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Claim specialist jobs in West Virginia - 32 jobs

  • Claims Examiner

    Harris 4.4company rating

    Claim specialist job in West Virginia

    Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.
    $53k-74k yearly est. Auto-Apply 45d ago
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  • Claims Specialist, Unclaimed Property-WV State Treasurer's Office-Kanawha Co.

    State of West Virginia 3.4company rating

    Claim specialist job in Charleston, WV

    Nature of Work * This job opportunity is not in the classified service and is not covered by the West Virginia Division of Personnel merit system. , you must apply directly to the hiring agency.* HOW TO APPLY: Email resumes or inquiries toresumes@wvsto.govby January 30, 2026 CLAIMS SPECIALIST, UNCLAIMED PROPERTY-WV STATE TREASURER'S OFFICE-KANAWHA CO. Salary: $40,000 - $50,000; salary commensurate with training and experience. Full-time employees of the West Virginia State Treasurer's Office (WVSTO) are eligible for Public Employee Insurance Agency benefits and a number of other benefits available to state employees. Location:Charleston, WV Job Type:Full-Time Permanent; Not in the Classified Service; FSLA; non-exempt Division:WVSTO Unclaimed Property Reports To:Claims Manager, Unclaimed Property Nature of Work: Under direct supervision, this position is responsible for claims processing unclaimed property and returning the property back to the rightful owner. This position works with the general public, both by phone and in person, and must possess excellent communication and customer service skills. In addition, the position must have both analytical and good writing skills to effectively evaluate the evidence and communicate with the claimant. Returns unclaimed property to rightful owners and maintains records by performing the following duties. Work is performed according to detailed instructions and the methods of work are well established and outlined by the Claims Manager. Job Duties: * Provides customer service in the form of responding to telephone calls, walk-in assistance, and in follow up letters to the public on claims, as applicable. * Process and review all claims in accordance with the Unclaimed Property Guidelines and in compliance with West Virginia Unclaimed Property Act. As well as any other applicable policies and procedures. * Reviews claims to determine if all necessary information is provided. Provide necessary follow up. * Processes claims, by the appropriate claim type, in the KAPS unclaimed property system when received from the state website. * Creates claims as needed from paper claim forms and from claimants that call in and need assistance. * Responsible for compiling all evidence required to approve the claim at first level in KAPS. * Adds appropriate evidence to the workflow as needed. * Acts as peer reviewer, which is second level review, to co-workers claims. * Process agency requests for reimbursement and transferring of funds in wv OASIS. * Process traveler's checks and money orders. * Scan mail into OnBase to interface with KAPs * Back up to the receptionist, as needed. * Assists other staff as needed. * Assist with unclaimed property outreach at events, as needed. * Notifies supervisor when potential problems arise. * Assists with related special projects, as required. Minimum Qualifications Associate degree (A. A.) or equivalent from two-year College or technical school required; Bachelor's degree from four-year college or university preferred; or equivalent combination of education and related experience. Required Knowledge, Skills, and Abilities: * Knowledge of Unclaimed Property procedures to ensure compliance with the West Virginia Unclaimed Property Act. * Ability to process and review all claims in accordance with the Unclaimed Property Guidelines and in compliance with West Virginia Unclaimed Property Act. * Skill in explaining complicated unclaimed property matters to claimants. * Ability to converse in a professional manner with disgruntled claimants. * Ability to establish and maintain effective working relationships. * Ability to deal with highly sensitive issues in an orderly and controlled manner. * Ability to learn and utilize Unclaimed Property database systems. Other Information The State Treasurer's Office provides equal opportunities to all employees and applicants for employment without regard to race, sex, color, religion, national origin, age, disability, veteran status, or any other factors made unlawful under applicable federal and state laws. Equal employment opportunity applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training. Applicants have rights under the following Federal Employment Laws: Family Medical Leave Act and Equal Employment Opportunity. To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. This job opportunity is not in the classified service and is not covered by the West Virginia Division of Personnel merit system. Therefore, interested persons must apply directly to the hiring agency as directed above.
    $40k-50k yearly 17d ago
  • Claims Examiner

    Harriscomputer

    Claim specialist job in West Virginia

    Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.
    $36k-60k yearly est. Auto-Apply 45d ago
  • Liability Adjuster

