Senior Claims Support Analyst
Claims adjuster job in Livonia, MI
Why AAA Life
AAA Life is a respected and trusted American brand that has been focusing on Life Insurance and Annuity Products since 1969. At AAA Life we have over 1.8 million policies where we take pride in earning the trust of our policyholders who understand our promise to be there for them - and their families - when we're needed most. By joining the AAA Life team, you are joining a company that genuinely cares about helping each other, with a devotion to protect the lives of those around us. We embrace a diverse, equitable, inclusive culture where all associates can feel a sense of belonging and use their unique talents and perspective to influence, innovate, motivate, and thrive.
The Senior Claims Support Analyst supports both the Claims and Treasury functions by ensuring the efficient flow of funds, accuracy of claims payments, and continuous improvement of claims financial processes. This role combines analytical and operational expertise to maintain regulatory compliance, improve claims payment accuracy, and optimize cash management procedures.
The analyst develops, monitors, and reports on key performance metrics, reconciles payment and claims data, supports quality reviews, and collaborates cross-functionally with Finance, Treasury, and Claims Leadership to streamline processes and improve financial integrity in claims operations.
Responsibilities
What You'll Do
Perform analytical reviews of claims payment and financial transactions to ensure accuracy, compliance, and adherence to internal controls and resolve related issues.
Compile and interpret data for claims-related financial and operational reports, including accuracy trends, payment reconciliation, and reserve management.
Maintain and analyze spreadsheets and databases used for claims funding, payment tracking, and financial reconciliations.
Partner with Treasury to forecast cash needs related to claims payouts and ensure adequate liquidity for daily claim obligations.
Develop and maintain process documentation and financial models to improve claims funding and payment accuracy.
Conduct quality audits for all claim types (Life, Annuity, A&H) to verify regulatory compliance and identify opportunities for improvement.
Support service recovery and resolution for escalated claim issues; provide data and analysis for Department of Insurance or external audit responses.
Collaborate with Finance to analyze trends, variances, and reconciliation discrepancies; recommend corrective actions.
Identify and implement process improvements to reduce manual handling, improve automation, and enhance data accuracy.
Prepare and present claims financial metrics and insights to management, highlighting process efficiencies and control improvements.
Serve as liaison for audit-related requests (internal, reinsurer, or regulatory) and provide supporting documentation.
Provide training, guidance, and feedback to claims staff on financial procedures and quality standards.
Ensure compliance with MAR, internal audit requirements, and fair claims practices regulations.
Qualifications
What You Offer:
Bachelor's Degree in Business, Finance, Accounting, or related field (or equivalent work experience).
Minimum 5 years of experience in Claims Operations, Treasury Support, or related insurance field.
Strong understanding of claims processing systems, payment workflows, and audit requirements.
Proficiency in Microsoft Excel, Access, and financial modeling; familiarity with COGNOS or similar reporting tools preferred.
Demonstrated experience in data analysis, reconciliation, and process improvement.
Excellent communication and collaboration skills, with the ability to work effectively across departments.
Strong organizational and time-management skills with attention to detail.
Ability to manage multiple priorities in a fast-paced, deadline-driven environment.
What We offer:
A collaborative, energetic work environment where you can put your passion for people to work
Medical, Dental, Vision, Life and Disability coverage available day one
Pension Plan
Performance-based incentive plan
401k available with a Company match
Holidays and Paid Time Off
AAA Basic Membership
#LI-Hybrid
While performing the duties of this job, the employee is frequently required to stand, walk, sit, use hands to finger, handle, or feel, talk, hear and concentrate. Specific vision abilities required by this job include close vision, distance vision, depth perception, and ability to adjust focus.
This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodation will be made for otherwise qualified applicants as needed to enable them to fulfill these requirements.
We are committed to ensuring equal employment opportunities for all job applicants and employees. Employment decisions are based upon job-related reasons regardless of an applicant's race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, marital status, genetic information, protected veteran status, or any other status protected by law.
Auto-ApplySenior Claims Representative
Claims adjuster job in Farmington Hills, MI
Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus.
Amerisure is currently recruiting for a Senior Fast Track Auto Claims Representative. This position will handle commercial auto with a predominant focus on resolving the material damage components of the claim but does not include any aspect of bodily injury exposures. The role will be a hybrid approach with 2-days in the office. The ideal candidate will possess the following skills.
Summary Statement
Provides quality investigation and analysis to adjust claims at all levels to proper resolution. Promotes the success of the organization through development and advancement of relationships with agencies, policyholders and employees.
Essential Tasks/Major Duties
Collaborate proactively with agents, policyholders and internal stakeholders on claims and book of business as needed.
Investigate losses, identify coverage, evaluate liability and damages.
Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines and delegated authority.
Leverage past experience to review and analyze documents.
Establish and maintain proper reserves for each claim to accurately reflect the financial exposure.
Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring and controlling costs.
Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing.
Knowledge, Skills & Abilities
Bachelor's degree or equivalent combination of education and experience.
1 year commercial claims adjusting experience.
AIC or SLA certification preferred.
Ability to obtain appropriate state licensing as required.
Proficient computer skills required including Microsoft Office Suite.
Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers.
Ability to think strategically with supporting analytical skills.
Excellent verbal and written communication skills with the ability to interact with internal and external customers.
Ability to travel overnight up to 10%
Ability to travel daily between locations.
#LI-BR1
Just as we are committed to creating exceptional value for our Partners For Success agencies and policyholders, Amerisure also remains committed to being an employer of choice. We reinforce this commitment by adhering to an Employee Value Proposition that, in part, is provided through a competitive total rewards package. This package includes competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. We also offer flexible work arrangements to promote work-life balance. Recognized as one of the
Best and Brightest Companies to Work For in the Nation
and one of Business Insurance magazine's
Best Places to Work in Insurance
, we provide a workplace that fosters excellence and professional growth. If you are looking for a collaborative and rewarding career, Amerisure is looking for you.
