Insurance Restoration Specialist - Roofing & Storm Damage Claims
Claim specialist job in Edmond, OK
About the Opportunity: Are you driven, confident, and ready to build a high-income career in the storm restoration industry? Riteway Roofing & Construction is seeking motivated Insurance Restoration Specialists to help homeowners navigate storm-related insurance claims and secure full roof replacements.
Apply fast, check the full description by scrolling below to find out the full requirements for this role.
As part of a veteran- and family-owned company, you'll join a team known for integrity, craftsmanship, and doing things the Riteway.
This is a 1099 commission-only opportunity, paid through a competitive percentage of the net profit on each job.
Top performers regularly exceed six-figure earnings. xevrcyc
No prior experience is required - we provide full training, tools, and mentorship to help you succeed quickly.
92S Shower & Laundry Specialist
Claim specialist job in Wichita, KS
As a Shower & Laundry Specialist, you'll be responsible for establishing and performing personnel laundry and shower operations.
Requirements
A U.S. Citizen or permanent resident with a valid Green Card
17 to 34 Years Old
High School Diploma or GED
Meet Tattoo Guidelines
No Major Law Violations
No Medical Concerns
Testing & Certifications
5 Nationally Recognized Certifications Available
10 weeks of Basic Training
6 weeks of Advanced Individual Training
84 ASVAB Score: General Maintenance (GM)
Skills You'll Learn
Organizational Laundry
Mobile Shower Operations
Planning & Scheduling
About Our Organization:
The U.S. Army offers a wealth of possibilities for your future - whether you are looking to build a meaningful career, continue your education, or start a family, the Army is committed to helping you build the future you are looking for and improve yourself in the process. Be All You Can Be.
Now Hiring Part Time Positions.
***Click apply for an Interview***
Claims Representative - Overland Park, KS
Claim specialist job in Overland Park, KS
Who is Federated Insurance?
At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own.
Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values.
What Will You Do?
Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss.
No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients.
This is an in-office position that will work out of our Overland Park, KS office, located at 6130 Sprint Parkway, Ste 200 Overland Park, KS. A work from home option is not available.
Responsibilities
Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way.
Explain policy coverage to policyholders and third parties.
Complete thorough investigations and document facts relating to claims.
Determine the value of damaged items or accurately pay medical and wage loss benefits.
Negotiate settlements with policyholders and third parties.
Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars.
Minimum Qualifications
Current pursuing, or have obtained a four-year degree
Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields
Ability to make confident decisions based on available information
Strong analytical, computer, and time management skills
Excellent written and verbal communication skills
Leadership experience is a plus
Salary Range: $61,700 - $75,400
Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team.
What We Offer
We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You.
Employment Practices
All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization.
If California Resident, please review Federated's enhanced Privacy Policy.
Auto-ApplyClaims HMO - Claims Examiner 140-1031
Claim specialist job in Tulsa, OK
The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or adjust the claim. Examiners are expected to meet performance expectations in accuracy and efficiency.
KEY RESPONSIBILITIES:
Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions.
Identify claims requiring additional resources and route to the team lead, supervisor or other departments as needed.
Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials.
Identify and communicate trends or problems identified during adjudication process.
Contribute to the creation of a pleasant working environment with peers and other departments.
Assist in investigating and solving claims that require additional research.
Consistently learn and adapt to changes related to claims processing, benefits, limits and regulations.
Perform other duties as assigned.
QUALIFICATIONS:
Self-motivated and able to work with minimal direction.
Ability to read and understand claims processing manuals, medical terminology, CPT codes, and perform basic processing procedures.
Ability to read and understand health benefit booklets.
Demonstrated learning agility.
Successful completion of Health Care Sanctions background check.
Knowledge in the contracted managed care plan terms and rates.
General understanding of unbundling methods, COB, and other over-billing methodologies.
Must have high attention to detail.
Proficient in Microsoft applications.
Ability to perform basic mathematical calculations.
Possess strong oral and written communication skills.
EDUCATION/EXPERIENCE:
High School Diploma or Equivalent required.
Two years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required.
Auto Claim Representative
Claim specialist job in Overland Park, KS
**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**
3
**What Is the Opportunity?**
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.
