Claims Adjuster -GL
Claims adjuster job in Charlotte, NC
Job Description
Manager\'s note: Auto casualty Experienced in complex liability and coverage. TPA experience a plus. Bodily injury/uninsured/underinsured motorist handling experience to include demonstrable(fatality, fractures, traumatic brain injury) injury handling.
$ threshold handling up to 1 million.
No fault(Personal Injury Protection) experience.
Licensed in the contiguous 48 states.
Litigation handling experience pertaining to BI/UM/UIM** Not all candidates will need this but a minimum of 3 will need litigation handling experience.
Auto Physical Damage handling experience preferred.
Experience working in a fast paced environment, participating in and presenting cases to both internal and external stakeholders.
Primary Purpose:
To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
Essential Functions and Responsibilities
Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
Responsible for litigation process on litigated claims.
Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
Reports large claims to excess carrier(s).
Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.
Communicates claim action/processing with insured, client, and agent or broker when appropriate.
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. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position.
ExperienceFive (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws.
Skills & Knowledge
In-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws
Knowledge of medical terminology for claim evaluation and Medicare compliance
Knowledge of appropriate application for deductibles, sub-limits, SIRs, carrier and large deductible programs.
Strong oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Strong organizational skills
Strong interpersonal skills
Good negotiation skills
Ability to work in a team environment
Ability to meet or exceed Service Expectations
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: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
Note:
Credit security clearance, confirmed via a background credit check, is required for this position.
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.
at any time.
Requirements:
Mananger\'s Note:
Must have P&C license for resident state. The client has business in all 50 states. The more licenses the better. Bodily injury experience/liability background in auto or GL
Senior Workers Compensation Claim Representative
Claims adjuster job in Charlotte, NC
**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**
$67,000.00 - $110,600.00
**Target Openings**
2
**What Is the Opportunity?**
Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager.
Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues. The claim may involve minor sprains/ minor to moderate surgery The injured worker is working modified duty and receiving ongoing medical treatment. The injured worker as returned to work, reached Maximum Medical Improvement (MMI) and is receiving PPD benefits. File will close as soon as the PPD is paid out.
With close to moderate supervision, may handle claims of greater complexity where Injured worker (IW) remains out of work and unlikely to return to position. Employer is unable to accommodate the restrictions. The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with permanent restrictions and there has been a change in the current position. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving moderate to complex offsets, permanent restrictions and/or fatalities. Claims on which a settlement should be considered.
**What Will You Do?**
+ Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability
+ Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions.
+ Manage files with an emphasis on file quality (including timely contact and proper documentation and proactive resolution of outstanding issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical treatment.in collaboration with internal nurse resources where appropriate.
+ Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation). Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome.
+ Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy. Prepare necessary letters and state filings within statutory limits.
+ Pursue all offset opportunities, including apportionment, contribution and subrogation. Evaluate claims for potential fraud.Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment.
+ Effectively manage litigation to drive files to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations.
+ Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for the jurisdiction.
+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ 2 years Workers Compensation claim handling experience preferred.
+ Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making.
+ Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. Ability to effectively present file resolution to internal and/or external stakeholders.
+ Negotiation: Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise.
+ General Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract.
+ Principles of Investigation: Intermediate investigative skills including the ability to take statements. Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss.
+ Value Determination: Intermediate ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves.
+ Settlement Techniques: Intermediate ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package.
+ Legal Knowledge: General knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.
+ Medical knowledge: Intermediate knowledge of the nature and extent of injuries, periods of disability, and treatment needed.
+ WC Technical:
+ Intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims. Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state.
+ Intermediate knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.
+ Customer Service:
+ Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes
+ Teamwork:
+ Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result
+ Planning & Organizing:
+ Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals
+ Maintain Continuing Education requirements as required or as mandated by state regulations
**What is a Must Have?**
+ High School Diploma or GED required.
+ Minimum of 1 year Workers Compensation claim handling experience or successful completion of the WC trainee program 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 ******************************************************** .
Public Adjuster
Claims adjuster job in Charlotte, NC
Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Compensation: $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!
General Liability Claims Adjuster II
Claims adjuster job in Salisbury, NC
Ahold Delhaize USA, a division of global food retailer Ahold Delhaize, is part of the U.S. family of brands, which includes five leading omnichannel grocery brands - Food Lion, Giant Food, The GIANT Company, Hannaford and Stop & Shop. Our associates support the brands with a wide range of services, including Finance, Legal, Sustainability, Commercial, Digital and E-commerce, Technology and more.
Position Summary
Primary responsibilities include investigation of General Liability claims to determine liability exposure. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role is the primary interface to associates, attorneys, healthcare providers, vendor partners and Brand partners. Primary responsibilities include investigation of General Liability claims to determine liability exposure. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role is the primary interface to associates, attorneys, healthcare providers, vendor partners and Brand partners.