Amerisure Insurance provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Amerisure Insurance complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Amerisure Insurance expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Amerisure's employees to perform their job duties may result in discipline up to and including discharge.
Auto-ApplySr. Claims Examiner, Casualty
Claims adjuster job in Garden City, MI
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Arch Insurance Group Inc., AIGI, has an opening in the Claims Division is seeking a Senior Claims Examiner to join the Casualty Team. In this role, the responsibilities include actively managing commercial accounts claims caseload throughout the United States.
Primary Responsibilities
Specific duties include but not limited to the below:
* Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis
* Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care
* Develop and implement strategy to resolve matters of liability and damages of a particular case
* Maintain contact with the business line leader, underwriter, defense counsel, program manager, and broker
* Investigate claim and review the insureds' materials, pleadings, and other relevant documents
* Identify and review of each jurisdiction's applicable statutes, rules, and case law
* Review litigation materials including depositions and expert's reports
* Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues
* Retain counsel when necessary and direct counsel in accordance with resolution strategy
* Analyze coverage, liability and damages for purposes of assessing and recommending reserves
* Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves
* Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter
* Negotiate resolution of claims
* Select and utilize structure brokers
* Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims
Qualifications
* Proper adjuster licensing in all applicable states
* Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
* Strong time management and organizational skills
* Ability to take part in active strategic discussions
* Ability to work well independently and in a team environment
* Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word
* Willing and able to travel 20%
* This role is hybrid with 2 days in office
Education and Experience
* Bachelor's degree; Juris Doctorate degree preferred
* Five (5) years of working experience with a primary and / or excess carrier supporting commercial accounts for Casualty claims; Professional Liability claims
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
For Jersey City, Morristown, NYC: $123,400 - $166,633/year
For Hartford, Chicago, Long Island: $111,100 - $149,970/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
For Colorado Applicants - The deadline to submit your application is:
December 08, 2025
14400 Arch Insurance Group Inc.
Auto-ApplyIndependent Insurance Claims Adjuster in Ann Arbor, Michigan
Claims adjuster job in Ann Arbor, MI
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-ApplyProduct Liability Litigation Adjuster
Claims adjuster job in Oregon, OH
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position SummaryAs a Product Liability Litigation Adjuster, Risk Management, you will be responsible for managing lawsuits and overseeing outside counsel defending CVS in high exposure, product liability mass tort litigations and general liability cases filed throughout the United States.
Responsibilities include:Developing relationships with internal colleagues for fact-finding and key litigation activities.
Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution.
Managing all aspects of product liability mass tort litigations and complex general liability cases.
Working with outside national counsel and sr.
management to develop consistent litigation strategies applicable to mass tort cases filed across the country.
Providing reporting to key internal stake holders on case developments and litigation trends for product liability mass torts and other cases.
Managing large scale discovery investigations by working with internal custodians, outside counsel and vendors to develop comprehensive procedures for identifying, locating, preserving and producing corporate records.
Analyzing case and internal materials and utilizing resources across CVS to discern key issues and identify the litigation strategy in every case assigned.
Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working with and overseeing outside counsel.
Participating in meetings and attending mediation and trial as necessary to oversee and assist in the defense or resolution of cases.
Required Qualifications2+ years of legal experience, ideally with a law firm or as a litigation adjuster with a large self-insured company or insurance carrier.
Juris Doctor degree from an ABA accredited university.
Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.
Preferred QualificationsExperience overseeing or defending product liability claims and litigation.
Familiarity or experience with insurance and coverage issues related to litigated claims.
Strong attention to detail and project management skills.
Experience overseeing and answering written discovery.
Ability to work independently and in an environment requiring teamwork and collaboration.
Strong written and verbal communication skills.
Demonstrated negotiation skills and ability.
Ability to articulate and summarize cases with management in a concise, cogent manner.
Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation experience and trial exposure.
3-5 years of legal or claims experience.
Familiarity with the rules and procedures applicable to mass tort litigations, class actions, and/or multidistrict litigations.
Knowledge and experience navigating attorney-client privilege issues, corporate litigation holds, corporate witness depositions, and e-discovery.
Ability to influence and work collaboratively with senior leaders, CVS' in-house legal counsel and outside counsel.
Proficient in Microsoft applications (Word, Excel, PowerPoint, Outlook) with a proven ability to learn new software programs and systems.
Ability to positively and aggressively represent the company at mediation, arbitration and trial.
Ability to navigate difficult situations and communicate effectively with both internal and external groups.
Excellent organizational and time management skills and ability to handle a high volume of litigated claims.
Experience with and understanding of legal documents (pleadings, discovery, motions and briefs).
EducationVerifiable Juris Doctor degree Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988.
00 - $122,400.
00This 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.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
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: 01/03/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Field Claims Adjuster
Claims adjuster job in Detroit, MI
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.
Claims Adjuster
Claims adjuster job in Toledo, OH
The Opportunity: The Claims Adjuster is responsible for providing partners with exceptional claims handling services. Partners include, but are not limited to, public entities, public schools, agents, reinsurers, and fellow employees. The ideal candidate will be able to apply prior claims handling knowledge from experience in the insurance industry as well as experience with claims for public entities and public schools. This position can be located in one of Hylant's Ohio office locations (Cincinnati, Cleveland, Columbus or Toledo) with remote work flexibility.
In This Role You Will Execute On:
Investigate to confirm coverage, determine liability, establish damages, report status, document activities, discern immunities/defenses available and negotiate settlement of all types of assigned claims in a supervised learning environment.
Determines, reports on, and initiates subrogation and salvage recoveries.
Settle and make payments on assigned claims within prescribed authority level.
Effectively plan and schedule work needed to properly handle assigned claims.
Performs most duties on an individual bases, with assistance of other senior staff or supervisor if needed.
Make timely contact and interview customers, claimants, and witnesses while being responsive to messages, phone calls, emails and correspondence.
