Claims adjuster jobs in Gainesville, FL - 704 jobs
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Mechanical Vehicle Claims Adjuster
Ascendo Resources 4.3
Claims adjuster job in Jacksonville, FL
Vehicle ClaimsAdjuster
📍 On-site | Full-Time
🚗 From the dealership or shop floor to the office - without leaving automotive behind.
We're hiring a Vehicle ClaimsAdjuster to join our in-office claims team. This role is ideal for professionals with experience as a Service Advisor, Technician, Warranty Administrator, or ClaimsAdjuster who want to leverage their automotive knowledge in a stable, professional claims environment.
In this role, you'll evaluate mechanical failures, review repair estimates, and determine coverage under vehicle service contracts (VSCs), while working closely with repair facilities, dealerships, inspectors, and internal teams.
What You'll Do
Investigate, evaluate, and adjudicate mechanical and vehicle service contract (VSC) claims
Review shop diagnostics, repair estimates, inspections, labor times, and parts pricing
Determine coverage based on contract terms and service guidelines
Authorize or deny repairs within settlement authority; escalate complex claims with recommendations
Communicate professionally with customers, repair facilities, dealerships, agents, and inspectors
Negotiate labor times, parts pricing, and scope of repairs when needed
Ensure repairs and costs align with industry standards and contract limitations
Accurately document claim decisions across multiple claims and estimating systems
Identify and escalate gray-area or complex coverage issues
Support service-level goals while delivering a positive customer and dealer experience
Additional Responsibilities
Participate in quality audits, peer reviews, and calibration sessions
Assist with onboarding and training of new or junior adjusters
Provide feedback on claim trends, cost drivers, and process improvements
Support volume spikes, new program launches, or system migrations
Collaborate with underwriting, compliance, product, and leadership teams on escalated claims
Complete special projects and reporting as assigned
What We're Looking For
High school diploma or equivalent required; Bachelor's degree or equivalent experience preferred
2-4+ years of experience in automotive claims, VSC/extended warranty claims, warranty administration, or insurance adjusting
Strong automotive background, including experience in:
Automotive repair or diagnostics
Dealership service roles (Service Advisor, Technician, Warranty Administrator)
Fleet maintenance, parts management, or service writing
Working knowledge of automotive diagnostics, repair procedures, labor times, and parts pricing
Experience in a high-volume or call-based claims environment preferred
Comfortable navigating multiple systems and platforms
Preferred Qualifications
ASE Certifications, factory training, or other automotive industry certifications
Experience with Vehicle Service Contracts (VSCs), extended warranties, or TPAs
Spanish / bilingual skills a plus
Skills & Competencies
Strong analytical and decision-making skills
Excellent verbal and written communication
Professional negotiation and conflict-resolution abilities
High attention to detail and documentation accuracy
Ability to interpret technical repair information and contract language
Strong time management and schedule adherence
Customer-focused mindset
Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity.
Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law
$43k-52k yearly est. 1d ago
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Desk Adjuster - Atlanta Georgia
Cenco Claims LLC 3.8
Claims adjuster job in Atlanta, GA
About Us: Cenco Claims is a growing property and casualty adjusting firm providing professional claim services to insurance carriers nationwide. We are known for our fast, accurate, and customer-focused approach to claims handling.
We are seeking experienced Desk Adjusters to manage property claims with efficiency and professionalism. This role involves reviewing documentation, evaluating damages, and working closely with field adjusters and policyholders to bring claims to resolution.
Key Responsibilities:
Review inspection reports, photos, and documentation to assess property damage
Analyze coverage and write estimates using Xactimate
Communicate with policyholders, contractors, and carriers
Maintain accurate and organized claim files
Meet timelines and service expectations set by our clients
Qualifications:
Experience in property insurance claims handling
Proficiency with Xactimate (X1 preferred)
Strong attention to detail and organizational skills
Excellent written and verbal communication
Active Adjuster License (or ability to obtain)
What We Offer:
Supportive team environment
Opportunities for advancement
Apply Today
$38k-49k yearly est. 2d ago
Disability Claims Specialist (Part Time 20 hours+)
Hays 4.8
Claims adjuster job in Tampa, FL
We seek to make a meaningful impact in the lives of our customers and our communities. The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims Consultant is required to exercise independent judgment, critical thinking skills, exemplary customer service skills as well as effective inventory management skills.
Essential Business Experience and Technical Skills:
Required:
**3+ years of LTD/IDI Insurance Claims experience
•Prior experience with independent judgement and decision making while relying on the available facts
•Be able to demonstrate the use of critical thinking and analysis when reviewing the information
•Creative problem-solving abilities and the ability to think outside the box
•Excellent interpersonal and communication skills in both verbal and written form
•Excellent customer service skills proven through internal and external customer interactions
•Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively
•Organizational and time management skills
• Bachelor's degree
Key Responsibilities:
•Effectively manages with some level of oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS will be evaluated for increases in their authority levels as they become more experienced in their decision-making and demonstrate consistency in meeting all key performance indicators
•Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations
• Provides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are used to gather essential details regarding medical condition(s) and treatment, occupational demands, financial information and any other information that may be pertinent to the evaluation of the claim. Once telephone calls are completed, you will be required to document the conversation within the claim file in a timely manner utilizing the appropriate level of detail and professional writing skills
•Interacts and communicates effectively with claimants, customers, attorneys, brokers, and family members during claim evaluations
•Compiles file documentation and correspondence requiring extensive policy and factual detail. Analyzes information to determine if additional information is needed to make a reasonable and logical claims determination based off the information available
•Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions.
•Clarifies and reconciles inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed
•Proficiently calculates monthly benefits due after elimination period, to include COLA, Social Security Offsets, and Rehab Return to Work benefits, and other non-routine payments
•Provides timely and detailed written communication during the claim evaluation process which outlines the status of the evaluation and/or claim determination.
•Addresses and resolves escalated customer complaints in a timely and thorough manner. Identifies and refers appropriate matters to our appeals, complaint, or litigation support areas.
$56k-88k yearly est. 4d ago
Claims Manager
Seven Seas Insurance Company
Claims adjuster job in Riviera Beach, FL
Seven Seas Insurance located in West Palm Beach, Florida is seeking a Claims Manager!
We are seeking an experienced and strategic Claims Manager - Marine Insurance to lead and manage the end-to-end claims process. The ideal candidate will bring 7+ years of managerial experience in marine claims, with a deep understanding of policy interpretation, litigation, recovery, and claims strategy. This is a critical leadership role focused on claims efficiency, technical accuracy, team performance, customer satisfaction, and financial control.
Responsibilities include, but are not limited to:
Directs the investigation, review, evaluation, negotiation and preparation of settlements for Seven Seas Insurance claim submissions, including all Open Cargo Policies.
