Claims adjuster jobs in Forest Hills, MI - 54 jobs

This Senior Claims Representative position is within the company's complex claim handling unit. The primary responsibility of this position is the management and resolution of the company's most complex commercial casualty claims with minimal supervision. Claims managed by this position are among the most complex received by the claims department and often present the highest and most severe potential exposure. Further primary responsibilities include handling negotiations on any and all claims assigned, understanding and verifying coverage policy provisions, limitations, deductibles, and exclusions, taking statements or interviews when necessary, from all parties, coordinating referral of coverage requests, and assigning losses to defense firms and/or independent adjusters as necessary. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: Other duties may be assigned. 1. Promptly and efficiently adjust a caseload of the company's most complex and volatile casualty claim files in accordance with company policies and procedures. This caseload will represent suits and third-party liability claims where successful collaboration with outside counsel is required. 2. Maintain an active diary and updated plan of action on 100% caseload files. 3. Adhere to assigned authority limits for reserving and payments (including settlements). 4. Exercise independent decision-making skills with minimal to moderate supervision and direction on claims assigned, using knowledge of local codes, standards, and law. 5. Evaluate coverage thoroughly for each claim received and work closely with internal counsel to ensure each coverage position taken is correct. 6. Investigate the facts of each claim, including obtaining key documentation such as police reports, medical reports, appraisals, estimates, photographs, etc. to evaluate claims in accordance with company standards. This may include traveling to observe key locations or discuss the case with insureds, attorneys, or key witnesses and experts. 7. Evaluate each claim's value, recommend appropriate reserves, and ensure that reserves are maintained at appropriate levels as the claim develops. 8. Evaluate and make decisions regarding coverage, liability, and compensability. 9. Timely present cases to management and other relevant associates for the purpose of discussing strategy, setting reserves, and obtaining payment authority. 10. Negotiate settlements or deny payments where no coverage, liability, or compensability exists. 11. Attend mediations, settlement conferences, arbitrations, and trials when appropriate. 12. Identify and thoroughly investigate all recovery and subrogation opportunities for each claim. 13. Return all telephone calls within one (1) business day, when possible. All messages from customers and agents are to be returned by the end of the same business day on which the call was received. Report all service complaints to management immediately upon receipt. 14. Maintain personal compliance with all continuing education requirements as mandated by statute or by office policy. 15. Providing occasional training and mentoring for other members of the team as well as the claims department. 16. Adhere to the company's code of ethics. 17. Perform related duties assigned. EDUCATION AND EXPERIENCE Relevant combination of education and experience may be considered in lieu of degree. 1. Bachelor's degree from a 4-year college or university. 2. Juris Doctor degree (weighed favorably, but not a requirement) 3. Admission to the state bar preferred 4. At least 5 years of experience managing large and/or complex commercial casualty claims and demonstrated knowledge and ability to do so at a high level of performance. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty. satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities. to perform the essential functions. OTHER SKILLS AND ABILITIES 1. Excellent oral and written communication skills. 2. Excellent presentation and facilitation skills. 3. Ability to make competent, independent decisions. 4. Ability to analyze coverage submissions and help. 5. Ability to prioritize, organize and plan work for self and others. 6. Excellent customer service skills. 7. Superior problem-solving ability. 8. Thorough knowledge of claim procedures, policies, terminology, etc. 9. Computer proficient with Microsoft Office programs, such as Word, Excel, and Outlook. 10. Possess State adjusting license(s) as applicable. 11. Ensure assigned files are managed in good faith as defined by statute, case-law and Corporate standards. 12. Ability to travel as required. 13. Ability to interact professionally with others 14. Sit, stand/walk ambulatory 15. Ability to lift ten pounds ADDITIONAL INFORMATION The above statements are intended to describe the general nature and level of work being. performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment. PAY RANGE Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not the standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $82,900 - $138,800. We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract. #LI-CD1 #AFG

