Claim specialist jobs in McKeesport, PA - 40 jobs

Job Description Details Job Title: Claims Specialist Department: Commercial Lines Division: Risk Control/Claims Reports To: Claims Supervisor Contract: No FLSA status: Exempt Position Description The Claims Specialist will provide heroic claims service by assisting with the management of all claims from the initial report of the claim to the closing to ensure the best outcome for all our customers. Primary Responsibilities & Duties Support and manage claim process for clients who are/and are not on a Client Service Plan. This includes initial claim reporting, carrier correspondence, data collection, and internal documentation. Manage daily client correspondences in regard to claims and claim updates. Manage data entry in agency management system. Aid clients through property damage restoration process. All other duties as assigned. Position-specific Competencies Effective Communication: Can clearly articulate oneself in a professional manner with the ability to read the audience and adapt. Possesses the intuition on what information to communicate, feedback to provide, and the right manner of delivery. Practices active listening with patience and can restate opinions accurately, as needed. Attention to Detail: Ability to achieve thoroughness and accuracy when accomplishing a task. Strong ability to focus and provide thorough attention. Relationship Management: Possesses the ability to create and maintain strong relationship with business owners and contacts. Decision Quality: Consistently makes good decisions. Through analysis, wisdom, experience, and judgement can accurately act in the best interest of colleagues and clients. HBI Competencies Integrity: Conducts business with the utmost moral decency. A trusted advisor who displays the highest standard of ethics. Heroic Service: White glove approach to client service and satisfaction. Can anticipate needs, and consistently exceeds expectations. Teamwork: Works well with others towards a shared goal. Actively participates, shares responsibilities and rewards, and contributes to the effectiveness of the group. Kindness: Shows concern and consideration for others. Is generous with time, talent, and overall possess a willingness to help. Qualifications Bachelor's degree or insurance designation preferred 1-3 years of claims experience required CIA, ARM, CLA, etc. preferred but not required *if you are not licensed, you will be required to obtain licensure within first 90 days of hire* An insurance background or understanding of different types of insurance coverage is beneficial, but not required Strong verbal communication and listening skills Proficient in Microsoft Office products such as Word, PowerPoint, and Excel Proficient virtual communication skills-preferably Zoom Work Environment This position requires travel capabilities. A valid driver's license is necessary to provide self-transportation to client meetings, events, and seminars. Local travel up to 50%. While performing the responsibilities of the job, these work environment characteristics are representative of the environment the job holder will encounter. Reasonable accommodations may be made to enable people with disabilities to perform the essential functions of the job. EEO Statement Henderson Brothers supports workplace diversity and does not discriminate on the basis of race, color, religion, gender identity or expression, national origin, age, military service eligibility, veteran status, sexual orientation, marital status, physical or mental disability, or any other protected class. Powered by JazzHR ao IpIQUs2U

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage third party liability construction defect commercial claims with moderate to high complexity and exposure. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s). JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: * Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. * Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information. * Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. * Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. * Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims. * Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate. * Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. * Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation. * Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements. * Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. * May serve as a mentor/coach to less experienced claim professionals May perform additional duties as assigned. Reporting Relationship Typically Manager or above Skills, Knowledge & Abilities * Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices. * Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed. * Demonstrated ability to develop collaborative business relationships with internal and external work partners. * Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions. * Demonstrated investigative experience with an analytical mindset and critical thinking skills. * Strong work ethic, with demonstrated time management and organizational skills. * Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity. * Developing ability to negotiate low to moderately complex settlements. * Adaptable to a changing environment. * Knowledge of Microsoft Office Suite and ability to learn business-related software. * Demonstrated ability to value diverse opinions and ideas Education & Experience: * Bachelor's Degree or equivalent experience. * Typically a minimum four years of relevant experience, preferably in claim handling. * Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience. * Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. * Professional designations are a plus (e.g. CPCU) #LI-KP1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.