Our flexible/hybrid work schedule includes 1 in-person day at one of our core locations and 4 remote days.
Applicants must be currently authorized to work in the United States on a full-time basis.
Principle Duties and Responsibilities:
Claims Management
* Manage caseload within established targets and appropriate level. Performance standards include thorough investigations, evaluations, negotiation and disposition of all claims, while ensuring that all claims are in compliance with statutory and legal obligations.
* Monitor and ensure timely execution of all statutory deadlines or legal filings as needed.
* Analyze facts of the loss to understand the nature of the claim to develop strategies that provide optimal outcome and mitigate the overall Total Cost of Risk to the Banners' bottom lines.
* Identify fraud indicators and actively pursue subrogation opportunities.
* Collaborate with the Safety department in identifying hazards that exist in the retail and distribution operations and ways to minimize these risks.
* Build and maintain positive relationships with internal (Brands, Distributions Centers, Transportation, Ecommerce, Human Resources, Legal, Insurance) and external (vendors, healthcare providers, outside attorneys) customers.
Financial Impact Administration
* Manage book of claims business (up to $ 2million) with authority to settle/negotiate a single claim within their authority of up to $25,000.
* Communicate ongoing causes of incidents to Safety and Brands.
* Serve as the primary point of contact to address and resolve claim issues impacting customer, associate, vendor, and the Brands. Research and resolve claim/legal issues. Provide timely communication related to the claim, resolving issues, and responding to questions via phone, email, and online applications.
Basic Qualifications:
* Licensed adjuster (as appropriate by jurisdiction)
* Bachelor's degree or experience handling General Liability claims or equivalent expertise.
* Thorough knowledge of rules, regulations, statutes, and procedures pertaining to general liability claims.
* Knowledge of medical terminology involved in complex claims
* Negotiates resolution of claims of various exposure and complexity
Skills and Abilities:
* Demonstrates relationship building and communication skills, both written and verbal.
* Highly self-motivated, goal oriented, and works well under pressure.
* Customer focused solid understanding of legal procedures, processes, practices and standards in the handling of general liability claims
* Ability to identify problems and effectuate solutions
* Ability to manage multiple tasks simultaneously with excellent follow-up and attention to detail
* Able to apply critical thinking when solving problems and making decisions.
ME/NC/PA/SC Salary Range: $63,440-$95,160
IL/MA/MD/NY Salary Range: $72,880 - $109,320
Actual compensation offered to a candidate may vary based on their unique qualifications and experience, internal equity, and market conditions. Final compensation decisions will be made in accordance with company policies and applicable laws.
#LI-SM1 #LI-Hybrid
At Ahold Delhaize USA, we provide services to one of the largest portfolios of grocery companies in the nation, and we're actively seeking top talent.
Our team shares a common motivation to drive change, take ownership and enable our brands to better care for their customers. We thrive on supporting great local grocery brands and their strategies.
Our associates are the heartbeat of our organization. We are committed to offering a welcoming work environment where all associates can succeed and thrive. Guided by our values of courage, care, teamwork, integrity (and even a little humor), we are dedicated to being a great place to work.
We believe in collaboration, curiosity, and continuous learning in all that we think, create and do. While building a culture where personal and professional growth are just as important as business growth, we invest in our people, empowering them to learn, grow and deliver at all levels of the business.
Part Time Senior Liability Adjuster
Claims adjuster job in Matthews, NC
Job DescriptionDescription:
Capstone ISG is one of the nation's fastest growing Independent Adjustment firms. As we continue to grow our business, we look for people who offer inspiration and innovation, as well as have an internal drive for results. Our team members are focused on customer service and are dedicated to making Capstone a fun and rewarding place to work
Part Time Position East Coast Time Zone
Primary Responsibilities:
3-5+ years of experience handling litigated claims; Construction Defect claims experience strongly preferred.
Familiarity with policy forms including endorsements, exclusions and indemnity agreements.
Strong analytical ability to assess coverage, liability, and damages in high-complexity claims.
Ability to interpret legal documents, pleadings, expert reports, and settlement demands.
Experience with working with defense counsel and developing litigation strategies.
Strong negotiation skills.
Ability to manage mediation processes, settlement conferences, depositions, and discovery.
Excellent written and verbal communication skills.
Ability to multitask and manage a diverse, active caseload with time-sensitive deadlines
Evaluates coverage based on the claim report, the insurance policy, endorsements and applicable statutes and case law. Coverage interpretation will be for personal and commercial lines policies.
Possesses in-depth knowledge of multi-jurisdictional claims handling issues.
Conducts interviews of all involved parties as requested by client. Interviews will be done by telephone or in-person. Statements may be recorded or written.