    Erie Insurance 4.6company rating

    Claim specialist job in Parkersburg, WV

    Division or Field Office: Claims I Division Home & Auto Liability Dept Work from: Remote Salary Range: $56,367.00 - $90,040.00 * salary range is for this level and may vary based on actual level of role hired for * This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment. At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits That Go Beyond The Basics We strive to be Above all in Service to our customers-and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including: * Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. * Low contributions to medical and prescription premiums. We currently pay up to 97% of employees' monthly premium costs. * Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service. * 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. * Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave. * Career development. Including a tuition reimbursement program for higher education and industry designations. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. Position Summary Exercises independent discretion and judgement in claims handling involving complex liability issues, to include coverage issues and minor injury claims. * This is a remote, work from home position in West Virginia * The ideal candidate can live in West Virginia, Southern, OH, Maryland/DC area and is able to travel to the Parkersburg Branch Office on occasion when needed. * The ideal candidate will have their West Virginia Adjusters license or must be willing to obtain a WV Adjusters license. Duties and Responsibilities * Conducts investigations, evaluate and make recommendations regarding coverage and liability. * Sets and maintains reserves. Obtains documents to establish the value of claims and negotiates settlement or declines claim. * Documents files and submits final report. * Identifies subrogation opportunities and initiates appropriate action. * Negotiates with all parties, or their representatives, within designated authority. * Completes required training. * Trains and mentors. * Travel for training may be required. The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished. This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident. Capabilities * Values Diversity * Nimble Learning * Self-Development * Collaborates * Customer Focus * Cultivates Innovation * Information Management Skills * Instills Trust * Optimizes Work Processes (IC) * Job-Specific Knowledge * Ensures Accountability * Decision Quality Qualifications Minimum Educational and Experience Requirements * High school diploma or equivalent and two years of claims or customer service experience, preferably with casualty claims, required. * Equivalent educational experience will be considered. * Associate's or Bachelor's degree, preferred. Designations and/or Licenses * Appropriate license as required by state. Physical Requirements * Lifting/Moving 0-20 lbs; Occasional ( * Lifting/Moving 20-50 lbs; Occasional ( * Ability to move over 50 lbs using lifting aide equipment; Occasional ( * Pushing/Pulling/moving objects, equipment with wheels; Occasional ( * Climbing/accessing heights; Rarely * Driving; Occasional ( * Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%)
    $56.4k-90k yearly 3d ago
  • Daily Claims Adjuster (Residential)

