Claims Representative - Glendale, AZ
Claims adjuster job in Glendale, AZ
Who is Federated Insurance?
At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own.
Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values.
What Will You Do?
Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss.
No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients.
This is an in-office position that will work out of our Glendale, AZ office, located at 5701 W. Talavi Blvd. A work from home option is not available.
Responsibilities
Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way.
Explain policy coverage to policyholders and third parties.
Complete thorough investigations and document facts relating to claims.
Determine the value of damaged items or accurately pay medical and wage loss benefits.
Negotiate settlements with policyholders and third parties.
Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars.
Minimum Qualifications
Current pursuing, or have obtained a four-year degree
Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields
Ability to make confident decisions based on available information
Strong analytical, computer, and time management skills
Excellent written and verbal communication skills
Leadership experience is a plus
Salary Range: $61,700 - $75,400
Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team.
What We Offer
We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You.
Employment Practices
All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization.
If California Resident, please review Federated's enhanced Privacy Policy.
Auto-ApplySenior Auto Adjuster
Claims adjuster job in Phoenix, AZ
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
As a dedicated Sr Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations. Accountable for delivering best in class service, through setting appropriate expectations, proactive communications, advice, and empathy.
We offer a flexible work environment that requires an individual to be in the office 3 days per week, after completing 6 months in office. This position is based in the Phoenix, AZ location. Relocation assistance is not available for this position.
What you'll do:
Investigates to determine coverage, liability, and physical damage including total loss settlements for highly complex auto claims.
Negotiates liability for comparative negligence (claimant or adverse carrier).
Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit (SIU) referrals, when appropriate.
Interacts with multiple parties to gather information (police reports, recorded statements, witness statements) determine liability.
Analyzes information obtained to establish compliance for regulatory requirements and settlement value.
Evaluates and negotiates settlement of automobile first and third-party physical damage claims within established settlement authority limits and negotiates any excessive storage charges.
Resolves claims through proactive problem solving and decision making, within authority guidelines and under moderate supervision, overcoming obstacles, and effectively prioritizing the workload.
Clearly documents thought process including damage evaluation, investigation, negotiation, and settlement decisions.
Collaborates and sets expectations with external and internal business partners to facilitate claims resolution.
Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.
Applies proficient knowledge of P&C insurance industry products, services, to include P&C insurance policy contracts, coverages and internal claims handling process and procedures.
May serve as an informal resource for team members.
Applies proficient knowledge of Auto Physical Damage to adjust claims.
Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
May be assigned CAT deployment travel with minimal notice during designated CATs.
Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
High School Diploma or General Equivalency Diploma.
2 years of customer service experience.
1 year of experience handling low to moderately complex auto non injury liability claims.
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
Experience determining auto liability coverage.
Proficient knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations.
Demonstrated negotiation, investigation, communication, and conflict resolution skills.
Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.
Ability to organize, analyze, and effectively determine risk and appropriate response.
Successful completion of a job-related assessment may be required.
What sets you apart:
Bachelor's degree
Active Adjuster's License
1-2 years recent multi-vehicle claims liability to include comparative negligence
Guidewire Claims Center experience
Contract Interpretation experience: Liability & Physical Damage Coverage and Uninsured/Underinsured Motorists Property Damage (Part C)
Dispute resolution experience: Liability Investigation/Comparative Negligence, Unrelated Prior Vehicle Damages, Total Loss Valuation/Negotiation, Non-Owned Vehicles/Rideshare/Permissive Driver, Exceeding Coverage Limits
Arbitration/Subrogation knowledge
US military experience through military service or a military spouse/domestic partner
Compensation range: The salary range for this position is: $54,550.00 - $92,060.00.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Risk Claims Supervisor
Claims adjuster job in Phoenix, AZ
As a key member of the Risk Operations team, you#ll lead and support our Risk Specialists while overseeing the management of complex claims data. In this role, you#ll guide investigations and coordinate liability, Workers# Compensation, and property claims to help protect Valleywise Health and the communities we serve. # You#ll work closely with leaders across the organization to ensure effective remediation plans are in place, supervise the collection and analysis of claims data, and play a critical role in insurance renewals and the actuarial process. Because information is often incomplete or difficult to obtain, this position requires strong problem-solving, research, and decision-making skills. # Reporting to the Risk Operations Manager, you#ll bring structure and clarity to complex issues while empowering your team to deliver accurate insights and effective solutions that shape our risk management strategies. # Annual Salary Range: $79,913.60 - $117,873.60 # Qualifications Education: Requires a bachelor#s degree in insurance, Risk Management, Public Administration, Business Administration, Finance, Management, or a closely related field, or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work. Experience: Must have three (3) years of Claim Supervisor experience. Preference given for technical training in claims or insurance policies and demonstrated supervisory experience. Knowledge, Skills, and Abilities: Must possess demonstrated experience and expertise in liability and property claims adjusting or auditing. Strong supervisory, organizational, and critical thinking skills, as well as a highly professional attitude and demeanor. Must be self-directed with good time management skills and strong interpersonal skills that will result in working effectively with diverse individuals and groups. Must have the ability to exercise sound judgment and initiative within established guidelines, meet deadlines, and simultaneously handle numerous projects. Will need to be able to work independently and as a team member to attain goals and resolutions through collaboration and negotiation. Must continually strive to improve processes, assigned functions, and functions performed by assigned staff. Requires the ability to read, write and speak effectively in English. #CRP
As a key member of the Risk Operations team, you'll lead and support our Risk Specialists while overseeing the management of complex claims data. In this role, you'll guide investigations and coordinate liability, Workers' Compensation, and property claims to help protect Valleywise Health and the communities we serve.
