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Claims Adjuster remote jobs

- 595 jobs
  • Experienced Claims Specialist

    Geico 4.1company rating

    Remote job

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. What Makes This Opportunity Exciting? Are you a seasoned professional with a track record in insurance claims? As an Experienced Claims Specialist at GEICO, you'll leverage your expertise to manage cases and contribute to your team's success. You'll be at the heart of our commitment to outstanding customer service. You'll manage multiple steps impacting the claims life cycle, providing guidance, support, and solutions to policyholders during times of uncertainty. Your expertise and compassion will make a meaningful impact on their lives while contributing to GEICO's reputation for excellence. Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures. Customer Service: Communicate professionally and empathetically with customers, addressing concerns and questions about their claims. Investigation: Conduct thorough investigations to determine the extent of coverage and assess any potential fraud. Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Workplace Flexibility: After completing a comprehensive 5-month in-office training and orientation, transition to a hybrid work model with the best of both worlds-spend 80% of your time in the office and 20% working remotely. Plus, take advantage of the GEICO Flex Program, which offers up to four additional weeks of remote work annually for even greater flexibility. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Access to GEICO Strive Program, providing associates with tuition assistance and access to high-quality education to advance their career. Incentives and Recognition: Pay Transparency: The starting salary for an Experienced Claims Specialist is between $31.62 per hour / $63,714 annually and $33.11 per hour / $66,736 annually. Sign-On Bonuses: $1,500 for active Florida All-Lines Adjuster License (6-20). Evening Shift Differentials: Earn a +10% pay differential for eligible shifts. Weekend Shift Differentials: Earn a +20% pay differential for eligible shifts. Additional Perks: Health & Wellness: Comprehensive healthcare and well-being support available on Day 1. 401(k) Match: From day one, you'll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your account each paycheck and vesting immediately. What We're Looking For: A passion for providing outstanding customer service. Strong interpersonal, communication, and problem-solving skills. Adaptability and attention to detail in a dynamic environment. 2+ years of prior claims experience in the insurance industry. Active Florida All-Lines Adjuster License (6-20) required. High School Diploma required, College degree (2-4 year) preferred. Ability to prioritize and multi-task, while navigating through multiple business applications. Computer proficiency, including familiarity with Microsoft Office Suite. Flexibility to work evenings, weekends, and holidays as needed. #geico600 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $63.7k-66.7k yearly Auto-Apply 2d ago
  • Workers Comp Claims Oversight Specialist

    Samuel Hale 4.6company rating

    Remote job

    Join Our Dynamic Team as a Workers' Comp Claims Oversight Specialist! Claims Oversight Specialist Job Type: Full-time Exempt Salary: $71,000 - $95,000 Who We Are: EmployInsure LLC delivers Engineered Employment Products designed to eliminate gaps from antiquated practices and enable Frictionless Employment for customers across the employment value chain. Our Mission is to inspire and redefine the relationship between industry and individual by transparently connecting all buyers and sellers of talent to create maximum value . Our diverse team is powered by forward-thinkers, innovators, and rapid problem-solvers. We are committed to making a significant impact to scale the company. We believe in fostering a collaborative and inclusive work environment where every voice is heard and valued. EmployInsure is the parent company of its brands; Samuel Hale and Evoove, in exclusive partnership with the PACT. To learn more about us and our family of companies, check out our websites! Home - Samuel Hale - California Workers' Comp Fraud Savings Evoove | Centralized Staffing Solutions The PACT Life - Welcome to The PACT Our Core Values: Entrepreneurial Spirit: A mindset that involves seeking out change, taking risks, and pursuing new opportunities. Quest for a Deeper Understanding: A true professional never stops getting better at their craft. They practice and measure, and debate over their understanding of the truth, embodying a growth mindset. The Stockdale Paradox: We confront the brutal honesty of our current reality while always maintaining an unwavering faith in our ability to overcome all challenges that get in our way. We have toughness, determination, and passionate belief! Job Description: We seek to hire an experienced Claims Oversight Specialist to join our claims oversight team. The ideal candidate will have experience in California workers' compensation, denying, settling, or authorizing payments to workers' comp claims. In this role, you will be responsible for corresponding with policyholders, claimants, witnesses, attorneys, etc., to gather important information to support contested claims. Investigating claims and compiling reports within the given timeframe after receipt of the first injury report Preparing and delivering claims updates and reviews to internal stakeholders and clients Strategically handle investigations and tactically tackle issues Requesting records as required Notifying the employer of his or her claim determination based on findings Collecting and evaluating claims and authorizing payments Keeping in contact with the injured worker and the medical professionals concerning the status of the injury and plans for treatment Contacting the claimant's employers or doctors for additional information if the claim is questionable Assessing settlement decisions and opportunities Being present at mediations, either by phone or in person Ensuring that injured workers are taken care of appropriately and on time Basic Qualifications: 2+ years of direct workers' comp claims experience 1+ years of California workers' comp experience Good time management skills Adequate knowledge of relevant regulations Skilled customer service skills and attention to detail Demonstrated experience investigating workers' comp claims Excellent customer support Extensive claim review experience Prior claim settlement experience Insurance claims management software experience and technical proficiency We Offer a Best-in-Class Professional Benefits Package to Support our Employees: Comprehensive premium Healthcare Coverage: Medical, dental, and vision plans: Employees 100% covered by the company. Low deductibles for spouse/partner and dependents Generous Paid Time Off: Unlimited paid time off policy and paid holidays Profit Sharing Plan: Share in the success of the company Retirement Savings Plans: 401(k) with 5% company match to help you secure your financial future Lifetime pension plan: Vest into our pension plan for a lifetime income Wellness Support: Access to wellness programs, mental health resources, financial counseling, legal support, and employee assistance programs. Professional Growth Opportunities: Learning resources to help you thrive. Death Benefits: Company-paid to protect you and your loved ones. Flexible Work Options: Hybrid or remote work arrangements (where applicable). Exclusive Perks: Employee discounts, commuter benefits, and more. Join us and experience a benefits package designed to empower your well-being, career growth, and personal goals! Samuel Hale is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. Samuel Hale is an E-Verify company. For more information, please review our Participation and Your Right to Work. California Privacy Notice for Job Applicants If you are a California resident, we collect and use the personal information you provide in your application for recruiting, hiring, and compliance purposes in accordance with the CCPA/CPRA. We do not sell or share applicant personal information as those terms are defined by law. For details about what we collect, how we use it, and your privacy rights, please review our California Applicant & Employee Privacy Notice at ********************************* or contact us at ****************************.
    $71k-95k yearly 2d ago
  • Property Adjuster Specialist - Desk - Offers Remote Work Flexibility (PHOENIX)