    Renfroe

    Claim specialist job in West Virginia

    SUMMARY DESCRIPTION: The Residential Field Adjuster is responsible for investigating, inspecting, negotiating, and bringing to final resolution property claims of all named-peril losses. For claims where the damage is less severe, the Property Field Adjuster may be assigned tasks, such as verification of damage. The role's primary duties include reviewing coverage, inspecting damaged property, and estimating repair/replacement costs in accordance with the client's and RENFROE's guidelines. The Property Field Adjuster is also responsible for documenting all activity, submitting proper claims paperwork, handling renters and personal property policies, meeting with contractors, effectively communicating with the client and all stakeholders, and ensuring compliance with legal and contractual obligations. REPORTS TO: Assigned RENFROE Manager ESSENTIAL JOB FUNCTIONS: Follows RENFROE and clients' policies and procedures to handle all assigned property claims Works with the RENFROE Manager and other adjusters to share knowledge and experience and to gain new skills Completes assigned property adjustments, such as property or contents inspections, verification of loss, and updates claims as new information becomes available using XactAnalysis, Xactimate, or other estimating platforms Manages the progression of claims/tasks and claim inventories assigned to the them Travels to the loss location to inspect the property, which could include climbing the roof, inspecting the attic, or other inspection points, to establish the cause and scope of the loss Works with contractors or another representative to reach an agreement on the scope of loss Reviews the insurance policy and endorsement details to confirm coverage Contacts and interacts with the insured to obtain documents such as property deeds, purchase receipts, warranties, photographs, or other documents to establish the existence, ownership, and value of the items claimed lost Assists the client and claims examiner in determining coverage and amounts for additional living expenses such as rental housing, travel, meals, etc. Writes closing reports, including recommendations for repair and/or replacement, the pursuit of subrogation, and salvage potential Maintains required jurisdictional adjusting licenses as required by the client and/or RENFROE Does not handle claims for which they do not have client authorization or for which they are not licensed Participates and communicates in client team meetings to discuss claim handling trends, team production, and any claim handling concerns or changes Makes suggestions on ways to improve process efficiency Participates in special projects and completes other duties as assigned Non-Authorized Activities: Field adjusters should not: Communicate training requirements to client staff adjusters and non-affiliated firms Communicate training requirements to any claim handler who is not deployed with RENFROE Discuss Human Resource issues with any client staff adjusters in any segment or any claim handler that is not deployed with RENFROE Discuss any of the following topics with a client staff adjuster or any claim handler that is not deployed with RENFROE: job openings, termination, prior work history, attendance, absence requests, daily work schedule, claim volume or workload, meal and rest break schedule, promotions, development, compensation, or mentoring of any kind EXPERIENCE/QUALIFICATIONS: Minimum of 1 year of property claims experience is preferred Participation in technical insurance coursework is preferred, such as CPCU Experience using various claims processing systems is preferred Appropriate licenses, depending on state requirements, and successful completion of required/applicable claims certification training classes Effective problem resolution and decision-making skills to include analyzing insurance policies and information, demonstrating sound judgment, and utilizing one's own experience and the experience of others Strong analytical skills and consistent attention to detail Knowledge of ISO forms, and client policy coverage, procedures, and systems Communicates clearly and effectively, both verbally and in writing Strong customer service orientation and good rapport with the insured Well-organized and hard-working, with the ability to thrive in a fast-paced work environment Strong interpersonal skills and proven ability to establish good relationships with clients, RENFROE management, employees, and others with whom they interact Computer skills, including but not limited to practical knowledge of Word and Excel PHYSICAL DEMANDS: Ability to operate an automobile and have a valid driver's license with a safe driving record Ability to travel by automobile or airplane Must be able to lift, carry, unfold/extend, and climb a ladder (which may exceed 50 lbs. in weight) that is approved by the appropriate regulatory agency or complies with legislative or regulatory occupational health and safety requirements Must be able to complete measurements of roofs and inspect interior as necessary, including attics, basements, and crawl spaces for residential and commercial structures Must be able to do the following while conducting an inspection: climb, bend, crawl, stoop, walk, reach, kneel, squat, and carry/lift objects (typically weighing less than 50 lbs.) Must be able to work outdoors in all types of weather Ability to operate a telephone and a computer for extended periods of time Must be able to work extended and varying work schedules, including working up to 12 hours a day, 7 days a week, for extended periods of time, including weekends and holidays Ability to work in a fast-paced, changing, and multi-tasking environment
    $41k-51k yearly est. 17d ago
  • Claims Processor (remote) Iowa ONLY

    Cognizant 4.6company rating

    Claim specialist job in Charleston, WV

    **Claims Processing - Remote** for Iowa resident candidates Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims. This remote position offers the flexibility of working from home during day shifts allowing you to balance work and personal commitments effectively. Your contributions will directly impact the accuracy and efficiency of our claims processing enhancing customer satisfaction and operational excellence. _You will report to our office in Des Moines, Iowa for part of our training regimen._ **Key Responsibilities-** + _Claims Processing:_ Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies. + _Eligibility Verification:_ Confirm patient coverage, benefits, and pre-authorization requirements under Medicare, Medicaid, and private insurance plans. + _Adjudication:_ Approve, deny, or adjust claims based on payer guidelines and policy terms. + _Compliance:_ Maintain adherence to HIPAA regulations, CMS guidelines, and other US healthcare compliance standards. + _Documentation:_ Record claim activity, maintain audit trails, and prepare reports for management. **Required Skills & Qualifications-** + High school diploma or equivalent REQUIRED + Strong knowledge of US healthcare insurance systems (Medicare, Medicaid, commercial payers). + 2-4 years of experience in US healthcare claims processing + Familiarity with claims management software and EDI transactions. + Excellent analytical, organizational, and communication skills. + Ability to interpret insurance policies and payer guidelines. + Detail-oriented with strong problem-solving abilities. _Competencies-_ + Regulatory Knowledge - Deep understanding of US healthcare laws and payer requirements. + Accuracy & Detail Orientation - Ensures claims are processed correctly and efficiently. + Problem-Solving - Resolves claim disputes and denials effectively. **Salary and Other Compensation:** Applications will be accepted until February 13th, 2025.The hourly rate for this position is between $16.00 - 17.00 per hour, depending on experience and other qualifications of the successful candidate.This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans. **Benefits:** Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:- Medical/Dental/Vision/Life Insurance- Paid holidays plus Paid Time Off- 401(k) plan and contributions- Long-term/Short-term Disability- Paid Parental Leave- Employee Stock Purchase Plan _Disclaimer:_ The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law. Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
    $16-17 hourly 19d ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claim specialist job in Beckley, WV