Coordinates mitigation with claimants and/or legal counsel to determine fair and equitable settlement.
Prepares and analyzes departmental reports.
Forecasts calculation and establish monitoring of the claims reserve accounts.
Performs quality reviews on claims in compliance with internal and external audits as well as all regulatory requirements, whether domestic or international.
Supervises and leads a team of adjusters handling claims and the department's workflow.
Assists the President in determining viable markets and expanding to additional lines of business including but not limited to Hull, P&I and Marine Liabilities.
Coordinates with Cargo Loss Prevention to determine and eliminate "high risk areas" to aid in the prevention of claims.
Determine areas with high loss ratio and recommend directions to help lower risk exposure.
Performs all other assigned duties.
Qualifications:
Associate's degree in business administration or in a related field.
Seven years' experience in Claims Management in all lines of Marine Business.
6-20 Adjusters License.
5% travel to various local and international locations.
English fluency is required, Spanish language skills are a strong plus and will be beneficial when communicating with our diverse client base or internal teams.
What We Offer:
Competitive Pay
Free Medical insurance for employees & dependents (Immediate eligibility)
Dental, Vision, Life, Short-term & Long-term insurance available at great rates
Annual Incentive Bonuses for ALL team members
401(k) retirement plan with company generous company match
Tuition Reimbursement
Employee Recognition Programs and events
Employee Discounts
Paid Time Off & Holiday Pay
Casual work environment and so much more!!!
Submit your Cover Letters and Resumes to ******************* or *******************
Seven Seas Insurance Company has been providing marine cargo coverage since 1967. Cargo insurance has been and continues to be our focus. We value collaboration and making a positive impact in the lives of our clients and claimants.
$41k-81k yearly est. 3d ago
Seasonal CAT Adjuster
Munich Re 4.9
Claims adjuster job in Atlanta, GA
All locations Amelia, United States; Atlanta, United States; Dallas, United States; Denver, United States; Des Moines, United States; Fort Worth, United States;
American Modern Insurance Group, Inc., a Munich Re company, is a widely recognized specialty insurance leader that delivers products and services for residential property - such as manufactured homes and specialty dwellings - and the recreational market, including boats, personal watercraft, classic cars, and more. We provide specialty product solutions that cover what the competition often can't.
American Modern Insurance Group is recruiting Seasonal CAT Adjusters to join our CAT team! This is a temporary, full-time position till October/November and will be required to travel for CAT deployments across the United States. As a CAT Adjuster, you will be deployed to the front lines supporting customers in times of need and disaster when they need it the most.
We're seeking an individual with excellent decision making skills, the ability to work under pressure, solid organizational skills, exemplary customer service skills, as well as time management skills to balance various tasks.
A majority of claims handled would be catastrophe related (Occasionally, adjusters may handle day to day claims)
Provide prompt contact and timely adjustment of assigned claims.
Handle assigned claims from start to finish, including investigation, documentation, coverage analysis and subrogation/salvage assessment.
Perform on-site inspections including carrying and setting up a 40-pound ladder, walking on roofs, and accessing tight spaces.
Travel is expected about 75% of the time
This career might be right for you if:
Previous property claim handling experience is required. Preferably experience CAT property claims experience is required.
Ability to perform physical inspections; climb roofs, stoop, bend, etc.
Mobile home and Dwelling construction knowledge preferred.
You must have a Bachelor's degree or equivalent work/industry experience.
A clean driving record and a valid driver's license are required.
Proficiency in Symbility, Xactimate or similar estimating platform experience
Industry training, coursework, certifications are preferred. (AIC, CPCU, SCLA)
Ability to lift, carry, set-up, ascend and descend ladders in excess of 40 pounds.
Ability to complete field inspections (scope, diagram and estimate damages)
At American Modern, we see Diversity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and talent with a focus on providing our customers the most innovative products and services.
We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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$47k-61k yearly est. 3d ago
APD Claim Representative II - Florida
The Auto Club Group 4.2
Claims adjuster job in Jacksonville, FL
Auto Claim Representative (Florida) - The Auto Club Group
Reports to: Claim Manager I
What you will do: (Primary Duties & Responsibilities)
The Auto Club Group is seeking prospective APD Claim Representative IIwho canwork under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements and establish clear evaluation and resolution plans for claims.
In this position, you will have the opportunity to:
Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system.
Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss.
Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler.
Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.
Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
Evaluate the financial value of the loss.
Approve payments for the appropriate parties accordingly.
Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
This position is assigned to the Florida Auto Physical Damage ("APD") claim unit and will handle moderately complex claims including the handling of Total Losses. Additional responsibilities may include the following: determining cause of damage, establishing liability, identifying subrogation potential, monitoring repairs and approving car rental expense. May handle simple APD Litigation cases.
With our powerful brand and the mentoring, we offer, you will find your position as aClaims Representative IIcan lead to a rewarding career at our growing organization.
How you will benefit:
Our Auto Club Group Claim Specialistearns a competitive salary of$60,000 - $68,000to start along with the opportunity for an annual company bonus incentive.
Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:
401k Match
Medical
Dental
Vision
PTO
Paid Holidays
Tuition Reimbursement
We're looking for candidates who:
Education:
Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
CPCU coursework or designation
I-Car 2000 training
CCC training
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
Must have a Florida state adjuster license
Must have a valid State Driver's License
Experience:
One year of experience with:
Negotiating claim settlements
Securing and evaluating evidence
Preparing manual and electronic estimates
Subrogation claims
Resolving coverage questions
Taking statements
Establishing clear evaluation and resolution plans for claims
Knowledge and Skills:
Knowledge of:
Fair Trade Practices Act as it relates to claims.
Subrogation procedures and processes
Intercompany arbitration
Knowledge of:
Negligence Law
No-Fault Law
Collision repair techniques
Ability to:
Handle claims to the line Claim Handling Standards
Follow and apply ACG Claim policies, procedures and guidelines.
Work within assigned ACG Claim systems including basic PC software.
Perform basic claim file review and investigations.
Analyze and solve problems while demonstrating sound decision-making skills.
Process time sensitive data and information from multiple sources
Research analyze and interpret subrogation laws in various states.
Strong negotiating skills
State of Florida Resident Only- near the Tampa Bay area
Work Environment
This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events.
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.
And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit ***********
Important Note:
ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. 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 accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
$60k-68k yearly 2d ago
Workers' Compensation Claims Adjuster - Temp
Argonaut Management Services, Inc.
Claims adjuster job in Jacksonville, FL
Argo Group International Holdings, Inc.and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.