You'll work closely with leaders across the organization to ensure effective remediation plans are in place, supervise the collection and analysis of claims data, and play a critical role in insurance renewals and the actuarial process. Because information is often incomplete or difficult to obtain, this position requires strong problem-solving, research, and decision-making skills.
Reporting to the Risk Operations Manager, you'll bring structure and clarity to complex issues while empowering your team to deliver accurate insights and effective solutions that shape our risk management strategies.
Annual Salary Range: $79,913.60 - $117,873.60
Qualifications
Education:
* Requires a bachelor's degree in insurance, Risk Management, Public Administration, Business Administration, Finance, Management, or a closely related field, or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work.
Experience:
* Must have three (3) years of Claim Supervisor experience.
* Preference given for technical training in claims or insurance policies and demonstrated supervisory experience.
Knowledge, Skills, and Abilities:
* Must possess demonstrated experience and expertise in liability and property claims adjusting or auditing.
* Strong supervisory, organizational, and critical thinking skills, as well as a highly professional attitude and demeanor.
* Must be self-directed with good time management skills and strong interpersonal skills that will result in working effectively with diverse individuals and groups.
* Must have the ability to exercise sound judgment and initiative within established guidelines, meet deadlines, and simultaneously handle numerous projects.
* Will need to be able to work independently and as a team member to attain goals and resolutions through collaboration and negotiation.
* Must continually strive to improve processes, assigned functions, and functions performed by assigned staff.
* Requires the ability to read, write and speak effectively in English.
#CRP
Senior Claims Representative
Claims adjuster job in Phoenix, AZ
Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available. As a Commercial Insurance Claims Representative, you will review and process simple and straightforward Commercial claims within assigned authority limits consistent with policy and legal requirements. In addition to a wide range of benefits, as a direct employee, your insurance education and training are paid by Liberty Mutual.
The preference is for the candidates to be located close to a hub and be in the office a minimum of 2 days/week (Hubs: Plano, TX, Suwanee, GA, Westborough, MA, Hoffman Estates, IL, Indianapolis, IN and Eugene. OR, and Phoenix, AZ) although candidates from any location will be considered. Please note this policy is subject to change.
Responsibilities:
Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments.
Extensive and timely direct interaction with Insured's, Claimants, Agent's and Internal Customers.
Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues.
Establishes claim reserve requirements and makes adjustments, as necessary, during the processing of the claims.
Determines and negotiates settlement amount for damages claimed within assigned authority limits.
Writes simple to moderately complex property damage estimates or review auto damage estimates.
Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate.
Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistent with established guidelines and expectations.
Alerts Unit Leader to the possibility of fraud or subrogation potential for claims being processed.
Qualifications
Bachelor's Degree preferred. High school diploma or equivalent required.
1-2 years of experience. Claims handling skills preferred.
Strong customer service and technology skills.
Able to navigate multiple systems, strong organizational and communication skills.
License may be required in multiple states by state law.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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Auto-ApplyCasualty Claims Adjuster Tier III
Claims adjuster job in Scottsdale, AZ
Company Details
Berkley One is a modern insurance provider for a modern generation of affluence. We serve clients who live dynamic, adventurous lives and expect their insurance experience to match. Our mission is to deliver highly personalized risk and claims management through a blend of expert independent agents, cutting-edge digital tools, and the strength of the Berkley brand.
Why Join Us?
At Berkley One, you'll be part of a forward-thinking team that's reimagining personal insurance. We're building solutions that are as sophisticated and agile as the clients we serve-individuals and families who value innovation, simplicity, and exceptional service. You'll collaborate with passionate professionals, leverage modern technology, and help shape the future of our industry.
What We Value
A client-first mindset with a passion for delivering exceptional experiences
Curiosity, creativity, and a drive to challenge the status quo
Collaboration across disciplines to build smarter, more intuitive solutions
Integrity, expertise, and a commitment to excellence
Join us in creating a new standard in personal insurance-where protection meets possibility.
This role will be based in our Phoenix, AZ or Wilmington, DE office. We offer a hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.
#LI-AV1 #LI-HYBRID
The Company is an equal employment opportunity employer.
Responsibilities
The Casualty Claims Adjuster is a key contributor to the Berkley One brand. The position requires Liability, Injury and Auto Physical Damage claim technical, organizational and time management skills, along with self-direction and exceptional customer service. This position is responsible for quality, timely handling and resolution of moderately complex claims in a professional manner.