    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.
    $41k-50k yearly est. Auto-Apply 11d ago
  • Rec Marine Adjuster

    Sedgwick 4.4company rating

    Claim specialist job in West Virginia

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Rec Marine Adjuster PRIMARY PURPOSE: To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement. Receives and reviews new claims and maintains data integrity in the claims system. Reviews survey reports and insurance policies to determine insurance coverage. Prepares settlement documents and requests payment for the claim and expenses. Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Appropriate state adjuster license is required. Experience 3 years or more of Marine Adjusting preferred. Skills & Knowledge Strong oral and written communication skills PC literate, including Microsoft Office products Good customer service skills Good organizational skills Demonstrated commitment to timely reporting Ability to work independently and in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Must be able to stand and/or walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and/or cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching/working overhead Be able to lift/carry up to 50 pounds Be able to push/pull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity Auditory/Visual: Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
    $50k yearly Auto-Apply 55d ago
  • Biometric Examiner

    Ideal Innovations, Inc. 4.4company rating

    Claim specialist job in Clarksburg, WV

    $1,000 Signing Bonus Available! Highlights: Looking for a new opportunity to apply your fingerprint (latent print or tenprint), facial, or iris examination experience in a fast-paced environment in support of the Department of Defense (DoD) Warfighter? Are you interested in expanding your examination skills to be trained on a new emerging biometric examination skillsets in facial and iris identification? If so, the Biometric Examiner position on the Ideal Innovations, Inc. Department of Army Criminal Investigative Division (DACID) Biometric Operations Department (BOD) Examination Services Support (ESS) contract is the perfect position for you. Working within a unique 100% digital environment, the Biometric Examiners on the ESS contract work both independently and often as a team to work through individual biometric examination requests and/or routine casework. The ESS Biometric Examiner position is unique because of the unique mission that it serves. Given that the operation is a 100% digital operation, the ESS Biometric Examiners play an important role in supporting DoD customers to build and search biometric files through DoD ABIS and often perform complex examinations on extremely fragmented friction ridge detail impressions and differing quality of facial and iris images. This requires experienced fingerprint examiners to transform and utilize previously learned non-digital comparison skills into a digital environment, while also being trained on facial and iris identifications. The ESS Biometric Examiners are also trained to perform case reception/administrative tasks to help serve on the ESS Biometric Technician operations as necessary. The ESS Biometric Examiner will be working on the front lines, performing biometric examinations, comparisons and effecting identifications to help serve the DoD Warfighter and protect the United States of America. The ESS Biometric Examiner candidate will have the opportunity to hone their skills in using the Microsoft Office Suite and Windows through day-to-day operational work. The ESS Biometric Examiner will have the opportunity to become proficient in using Adobe Photoshop to format fingerprint, palm print, facial and iris images for searching purposes, as well as utilizing Lakota Whorl to help complete necessary tasks to support the Warfighter. The ESS Biometric Examiner will receive unique training in performing facial and iris examinations. Typical Day: The DACID BOD Examination Services section is a 100% digital operation. Therefore, the typical day for a Biometric Examiner consists of working on a Windows 10 computer performing biometric examinations and comparisons as part of completing internal BOD and/or external customer request and casework Tasks: Responsibilities include, but are not limited to: Preparation of biometric files (fingerprints, palm prints, facial images and/or iris images) for entry into DoD ABIS through digital imaging techniques to enhance and maintain integrity of the images. Monitor queue applications to resolve DoD ABIS yellow resolve transactions. Manual comparison (on screen) of available biometrics with candidate biometrics retrieved from the DoD ABIS to eliminate individuals or effect positive identifications. Verification of fingerprints to validate the correct sequence and orientation. Perform manual biometric comparisons for the purpose of identity deconfliction at the request of BOD customers. Utilize a case management/database portal system to properly document case notes and metrics as well as prepare reports to communicate results to the submitting customer. Maintain digital Standard Operating Procedures (SOPs) and Work Instructions (WIs). Provide case reception/admin support, as necessary, to the ESS Biometric Technician operation. Requirements: Education: Doctorate, Masters, or Bachelor's degree and 6 years related work experience OR Associate degree and 8 years related work experience OR High School diploma and 10 years related work experience. Be able to obtain/maintain DoD Secret Clearance and FBI CJIS campus access clearance. Must be able to successfully pass proficiency testing prior to and periodically during employment with the company. Must be willing to work shifts (10-12 hours) based on a 24/7, 365 days a year schedule to include nights, weekends and holidays. Must be willing to relocate or commute to the Clarksburg, WV area. Must be willing to complete pre-employment comparison assessment test. Desired Qualifications: Current certification by the International Association for Identification (IAI) as a Certified Tenprint Examiner Prior tenprint, facial or iris examination experience Digital imaging processing tool experience (Adobe Photoshop preferred) AFIS/ABIS system experience Physical Job Requirements: Meet physical demands of working in a general office environment to include long hours working at a computer, either sitting or standing. Work Shift Information: Must be willing to work shifts (10-12 hours) based on a 24/7, 365 days a year schedule to include nights, weekends and holidays. Candidates will have the option of working either 10 or 12-hour days for an indefinite period of time, depending on coverage requirements. Shift times are flexible and are up to the discretion of management based off the needs of the operation. No shift differential available. Shifts: Day: 5a-5p, 5a-3p or 7a-5p Afternoon: 3p-3a Evening: 5p-5a, 5p-3a or 7p-5a Rotating or set shifts? No Rotation, primarily set shifts. Citizenship: US citizenship required Clearance: Must be willing to obtain/maintain US Secret clearance Current Interim Secret or Secret clearance preferred Location: Clarksburg, WV Ideal Innovations, Inc. is an Equal Opportunity Employer: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or veteran status. Ideal Innovations, Inc. is a VEVRAA Federal Contractor .
    $45k-64k yearly est. 60d+ ago
  • Independent Insurance Claims Adjuster in Morgantown, West Virginia