Job Description
Business Title(s):Workers' Compensation ClaimsAdjuster
Employment Type:Contingent Worker
FLSA Status:Non-Exempt
Location:In-Officeor Remote
Summary:
Although Rockwood underwrites general liability insurance and workers' compensation for many types of businesses, ourspecialtyis underwriting workers' compensation insurance for the mining industry, with a focus on the coal-mining industry. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal. We have never been more committed to our clients to ensure their employees receive excellent medical care if they need it due to a work-related injury or illness. Our passion for outstanding customer focus, combined with our deep industry experience, is what sets up apart from other insurance carriers in this niche market.
We are looking for a highly capable Workers' Compensation ClaimsAdjuster to help us on a temporary assignment through13February2026 and work from anywhere in the continental United States.
If this assignment is filled in one of our following offices, the assignment can be considered temp-to-hire: Albany, Chicago, Los Angeles, New York,Omaha, Richmond (VA), Rockwood (PA), or Springfield (MO). This role willadjudicateindemnity workers' compensation claims of higher technical complexity for our customers in the states of CO, KS, KY, MD, MI, MO, MT, PA, UT, and WV. As this is a temporary assignment, only government-mandated benefits will be provided.
Essential Responsibilities:
Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Resolving issues that are generalized and typically notcomplex butrequire understanding of a broader set of issues.
Reporting to senior management and underwriters onclaimstrends and developments.
Investigating claims promptly and thoroughly.
Analyzing claims forms, policies and endorsements, client instructions, and other records todeterminewhether the loss falls within the policy coverage.
Investigating claims promptly and thoroughly, including interviewing all involved parties.
Managing claims in litigation.
Managing diarytimelyand complete tasks to ensure that cases move to the best financial outcome andtimelyresolution.
Properly setting claim reserves.
Identifying, assigning, and coordinating the assignment and coordination ofexpertiseresources toassistin case resolution.
Preparing reports for file documentation.
Applying creative solutions which result in the best financial outcome.
Negotiating settlements.
Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
Having an appreciation and passion for strong claim management.
Qualifications / Experience Required:
A practical knowledge ofadjudicatingworkers' compensation claims through:
A minimum of two years' experienceadjudicatingindemnity workers'compensation claimsin one or more of the followingjurisdictions: CO, KS, KY, MD, MI, MO, MT, PA, UT, and/or WV.
Bachelor'sdegree from an accredited universityrequired. Two or more insurance designations or fouradditionalyears of related experienceadjudicatingindemnity claims beyond the minimum experiencerequiredabove may be substituted in lieu of a degree.
Must be licensed in KY
Must have good business acumen (i.e.understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
A practical knowledge ofadjudicatingworkers' compensation claims through:
Must have excellent communication skills and the ability to build lasting relationships.
Exhibit natural curiosity
Desireto work in a fast-paced environment.
Excellent evaluation and strategic skillsrequired.
Strong claim negotiation skillsa must.
Mustpossessa strong customer focus.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
Must work independently anddemonstratethe ability to exercise sound judgment.
Demonstrates inner strength. Has the courage to do the right thing anddemonstratesit on a daily basis.
Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
Proficient in MS Office Suite and other business-related software.
Polished and professional written and verbal communication skills.
The ability to read and write English fluently isrequired.
Mustdemonstratea desire for continued professional development through continuing education and self-development opportunities.
The base salary range provided below is for hires in those geographic areas only and will becommensuratewith candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.
Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges:$37.66- $44.33per hour
California outside of Los Angeles and San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Houston metro area, New York State (including Westchester County)and Washington State Pay Ranges:$41.44- $48.79per hour
Los Angeles, New York City and San Francisco metro areas Pay Ranges:$45.12- $53.16per hour
About Working in Claims at Argo Group
Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions andtreateach case as the unique situation it is.
We have a very flat organizational structure, enabling our employeeshavemore interaction with our senior management team, especially when it relates to reviewing large losses.
Our entire claims team works in a collaborative nature to expeditiously resolve claims.We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.
PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at .
Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.
We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.
The collection of your personal information is subject to our HR Privacy Notice
Benefits and Compensation
We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
$37.7-44.3 hourly 6d ago
Claims Technician - Cyber
Beazley Group
Claims adjuster job in Atlanta, GA
General
Job Title: Claims Technician
Division: Group Claims
Reports To: Claims Product Specialist and/or Claims Focus Group Leader, as per Beazley's organisation chart
Key Relationships: Claims management and staff, underwriters, insureds, brokers and service providers
Job Summary: An entry level claims handler proactively managing low-value/low-complexity claims with support from a line manager to help achieve the Beazley vision of being the highest performing specialist insurer through the proactive management of claims. To support claims management staff in the delivery of projects and improvement initiatives as required. To support claims management to - and work in - a manner that best meets the challenges of our clients. To engage in continuous professional development in claims management.
FLSA: Exempt
Key Responsibilities:
Individual Claims Leadership
* Develop capabilities to independently manage low value/low complexity claims on a proactive basis, with support from line management, from notification to closure, investing the necessary level of involvement required for each claim depending on the nature, category, maturity, type, and quantum of the claim.
* Focus primarily on the management of claims with an expected, Blend estimated, or actual value at or below $100,000 and with limited complexity.
* Escalate claims and issues as appropriate to line management where additional experience of knowledge is required or may be beneficial.
* Adhere at all times to Beazley's Claims Reserving Philosophy and Standards.
* Develop an understanding of Beazley's Conduct Risk Policy.
Claims Portfolio Management
Work alongside and support Assistant Claims Managers and Claims Managers in the management of the claims portfolio to optimise performance including the:
* Review of individual claims within the portfolio on a regular basis and ensuring reserves and records are maintained in a timely manner as required by Beazley's claims controls and standards. Be cognizant of and flag trends identified by Claims team.
Working with Underwriters
* Start to develop working relationships with Underwriters.
* When requested, provide input to Underwriters on existing insured's claims experience under supervision of senior Claims staff.
Authority & Minimum Standards Observance
* Operate within approved claims authorities at all times.
* Maintain a thorough knowledge of industry regulations and minimum standards.
* Ensure compliance with the regulations and Beazley's claims control standards and protocols.
Supporting Senior Claims Handlers
* Support Claims staff with any relevant tasks, projects or initiatives to further develop skills and understanding of the broader organisation.
Operational
* Assist to ensure the management of claims conforms to the agreed standardised processes and use of share service functions as appropriate.
* Contribute to the commitment to and active development of a continuous improvement culture within the overall claims function.
Professional Development
* Proactively enhance professional skills and knowledge in claims management by engaging in continuous learning and development opportunities.
Conflicts of Interest
* Adhere to Beazley's Conflicts of Interest policy, alert the appropriate person to any potential conflicts of interest, and take steps to resolve them promptly.