In This Role You'll Need:
A bachelor's degree (or work experience equivalent) and valid state driver's license are required.
Claims experience required; public entity and/or public-school claims experience is preferred.
A well-qualified applicant has exceptional attention to detail; communicates clearly and concisely, both verbally and in writing; is a team player; and is organized and efficient with his/her time.
Why Hylant?
A multi-year recipient of Best Places to Work in Insurance, Hylant is a full-service insurance brokerage with over 20 offices in seven states. And since the founding of our family-owned business over 90 years ago, we made a promise to strengthen and protect the businesses, employees and communities of our client family by embracing them as our own. We're more than an insurance brokerage firm and you're more than a client, employee or neighbor. You're family. And that's just the way we treat you.
Hylant is proud to be an equal opportunity workplace. All qualified applicants will receive consideration for employment without regard to race, marital status, sex, age, color, religion, national origin, Veteran status, disability or any other characteristic protected by law. If you have a disability or special need that requires accommodation, please let us know. Hylant participates in E-Verify.
#LI-Hybrid
Auto-ApplyWorkers' Compensation Claim Supervisor
Claims adjuster job in Dearborn, MI
...
The Workers' Compensation Claim Supervisor, working under general direction, is responsible for supporting the administration of workers' compensation policies and procedures related to claim filing, claim fulfillment, incident investigations, etc., with fairness and consistency in a timely manner. Additionally, the role is responsible for staying updated on trends and industry practices within the workers' compensation domain, collaborating with teams to implement training programs, and ensuring compliance with policies. The role would also maintain accurate and confidential records and data related to workers' compensation matters.
Responsibilities
What you'll do...
Implements the execution of the organization's workers' compensation policies and procedures, with fairness and consistency in a timely manner. Ensures compliance with employment laws, regulations, and company policies.
Offers expert technical and jurisdictional guidance to claim staff regarding complex compensability, investigation and litigation issues.
Supports handling the workers' compensation claims from initial report to resolution and investigates accidents involving company staff, vehicles, and equipment. Performs regular workers' compensation operations review with each plant location to ensure each case has an action plan in place. Ensures necessary documentation is obtained and provided to the claim adjusters.
Determines the need to report claims and maintains regular communication/review with claim adjusters to ensure excellent management of claims. Represents the company at workers' compensation claim review meetings as required. Coordinates modified duty return-to-work efforts with the claim adjusters, HR, and plant operations.
Participates in the delivery of workers' compensation special projects by representing the team as the prime contact, coordinating with senior internal and industry personnel, integrating data and information from multiple sources to identify trends, and innovating solutions to minimize the overall cost of workers' compensation claims through effective claims management and loss prevention strategies.
Stays updated on workers' compensation laws and regulations to ensure program compliance. Monitors claims status, maintains files, and provides necessary support in defense of claims. May maintain occupational safety and health agency records if necessary.
Supports the preparation of regular reports on workers' compensation program performance, trends, and metrics for management. Compiles and analyzes data related to workplace injuries, claims, and costs. Maintains important records related to claim processing such as medical bills, treatment plans, etc. Provides input on risk assessments, development of strategies, action plans, and associated recommendations to move claims to settlement or closure.
Participates in the annual audit process for the company's workers' compensation programs including claims administration, cost analysis, injured employee communications, and return-to-work programs, and updates existing policies related to the workers' compensation function, whilst maintaining compliance and consistency with relevant laws and companywide policies. Supports the development of trainings to educate employees about the workers' compensation processes, their rights, and responsibilities.
Demonstrates full knowledge of industry best practices in workers' compensation subjects such as loss prevention and rehabilitation management programs along with a strong understanding and application of related concepts and principles. Attends conferences, and other trainings to stay current on risk, claims, and safety developments. Coaches and guides managers and employees on matters related to workers' compensation.
Qualifications
You'll have...
Bachelor's Degree in Human Resources, Risk Management, or any other related discipline or commensurate work experience in workers' compensation.
Minimum 7 years of experience managing multi-state workers' compensation claims and navigating diverse regulatory environments.
Work Requirements…
Involves frequent (defined as one to two-thirds of the time) lifting of more than 10 to 25 pounds. Work performed requires a good deal of walking or standing and may include some sedentary work and working conditions that include moderate noise levels related to the use of office equipment or machinery. May involve exposure to varying outside temperatures.
This description outlines the general nature and scope of work typically performed in this job. It is not intended to be an exhaustive list of all duties, responsibilities, knowledge, skills, work requirements, etc. It may vary slightly based on business or geographic needs and is subject to being reviewed and updated periodically.
You may not check every box, or your experience may look a little different from what we've outlined, but if you think you can bring value to Ford Motor Company, we encourage you to apply!
As an established global company, we offer the benefit of choice. You can choose what your Ford future will look like: will your story span the globe, or keep you close to home? Will your career be a deep dive into what you love, or a series of new teams and new skills? Will you be a leader, a changemaker, a technical expert, a culture builder…or all the above? No matter what you choose, we offer a work life that works for you, including:
Immediate medical, dental, vision and prescription drug coverage
Flexible family care days, paid parental leave, new parent ramp-up programs, subsidized back-up childcare and more
Family building benefits including adoption and surrogacy expense reimbursement, fertility treatments, and more
Vehicle discount program for employees and family members and management leases
Tuition assistance
Established and active employee resource groups
Paid time off for individual and team community service
A generous schedule of paid holidays, including the week between Christmas and New Year's Day
Paid time off and the option to purchase additional vacation time.
This position is a salary grade 7.
For more information on salary and benefits, click here:
New Hire Benefits
Visa sponsorship is not available for this position.
Candidates for positions with Ford Motor Company must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status. In the United States, if you need a reasonable accommodation for the online application process due to a disability, please call **************.
This position is hybrid (onsite four days per week) for candidates who are in commuting distance to a Ford hub location.
