positive client experience. * Gains familiarity and understanding of Arbitration concepts and procedures. * Gains foundational understanding of auction-specific operational and administrative processes. * Learns and adheres to National Auto Auction Association (NAAA) arbitration standards, Manheim Marketplace Policies, and relevant legal requirements. Client Interaction/Communication Responsibilities * Advises clients of the arbitration claim process, company policies, any auction- or account-specific guidelines, and NAAA guidelines. * Facilitates both written and verbal communications between buyers, sellers, and various auction team members and third parties to actively gather information necessary to guide parties toward agreement and resolution, while maintaining an awareness of goals and objectives. * Provides relevant information such as claim status to clients. Other Duties * Demonstrates safety commitment by following all safety and health procedures and modeling the appropriate behaviors. * Participates in support of all safety activities aligned with Safety Excellence. * Performs other duties as assigned. Qualifications and Experience * Education * High School Diploma or equivalent required. * Bachelor's degree preferred. * Experience * Previous experience in claims management and/or problem and conflict resolution preferred. Claim adjuster experience is a plus. * 1-2 years of experience in areas of responsibility. * 1+ years of automotive, mechanical, and/or body shop experience preferred. * Skills and Abilities * Active Listening * Accuracy and Attention to Detail * Resilience/Adaptability * Demonstrates Empathy * Verbal and Written Communication * Decision Making * Customer Focus * Time Management * Conflict Resolution * Builds Positive Relationships Drug Testing To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited. Benefits Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. About Us Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship. Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.

SUMMARY: Responsible for processing and researching claims with a thorough knowledge of the company structure and claims processing procedures. Audit claims and provides feedback to both team and providers where necessary. Run, review and reconcile reports and advise leadership and Finance department of balance status. This position also reviews process trends and alerts leadership when additional training is needed. ESSENTIAL FUNCTIONS• Resolve all complex telephone and written requests requiring additional information or research and analyze situations.• Respond to provider requests within 24 hours of receipt by written correspondence (letter/email).• Interacts with all internal and external customers in a caring and respectful manner.• Understands and interprets all contracts, agreements, policies and procedures pertaining to reimbursement structure.• Provide Peer review, tutorials, and recommendations• Audit and report on claims that are processed by Claims Specialist I's and Claims Account Representatives to management weekly.• Executes timely and accurate processing of all allocated claims.• Process a minimum of 500 claims per day• Refers questions not specifically covered in manuals or daily operations to the Team Lead.• Maintains confidentiality of patient and provider information.• Maintains protected health information in accordance with HIPAA privacy guidelines.• Train and assist Specialists by relaying instructions, messages and other information as requested by management.• Maintains a current working knowledge of all company policies, procedures, rules, regulations, memorandums and operational software.• Responsible and accountable for updating management on changes and/or extraordinary circumstances affecting the company and/or transportation provider.• Monitor and report uncommon denial analysis trends• Responsible for generating and reviewing all closing reports and prepare it for management review• Other duties as assigned REQUIRED SKILLS AND ABILITIES• Listens and communicates clearly, professionally, and empathetically.• Excellent communications skills in both oral and written.• High Level of Professionalism, attention to detail.• Professional telephone etiquette including excellent verbal communication skills and use of proper grammar.• Strong work ethic and self-starter, able to effectively manage multiple priorities and adapt to change within a fast-paced business environment.• Excellent listening skills and the ability to ask probing questions, understand concerns, and overcome objections.• Ability to foster positive working relationships across all departments• Highly organized, displays strong attention to detail and accuracy.• Intermediate level proficiency in Windows (Microsoft Word and Excel is a must)• Must have 8,000 kspm• Able to function effectively in demanding situations• Knowledge of Southeastrans Reconciliation Process, Claims policies and procedures• Knowledge of Medicaid Non-Emergency Transports• Able to handle multiple tasks simultaneously• Able to lift and/or move items up to 25 pounds• Able to work with a group or independently QUALIFICATION• High School diploma or equivalent• Associate Degree preferred• Two or more years' experience processing claims

Resolution Recruiting is looking for a mid level to senior lever commercial auto, general liability adjuster for our TPA Client. This person will be responsible for handling claims associated with schools. To Be Considered YOU MUST Have: 3 plus years of commercial claims handling specific to commercial auto, general liability Insurance claims litigation experience GA Adjuster License Ability to write Reservation of Rights and Declining Liability Letters College degree preferred but we will consider experience over education Salary: $65,000-$80,000 plus benefits