* Immediately advise your Head of or Group Head of Claims if any Beazley employee seeks to exert undue influence on you or any other team member to act improperly in the management, reserving, or settlement of any claim.
General
It is important that within all your interactions both internally and externally you adhere to Beazley's core values - Being Bold, Striving for Better, and Doing the Right Thing - as they contribute to an internal environment of teamwork and promote a positive brand image and experience to our external customers. We also expect Beazley employees to:
* Comply with Beazley procedures, policies and regulations including the code of conduct which incorporates the FCA and PRA Conduct.
* Undertake training on Beazley policies and procedures as delivered by your line manager, the Culture & People or assurance teams (compliance, risk, internal audit) either directly, via e-learning or the learning management system.
* Display business ethics that uphold the interests of all our customers.
* Ensure all interactions with customers are focused on delivering a fair outcome, including having the right products for their needs.
* Comply with any specific responsibilities necessary for your role as outlined by your line manager, the Culture & People or assurance teams (compliance, risk, internal audit) and ensure you keep up to date with developments in these areas. This may include, amongst others, Beazley's underwriting control standards, Beazley's claims control standards, other Beazley standards and customer relationship management.
* Carry out additional responsibilities as individually notified, either through your objectives or through the learning management system. These may include membership of any Beazley committees or working groups.
Personal Specification:
Education and Qualifications
* Degree Educated / Bachelor's Degree
Skills and Abilities
* Analytical skills: Problem solving (broad-based, analytical, conceptual, creativity), Analysis of financial statements, Financial assessments of claims, Data analysis, Decision-making
* Work management skills: Time and workload management, Self-starter, Planning, Achievement orientation, Productivity focus
* Interpersonal skills: Ability to influence others, Client and broker management skills, Purposeful communication, Flexibility, Active listening
Essential Criteria
* Past claims experience establishing liability and/or settlement resolutions.
* Functional knowledge & understanding: Claims management process, US/RoW Insurance market (general & focus group), US/RoW legal and regulatory environment, Alternative resolution approaches
Aptitude and Disposition
* Outcome focussed, self-motivated, flexible and enthusiastic
* Professional approach to successfully interact with senior management/colleagues/external suppliers
* Diplomatic
Competencies
* Problem-solving
* Decisiveness
* Customer-focused
* Influencing others
* Team work
* Self-starter
* Analytical thinking
* Managing resources effectively
* Technical competency and expertise
Who We Are:
Beazley is a specialist insurance company with over 30 years' experience helping people, communities and businesses to manage risk all around the world. Our mission is to inspire our clients and people with the confidence and freedom to explore, create and build - to enable businesses to thrive. Our clients want to live and work freely and fully, knowing they are benefitting from the most advanced thinking in the insurance market. Our goal is to become the highest performing sustainable specialist insurer.
Our products are wide ranging, from cyber & tech insurance to marine, healthcare, financial institutions and contingency; covering risks such as the weather, film production or protection from deadly weapons.
Our Culture
We have a wonderful mix of cultures, experiences, and backgrounds at Beazley with over 2,000 of us working around the world. Employee's diversity, experience and passion allow us to keep innovating and moving forward, delivering the best. We are proud of our family-feel culture at Beazley that empowers our staff to work from when and where they want, in an adult environment that is big on collaboration, diversity of thought and personal accountability. Our three core values inspire the way we work and how we treat our people and customers.
Be bold
Strive for better
Do the right thing
Upholding these values every day has enabled us to become an innovative and responsive organization in touch with the changing world around us - our ambitious inclusion & diversity and sustainability targets are testament to this.
We are a flexible and innovative employer offering a friendly, collaborative, and inclusive working environment. We actively encourage and expect applications from all backgrounds. Our commitment to fostering a supportive and dynamic workplace ensures that every employee can thrive and contribute to our collective success.
Explore a variety of networks to assist with professional and/or personal development. Our Employee Networks include:
Beazley RACE - Including, understanding and celebrating People of Colour
Beazley SHE - Successful, High potential, Empowered women in insurance
Beazley Proud - Our global LGBTQ+ community
Beazley Wellbeing - Supporting employees with their mental wellbeing
Beazley Families - Supporting families and parents-to-be
We encourage internal career progression at Beazley, giving you all the tools you need to drive your own career here, such as:
Internal Pathways (helping you grow into an underwriting role)
iLearn (our own learning & development platform)
LinkedIn Learning
Mentorship program
External qualification sponsorship
Continuing education and tuition reimbursement
Secondment assignments
The Rewards
The opportunity to connect and build long-lasting professional relationships while advancing your career with a growing, dynamic organization
Attractive base compensation and discretionary performance related bonus
Competitively priced medical, dental and vision insurance
Company paid life, and short- and long-term disability insurance
401(k) plan with 5% company match and immediate vesting
22 days PTO (prorated for 1st calendar year of employment), 11 paid holidays per year, with the ability to flex the religious bank holidays to suit your religious beliefs
Up to $700 reimbursement for home office setup
Free in-office lunch, travel reimbursement for travel to office, and monthly lifestyle allowance
Up to 26 weeks of fully paid parental leave
Up to 2.5 days paid annually for volunteering at a charity of your choice
Flexible working policy, trusting our employees to do what works best for them and their teams
Salary for this role will be tailored to the successful individual's location and experience. The expected compensation range for this position is $70,000-$77,000 per year plus discretionary annual bonus.
Don't meet all the requirements? At Beazley we're committed to building a diverse, inclusive, and authentic workplace. If you're excited about this role but your experience doesn't perfectly align with every requirement and qualification in the job specification, we encourage you to apply anyway. You might just be the right candidate for this, or one of our other roles.
We are an equal opportunities employer and as such, we will make reasonable adjustments to our selection process for candidates that indicate that, owing to disability, our arrangements might otherwise disadvantage them. If you have a disability, including dyslexia or other non-visible ones, which you believe may affect your performance in selection, please advise us in good time and we'll make reasonable adjustments to our processes for you.
$70k-77k yearly 6d ago
Unemployment Claims Analyst
Westgate Resorts
Claims adjuster job in Ocoee, FL
Westgate Resorts is the largest privately held timeshare company in the world, with 60+ resorts in top destinations like Orlando, Las Vegas, Gatlinburg, Park City, and Myrtle Beach. Recognized by
U.S. News & World Report
as one of the Best Companies to Work For, we're committed to creating a supportive, rewarding workplace where our 9,000 Team Members can grow and thrive. Since 1982, we've delivered unforgettable vacations through exceptional service, innovation, and community engagement. With the recent addition of VI Resorts by Westgate, our footprint now includes the Pacific Northwest, Hawaii, Canada, and Mexico. Join us and be part of a team that values passion, integrity, and excellence, where your work helps create memories that last a lifetime.