#LI-Hybrid #LI-LP3
Auto-ApplyWorkers' Compensation Claim Supervisor
Claims adjuster job in Dearborn, MI
...
The Workers' Compensation Claim Supervisor, working under general direction, is responsible for supporting the administration of workers' compensation policies and procedures related to claim filing, claim fulfillment, incident investigations, etc., with fairness and consistency in a timely manner. Additionally, the role is responsible for staying updated on trends and industry practices within the workers' compensation domain, collaborating with teams to implement training programs, and ensuring compliance with policies. The role would also maintain accurate and confidential records and data related to workers' compensation matters.
You'll have...
Bachelor's Degree in Human Resources, Risk Management, or any other related discipline or commensurate work experience in workers' compensation.
Minimum 7 years of experience managing multi-state workers' compensation claims and navigating diverse regulatory environments.
Work Requirements…
Involves frequent (defined as one to two-thirds of the time) lifting of more than 10 to 25 pounds. Work performed requires a good deal of walking or standing and may include some sedentary work and working conditions that include moderate noise levels related to the use of office equipment or machinery. May involve exposure to varying outside temperatures.
This description outlines the general nature and scope of work typically performed in this job. It is not intended to be an exhaustive list of all duties, responsibilities, knowledge, skills, work requirements, etc. It may vary slightly based on business or geographic needs and is subject to being reviewed and updated periodically.
You may not check every box, or your experience may look a little different from what we've outlined, but if you think you can bring value to Ford Motor Company, we encourage you to apply!
As an established global company, we offer the benefit of choice. You can choose what your Ford future will look like: will your story span the globe, or keep you close to home? Will your career be a deep dive into what you love, or a series of new teams and new skills? Will you be a leader, a changemaker, a technical expert, a culture builder…or all the above? No matter what you choose, we offer a work life that works for you, including:
Immediate medical, dental, vision and prescription drug coverage
Flexible family care days, paid parental leave, new parent ramp-up programs, subsidized back-up childcare and more
Family building benefits including adoption and surrogacy expense reimbursement, fertility treatments, and more
Vehicle discount program for employees and family members and management leases
Tuition assistance
Established and active employee resource groups
Paid time off for individual and team community service
A generous schedule of paid holidays, including the week between Christmas and New Year's Day
Paid time off and the option to purchase additional vacation time.
This position is a salary grade 7.
For more information on salary and benefits, click here:
New Hire Benefits
Visa sponsorship is not available for this position.
Candidates for positions with Ford Motor Company must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status. In the United States, if you need a reasonable accommodation for the online application process due to a disability, please call **************.
This position is hybrid (onsite four days per week) for candidates who are in commuting distance to a Ford hub location.
#LI-Hybrid #LI-LP3
What you'll do...
Implements the execution of the organization's workers' compensation policies and procedures, with fairness and consistency in a timely manner. Ensures compliance with employment laws, regulations, and company policies.
Offers expert technical and jurisdictional guidance to claim staff regarding complex compensability, investigation and litigation issues.
Supports handling the workers' compensation claims from initial report to resolution and investigates accidents involving company staff, vehicles, and equipment. Performs regular workers' compensation operations review with each plant location to ensure each case has an action plan in place. Ensures necessary documentation is obtained and provided to the claim adjusters.
Determines the need to report claims and maintains regular communication/review with claim adjusters to ensure excellent management of claims. Represents the company at workers' compensation claim review meetings as required. Coordinates modified duty return-to-work efforts with the claim adjusters, HR, and plant operations.
Participates in the delivery of workers' compensation special projects by representing the team as the prime contact, coordinating with senior internal and industry personnel, integrating data and information from multiple sources to identify trends, and innovating solutions to minimize the overall cost of workers' compensation claims through effective claims management and loss prevention strategies.
Stays updated on workers' compensation laws and regulations to ensure program compliance. Monitors claims status, maintains files, and provides necessary support in defense of claims. May maintain occupational safety and health agency records if necessary.
Supports the preparation of regular reports on workers' compensation program performance, trends, and metrics for management. Compiles and analyzes data related to workplace injuries, claims, and costs. Maintains important records related to claim processing such as medical bills, treatment plans, etc. Provides input on risk assessments, development of strategies, action plans, and associated recommendations to move claims to settlement or closure.
Participates in the annual audit process for the company's workers' compensation programs including claims administration, cost analysis, injured employee communications, and return-to-work programs, and updates existing policies related to the workers' compensation function, whilst maintaining compliance and consistency with relevant laws and companywide policies. Supports the development of trainings to educate employees about the workers' compensation processes, their rights, and responsibilities.
Demonstrates full knowledge of industry best practices in workers' compensation subjects such as loss prevention and rehabilitation management programs along with a strong understanding and application of related concepts and principles. Attends conferences, and other trainings to stay current on risk, claims, and safety developments. Coaches and guides managers and employees on matters related to workers' compensation.
Auto-ApplyClaims Representative
Claims adjuster job in Detroit, MI
Join Our Dynamic Insurance Team - Unlock Your Potential!
Are you ready to take control of your future and build a career in one of the most stable and lucrative industries? We are seeking driven individuals to join our thriving insurance team, where you'll receive top-tier training, support, and unlimited income potential.
NOW HIRING:
✅ Licensed Life & Health Agents
✅ Unlicensed Individuals (We'll guide you through the licensing process!)
We're looking for our next leaders-those who want to build a career or an impactful part-time income stream.
Is This You?
✔ Willing to work hard and commit for long-term success?
✔ Ready to invest in yourself and your business?
✔ Self-motivated and disciplined, even when no one is watching?
✔ Coachable and eager to learn?
✔ Interested in a business that is both recession- and pandemic-proof?
If you answered YES to any of these, keep reading!
Why Choose Us?
💼 Work from anywhere - full-time or part-time, set your own schedule.
💰 Uncapped earning potential - Part-time: $40,000 - $60,000 /month | Full-time: $70,000 - $150,000+++/month.