We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to: * Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. * Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. * Follow claims handling procedures and participate in claim negotiations and settlements. * Deliver a high level of customer service to our agents, insureds, and others. * Devise alternative approaches to provide appropriate service, dependent upon the circumstances. * Meet with people involved with claims, sometimes outside of our office environment. * Handle investigations by telephone, email, mail, and on-site investigations. * Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute. * Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials. * Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule. * Assist in the evaluation and selection of outside counsel. * Maintain punctual attendance according to an assigned work schedule at a Company approved work location. Desired Skills & Experience * A minimum of three years of insurance claims related experience. * The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision. * The ability to effectively understand, interpret and communicate policy language. * The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI #IN-DNI

**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $55,200.00 - $91,100.00 **Target Openings** 5 **What Is the Opportunity?** *There is also a potential for up to a $10,000 sign-on bonus! * Be the Hero in Someone's Story When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process. Travelers offers a hybrid work location model that is designed to support flexibility. **What Will You Do?** Provide quality claim handling of Auto claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations. Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates. Determine claim eligibility, coverage, liability, and settlement amounts. Ensure accurate and complete documentation of claim files and transactions. Identify and escalate potential fraud or complex claims for further investigation. Coordinate with internal teams such as investigators, legal, and customer service, as needed. **What Will Our Ideal Candidate Have?** + Bachelor's Degree. + Three years of experience in insurance claims, preferably Auto claims. + Experience with claims management and software systems. + Strong understanding of insurance principles, terminology with the ability to understand and articulate policies. + Strong analytical and problem-solving skills. + Proven ability to handle complex claims and negotiate settlements. + Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants. **What is a Must Have?** + High School Diploma or GED. + One year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .

Job Responsibilities and Requirements KEY RESPONSIBILITIES * other duties as assigned* Responsible for supporting both the supervisor and examiners in the day-to-day operation of the claim team. The Claims Team Lead will also be responsible for developing and sustaining excellent internal partnerships with other areas in the company. In addition, the Claims Team Lead will act as an examiner when needed to balance workloads. In this role, they would be accountable for the decision making process for determining eligibility under federal, state laws and client policy. Secure and analyze information to make and approve decisions on all short-term disability, insured or self-insured, and/or statutory claims and their concurrent leave claims. Develop and apply appropriate claim and workflow management strategies, coordinating both disability and leave decisions while meeting timeliness regulations. Duties and Responsibilities: * Supports the achievement of established departmental goals and objectives related to all claim operations in compliance with the Claim Organization's standards * Supports both the supervisor for team leadership, as well as the individual examiners to provide day-to-day guidance and workload balancing. * Partners with Claim Operations leaders to review specific claims that fall within defined parameters to better understand claim trends, training opportunities, coaching opportunities, and/or performance management opportunities. * Supports all training and coaching activities through communications via phone, email and video follow-up with examiners/supervisors. * Develops and maintains strong working relationships with business partners. Reviews claims to ensure that decisions related to eligibility, disability, offsets, benefit calculations and ongoing claim management are accurate and appropriate. Ensures achievement of specific customer service, quality and production objectives. * Ensures claim process consistency through continuous communication and feedback with the examiners/supervisor. * Responsible for assisting in reviewing and completing monthly reports * Ability to interact and respond to both internal and external customers regarding claim results. * Ability to prioritize and manage changing workloads, meeting deadlines independently and through management of others. * Ability and knowledge to assist with claim denial reviews. * Ability to assist in claim auditing. * Completion of Mentor Training and successful completion of one year of mentoring. * Collaborates with team members and management in identify and implementing improvement opportunities. * Ability to participate in finalist presentations and ongoing client meetings. * Ability to review audit findings and prepare rebuttals. * Ability to back up supervisor in periods of extended absences or vacations * Ability to back up examiners in periods of high volume or extended absences/vacations with the following duties and responsibilities: * Responds to customer service issues within required timeframes. Pro-actively communicates decisions within Best Practice guidelines, consistently meeting Performance Guarantee requirements. * Determining eligibility under federal and state requirements for leaves submitted and determines eligibility under client's plan/policy. * Medical certification review and management supplied by the healthcare provider. * Makes determinations to approve, deny or delay and or reach out to additional resources for review. * Determining the duration associated with the leave and or disability based on the information given by the healthcare provider. * Communicating approvals, denials, leave extensions, return to work plans and other important information regarding the leave to the employee and client. * Managing leaves that are concurrent with Short Term Disability and Workers' Compensation. * Managing intermittent, continuous and client specific leaves of absences. * Processing all leaves within the specific timeframes outlined within Matrix Best Practices guidelines. * Facilitate issue resolution and draw on expertise of internal partners as needed. * Ability to interpret and administer policy/plan provisions Fully Investigates all relevant issues, providers, payment or denials, promptly and in full compliance with departmental procedures and unfair claims practice and regulations. * Manages self-insured business in accordance with client's plans and custom requirements. * Basic knowledge of ERISA. * Ability to calculate earnings and benefit levels. * Document claim file actions and conversations thoroughly. * Fully Investigates all relevant issues, providers, payments. * Demonstrates ability to independently investigate, evaluate and adjudicate claims of high degree of complexity. Any other job-related duty as deemed appropriate by management REQUIRED KNOWLEDGE, SKILLS, ABILITIES, COMPETENCIES, AND/OR RELATED EXPERIENCE * or equivalent experience gained from any combination of formal education, on-the-job training, and/or work and life experience* Required Knowledge, Skills, Abilities and/or Related Experience * Associate's Degree or equivalent required. Bachelor's Degree preferred. * Completion of HIAA, LOMA or ICA courses desirable. * Minimum of 5 years relevant experience * Demonstrated ability to handle multiple competing priorities. * Demonstrated ability to provide feedback on Claims handling * Demonstrated ability to function with limited supervision. Demonstrated ability to work well in a high visibility environment, with excellent written and verbal communication skills. Ability to Travel: Up to 10% PHYSICAL REQUIREMENTS When used in the description below, the following terms are defined as: "Occasional": done only from time to time, but necessary when it is performed "Frequent": regularly performed; generally an act that is required on a daily basis "Continuous": typically performed for the majority of an employee's shift Sitting for prolonged periods of time, frequently standing, walking distances up to one mile, bending, crouching, kneeling, reaching, occasionally lifting 25lbs, extensive typing, picking up and holding small objecting and otherwise using primarily the fingers rather than the entire hand. Employee is required to have visual acuity sufficient to perform activities such as preparing and analyzing data and figures; transcribing notes; viewing a computer terminal and extensive reading. Employee is required to have hearing sufficient to understand verbal instruction and answer telephones. Reliance Matrix will provide qualified employees with a reasonable accommodation in accordance with applicable law. CORE VALUES * Collaboration * Compassion * Empowerment * Integrity * Fun The above description reflects the general details considered necessary to describe the principle responsibilities and functions of the job identified and shall not be construed as a detailed description of all the work requirements that may be inherent to this job. The expected hiring range for this position is $63,540.00 - $85,800.00 annually. This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions. These ranges may be modified in the future. Work location may be flexible if approved by the Company. What We Offer At Reliance Matrix, we believe that fostering an inclusive culture allows us to realize more of our potential. And we can't do this without our most important asset-you. That is why we offer a competitive pay package and a range of benefits to help team members thrive in their financial, physical, and mental wellbeing. Our Benefits: * An annual performance bonus for all team members * Generous 401(k) company match that is immediately vested * A choice of three medical plans (that include prescription drug coverage) to suit your unique needs. For High Deductible Health Plan enrollees, a company contribution to your Health Savings Account * Multiple options for dental and vision coverage * Company provided Life & Disability Insurance to ensure financial protection when you need it most * Family friendly benefits including Paid Parental Leave & Adoption Assistance * Hybrid work arrangements for eligible roles * Tuition Reimbursement and Continuing Professional Education * Paid Time Off - new hires start with at least 20 days of PTO per year in addition to nine company paid holidays. As you grow with us, your PTO may increase based on your level within the company and years of service. * Volunteer days, community partnerships, and Employee Assistance Program * Ability to connect with colleagues around the country through our Employee Resource Group program Our Values: * Integrity * Empowerment * Compassion * Collaboration * Fun EEO Statement Reliance Matrix is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment depends solely on your qualifications. #LI-Remote #LI-MR1