Completes investigations by obtaining and reviewing police and other official reports, hospital records, appraisals and repair estimates to evaluate injuries and property damage.
Obtains medical authorizations to secure records and bills to evaluate injury claims.
Analyzes injury information to set case reserves for specific clients.
Negotiates and settles claims of varying complexity with minimal supervision.
Prepares settlement letters, coverage and liability denial letters, Reservation of Rights letters and other letters as needed.
Shows appropriate attempts in establishing initial contact. Maintains current follow ups in all files.
Attends mediations, as needed.
Keeps the client and the insured informed about the claim status with clear, timely and accurate written/oral communication.
Records time and expense charges to clients.
Manages expected caseload.
Secures/maintains appropriate state adjuster licenses, continuing education requirements and certifications.
Requirements:
Requires a high school diploma; advanced education beyond high school preferred or an equivalent combination of education and experience.
Minimum of 5 years of Commercial and Personal Liability claims handling experience.
Must be licensed, or have the ability to obtain license(s), as required by state and local jurisdictions to adjust insurance claims.
Must have a valid driver's license
Skills and Competencies:
Ability to work in a high volume, fast paced environment managing multiple tasks with minimal supervision.
Ability to provide excellent service to policyholders and clients.
Ability to efficiently operate a computer and related claims and business software.
Effective analytical and problem-solving skills necessary to make decisions and resolve conflict with minimal supervision.
Excellent verbal and written communication skills.
Excellent attention to detail.
Strong analytical ability.
Ability to work independently in a virtual environment when required.
Excellent organizational and time management skills.
Possesses a high level of investigation, analysis, evaluation and negotiation skills.
Physical Demand Requirements:
The physical requirements associated with the position are limited. Repetitive tasks are associated with typing, filing, data entry, telephonic communication, and general clerical duties. While performing the duties of this position, auto travel is required.
Sr Associate, Claim Representative - Operations
Claims adjuster job in Charlotte, NC
This role ensures timely and accurate processing of claims, supports internal and external audits, and contributes to operational efficiency. The Sr. Associate works cross-functionally to resolve issues and maintain high standards of data integrity and client service.
* BA/BS degree in business administration with an emphasis in accounting/finance or equivalent work experience
* Advanced degree or industry certification preferred
* 3 years of experience in life claims administration and adjudication
* Understanding of claim treaty provisions, adjudication thresholds, and regulatory compliance.
* Strong analytical and decision-making skills with attention to detail and accuracy.
* Strong problem-solving skills and the ability to navigate and resolve complex issues.
* Strong analytical and organizational skills.
* Proficiency in claims systems and reporting tools.
* Ability to work independently and collaboratively across teams.
* Excellent communication and problem-solving skills.
Pay Range for roles performed in NC: $72,000-$88,000 base salary per year. Actual salaries may vary based on various factors including but not limited to location,
experience, role and performance. The range listed is just one component of SCOR's total compensation
package for employees. Other rewards may include annual bonuses, short- and long-term incentives. In addition, we provide a variety of benefits to employees, including health insurance
coverage, life and disability insurance, a retirement saving plan, paid holidays and paid time off.
Auto-ApplySr Associate, Claim Representative - Operations
Claims adjuster job in Charlotte, NC
This role ensures timely and accurate processing of claims, supports internal and external audits, and contributes to operational efficiency. The Sr. Associate works cross-functionally to resolve issues and maintain high standards of data integrity and client service.
BA/BS degree in business administration with an emphasis in accounting/finance or equivalent work experience
Advanced degree or industry certification preferred
3 years of experience in life claims administration and adjudication
Understanding of claim treaty provisions, adjudication thresholds, and regulatory compliance.
Strong analytical and decision-making skills with attention to detail and accuracy.
Strong problem-solving skills and the ability to navigate and resolve complex issues.
Strong analytical and organizational skills.
Proficiency in claims systems and reporting tools.
Ability to work independently and collaboratively across teams.
Excellent communication and problem-solving skills.
Pay Range for roles performed in NC: $72,000-$88,000 base salary per year. Actual salaries may vary based on various factors including but not limited to location,
experience, role and performance. The range listed is just one component of SCOR's total compensation
package for employees. Other rewards may include annual bonuses, short- and long-term incentives. In addition, we provide a variety of benefits to employees, including health insurance
coverage, life and disability insurance, a retirement saving plan, paid holidays and paid time off.
Perform adjudication of life claims for assigned clients, including standard and contestable cases.
Review claim documentation such as death certificates, claimant statements, and policy records to verify eligibility.
Assess claim validity based on treaty terms, policy provisions, and underwriting guidelines.
Assist with performance of client adjudication audits for assigned clients to ensure compliance with treaty terms and adjudication standards.
Serve as liaison to clients for claim-related inquiries
Review and approve claims in accordance with claim payment approval hierarchy.