    Usaa 4.7company rating

    Remote job

    Why USAA? Be one of the first applicants, read the complete overview of the role below, then send your application for consideration. 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 Property Adjuster Specialist , you will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes coverage, recognize liability exposure and negotiate equitable settlements in compliance with all state regulatory requirements. This is an hourly, non-exempt position with paid overtime available. This is a Desk-based/Non-inspect role for the Pacific & Mountain Time Zone (Including the state of Arizona). This role is remote eligible for candidates located or willing to self-relocate to Pacific or Mountain Time Zone continental U.S. with occasional business travel. However, individuals residing within a 60-mile radius of a USAA office will be expected to work on-site 3 days per week. What you'll do: Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance. Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics. Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing information involving complex policy terms and contingencies. Determines and negotiates complex claims settlement within authority limits. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes. Maintains accurate, thorough, and current claim file documentation throughout the claims process. Advance knowledge of estimating technology platforms and virtual inspection tools. Utilizes platforms and tools to prepare claims estimates to manage complex property insurance 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. Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience. Adjusts complex claims with attorney involvement. Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations. May require travel to resolve claims, attend training, and conduct in-person inspections. 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 required. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages. Advanced knowledge of estimating losses using Xactimate or similar tools and platforms. Proficient knowledge of residential construction. Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations. Proficient negotiation, investigation, communication, and conflict resolution skills. Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills. Ability to travel 50-75% of the year (local & non-local) and/or work catastrophe duty when needed. Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts. What sets you apart: US military experience through military service or a military spouse/domestic partner 5 years of prior experience handling higher severity/complex losses (i.e. vandalism, malicious mischief, foreclosures, earth movement, collapse, liability, etc.) Prior experience adjusting property claims using virtual technologies Prior property adjuster experience handling DWG, APS and ALE adjustments Industry designations such as AINS, CPCU, AIC, SCLA (or actively pursuing) Xactimate Level 1 and/or Level 2 certification Experience handling Property Mitigation Prior deployments in support of catastrophes Currently hold an active Adjuster License Currently reside or willing to self-relocate to Pacific or Mountain Time Zone (Including the state of Arizona) Physical Demand Requirements: May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces. May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid drivers license. May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car. May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics. Compensation range: The salary range for this position is: $69,920.00 - $133,620.00. 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 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. xevrcyc Remote working/work at home options are available for this role.
    $41k-48k yearly est. 21h ago
  • Experienced CA WC Adjuster - Remote - Multi-Industry (Trucking, Staffing, Valet)

    Ccmsi 4.0company rating

    Remote job

    Overview Workers' Compensation Claim Consultant (CA Jurisdiction Only) - Remote Salary: $77,000-$87,000 annually Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Experience Required: 5+ Years (Litigated & Some Complex Claims) 🚨 Please Note This is not an HR, risk management, or consulting position. This is an experienced California Workers' Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered. Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We're seeking an experienced Workers' Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries. This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI's best practice standards. You'll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Conduct timely 3-point contact per CCMSI best practices. Investigate, evaluate, and adjust California workers' compensation claims with independence and sound judgment. Establish, maintain, and justify detailed reserve levels. Administer indemnity and award payments in accordance with CA jurisdictional requirements. Negotiate settlements consistent with corporate standards, client instructions, and state law. Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met. Pursue subrogation recovery as applicable. Prepare claim status reports, reserve analyses, and updates for client meetings. Conduct claim reviews with clients and participate in discussions as needed. Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle. Ensure all documentation meets CCMSI best practice requirements. Qualifications Qualifications - Required 5+ years of California WC adjusting experience, including litigated files and some complex exposure. Adjuster designation required. Strong working knowledge of California WC laws, timelines, benefits, and litigation processes. Proficiency with Microsoft Office (Word, Excel, Outlook). Excellent written and verbal communication skills, critical thinking, and decision-making ability. Nice to Have SIP certification preferred. Strong documentation habits per CCMSI best practices. Experience presenting or conducting client reviews. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Work Environment & Travel Remote role reporting to the Irvine, CA branch. Occasional travel to the office may be required for rare mandatory in-office meetings. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompJobs #CaliforniaAdjuster #RemoteJobs #ClaimsConsultant #InsuranceCareers #AdjusterLife #NowHiring #LI-Remote
    $77k-87k yearly Auto-Apply 31d ago
  • Professional Liability Adjuster (Fully Remote)