This role is eligible for a sign on bonus.
**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 required.
+ A minimum of one year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program is required.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
Auto Claim Representative - Overland Park, KS
Claim specialist job in Overland Park, KS
ATTENTION MILITARY AFFILIATED JOB SEEKERS
- Our organization works with partner companies to source qualified talent for their open roles. The following position is available to
Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers
. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.
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.
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
What Is the Opportunity?
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.
This role is eligible for a sign on bonus.
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.
Additional Qualifications/Responsibilities
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 required.
A minimum of one year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program is required.
What Is in It for You?
Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
LNIC Medicare Claims Processor
Claim specialist job in Oklahoma City, OK
LifeShield National Insurance Company is seeking exceptional individuals to join our growing team as Medicare Claims Processor. We are searching for candidates who can review and evaluate routine and complex Medicare claims in accordance with company policies and quality standards.
As a member of the Claims Processing Team, you will:
Manage a large volume of work and meet deadlines.
Handle patient information professionally and confidentially.
Resolve simple issues and follow through with complex claims in collaboration with department leadership.
Position Requirements
Candidates must possess a minimum of 1 year prior medical claims processing experience to be considered. Those with knowledge of Medicare claims processing are strongly encouraged to apply.
Qualified candidates will also demonstrate:
Strong knowledge of ICD-10, CPT, and HCPCS coding.
Knowledge of Microsoft Office
Experience in 10 key
Understanding of HIPAA regulations.
Excellent attention to detail and time management skills.
Ability to work independently with minimal supervision.
Strong verbal and written communication skills.
Ability to collaborate effectively within a team environment.
Claims Follow-Up Representative
Claim specialist job in Tulsa, OK
Job Details Parkside Hospital - Tulsa, OK Full TimeClaims Follow-Up Representative Job Description
Do you enjoy making a difference in a patient's life? Do you enjoy making a difference in your community? Come work at Parkside! Where healing happens. Every day.
Parkside Psychiatric Hospital & Clinic is a comprehensive mental healthcare system providing acute in-patient care, residential treatment, and outpatient therapy. With a focus on society's most vulnerable population, Parkside provides world-class mental health services focused on children and young people, ages 5 to 26. For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, patient-centered care that propel families from hopeful to hope-filled. As a center of excellence, we cultivate talent and provide professional purpose. Together we facilitate healing, one patient at a time.
The Claims Follow-Up Representative is responsible for monitoring and managing outstanding insurance claims to ensure timely and accurate reimbursement. This role involves investigating and resolving denied or delayed claims, communicating with insurance providers, and maintaining compliance with industry regulations. The ideal candidate has strong analytical skills, attention to detail, and a thorough understanding of healthcare billing processes.
Key Responsibilities:
• Claims Follow-Up: Track and follow up on outstanding insurance claims to ensure prompt payment.
• Denial Management: Analyze claim denials, identify root causes, and take appropriate corrective actions to appeal or resubmit claims.
• Insurance Communication: Contact insurance carriers via phone, email, or online portals to resolve claim issues and obtain payment status.
• Documentation: Maintain accurate records of claim statuses, communications, and resolution efforts in the billing system.
• Compliance: Ensure adherence to HIPAA regulations, payer policies, and industry guidelines.
• Collaboration: Work closely with billing specialists, coders, and other revenue cycle team members to address claim discrepancies.
• Reporting: Generate and review aging reports to prioritize follow-up efforts and track claim resolution progress.
• Process Improvement: Identify trends in denials and delays, providing feedback to management for process enhancements.
• Other duties as assigned.
Claims Follow-Up Representative Qualifications
• High school diploma or equivalent (Associate's or Bachelor's degree in healthcare administration or a related field is a plus).
• 1-2 years of experience in healthcare claims follow-up, medical billing, or revenue cycle management.
• Knowledge of insurance guidelines, claims processing, and medical terminology.
• Familiarity with Electronic Health Records (EHR) and billing software.
• Strong communication and problem-solving skills.
• Ability to work independently and meet deadlines in a fast-paced environment.
Benefits include:
Medical, Dental, and Vision
Generous Paid Time Off and Holidays
401K and match start immediately, and includes a generous match
Company Paid Life Insurance and Disability and more!