Review, enhance, and sign settlements to ensure timely client payments
Process claim refunds appropriately and timely.
Monitor workflow and identify potential claims processing issues.
Work cross-functionally to resolve system impediments to claim payment processing.
Identify opportunities for improvement and contribute to process enhancements.
Assist with internal and external audits and ensure all ICS controls are properly documented.
Establish requirements for system enhancements and log tickets for tracking, testing, and implementation.
Creation and maintenance of reports allowing for analysis of claim workflow and data fields to ensure accuracy of claim data.
Analyze client trending data to understand financial results and identify potential future impact.
Produce ad-hoc reports and claims metrics for management and other stakeholders.
Perform monthly and quarterly reporting requirements for performance measurement and to meet quarter end deliverables.
May perform other duties as required.
Auto-ApplyIndependent Insurance Claims Adjuster in Charlotte, North Carolina
Claims adjuster job in Charlotte, NC
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-ApplyField Claims Adjuster
Claims adjuster job in Charlotte, NC
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.
Senior Claims Specialist, Inland Marine
Claims adjuster job in Charlotte, NC
As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people. At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world. Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions.
Job Description
Are you looking for your next opportunity?
Sompo has a unique opportunity for a Senior Claims Specialist, Inland Marine in our Commercial Property Claims team.
As a Senior Claims Specialist, you will provide adjustment oversight and deliver key insights for Sompo's North American First Party Property, specialty claims. This position services a diverse range of claims including Inland Marine, Property, Heavy Equipment and Machinery, Builder's Risk and Transportation.
Location: This position may be based out of our Alpharetta, GA, Charlotte, NC or Chicago, IL offices. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers.
Our business, your impact, our opportunity:
What you'll be doing:
* Direct handling of Inland Marine claims within the North American Property, Specialty Claims unit
* Manage and analyze claims related to Heavy Equipment and Machinery, Builder's Risk, and Transportation, ensuring timely and accurate resolution.
* Manage and analyze first party property claims and other lines of business as needed
* Deliver strategic insights and data-driven analysis to support claims decision-making
* Manage loss adjustment expenses to ensure a highly efficient claim outcomes
* Create exposure reports for Underwriting, Senior Management and Reinsurers for reporting on trends, reserves, and claim metrics
* Collaborate with internal and external stakeholders, including insureds, brokers, and vendors, to ensure high-quality claims service and adherence to Sompo's standards.
* Provide guidance for coverage, liability, and damage analysis for complex first party property claims
* Stay informed of industry trends, legal developments, and market conditions
* Proactively identify trends and exposures impacting the Inland Marine claims portfolio
What you'll bring:
* Minimum 5 years claim handling experience in commercial property or other lines of commercial business
* Experience handling first-party property claims in one or more of the following: Inland Marine, Builders Risk, and Transportation related claims
* Experience handling a variety of property loss exposures and loss types
* Ability to manage complex claims and deliver results in a fast-paced environment.
* Excellent communication and negotiation skills to effectively collaborate with stakeholders and resolve claims.
* Ability to effectively communicate actionable insights and recommendations
* Capability to build and strengthen collaborative relationships with other departments.
* Technical skillsets in claims systems such as Claims Center, ImageRight, Guidewire, or any in-house systems
Salary Range: $95,000 - $175,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high-quality compensation and benefit programs to eligible employees.
Our compensation program is built on a foundation that promotes a pay-for-performance culture, resulting in higher incentive awards, on average, when the Company does well and lower incentive awards when the Company underperforms. The total compensation opportunity for all regular, full-time employees is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based on individual performance.
We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents. Below is a summary of our current comprehensive U.S. benefit programs:
* Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution
* Pharmacy benefits with mail order options
* Dental benefits including orthodontia benefits for adults and children
* Vision benefits
* Health Care & Dependent Care Flexible Spending Accounts
* Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children
* Company-paid Disability benefits with very competitive salary continuation payments
* 401(k) Retirement Savings Plan with competitive employer contributions
* Competitive paid-time-off programs, including company-paid holidays
* Competitive Parental Leave Benefits & Adoption Assistance program
* Employee Assistance Program
* Tax-Free Commuter Benefit
* Tuition Reimbursement & Professional Qualification benefits
In today's world, what do we stand for?
Ethics and integrity are the foundation of delivering on our commitment to you. We believe that core values drive success, and that when relationships are held in the highest regard, there is nothing that cannot be accomplished. At Sompo, our ring is more than a logo, it is a symbol of our promise. Click here to learn more about life at Sompo.
Sompo is an equal opportunity employer and we intentionally value inclusion and diversity. Above all, we want you to work in an environment that respects everyone's unique contributions - we are passionately committed to equal opportunities. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.