Under the direction of the Claims Manager, the Personal Lines Adjuster I is responsible for investigating, evaluating, and resolving personal auto claims of low to moderate complexity. The adjuster ensures fair and timely claim resolution through strong coverage analysis, accurate damage assessment, and exceptional customer service. This position does not handle bodily injury or medical-related claims. Essential Functions Pursuant to Company business strategies and good faith claims practices: Investigate assigned personal auto physical damage and homeowner property claims to determine coverage, cause of loss, and extent of damages. Review and interpret personal lines policy forms and endorsements to confirm coverage applicability. Obtain recorded statements, repair estimates, photos, and documentation needed to evaluate claims. Coordinate inspections, appraisals, and repairs with vendors, independent adjusters, and repair facilities. Evaluate estimates, determine depreciation, and negotiate settlements within authorized limits. Identify potential subrogation or recovery opportunities and refer as appropriate. Maintain detailed and accurate file documentation that supports claim decisions and complies with company standards. Communicate promptly and professionally with insureds, agents, and vendors to ensure high-quality customer service. Maintain compliance with state regulations, company procedures, and fair claims handling requirements. Job Requirements, Knowledge, Skills and Abilities High school diploma or equivalent required; Bachelor's degree in a related field preferred. Minimum of two (2) years of experience handling personal auto claims. Strong understanding of insurance coverage interpretation, estimating principles, and claim file documentation. Excellent verbal and written communication skills, including negotiation and conflict resolution. Proficiency with Microsoft Office and claims management systems. Strong organizational skills with the ability to manage multiple files in a fast-paced environment. Must be available to work during disaster or catastrophe situations (including nights/weekends) as required. Holds a Georgia Adjusters License or must acquire license within six months of employment. Proficiency in Microsoft Office and claims management systems. Desired Knowledge, Skills and Abilities Knowledge of personal lines insurance policies. Familiarity with estimating systems and vendor networks for auto claims. Understanding of auto body materials, repair methods, and vehicle repair processes. Awareness of subrogation, salvage, and recovery procedures. Compensation Commensurate with experience Performance-based incentives Benefits Package 401(k) company match up to 6% eligible upon hire Medical, dental & vision, including company paid Life insurance and long-term disability Flexible spending accounts Paid time off Parental & family leave; military leave & pay Employee Referral Incentive Career Development & Continuing Education Assistance Physical Conditions/Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or finger, handle, or feel objects, tools or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus. The noise level in the work environment is usually moderate.

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you. About the role We are seeking highly organized and customer-focused Professional Lines Adjuster to join our team. The successful candidate will be responsible for speaking to customers on the phone, educating and helping the customer work through their claim to the best possible outcome. Your role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering service to all constituents of the claim. The ideal candidate has a willingness to work through and design process that supports the quickest claim resolution with the best outcome. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements. Who you are * Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org. * Passionate adjuster who cares about the customer and their experience. * Empathetic. You exercise empathy and patience towards everyone you interact with. * Sense of urgency - at all times. That does not mean working at all hours. * Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured's best interest. * Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational. * Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution. * Anti-status quo. You don't just wish things were done differently, you act on it. * Communicative. (we'd love to know what this means to you) * And did we mention, you have a sense of humor. Claims are hard enough as it is What we need We need you to do all the things typical to the role: * Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests * Analyzing and reviewing nursing home professional liability insurance claims to identify areas of dispute, investigating, and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providers. * Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim * Analyzing and reviewing nursing home professional liability insurance * Managing legal aspects of litigated cases, including evaluation of legal * process and expenses. * Ensure compliance with specific state regulations, policy provisions, and standard operating procedures * Managing litigation cases related to professional liability claim disputes, virtually attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders. * Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim * Maintain adjuster licenses and continuing education requirements Requirements * Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications) * Active insurance adjuster's license by way of a designated home state, or home state * 7+ years of experience handling Miscellaneous Professional Lines (MPL) claims including experience with: * Nursing home exposures * Property Management * Real Estate Developers * Having additional Professional Lines experience is a plus including: * Various Errors & Omissions * Medical Malpractice * Directors & Officers * EPLI * Willing to obtain all licenses within 60 days, including completing state required testing * Knowledge of state regulations, policy provisions, and standard operating procedures * Ability to analyze and evaluate complex data and make sound coverage and liability decisions based on established guidelines, policies, and procedures * Curious and motivated by problem-solving and questioning the status quo * Desire to engage in learning opportunities and continuous professional development * Willingness to travel for client and claims needs Benefits * Generous health-insurance package with nationwide coverage, vision, & dental * 401(k) retirement plan with employer matching * Competitive PTO policy - we want our employees fresh, healthy, happy, and energized! * Generous family leave policy * Work from anywhere to facilitate your work life balance * Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder! At Reserv, we value diversity and believe that a variety of perspectives leads to innovation and success. We are actively seeking candidates who will bring unique perspectives and experiences to our team and welcome applicants from all backgrounds. If you believe you are a good fit for this role, we would love to hear from you! Create a Job Alert Interested in building your career at Reserv? Get future opportunities sent straight to your email. Create alert