What you can expect:
Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
Internal mobility opportunities
Visibility to senior leaders and partnership with cross functional teams
Opportunity to impact change
Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education
We'll count on you to:
Handle first and third-party personal lines auto, homeowner liability, bodily injury, first party medical/PIP, and auto physical damage claims of moderate complexity.
Appropriately manage claims through coverage analysis, investigation, reserving and resolution
Identify and address coverage issues, complete investigation to determine cause & exposure, set timely reserves and develop detailed action plans
Negotiate claim settlements with attorneys and unrepresented claimants
Establish validity of claims submitted for payment through coverage research and contact with policyholders, claimants and outside parties
Research and locate additional information and documentation to investigate, evaluate and properly resolve claims
Write denial letters, reservation of rights, coverage disclaimers and other correspondence
Work with defense counsel and coverage counsel as needed.
Maintain an effective diary system and document claim file activities in accordance with established procedures
Pro-actively manage file inventory to ensure timely resolution of cases
Deliver exceptional customer service to meet the needs of the insured, agent and all internal and external customers
Perform administrative functions such as expense accounts and time off reporting as required
Qualifications
Bachelors degree or equivalent work experience
Minimum 3 years of experience handling injury insurance claims with an emphasis in working with High Net Worth customers and experience with automated claims systems
You will also actively participate on CAT duty when needed
Broad knowledge of auto, bodily injury, UM/UIM, and first party injury claims.
Agile learner who can quickly absorb information and apply it to current business situations.
Incredible empathy and understanding of the needs of customers, both insureds and their agents alike. You will be an excellent, pro-active advocate for Berkley One customers and are passionate about their brand experience
Exceptional oral and written communication skills. Your communication style is flexible to the situation. You communicate clearly and with a purpose
Calm under pressure. You have excellent organizational and negotiation skills, integrity, and great follow-through on tasks. You are comfortable challenging norms while working collaboratively with colleagues at all levels of the organization
You have a strong sense of accountability, fun and adventure
Natural curiosity. You love learning how things work and you are always looking for innovative improvements
Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Sponsorship Details Sponsorship not Offered for this Role
Auto-ApplyDaily Claims Adjuster - Phoenix, AZ
Claims adjuster job in Phoenix, AZ
CENCO is a leading provider of property claims solutions, collaborating with top insurance carriers to deliver accurate, timely, and dependable adjusting services. We are currently seeking experienced Daily Property Claims Adjusters to manage residential and commercial claims throughout Phoenix and the surrounding areas of Arizona. This role is perfect for adjusters looking for consistent assignments and the flexibility of independent fieldwork.
Key Responsibilities:
Conduct thorough inspections of property damage caused by wind, hail, fire, water, and other covered perils.
Document damages with detailed reports and clear, high-quality photos.
Prepare accurate repair estimates using Xactimate or Symbility.
Maintain professional communication with policyholders, contractors, and insurance carriers.
Manage claims efficiently to meet all deadlines and carrier requirements.
Requirements:
Licensing: Active Arizona adjuster license required.
Software: Experience with Xactimate or Symbility preferred.
Equipment: Reliable vehicle, ladder, laptop, and standard inspection tools.
Work Style: Self-motivated, organized, and able to work independently.
Availability: Able to accept assignments promptly and complete reports on schedule.
Why Work with CENCO?
Steady claim volume in Phoenix and surrounding communities
Competitive pay with reliable, on-time compensation
Supportive team and streamlined workflows
If you're a skilled adjuster seeking steady daily work and the opportunity to grow with a trusted industry partner, we want to hear from you!
Field Claims Adjuster
Claims adjuster job in Phoenix, AZ
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.
Independent Insurance Claims Adjuster in Temple, Arizona
Claims adjuster job in Phoenix, AZ
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
Auto-ApplyPatient Claims Specialist - Bilingual Only
Claims adjuster job in Phoenix, AZ
We are united in our mission to make a positive impact on healthcare. Join Us!
South Florida Business Journal, Best Places to Work 2024
Inc. 5000 Fastest-Growing Private Companies in America 2024
2024 Black Book Awards, ranked #1 EHR in 11 Specialties
2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold)
2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara)
Who we are:
We Are Modernizing Medicine (WAMM)! We're a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany.
ModMed is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient experience within our passionate, high-performing Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring their account needs are met excellently. This direct interaction with our customers' patients makes you an integral part of ModMed's business. It opens the door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company that is genuinely Modernizing Medicine!