We are an Equal Opportunity Employer!
Independent Insurance Claims Adjuster in Tulsa, Oklahoma
Claim specialist job in Tulsa, OK
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
Auto-ApplyClaims Processor Analyst
Claim specialist job in Overland Park, KS
Stefanini is a global IT services company with over 88 offices in 39 countries across the Americas, Europe, Africa, Australia, and Asia in 35 languages. Since 1987, Stefanini has been providing offshore, onshore, and nearshore IT services, including application development, IT infrastructure outsourcing, systems integration, consulting and strategic staffing to Fortune 1000 enterprises around the world.
Job Description
Educates patients, their families and health care professionals in the use of the organization's products and services.
Organizes and conducts classes and individual meetings to demonstrate how the organization's products and services contribute to the maintenance and improvement of health and/or the management of specific diseases and physical conditions.
Prepares and distributes educational and instructional material (e.g., booklets, promotional kits).
May expand patient pool through participation in referral and screening programs.
Provides information and suggestions to sales and/or medical representatives and management on the results of educational programs, including comments and questions from patients and health care professionals.
Has developed specialized skills or is multi-skilled through job-related training and considerable on-the-job experience.
Completes work with a limited degree of supervision
Likely to act as an informal resource for colleagues with less experience
Identifies key issues and patterns from partial/conflicting data
Post-secondary certifi./Assoc. degree in applicable discipline and 3-5 Yrs of related Exp.
Qualifications
Previous Medical Claims Experience
Strong Problem-Solving Skills
Previous Experience Calling Plans & figuring out patient's out of pocket costs for both Medical & Pharmacy Plans
Additional Information
All your information will be kept confidential according to EEO guidelines.
Public Adjuster
Claim specialist job in Kansas City, KS
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!
Claims Examiner
Claim specialist job in Tulsa, OK
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.
Job Title: Claims Examiner
Pay Rate: $11.77/hour
Job Description Overview:
•Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims
•Review and compare information in computer systems and apply proper codes/documentation
•May place outgoing calls to providers and/or pharmacies for further investigation before processing claims
Job Specific Qualifications:
•High school diploma or GED
•Data Entry and/or typing experience
•Clear and concise written and verbal communication skills
•Ability to multi task and prioritize is required
•Interpersonal, verbal and written communication skills
•Ability to sit for long periods of time
•Analytical and problem solving skills
•Must be dependable and flexible
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.
Claims Representative
Claim specialist job in Tulsa, OK
Mid-Continent Group, a subsidiary of Great American, based in Tulsa, Oklahoma, specializes in commercial casualty coverages with an emphasis on general liability for the construction, energy, and difficult-to-place business in other industries. Mid-Continent Group provides a broad selection of General Liability, Commercial Auto, Inland Marine and Umbrella products.
Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group, a Fortune 500 company, combines “small company” culture with “big company” expertise. Here, your ideas will be heard, and you'll have the support to succeed. With over 35 specialty and property and casualty operations, there are always opportunities to learn and grow.
At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.
Mid-Continent Group is looking for a Claims Representative to join their Multi-Peril Claims team. This individual will work a hybrid schedule from one of our downtown corporate locations in Tulsa, Oklahoma or Cincinnati, Ohio. Remote opportunities will be considered.
Essential Job Functions and Responsibilities
Manage an inventory of General Liability claims with some litigation.
Investigate and maintain claims:
Evaluate coverage and liability.
Secure necessary information (i.e.: reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
Actively work toward the resolution of claim files.
Attend arbitrations, mediations, depositions, or trials as necessary.
Affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
Convey the complex information (coverage, decisions, outcomes, negotiations, etc.) to all appropriate parties while maintaining a professional demeanor in all situations.
Ensure compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements.
Evaluate and make recommendations to executive management on internal and external issues of strategic importance to a product(s) and/or line of business.
Job Requirements
Generally, 2+ years of experience handling commercial General Liability claims and auto experience is required. Previous legal experience will be considered.
Bachelor's Degree or equivalent experience is required. A Juris Doctor degree is encouraged.