Auto-ApplyInsurance Claims Specialist
Claims adjuster job in Charlotte, NC
The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPR's Insured Claims Manager.
Specific Duties include:
Claims & Incident Management:
* Initial processing of first and third-party auto and low severity property damage incidents involving DPR (and DPR related entities), including but not limited to:
* Input and/or review all incidents reported in DPR's RMIS system.
* Maintain incident records in Insurance Team's document management system.
* Ensure all necessary information is compiled to properly manage the claims, including working with the internal teams to identify culpable parties, potential risk transfer to the culpable trade partner, if applicable, collecting documents such as incident reports, root cause analyses, if any, and vehicle lease or rental agreements.
* Report, with all appropriate documents and information, all claims for DPR (and DPR related entities) to all potentially triggered insurance policies for various types of programs (traditional, CCIP, OCIP), including analyzing contractual risk transfer opportunities.
* Assess potential risk transfer opportunities and ensure additional insured tenders or deductible responsibility letters are sent, where applicable.
* Liaison with the carriers in evaluating whether claims reported directly to the carriers are appropriate.
* Manage all auto and low severity property damage claims, as assigned, in the DPR RMIS system for DPR (and DPR related entities), including ensuring that all information is kept up to date.
* Provide in-network aluminum certified repair shop information to drivers following an incident.
* Act as a liaison between our carriers, auto repair shops, Operations, Fleet and EHS teams related to claim progress, strategy, expenses and settlement.
* When required, notify the applicable State's Department of Motor Vehicles office of motor vehicle accidents by preparing and mailing the specific State form.
* Work with Insurance Controller on auto program claim reports
* Liaison with Operations, Fleet and EHS teams on new incident reporting processes, as needed.
Fleet Vehicle Safety & Operations Policy Management:
* Manage the Fleet Risk Index scores for authorized drivers, ensuring its accurate and up to date based on incidents and MVRs
* Assign training to authorized drivers based on MVA incidents, MVRs and citations, as well as managing completion of the training
* Ensure authorized driver list is kept current
* Liaison with internal HR, Fleet, EHS and Business Unit Leaders, where appropriate, on suspending vehicle usage permissions
* Responsible for working with internal teams on implementing appropriate updates to the Fleet Vehicle Safety & Operations Policy
Key Skills:
* Strategic thinking
* Ability to mentor and inspire others
* Integrity
* Team player
* Strong writing and communication skills
* Self-Starter
* Highly organized and responsive - ability to meet deadlines
* Detail Oriented
* Basic working knowledge in all of the following coverages/programs: auto insurance, commercial general liability, property insurance, and controlled insurance programs.
* Risk and dispute management - insured claims
Qualifications:
* A minimum of five years relevant insurance industry experience
* Previous experience in auto claims management highly desired
DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world.
Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity together-by harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek.
Explore our open opportunities at ********************
Auto-ApplyLiability Field Adjuster - Charlotte, NC
Claims adjuster job in Charlotte, NC
CCMS & Associates is looking for 1099 Field Liability Adjusters. We are answering a call to action to add to our existing roster. The time is now to get on with our innovative team! We are seeking auto/homeowners/general liability field adjusters with at least 5 years of field experience.
Requirements:
Minimum 5 years auto and/or premise liability adjusting experience
Working computer/laptop - internet access and Microsoft Word required
Must demonstrate strong time management and customer service skills
State adjusters license (where applicable)
Must have a valid drivers license
Responsibilities:
Conduct in-depth investigations into liability claims to gather facts regarding the loss
Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses, and by interviewing fire, police, or other government officials as well as inspecting claimed damages
Inspect damage to property and obtain personal injury information to assist in determining liability
Maintain acceptable product quality through compliance with established best practices
Knowledge and Skills:
In-depth knowledge of property and liability insurance coverage and industry standards
Ability to prepare full-captioned reports by collecting and summarizing required information
Strong verbal and written communication skills
Prompt, reliable, and friendly
Detail-oriented individual to accurately gather and analyze information to avoid errors
Preferred but Not Required:
College degree
Professional designations and certifications
All candidates must pass a full background check (void in states where prohibited)
Auto-ApplySenior Claims Analyst
Claims adjuster job in Charlotte, NC
The Senior Claims Analyst will utilize experience within commercial property and casualty claims to manage, monitor and assess complex claims activity of Third-Party Administrators (TPAs); use direct systems to access and monitor claim files, denials, reservations of rights, and settlements conducted by TPAs; ensure that the TPAs are performing within their authority, pursuant to agree upon processes and practices, within the agreed upon territories and market segments; ensure compliance with internal policies and regulations; consult with the Chief Risk Officer, Legal, Compliance, Finance, Underwriting, and IT departments to identify specific trends or problems within a program; keep records of all monitoring activity and report to the management team, support data-driven decision making with quantitative and qualitative measures and assessments.