JOIN THE ASSURANCEAMERICA TEAM Do you want to be part of an organization where you are valued, and your ideas and opinions have an impact? Join the AssuranceAmerica team. For more than 25 years, AssuranceAmerica has provided superior property and casualty insurance products through contracted independent agents and directly to customers. Our team succeeds through diversity of thought, experiences, skills, and backgrounds. Liability Adjuster II The Liability Adjuster II is responsible for managing a caseload of complex liability and coverage claims, including those involving minor bodily injuries. This role requires the execution of thorough investigations to gather all necessary facts, along with a strong understanding of policy language to ensure accurate and timely coverage and liability determinations. While working with a degree of autonomy, the Adjuster will collaborate with their supervisor for guidance on more nuanced or high-exposure cases. About the ROLE Each day at AssuranceAmerica is different, but as a Liability Adjuster II you will: Conduct thorough investigations and evaluations of coverage, liability, and damages across all lines of personal automobile insurance/. Accurately assess exposure and evaluate injury claims in a fair, consistent, and equitable manner based on the facts and extent of damages. Negotiate timely and appropriate settlements, ensuring all required documentation is obtained to support proper claim resolution and closure. Manage low-complexity, attorney-represented injury claims with sound judgement and attention detail, maintaining compliance with internal guidelines and industry standards. Control expenses and adhere to company reserving philosophy by maintaining proper reserves on all pending claims/potential exposures. Meet and maintain general file handling goals and procedures as outlined by the company including maintaining a 1:1 closing ratio and status on diary reviews. Properly utilize underwriting and policy systems and understand its features and functionality, as needed. Attend any available seminars and classes applicable to this position and the skills required to meet the job duties and responsibilities. Continually ask questions and have a desire to develop additional skills to better investigate and evaluate claims. About YOU Excellent communication skills with demonstrative ease with both verbal and written formats. Attention to detail and ability to multi-task. A high degree of motivation and team orientation. Direct, results driven, and dedicated to the success of the business and each other. Required Minimum three years of experience handling auto claims. Minimum of two years of experience handling complex liability and coverage issues and unrepresented bodily injury cases. Preferred Bachelor's degree or equivalent. Non-standard experience. Adjuster's license in relevant state or the ability to obtain one quickly. Bilingual (English-Spanish). Physical Requirements Prolonged periods sitting at a desk and working on a computer. Must be able to lift 15 pounds at times. Must be able to navigate various departments of the organization's physical premises. About US We are direct, results-driven, and dedicated to the success of our business and each other. We are a diverse group of thinkers and doers. We offer many opportunities to grow in your professional skills and career. We fight homelessness by directing 5% of our earnings from each policy we sell to organizations that help those in need. We call it our Generous Policy. WHAT WE OFFER AssuranceAmerica provides these benefits to Associates: Premium healthcare plans: All full-time Associates and part-time Associates working a regular schedule of 30 hours, or more, are eligible for benefits including Medical, Dental, Vision, Voluntary Life, Flexible Spending Accounts, and a Health Savings Account. Employer Paid Benefits: We enroll all eligible Associates in Group Life and AD&D Insurance, Short- and Long-Term Disability Plans, Employee Assistance Program, Travel Assist, and the Benefit Resource Card which includes Teladoc™, Pet Insurance and Health Advocate. Additional Benefits: 401(k) Employer Match: We want to help you prepare for the future, now. All full-time and part-time Associates over age 21 are eligible to participate in the 401(k) Savings Plan. AssuranceAmerica will match 100% of the first 4% of an Associate's contributions. Engagement Events. We make time for fun activities that strengthen Associate relationships in all our locations. Annual Learning Credit: Want to learn something new? We'll reimburse you for approved educational assistance. Time Off: Paid Time Off (PTO), Parental Leave Pay, Volunteer Time Off (VTO), Bereavement Pay, Military Leave Pay, and Jury Duty Pay.

About Us: Cenco Claims is a growing property and casualty adjusting firm providing professional claim services to insurance carriers nationwide. We are known for our fast, accurate, and customer-focused approach to claims handling. We are seeking experienced Desk Adjusters to manage property claims with efficiency and professionalism. This role involves reviewing documentation, evaluating damages, and working closely with field adjusters and policyholders to bring claims to resolution. Key Responsibilities: Review inspection reports, photos, and documentation to assess property damage Analyze coverage and write estimates using Xactimate Communicate with policyholders, contractors, and carriers Maintain accurate and organized claim files Meet timelines and service expectations set by our clients Qualifications: Experience in property insurance claims handling Proficiency with Xactimate (X1 preferred) Strong attention to detail and organizational skills Excellent written and verbal communication Active Adjuster License (or ability to obtain) What We Offer: Supportive team environment Opportunities for advancement Apply Today