    Bridge Specialty Group

    Remote job

    Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. This is a remote work from home opportunity. Summit Risk Services is seeking a Professional Liability Adjuster, Attorney and /or JD required, to join our growing team! The Professional Liability Adjuster is responsible for evaluating coverage, managing claims, and overseeing defense strategies to ensure fair and cost-effective resolutions. This role involves interpreting policy language, assigning and supervising defense counsel, attending mediations, and providing high-quality claims handling in collaboration with an experienced legal and claims professional. How You Will Contribute: Reviewing various insurance policies; determine whether the carrier has a duty to provide a defense and/or indemnification to the insured; prepare coverage correspondence, if there is a duty to defend, assign approved defense counsel. Oversee the work of defense counsel who will report generally in 90-day intervals. Attend mediations. Determine the most cost-effective way to effectuate resolution of the claims. You will be working with and reporting to someone with 27 years legal and claims experience. Some travel required. Skills & Experience to Be Successful: Juris Doctorate degree (JD) from an accredited U.S. law school and licensed to practice law. Excellent verbal and written communication skills required. Excellent time management skills needed. Must have strong organizational skills and ability to multi-task. Excellent PC skills with working knowledge of Microsoft Office suite. About Us: Our group is a Claims Management Third Party Administrator Specializing in Professional Liability Claims Management. We are publicly traded on NYSE and our team includes lawyers who serve as Claim Management Specialists for various insurance companies in the United States. Pay Range $100,000 - $105,000 Annual The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role. Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. The Power To Be Yourself As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
    $100k-105k yearly Auto-Apply 60d+ ago
  • Remote Bilingual/Spanish PIP Adjuster

    Responsive Auto Insurance Company

    Remote job

    Full-time Description Description Department: Claims Schedule: Monday to Friday; flexibility for additional hours as needed. Salary: $60,000 - $75,000; negotiable About Responsive Founded in 2007 and headquartered in Plantation, Florida, Responsive is a leading provider of personal auto insurance in Florida. We collaborate with thousands of agents from the most respected insurance agencies to deliver world-class service and claims experiences. Responsive stands for making auto insurance simple, affordable, and hassle-free; a promise we deliver through innovation, feedback, and a commitment to excellence. Why Join Responsive? At Responsive, we're committed to supporting our team with comprehensive benefits and a positive work environment, including: Employer-Paid Healthcare: Medical, dental, and vision plans with free preventative care. Retirement Savings: 401(k) with company match. Wellness Programs: Mental health support and wellness initiatives. Career Development: Training and growth opportunities in a collaborative environment. What You Will Do As a Bilingual PIP Adjuster, you'll work closely with customers, attorneys, medical providers, other insurance carriers, and vendors in resolving coverage, and liability from start to finish. You'll plan and schedule work needed to process claims, interview claimants and witnesses, investigate claims, negotiate to reach a fair and equitable settlement of the PIP exposure, and identify situations where claims may require special investigation. You'll maintain strong relationships with customers while resolving auto injury claims efficiently. You'll perform the duties below, along with other work as assigned. Investigate, evaluate, and settle insurance claims (e.g., establish coverage and qualification for injured parties; negotiate claims with providers to reach a fair and equitable settlement of the PIP exposure). Maintain a well-organized and accurate diary to ensure timeliness in handling claims as well as detailed, accurate, and timely records. Write clear and accurate responses in response to demands, requests, or questions. Display courtesy, accuracy, and uniformity when interacting with others (on the phone, in person). Be familiar with tools such as ISO, TLO, & other public sites such as buycrash.com, MDCC, BCC, FDHSMV, and Google Maps. Continuously develop knowledge and expertise (e.g., keep current on job-relevant laws, regulations, trends, and emerging issues). Conduct activities in compliance with applicable Federal & State laws, and company regulations and guidelines. Requirements At least 2 years PIP Adjuster experience with Automobile Property Damage Claims to operate in the state of Florida Licensed Adjuster - All Lines required (FL 620 license) Bi-lingual (English/Spanish) required Bachelor's degree preferred Demonstrated ability to develop and maintain relationships with others Oral communication skills, especially active listening Written communication skills Well organized Strong analytical, problem-solving, and critical thinking skills Demonstrated experiences in a production environment where time management, workload prioritization, case management, recordkeeping and documentation, accountability, and follow-up are key priorities Team player Curious (e.g., ability to identify the right questions to ask customers) Self-motivated Openness to feedback and a strong desire to learn Proficiency with software programs such as Word and Outlook Responsive provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, or domestic partner status.
    $60k-75k yearly 60d+ ago
  • Liability Claims Adjuster