📈 No cold calling - You'll only assist individuals who have already requested help.
❌ No sales quotas, no pressure, no pushy tactics.
🧑 🏫 World-class training & mentorship - Learn directly from top agents.
🎯 Daily pay from the insurance carriers you work with.
🎁 Bonuses & incentives - Earn commissions starting at 80% (most carriers) + salary
🏆 Ownership opportunities - Build your own agency (if desired).
🏥 Health insurance available for qualified agents.
🚀 This is your chance to take back control, build a rewarding career, and create real financial freedom.
👉 Apply today and start your journey in financial services!
(
Results may vary. Your success depends on effort, skill, and commitment to training and sales systems.
)
Auto-ApplyProperty Adjuster - Field Estimating - Detroit, MI
Claims adjuster job in Detroit, MI
At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Job Description
A day in the life of a Field Property Adjuster, and what it takes to do the job!
As a Field Property Adjuster, you will be dedicated to providing exceptional service to our policyholders. Your primary responsibility will involve traveling to our customers' homes to conduct on-site inspections, investigate coverage, prepare estimates, and settle claims promptly and efficiently. Additionally, you will handle virtual claims countrywide, leveraging various platforms and software such as Xactimate and ClaimsX Video Collaboration. Your expertise will be particularly focused on water losses, ensuring our customers receive the highest level of support and resolution for these specific claims.
You'll wear a few hats that will require a level of experience:
The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each claim. You lead with empathy, always.
The Investigator - you'll confidently and independently investigate property claims by performing detailed reviews of damage and interpreting policies to determine coverage.
The Effective Communicator - you'll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You'll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress.
The Negotiator - You will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations.
The Problem Solver -you'll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.
The Recorder - you'll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You'll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim.
Preferred Qualifications:
3 years previous experience as an outside adjuster is highly desired.
Role includes virtual & onsite inspections, must be able to settle claims onsite.
Proficiency in using Xactimate and other relevant software for estimating preferred.
Strong critical thinking and technical skills to assess damages accurately and expedite claims settlements.
Excellent communication and interpersonal skills to provide exceptional customer service.
Ability to travel to customers' homes and handle virtual claims countrywide effectively.
Detail-oriented and organized, with a focus on delivering high-quality work.
Residency within the posted location is mandatory for this role, north or northeast of Metro Detroit.
Are willing and able to carry a 50-pound ladder and access up to a 6/12 pitch on either a one to two-story roof.
Valid driver's license and willingness to travel as part of the job requirements.
You're provided with comprehensive training:
The training program is designed to help you build a claims foundation and understand the systems and processes in your day-to-day work.
Ongoing training opportunities for continuous improvement happen regularly on the job.
** Please note, you will be required to attend 2-weeks of training that will take place in Wheeling, IL **
Notice of Licensing Requirement:
As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license which includes passing an additional background check with the Department of Labor. If applicable, you will be required to secure license(s) within 60 days of hire.
If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed.
Sign On Bonus:
You may be eligible for a $1000 Licensing Sign on Bonus if you have the applicable active licenses needed for this role. This could include Home Resident Property & Casualty License, Designated Home State (DHS) Florida or Texas License, and/or applicable Appraiser License.
**Current employees or candidates who have previously worked for Allstate, including its family of companies, are not eligible for this sign-on bonus.
Company Car:
Based on our Company Car Guidelines, this role qualifies for a company car. Our leadership team determines this based on annual work mileage for this location.
Allstate Benefits:
Being a part of Allstate means you receive a benefits package from Day 1 of employment. This includes time off, healthcare, retirement, and more. That is why as an Allstater, you'll enjoy a Total Rewards package that includes:
Competitive pay with needed support for continuous development and career advancement.
Flexibility in scheduling and a time off policy that helps support your work/life balance.
Initial and ongoing training to get you proficient in your new role.
Comprehensive benefits like a 401K/pension, education reimbursement, and programs to help you balance work with the rest of your life. Visit ************************ to learn more.
#LI-DL1
Skills
Active Listening, Communication, Critical Thinking, Customer Service, Empathy, Insurance Claims, Multitasking, Organizing, Working Independently, Xactimate
Compensation
Compensation offered for this role is $50,700.00 - 89,062.50 annually and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.
Allstate generally does not sponsor individuals for employment-based visas for this position.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.
For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance.
For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the “EEO is the Law” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs
To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
Auto-ApplyAuto Claims Representative
Claims adjuster job in Southgate, MI
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close 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 includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to:
* Investigate, evaluate, and settle entry-level insurance claims
* Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products
* Learn and comply with Company claim handling procedures
* Develop entry-level claim negotiation and settlement skills
* Build skills to effectively serve the needs of agents, insureds, and others
* Meet and communicate with claimants, legal counsel, and third-parties
* Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment
* Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements
Desired Skills & Experience
* Bachelor's degree or direct equivalent experience with property/casualty claims handling
* Ability to organize data, multi-task and make decisions independently
* Above average communication skills (written and verbal)
* Ability to write reports and compose correspondence
* Ability to resolve complex issues
* Ability to maintain confidentially and data security
* 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
* Continually develop product knowledge through participation in approved educational programs
Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
Equal Employment Opportunity
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
* Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
#LI-DNI #IN-DNI
Auto-ApplyOH Adjuster 2nd Shift
Claims adjuster job in Walbridge, OH
Job Details Ohio Location - Walbridge, OH Full Time Equivalent Work Experience $21.50 - $22.25 Hourly None Second ManufacturingDESCRIPTION
SIGN ON BONUS up to $5,000.00! Shift Available:
2nd Shift: 2:30pm - 10:30pm
Are you a hands-on problem solver? If you love tinkering with machinery and turning ideas into reality, this is your chance to shine in our climate-controlled facility. Do you have the mechanical ability but no chance for advancement, and no one will invest the time to train you? Are you looking for a Career and not just a job? APPLY with Western States, we will invest the time to train candidates for this role. We are looking for candidates with hands-on mechanical ability who have had experience setting up orders on machines AND hands-on troubleshooting machines in a production/manufacturing OR candidates with experience in an auto/fleet mechanic environment.
We seek a skilled and detail-oriented Order Setup Operator (Adjuster) to join our production team at our Walbridge plant just minutes from Perrysburg! This role ensures efficient and smooth operations by setting up and configuring machinery for production runs. This role involves operating all machines in the department, setting up work orders to specifications, troubleshooting, and performing daily maintenance and minor repairs on envelope folding machines.
Do you worry about stability? Western States has a history of over 117 years, where 48% of their current staff have been with the company for 10 years or more. (We did the math!). Check out our Western States Facebook page to see some of the fun things we have done in Western States over the past century!
HERE'S WHAT MAKES WESTERN STATES A GREAT PLACE TO WORK:
Competitive compensation: Comprehensive benefits package including 401k with company match.
Work-life balance: 9 paid holidays to help you recharge and enjoy time with loved ones.
Growth potential: Join a company with a long history and a commitment to employee development.
Stability: Family-owned company since 1908!
WHAT DOES MY WORKDAY LOOK LIKE IN THIS ROLE?
As a key member of our Folding Department, you'll ensure the smooth and efficient operation of our machinery. Your responsibilities will include:
Performing daily machine maintenance, changeovers, and set-ups.
Inspecting products and making necessary mechanical adjustments to eliminate quality variations and address mechanical malfunctions.
Troubleshooting minor operating difficulties using hand tools.
Executing minor machine repairs.
Operating all machines within the Folding Department.
Examining work orders to determine production specifications.
Inspecting product quality following established guidelines.
Verifying order accuracy throughout production, including labeling, printing, and packaging.
Performing machine wash-up and other general cleaning duties to maintain a tidy workspace.
Accurately completing paperwork for labor, time, and quality tracking.
Maintaining precise counts of envelopes for boxing, cartonizing, and palletizing.
Neatly and uniformly packing envelopes into containers, keeping pace with machine speeds.
Placing die-cut paper stacks into machine feeds and splicing paper rolls into web machine feeds.
QUALIFICATIONS
SUCCESSFUL PEOPLE IN THIS ROLE HAVE THE FOLLOWING SKILLS
Demonstrated expertise as Set-Up Operator, Envelope Adjuster or Auto Mechanic. Industry on an RA and/or WD machine in a position of similar skill set and level of responsibility within the Envelope Industry preferred, but not required. 5 years machine set-up and/or repair experience preferred.
Proven ability to set up orders on production manufacturing equipment, mechanic, automotive, fleet mechanic, or farm mechanic.
Capacity to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Capable of speaking effectively with employees of the organization.
Aptitude to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Proficiency in reading and interpreting ruler measurements.
Ability to walk and stand frequently during an eight-hour shift.
Ability to move up to 50 lbs.
PREFERRED QUALIFICATIONS
Prior Manufacturing experience in a similar role using hand tools to set up orders in a production environment.
ESSENTIAL FUNCTIONS
Ability to stand for the approximate duration of the scheduled shift (minus paid breaks), lift up to 20 lbs frequently and up to 50 lbs occasionally, repetitive grasping, frequent twisting, lifting above shoulder height, occasional bending, reaching, crouching, or stooping. Sensory requirements are tactile/touch with hands and digits, near and far visual acuity, color vision, peripheral vision, depth perception, and the ability to adjust focus. Reasoning, mechanical aptitude, and mathematical skills for the appropriate operations of the equipment.
Outside Property Claim Adjuster
Claims adjuster job in Detroit, MI
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 160 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 CategoryClaimCompensation 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$65,300.00 - $107,600.00Target Openings1What Is the Opportunity?Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.
LOCATION REQUIREMENT: This position services Insureds/Agents in the Ann Arbor, MI, area. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. Ideal locations include Ann Arbor, MI, Dearborn Heights and Farmington Hills, areas.What Will You Do?
Handles 1st party property claims of moderate severity and complexity as assigned.
Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.
Broad scale use of innovative technologies.
Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate.
Establishes timely and accurate claim and expense reserves.
Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
Negotiates with multiple constituents, i.e.; contractors or insured's representatives and conveys claim settlements within authority limits.
Writes denial letters, Reservation of Rights and other complex correspondence.
Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
Meets all quality standards and expectations in accordance with the Knowledge Guides.
Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
Manages file inventory to ensure timely resolution of cases.
Handles files in compliance with state regulations, where applicable.
Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
Identifies and refers claims with Major Case Unit exposure to the manager.
Performs administrative functions such as expense accounts, time off reporting, etc. as required.
Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
May provides mentoring and coaching to less experienced claim professionals.
May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states.
Must secure and maintain company credit card required.
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.
On a rotational basis, engage in resolution desk technical work and resolution desk follow up call work.
This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position.
Perform other duties as assigned.
What Will Our Ideal Candidate Have?
Bachelor's Degree preferred.
General knowledge of estimating system Xactimate preferred.
Two or more years of previous outside property claim handling experience preferred.
Interpersonal and customer service skills - Advanced
Organizational and time management skills- Advanced
Ability to work independently - Intermediate
Judgment, analytical and decision making skills - Intermediate
Negotiation skills - Intermediate
Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively -Intermediate
Investigative skills - Intermediate
Ability to analyze and determine coverage - Intermediate
Analyze, and evaluate damages -Intermediate
Resolve claims within settlement authority - Intermediate
Valid passport preferred.
What is a Must Have?
High School Diploma or GED required.
A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required.
Valid driver's license required.
What Is in It for You?
Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
Auto-ApplyContents Adjuster
Claims adjuster job in Detroit, MI
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
Contents Adjuster
**PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Examines insurance policies and other records to determine insurance coverage.
+ Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.
+ Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.
+ Estimates cost of repair, replacement, or compensation.
+ Prepares report of findings and negotiates settlement with claimant.
+ Recommends litigation by legal department when settlement cannot be negotiated.
+ Attends litigation hearings.
+ Revises case reserves in assigned claims files to cover probable costs.
+ 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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.
**Experience**
None.
**Skills & Knowledge**
+ Strong oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Demonstrated commitment to timely reporting
+ Strong customer service skills
+ Strong interpersonal skills
+ Attention to detail and accuracy
+ Good time management and organizational skills
+ Ability to work independently or 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 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
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($45,000 - $60,000 USD annually). 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.
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.**
**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**
Sr Field Property Adjuster - Southfield, MI
Claims adjuster job in Southfield, MI
Our Property Claims department is seeking Senior Outside Property Adjusters in the Southfield, MI territory. This is a remote Full-time/Exempt role with field investigations. Senior outside property adjusters handle property claims requiring field investigations and/or inspections. They must establish rapport with our insureds and maintain relationships with our agents, underwriters, contractors, restoration vendors, and experts. They are expected to know their territory, including the geography; regulations and the law as pertains to property claims; state and local public safety and regulatory agencies and officials; the insurance and legal climate; and public adjusters. Outside property adjusters may use a company claims office location as their base of operations, or they may work out of their homes.
IN THIS ROLE, YOU WILL:
Handle complex personal and commercial property claims requiring outside field investigations and/or inspections.
Use discretion and independent judgment in claim handling.
Possess demonstrated technical knowledge and skills, including product and industry, reflective of successful progression through various job family levels.
Identify possibly suspicious claims.
Claims handled will be of greater complexity, severity, and exposures, including litigation, and will require a higher level of investigation, analysis, evaluation and negotiation including interpretation of commercial coverage.
Authority levels are higher in recognition of the higher proficiency associated with this level.
May be used as a technical resource by adjusters; may represent the company at mediation, arbitration and trials.
May be responsible for all aspects of each claim, including informal hearings, arbitrations, and claims litigation and maintaining a high level of productivity, confidentiality and customer service.
May provide training and mentoring to adjusters.
Assignments are broad in nature, usually requiring originality and ingenuity.
WHAT YOU NEED TO APPLY:
5+ years of adjusting experience.
Xactimate certification.
Must have or secure and maintain appropriate states adjuster license(s) and continuing education credits.
Must have valid driver's license.
Required to have and maintain sufficient home-based internet connection.
Dedicated to meeting the expectations and requirements of internal and external customers.
Makes decisions in an informed, confident and timely manner.
Maintains constructive working relationships despite differing perspectives.
Strong organizational and time management skills.
Ability to negotiate skillfully in difficult situations with both internal and external groups. Demonstrates ability to win concessions without damaging relationships.
Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication.
Understanding of applicable statutes, regulations and case law.
Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner.
Easily adapts to new or different changing situations, requirements or priorities.
Cultivates an environment of teamwork and collaboration.
Operates with latitude for un-reviewed action or decision.
Proficient using MS Office (Excel, Word, etc).
Proficient using Claims systems (i.e. CSS, PMS, etc).
Ability to use a personal computer and other standard office equipment.
Ability to travel as necessary.
Ability to sit and/or stand for extended periods.
Ability to operate a motor vehicle 4-5 hours per day and to get in and out of the vehicle numerous times during the day.
Ability to load and unload equipment and supplies weighing up to 30 pounds from a motor vehicle as needed to perform field work.
Ability to bend, walk, and climb for several consecutive hours while inspecting damaged buildings, often with utilities turned off or inoperable.
Ability to use a ladder safely to get onto and off of roofs, and maintain balance while inspecting roofs.
Ability to perform field work in adverse weather.
This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform.
Senior Claims Specialist - Pacific Time Zone
Claims adjuster job in Oregon, OH
Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.
At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.
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When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? Never? Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact, we received 98% rating for overall job satisfaction from the participants in our last employee survey, clearly indicating the passion and energy our staff has for our company and for the job they do!
Currently we have an opening for a Senior Claims Specialist in your territory. Are you innovative, high energy, resilient, determined, assertive, clever, and competitive? Do you see each new claim as a puzzle to work and a challenge to be won? Does this sound like you? If so, this might be the right job for you.
Here's who we are. Strategic Comp is part of Great American Insurance Group, which was established in 1872. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses. The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc. AFG's common stock is listed and traded on the New York Stock Exchange ("NYSE") and NASDAQ under the symbol "AFG".
Here's what we do. We insure workers' compensation coverage for large companies, using our deductible program. Our service in claims and loss control is second to none. We've found that a large majority of our customers feel the way our employees do. Our renewal retention is 90+%, meaning they enjoy working with us too!
Here's what you would be doing if hired for the Senior Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with high potential exposure. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use. Because we focus on outcomes and not just processes, we look for the adjuster who is very skilled at developing strategies to bring claims to resolution. The person hired for this position will work from an office in their home within the Pacific Region with occasional travel to claims reviews and meetings.
Responsibilities
* Investigating losses
* Analyzing coverage, determining compensability and benefits
* Establishing reserves and negotiating settlements
* Conducting meetings on the phone with insureds and claimants
* Preparing large loss reports to both internal and external audiences
* Attending settlement conferences as assigned
* Working closely with defense attorneys and other vendors including medical case management, surveillance, etc.
Physical Requirements
* Sedentary - requires prolonged sitting, continuous use of computer
* Occasional Travel - may require overnight travel to tri-annual claim reviews and/or departmental meetings
Qualifications
* A minimum of 10 to 13 years of California workers' compensation claims adjusting experience with higher exposure claims is required
* Must have current license to adjust workers' compensation claims in California
* Strong consideration will be given to candidates with industry designations including Associate in Claims
* You must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts
#LI-StrategicComp
Business Unit:
Strategic Comp
Salary Range:
$110,000.00 -$120,000.00
Benefits:
We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.
Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at ****************************
* Excludes seasonal employees and interns.
Auto-ApplyDental Claims Specialist
Claims adjuster job in Dearborn Heights, MI
Medicaid Specialist at
Cambridge Dental Group - Dearborn Heights, MI*
Cambridge Dental Group is seeking a detail-oriented and experienced CBO Team Member to join our centralized business office team. This role is essential in ensuring accurate and timely submission and follow-up of Medicaid pre-authorizations and claims. The ideal candidate will bring a strong background in Medicaid billing and revenue cycle management (RCM), with a commitment to accuracy and efficiency.
Responsibilities:
Submit all Medicaid pre-authorizations and claims in a timely manner.
Follow up consistently on pre-authorizations and claims to ensure proper resolution.
Review and manage daily work logs to resolve outstanding claims.
Appropriately document all account activities within the practice management system.
Process EOB and R/A payments/denials accurately and promptly.
Communicate effectively with leadership, co-workers, and dental offices regarding claim status.
Maintain a high level of accuracy and attention to detail in all job functions.
Provide backup support to other CBO team members as needed.
Required Qualifications:
5+ years of Medicaid billing and RCM experience (preferred)
Proven ability to manage pre-authorizations and claims efficiently
High attention to detail and task-focused work style
Strong organizational and follow-up skills
Preferred Qualifications:
Some dental clinical experience (helpful but not required)
Why Join Us:
Full-time position with comprehensive benefits including health insurance, life insurance, PTO, paid holidays, disability options, 401k with match
Be part of a supportive and collaborative CBO team
Play a key role in ensuring smooth financial operations for our office
Competitive compensation and growth opportunities within a trusted dental group
#indeedwavedp
Requirements
Education and Training
High school diploma or equivalent required.
Three years healthcare cash posting, billing, third party follow-up and collections experience required; OR a combination of education and/or experience in business or related field totaling three years.
Knowledge of automated business applications, including word-processing, spreadsheet and data base management applications required.
Data entry experience and knowledge of Medicare, Medicaid, and third-party insurance preferred.
FLSA Status: Hourly, Non-Exempt
Reports to: VP of Finance
Field Property Claims Adjuster
Claims adjuster job in Novi, MI
Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner's property. This is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support.
The Field Property Claims Adjuster will be traveling locally to insured homes within Novi, MI (48375) and surrounding areas. To be successful within the role, candidates should live within or near this area.
Sign-On Bonus Available! We're offering a sign-on bonus for experienced and actively licensed new hires.
What you'll do
Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include accessing roofs by ladder, inspecting attics, crawl spaces and basements in search of damage.
Handle moderate to complex claims independently while managing your workload, from first notice of loss to final closure.
Be expected to work in a vehicle in the field daily while occasionally handling assignments from the desk.
Explain coverage of loss, assist policyholders with itemization of damages, emergency repairs and additional living arrangements.
Work with and coordinate a few vendor services such as contractors, emergency repair, cleaning services and various replacement services.
May be called upon for catastrophe duty.
Position details
Territory-based work: Most workdays will be spent in the field within your assigned local territory, giving you the opportunity to work directly with customers and gain hands-on experience.
Training & support: To set you up for success, you'll participate in a comprehensive 5-month training program, which includes:
Primarily virtual and on-the-job learning.
Two short in-person training sessions (Weeks 4 and 7) at our Lewisville, TX office.
Limited overnight travel for training and team meetings (typically less than 10%).
Mileage Reimbursement: This role offers mileage reimbursement. You may qualify for a company-provided vehicle once mileage requirements are met. Additional details will be provided if you advance in the selection process.
Qualifications
Working knowledge of claims handling procedures and operations.
Proven ability to provide exceptional customer service.
Effective negotiation skills.
Ability to effectively and independently manage workload while exhibiting good judgment.
Strong written/oral communication and interpersonal skills.
Computer skills with the ability to work with multi-faceted systems.
The capabilities, skills and knowledge required through a bachelor's degree or equivalent experience and at least 1 year of directly related experience.
Ability to obtain proper licensing as required.
The ability to handle multiple competing priorities and organize your day.
Strong time management and organizational skills.
Demonstrated understanding of building construction principles.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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Auto-ApplyClaims Representative
Claims adjuster job in Troy, MI
Join a Leading Team - Direct Hire | Sign-On Bonus | Hybrid Opportunity! We're hiring detail-oriented and customer-focused Claims Representatives for a reputable client located in Troy. In this role, you'll be responsible for efficiently reviewing, processing, and resolving insurance claims while ensuring full compliance with internal policies and industry regulations.
What's In It for You?
Pay: $17
Direct hire opportunity with a stable organization
Sign-on bonus available
Hybrid schedule available after training
Comprehensive benefits package: medical, dental, and vision insurance
Ongoing professional development and training opportunities
Work Schedule
Training: Monday-Friday, 8:00 AM - 4:30 PM
Post-Training: Flexible shifts available between 6:00 AM - 8:00 PM
Key Responsibilities
Accurately review and process insurance claims within specified timeframes
Communicate with policyholders, claimants, and other involved parties to gather information and provide claim updates
Maintain thorough and accurate records in internal claims systems
Ensure adherence to regulatory guidelines and company policies
Keep current with industry standards and procedural updates
Qualifications & Skills
High school diploma or equivalent required
Experience in claims processing, insurance, or customer service is a plus
Strong problem-solving and analytical abilities
Clear and professional verbal and written communication skills
Ability to handle multiple tasks and prioritize effectively in a fast-paced environment
Proficiency in Microsoft Office Suite; experience with claims management software is a bonus
Familiarity with insurance procedures and compliance regulations is preferred
Ready to bring your attention to detail and customer service skills to a growing team? Apply today!
All qualified applicants will receive consideration for employment without regard to race, color, religion, ethnicity, national origin, sex, gender identity, sexual orientation, disability status, protected veteran status or any other protected status under the law. EverStaff is an equal opportunity employer (M/F/D/V/SO/GI).