This Senior Claims Representative position is within the company's complex claim handling unit. The primary responsibility of this position is the management and resolution of the company's most complex commercial casualty claims with minimal supervision. Claims managed by this position are among the most complex received by the claims department and often present the highest and most severe potential exposure. Further primary responsibilities include handling negotiations on any and all claims assigned, understanding and verifying coverage policy provisions, limitations, deductibles, and exclusions, taking statements or interviews when necessary, from all parties, coordinating referral of coverage requests, and assigning losses to defense firms and/or independent adjusters as necessary. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: Other duties may be assigned. 1. Promptly and efficiently adjust a caseload of the company's most complex and volatile casualty claim files in accordance with company policies and procedures. This caseload will represent suits and third-party liability claims where successful collaboration with outside counsel is required. 2. Maintain an active diary and updated plan of action on 100% caseload files. 3. Adhere to assigned authority limits for reserving and payments (including settlements). 4. Exercise independent decision-making skills with minimal to moderate supervision and direction on claims assigned, using knowledge of local codes, standards, and law. 5. Evaluate coverage thoroughly for each claim received and work closely with internal counsel to ensure each coverage position taken is correct. 6. Investigate the facts of each claim, including obtaining key documentation such as police reports, medical reports, appraisals, estimates, photographs, etc. to evaluate claims in accordance with company standards. This may include traveling to observe key locations or discuss the case with insureds, attorneys, or key witnesses and experts. 7. Evaluate each claim's value, recommend appropriate reserves, and ensure that reserves are maintained at appropriate levels as the claim develops. 8. Evaluate and make decisions regarding coverage, liability, and compensability. 9. Timely present cases to management and other relevant associates for the purpose of discussing strategy, setting reserves, and obtaining payment authority. 10. Negotiate settlements or deny payments where no coverage, liability, or compensability exists. 11. Attend mediations, settlement conferences, arbitrations, and trials when appropriate. 12. Identify and thoroughly investigate all recovery and subrogation opportunities for each claim. 13. Return all telephone calls within one (1) business day, when possible. All messages from customers and agents are to be returned by the end of the same business day on which the call was received. Report all service complaints to management immediately upon receipt. 14. Maintain personal compliance with all continuing education requirements as mandated by statute or by office policy. 15. Providing occasional training and mentoring for other members of the team as well as the claims department. 16. Adhere to the company's code of ethics. 17. Perform related duties assigned. EDUCATION AND EXPERIENCE Relevant combination of education and experience may be considered in lieu of degree. 1. Bachelor's degree from a 4-year college or university. 2. Juris Doctor degree (weighed favorably, but not a requirement) 3. Admission to the state bar preferred 4. At least 5 years of experience managing large and/or complex commercial casualty claims and demonstrated knowledge and ability to do so at a high level of performance. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty. satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities. to perform the essential functions. OTHER SKILLS AND ABILITIES 1. Excellent oral and written communication skills. 2. Excellent presentation and facilitation skills. 3. Ability to make competent, independent decisions. 4. Ability to analyze coverage submissions and help. 5. Ability to prioritize, organize and plan work for self and others. 6. Excellent customer service skills. 7. Superior problem-solving ability. 8. Thorough knowledge of claim procedures, policies, terminology, etc. 9. Computer proficient with Microsoft Office programs, such as Word, Excel, and Outlook. 10. Possess State adjusting license(s) as applicable. 11. Ensure assigned files are managed in good faith as defined by statute, case-law and Corporate standards. 12. Ability to travel as required. 13. Ability to interact professionally with others 14. Sit, stand/walk ambulatory 15. Ability to lift ten pounds ADDITIONAL INFORMATION The above statements are intended to describe the general nature and level of work being. performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment. PAY RANGE Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not the standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $82,900 - $138,800. We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract. #LI-CD1 #AFG

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.

Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are you ready, willing, and able to Elevate? Elevate Claims Solutions is seeking an Independent Adjuster in Western Michigan. How will we Elevate you? We want to know and understand your unique skillset and goals. We are committed to receiving your feedback on how we can best support your progression and advancement towards those goals. Expand your career opportunities in a role where you can see that you are making a difference in people's lives. Meaningful work in a culture of continuous improvement. A diverse market of carriers Clear communication of service and quality expectations; internal and external. Guidelines that provide upfront understanding of each carrier's requirements. Continuous feedback, including real -time Quality Assurance and formalized quarterly coaching sessions to identify areas of strength and opportunity. Training and development opportunities tailored to individual growth objectives. A tenured foundation of industry experts with a wide knowledge base for you to consult. How will you Elevate? Prioritize policyholders during their time loss through demonstrated empathy and understanding. Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders. Outstanding work ethic. This is not a 9 -5 position and you will be called upon to maintain a flexible schedule to help meet the needs of insureds and carriers. Clear, consistent, and timely communication. We, and our carriers, want and need strong lines of communication. You must be open to receiving and providing feedback. The ability to effectively and independently manage workload while exercising good judgement. Strong written and verbal communication skills. Strong technological skills with the ability to work within various claims management systems. Minimum of three years of residential and commercial property adjusting experience. Carrier experience is desired. Liability experience is a plus. Current, active Xactimate license and experience writing both residential and commercial damage estimates in Xactimate. Ability to pass a background screen. Current, active license where required. Equipment and ability to access roofs. If you are ready to Elevate claims with a firm that truly values and supports you, let us know - we may be a fit.

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.

We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated 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

Job Description CCMS & Associates is looking for a 1099 Field Adjuster in Michigan, specifically the Grand Rapids area. We are looking to add to our existing roster. The time is now to get on board with our team! We are seeking a residential or commercial field adjuster with at least 1 year of field experience. Requirements: Minimum 1 year first-party commercial and/or residential property adjusting experience Maintain own current estimating software - Xactimate preferred (Symbility experience a plus) Working computer - internet access and Microsoft Word required Must demonstrate strong time management and customer service skills Experience in preparing Statement of Loss, Proof of Loss, and denial letters Must have a valid drivers license Responsibilities: Complete residential and commercial field property inspections utilizing Xactimate software Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses and by interviewing fire, police, or other governmental officials as well as inspecting claimed damages Recommend claim reserves based on investigation, through well-supported reserve report Obtain and interpret official reports Review applicable coverage forms and endorsements, provide a thorough analysis of coverage and any coverage issues in a well-documented initial captioned report to the client Maintain acceptable product quality through compliance with established best practices Knowledge and Skills: In-depth knowledge of property and liability insurance coverage and industry standards Ability to prepare full-captioned reports by collecting and summarizing required information Strong verbal and written communications skills Prompt, reliable, and friendly Preferred but Not Required: College degree AIC, IICRC, HAAG or other professional designations All candidates must pass a full background check (void in states where prohibited) CCMS & Associates offers multi-line claim adjusting and third-party administration services dedicated to solving the challenges of the complex claim in the property and casualty insurance industry. We create programs that drive a successful claim life cycle while strategically managing all aspects of the complicated issues carriers and policyholders are facing. Servicing excess and surplus/domestic carriers in the United States. Powered by JazzHR DxwYpIKhtn

Family Health Care is currently seeking applications for the position of Pharmacy 340B Claims Specialist! General Function: This position functions at the highest level (III) in the series of Pharmacy Technician roles within Family Health Care. The individual in this role is a “work-leader” serving as the expert on prescription claims reimbursement and performing self-auditing for the pharmacy department. This individual will ensure prescription claim integrity by having advanced knowledge of claim requirements for the various pharmacy benefit managers (PBM) and shall use that information to identify areas of improvement by performing targeted claim audits and will provide education to the pharmacy staff on billing requirements, when needed. Responsibilities: Acts as pharmacy claims auditor and will audit claims daily into order to track claims accuracy, trends, anomalies and other critical information to help BFHC ensuring appropriate reimbursement while mitigating organizational risk for claims remediations resulting from claim processing errors. Acts as pharmacy 340B claims auditor and audits claims on a scheduled basis into order to track 340B claims accuracy, trends, anomalies, and other critical information to help BFHC maintain 340B claim integrity while ensuring adherence to 340B policies, procedures, rules and regulations. Ensures timely and accurate billing/collections of all pharmacy charges and reimbursement activities through the use of reporting and reconciliation. Ensures integrity if financial reports and provides necessary reports to the finance department upon request. Assists the Chief Pharmacist and pharmacy staff in the research, development and implementation of new and existing pharmacy services. Location(s): White Cloud, MI Employment Type: Full Time Exempt/Non-Exempt: Non-Exempt Benefits: Competitive wage and excellent benefits package. FHC is an eligible organization for State and Federal Loan Repayment Programs. Family Health Care is an Equal Opportunity Employer.