KEY RESPONSIBILITIES:
Provides front-line oversight of Third-Party Administrators' personnel through direct communication and monitoring claims online using the Third-Party Administrators' claim systems.
Identifies, analyzes and discusses monthly loss run trends, reportable claims and/or problematic claims.
Provides excellent claim service to external clients and internal partners.
Participates in claim file reviews with agents, brokers and Third-Party Administrators' claim personnel.
Interfaces with Clear Blue and external underwriting on claim status, exposures, and other factors impacting their risks.
Reviews and approves Third Party Administrators' monthly claim handling fee.
Prepares and presents internal management reports for large losses and large loss potential; usually over $250,000.
Conducts remote and onsite claim file audits of Third-Party Administrators.
Performs other duties as required by management including reinsurance and subrogation.
The responsibilities of this position require continuous interaction internally (executive team, managers, supervisors, and fellow associates) and externally (with TPAs, managing general agents, reinsurers, and brokers/intermediaries).
EDUCATION AND QUALIFICATIONS
Bachelor's degree in business, Finance, Risk Management, Insurance, or equivalent related experience
Five (5) + years of experience in claims analysis or a related role, preferably in a senior or lead capacity.
Three (3) +years of experience in claim handling, relevant litigation, or TPA management.
Industry certifications (e.g., AIC) preferred.
SKILLS AND REQUIREMENTS
Strong analytical and problem-solving skills with high attention to detail.
Proficient in claims systems, Excel, and data analysis tools.
Demonstrated success in evaluating claims, making coverage determinations based on policy provisions, and managing litigation.
Some travel is required and will vary depending on business needs and caseload.
Excellent written and verbal communication skills.
Ability to manage multiple priorities and work independently under tight deadlines
Knowledge of insurance policies claims regulations, and industry best practices.
Strong interpersonal skills and ability to work cross-functionally.
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
Auto-ApplyField Claims Representative
Claims adjuster job in Charlotte, NC
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job requires mastery of claims-handling skills and requires the person to:
* Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability
* Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims
* Become familiar with insurance coverage by studying insurance policies, endorsements and forms
* Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary
* Ensure that claims payments are issued in a timely and accurate manner
* Handle investigations by phone, mail and on-site investigations
Desired Skills & Experience
* Bachelor's degree or direct equivalent experience handling property and casualty claims
* A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims
* Field claims handling experience is preferred but not required
* Knowledge of Xactimate software is preferred but not required
* Above average communication skills (written and verbal)
* Ability to resolve complex issues
* Organize and interpret data
* Ability to handle multiple assignments
* Ability to effectively deal with a diverse group individuals
* Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents)
* Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage
Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
Equal Employment Opportunity
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
* Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
#LI-AT1 #LI-Hybrid
#IN-DNI
Auto-ApplyClaims Specialist
Claims adjuster job in Charlotte, NC
Project Resources Group (PRG) is seeking a Claims Recovery Specialist for our Charlotte, NC office. Be part of our expanding team focused on recovering third-party property and utility damage claims, primarily in a B2B setting. We're looking for motivated, detail-oriented professionals with strong negotiation skills. Experience in collections or insurance adjusting is highly relevant and transferable. We offer a competitive base salary plus commission. Key Responsibilities
Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters.
Work directly with liable parties' insurance providers to defend and negotiate claims settlements.
Collaborate with claims departments and management of liable parties, from small businesses to large corporations to municipalities.
Learn, understand, and be able to utilize state dig laws and statutes, 811 excavator requirements, NESC standards, CGA guidelines, etc.
Develop a professional working relationship with damaging parties, on-site field investigators, management, and other personnel.
Conduct 40-50 inbound/outbound calls daily, approximately 2-2.5 hours of total talk time throughout the day.
Enter notes and documentation throughout the recovery process into the company's proprietary Claims Database Tool.
Use a calendar and diary system to coordinate handling claims to be worked twice weekly.
Follow advanced claim handling procedures as detailed by the OPD Claims Manager.
Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately.
Participate in weekly department meetings to discuss individual and team recovery tactics, strategies, and goals.
Maintain a working knowledge of the entire PRG claims recovery process.
Preferred Qualifications
Strong proficiency in Microsoft Word, Outlook, and Excel.
Tech-savvy with the ability to quickly adapt to new software and systems.
Excellent written and verbal communication skills, with an emphasis on professional phone and email correspondence.
Familiarity with the construction, cable, or utility locate industries is advantageous.
Understanding of B2B construction, claims management, recovery, or insurance claim negotiation and settlement processes is preferred.
Ideally, 3-5 years of experience in claims, recovery, and/or the insurance industry.
College education is preferred.
Bilingual in Spanish is a plus.
Compensation and BenefitsWe offer a competitive hourly pay ($19-$23/hour based on experience), plus the potential to earn substantial commissions up to $4,000-$10,000 monthly based on performance. Along with a comprehensive benefits package, including:
Medical, dental, and vision coverage for employees and dependents
401(k) retirement plan, with company match after 1 year
Short-term disability coverage after 1 year
Paid time off and holidays
Additional perks such as company-paid life insurance, and other supplemental insurances available
About PRG
Since 2001, PRG has been a leader in construction management and outside plant damage recovery for the telecommunications and utility industries. With 20+ offices and 800+ employees nationwide, we deliver industry-leading solutions with speed, accuracy, and expertise.
Equal Opportunity EmployerPRG is proud to be an Equal Opportunity Employer. PRG does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, pregnancy-related conditions, and lactation), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state, or local law and ordinances.#INDCS
Auto-ApplyClaims Specialist
Claims adjuster job in Charlotte, NC
Responsibilities: Processing fast paced inbound customer service calls. Taking inbound calls from clients Providers, Consumers and Insurance companies regarding medical billing. Resubmitting claims, and answering questions regarding benefits Demonstrates excellent customer service skills with the ability to take ownership in assisting, researching and resolving customer issues.
Performs other duties as assigned.
Requirements
Previous Call Center or Customer Service experience preferred.
Ability to develop rapport and demonstrate a caring attitude.
Clear, distinct oral and written communication skills.
Must be detail oriented.
Claims Supervisor (January 2026 Start Date)
Claims adjuster job in Hickory, NC
JOB PURPOSE
The Claims Supervisor position is responsible for managing the claims department team including filing and managing claims and overall processes. This role is key support to carrier and client relations.
ESSENTIAL DUTIES AND RESPONSIBILITIES
• Review and enter claim information in claims software.
• Analyze claim information for validity and prepare and file claims with carriers.
• Provide guidance to both clients and carriers to resolve claim issues.
• Manage claim reporting including forecasting and recommend procedures or policies to reduce claims.
• Train both internal and external customers on how to use company claims software.
• Supervise direct reports within the claims team.
• Identify root cause issues and implement improvements as needed.
• Responsible for staff training and development.
• Resolve customer complaints, problems and coverage questions which cannot be handled by team members.
• Analyze any problematic trends and takes steps to avoid recurrence, appropriately escalating issues if needed.
JOB REQUIREMENTS
• Bachelor's degree or 5 years industry experience
• Strong oral and written communication skills with a high level of customer service.
• Intermediate Microsoft Office skills
KNOWLEDGE, SKILLS, AND ABILITIES
• Basic knowledge of the transportation industry with experience in freight claims rules and regulations
• Basic knowledge of freight claims processing.
• Basic knowledge of Microsoft Office suite.
• Strong attention to detail and proven organizational skills.
• Proactive/autonomous - works well without close supervision and demonstrates initiative.
• Strong oral and written communication skills
• Must be detail oriented, self-starter with strong work ethic.
• Must be able to manage the prioritization of a very large number of projects occurring simultaneously.
• Must have the ability to communicate effectively across different departments within and outside of the organization.
• Must have the ability to develop and maintain strong professional relationships both inside and outside the organization.
**MAY PERFORM OTHER DUTIES AS ASSIGNED**
WORK ENVIRONMENT
Standard office environment, usually indoors away from the elements with moderate noise. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
PHYSICAL EFFORT
Maintain a stationary position for extended periods; move about the office, operate computers and files, as needed; and frequently communicate with others. 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. While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is required to stand, walk, and reach with hands and arms. Occasionally, the employee is required to lift boxes up to 20 pounds.
SCHEDULING
This is a full-time benefits-eligible position, working Monday through Friday; 8:00 a.m. - 5:00 p.m. An employee in this position must be available to work occasionally on weekends and evenings, during peak periods.
DISCLAIMER
The above statements are intended to describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required.
EEOC/ADA STATEMENT:
We are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, gender, sexual orientation, age, religion, disability, veteran, or any other status prohibited by applicable national, federal, state or local law. In an effort to recruit, develop and retain top talent, we are committed to a policy of nondiscrimination in all personnel practices to ensure equal opportunity for employment, promotion, and training for a more inclusive workforce.
RECRUITMENT SCAM NOTICE:
Transportation Insight/Nolan Transportation Group is aware of scams involving fake job interviews and offers. Our hiring process includes a formal interview with a member of our recruitment team. We do not conduct interviews exclusively through text or instant messaging platforms. TI/NTG does not require candidates to pay for training, equipment, or any other fees as a condition of employment. Any request for payment is a scam. Official communication from our recruitment team about your application will only come from emails ending in ‘@ntgfreight.com' or from ‘***********************************.'