Job Opening: Claims Processing Specialist at Blackburn's Are you a detail-oriented professional with a passion for the healthcare industry? Blackburn's is looking for a Claims Processing Specialist to join our Corporate Claims department and perform third-party medical billing functions. If you thrive in a fast-paced environment and possess excellent organizational and communication skills, this could be the perfect opportunity for you! What You'll Do: Manage and verify third-party medical claims for accuracy and compliance. Collaborate with cross-functional teams to resolve billing discrepancies and insurance denials. Process claims efficiently while adhering to strict filing deadlines. Contribute to the improvement of billing processes to reduce denials and increase efficiency. Utilize your strong communication skills to work with internal teams and external clients. Why Join Us? At Blackburn's, we're committed to creating a positive impact in the healthcare industry by delivering quality products and services. As part of our team, you'll have access to in-house training, opportunities for career growth, and a collaborative work environment. We offer competitive pay, benefits, and the chance to be part of a company that values its employees. Work Hours: 8:00 a.m. - 4:30 p.m. or 8:30 a.m. - 5:00 p.m. If you have a passion for medical billing and enjoy working in a dynamic, fast-paced environment, we'd love to hear from you! Apply today and join us in making a difference at Blackburn's! Qualifications What We're Looking For: Prior experience in healthcare-related industries, preferably with third-party medical billing. Strong attention to detail, time management, and the ability to juggle multiple tasks. Excellent interpersonal skills, with the ability to work both independently and as part of a team. Proficiency in Microsoft Office, with knowledge of Word and Excel. Ability to work independently, prioritize workload, and adapt to changing environments.

Job Description Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals who possess proven investigative skill sets within the industry, as well as honesty, integrity, self-reliance, resourcefulness, independence, and discipline. Good time management skills are a must. Must have reliable transportation, digital recorder and digital camera. Job duties include, but are not limited to, taking in-person recorded statements, scene photos, writing a detailed, comprehensive report, client communications, as well as meeting strict due dates on all assignments. If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your resume. Only the finest individuals are considered for hire. Visit our website and find out why at ****************** The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. Writing accurate, detailed reports Strong initiative, integrity, and work ethic Securing written/recorded statements Accident scene investigations Possession of a valid driver's license Ability to prioritize and organize multiple tasks Computer literacy to include Microsoft Word and Microsoft Outlook (email) Full-Time benefits Include: Medical, dental and vision insurance 401K Extensive performance bonus program Dynamic and fast paced work environment We are an equal opportunity employer. Powered by JazzHR 38wbewsfq6

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.

At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.

Proven to Perform. From the edges of space to the bottoms of ocean, our materials are proven to perform -- and so is our team. We're hiring high performers as proven as our products. Join us. ATI is seeking to hire a Material Testing and Certification Specialist to support our Specialty Rolled Products Material certification team and test sample flow process in Washington, PA. This position will be focused on the efficiency of the material certification and test process ensuring adherence to business shipping deadlines. The individual will also be responsible for providing instructions and acting as a resource for the Washington Sample Cutting Prep Lab. Essential Job Duties Perform material certifications across all product lines in Washington. Act as back-up for Monaca, PA certification team, as needed Instruct prep lab employees with prioritization of work Track flow of test samples through the sample cutting prep lab Back-up sample cutting prep lab supervisor, as needed Package, track, and expedite test / customer samples, as needed Coordinate testing between ATI and third-party labs to ensure adherence to operating plan while minimizing testing costs Troubleshoot and resolve issues that arise with test sample flow and nonconforming test results Verify, update and optimize test lotting to meet customer orders for certification Support development / review of customer specifications and society specifications for testing requirements Ensure purchase orders are current and up to date for outside testing vendors Ensure safety and housekeeping procedures are adhered to

Proven to Perform. From the edges of space to the bottoms of ocean, our materials are proven to perform -- and so is our team. We're hiring high performers as proven as our products. Join us. ATI is seeking to hire a Material Testing and Certification Specialist to support our Specialty Rolled Products Material certification team and test sample flow process in Washington, PA. This position will be focused on the efficiency of the material certification and test process ensuring adherence to business shipping deadlines. The individual will also be responsible for providing instructions and acting as a resource for the Washington Sample Cutting Prep Lab. Essential Job Duties Perform material certifications across all product lines in Washington. Act as back-up for Monaca, PA certification team, as needed Instruct prep lab employees with prioritization of work Track flow of test samples through the sample cutting prep lab Back-up sample cutting prep lab supervisor, as needed Package, track, and expedite test / customer samples, as needed Coordinate testing between ATI and third-party labs to ensure adherence to operating plan while minimizing testing costs Troubleshoot and resolve issues that arise with test sample flow and nonconforming test results Verify, update and optimize test lotting to meet customer orders for certification Support development / review of customer specifications and society specifications for testing requirements Ensure purchase orders are current and up to date for outside testing vendors Ensure safety and housekeeping procedures are adhered to