Your Role:
Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections
Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates
Input and update patient account information and document calls into the Practice Management system
Special Projects: Other duties as required to support and enhance our customer/patient-facing activities
Skills & Requirements:
High School Diploma or GED required
Availability to work 9:30-5:30pm PST or 11:30am to 8:30 pm EST
Minimum of 1-2 years of previous healthcare administration or related experience required
Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs)
Manage/ field 60+ inbound calls per day
Bilingual is required (Spanish & English)
Proficient knowledge of business software applications such as Excel, Word, and PowerPoint
Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone
Ability and openness to learn new things
Ability to work effectively within a team in order to create a positive environment
Ability to remain calm in a demanding call center environment
Professional demeanor required
Ability to effectively manage time and competing priorities
#LI-SM2
ModMed Benefits Highlight:
At ModMed, we believe it's important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:
India
Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk,
Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,
Allowances: Annual wellness allowance to support your well-being and productivity,
Earned, casual, and sick leaves to maintain a healthy work-life balance,
Bereavement leave for difficult times and extended medical leave options,
Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,
Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.
United States
Comprehensive medical, dental, and vision benefits
401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
Generous Paid Time Off and Paid Parental Leave programs,
Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,
Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed,
Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning,
Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,
Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.
PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (*************************). Please check senders' email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.
Auto-ApplyComplex Liability Adjuster - CGL & BOP Specialist
Claims adjuster job in Scottsdale, AZ
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.
Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!
Benefits:
We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer!
* Competitive compensation
* Healthcare benefits package that begins on first day of employment
* 401K retirement plan with company match
* Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
* Up to 6 weeks of parental and bonding leave
* Hybrid work schedule (3 days in the office, 2 days from home)
* Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
* Tuition reimbursement after 6 months of employment
* Numerous opportunities for continued training and career advancement
* And much more!
Responsibilities
Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Complex Liability Adjuster, where you'll play a crucial role in managing Commercial General Liability (CGL) and Business Owners Policy (BOP) claims with precision and expertise. We're looking for someone who thrives in high-stakes environments, communicates with confidence, and knows how to navigate the legal landscape with precision.
Key Responsibilities:
* Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments.
* Review and analyze evidence, reports, and medical records to establish damages and reserves.
* Interview insureds, claimants, and witnesses to gather essential information and build strong cases.
* Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively.
* Manage litigated claims involving CGL and BOP policies, including coordination with defense counsel, litigation strategy development, and resolution planning.
* Process payments efficiently, ensuring timely resolution of claims.
Qualifications
* Prior experience adjusting Commercial General Liability claims with a proven track record in litigation is required.
* Juris Doctorate (JD) preferred, reflecting the value we place on strong legal acumen in managing complex liability claims.
* Licensing: Active TX All Lines License, or willingness to obtain one at company's expense.
* Exceptional written and verbal communication skills.
* Strong organizational and computer skills.
* Excellent time management skills with the ability to prioritize tasks effectively.
Auto-ApplyClaims Specialist
Claims adjuster job in Tempe, AZ
Requirements
What You Bring to the Team by Way of Skills and Experience:
Bachelor's degree required in Business, Risk Management, or related field.
Minimum 5+ years of experience in auto estimating and claims management.
Valid driver's license and current auto insurance preferred.
Professional appraisal or adjuster licenses preferred.
Strong knowledge of auto damage estimating, freight/cargo claims processes, and insurance policy structures.
Knowledge of FMCSA/DOT regulations, multi-jurisdictional claims practices, Carmack Amendment principles, and carrier liability standards.
Exceptional interpersonal, negotiation, communication, and organizational skills.
Proven ability to work independently, prioritize competing demands, and resolve complex issues within deadlines.
Strong business acumen and collaborative approach to working cross-functionally with internal teams and external vendors.
Experience managing full claims lifecycle, coordinating with insurers and TPAs, and analyzing claims trends.
Strong communication skills, integrity, and sound judgment with experience handling sensitive information and conducting investigations.
Proficient in Microsoft Office Suite (Word, Excel, Outlook) and claims management systems/tools.
Service-oriented mindset with a positive, proactive attitude.
Travel Requirements:
Occasional travel (
What is in it for You and Why you Should Apply:
Market-competitive pay based on education, experience, and location.
Highly competitive medical, dental, vision, Life w/ AD&D, Short-Term Disability insurance, Long-Term Disability insurance, pet insurance, identity theft protection, and a 401(k) retirement savings plan.
Employee wellness program.
Employee rewards, discounts, and recognition programs.
Generous company-paid holidays (12 per year), vacation, and sick time.
Paid paternity/maternity leave.
Monthly connectivity/home office stipend if working from home 5 days a week.
A supportive and positive space for you to grow and expand your career.
Pay Range Disclosure:
The advertised range represents the expected pay range for this position at the time of posting based on education, experience, skills, location, and other factors.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
RunBuggy is an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination, harassment, and retaliation on the basis of race, color, religion, sex (including gender identity and sexual orientation), pregnancy, parental status, national origin, age, disability, genetic information, or any other status protected under federal, state, or local law.
Salary Description $65k - $85k, DOE and location
Complex Liability Adjuster - CGL & BOP Specialist
Claims adjuster job in Scottsdale, AZ
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.
Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!
Benefits:
We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer!
Competitive compensation
Healthcare benefits package that begins on first day of employment
401K retirement plan with company match
Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
Up to 6 weeks of parental and bonding leave
Hybrid work schedule (3 days in the office, 2 days from home)
Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
Tuition reimbursement after 6 months of employment
Numerous opportunities for continued training and career advancement
And much more!