Job Description
Primary contact between the organization and state unemployment agencies, responsible for receiving, analyzing, determining appropriate documentation, and responding to unemployment claim-related documents and state agency inquiries within regulatory time limits. Works independently to meet daily goals and project deadlines while maintaining a high level of accuracy and technical diligence.
Responsibilities
Receive and prioritize claims, state agency documents, determinations, and other unemployment-related data.
File timely claim protests and appeals with state UI agencies on behalf of the company. Review files and hearing notes to assist in drafting written appeals to the Board of Review for unfavorable hearing decisions.
Provide representation for Westgate Resorts at unemployment hearings.
Analyze individual unemployment compensation cases by reviewing company databases, conducting investigative telephone calls, and examining document images to determine appropriate responses to state agencies.
Transfer completed claim responses to the Unemployment Claims Specialist for imaging and appropriate storage.
Effectively communicate with Human Resources and company leadership regarding the fiscal impact, strengths, and weaknesses of unemployment compensation cases.
Respond to internal customers and state agencies with all pertinent information in accordance with mandatory state and organizational compliance guidelines.
Initiate timely contact, follow-up, and collaboration via telecommunications, in-person communication, telephone, email, and fax with identified organizational leadership to obtain required documentation.
Establish and maintain professional relationships with state agencies and internal customers.
Investigate and resolve operational requirements in a timely manner, and coach and assist Human Resources on unemployment compensation topics.
Assist in the development and delivery of verbal presentations on unemployment compensation compliance training for Human Resources and organizational leadership.
Perform additional responsibilities as needed to ensure departmental operations and governmental compliance, which may include working outside of normal business hours to accommodate varying time zones.
Qualifications
Must live within a commutable distance to Ocoee, FL.
Knowledge, skills, and abilities required are representative of the job's demands.
Must demonstrate the ability to exercise independent discretion and judgment.
Working knowledge of the overall unemployment compensation cost control process is important.
Proven success in working independently and as part of a team to achieve goals and meet deadlines while maintaining high accuracy and focus.
Education and/or Experience
Bachelor's degree (BA/BS) in Business, Human Resources, Finance, or a related field, and 3-5 years of related experience/training preferred.
May consider an AA degree in a related field with 5-7 years of related experience.
Equivalent combinations of education and experience are also acceptable.
Certificates, Licenses, Registrations
PHR or SPHR certifications are a plus.
Additional Information
Why Westgate?
Comprehensive health benefits - medical, dental and vision
Paid Time Off (PTO) - vacation, sick, and personal
Paid Holidays
401K with generous company match
Get access to your pay as you need it with our Daily Pay benefit
Family benefits including pregnancy, and parental leave and adoption assistance
Wellness Programs
Flexible Spending Accounts
Tuition Assistance
Military Leave
Employee Assistance Program (EAP)
Life, Disability, Accident, Critical Illness & Hospital Insurance
Pet Insurance
Exclusive discounts for Team Member (i.e., hotels, cruise, resorts, restaurants, entertainment, etc.)
Advancement & development opportunities
Community Involvement Programs
Westgate Resorts is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status or any other protected status under federal, state or local law. If you have a disability and believe you need a reasonable accommodation in order to complete your application or any part of the recruiting process, please email WGAccommodations@wgresorts.com with the job title and the location of the position for which you are applying.
This job posting is intended to provide a general overview of the position and may not include every responsibility, duty, or qualification required. Duties, responsibilities, and activities may change at any time with or without notice.
$27k-46k yearly est. 5d ago
Inside Claims Representative
Tower Hill Insurance Group 4.7
Claims adjuster job in Gainesville, FL
Reviews and analyzes first party homeowners' claims to determine extent of insurance carrier's liability, determines the extent of damaged property, and recommends settlement amounts in order to conclude claims with policyholders in accordance with policy provisions and applicable insurance statutes and laws.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Reviews the insurance policy, endorsements, and related information in order to make a coverage determination.
Conducts the appropriate claim investigation and directs the investigation of any assigned independent or other vendor. Interviews and consults with involved parties to gather pertinent information. Records statements per company and client guidelines.
Obtains any physical evidence, develops third party information and theory of liability, conducts interviews, and secures official records.
Provides prompt service to all stakeholders utilizing phone, fax, mail and electronic mail. Communicates with all customers in a professional manner.
Reviews other adjusters' reports, damage estimates, expert reports and any other documentation needed to make the appropriate coverage and loss decisions to conclude assigned claims.
Able to write/create simple estimates based on customer's information or other pertinent information.
Makes recommendations and decisions based on claim documentation and investigation.
Maintains file documentation, file notes and investigation documentation on each assigned claim in accordance with client company guidelines.
Maintains open claim inventory per company and client company guidelines.
Communicates with Claims management consistent with company guidelines.
Operates in accordance with applicable State statutes.
Maintains state(s) licensing requirement as necessary including Continuing Education requirements.
Participates in depositions as needed.
Negotiates within authority and per client guidelines to settle claims and/or to present claims to client for consideration.
Provides support to other members of the technical claims staff.
Participates in CAT Duty as required.
Performs other duties as determined by management.
QUALIFICATIONS
College degree (four-year college/university) or equivalent professional education and experience combined; Minimum of 1 year related adjusting experience and successful completion of claims training program.
Insurance adjusters license(s) as applicable to the position.
Benefits:
Health Insurance
Health Reimbursement Account
Flexible Spending Account
Dental Insurance
401K
Paid Time Off
Paid Holidays
Short & Long Term Disability Insurance
Life Insurance
SUMMARY:
Reviews and analyzes first party homeowners' claims to determine extent of insurance carrier's liability, determines the extent of damaged property, and recommends settlement amounts in order to conclude claims with policyholders in accordance with policy provisions and applicable insurance statutes and laws.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Reviews the insurance policy, endorsements, and related information in order to make a coverage determination.
Conducts the appropriate claim investigation and directs the investigation of any assigned independent or other vendor. Interviews and consults with involved parties to gather pertinent information. Records statements per company and client guidelines.
Obtains any physical evidence, develops third party information and theory of liability, conducts interviews, and secures official records.
Provides prompt service to all stakeholders utilizing phone, fax, mail and electronic mail. Communicates with all customers in a professional manner.
Reviews other adjusters' reports, damage estimates, expert reports and any other documentation needed to make the appropriate coverage and loss decisions to conclude assigned claims.
Able to write/create simple estimates based on customer's information or other pertinent information.
Makes recommendations and decisions based on claim documentation and investigation.
Maintains file documentation, file notes and investigation documentation on each assigned claim in accordance with client company guidelines.
Maintains open claim inventory per company and client company guidelines.
Communicates with Claims management consistent with company guidelines.
Operates in accordance with applicable State statutes.