    Porch Group 4.6company rating

    Remote job

    Porch Group is a leading vertical software and insurance platform and is positioned to be the best partner to help homebuyers move, maintain, and fully protect their homes. We offer differentiated products and services, with homeowners insurance at the center of this relationship. We differentiate and look to win in the massive and growing homeowners insurance opportunity by 1) providing the best services for homebuyers, 2) led by advantaged underwriting in insurance, 3) to protect the whole home. As a leader in the home services software-as-a-service (“SaaS”) space, we've built deep relationships with approximately 30 thousand companies that are key to the home-buying transaction, such as home inspectors, mortgage companies, and title companies. In 2020, Porch Group rang the Nasdaq bell and began trading under the ticker symbol PRCH. We are looking to build a truly great company and are JUST GETTING STARTED. Job Title: Liability Claims Examiner Location: United States Workplace Type: Remote Homeowners of America is a provider of Personal Lines Insurance products. We're always looking to add talented and passionate people to our team. We value the knowledge that comes from experienced individuals with diverse backgrounds and strengths that can contribute to the various departments within our company. Our shared values are no jerks, no egos, be ambitious, solve each problem, care deeply and together we win. Summary The Liability Claims Examiner is responsible for managing complex and litigated 3rd party claims arising under homeowners' insurance policies. This role involves investigating losses, evaluating coverage, assessing liability exposures, and directing litigation strategies to achieve fair and timely resolution of claims. The examiner will work closely with insureds, claimants, field adjusters, defense counsel, experts, and internal stakeholders ensuring compliance with company guidelines and regulatory requirements while mitigating risk and controlling costs. Liability Claims Examiners are responsible for requesting payments, documenting files, and preparing and issuing claim payment letters or denial letters when appropriate. What you Will Do As A Liability Claims Examiner Responsibilities: May include any or all the following. Other duties may be assigned. Investigate and Evaluate Claims: Review policy language, coverage issues, and liability exposures. Analyze incident reports, statements, expert opinions, and other evidence to determine liability and damages. Handles claims from all types of policies, including homeowners, dwelling fire, tenant, condo, and renters. Confers with legal counsel on claims involving coverage, legal, or complex matters Effectively manage difficult or emotional customer situations Litigation Management: Direct and oversee defense counsel in litigated matters, including strategy development, budgeting, and case progression. Attend mediations, settlement conferences, and trials as needed. Evaluate litigation reports and provide recommendations for resolution. Negotiation and Settlement: Negotiate settlements within authority limits to achieve equitable outcomes. Collaborate with legal counsel to resolve complex coverage and liability disputes. Financial Oversight: Establish and adjust reserves based on claim developments and litigation exposure. Monitor litigation costs and ensure adherence to budget guidelines. Seeking out and utilizing top vendors that build quality, increase efficiency, and reduce cost Communication and Documentation: Maintain accurate and detailed claim files, including litigation plans and correspondence. Communicate effectively with insureds, claimants, attorneys, and internal teams. Enters claims payments when applicable and maintains clean, concise, and accurate file documentation Manages correspondence and communication with various parties involved in the claim Draft and prepare letters and other correspondence related to the claim Compliance and Best Practices: Ensure adherence to claims handling guidelines, regulatory requirements, and ethical standards. Identify opportunities for process improvement and cost containment. Take on assignments and duties as requested by the management team What you Will Bring As A Liability Claims Examiner Bachelor's degree or equivalent experience Minimum 5+ years of liability claims experience, with a strong focus on litigated 3rd party claims Appropriate state adjuster license and continuing education credits In-depth knowledge of homeowners liability and med pay coverage, policy language, and litigation processes Strong negotiation, analytical, and decision-making skills Excellent written and verbal communication skills Ability to manage multiple complex cases and meet deadlines in a fast-paced environment Proficiency in claims management systems and Microsoft Office suite (Outlook, Word, Excel, PowerPoint) Works with integrity and ethics Exceptional customer service skills Effectively manages difficult or emotional customer situations Ability to read, write, and interpret routine correspondence, policies, and reports Makes decisions and completes activities in a confident and timely manner Follows Claims Handling Guidelines, policies and procedures Maintains confidentiality Works independently, with the ability to assess workload and plan accordingly to meet competing deadlines Cultivates environment of teamwork and collaboration Comprehensive and up-to-date knowledge of General Liability and P&C insurance, contractual policy language requirements and the implications of that language as it pertains to denial of claims Demonstrated commitment to continuing education in the industry through licensing or designations applicable to property and liability insurance field is preferred. Certificates, Licenses, Registrations Appropriate state adjuster license and continuing education credits. The application window for this position is anticipated to close in 2 weeks (10 business days) from December 17th, 2025. Please know this may change based on business and interviewing needs. At this time, Porch Group does not consider applicants from the following states for remote positions: Alaska, Arkansas, Delaware, Hawaii, Iowa, Maine, Mississippi, Montana, New Hampshire, and West Virginia. What You Will Get As A Porch Group Team Member Pay Range*: Annually$67,500.00 - $94,500.00 *Please know your actual pay at Porch will reflect a number of factors among which are your work experience and skillsets, job-related knowledge, alignment with market and our Porch employees, as well as your geographic location. Our benefits package will provide you with comprehensive coverage for your health, life, and financial wellbeing. Our traditional healthcare benefits include three (3) Medical plan options, two (2) Dental plan options, and a Vision plan from which to choose. Critical Illness, Hospital Indemnity and Accident plans are offered on a voluntary basis. We offer pre-tax savings options including a partially employer funded Health Savings Account and employee Flexible Savings Accounts including healthcare, dependent care, and transportation savings options. We provide company paid Basic Life and AD&D, Short and Long-Term Disability benefits. We also offer Voluntary Life and AD&D plans. Both traditional and Roth 401(k) plans are available with a discretionary employer match. Headspace is part of our employer paid wellbeing program and provides employees and their families access to on demand guided meditation and mindfulness exercises, mental health coaching, clinical care and online access to confidential resources including will preparation. Brio Health is another employer paid wellbeing tool that offers quarterly wellness challenges and prizes. LifeBalance is a free resource to employees and their families for year-round discounts on things like gym memberships, travel, appliances, movies, pet insurance and more. Our wellness programs include flexible paid vacation, company-paid holidays of typically nine per year, paid sick time, paid parental leave, identity theft program, travel assistance, and fitness and other discounts programs. #LI-JS1 #LI-Remote What's next? Submit your application and our Porch Group Talent Acquisition team will be reviewing your application shortly! If your resume gets us intrigued, we will look to connect with you for a chat to learn more about your background, and then possibly invite you to have virtual interviews. What's important to call out is that we want to make sure not only that you're the right person for us, but also that we're the right next step for you, so come prepared with all the questions you have! Porch is committed to building an inclusive culture of belonging that not only embraces the diversity of our people but also reflects the diversity of the communities in which we work and the customers we serve. We know that the happiest and highest performing teams include people with diverse perspectives that encourage new ways of solving problems, so we strive to attract and develop talent from all backgrounds and create workplaces where everyone feels seen, heard and empowered to bring their full, authentic selves to work. Porch is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected veteran status, or any other characteristic protected by applicable laws, regulations, and ordinances. Porch Group is an E-Verify employer. E-Verify is a web-based system that allows an employer to determine an employee's eligibility to work in the US using information reported on an employee's Form I-9. The E-Verify system confirms eligibility with both the Social Security Administration (SSA) and Department of Homeland Security (DHS). For more information, please go to the USCIS E-Verify website.
    $67.5k-94.5k yearly Auto-Apply 11d ago
  • Claims Adjuster - Associate

    Independence Pet Group

    Remote job

    Established in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America. We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands. PetPartners, a subsidiary of IPH, is an ensemble of seasoned industry experts who are working to strip away all the complexities that don't add real value to pet insurance coverage. We're delivering solutions that make it easy for employers to offer this sought-after benefit in a way that's painless and worry-free - a truly one-of-a-kind approach to pet insurance. Job Summary: PetPartners is seeking a Claims Adjuster- Associate who will report to the Supervisor, Claims. The Claims Adjuster- Associate is responsible for investigating, evaluating, and settling insurance claims. This role also determines policy coverage for the claimed loss and appropriate compensation amount. Job Location: Remote- USA Main Responsibilities: Works closely with veterinary hospitals, and policyholders to evaluate and review a pet's medical history to determine a baseline of health. Investigates and processes assigned insurance claims, verifies coverage, and compensation amounts, per insurance policy. Updates Explanation of Benefits (EOB), pays and closes claim. May order medical records from providers. May communicate with clients and providers during treatment. Performs other duties and responsibilities as assigned. Basic Qualifications: 1 year relevant experience working in a veterinary clinic Education: Must meet one of the following requirements: Associate's Degree or equivalent work experience (One-year relevant experience is equivalent to one year college); or Certified Veterinary Technician (CVT) Registered Veterinary Technician (RVT) Licenses/Certifications Must have and maintain Adjusters license or must obtain within 90 days of hire Only United States residents will be considered for this role Expected Hours of Work: This is a full-time position: Days and hours to be determined by needs of business. Hours to be determined between employee and director. #li-Remote #PPI All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following: Comprehensive full medical, dental and vision Insurance Basic Life Insurance at no cost to the employee Company paid short-term and long-term disability 12 weeks of 100% paid Parental Leave Health Savings Account (HSA) Flexible Spending Accounts (FSA) Retirement savings plan Personal Paid Time Off Paid holidays and company-wide Wellness Day off Paid time off to volunteer at nonprofit organizations Pet friendly office environment Commuter Benefits Group Pet Insurance On the job training and skills development Employee Assistance Program (EAP)
    $45k-57k yearly est. Auto-Apply 41d ago
  • Claims Adjuster

    Fetch Pet Insurance

    Remote job

    Fetch Pet Insurance, a tech-enabled pet wellness company, has consistently been an innovative leader in the pet insurance industry, offering the most extensive and all-inclusive pet insurance and health advice. Put simply, Fetch makes vet bills affordable. We offer a comprehensive product that does not have any restrictions based on breed, age, or size. We are believers in helping pets get through their bad days but also focus on extending the good days. How do we do that? - through a wide portfolio of products + offerings, which include Fetch Health Forecast, our pet health and lifestyle blog, The Dig, and our partnerships with Project Street Vet and animal no-kill shelters across North America. Our business is growing and we are looking for compassionate professionals that want to join a team that works hard and celebrates success! You will have an opportunity to hone your skills and develop new skills as you learn the ins-and-outs of Fetch pet insurance and support our pet parents. Your success is our success! RESPONSIBILITIES. Adjudicate assigned claims in accordance with the Terms & Conditions of the individual pet's policy Review medical records, lab results, invoices, and claims forms for complete and thorough assessment Process claims determinations to include assessment and payment for submitted claims Verify claims coverage through in-depth knowledge of policy Terms & Conditions Consult with treating veterinary practices regarding medical records evaluation and necessary documentation Maintain an average quality assurance score above department minimums Complete assigned tasks within compliance deadlines Maintain an average productivity rate above department minimums Provide feedback on process opportunities to further strengthen SOPs REQUIRED SKILLS. Comprehensive understanding of disease processes and veterinary medical terminology Ability to read and interpret veterinary medical records and invoices Ability to identify chronic and acute medical conditions Adapt quickly in a fast-paced, ever-changing environment and operate multiple computer systems simultaneously Work independently in a remote capacity, while also fostering teamwork and collaborating with others Superior communication skills for collaboration with team members and support from managers Demonstrated problem solving skills and ability to work through complex medical/vet-related scenarios affecting a pet's diagnosis and/or treatment plan QUALIFICATIONS. Minimum of five years experience as a veterinary technician Bachelor's degree in veterinary science OR CVT or equivalent preferred Property and Casualty Adjuster license in good standing preferred Complete and pass state adjuster licensing Be reliable with good attendance Able to work a minimum of 42 hours per week, with occasional weekends and extra hours as needed WORK-FROM-HOME SET-UP. Subscription to reliable high-speed internet connection (minimum of 100 Mbps download and 30 Mbps upload speed) A quiet, dedicated place to work in your home that is not easily disrupted by background noises or distractions Office workspace must be large enough to accommodate two 19” dual monitors, laptop, mouse, keyboard, and headset Ability to set up and connect (with instructions and remote IT team assistance) equipment that is shipped to your home -ABOUT FETCH- Fetch is a high-growth, Warburg-Pincus portfolio company. We are a passionate group of 200+ employees and partners across the U.S. and Canada dedicated to helping pets live their best lives. We have two offices (New York City, NY, and Winnipeg, Canada), and we currently provide security to over 360,000 pet parents. We don't just accept differences - we celebrate it, we support it, and we thrive on it for the benefit of our employees, our products, and our community. We are proud to be an equal opportunity employer. We recruit, hire, pay, grow and promote no matter of gender, race, color, sexual orientation, religion, age, protected veteran status, physical and mental abilities, or any other identities protected by law.
    $51k-66k yearly est. 60d+ ago
  • Claims Representative

    Berkley 4.3company rating

    Remote job

    Company Details Berkley Small Business Solutions (BSB) is committed to providing small business customers with the next generation of small business solutions, including offering operational, underwriting, and marketing opportunities. We offer insurance products to Small Business Owners for transportation and other main street businesses. We leverage underwriting expertise, data, and analytics, and automation for risk assessment, selection, pricing retention. We champion our customers, distribution always seeking a smarter way to provide a more efficient and better user experience. We are a proud member of W. R. Berkley Corporation, one of the largest commercial lines property casualty insurance holding companies in the United States. With the resources of a large Fortune 500 corporation and the flexibility of a small company, we exclusively work with select independent agents to bring technology solutions that help them build their business. Responsibilities The position is responsible for handling low-complexity claims involving physical damage, property damage, total loss, fuel spills, medical payments, and cargo damage resulting from commercial auto claims. This position will work closely with insureds and stakeholders to ensure timely and accurate claims resolution and provide exceptional customer service. Customer Service Act with urgency in establishing initial and subsequent contact with all parties and key stakeholders. Update appropriate parties as needed, providing new facts as they become available and explaining impact of those facts upon the liability analysis and settlement options. Collaborate with vendors to ensure timely appraisal and evaluation of damages. Coverage Analyze coverage by applying policy information to facts or allegations of each loss. Communicate coverage decisions to insured and stakeholders and update coverage analysis as new facts warrant it. Ensure compliance with jurisdictional requirements, including timeliness of communicating coverage disposition. Data Integrity Maintain discipline in securing and updating information throughout the life of the claim. Ensure data is complete and comply with statutory requirements for reporting. Reserving Establish and maintain appropriate initial, subsequent loss, and expense reserves. Ensure supporting rationale for each reserve is documented within the electronic claim file. Act with urgency in collaborating with internal stakeholders regarding significant changes within claim reserving. Investigation Directly investigate each claim through prompt and strategic contact with appropriate parties including policyholders, witnesses, claimants, law enforcement agencies, agents, medical providers, and technical experts to determine the extent of liability, damages, and contribution potential. Interview witnesses and stakeholders. Take recorded and/or written statements when appropriate. Evaluate all claims for recovery potential. Directly handle recovery efforts and/or engage and direct Company resources for recovery efforts. Evaluation and Resolution Utilize diary management system to ensure all claims are handled timely and in compliance with jurisdictional requirements and Company guidelines. Collaborate with external vendors, e.g., appraisers and independent adjusters. Manage total loss claims process including vehicle appraisal procedures, diminished value, vendor networks, subrogation demands, salvage procedures and heavy equipment appraisals. May perform other functions as assigned. Remote work arrangements may be considered for qualified candidates who are open to travel as needed. Qualifications 1+ years of casualty claim handling experience; trucking experience preferred. Excellent interpersonal and communication skills. Strong problem-solving and organizational skills. Computer proficiency, including working knowledge of Microsoft Office products. Previous experience in customer service role, or a related field, is preferred but not required. Willingness to learn and expand knowledge. Position will require that Claims Representative obtain independent adjuster's licenses for all states that have requirement, including but not limited to: AL, CT, GA, FL, ME, MS, NY, NC, SC, TN, TX. Licenses must be obtained within 90 days of hire and require course work, testing, and background checks that may include fingerprinting Education College degree preferred or equivalent work experience. Additional Company Details **************************** The Company is an equal employment opportunity employer 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. • Salary Range: 75k - 90k • Eligible for annual discretionary bonus • Benefits: Health, Dental, Annual Bonus Potential, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. 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.
    $37k-50k yearly est. Auto-Apply 60d+ ago
  • 1099 Adjuster Apply Here!

    Capstone ISG 3.7company rating

    Remote job

    Requirements 2+ years handling property insurance claims required Candidate must have an active Xactimate account Can handle partial and full assignments Commercial and personal lines experience preferred A qualified candidate must have their own transportation, equipment and software Good writing and technology skills
    $43k-61k yearly est. 60d+ ago
  • Risk Adjustment Revenue Cycle Analysis and Solutions

    Anewhealth

    Remote job

    AnewHealth is one of the nation's leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs-wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details This position performs highly technical and specialized functions for Capstone. In addition to reviewing & analyzing coding documentation from medical records, the Client Services Liaison also coordinates the “care” of the client. The primary function of this position is to promote retention, growth, and satisfaction through coordinated communication with the client. Responsibilities Completes quarterly assessment for assigned panel with input from all Capstone departments, including but not limited to coding, auditing, & quality assurance. Assesses client needs based on structured assessments every quarter. Coordinates all Capstone services to the clients in the assigned panel via quarterly plans including client visits, conference calls, surveys, etc. Develops and strengthens risk adjustment client relationships in defined assignment panel. Works with CVHC Account Management team and Capstone internal team to coordinate new client onboarding. Monitor client needs and recommend additional services and/or improvements to current services, when appropriate. Responsible for ensuring customer satisfaction by resolving issues quickly and creatively. Assist the client with navigating and optimizing the use of service offerings and reports. Provide additional training and education to the clients (other than quarterly review) via webinar. Including additional audit reviews, CPS reports, CDI, etc. as identified. Provides support and assistance to other Capstone teams in relationship to assigned client panel. Develops and maintains master schedules for all clients in assigned client panel. Participates in internal interdisciplinary calls regarding clients in assigned client panel. Maintains professional license and certifications (where applicable) and attends training conferences/webinars as necessary to keep abreast of latest trends in the field of expertise. Reviews bulletins, newsletters, and periodicals, and attends workshops to stay abreast of current issues, trends, and changes in the laws and regulations governing medical ICD-10 CM coding and documentation. Understands and adheres to The Health Insurance Portability and Accountability Act (HIPPA) requirements. Participates as requested in department meetings, client calls, and annual performance evaluation. Performs other duties and responsibilities as required. Completes miscellaneous projects for Capstone as assigned or requested. This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts, or working conditions associated with the position. While this description is intended to be an accurate reflection of the current position, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (e.g., emergencies, change in personnel, workload, rush jobs, or technological developments). Qualifications These represent the desired qualifications of the ideal candidate. They are not meant to limit consideration for candidates who do not meet all the standards listed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required: Associate Degree; Preferred: B.S, B.A., or B.S.N Required: Minimum three years of experience providing clinical documentation Improvement training. Required: Minimum three years of experience in Hierarchical Condition Categories (HCC) or risk adjustment. Preferred: Knowledge of or experience in Risk Adjusted contracting or provider groups. Preferred: Experience with Risk Adjustment Analytics strongly preferred. Skills & Abilities Proficient with MS Word, Excel, PowerPoint, and Comfortable with learning and becoming an expert on new and proprietary software. Highly skilled in written and verbal communication. Highly skilled at establishing priorities and coordinating work activities. Excellent presentation skills Skilled at performing multiple and complex tasks. Have exceptional initiative and follow-through on projects with minimal supervision or guidance. Must be detail oriented, follow instructions, and work independently with minimal supervision with highly confidential information per HIPAA regulations. Comfortable working in a fast paced, rapidly changing environment. Physical Demands Requires manual and finger dexterity and eye-hand coordination to use computer and office equipment and the ability to lift/carry up to 30 pounds using appropriate body mechanics. Must be able to sit for extended periods of time at a computer. Must be able to communicate verbally and in writing. Must be able to handle a multitude of projects simultaneously, work well under pressure, meet deadlines and maintain confidential and sensitive information. Must be an independent thinker who is willing to take on extra responsibility and work independently with little supervision. Must be able to work well with others, at many levels and of many backgrounds. Schedule This is a remote position. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel Overnight travel may be required for meetings and on-site client visits. AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire . AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.
    $58k-84k yearly est. Auto-Apply 52d ago
  • Loss Adjuster, AgCentric

    R t Specialty, LLC 3.9company rating

    Remote job

    The Loss Adjuster plays a critical role in AgCentric's claims operations by conducting field inspections, evaluating crop damage, and determining accurate indemnity payments in accordance with MPCI program guidelines. This position requires strong agricultural knowledge, attention to detail, and a thorough understanding of RMA procedures and compliance standards. What will your job entail? Job Responsibilities Conduct field inspections to assess crop damage and verify loss conditions in accordance with RMA and MPCI program standards Collect and document relevant data including planting records, production history, and physical evidence of loss Complete and submit accurate claim documentation within required timeframes, ensuring compliance with federal and carrier guidelines Communicate professionally with policyholders and agents to explain findings, gather information, and resolve discrepancies Utilize approved adjusting tools and software to calculate indemnities and finalize claims Maintain current knowledge of crop types, farming practices, and regional agricultural conditions relevant to assigned territories Participate in ongoing training and continuing education to maintain adjuster proficiency and licensing requirements Collaborate with claims leadership and QA personnel during periodic evaluations and reviews, including participation in TPER and TPEP processes Adhere to company policies and ethical standards while representing AgCentric in the field Other loss adjusting duties and projects as assigned Work Experience and Education Bachelor's degree preferred 2+ years of progressive experience working with crop insurance claims Licenses & Certifications CAPP - Crop Adjuster Proficiency Program accreditation required Valid driver's license Technical/Functional Skills MPCI loss adjustment procedures and guidelines Field inspection and crop damage assessment Crop appraisal methodologies and documentation Policyholder and agent communication Use of adjusting software and mobile inspection tools Regulatory compliance with RMA and carrier standards Knowledge of regional crop types and farming practices Measurement techniques and evidence collection Data Analysis & Reporting Behavioral Skills: Effective communication Interpersonal skills Attention to detail Decision making Problem-solving Continuous learning Ryan Specialty is an Equal Opportunity Employer. We are committed to building and sustaining a diverse workforce throughout the organization. Our vision is an inclusive and equitable workplace where all employees are valued for and evaluated on their performance and contributions. Differences in race, creed, color, religious beliefs, physical or mental capabilities, gender identity or expression, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we provide our clients, trading partners, and communities. This policy extends to all aspects of our employment practices, including but not limited to, recruiting, hiring, discipline, firing, promoting, transferring, compensation, benefits, training, leaves of absence, and other terms, conditions, and benefits of employment. How We Support Our Teammates Ryan Specialty seeks to offer our employees a comprehensive and best-in-class benefits package that helps them - and their family members - achieve their physical, financial, and emotional well-being goals. In addition to paid time off for company holidays, vacation, sick and personal days, Ryan offers paid parental leave, mental health services and more. The target salary range for this position is $71,225.00 - $82,500.00 annually. The wage range for this role considers many factors, such as training, transferable skills, work experience, licensure and certification, business needs, and market demands. The pay range is subject to change and may be modified in the future. Full-time roles are eligible for bonuses and benefits. For additional information on Ryan Specialty Total Rewards, visit our website ***************************** We provide individuals with disabilities reasonable accommodations to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment in accordance with applicable law. Please contact us to request an accommodation at ************* The above is intended to describe this job's general requirements. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
    $71.2k-82.5k yearly Auto-Apply 58d ago
  • Claims Representative