Auto-ApplySenior Fraud & Claims Operations Representative
Claims adjuster job in Charlotte, NC
About this role:
Wells Fargo is seeking a Senior Fraud & Claims Operations Representative in Line of Business Referral (LOBR) within Fraud & Claims Management. Find out why we're the #1 financial services company to grow YOUR career. Apply today.
In this role, you will:
Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers in order to detect and prevent fraudulent activity
Perform complex customer support tasks by utilizing solid communication (inbound and outbound), verbal and written, skills to establish rapport with customer and to deescalate difficult, as well as sensitive information researched as a part of resolving a claim
Oversee multiple claim types, take appropriate action to decision the case using multiple systems and applications, and may contact third parties for research, as needed
Support team performance in identifying gaps in bank processes, procedures, customer, or colleague decisions
Provide feedback and present ideas for improving or implementing processes and tools within fraud and claims functional area
Provide subject matter knowledge and interpretation of procedures to less experienced staff
Interact with fraud and claims functional area on a wide range of information as well as with external customers
Required Qualifications:
18+ months of Customer Service, Financial Services, Fraud, or Investigations experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
Desired Qualifications:
6+ months of fraud claims, detection, or prevention experience or banking financial operations experience
Strong analytical and problem-solving skills with high attention to detail and accuracy
Ability to navigate multiple computer systems, applications, and utilize search tools to find information
Knowledge and understanding of financial crime, fraud, scams, and risk management
Ability to organize and manage multiple priorities
Experience supporting other employees to prioritize work, meet deadlines, achieve goals, and work under pressure in a dynamic environment
Ability to work effectively, as well as independently or as a team, in a results-driven environment while managing own caseload within timeframe expectations
Ability to achieve high production and quality standards
Universal Workstation experience
Excellent verbal, written, and interpersonal communication skills
6+ months of experience providing strong customer service while listening, eliciting information efficiently, comprehending, and resolving complex customer issues
Job Expectations:
Training schedule: 6 weeks, Monday - Friday 8:00am - 5:00pm EST (little flexibility)
Regular schedule: Tuesday - Saturday or Sunday - Thursday, flexible between the start time of 7am to 10am EST
Job Location:
1525 W W T Harris Blvd., Charlotte, NC 28262
Posting End Date:
16 Dec 2025
*Job posting may come down early due to volume of applicants.
We Value Equal Opportunity
Wells Fargo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected characteristic.
Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite and all risk and compliance program requirements.
Candidates applying to job openings posted in Canada: Applications for employment are encouraged from all qualified candidates, including women, persons with disabilities, aboriginal peoples and visible minorities. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process.
Applicants with Disabilities
To request a medical accommodation during the application or interview process, visit Disability Inclusion at Wells Fargo.
Drug and Alcohol Policy
Wells Fargo maintains a drug free workplace. Please see our Drug and Alcohol Policy to learn more.
Wells Fargo Recruitment and Hiring Requirements:
a. Third-Party recordings are prohibited unless authorized by Wells Fargo.
b. Wells Fargo requires you to directly represent your own experiences during the recruiting and hiring process.
Auto-ApplyClaims Adjuster -GL
Claims adjuster job in Charlotte, NC
Job Description
Manager's Note: Must have active NY license and BI litigation experience Auto casualty Experienced in complex liability and coverage. TPA experience a plus. Bodily injury/uninsured/underinsured motorist handling experience to include demonstrable (fatality, fractures, traumatic brain injury) injury handling.
$ threshold handling up to 1 million.
No fault (Personal Injury Protection) experience.
Licensed in the contiguous 48 states.
Litigation handling experience pertaining to BI/UM/UIM Not all candidates will need this but a minimum of 3 will need litigation handling experience.
Auto Physical Damage handling experience preferred.
Experience working in a fast-paced environment, participating in and presenting cases to both internal and external stakeholders.
Primary Purpose:
To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
Essential Functions and Responsibilities:
Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
Responsible for litigation process on litigated claims.
Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
Reports large claims to excess carrier(s).
Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.
Communicates claim action/processing with insured, client, and agent or broker when appropriate.
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. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position.
Experience Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws.
Skills & Knowledge:
In-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws
Knowledge of medical terminology for claim evaluation and Medicare compliance
Knowledge of appropriate application for deductibles, sub-limits, SIRs, carrier and large deductible programs.
Strong oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Strong organizational skills
Strong interpersonal skills
Good negotiation skills
Ability to work in a team environment
Ability to meet or exceed Service Expectations
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: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
Note:
Credit security clearance, confirmed via a background credit check, is required for this position.
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.
at any time.
Independent Insurance Claims Adjuster in Rock Hill, South Carolina
Claims adjuster job in Rock Hill, SC
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-Apply