Maintains state(s) licensing requirement as necessary including Continuing Education requirements.
Participates in depositions as needed.
Negotiates within authority and per client guidelines to settle claims and/or to present claims to client for consideration.
Provides support to other members of the technical claims staff.
Participates in CAT Duty as required.
Performs other duties as determined by management.
QUALIFICATIONS
College degree (four-year college/university) or equivalent professional education and experience combined; Minimum of 1 year related adjusting experience and successful completion of claims training program.
Insurance adjusters license(s) as applicable to the position.
Benefits:
Health Insurance
Health Reimbursement Account
Flexible Spending Account
Dental Insurance
401K
Paid Time Off
Paid Holidays
Short & Long Term Disability Insurance
Life Insurance
$27k-37k yearly est. 60d+ ago
Independent Insurance Claims Adjuster in Ocala, Florida
Milehigh Adjusters Houston
Claims adjuster job in Ocala, FL
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? 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 ClaimsAdjuster, 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 ClaimsAdjuster 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 ClaimsAdjuster.
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 claimsadjusting.
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 claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting 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 ClaimsAdjuster. 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.
$42k-52k yearly est. Auto-Apply 60d+ ago
Claims Representative I- Alachua County
Sfbcic
Claims adjuster job in Gainesville, FL
This job is with Florida Farm Bureau which is the Florida state office for Southern Farm Bureau Casualty Insurance Company, and we currently have an opening for a Multi-Lines Claims Representative to work in Gainesville, FL. This position is responsible for resolving damage and injury claims caused by or incurred by insureds. Starting salary of $53,000 with a company car. We offer many benefits including health, dental, vision, PTO, Extended Illness Leave, Pension and matching 401K.
SUMMARY: Responsible for handling all multi-line claims in assigned territory to a proper conclusion with a starting salary of $52,500 and a company car.
ESSENTIAL DUTIES AND RESPONSIBILITES: Include the following. Other duties may be assigned.
Investigate, validate, evaluate, negotiate, and settle all claims as assigned.
Submit reserve recommendations on assigned claims.
Communicate with the public regarding procedures, problems, and coverages.
Negotiate fair settlement with individual claimants or Attorneys.
Maintain claim files and follow departmental reporting procedures.
Report risk reviews to the Underwriting department.
Participate in training and continuing education courses as requested or required.
Prepare estimates on auto and property losses.
EDUCATION and/or EXPERIENCE:
Bachelor's degree from four-year college or university
Obtain Adjuster's license in 6 months
SKILLS/ABILITY
Strong Verbal communication & listening skills
Effective negotiation skills
Effective conflict management skills
Ability to simultaneously handle multiple priorities
Possesses strong product knowledge
Ability to influence internal and/or external constituent
Possesses strong technical aptitude
Ability to work with mathematical operations related to daily tasks
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee in order to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit. The employee frequently is required to talk or hear. The employee is occasionally required to stand; walk; and stoop, kneel, crouch.
$52.5k-53k yearly 60d+ ago
Desk Adjuster
Global Risk Solutions Inc. 4.2
Claims adjuster job in Jacksonville, FL
Job: Desk Adjuster
Reports To: Claims Manager
Summary/Objective
This position is an operational role and desk adjusters are expected to investigate insurance claims to ascertain the extent of liability on behalf of an insurance company. He/she will need to coordinate assignment of inspections of homes, commercial buildings, agricultural equipment, farmland, and automobiles with field adjusters and/or engineers, review written report/estimate of damages, and prepare decision letter, issuing payments when applicable. Desk Adjusters will operate under leadership and direction from the Claims Manager and assure that all work product is in line with carrier directives and GRS file standards. The Desk Adjuster will be required to understand and explain written repair estimates and understand application of insurance policy coverage to the documented loss.
Essential Functions
1. Make and maintain contact with insured to provide timely service for the insured's claim.
2. Review property damage or personal injury claim written report and/or estimate.
3. Prepare reports and document the claim file as required via carrier.
4. Review reports from specialists such as public adjusters, lawyers, engineers, contractors, vehicle technicians and health care staff.
5. Ability to communicate effectively both orally and in writing.
6. Ability to operate multiple computer applications and programs, including but not limited to word processing and spreadsheets. Ability to quickly learn proprietary client claims systems.
7. Must have professional communication and customer service skills.
8. Strong product identification skills required with a general knowledge of home/commercial building/ auto construction.
9. Ability to effectively prioritize and complete multiple tasks within established timeframes.
10. Ability to travel throughout the United States and Canada (for in-office assignments) or ability to work at home office (for remote assignments).
11. Performs other related duties as assigned.
Competencies
1. Leadership - Exhibit's confidence in self and others; Inspires and motivates others to perform well; Effectively influences actions and opinions of others; Accepts feedback from others; Gives appropriate recognition to others.
2. Strong Communicator - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings; Writes clearly and informatively.
3. Decision Making - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
4. Teamwork Orientation - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
5. Technical Capacity - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
6. Learning Orientation - Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed.
7. Project Management - Develops project plans; Coordinates projects; Communicates changes and progress; Completes projects on time and budget; Manages project team activities.
8. Results Orientation - Anticipate, identify, and effectively deal with problems and risks; plan for contingencies to deal with unexpected challenges. Remains open to others' ideas and tries new things.
9. Diversity - Demonstrates knowledge of company EEO policy; Shows respect and sensitivity for cultural differences; Recognize the value of diversity; Promotes a harassment-free environment; Appreciates a diverse workforce.
10. Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
11. Adaptability - Adapts to changes in the work environment; Manages competing demands; Change's approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
Supervisory Responsibility
This position will have the responsibility of complete claim file investigation and handling, including issuing payment or communication coverage decision.
Work Environment
Work location to be determined and may be in office or remote at the discretion of management or based on department needs.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
This is largely a sedentary role and requires operating a computer and telephone for extended periods of time. The person in this role needs to be in good physical shape with no restrictions.
Position Type/Expected Hours of Work
This is a seasonal position: Workdays will typically be Monday-Friday during client business hours, but additional days and time may be needed and will be based on volume of work.
Travel
This position typically requires up to 100% travel (in office assignments), or 0% travel (remote assignments), but can be more in CAT situations based on department need.
Preferred Education and Experience
1. Designated Home State Adjuster's License
2. State Specific Adjuster's license
3. 2 + years' experience in a claim handling environment.
4. Must be able to partner effectively with management.
5. Experience with customer service.
6. Smart and engaging leader with ability to work alone or in a team environment to accomplish performance goals. Possess excellent analytical and problem-solving skills.