Responsibilities
Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Complex Liability Adjuster, where you'll play a crucial role in managing Commercial General Liability (CGL) and Business Owners Policy (BOP) claims with precision and expertise. We're looking for someone who thrives in high-stakes environments, communicates with confidence, and knows how to navigate the legal landscape with precision.
Key Responsibilities:
Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments.
Review and analyze evidence, reports, and medical records to establish damages and reserves.
Interview insureds, claimants, and witnesses to gather essential information and build strong cases.
Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively.
Manage litigated claims involving CGL and BOP policies, including coordination with defense counsel, litigation strategy development, and resolution planning.
Process payments efficiently, ensuring timely resolution of claims.
Qualifications
Prior experience adjusting Commercial General Liability claims with a proven track record in litigation is required.
Juris Doctorate (JD) preferred, reflecting the value we place on strong legal acumen in managing complex liability claims.
Licensing: Active TX All Lines License, or willingness to obtain one at company's expense.
Exceptional written and verbal communication skills.
Strong organizational and computer skills.
Excellent time management skills with the ability to prioritize tasks effectively.
Auto-ApplyPharmacy Claims Representative 2
Claims adjuster job in Mesa, AZ
Essential Functions
Note: The essential duties and primary accountabilities below are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Incumbents may perform all or most of the primary accountabilities listed below. Specific tasks, responsibilities or competencies may be documented in the incumbent's performance objectives as outlined by the incumbent's immediate supervisor or manager.
1. Assist pharmacies with real-time and retrospective claims adjudication. Adjust and correct authorizations in dispensing and PBM systems to ensure timely claims submission. Research and resolve rejected claims by contacting hospices for approvals or updated authorizations.
2. Maintain accuracy of patient profiles, involving authorization status and relatedness indicators.
3. Evaluate and process compound medication claims, ensuring accuracy in ingredients, quantities, and pricing.
4. Research pharmacy invoices and hospice billing issues, reconciling discrepancies as needed.
5. Collaborate with the Customer Service team on complex claims research and resolution.
6. Understand Enclara Pharmacia's standard and custom formularies and differentiate between Per Diem (PD) and Fee-for-Service (FFS) billing models across hospice partners.
7. Contact facilities and pharmacies to verify and collect necessary information for onboarding spreadsheets. Coordinate PBM and billing system verification with facility pharmacies. Maintain and update facility-pharmacy tracking spreadsheets and communicate status with implementation teams.
8. Educate facility pharmacies on billing procedures and contacts for rejected claims.
9. Collect and verify missing or incomplete facility information reported by the Call Center team. Ensure all facilities are correctly linked to their respective hospices in internal systems. Assist with Confirmation Fax reports to validate and update facility-pharmacy relationships and demographics.
10. Complete tasks and special projects assigned by Pharmacy Claims Team Leaders on Pharmacy Claims (Support Services) Manager.
11. Support Call Center leadership in initiatives to streamline processes and improve service outcomes.
Marginal or Additional Functions
1. Performs other duties as assigned or apparent.
Supervisory and Managerial Responsibility
• Supervisory/managerial responsibility is not applicable
Knowledge, Skills & Abilities
Education, Licensure or Certification:
• High school diploma or equivalent required
• CPhT or EXCPT certification required
Work Experience or Related Experience:
• Minimum of six (6) months of pharmacy technician experience.
• Experience with pharmacy claims adjudication is required.
Specialized Knowledge, Skills & Abilities:
• PBM or billing platform experience preferred
• Proficient in Microsoft Office Suite, especially Excel, Word, Outlook, and Access
• Comfortable navigating multiple software systems, including pharmacy dispensing and PBM platforms
• Excellent verbal and written communication skills
• Ability to learn proprietary systems used for claims management and facility tracking.
Equipment
• Working knowledge of a PC, business and communications software (MS Office) and web-based tools are required
Travel Requirements and Conditions
• Travel is not required
Work Environment, Conditions and Demands
• Work is generally performed in a climate-controlled, smoke-free office environment.
Physical Requirements and Demands
• May sit, stand, walk, stoop, or bend intermittently throughout the day.
• May be required to sit for extended periods (7-10 hours/day).
• Occasional lifting of up to 25 pounds may be required.
• Requires manual dexterity to operate office equipment.
• Visual acuity to read fine print and digital screens; must be able to hear and respond to verbal communication.
Additional Position Information
• No additional information is applicable
Pharmacy Claims Adjudication Specialist
Claims adjuster job in Scottsdale, AZ
We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Scottsdale, AZ. This will be a Full-Time position. This is a remote hybrid opportunity, after onsite training period. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Starting salary from $23.00 an hour and up Sign-On Bonus: $5,000 for employees starting before January 1, 2026. We offer a variety of benefits including:
Medical; Dental; Vision
401k with a match
Paid Time Off and Paid Holidays
Tuition Reimbursement
Company paid benefits - life; and short and long-term disability
Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360...
Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information..
Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim.
Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays
Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible)
Manages all funding related adjudications and works as a liaison to Onco360 Advocate team.
Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment.
Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable.
Document and submit requests for Patient Refunds when appropriate.
Pharmacy Adjudication Specialist Qualifications and Responsibilities...
Education/Learning Experience
Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication
Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience
Work Experience
Required: 1+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
Skills/Knowledge
Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills
Desired: Knowledge of Foundation Funding, Specialty pharmacy experience
Licenses/Certifications
Required: Registration with Board of Pharmacy as required by state law
Desired: Certified Pharmacy Technician (PTCB)
Behavior Competencies
Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills
#Company Values: Teamwork, Respect, Integrity, Passion
Executive Claims Examiner- Executive Liability
Claims adjuster job in Scottsdale, AZ
What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.
Join us and play your part in something special!
This position will be an acknowledged technical expert and be responsible for the resolution of high complexity and high exposure Public Company D&O and Financial Institutions D&O and E&O claims. The position will have significant responsibility for decision making and work autonomously within their authority.
Job Duties:
* Confirms coverage of claims by reviewing policies and documents submitted in support of claims
* Analyzes coverage and communicates coverage positions
* Conducts, coordinates, and directs investigation into loss facts and extent of damages
* Directs and monitors assignments to experts and outside counsel
* Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
* Sets timely reserves within authority or makes claim recommendations concerning reserve changes to supervisor
* Negotiates and settles claims either directly or indirectly
* Prepares reports by collecting and summarizing information
* Adheres to Fair Claims Practices regulations and internal Claims Quality Performance Objectives
* Assists in training and mentoring of examiners
* Serves as technical resource to subordinates and others in the organization.
* Reviews and approves correspondence,s reports and authority requests as directed by supervisor
* Participates in special projects or assists other team members as requested
* Travel to meditations, trials, and conferences as required
Education
* Bachelor's degree or equivalent work experience
* JD , advanced degree, or focused technical degree a plus
Certification
* Must have or be eligible to receive claims adjuster license.
* Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU, RPLU) or
* I-Lead or other Management Training
Work Experience
* Public Company D&O, Financial Institutions D&O and E&O, Financial Advisors, and/or Management Liability Claims handling experience preferred.
* Minimum of 10 years of claims handling experience or equivalent combination of education and experience
Skill Sets
* Excellent written and oral communication skills
* Strong analytical and problem solving skills
* Strong organization and time management skills
* Ability to deliver outstanding customer service
* Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
* Ability to work in a team environment
* Strong desire for continuous improvement
US Work Authorization
US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.
Pay information:
The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary for the Executive Claims Specialist - Executive Liability is $97,520 - $134,090 with 25% bonus potential.
Who we are:
Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.
We're all about people | We win together | We strive for better
We enjoy the everyday | We think further
What's in it for you:
In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.
* We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life.
* All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.
* We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.
Are you ready to play your part?
Choose 'Apply Now' to fill out our short application, so that we can find out more about you.
Caution: Employment scams
Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that:
* All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings.
* All legitimate communications with Markel recruiters will come from Markel.com email addresses.
We would also ask that you please report any job employment scams related to Markel to ***********************.
Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.
Should you require any accommodation through the application process, please send an e-mail to the ***********************.
No agencies please.
Auto-ApplyHomeowners Property Claims Specialist
Claims adjuster job in Scottsdale, AZ
The Claims department within IAT has an immediate opening for a Homeowner's Claims Specialist that can be located in one of the following locations:
Raleigh, North Carolina
Scottsdale, Arizona
Alpharetta, Georgia
Spring, Texas
Virginia Beach, Virginia
Omaha, Nebraska
This role works a hybrid schedule from an IAT Office in Scottsdale, AZ, or Alpharetta, GA, or Raleigh, NC, or Spring, Texas or Virginia Beach, Virginia, or Omaha, NE. The hybrid schedule reflects our values (thinking and acting like an owner, collaboration, and teamwork) as it requires working from the office with colleagues and other disciplines Monday through Wednesday, with the option of working Thursday and Friday remotely.
Responsibilities:
Handles claims, moderate to severe in scope, relative to homeowner's property based on Claim Guidelines.
Perform CAT duty as needed that will require occasionally working weekend hours, overnight hours, holiday hours (Federal and religious), etc.
Follows standard practices and procedures in analyzing situations or data where answers can be readily obtained.
Verifies/analyzes applicable coverage for the reported loss.
Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file.
Investigates each claim by gathering information, conducting interviews, taking statements, conducting website research as needed, reviewing and analyzing reports and related bills.
Identifies and addresses subrogation/contribution/SIU opportunities.
Sets accurate/timely loss/expense reserves in compliance with Claim Guidelines.
Evaluates, negotiates, and authorizes settlements with all stakeholders within designated authority.
Selects, directs and manages Vendors/Counsel including approval of defense budgets.
Negotiates directly with claimants and claimant attorneys upon receipt of critical information.
Drafts correspondence, including but not limited to, coverage letters to stakeholders as required.
Maintains resident/nonresident adjuster licenses as required.
Works on problems of limited scope.
Follows standard practices and procedures in analyzing situations or data from which answers can be readily obtained.
Perform other duties as needed
Qualifications: Must-Have:
HS degree/GED with 5+ years of relevant claims experience.
Must be able to understand fire loss.
Must be able to identify and investigate subrogation potential of a claims.
Must have the ability draft appropriate and professional correspondence.
Must have good estimating skills and be proficient with Xactimate.
Must have or be able to obtain licensure as required by respective state(s).
Excellent oral and written communication skills.
Ability to analyze date, utilize sound judgment to draw conclusion and make supported decisions.
Knowledge of various property insurance coverages and forms.
To qualify, applicants must be authorized to work in the United States and must not require VISA sponsorship, now or in the future, for employment purposes.
Preferred to Have:
Associate/Bachelors Degree
CPCU and other insurance related studies
Field adjusting experience
Proficiency Cotality platform
Our Culture IAT is the largest private, family-owned property and casualty insurer in the U.S. I
nsurance
A
nswers
T
ogether
is how we define IAT, in letter and in spirit. We work together to provide solutions for people and businesses. We collaborate internally and with our partners to provide the best possible insurance and surety options for our customers.
At IAT, we're committed to driving and building an open and supportive culture for all. Our employees propel IAT forward - driving innovation, stable partnerships and growth. That's why we continue to build an engaging workplace culture to attract and retain the best talent.
We offer comprehensive benefits like:
26 PTO Days (Entry Level) + 12 Company Holidays = 38 Paid Days Off
7% 401(k) Company Match and additional Profit Sharing
Hybrid work environment
Numerous training and development opportunities to assist you in furthering your career
Healthcare and Wellness Programs
Opportunity to earn performance-based bonuses
College Loan Assistance Support Plan
Educational Assistance Program
Mentorship Program
Dress for Your Day Policy
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We maintain a drug-free workplace and participate in E-Verify.
US Retail Markets Claims Specialist Development Program-(January, June 2026)
Claims adjuster job in Chandler, AZ
Description Advance your career at Liberty Mutual - A Fortune 100 Company! Manages, investigates and resolves claims assigned and assists in providing service to policyholders. Responsibilities:
Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels.
Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation.
Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports.
Ensures adequacy of reserves.
Accountable for security of financial processing of claims, as well as security information contained in claims files.
Makes effective use of loss management techniques. Negotiates settlements with attorneys, claimants, and/or co-defendants. Arranges for expert inspections involving third party or potential fraud actions as needed.
Updates files and provides comprehensive reports as required
Qualifications Qualifications:
Strong written and oral communications skills required.
Good interpersonal, analytical, investigative, and negotiation skills required.
Customer service experience preferred.
Basic knowledge of legal liability, general insurance policy coverage and State Tort Law.
Bachelor's degree is required.
Ability to obtain proper licensing as required.
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Auto-ApplyAuto Adjuster
Claims adjuster job in Phoenix, AZ
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
As a dedicated Auto Adjuster you will proactively handle the complete end to end claims process. Taking statements, policy and coverages, determination of liability and complete services needed.
Within defined guidelines and framework, responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations. Accountable for delivering best in class service, through setting appropriate expectations, proactive communications, advice, and compassion.
We offer a flexible work environment that requires an individual to be in the office 3 days per week, after completing 6 months in office. This position is based in the Phoenix, AZ location. Relocation assistance is not available for this position.
What you'll do:
Investigates liability and applies appropriate coverage, evaluates, negotiates, and settles moderately complex auto claims.
Negotiates liability for comparative negligence (claimant or adverse carrier).
Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit (SIU) referrals, when appropriate.
Interacts with multiple parties to gather information needed to determine liability (police reports, recorded statements, witness statements).
Resolves claims through proactive problem solving and decision making, within authority guidelines and under moderate supervision, overcoming obstacles, and effectively prioritizing the workload.
Clearly documents thought process including damage evaluation, investigation, negotiation, and settlement decisions
Collaborates and sets expectations with external and internal business partners to facilitate claims resolution.
Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.
Applies developing knowledge of P&C insurance industry products, services, to include P&C insurance policy contracts, coverages and internal claims handling process and procedures.
Applies intermediate knowledge of Auto Physical Damage to adjust claims.
Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
May be assigned CAT deployment travel with minimal notice during designated CATs.
Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
High School Diploma or General Equivalency Diploma.
1 year of customer service experience.
Progressive experience handling low complexity auto non injury liability claims.
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
Developing knowledge and understanding of auto claims contracts as well as application of case law and state laws and regulations.
Demonstrated negotiation, investigation, communication, and conflict resolution skills.
Proficient in prioritizing and multi-tasking, including navigating through multiple business applications.
Successful completion of a job-related assessment may be required.
What sets you apart:
One or more years of auto liability claims experience managing claims from initial contact through resolution
Minimum one year of experience managing a pending inventory with demonstrated organization and prioritization skills
At least two years of customer service experience, demonstrating strong communication and problem-solving skills
Proven experience with comparative negligence and shared liability determinations
Strong analytical and communication skills with the ability to interpret policy language, assess coverages, and make sound decisions
Proficiency with Guidewire or similar claims management systems
Bachelor's degree or industry designation (e.g., AIC, CPCU)
Military experience through service or as a military spouse
Compensation range: The salary range for this position is: $51,370 - $86,680.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Casualty Claims Adjuster Tier II
Claims adjuster job in Scottsdale, AZ
Company Details
Berkley One is a modern insurance provider for a modern generation of affluence. We serve clients who live dynamic, adventurous lives and expect their insurance experience to match. Our mission is to deliver highly personalized risk and claims management through a blend of expert independent agents, cutting-edge digital tools, and the strength of the Berkley brand.
Why Join Us?
At Berkley One, you'll be part of a forward-thinking team that's reimagining personal insurance. We're building solutions that are as sophisticated and agile as the clients we serve-individuals and families who value innovation, simplicity, and exceptional service. You'll collaborate with passionate professionals, leverage modern technology, and help shape the future of our industry.
What We Value
A client-first mindset with a passion for delivering exceptional experiences
Curiosity, creativity, and a drive to challenge the status quo
Collaboration across disciplines to build smarter, more intuitive solutions
Integrity, expertise, and a commitment to excellence
Join us in creating a new standard in personal insurance-where protection meets possibility.
#LI-AV1 #LI-HYBRID
This role will be based in our Phoenix, AZ or Wilmington, DE office. We offer a hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.
The Company is an equal employment opportunity employer.
Responsibilities
This Auto/Multi-Line Claims Adjuster is a key contributor to the Berkley One brand. The position requires Property, Liability, Injury and Auto Physical Damage claim technical, organizational and time management skills, along with self-direction and exceptional customer service. The Multi-Line Claims Adjuster is responsible for quality, timely handling and resolution of moderately complex claims in a professional manner.
What you can expect:
Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
Internal mobility opportunities
Visibility to senior leaders and partnership with cross functional teams
Opportunity to impact change
Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education
We'll count on you to:
Handle first and third-party personal lines auto and homeowners, liability, first party medical/PIP, third party BI and auto physical damage claims of moderate complexity as assigned
Appropriately manage claims through coverage analysis, investigation, reserving and resolution
Identify and address coverage issues, complete investigation to determine cause & exposure, set timely reserves and develop detailed action plans
Negotiate and convey claim settlements within authority limits
Establish validity of claims submitted for payment through coverage research and contact with policyholders, claimants and outside parties
Research and locate additional information and documentation to investigate, evaluate and properly resolve claims
Write denial letters, Reservation of Rights and other correspondence
Maintain an effective diary system and document claim file activities in accordance with established procedures
Pro-actively manage file inventory to ensure timely resolution of cases
Deliver exceptional customer service to meet the needs of the insured, agent and all internal and external customers
Perform administrative functions such as expense accounts and time off reporting as required
Qualifications
Capable of participating on CAT duty when needed
Broad knowledge of the auto liability claim handling process
Agile learner who can quickly absorb information and apply it to current business situations.
Minimum 2 years of experience handling auto liability insurance claims with an emphasis in working with High Net Worth customers and experience with automated claims systems
Incredible empathy and understanding of the needs of customers, both insureds and their agents alike. You will be an excellent, pro-active advocate for Berkley One customers and are passionate about their brand experience
Exceptional oral and written communication skills. Your communication style is flexible to the situation. You communicate clearly and with a purpose
Calm under pressure. You have excellent organizational and negotiation skills, integrity, and great follow-through on tasks. You are comfortable challenging norms while working collaboratively with colleagues at all levels of the organization
You have a strong sense of accountability, fun and adventure
Natural curiosity. You love learning how things work and you are always looking for innovative improvements
Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role
Auto-ApplyComplex Liability Adjuster
Claims adjuster job in Scottsdale, AZ
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.
Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!
Benefits:
We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer!
Competitive compensation
Healthcare benefits package that begins on first day of employment
401K retirement plan with company match
Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
Up to 6 weeks of parental and bonding leave
Hybrid work schedule (3 days in the office, 2 days from home)
Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
Tuition reimbursement after 6 months of employment
Numerous opportunities for continued training and career advancement
And much more!
Responsibilities
Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Liability Adjuster, where you'll play a crucial role in managing Complex commercial general liability claims with precision and expertise.
Key Responsibilities:
Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments.
Review and analyze evidence, reports, and medical records to establish damages and reserves.
Process payments efficiently, ensuring timely resolution of claims.
Interview insureds, claimants, and witnesses to gather essential information and build strong cases.
Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively.
Qualifications
Juris Doctor (JD) degree preferred or Bachelor's degree with prior experience adjusting liability claims and a proven track record in litigation.
Licensing: Active TX All Lines License, or willingness to obtain one at company's expense.
Exceptional written and verbal communication skills.
Strong organizational and computer skills.
Excellent time management skills with the ability to prioritize tasks effectively.
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