Deliver fair, strategic resolutions for complex commercial casualty claims. Schedule: Monday-Friday, 8:00 a.m.-4:30 p.m. About the Role: The Casualty Claim Specialist investigates, evaluates, and resolves moderate to complex commercial casualty claims in accordance with company policies, contractual obligations, and legal requirements. This role is responsible for timely, accurate claim handling, effective communication with stakeholders, appropriate reserving, and equitable claim resolution. The position also serves as a technical resource and may support training, projects, or mentoring within the casualty claims organization. What You'll Do: Review, investigate, evaluate, and resolve assigned open and closed commercial casualty claims to achieve equitable resolutions within contractual and legal liability. Facilitate the casualty claim process through timely, professional communication with policyholders, agents, attorneys, vendors, and internal partners. Utilize Hastings' claims and estimating systems, including Guidewire ClaimCenter, and other approved technologies to perform job duties. Review and apply coverage appropriately and provide guidance to others regarding coverage, exposure, reserves, settlement values, and claim strategy when appropriate. Establish, maintain, and adjust case reserves in a timely manner to accurately reflect claim exposure through settlement, litigation, or arbitration. Identify, pursue, and coordinate salvage and subrogation opportunities to minimize claim losses. Utilize approved loss and expense savings programs and direct outside vendors to ensure cost-effective claim handling. Identify potential fraud and refer matters to appropriate internal or external investigative resources. Coordinate claim information with Loss Control, Underwriting, Marketing, and other departments to support current claim handling and future loss prevention. Investigate construction accidents and other serious losses, including those involving significant injuries or litigation. Document claim files accurately, thoroughly, and consistently to support claim disposition and minimize errors or improper payments. Participate in special projects, committees, or assignments as directed and serve as a technical resource or trainer for other adjusters when needed. Additional Role Highlights: Handles moderate to complex commercial casualty claims, including litigated files. Frequent interaction with attorneys, independent adjusters, investigators, and external vendors. Works independently with a high degree of accountability while collaborating within a team environment. Opportunity to contribute to departmental training, mentoring, and process improvement efforts. Flexible work arrangement options based on location and business needs. What You'll Bring: Bachelor's degree preferred. Formal insurance education or equivalent claim experience may be considered. Minimum of ten years of progressive claims experience, with at least five years handling complex casualty or commercial claims. At least three years of experience managing litigated claim files. Professional designations such as Senior Claim Law Associate (SCLA) or Chartered Property Casualty Underwriter (CPCU), or active pursuit of a designation. Strong verbal and written communication skills, including experience presenting or facilitating training. Demonstrated ability to manage multiple priorities in a results-focused environment. Proven commitment to delivering excellent customer service to agents, policyholders, and internal and external partners. High level of self-motivation with the ability to work independently and exercise sound judgment. Ability to exemplify Hastings' behavior standards and comply with ethical and professional guidelines. About Us: At Hastings Insurance, we're more than an insurance provider- we're a trusted partner to our agents, policyholders, and the communities we serve. For over 135 years, we've been helping individuals, families, and businesses protect what matters most and rebuild after loss. We're proud to be rated A (Excellent) by A.M. Best Company, recognizing our enduring financial strength and stability. While our heritage runs deep, we're always looking ahead. We embrace emerging technologies, cultivate strong partnerships with independent agents, and continuously evolve our products to meet the needs of today's customers. Our strategy is focused on responsible growth, expanding our reach while staying innovative, agile, and committed to personalized service. Our people are the heart of everything we do. Our talented team members, many recognized as industry experts, are passionate about delivering exceptional service, driving progress, and making a real impact. At Hastings Insurance, we foster a culture of collaboration, continuous learning, and appreciation for the diverse skills and ideas our employees bring. Our Commitment as an Employer: We believe that diverse perspectives and inclusive teams drive innovation and strengthen our organization. We're committed to fostering a workplace where every employee feels valued, respected, and empowered to contribute their best. We are proud to be an equal opportunity employer, and we make employment decisions based on business needs, role requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, appearance, disability, veteran status, family status, marital status, or any other legally protected characteristic. We also understand the importance of providing a welcoming and accessible experience for all candidates. If you require accommodation during the application or interview process, please reach out to our Talent Acquisition Specialist or contact us at ************.

OBJECTIVE Commercial and Farm Property Claims Representative Objective To assure the consistent application of company procedures and practices in commercial, residential, farm property and property damage liability claim handling, to have a significant and positive overall effect on the company. To provide quality service to insureds and aid in the retention of business. To ensure that claims are properly investigated, evaluated, and resolved within the company's contractual and legal obligations. To ensure timely service, while providing appropriate and equitable resolution to insureds, claimants, and the company. RESPONSIBILITIES Commercial and Farm Property Claims Representative Responsibilities Investigate, evaluate, and control property and casualty claims under general supervision. Maintain moderate knowledge of various types of buildings, construction, repair cost and methods, repair-estimating system and scoping damages. Maintain moderate knowledge of farm machinery, livestock and home furnishings. Learn to explain moderate loss settlement figures and claim procedures to customers. Learn to explain moderate policy language, coverage and exclusions. Maintain a moderate understanding of subrogation and salvage processes. Adjust reserves to accurately reflect known exposures according to current information available. Revise reserves based on developments in the course of adjusting the claim. Serve as a resource and mentor for others. Participate in projects and assist to develop solutions/processes. Learn to handle medium-to-large size losses as directed, including managed repair claims, independent adjuster, personal property, liability, and property damage (PD) claims. Handle and/or estimate losses involving commercial structures and loss of business income. QUALIFICATIONS Commercial and Farm Property Claims Representative Qualifications Required Bachelor's degree required with focus on construction trades, agriculture-related studies, business administration or insurance related field preferred, or equivalent experience may be considered. Minimum one to three years commercial property, farm, and/or liability claims handling experience required. Knowledge of insurance contracts written by the companies required. Knowledge of company and divisional policies and procedures required. Must possess outstanding listening and superior customer service skills. Knowledge of estimating systems and construction requirements and methods required. Must have access to high-speed Internet at home. Must possess a valid driver license with an acceptable driving record. Preferred Designations in INS, AIC, CPCU and/or similar professional insurance designation preferred. Note: Farm Bureau offers a full benefit package including medical, dental, vision, and 401K. PM19

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.

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.

*There are multiple positions open across the 26 states in which we operate. The current locations for which we are seeking CAT Claim Reps are located in the job posting.* Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated claims professional to join our team. The position requires the following, but is not limited to: Frequent travel up to 21 days at a time and is required upon short notice to location of catastrophe, which would most likely be out of state. Can meet the physical demands required for the position including carrying and climbing a ladder. Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses. Familiar with insurance coverage by studying insurance policies, endorsements and forms. Work towards the resolution of claims, possibly attending arbitrations, mediations, depositions or trials as necessary. Ensure that claims payments are issued in a timely and accurate manner. Desired Skills & Experience Bachelor's degree or equivalent experience Minimum of 2 years claims handling experience or comparable experience Field claims experience with multi-line property and casualty claims and wind/hail Proficient with Xactimate software Above-average communication skills (written and verbal) Ability to resolve complex issues Organize and interpret data Ability to handle multiple assignments Possess a valid driver's license Military experience is considered Benefits Competitive salary, matching 401(k) retirement plans, fully funded pension plan, bonus programs, paid holidays, vacation days, personal days, paid sick leave and a comprehensive health care plan. 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-KC1 #LI-Hybrid

CCMS & Associates is looking for a 1099 Field Adjuster in Michigan, specifically the Grand Rapids area. We are looking to add to our existing roster. The time is now to get on board with our team! We are seeking a residential or commercial field adjuster with at least 1 year of field experience. Requirements: Minimum 1 year first-party commercial and/or residential property adjusting experience Maintain own current estimating software - Xactimate preferred (Symbility experience a plus) Working computer - internet access and Microsoft Word required Must demonstrate strong time management and customer service skills Experience in preparing Statement of Loss, Proof of Loss, and denial letters Must have a valid drivers license Responsibilities: Complete residential and commercial field property inspections utilizing Xactimate software Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses and by interviewing fire, police, or other governmental officials as well as inspecting claimed damages Recommend claim reserves based on investigation, through well-supported reserve report Obtain and interpret official reports Review applicable coverage forms and endorsements, provide a thorough analysis of coverage and any coverage issues in a well-documented initial captioned report to the client Maintain acceptable product quality through compliance with established best practices Knowledge and Skills: In-depth knowledge of property and liability insurance coverage and industry standards Ability to prepare full-captioned reports by collecting and summarizing required information Strong verbal and written communications skills Prompt, reliable, and friendly Preferred but Not Required: College degree AIC, IICRC, HAAG or other professional designations All candidates must pass a full background check (void in states where prohibited) CCMS & Associates offers multi-line claim adjusting and third-party administration services dedicated to solving the challenges of the complex claim in the property and casualty insurance industry. We create programs that drive a successful claim life cycle while strategically managing all aspects of the complicated issues carriers and policyholders are facing. Servicing excess and surplus/domestic carriers in the United States.

Manages the daily operations of the Claims Department to achieve growth and underwrite profitability goals. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Manages a multi-functional unit of claim professionals and support staff. Leads claim team in support of department initiatives and strategies in cost containment, case file handling, customer service, and quality. Consistently monitors workflows to maximize accuracy and efficiency. Maintains an acceptable level of service and customer satisfaction and retention. Effectively manages the quality review process. Develops unit goals, objectives, processes, procedures, and systems. Stays abreast of changes in workers' compensation statutes, case law, and rehabilitation advancements. Identifies team staffing needs and takes necessary measures to ensure appropriate levels of service. Mentors employees and develop career paths with growth opportunities. Participates in development of annual departmental budget, monitors budget, and identifies budget discrepancies. Researches cause of discrepancies and makes recommendations. Participates in special projects and serves on committees as needed. EDUCATION AND EXPERIENCE Relevant combination of education and experience may be considered in lieu of degree. Bachelor's degree in a related field. Seven (7) years of experience in a claim environment with demonstrated technical experience that provides the necessary knowledge, skills, and abilities. Three (3) years of supervisory or leadership experience in claims required. Previous workers' compensation claim management with multi-jurisdictional experience preferred. Bilingual skills preferred. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. OTHER SKILLS AND ABILITIES Knowledge of team building and employee motivation theories with the ability to effectively manage multi-functional employee teams. Demonstrated leadership abilities. Knowledge of laws, regulations and compliance requirements related to workers' compensation insurance. Demonstrated technical knowledge of insurance administration, claims management or relevant insurance expertise. Ability to work with and empower others on a collaborative basis to ensure success of unit team. Excellent oral and written communication skills. Knowledge of insurance and underwriting techniques, agency, and policyholder needs. Ability to effectively present budgetary and/or cost information and respond to questions as appropriate. Ability to establish workflows, manage multiple projects and meet necessary deadlines. Ability and proficiency in the use of computers and company standard software specific to position. SUPERVISORY RESPONSIBILITIES Directly supervises a varied number of employees in the designated department(s). Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. ADDITIONAL INFORMATION The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment. PAY RANGE: Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not the standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $94,500 and $158,350. We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract. #LI-CH1 #AFG

Manages the daily operations of the Claims Department to achieve growth and underwrite profitability goals. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Manages a multi-functional unit of claim professionals and support staff. Leads claim team in support of department initiatives and strategies in cost containment, case file handling, customer service, and quality. Consistently monitors workflows to maximize accuracy and efficiency. Maintains an acceptable level of service and customer satisfaction and retention. Effectively manages the quality review process. Develops unit goals, objectives, processes, procedures, and systems. Stays abreast of changes in workers' compensation statutes, case law, and rehabilitation advancements. Identifies team staffing needs and takes necessary measures to ensure appropriate levels of service. Mentors employees and develop career paths with growth opportunities. Participates in development of annual departmental budget, monitors budget, and identifies budget discrepancies. Researches cause of discrepancies and makes recommendations. Participates in special projects and serves on committees as needed. EDUCATION AND EXPERIENCE Relevant combination of education and experience may be considered in lieu of degree. Bachelor's degree in a related field. Seven (7) years of experience in a claim environment with demonstrated technical experience that provides the necessary knowledge, skills, and abilities. Three (3) years of supervisory or leadership experience in claims required. Previous workers' compensation claim management with multi-jurisdictional experience preferred. Bilingual skills preferred. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. OTHER SKILLS AND ABILITIES Knowledge of team building and employee motivation theories with the ability to effectively manage multi-functional employee teams. Demonstrated leadership abilities. Knowledge of laws, regulations and compliance requirements related to workers' compensation insurance. Demonstrated technical knowledge of insurance administration, claims management or relevant insurance expertise. Ability to work with and empower others on a collaborative basis to ensure success of unit team. Excellent oral and written communication skills. Knowledge of insurance and underwriting techniques, agency, and policyholder needs. Ability to effectively present budgetary and/or cost information and respond to questions as appropriate. Ability to establish workflows, manage multiple projects and meet necessary deadlines. Ability and proficiency in the use of computers and company standard software specific to position. SUPERVISORY RESPONSIBILITIES Directly supervises a varied number of employees in the designated department(s). Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. ADDITIONAL INFORMATION The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment. PAY RANGE: Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not the standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $94,500 and $158,350. We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract. #LI-CH1 #AFG

Job DescriptionSalary: Starting at $21.00 p/hr Family Health Care is currently seeking applications for the position of Pharmacy 340B Claims Specialist! General Function: This position functions at the highest level (III) in the series of Pharmacy Technician roles within Family Health Care. The individual in this role is a work-leader serving as the expert on prescription claims reimbursement and performing self-auditing for the pharmacy department. This individual will ensure prescription claim integrity by having advanced knowledge of claim requirements for the various pharmacy benefit managers (PBM) and shall use that information to identify areas of improvement by performing targeted claim audits and will provide education to the pharmacy staff on billing requirements, when needed. Responsibilities: Acts as pharmacy claims auditor and will audit claims daily into order to track claims accuracy, trends, anomalies and other critical information to help BFHC ensuring appropriate reimbursement while mitigating organizational risk for claims remediations resulting from claim processing errors. Acts as pharmacy 340B claims auditor and audits claims on a scheduled basis into order to track 340B claims accuracy, trends, anomalies, and other critical information to help BFHC maintain 340B claim integrity while ensuring adherence to 340B policies, procedures, rules and regulations. Ensures timely and accurate billing/collections of all pharmacy charges and reimbursement activities through the use of reporting and reconciliation. Ensures integrity if financial reports and provides necessary reports to the finance department upon request. Assists the Chief Pharmacist and pharmacy staff in the research, development and implementation of new and existing pharmacy services. Location(s): White Cloud, MI Employment Type:Full Time Exempt/Non-Exempt: Non-Exempt Benefits: Competitive wage and excellent benefits package. FHC is an eligible organization for State and Federal Loan Repayment Programs. Family Health Care is an Equal Opportunity Employer.

OBJECTIVE MACP Subrogation Claims Representative Objective To maximize the recovery of Farm Bureau Insurance paid claims by handling Michigan Assigned Claims Plan (MACP) subrogation efforts for recovery cases, as well as provide technical support for the Assigned Claims Unit. RESPONSIBILITIES MACP Subrogation Claims Representative Responsibilities Review and evaluate each subrogation file as directed to determine if all pertinent investigative information has been provided. Follow up with adjusters as necessary to obtain additional information. Work with computer systems keying functions, including but not limited to, letter composition, log entry, time entry, diary entry, report of investigation composition, and draft production. Handle subrogation claims on behalf of the Michigan Assigned Claims Plan. Confirm file closings and subrogation assignments. Develop a working knowledge of the Michigan No-Fault Law and Statute of Limitations that apply and maintain timely payments. QUALIFICATIONS MACP Subrogation Claims Representative Qualifications Required · High school diploma or equivalent required. · Minimum two years of experience in auto, property, or liability claims handling required. Preferred · Bachelor's degree or professional insurance designation preferred. Note: Possible travel to court appearances. Farm Bureau offers a full benefit package including medical, dental, vision, and 401K. PM19

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.