7. Strong problem-solving skills.
8. Adaptable to changing work requirements.
9. Ability to function well in a high paced and at times stressful environment.
$45k-57k yearly est. Auto-Apply 60d+ ago
Customer Claims Representative
Service Pros Auto Glass
Claims adjuster job in Gainesville, FL
Job Description
Customer Relations Specialist - Gainesville
Earn $1,000-$2,500+ WEEKLY • No Experience Needed • Weekly Pay
Service Pros Auto Glass is hiring friendly, motivated people to work inside our partnered auto dealerships. If you enjoy talking to people and want a high-earning, entry-level opportunity, this is it.
What You'll Do
Greet customers in the service drive
Identify simple windshield replacement needs (we train you!)
Explain options and help schedule service
Build relationships with dealership staff
Track customer interactions and hit daily/weekly goals
What We're Looking For
No experience required - we train fast
Positive, outgoing, and coachable
Strong people skills
Valid driver's license & reliable transportation
What You Get
$1,000-$2,500+ weekly
Weekly pay
Fast training & clear growth opportunities
Supportive, team-first culture
Fun team events & bonuses
Apply Today
Start earning quickly in a role with simple duties, strong support, and excellent weekly pay.
$28k-40k yearly est. 14d ago
Independent Adjuster Roofing
Stratus Roofing
Claims adjuster job in Winter Garden, FL
Stratus Roofing is leading the Residential and Commercial ROOFING industry by putting PEOPLE first and we are in search of hard-working professionals to join our Stratus Family! At Stratus Roofing, we operate with a high level of integrity and customer service; therefore, expect this from our vendors and employees alike. We are proud to say we have hand-picked our team to assure our customers work with the most professional roofing consultants in the industry. We are currently seeking experienced, professional Roofing ClaimsAdjusters to cover the GREATER FORT MYERS, SARASOTA AND TAMPA areas.
CORE RESPONSIBILITIES:
Communicate with insurance to get agreement on the scope of work and pricing.
Evaluate document and estimate storm damage to roofs.
REQUIREMENTS:
2+ years working as an insurance adjuster; specifically on storm damage claims for roofing, siding, windows, and gutters
Florida PPIA Licensing: All Lines Adjuster (We will pay for courses and designations if needed).
Xactimate experience a plus
Must have a valid state driver's license and an acceptable Motor Vehicle Driving Record
$39k-53k yearly est. Auto-Apply 60d+ ago
Liability Adjuster II
TWAY Trustway Services
Claims adjuster job in Tampa, FL
The Liability Adjuster II is responsible for the initial handling of claims involving straightforward coverage and liability issues. This role involves managing a caseload of non-complex claims and conducting thorough investigations to determine liability, assess damages, and identify any potential injury exposures. Leveraging a solid understanding of policy language, the adjuster will make informed coverage determinations under the guidance and support of a supervisor.
About the ROLE
Each day at AssuranceAmerica is different, but as a Liability Adjuster II you will:
Initial contact with insured and claimants to determine coverage and liability exposure.
Determine any injuries involved in the accident and develop the exposure, handling first call settlement injury claims and minor injury claims.
Control expenses and adhere to company reserving philosophy by maintaining proper reserves on all pending claims/potential exposures.
Meet and maintain general file handling goals and procedures as outlined by the company including maintaining a 1:1 closing ratio and status on diary reviews.
Properly utilize underwriting and policy systems and understand its features and functionality, as needed.
Attend any available seminars and classes applicable to this position and the skills required to meet the job duties and responsibilities.
Continually ask questions and have a desire to develop additional skills to better investigate and evaluate claims.
About YOU
Excellent communication skills with demonstrative ease with both verbal and written formats.
Attention to detail and ability to multi-task.
A high degree of motivation and team orientation.
Direct, results driven, and dedicated to the success of the business and each other.
Required
Minimum one year experience handling auto claims.
Preferred
Bachelor's degree or equivalent.
Non-standard experience.
Adjuster's license in relevant state or the ability to obtain one quickly.
Bilingual (English-Spanish).
Physical Requirements
Prolonged periods sitting at a desk and working on a computer.
Must be able to lift 15 pounds at times.
Must be able to navigate various departments of the organization's physical premises.
$39k-54k yearly est. Auto-Apply 60d+ ago
In-house Public Adjuster
Icbd Holding LLC
Claims adjuster job in West Palm Beach, FL
Public Adjuster
Are you a licensed public adjuster looking to stand out in an established but growing company? Get more opportunity to work the big claims at a premier Florida public adjusting firm-Sentry Public Adjusting. We are looking for a hard-working closer who wants be part of a fast growing, professional, ethical and ambitious Public Adjusting Company.
About Sentry Public Adjusting
Sentry Public Adjusting is a full-service public adjusting firm covering the State of Florida. Our team includes licensed adjusters, certified claim estimators, administrative claim support specialists and mortgage liaisons-everything necessary for an adjuster to be successful.
We offer a competitive base salary plus commission commensurate with experience. Our benefits package includes medical, dental, vision, short/long-term disability, life insurance, and 401(k). Our aggressive structure provides an incentive to work hard, help many people in challenging times, and will allow the right candidate to far exceed annual base pay.
Your Position
The licensed Public Adjuster follows up on qualified leads and develops a working relationship with local property managers and businesses who may experience future losses. The public adjuster networks contacts and follows up on client references to help bring in new clients.
What You Will be Doing
· Working efficiently with and managing adjuster apprentices
· Onboarding, signing up, and maintaining communication with clients
· Overseeing claims process from beginning to end
. Maintaining internal systems such as Salesforce and ClaimWizard
· Negotiating, corresponding, and dealing with insurance carriers
· Following up to ensure claims are being properly handled by deadlines
. Attendance at Home Shows on occasional weekends will be required.
· Traveling -regularly travel to appointments within our operational area.
Your Qualifications
· Florida Public Adjuster license 3-20 PCA or licensed in a reciprocal state
· Experience in real estate, construction, or insurance fields is helpful but not necessary
· Strong writing and communication skills including attention to detail
· Proficiency with Microsoft Office
· Highly organized with the ability to juggle multiple deadlines in a fast-paced environment
· Ability to read and interpret contracts
Working Conditions
Candidates must meet the company's hiring criteria to include a pre-employment background investigation and drug test. We are an Equal Opportunity Employer and a drug-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. Must be able to separate personal issues with work issues to ensure healthy relationships with clients.
This is not a work from home position, and you shall be expected to adhere to normal office hours when not on appointments.
As per the nature of the work appointments are governed by the requirements of our customer base, so a willingness to work outside of normal office hours and at weekends will at times be expected.
Staffing Agencies
Unsolicited resumes from search firms will not be honored as valid. Consequently, we politely ask agencies not to solicit our business managers directly as well. Thank you in advance.