At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100 TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly. Benefit Verification Specialist Job Description POSITION TITLE: Reimbursement Counselor (Benefits Verification Specialist - BVS) Location; Monroeville, PA POSITION SUMMARY: Under close supervision of the project Team Coordinators / Management team, the Benefits Verification Specialist will contact insurance companies, on behalf of the physician's office, to verify patient specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient's benefits and complete data entry and/or appropriate forms to document patient's benefits coverage. PRIMARY DUTIES AND RESPONSIBILITIES: · Collects and reviews all patient insurance information needed to complete the benefit verification process. · Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs. · Verification process could include electronic validation of pharmacy coverage and medical eligibility. · Identifies any restrictions and details on how to expedite patient access. · Could include documenting and initiating prior authorization process, claims appeals, etc. · Completes quality review of work as part of finalizing product. · Reports any reimbursement trends/delays to supervisor. · Performs related duties and special projects as assigned. · Ability to work in a fast-paced office environment. · Work requires focus, flexibility, and the ability to adapt to changing work situations. · This position requires that the Associate be seated most of the day. Required: · Proficient Windows based experience including fundamentals of data entry/typing · Working knowledge of Outlook, Word, and Excel · Strong interpersonal skills and professionalism · Independent problem solver, good decision maker, and robust analytical skills · Strong attention to detail · Effective written and verbal communication Preferred: · High school diploma or GED minimally required. Two (2) + years directly related and progressively responsible experience and/or college degree. · Specific experience in medical office administration, benefit verification, coding, claims processing or customer service at an insurance company a plus · Broader experience/training may be considered in fields such as case management, social services and pharmacy technician. · Familiarity with verification of insurance benefits a plus. · Fundamental understanding of key payers including Medicaid, Medicare and private payers · Strong customer service experience Additional Information Kelly Services is a U.S.-based Fortune 500 company. With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world. We invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide: www.kellyservices.com.

Job DescriptionPosition DescriptionResponsible for maintaining office payroll data in compliance with state, federal and local regulations. Properly document all manual corrections. Ensure office payroll is completed in a timely manner. Utilize system reports to ensure compliance. Extensive software skills are required, as well as Internet research abilities and strong communication skills.Position Qualifications Two (2) year college degree preferred. High school diploma accepted with relevant experience. One (1) year verifiable work experience, preferably in a related capacity. Proficient in Microsoft computer products including Word, Excel and Outlook. Demonstrated record of strong interpersonal skills. Competence in basic PC skills required to perform job functions. Ability to read, write and effectively communicate in English. Essential Job Functions/Responsibilities Able to work in a fast-paced work environment. Focus on consumer needs: Anticipate, understand, and respond appropriately to the needs of consumers to meet or exceed their expectations within the organizational parameters. Ability to handle confidential information in compliance with HIPAA. Ability to handle sensitive information in a calm and professional manner. Ability to lead change and innovation. Ability to manage multiple tasks daily and manage time efficiently. Public relations ability, interpersonal skills and professional telephone manner. Review and process all pending approvals in the EVV system. Review completion of care plan for accuracy and alignment with care plan. Address EVV setup issues with office staff. Review over authorizations and discrepancies with schedules to prevent overpayments. Escalate over authorizations and discrepancies with schedule to appropriate representatives. Run visit compliance report as final check of tasks and visits completed Powered by JazzHR ci OkWTVDai

Job DescriptionBenefits: 401(k) matching Bonus based on performance Competitive salary Health insurance Opportunity for advancement Paid time off Training & development Position Overview: Our GEICO local office is seeking an experienced sales manager to oversee and lead a sales team as well as contribute to personal sales goals. Responsibilities: Problem solve, motivate team, cultivate ideas for sales and revenue growth, consistently communicate with management/owner. Conduct team strategy meetings, implement sales strategies. Develop sales process, listen to agent calls for quality control and review, provide constructive feedback to sales staff, one-on-one meetings and evaluations. Oversee staff, handle PTO requests, cover shifts, divvy out leads, ensure fair practices and equal opportunity. Assist with interviewing, hiring, and onboarding new staff member. Requirements: 3+ years of team management and office management. P&C Licensed with insurance sales experience. Exceptional communication skills across all channels - written, verbal, and attentive listening. A people-centric mindset with a keen eye for detail. Proactive problem-solving abilities, ensuring swift resolutions for customer inquiries. Proficiency in learning and navigating computer functions efficiently.