    Milehigh Adjusters Houston

    Claim specialist job in Morgantown, WV

    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.
    $41k-52k yearly est. Auto-Apply 60d+ ago
  • Field Claims Investigator

    Phoenix Loss Control

    Claim specialist job in Charleston, WV

    Job Description Job Type: Contract Workplace Type: Hybrid (50% remote, 50% fieldwork) Compensation: $20/hr plus $.50/mi Phoenix Loss Control (PLC) is a US-based business services provider in the cable, telecom, and utilities sector. PLC's core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada, we help our clients recover the costs of third-party damage to their infrastructure, such as underground fiber optic or gas lines. PLC currently employs over 140 people, servicing some of the largest cable and telecoms operators (e.g., Comcast, Spectrum, AT&T, and Google). PLC is currently aggressively expanding its business and looking for talented and energetic people to bring onboard to help drive growth. POSITION SUMMARY Outside Plant Damage (OPD) costs our clients over 30 million annually. Field investigators are needed to collect, access, and report these damages. This is a part-time, on-call contract job to help support our clients with damage recovery. For our field investigators, each day and every investigation is different. We need inquisitive, self-driven individuals who are comfortable rolling up their sleeves and working in a constantly changing, dynamic environment. Duties Conduct on-site field investigations Write detailed but concise investigation reports using diverse sources of information, types of evidence, witness statements, and costing estimates Develop and maintain comprehensive knowledge of local and state statutes, laws, and regulations for underground and aerial cables and utility service lines Remain prepared and willing to respond to damage calls within a timely manner Complete damage investigations within 7 days and then work with and support our claims managers to complete the investigation and begin the recovery process Respond to damages same day if received during business hours (if not, first response following day) Accurately record all time, mileage, and other associated specific items Requirements Interpersonal skills to gather information and conduct field interviews with involved parties including contractors and technicians, witnesses, law enforcement, and possible damagers Smartphone to gather photos, videos, and other information while conducting investigations Computer, with high-speed internet access, to upload and download reports, research cases, and to interact with our claims system and other databases and portals Exceptional attention to detail and strong written and verbal communication skills Proven ability to operate independently and prioritize while adhering to timelines Strong and objective analytical skills Valid driver's license, current insurance, and reliable vehicle with ability to respond to damages at any time Safety vest, work boots, and hard-hat Preferred Qualifications and Skills Current or previous telecommunication or utility experience Knowledge of underground utility locating procedures and systems Investigation, inspection, or claims/field adjusting Criminal justice, legal, or military training or work experience Engineering, infrastructure construction, or maintenance background Remote location determined at discretion of investigations manager This is a contract position. There are no benefits offered with this position.
    $20 hourly 3d ago
  • Mental Hygiene Examiner

    Valley Health Care 3.6company rating

    Claim specialist job in Morgantown, WV

    NATURE OF WORK: To provide an examination and preliminary diagnosis of individuals who are the subject of a mental hygiene proceeding (respondent), with the goal of determining if they suffer from mental illness and/or addiction, and whether they present an immediate danger to themselves or others. This evaluation will be presented at a mental hygiene hearing and will function as a recommendation to the court as to the disposition of the respondent. MINIMUM QUALIFICATIONS: LPC, LICSW or Licensed Psychologist Ability to obtain and maintain CPR, First Aid, and MANDT Certifications. Ability to comply with Client's Rights. Ability to comply with all agency and departmental safety procedures. Ability to read, write, understand and speak the English language.
    $37k-47k yearly est. Auto-Apply 60d+ ago
  • Claim Benefit Specialist

    CVS Health 4.6company rating

    Claim specialist job in Gassaway, WV

    We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. A Brief OverviewPerforms claim documentation review, verifies policy coverage, assesses claim validity, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines. Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims. Conducts reviews and investigations of claims that require additional scrutiny or validation to ensure proper claim resolution. Communicates with healthcare providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims. Determines if claims processing activities comply with regulatory requirements, industry standards, and company policies. Develops and implements regular, timely feedback as well as the formal performance review process to ensure delivery of exceptional services and engagement, motivation, and team development. Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Required Qualifications1-2 years' experience working in Customer Service. Possess strong teamwork and organizational skills. Strong and effective communication skills. Ability to handle multiple assignments competently through use of time management, accurately and efficiently. Strong proficiency using computers and experience with data entry. Preferred QualificationsExperience in a production environment. Healthcare experience. Knowledge of utilizing multiple systems at once to resolve complex issues. Claim processing experience preferred but not required. Understanding of medical terminology. EducationHigh School or GED equivalent. Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17. 00 - $28. 46This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 02/03/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $17 hourly 5d ago
  • Specialty Loss Adjuster

    Sedgwick 4.4company rating

    Claim specialist job in Charleston, WV

    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 Specialty Loss Adjuster **Embark on an Exciting Career Journey with Sedgwick Specialty** **Job Location** **: USA, Mexico, Brazil and strategic locations globally** **Job Type** **: Permanent** **Remuneration** **: Salaries can range from** **_$40,000.00USD to $250,000.00USD_** **taking into account skills, experience and qualifications.** **We have a number of fantastic opportunities for Specialty Loss Adjusters across the US, Mexico and Brazil and a number of key locations** We are looking for a variety of skill sets at all levels. Whether you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your skills and grow with a company that values innovation, excellence, and employee satisfaction. Are you ready to be a part of providing a differentiated and best of class proposition to clients whilst working with like-minded colleagues? Sedgwick Specialty is thrilled to announce that we are investing in growth across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals who are passionate about making a difference to the Adjusting industry. **As a member of the Specialty platform, you will have the opportunity to:** + Work with a wide range of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team of professionals who are dedicated to delivering exceptional results + Utilise state-of-the-art technology and resources to streamline processes and enhance efficiency + Receive ongoing training and development opportunities to further enhance your skills and knowledge in the marine industry + Enjoy a flexible work arrangement that allows you to maintain a healthy work-life balance while contributing to our global success **The skills you will have when you apply:** + **Qualified** : it is important to us that you are either accredited, on your way to be accredited or qualified by experience + **Insurance claims experience:** it is imperative that you have experience working on insurance claims within you respective field. Full claims life cycle experience is a must + **Great communicator:** you will be constantly working with policy holders, brokers, carriers and various third parties, so being able to communicate accurately important. Providing an excellent customer service with our clients in mind. Able to approach issues empathetically + **Commercially minded:** An understanding of how the industry operates and where the role of a Loss Adjuster fits in. Being able to negotiate. Understanding how to market your services is a big advantage **What we'll give you for this role:** 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 annual salaries can range from _$40,000.00 to $250,000.00USD._ Bonus eligible role. 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. Always Accepting Applications. **This isn't just a position, it's a pivotal role in shaping our industry** At Sedgwick, you won't just build your career; you'll cultivate a team of experts. Our Sedgwick University offering empowers you to excel as well as your team members, with the most comprehensive training program in the industry which includes more than 15,000 courses on demand, training specific to roles, and opportunities to continue formal education. Together, we're not only reshaping the insurance landscape, we're building a legacy of talent. Come and be a catalyst for change within our industry. **Next steps for you:** **Think we'd be a great match? Apply now -** ** we want to hear from you.** As part of our commitment to you, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation. After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person). \#LI-HYBRID Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $44k-60k yearly est. 60d+ ago
  • Daily Claims Adjuster (Residential)

    Renfroe

    Claim specialist job in Charleston, WV

    SUMMARY DESCRIPTION: The Residential Field Adjuster is responsible for investigating, inspecting, negotiating, and bringing to final resolution property claims of all named-peril losses. For claims where the damage is less severe, the Property Field Adjuster may be assigned tasks, such as verification of damage. The role's primary duties include reviewing coverage, inspecting damaged property, and estimating repair/replacement costs in accordance with the client's and RENFROE's guidelines. The Property Field Adjuster is also responsible for documenting all activity, submitting proper claims paperwork, handling renters and personal property policies, meeting with contractors, effectively communicating with the client and all stakeholders, and ensuring compliance with legal and contractual obligations. REPORTS TO: Assigned RENFROE Manager ESSENTIAL JOB FUNCTIONS: Follows RENFROE and clients' policies and procedures to handle all assigned property claims Works with the RENFROE Manager and other adjusters to share knowledge and experience and to gain new skills Completes assigned property adjustments, such as property or contents inspections, verification of loss, and updates claims as new information becomes available using XactAnalysis, Xactimate, or other estimating platforms Manages the progression of claims/tasks and claim inventories assigned to the them Travels to the loss location to inspect the property, which could include climbing the roof, inspecting the attic, or other inspection points, to establish the cause and scope of the loss Works with contractors or another representative to reach an agreement on the scope of loss Reviews the insurance policy and endorsement details to confirm coverage Contacts and interacts with the insured to obtain documents such as property deeds, purchase receipts, warranties, photographs, or other documents to establish the existence, ownership, and value of the items claimed lost Assists the client and claims examiner in determining coverage and amounts for additional living expenses such as rental housing, travel, meals, etc. Writes closing reports, including recommendations for repair and/or replacement, the pursuit of subrogation, and salvage potential Maintains required jurisdictional adjusting licenses as required by the client and/or RENFROE Does not handle claims for which they do not have client authorization or for which they are not licensed Participates and communicates in client team meetings to discuss claim handling trends, team production, and any claim handling concerns or changes Makes suggestions on ways to improve process efficiency Participates in special projects and completes other duties as assigned Non-Authorized Activities: Field adjusters should not: Communicate training requirements to client staff adjusters and non-affiliated firms Communicate training requirements to any claim handler who is not deployed with RENFROE Discuss Human Resource issues with any client staff adjusters in any segment or any claim handler that is not deployed with RENFROE Discuss any of the following topics with a client staff adjuster or any claim handler that is not deployed with RENFROE: job openings, termination, prior work history, attendance, absence requests, daily work schedule, claim volume or workload, meal and rest break schedule, promotions, development, compensation, or mentoring of any kind EXPERIENCE/QUALIFICATIONS: Minimum of 1 year of property claims experience is preferred Participation in technical insurance coursework is preferred, such as CPCU Experience using various claims processing systems is preferred Appropriate licenses, depending on state requirements, and successful completion of required/applicable claims certification training classes Effective problem resolution and decision-making skills to include analyzing insurance policies and information, demonstrating sound judgment, and utilizing one's own experience and the experience of others Strong analytical skills and consistent attention to detail Knowledge of ISO forms, and client policy coverage, procedures, and systems Communicates clearly and effectively, both verbally and in writing Strong customer service orientation and good rapport with the insured Well-organized and hard-working, with the ability to thrive in a fast-paced work environment Strong interpersonal skills and proven ability to establish good relationships with clients, RENFROE management, employees, and others with whom they interact Computer skills, including but not limited to practical knowledge of Word and Excel PHYSICAL DEMANDS: Ability to operate an automobile and have a valid driver's license with a safe driving record Ability to travel by automobile or airplane Must be able to lift, carry, unfold/extend, and climb a ladder (which may exceed 50 lbs. in weight) that is approved by the appropriate regulatory agency or complies with legislative or regulatory occupational health and safety requirements Must be able to complete measurements of roofs and inspect interior as necessary, including attics, basements, and crawl spaces for residential and commercial structures Must be able to do the following while conducting an inspection: climb, bend, crawl, stoop, walk, reach, kneel, squat, and carry/lift objects (typically weighing less than 50 lbs.) Must be able to work outdoors in all types of weather Ability to operate a telephone and a computer for extended periods of time Must be able to work extended and varying work schedules, including working up to 12 hours a day, 7 days a week, for extended periods of time, including weekends and holidays Ability to work in a fast-paced, changing, and multi-tasking environment
    $41k-51k yearly est. 17d ago
  • Independent Insurance Claims Adjuster in Fairmont, West Virginia

    Milehigh Adjusters Houston

    Claim specialist job in Fairmont, WV

    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.
    $41k-52k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claim specialist job in Charleston, WV

    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.
    $41k-50k yearly est. Auto-Apply 12d ago
  • Field Claims Investigator

    Phoenix Loss Control

    Claim specialist job in Bridgeport, WV

    Job Description Job Type: Contract Workplace Type: Hybrid (50% remote, 50% fieldwork) Compensation: $20/hr plus $.50/mi Phoenix Loss Control (PLC) is a US-based business services provider in the cable, telecom, and utilities sector. PLC's core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada, we help our clients recover the costs of third-party damage to their infrastructure, such as underground fiber optic or gas lines. PLC currently employs over 140 people, servicing some of the largest cable and telecoms operators (e.g., Comcast, Spectrum, AT&T, and Google). PLC is currently aggressively expanding its business and looking for talented and energetic people to bring onboard to help drive growth. POSITION SUMMARY Outside Plant Damage (OPD) costs our clients over 30 million annually. Field investigators are needed to collect, access, and report these damages. This is a part-time, on-call contract job to help support our clients with damage recovery. For our field investigators, each day and every investigation is different. We need inquisitive, self-driven individuals who are comfortable rolling up their sleeves and working in a constantly changing, dynamic environment. Duties Conduct on-site field investigations Write detailed but concise investigation reports using diverse sources of information, types of evidence, witness statements, and costing estimates Develop and maintain comprehensive knowledge of local and state statutes, laws, and regulations for underground and aerial cables and utility service lines Remain prepared and willing to respond to damage calls within a timely manner Complete damage investigations within 7 days and then work with and support our claims managers to complete the investigation and begin the recovery process Respond to damages same day if received during business hours (if not, first response following day) Accurately record all time, mileage, and other associated specific items Requirements Interpersonal skills to gather information and conduct field interviews with involved parties including contractors and technicians, witnesses, law enforcement, and possible damagers Smartphone to gather photos, videos, and other information while conducting investigations Computer, with high-speed internet access, to upload and download reports, research cases, and to interact with our claims system and other databases and portals Exceptional attention to detail and strong written and verbal communication skills Proven ability to operate independently and prioritize while adhering to timelines Strong and objective analytical skills Valid driver's license, current insurance, and reliable vehicle with ability to respond to damages at any time Safety vest, work boots, and hard-hat Preferred Qualifications and Skills Current or previous telecommunication or utility experience Knowledge of underground utility locating procedures and systems Investigation, inspection, or claims/field adjusting Criminal justice, legal, or military training or work experience Engineering, infrastructure construction, or maintenance background Remote location determined at discretion of investigations manager This is a contract position. There are no benefits offered with this position.
    $20 hourly 3d ago
  • Independent Insurance Claims Adjuster in Weirton, West Virginia

    Milehigh Adjusters Houston

    Claim specialist job in Weirton, WV

    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.
    $41k-52k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claim specialist job in Huntington, WV

    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.
    $41k-50k yearly est. Auto-Apply 11d ago

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