Job Type: Full-time
$40k-55k yearly est. Auto-Apply 60d+ ago
GL Adjuster
Resolution Recruiting
Claims adjuster job in Florida
Summary: Looking for a seasoned General Liability Adjuster to handle our government agency accounts. If you've got a background in handling GL claims and enjoy working with government clients, this could be the perfect fit. This role involves investigating claims, determining liability, and ensuring timely resolution while maintaining strong client relationships.
Responsibilities:
Investigate and evaluate general liability claims for government agencies
Communicate effectively with all parties involved to gather necessary information
Determine coverage and liability based on policy terms and regulations
Conduct site inspections to assess damages and liability
Negotiate settlements with claimants and their representatives
Collaborate with internal teams to resolve complex claims efficiently
Maintain accurate claim records and documentation
Provide regular updates to government agency clients on claim status and resolution progress
Qualifications:
Bachelor's degree or equivalent experience
Minimum of 3 years of experience in handling general liability claims
Strong communication and negotiation skills
Ability to work independently and prioritize tasks effectively
Proficiency in Microsoft Office and claims management software
Willingness to travel for site inspections and meetings as needed
$39k-54k yearly est. 60d+ ago
Licensed Public Adjuster Orlando
Rockwall National Public Adjusters
Claims adjuster job in Orlando, FL
Job DescriptionSalary:
About Us
Rockwall National Public Adjusters is one of the most established public adjusting firms in the region. For more than 15 years, we have successfully advocated for property owners, supported by leadership with over 20 years of experience in the insurance claims industry.
We pride ourselves on our longevity, high retention, and reputation for excellence. Many of our adjusters and office staff have been with us for over 10 years, reflecting our supportive culture and commitment to long-term careers.
At Rockwall, our mission is simple: level the playing field, fight for our clients rights, and secure the settlements they deserve. By joining our team, you will become part of a well-respected firm with proven processes, unmatched administrative support, and a collaborative environment that fosters professional growth.
The Role
We are seeking a motivated and Licensed Public Adjuster in the Orlando area to join our team in a hybrid, commission-based role.
As a Public Adjuster, you will represent policyholders throughout the insurance claims process, guiding them through stressful property damage losses and securing fair settlements. You will play a vital role in soliciting referral business, signing clients, evaluating damages, preparing and negotiating claims, and advocating for clients best interests.
This position is designed to support all levels of experience:
Newly licensed adjusters benefit from structured training, mentorship, and back-office support.
Experienced adjusters gain access to qualified leads, advanced systems, and a trusted brand with a long-standing reputation.
Key Responsibilities
Collaboratively solicit residential and commercial new claims and referral partners
Sign, inspect, evaluate, and document property damage for residential and commercial claims
Prepare, submit, and negotiate insurance claims on behalf of policyholders
Communicate with clients, insurance carriers, contractors, and stakeholders to advance claims efficiently
Advocate for clients best interests and ensure fair settlements are achieved
Maintain accurate records, reports, and claim documentation
Deliver exceptional customer service while educating clients on the claims process
Generate new business and efficiently close provided leads
Required Qualifications
Active Florida Public Adjuster license (or ability to obtain one)
Prior experience in insurance adjusting, construction, restoration, or a related field preferred, but not required
Strong negotiation and communication skills
Organized, detail-oriented, and able to manage multiple claims simultaneously
Professional demeanor with a client-focused mindset
Valid drivers license and reliable transportation for field inspections
Compensation & Benefits
Commission-based structure with unlimited earning potential
Training and ongoing professional development
Career growth opportunities within a supportive and collaborative team
Hybrid work flexibility (field + office)
Full administrative and office support (contracts, compliance, claims, invoicing, mortgage company payments)
The Rockwall Difference
At Rockwall, we provide unmatched support at every stage of the claims process, allowing our adjusters to focus on serving clients and building careers.
Key Advantages:
Comprehensive adjuster onboarding and mentorship programs
Professional ongoing sales training to close contracts faster and expand referral networks
Proprietary lead generation sources and affiliate networks
Automated client onboarding to reduce paperwork
Access to advanced claims management software for streamlined workflows
Hands-on field training for residential and commercial claims
Xactimate training and estimate reviews to ensure complete assessments
Seamless invoicing and fee collection support
Regular updates on case law, legislation, and industry trends
A collaborative team environment that promotes growth and shared knowledge
Why Join Rockwall NPA
20+ years of insurance industry expertise
15+ years as a trusted, established firm
Strong reputation and high staff retention
Proprietary lead generation sources and long-standing affiliate networks
Full support systems that empower adjusters to succeed
A company culture built on professionalism, advocacy, and results
$39k-53k yearly est. 13d ago
Medical Only Adjuster
Rainwater Roofing
Claims adjuster job in Florida
Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Reporting To: Claudia Cooke Compensation: $44,000 - $52,000 / year Description Our Story Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.
Davies is seeking a detail-oriented and proactive Medical Only Adjuster to manage workers' compensation medical-only claims for assigned TPA clients. This role requires strong knowledge of Florida Workers' Compensation statutes, independent judgment, and the ability to deliver timely, compliant, and high-quality claims handling while maintaining exceptional service standards.
Key Responsibilities
* Investigate and adjust medical-only Workers' Compensation claims in compliance with Florida statutes and case law
* Complete timely 48-hour contacts with injured workers, employers, and medical providers
* Determine compensability, authorize medical treatment, and initiate required state and EDI filings
* Review, document, and approve medical bills within required timeframes
* Monitor medical care and coordinate return-to-work and light duty accommodations
* Establish and maintain appropriate reserves and diary/workflow compliance
* Maintain regular communication with injured workers and clients to ensure service quality
* Identify red flags, recovery opportunities, and escalate concerns as appropriate
* Meet performance standards, including claim closure and quality metrics
* Participate in required training, client meetings, and ongoing professional development
Skills, knowledge & expertise
* Working knowledge of Florida Workers' Compensation law, rules, procedures, and case law
* Understanding of liability principles, medical terminology, and treatment protocols
* Strong organizational skills with the ability to manage multiple priorities
* Excellent written and verbal communication skills
* Ability to independently manage a medical-only caseload while meeting performance metrics
* Strong attention to detail and commitment to compliance and quality
Benefits
Benefits
At Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes:
* Medical, dental, and vision plans to ensure your health and that of your family.
* A 401k plan with employer matching to help you build a secure financial future.
* Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.
* Paid holidays.
* Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.
Diversity and Inclusion
Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.
Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
How much does a claims adjuster earn in Gainesville, FL?
The average claims adjuster in Gainesville, FL earns between $38,000 and $56,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.
Average claims adjuster salary in Gainesville, FL
$46,000
What are the biggest employers of Claims Adjusters in Gainesville, FL?
The biggest employers of Claims Adjusters in Gainesville, FL are: