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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Seasonal CAT Adjuster
Munich Re 4.9
Claim specialist job in Des Moines, IA
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
Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently-empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers' Compensation ClaimsSpecialist to join our team. Experience handling claims in Minnesota, South Dakota, Wisconsin, Pennsylvania, and Iowa is preferred.
Essential Responsibilities:
Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
Investigates, evaluates, and resolves Workers' Compensation claims.
Mediates situations as they arise between the insured and the insurance company, with some support from leader as needed, to include researching coverage issues.
Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
Generates checks for indemnity and medical payments daily.
Develops and monitors consistency in procedural matters of the claims handling process with CRS.
Compiles and interprets Workers' compensation reports on designated accounts, as requested.
Ability to adjudicate lost time claims.
Participates in claim reviews and attends Risk Control Workshops when requested by agency partners or insureds. These could be in person or by phone.
Performs special projects and other duties as requested.
Qualifications:
Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Willingness and ability to obtain additional state specific licenses during duration of employment as needed.
Experience: 2-4 years claims experience with strong background in Workers' Compensation coverage.
Technical Competencies: Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims. Invests in the understanding and application of claims principles and practices and insurance coverage interpretation as it relates to consulting, evaluating, and resolving claims.
Here's a little bit about us:
At Creative Risk Solutions, you'll be part of a collaborative, innovative team that values trust, communication, and client focus. We offer competitive compensation, comprehensive benefits, and opportunities for professional growth within the Holmes Murphy family.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
The salary range for this role is $45,800- $78,800. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development.
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1
$45.8k-78.8k yearly Auto-Apply 22d ago
Claims Specialist II - WC
UFG Career
Claim specialist job in Cedar Rapids, IA
UFG is currently hiring for a ClaimsSpecialist 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 ClaimsSpecialist 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.
We are looking to add a Workers' Compensation ClaimsSpecialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in Iowa, Minnesota, Nebraska, and Wisconsin. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes!
Essential Responsibilities:
· Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
· Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims.
· Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues.
· Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
· Generates checks for indemnity and medical payments daily.
· Develops and monitors consistency in procedural matters of claims handling process within CRS.
· Willingness to become licensed if required in jurisdiction where claims are handled.
Qualifications:
· Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
· Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling.
· Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in Iowa, Nebraska, Wisconsin, and Minnesota.
· Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs.
· Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience.
Here's a little bit about us:
Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies.
In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
· Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
· Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
· 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
· Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
· Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
· DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
· Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
· Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1
$30k-50k yearly est. Auto-Apply 23d ago
Claims Examiner
Harriscomputer
Claim specialist job in Iowa
Responsibilities & Duties:Claims Processing and Assessment:
Evaluate incoming claims to determine eligibility, coverage, and validity.
Conduct thorough investigations, including reviewing medical records and other relevant documentation.
Analyze policy provisions and contractual agreements to assess claim validity.
Utilize claims management systems to document findings and process claims efficiently.
Communication and Customer Service:
Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements.
Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process.
Address customer concerns and escalate complex issues to senior claims personnel or management as needed.
Compliance and Documentation:
Ensure compliance with company policies, procedures, and regulatory requirements.
Maintain accurate records and documentation related to claims activities.
Follow established guidelines for claims adjudication and payment authorization.
Quality Assurance and Improvement:
Identify opportunities for process improvement and efficiency within the claims department.
Participate in quality assurance initiatives to uphold service standards and improve claim handling practices.
Collaborate with team members and management to implement best practices and enhance overall departmental performance.
Reporting and Analysis:
Generate reports and provide data analysis on claims trends, processing times, and outcomes.
Contribute to the development of management reports and presentations regarding claims operations.
$26k-42k yearly est. Auto-Apply 34d ago
Claims Examiner
Enoah Isolutions Inc.
Claim specialist job in Cedar Falls, IA
Responsibilities & Duties:Claims Processing and Assessment:
Evaluate incoming claims to determine eligibility, coverage, and validity.
Conduct thorough investigations, including reviewing medical records and other relevant documentation.
Analyze policy provisions and contractual agreements to assess claim validity.
Utilize claims management systems to document findings and process claims efficiently.
Communication and Customer Service:
Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements.
Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process.
Address customer concerns and escalate complex issues to senior claims personnel or management as needed.
Compliance and Documentation:
Ensure compliance with company policies, procedures, and regulatory requirements.
Maintain accurate records and documentation related to claims activities.
Follow established guidelines for claims adjudication and payment authorization.
Quality Assurance and Improvement:
Identify opportunities for process improvement and efficiency within the claims department.
Participate in quality assurance initiatives to uphold service standards and improve claim handling practices.
Collaborate with team members and management to implement best practices and enhance overall departmental performance.
Reporting and Analysis:
Generate reports and provide data analysis on claims trends, processing times, and outcomes.
Contribute to the development of management reports and presentations regarding claims operations.
$26k-42k yearly est. 4d ago
Claims Examiner
Sisco 4.5
Claim specialist job in Dubuque, IA
Job Description
Medical Claims Representative
SISCO, a Cottingham & Butler company, is continuing to grow and as a result will be adding Medical Claims Representatives to our team! This position is responsible for the delivery of excellent claims service to include accurate and timely claims processing and prompt and professional communication with clients and healthcare providers. No two claims are the same so you are constantly learning new things and meeting new people! The ideal candidate will have prior experience in an office or customer service setting, a competitive spirit, and thrive in a fast-paced professional business environment.
Why SISCO?
SISCO is a third-party benefit administration firm that is dedicated to helping our clients maximize the value of their employee benefits. We set ourselves apart from the competition by selling the "experience" of SISCO. We deliver an effective, yet human, experience by hiring the best employees and giving them the best technology. Our company was built upon driven, ambitious people like yourself.
About the company
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To ensure we keep that promise, we hold ourselves to a set of principles that we believe position our clients and our company for long-term success. Our Guiding Principles are not just words on paper, they are a promise we make to ourselves and our clients.
These principles have become a driving force of our culture and share many common themes with the values of our clients. First, we hire and develop amazing people that have an insatiable desire to succeed, are committed to learning, and thrive on challenge. Secondly, we pride ourselves on serving our clients best interest through quality service, innovative solutions, and constantly evaluating our performance. Third, we have embraced and are guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday. Ultimately, we get more energy from the future we are creating for our people, our clients, and our company than from our past success.
As an organization, we are very optimistic about the future and have incredibly high expectations for our people and our performance. We also understand that our growth is fueled by becoming better, not bigger - growth funds investments in new resources to better serve our clients and provide the career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
$25k-38k yearly est. 12d ago
Claims Examiner
Auxiant 3.1
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. 22d ago
Public Adjuster
The Misch Group
Claim specialist job in Des Moines, IA
Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Location: Primary Locations: KS City, Des Moines IA, State of CO, State of CA, St. Louis, State of IL with emphasis on ChicagoCompensation: $75,000 - $100,000 compensation + Performance-based bonuses
QUICK FACTS:
Must have Public Adjuster License
Must have experience with Xactimate
Must have network of Condo, Apartment, Property Management partners
Must be able to physically examine all buildings top to bottom (roofs as well)
About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth.
Position Overview:We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment.
Key ResponsibilitiesKey Responsibilities:
Identify and pursue new business opportunities with homeowners, contractors, and referral partners.
Educate prospective clients on our services and guide them through the insurance claims process.
Develop and maintain a pipeline of leads through prospecting and networking efforts.
Conduct presentations and training sessions to build brand awareness and establish partnerships.
Provide exceptional customer service to existing clients, ensuring their satisfaction and retention.
Work closely with internal teams to optimize the sales process and improve closing rates.
Maintain accurate records of sales activities and client interactions.
Skills, Knowledge and ExpertiseQualifications & Experience:
3+ years of proven sales experience as a licensed Public Adjuster
Strong ability to generate leads, manage relationships, and close deals.
Bachelor's degree in Business, Marketing, Communications, or equivalent experience.
Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms.
Highly organized with strong follow-through skills in a fast-paced environment.
Public Adjuster license
BenefitsWhat We Offer:
Extensive training and support to help you succeed.
Flexible work environment with opportunities for growth and career advancement.
A team-oriented culture with strong leadership and professional development opportunities.
If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
$75k-100k yearly 16d ago
Property Claim Representative
IMT Insurance
Claim specialist job in Council Bluffs, IA
Job Description
WHO WE ARE
IMT is proud of our heritage and will never forget where our roots are firmly planted. Locally run from its office in West Des Moines, Iowa, IMT has been a Midwest company since it was founded in Wadena, Iowa in 1884. That's over 140 years!
Today, IMT continues to offer a strong line of personal and commercial insurance products for which it has always been known, along with exceptional service for a competitive price. Our products are offered through Independent Agents throughout a six-state territory - Iowa, Illinois, Minnesota, Nebraska, South Dakota and Wisconsin.
PROPERTY CLAIM REPRESENTATIVE
IMT Insurance is now taking applications for the position of a Property Claim Representative in the Council Bluffs, Iowa area. This individual will conduct investigations and attempt settlement of claims submitted by policyholders for property losses. The ideal candidate will be an analytical, detailed worker, who can manage time and work on multiple projects while maintaining accuracy and service. IMT Property Claims Representatives investigate and evaluate claims involving personal and commercial property to determine proper policy coverages and apply best claims practices to ensure accurate settlements in accordance with company guidelines. If you're interested in joining our claims department, apply online today!
A DAY IN THE LIFE
Conduct interviews with insureds, claimants and other interested parties
Conduct thorough investigations and examine insurance policies to determine coverage
Inspect damages and prepare written estimates of repair or replacement
Correspond with insureds, claimants and other interested parties
Prepare and report findings and negotiate settlements
DESIRED QUALIFICATIONS
0 - 3 years Property claims experience preferred
Bachelor's Degree
Excellent verbal and written communication skills
Excellent problem-solving and negotiation skills
Good keyboard/PC skills
Excellent organizational and prioritization skills
Ability to climb ladder to assess roof damage
Ability to lift minimum 30 lbs
Must maintain valid driver's license
Able to travel/stay overnight for storm claim duty
BENEFITS & PERKS
IMT Insurance is committed to our employees and their families. When you work for IMT, you earn far more than just a paycheck. The IMT office was new in 2018 and offers a fitness room, game room and a variety of collaboration areas. This position includes learning and development opportunities and more! Below is a list of what IMT offers our employees:
Medical, dental, and vision insurance, Life & A D & D insurance, 401K retirement savings accounts, spending accounts, long and short-term disability, profit share, paid vacation & sick time, employee assistant program and additional voluntary benefits.
The salary range for this position is $53,000.00 - $99,000.00
Starting salary and level of position will depend on level of experience
This position is not eligible for tips or commission but may be eligible for additional bonuses
WHAT DEFINES US
Our vision is to provide peace of mind in the moments that matter.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant based on race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class.
Our agents and customers come from all walks of life and so do we. Our goal is to hire great people from a wide variety of backgrounds, because it makes our team stronger. If you share our values and our passion for creating a Worry Free life for others, we want to talk to you!
$30k-40k yearly est. 24d ago
Claims Care Representative
Homesteaders Life Company
Claim specialist job in West Des Moines, IA
As a Claims Care Representative, you will support policyholders, beneficiaries, and other stakeholders throughout the claims process. Your role will include aiding, answering inquiries, processing claims, and ensuring a smooth customer experience. You'll work with a high level of confidentially and adhere to all privacy regulations with a compassionate team working alongside you.
Your responsibilities will include:
* Accepts and processes inbound, and outbound calls, emails, and other communications related to life insurance claims inquiries.
* Assist customers in completing claims forms, gathering necessary documentation, and submitting claims for processing. Updates and maintains customer records and data in the system.
* Review, verify, and process claim submissions by company policies and legal requirement.
* Approve and process EFT claim payments or may authorize claim payment by draft for claims submitted via phone, fax or internet.
* Collaborate with internal departments such as underwriting, legal, and compliance to ensure complex claims are handled efficiently.
* Meet or exceed performance targets related to claim resolution time, accuracy, and customer satisfaction
Requirements
* Equivalent to high school degree
* Prior experience in customer service, claims processing, or a related field, ideally within the insurance industry.
* Strong communication and interpersonal skills, with the ability to explain complex information clearly and empathetically.
* Attention to detail and accuracy in reviewing claims documents and processing information.
* Problem-solving skills and the ability to handle difficult conversations with professionalism.
* Proficiency in using CRM systems, claims management software, and other relevant tools
Our benefits include:
* Hours: Monday through Thursday 10:00am - 6:00pm and Friday 12:00pm to 5:00pm
* Annual profit sharing
* 401(k) with company match with discretionary contribution
* Company-sponsored group medical and dental insurance
* Company-paid life insurance
* Company-paid long-term disability
* Hybrid work environment
* Paid holidays
* Generous vacation time and sick leave
* Paid parental leave
* Casual dress year-round
* Professional membership and licensing dues reimbursement
* Tuition reimbursement
* Volunteer Time Off (VTO)
About Homesteaders:
Homesteaders Life Company, a mutual company owned by its policy holders, is a national leader providing products and services to help people design a better farewell. Founded in 1906, Homesteaders is known for secure preneed funding and innovative solutions that help funeral and end-of-life professionals and consumers connect with each other.
We are currently not hiring in Colorado, Montana, New York, Illinois, Minnesota, and California.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
$30k-41k yearly est. 16d ago
Claims Representative
CBCS 4.0
Claim specialist job in West Des Moines, IA
Job Description
Join our Claims Academy - we are building the next generation of expert Claims Adjusters!
It's an exciting time at CBCS! We've been experiencing explosive growth, and as a result, we're adding a number of Claims Representatives to our team! No experience? No problem. At CBCS, you'll receive in-depth training, providing you with all the information and tools you'll need to succeed. From day one, you'll be surrounded by and learning from talented industry experts, dedicated trainers, mentors and colleagues all invested in your professional growth!
As a Claims Representative you will:
Analyze and process claims
Talk with injured employees, doctors, CEO's, and attorneys from all across the U.S.
Engage private investigators if fraud is suspected
Advise clients and negotiate settlements on their behalf
Actively manage litigation
This position will never leave you bored. No two claims are the same so you'll be constantly learning new things and meeting new people.
The ideal candidate will have a Bachelor's degree and prior experience in an office or customer service setting, a competitive spirit, and thrive in a fast-paced professional business environment.
Pay & Benefits
Salary
Most Benefits start Day 1
Medical, Dental, Vision Insurance
Flex Spending or HSA
401(k) with company match
Profit-Sharing/ Defined Contribution (1-year waiting period)
PTO/ Paid Holidays
Company-paid ST and LT Disability
Maternity Leave/ Parental Leave
Subsidized Parking
Company-paid Term Life/ Accidental Death Insurance
About Cottingham & Butler Claims Services
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday - that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on ****************** | LinkedIn
$30k-38k yearly est. 29d ago
Claims Specialist I
VTI Architectural Products Inc.
Claim specialist job in Holstein, IA
Job Description
Essential Job Functions:
Receive, investigate, and maintain reports on production claims and warranty issues for an assigned region of the country with minimal assistance from team lead and manager.
Provides Technical Assistance to CSC, Manufacturing, Customers, Sales Representatives and Architects
Assist in resolving issues by working through internal processes
Resolves claim issues by determining which party is responsible for the claim
Coordinates field-fix, credit, or replacement resolution
Coordinates the field repair between the repair person and customer
Ensures that information and supplies needed for the repair are sent and payment is coordinated
Processes warranty claim replacements and involves the sales representative
Able to utilize negotiating skills in resolving claim issues
Follows up on unresolved claims
Maintains excellent communication with production, customer service and the customer
Provides customer support by providing LEED documentation, product information, and technical information
Has basic knowledge of VT product offering, construction, labeling, and hardware restrictions
Provides website support by directing internal and external customer to the location of technical information
Sends customers product update information
Provides CDN accounting support by processing payment or credit
Types letters and other correspondence as required
Supports 5S/lean program keeping work area organized
Available to work 8 to 10 hours as required, 5 days per week
Always observes all safety policies and procedures
Participates in team meetings
Works individually or with team members as assigned, maintaining a positive work environment
Other duties as assigned by supervisor
Position Requirements
Qualifications:
Eager and willing to gain knowledge of door products and processes. Excellent written and verbal communication skills
Able to apply common sense understanding to carry out instructions in written, oral, or diagram form
Customer service and math skills
Self-motivated and able to achieve a high level of performance without immediate supervision
Verbally articulate and has excellent written communication skills
Be familiar with Excel, Word, PowerPoint, and other computer systems
Able to work quickly and multi-task while adhering to tight deadlines for multiple projects
Compliant with VT employment policy requirements
All team members are expected to follow the Code of Conduct to the highest standards as well as to adhere to the Attendance Policy of VT Industries.
Physical Requirements
Tolerance for sitting long periods of time. Possess finger dexterity to write, type, and use a calculator. Maintain adequate vision to view small print and computer terminal. Ability to speak and hear, walk throughout facilities with occasional light lifting (25 pounds), stooping, kneeling, crouching, and reaching with hands and arms required. Ability to travel between multiple facilities as required to perform core job duties.
The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
We are looking to add a Workers' Compensation ClaimsSpecialist to join our Creative Risk Solutions team. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes!
Essential Responsibilities:
· Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
· Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims.
· Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues.
· Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
· Generates checks for indemnity and medical payments daily.
· Develops and monitors consistency in procedural matters of claims handling process within CRS.
· Willingness to become licensed if required in jurisdiction where claims are handled.
Qualifications:
· Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
· Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling.
· Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire.
· Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs.
· Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience.
Here's a little bit about us:
Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies.
In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
· Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
· Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
· 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
· Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
· Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
· DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
· Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
· Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1
We are looking to add a Workers' Compensation ClaimsSpecialist to join our Creative Risk Solutions team. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes!
Essential Responsibilities:
· Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
· Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims.
· Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues.
· Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
· Generates checks for indemnity and medical payments daily.
· Develops and monitors consistency in procedural matters of claims handling process within CRS.
· Willingness to become licensed if required in jurisdiction where claims are handled.
Qualifications:
· Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
· Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling.
· Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire.
· Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs.
· Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience.
Here's a little bit about us:
Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies.
In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
· Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
· Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
· 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
· Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
· Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
· DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
· Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
· Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!
Holmes Murphy & Associates is an Equal Opportunity Employer.
#LI-SM1
$29k-49k yearly est. Auto-Apply 24d ago
Claims Examiner
Sisco 4.5
Claim specialist job in Dubuque, IA
Medical Claims Representative
SISCO, a Cottingham & Butler company, is continuing to grow and as a result will be adding Medical Claims Representatives to our team! This position is responsible for the delivery of excellent claims service to include accurate and timely claims processing and prompt and professional communication with clients and healthcare providers. No two claims are the same so you are constantly learning new things and meeting new people! The ideal candidate will have prior experience in an office or customer service setting, a competitive spirit, and thrive in a fast-paced professional business environment.
Why SISCO?
SISCO is a third-party benefit administration firm that is dedicated to helping our clients maximize the value of their employee benefits. We set ourselves apart from the competition by selling the “experience” of SISCO. We deliver an effective, yet human, experience by hiring the best employees and giving them the best technology. Our company was built upon driven, ambitious people like yourself.
About the company
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To ensure we keep that promise, we hold ourselves to a set of principles that we believe position our clients and our company for long-term success. Our Guiding Principles are not just words on paper, they are a promise we make to ourselves and our clients.
These principles have become a driving force of our culture and share many common themes with the values of our clients. First, we hire and develop amazing people that have an insatiable desire to succeed, are committed to learning, and thrive on challenge. Secondly, we pride ourselves on serving our clients best interest through quality service, innovative solutions, and constantly evaluating our performance. Third, we have embraced and are guided by the theme of “better every day” constantly pushing ourselves to be better than yesterday. Ultimately, we get more energy from the future we are creating for our people, our clients, and our company than from our past success.
As an organization, we are very optimistic about the future and have incredibly high expectations for our people and our performance. We also understand that our growth is fueled by becoming better, not bigger - growth funds investments in new resources to better serve our clients and provide the career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
$25k-38k yearly est. Auto-Apply 2d ago
Claims Examiner
Auxiant 3.1
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. 22d ago
Property Claim Representative
IMT Insurance
Claim specialist job in Council Bluffs, IA
WHO
WE
ARE
IMT
is
proud
of
our
heritage
and
will
never
forget
where
our
roots
are
firmly
planted
Locally
run
from
its
office
in
West
Des
Moines
Iowa
IMT
has
been
a
Midwest
company
since
it
was
founded
in
Wadena
Iowa
in
1884
Thats
over
140
years
Today
IMT
continues
to
offer
a
strong
line
of
personal
and
commercial
insurance products for which it has always been known along with exceptional service for a competitive price Our products are offered through Independent Agents throughout a six state territory Iowa Illinois Minnesota Nebraska South Dakota and Wisconsin PROPERTY CLAIM REPRESENTATIVE IMT Insurance is now taking applications for the position of a Property Claim Representative in the Council Bluffs Iowa area This individual will conduct investigations and attempt settlement of claims submitted by policyholders for property losses The ideal candidate will be an analytical detailed worker who can manage time and work on multiple projects while maintaining accuracy and service IMT Property Claims Representatives investigate and evaluate claims involving personal and commercial property to determine proper policy coverages and apply best claims practices to ensure accurate settlements in accordance with company guidelines If youre interested in joining our claims department apply online today A DAY IN THE LIFE Conduct interviews with insureds claimants and other interested parties Conduct thorough investigations and examine insurance policies to determine coverage Inspect damages and prepare written estimates of repair or replacement Correspond with insureds claimants and other interested parties Prepare and report findings and negotiate settlements DESIRED QUALIFICATIONS 0 3 years Property claims experience preferred Bachelors DegreeExcellent verbal and written communication skills Excellent problem solving and negotiation skills Good keyboard PC skills Excellent organizational and prioritization skills Ability to climb ladder to assess roof damage Ability to lift minimum 30 lbs Must maintain valid drivers license Able to travelstay overnight for storm claim duty BENEFITS & PERKS IMT Insurance is committed to our employees and their families When you work for IMT you earn far more than just a paycheck The IMT office was new in 2018 and offers a fitness room game room and a variety of collaboration areas This position includes learning and development opportunities and more Below is a list of what IMT offers our employees Medical dental and vision insurance Life & A D & D insurance 401K retirement savings accounts spending accounts long and short term disability profit share paid vacation & sick time employee assistant program and additional voluntary benefits The salary range for this position is 5300000 9900000 Starting salary and level of position will depend on level of experience This position is not eligible for tips or commission but may be eligible for additional bonuses WHAT DEFINES US Our vision is to provide peace of mind in the moments that matter We are an Equal Opportunity Employer and do not discriminate against any employee or applicant based on race color sex age national origin religion sexual orientation gender identity andor expression status as a veteran and basis of disability or any other federal state or local protected class Our agents and customers come from all walks of life and so do we Our goal is to hire great people from a wide variety of backgrounds because it makes our team stronger If you share our values and our passion for creating a Worry Free life for others we want to talk to you
$30k-40k yearly est. 30d ago
Claims Representative
CBCS 4.0
Claim specialist job in Dubuque, IA
Join our Claims Academy - we are building the next generation of expert Claims Adjusters!
It's an exciting time at CBCS! We've been experiencing explosive growth, and as a result, we're adding a number of Claims Representatives to our team! No experience? No problem. At CBCS, you'll receive in-depth training, providing you with all the information and tools you'll need to succeed. From day one, you'll be surrounded by and learning from talented industry experts, dedicated trainers, mentors and colleagues all invested in your professional growth!
As a Claims Representative you will:
Analyze and process claims
Talk with injured employees, doctors, CEO's, and attorneys from all across the U.S.
Engage private investigators if fraud is suspected
Advise clients and negotiate settlements on their behalf
Actively manage litigation
This position will never leave you bored. No two claims are the same so you'll be constantly learning new things and meeting new people.
The ideal candidate will have a Bachelor's degree and prior experience in an office or customer service setting, a competitive spirit, and thrive in a fast-paced professional business environment.
Pay & Benefits
Salary
Most Benefits start Day 1
Medical, Dental, Vision Insurance
Flex Spending or HSA
401(k) with company match
Profit-Sharing/ Defined Contribution (1-year waiting period)
PTO/ Paid Holidays
Company-paid ST and LT Disability
Maternity Leave/ Parental Leave
Subsidized Parking
Company-paid Term Life/ Accidental Death Insurance
About Cottingham & Butler Claims Services
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of “better every day” constantly pushing ourselves to be better than yesterday - that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on ****************** | LinkedIn