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $55,200.00 - $91,100.00 Target Openings 5 What Is the Opportunity? * There is also a potential for up to a $10,000 sign-on bonus! * Be the Hero in Someone's Story When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process. Travelers offers a hybrid work location model that is designed to support flexibility. What Will You Do? Provide quality claim handling of Auto claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations. Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates. Determine claim eligibility, coverage, liability, and settlement amounts. Ensure accurate and complete documentation of claim files and transactions. Identify and escalate potential fraud or complex claims for further investigation. Coordinate with internal teams such as investigators, legal, and customer service, as needed. What Will Our Ideal Candidate Have? * Bachelor's Degree. * Three years of experience in insurance claims, preferably Auto claims. * Experience with claims management and software systems. * Strong understanding of insurance principles, terminology with the ability to understand and articulate policies. * Strong analytical and problem-solving skills. * Proven ability to handle complex claims and negotiate settlements. * Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants. What is a Must Have? * High School Diploma or GED. * One year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************

Job Responsibilities and Requirements Obtains and analyzes information to make claim decisions and payments of Short Term Disability (STD) claims. The goal of the position/role is to consistently pay the accurate amount for each claim in accordance with the contract. Research * Applies knowledge of disability products, policies and contracts. * Interprets and applies contract/policy definitions of disability and relevant provisions, clauses, exclusions, riders and waivers as well as statutory requirements. * Utilizes reference materials and tools regarding medical, vocational and disability issues to identify and evaluate claim information in a fair and objective manner. * Efficient use of applicable disability claims system(s). * Applies routine medical and technical claims skills, practices, and procedures. * Utilizes most efficient means to obtain claim information. Analysis and Adjudication * Fully investigates all relevant claim issues. * Provides payment or denials promptly and in full compliance with department procedures and regulations. * Involves technical resources (Social Security specialist, medical resources, and vocational resources) at appropriate claim junctures. * Determine and implement appropriate return to work strategy for assigned cases. * Applies contract specifics regarding eligibility and pre-existing formulas in reference to specific claim. * Communicates with claimants, policyholders, and physicians to resolve investigations concerns. * Comfortably makes balanced decisions in situations where there are potential adverse consequences. Case Management * Utilizes appropriate intervention for the characteristics of each claim. * Manages assigned case load of 100-110 complex and some simple cases independently. * Collaborates with team members and management in identifying and implementing improvement opportunities. * Manages appropriate volumes, consistently meeting turnaround times, high activity levels, and quality focus on timely claim activities. * Consistently remain within workflow guidelines on diaries and casework & adjust desk management if needed. * Provides clear, concise and accurate information to claimants as well as the claims administrative system. * Serves as a subject matter expert within team, provides some mentor support for newer examiners to assist in their development. Customer Service * Provide customer service that is respectful, prompt, concise, and accurate in an environment with competing demands. * Establishes, communicates, and manages claimant and policyholder expectations. * Documents claim file actions and telephone conversations appropriately. Required Competencies * 2 years STD claims examiner experience (Short Term Disability) * Associates Degree, Bachelors Preferred * Promptly acknowledges customers' needs, both internal and external. Ensures customers' needs are handled in a timely and appropriate manner. Creates a positive impression. * Demonstrates effective interpersonal and listening skills: takes direction, practices active listening, accepts feedback. Communicate/respond appropriately to varied audiences/tasks. Exhibits teamwork, honors commitments. * Anticipates, analyzes and defines problems. Develops and assesses alternative solutions as necessary. Makes appropriate decisions in a timely manner. Analyzes impact of decisions. * Work is accomplished quickly and accurately. Takes responsibility for actions. Prioritizes work effectively and uses time efficiently. Accomplishes goals and objectives. * Makes/fulfills commitments. Consistently works independently, meets deadlines, and accepts responsibility for his/her actions. Adheres to all attendance requirements. Prompt, well prepared and ready to contribute. * Level I LOMA Designation Preferred Ability to Travel: None The expected hiring range for this position is $23.24 - $29.04 hourly for work performed in the primary location (South Portland, ME). This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions. These ranges may be modified in the future. Work location may be flexible if approved by the Company. What We Offer At Reliance Matrix, we believe that fostering an inclusive culture allows us to realize more of our potential. And we can't do this without our most important asset-you. That is why we offer a competitive pay package and a range of benefits to help team members thrive in their financial, physical, and mental wellbeing. Our Benefits: * An annual performance bonus for all team members * Generous 401(k) company match that is immediately vested * A choice of three medical plans (that include prescription drug coverage) to suit your unique needs. For High Deductible Health Plan enrollees, a company contribution to your Health Savings Account * Multiple options for dental and vision coverage * Company provided Life & Disability Insurance to ensure financial protection when you need it most * Family friendly benefits including Paid Parental Leave & Adoption Assistance * Hybrid work arrangements for eligible roles * Tuition Reimbursement and Continuing Professional Education * Paid Time Off - new hires start with at least 20 days of PTO per year in addition to nine company paid holidays. As you grow with us, your PTO may increase based on your level within the company and years of service. * Volunteer days, community partnerships, and Employee Assistance Program * Ability to connect with colleagues around the country through our Employee Resource Group program Our Values: * Integrity * Empowerment * Compassion * Collaboration * Fun EEO Statement Reliance Matrix is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment depends solely on your qualifications. #LI-Remote #LI-MR1

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.

At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100 TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly. Benefit Verification Specialist Job Description POSITION TITLE: Reimbursement Counselor (Benefits Verification Specialist - BVS) Location; Monroeville, PA POSITION SUMMARY: Under close supervision of the project Team Coordinators / Management team, the Benefits Verification Specialist will contact insurance companies, on behalf of the physician's office, to verify patient specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient's benefits and complete data entry and/or appropriate forms to document patient's benefits coverage. PRIMARY DUTIES AND RESPONSIBILITIES: · Collects and reviews all patient insurance information needed to complete the benefit verification process. · Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs. · Verification process could include electronic validation of pharmacy coverage and medical eligibility. · Identifies any restrictions and details on how to expedite patient access. · Could include documenting and initiating prior authorization process, claims appeals, etc. · Completes quality review of work as part of finalizing product. · Reports any reimbursement trends/delays to supervisor. · Performs related duties and special projects as assigned. · Ability to work in a fast-paced office environment. · Work requires focus, flexibility, and the ability to adapt to changing work situations. · This position requires that the Associate be seated most of the day. Required: · Proficient Windows based experience including fundamentals of data entry/typing · Working knowledge of Outlook, Word, and Excel · Strong interpersonal skills and professionalism · Independent problem solver, good decision maker, and robust analytical skills · Strong attention to detail · Effective written and verbal communication Preferred: · High school diploma or GED minimally required. Two (2) + years directly related and progressively responsible experience and/or college degree. · Specific experience in medical office administration, benefit verification, coding, claims processing or customer service at an insurance company a plus · Broader experience/training may be considered in fields such as case management, social services and pharmacy technician. · Familiarity with verification of insurance benefits a plus. · Fundamental understanding of key payers including Medicaid, Medicare and private payers · Strong customer service experience Additional Information Kelly Services is a U.S.-based Fortune 500 company. With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world. We invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide: www.kellyservices.com.

Position DescriptionResponsible for maintaining office payroll data in compliance with state, federal and local regulations. Properly document all manual corrections. Ensure office payroll is completed in a timely manner. Utilize system reports to ensure compliance. Extensive software skills are required, as well as Internet research abilities and strong communication skills.Position Qualifications Two (2) year college degree preferred. High school diploma accepted with relevant experience. One (1) year verifiable work experience, preferably in a related capacity. Proficient in Microsoft computer products including Word, Excel and Outlook. Demonstrated record of strong interpersonal skills. Competence in basic PC skills required to perform job functions. Ability to read, write and effectively communicate in English. Essential Job Functions/Responsibilities Able to work in a fast-paced work environment. Focus on consumer needs: Anticipate, understand, and respond appropriately to the needs of consumers to meet or exceed their expectations within the organizational parameters. Ability to handle confidential information in compliance with HIPAA. Ability to handle sensitive information in a calm and professional manner. Ability to lead change and innovation. Ability to manage multiple tasks daily and manage time efficiently. Public relations ability, interpersonal skills and professional telephone manner. Review and process all pending approvals in the EVV system. Review completion of care plan for accuracy and alignment with care plan. Address EVV setup issues with office staff. Review over authorizations and discrepancies with schedules to prevent overpayments. Escalate over authorizations and discrepancies with schedule to appropriate representatives. Run visit compliance report as final check of tasks and visits completed