A successful candidate will be able to demonstrate strong writing, analytical, communication, and organizational skills.
Ability to travel as needed.
Company:
MCC Mid-Continent Casualty Company
Benefits:
Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.
We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.
Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.
Auto-ApplyField Claims Adjuster
Claim specialist job in Broken Arrow, OK
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.
Catastrophe Claims Representative
Claim specialist job in Kansas
Will be filled at the appropriate level based on experience Are you looking for an exciting career where you can directly impact someone's life? We are seeking a service-minded individual to join our Catastrophe (CAT) Claims team! Who We Are: With Farm Bureau Financial Services, our client/members can feel confident knowing their family, home, cars, and other property are protected. We value a culture where integrity, teamwork, passion, service, leadership, and accountability are at the heart of every decision we make and every action we take. We're proud of our more than 80-year commitment to protecting the livelihoods and futures of our client/members and creating an atmosphere where our employees thrive.
What You'll Do: As a Catastrophe Claims Representative, you will be responsible for immediate response to CAT storm events to investigate, evaluate, and negotiate property claim assignments involving homeowner, farm, and commercial risks. In this role, you will represent Farm Bureau in the field and must keep a service-oriented attitude by maintaining professional and productive relationships with coworkers, supervisors, agents, policyholders, and others. You will focus on accurately documenting investigations, evaluations, recommendations and plans of action with results focused on developing a defendable claims file. You must be able to effectively negotiate with client/members and contractors in a professional manner to attain a fair settlement. When called to storm events covering our 8-state territory (KS, NE, IA, MN, SD, AZ, NM, UT), you will be deployed for up to three weeks. During non-storm periods, you will be assisting our business units manage claims by reviewing and paying replacement cost claims or following up on pending storm losses, as well as focusing on your personal development and training.
What It Takes to Join Our Team:
* College degree or equivalent plus 3+ years of relevant experience required.
* Working knowledge of construction and estimating systems (Xactimate) is preferred.
* Excellent verbal and written communication, including the ability to negotiate effectively and present yourself in a professional manner.
* Must possess excellent interpersonal and organizational skills, as well as analytical ability.
* Strong computer skills are required in order to quickly learn our multiple systems.
* A valid driver's license and satisfactory Motor Vehicle Records are required, as this position includes a company paid vehicle.
* Travel may be as high as 90% to effectively handle catastrophe claims in the field.
* Must maintain on-call availability with the ability to deploy at any time, with the potential for being out for extended periods including weekends.
* Must be able to climb onto ladders, roofs, and other structures to inspect damage and lift a minimum of 75 pounds.
* Progress towards industry education outlined in career development path is expected.
What We Offer You: When you're on our team, you get more than a great paycheck. You'll hear about career development and educational opportunities. We offer an enhanced 401K with a match, low-cost health, dental, and vision benefits, and life and disability insurance options. We also offer paid time off, including holidays and volunteer time, and teams who know how to have fun. Add to that an onsite wellness facility with fitness classes and programs, a daycare center, a cafeteria, and for many positions, even consideration for a hybrid work arrangement. Farm Bureau....where the grass really IS greener!
If you're interested in joining a company that appreciates employees, provides growth and professional development opportunities, and offers great benefits, we invite you to apply today!
Work Authorization/Sponsorship: At this time, we are not considering candidates that need any type of immigration sponsorship now or in the future, such as additional or permanent work authorization. Applicants must be currently authorized to work in the United States on a full-time, permanent basis. We are not able to sponsor now or in the future, or take over sponsorship of, an employment visa or work authorization for this role. For example, we are not considering candidates with OPT status.
Claims Representative (IAP) - Workers Compensation Training Program
Claim specialist job in Bartlesville, OK
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work
Fortune Best Workplaces in Financial Services & Insurance
Claims Representative (IAP) - Workers Compensation Training Program
Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?
A stable and consistent work environment in an office setting.
A training program to learn how to help employees and customers from some of the world's most reputable brands.
An assigned mentor and manager who will guide you on your career journey.
Career development and promotional growth opportunities through increasing responsibilities.
A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs.
PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due.
ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic individuals for an entry-level trainee position. This role begins with a comprehensive 6-week classroom-based professional training program designed to equip you with the foundational skills needed for a successful career in claims adjusting. Over the course of a few years, you'll have the opportunity to grow and advance within the field.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
Attendance and completion of designated classroom claims professional training program.
Performs on-the-job training activities including:
Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims.
Adjusting low and mid-level liability and/or physical damage claims under close supervision.
Processing disability claims of minimal disability duration under close supervision.
Documenting claims files and properly coding claim activity.
Communicating claim action/processing with claimant and client.
Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned.
Participates in rotational assignments to provide temporary support for office needs.
QUALIFICATIONS
Bachelor's or Associate's degree from an accredited college or university preferred.
EXPERIENCE
Prior education, experience, or knowledge of:
• Customer Service
• Data Entry
• Medical Terminology (preferred)
• Computer Recordkeeping programs (preferred)
• Prior claims experience (preferred)
Additional helpful experience:
• State license if required (SIP, Property and Liability, Disability, etc.)
• WCCA/WCCP or similar designations
• For internal colleagues, completion of the Sedgwick Claims Progression Program
TAKING CARE OF YOU
Entry-level colleagues are offered a world class training program with a comprehensive curriculum
An assigned mentor and manager that will support and guide you on your career journey
Career development and promotional growth opportunities
A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 25.65/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #claims #claimsexaminer #entrylevel #remote #LI-Remote
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Auto-ApplyMedical Claims Technician I
Claim specialist job in Oklahoma City, OK
Job Description
Researches insurance claim denials, determines the validity of the claim and when appropriate is responsible for adjusting and resubmitting the claims via multiple methods.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Researches denial of claims, evaluates and rebills as necessary in an effort to ensure the maximum accurate payment and reduce the number of A/R days
Communicates with Business Office or clinical staff regarding coverage and denials, if appropriate
Sustains aged A/R of less than 120 days
Maintains a high level of integrity and commitment to accurate claims processing
Performs other duties as required
QUALIFICATIONS
One year of experience with insurance billing and claims research preferred
High school or equivalent with emphasis on business related courses
Ten key, computer/data entry, spreadsheets, and word processing
Communication, analytical and problem solving skills
Ability to multi-task and meet deadlines
Detail oriented and organizational skills
Excellent verbal and written communication skills
Ability to work independently and collaboratively within a team environment
Commitment to the mission of Red Rock BHS
PHYSICAL REQUIREMENTS
Must have the ability to stand or sit for long periods of time
Must have the ability to lift, push, or pull a minimum of 25 pounds
Ability to travel approximately 10% of the time
Ability to use telephone, PC, fax machine, copy machine, and printer
HOW WE TAKE CARE OF YOU!
We pay a generous portion of your Health Insurance
Low-cost Dental and Vision Insurance
Retirement Plan with employer contributions equal to 5% of annual salary
Student Loan Repayment options
No cost Employee Assistance Plan
3 Weeks Paid Time-Off (increases annually between years 2-10)
9 Paid Holidays
1 Floating Holiday to use at your discretion.
4 Rest and Relaxation days
3 days of Education Leave
4 hours of Volunteer Leave
Eligible for Pay Increases and Bonuses annually
Employer Paid Long-Term Disability and Life Insurance
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
Red Rock Behavioral Health Services does not discriminate based on race, color, national origin, religion, gender, gender identity, age, marital/familial status, sexual orientation, or disability.
Certification Specialist - Charles Atkins
Claim specialist job in Oklahoma City, OK
CRM Residential has been a trusted name in the property management industry for over 46 years specializing in affordable housing. Our success story is a testament to the dedicated and talented individuals who have chosen to build their careers with us. We take great pride in our values, and we live and breathe them every day.
Working at CRM Residential is so much more than a job, it is a career with purpose. No matter what department or level of the company you join, our mission is to provide a comfortable and reliable home environment for those who need it most and to provide excellent service to our customers. You will make a difference.
Why Join the CRM Residential Team:
Comprehensive Health Coverage
Retirement Savings with employer contribution
Bonus Potential
Paid Time Off (PTO)
Company Paid Holidays
Once eligible for enrollment, the company will contribute a Safe Harbor match of 3% of your compensation to your 401(k) account, regardless of whether you choose to make your own contributions.
Pay Rate: $16-$19 per hour
What You'll Get To Do:
The Compliance Specialist will be responsible for keeping abreast of all HUD, state agency, and tax credit rules and regulations concerning occupancy, recertifications, and tax credit related issues. The Compliance Specialist will deal directly with HUD and state agencies in reference to Section 8 contract renewals. This role will be responsible for but not limited to:
Prepare monthly, quarterly, and annually reports for Tax Credit Properties
Prepare Company Occupancy Reports weekly and for properties and owners
Review and critique recertification move in packages at tax credit properties
Prepare handouts for training classes and an assist in allocating the cost to each property that attended training
Site visits may be required from time to time to offer assistance to onsite staff pertaining to occupancy, file compliance or other tax credit specific areas
Attend educational seminars relating to tax credit compliance & other affordable housing
Monitor the timely completion of annual recertifications for all sites. Advise Regional Manager of any potential problems
Written correspondence with owners and agencies, relating to affordable housing
Requirements:
High School diploma or equivalent education required. 3-4 years of experience can offset minimum educational requirements for this position.
Valid driver's license and reliable transportation
Ability to work with a variety of people and make them feel comfortable quickly
Strong customer service skills required
Must have strong organizational and time management skills
Valid driver's license
Proficiency at multi-tasking
Organizational skills
Working knowledge of Microsoft Office software
Experience with verifications and renewals
Other administrative duties as assigned
Onsite Monday-Friday 8:30am-5:00pm
Bi-lingual Spanish required
About CRM Residential:
CRM Residential is an award-winning full-service property management company which professionally manages 11,000+ apartments valued in excess of one billion. We are exclusively third-party so there is no conflict of interest between the properties that we manage for our clients and our own properties, because we do not own any properties. Our focus is dedicated to our clients.
We are an equal opportunity employer and welcome applicants from all backgrounds to apply. If you have a passion for property management and a desire to work for a reputable company, we encourage you to apply for this exciting opportunity.
Auto-ApplyAdjuster Trainee
Claim specialist job in Davis, OK
Pay:$50K
Full time
Benefits available
Primary Purpose: Investigate insurance claims; obtain all necessary information to evaluate claims and expedite settlement. Candidate must reside in one of the following counties: Garvin, Murray, Carter, Jefferson, Love, Johnston. Marshall and Bryan.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Investigate all lines insurance claims within assigned territory and limits of authority; responsible for the accurate and efficient completion of all phases of claims processing from inception to settlement.
Investigate personally and/or in conjunction with Specialist major losses, complex liability/fire damage claims, catastrophe, multiple bodily injury claims and litigation cases.
Obtain (via telephone, correspondence or personal visit) loss reports, insured/witness/claimant statements, medical/police reports, appraisals, repair estimates, etc., as required; take photos as indicated.
Confirm coverage for new claims and set reserves amounts; follow up on necessary information; and record diaries for scheduled review of files; issue payment & correspondence as needed.
Analyze all accumulated data, reports, photos, etc. and evaluate claims; determine coverage and extent of loss/liability; prepare corresponding claims summaries.
Settle claim within limits of authority; issue drafts/checks for claim payment and obtain required liability releases upon settlement; close claims files.
Confer with District Claims Manager regarding complex claims or when potential exposure exceeds settlement authority.
Periodically review all open claims files assigned to adjuster, obtain any necessary information and adjusting reserve amounts as needed.
Travel to county offices as needed. Travel to serve on storm teams to assist with any other catastrophe losses as required.
Maintain company car in serviceable condition; prepare/submit weekly expense account.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
Analytical - Synthesize complex or diverse information; Collect and research data; Uses intuition and experience to complement data.
Customer Service - Manage difficult or emotional customer situations; Respond promptly to customer needs; Respond to requests for service and assistance; Meet commitments.
Interpersonal Skills - Maintain confidentiality; Keep emotions under control.
Oral Communication - Speak clearly and persuasively in positive or negative situations; Listen and obtain clarification; Respond well to questions; Demonstrate group presentation skills; Participate in meetings.
Written Communication - Write clearly and informatively; Edit work for spelling and grammar; Change writing style to meet needs; Present numerical data effectively; Read and interpret written information.
Business Acumen - Understand business implications of decisions; Display orientation to profitability.
Ethics - Treat people with respect; Keep commitments; Inspire the trust of others; Work ethically and with integrity; Uphold organizational values.
Organizational Support - Follow policies and procedures; Support organization's goals and values.
Judgment - Display willingness to make decisions; Exhibit sound and accurate judgment; Support and explain reasoning for decisions; Include appropriate people in decision-making process; Make timely decisions.
Planning/Organization - Prioritize and plan work activities; Use time efficiently.
Professionalism - Approach others in a tactful manner; React well under pressure; Accept responsibility for own actions.
Quality - Demonstrate accuracy and thoroughness; Look for ways to improve and promote quality; Monitor own work to ensure quality.
Quantity - Meet productivity standards; Complete work in timely manner; Work quickly & accurately.
Safety and Security - Observe safety and security procedures.
Adaptability - Adapt to changes in the work environment; Deal with frequent changes, delays, or unexpected events.
Attendance/Punctuality - Is consistently at work and on time; Ensure work responsibilities are covered when absent; Arrive at meetings and appointments on time.
Dependability - Follow instructions, responds to management direction; Commit to long hours of work when necessary to reach goals.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Bachelor's degree from four-year college or university, and/or two to four years related experience and/or training or equivalent combination of education and experience.
Employee is expected to participate in continuing education program(s).
Skills and Knowledge
Language Skills
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or government regulations, insurance policies and contracts. Ability to write reports and business correspondence. Ability to effectively present information and respond to common inquiries or complaints from groups including but not limited to managers and supervisors, company departments, insureds, third parties, witnesses, doctors, attorneys, agents, county offices and other insurance companies.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent and to draw and interpret bar graphs.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have knowledge of computers and computer systems.
Certificates, Licenses, Registrations
Valid driver's license or obtainment of valid Oklahoma driver's license is required. Satisfactory driving record is a condition of employment. Current Oklahoma adjuster license or obtainment of valid Oklahoma adjuster's license is required.
Other Skills and Abilities
Must have investigative skills and a proven ability to work with people and solve problems. Ability to manage stress due to high volumes of work, long hours, and dealing with discontented insureds and/or third parties. Employee is expected to maintain regular attendance.
Other Qualifications
Work unscheduled hours and some travel.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle or feel; reach with hands and arms and talk or hear.
The employee is frequently required to climb or balance and stoop, kneel, crouch or crawl. The employee is occasionally required to taste or smell.
The employee must regularly lift and/or move their assigned equipment of a minimum of 25 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. This is not a remote position. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
While performing the duties of this job, the employee is frequently exposed to outside weather conditions. The employee is occasionally exposed to wet and/or humid conditions; moving mechanical parts; high, precarious places; fumes and airborne particles; extreme cold; extreme heat and risk of electrical shock. The noise level in the work environment is usually moderate.
WE ARE AN EQUAL OPPORTUNITY EMPLOYEROklahoma Farm Bureau & Affiliated Companies does not discriminate on the basis of race, color, religion, national origin, sex, age or disability. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.
Auto-Apply92S Shower & Laundry Specialist
Claim specialist job in Columbus, KS
As a Shower & Laundry Specialist, you'll be responsible for establishing and performing personnel laundry and shower operations.
Requirements
A U.S. Citizen or permanent resident with a valid Green Card
17 to 34 Years Old
High School Diploma or GED
Meet Tattoo Guidelines
No Major Law Violations
No Medical Concerns
Testing & Certifications
5 Nationally Recognized Certifications Available
10 weeks of Basic Training
6 weeks of Advanced Individual Training
84 ASVAB Score: General Maintenance (GM)
Skills You'll Learn
Organizational Laundry
Mobile Shower Operations
Planning & Scheduling
About Our Organization:
The U.S. Army offers a wealth of possibilities for your future - whether you are looking to build a meaningful career, continue your education, or start a family, the Army is committed to helping you build the future you are looking for and improve yourself in the process. Be All You Can Be.
Now Hiring Part Time Positions.
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