    The Strickland Group 3.7company rating

    Remote job

    Join Our Team as a Claims Representative! Are you passionate about helping others, building relationships, and making a meaningful impact? We're looking for driven individuals to join our dynamic team as Claims Representative, where you'll receive top-tier training, mentorship, and unlimited income potential. NOW HIRING: ✅ Licensed Life & Health Agents ✅ Unlicensed Individuals (We'll guide you through the licensing process!) We're looking for motivated individuals who want to grow into leadership roles or create a rewarding part-time income stream. Is This You? ✔ Passionate about helping clients find financial security? ✔ Willing to invest in yourself and your professional growth? ✔ Self-motivated, disciplined, and eager to succeed? ✔ Coachable and ready to learn from top industry professionals? ✔ Interested in a business that is recession- and pandemic-proof? If you answered YES, keep reading! What We Offer: 💼 Flexible Work Environment - Work remotely, full-time or part-time, on your own schedule. 💰 Unlimited Earning Potential - Part-time: $40,000-$60,000+/month | Full-time: $70,000-$150,000+++/month. 📞 Warm Leads Provided - No cold calling; you'll assist clients who have already requested help. ❌ No Sales Quotas, No High-Pressure Tactics. 🧑 🏫 Comprehensive Training & Mentorship - Learn from top-performing professionals. 🎯 Daily Pay - Get paid directly by the insurance carriers you work with. 🎁 Bonuses & Incentives - Earn commissions starting at 80% (most carriers) + salary 🏆 Leadership & Growth Opportunities - Build your own agency (if desired). 🏥 Health Insurance Available for qualified agents. 🚀 Start a meaningful career where you help clients secure their futures while securing your own. 👉 Apply today and take the first step toward success! ( Your success depends on effort, skill, and commitment to training and sales systems. )
    $30k-38k yearly est. Auto-Apply 60d+ ago
  • Liability Adjuster II

    TWAY Trustway Services

    Remote job

    JOIN THE ASSURANCEAMERICA TEAM Do you want to be part of an organization where you are valued, and your ideas and opinions have an impact? Join the AssuranceAmerica team. For more than 25 years, AssuranceAmerica has provided superior property and casualty insurance products through contracted independent agents and directly to customers. Our team succeeds through diversity of thought, experiences, skills, and backgrounds. Liability Adjuster II The Liability Adjuster II is responsible for managing a caseload of complex liability and coverage claims, including those involving minor bodily injuries. This role requires the execution of thorough investigations to gather all necessary facts, along with a strong understanding of policy language to ensure accurate and timely coverage and liability determinations. While working with a degree of autonomy, the Adjuster will collaborate with their supervisor for guidance on more nuanced or high-exposure cases. About the ROLE Each day at AssuranceAmerica is different, but as a Liability Adjuster II you will: Conduct thorough investigations and evaluations of coverage, liability, and damages across all lines of personal automobile insurance/. Accurately assess exposure and evaluate injury claims in a fair, consistent, and equitable manner based on the facts and extent of damages. Negotiate timely and appropriate settlements, ensuring all required documentation is obtained to support proper claim resolution and closure. Manage low-complexity, attorney-represented injury claims with sound judgement and attention detail, maintaining compliance with internal guidelines and industry standards. 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 three years of experience handling auto claims. Minimum of two years of experience handling complex liability and coverage issues and unrepresented bodily injury cases. 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. About US We are direct, results-driven, and dedicated to the success of our business and each other. We are a diverse group of thinkers and doers. We offer many opportunities to grow in your professional skills and career. We fight homelessness by directing 5% of our earnings from each policy we sell to organizations that help those in need. We call it our Generous Policy. WHAT WE OFFER AssuranceAmerica provides these benefits to Associates: Premium healthcare plans: All full-time Associates and part-time Associates working a regular schedule of 30 hours, or more, are eligible for benefits including Medical, Dental, Vision, Voluntary Life, Flexible Spending Accounts, and a Health Savings Account. Employer Paid Benefits: We enroll all eligible Associates in Group Life and AD&D Insurance, Short- and Long-Term Disability Plans, Employee Assistance Program, Travel Assist, and the Benefit Resource Card which includes Teladoc™, Pet Insurance and Health Advocate. Additional Benefits: 401(k) Employer Match: We want to help you prepare for the future, now. All full-time and part-time Associates over age 21 are eligible to participate in the 401(k) Savings Plan. AssuranceAmerica will match 100% of the first 4% of an Associate's contributions. Engagement Events. We make time for fun activities that strengthen Associate relationships in all our locations. Annual Learning Credit: Want to learn something new? We'll reimburse you for approved educational assistance. Time Off: Paid Time Off (PTO), Parental Leave Pay, Volunteer Time Off (VTO), Bereavement Pay, Military Leave Pay, and Jury Duty Pay.
    $41k-58k yearly est. Auto-Apply 38d ago
  • Aviation Desk Adjuster

    Claim Assist Solutions

    Remote job

    Parker Loss Consultants, LLC To know more, visit us at ************************************* We are seeking a highly motivated Aviation Desk Adjuster to join our team. This position will be responsible for handling aviation-related claims remotely or from a desk environment. The ideal candidate will have strong knowledge of aviation policies, claims management, and technical expertise in assessing damages or losses related to aircraft accidents, repairs, or general aviation incidents. Key Responsibilities: Claims Handling: Review, investigate, and process aviation insurance claims for various types of incidents, including accidents, equipment damage, and liability claims. Claim Evaluation: Assess the validity of claims based on policy terms, including coverage limits, exclusions, and deductibles. Damage Assessment: Analyze aircraft damage reports, repair estimates, and adjust payouts accordingly, coordinating with adjusters, repair shops, and other stakeholders. Coordination: Work closely with underwriters, claims adjusters, and other departments to ensure a smooth and accurate claims process. Documentation: Maintain thorough records of all claims, communication, and decision-making processes. Customer Communication: Effectively communicate with policyholders, legal representatives, and contractors to gather required information and resolve disputes. Compliance: Ensure that all claims are processed in compliance with aviation insurance laws and regulations. Reporting: Provide detailed reports on claim status and updates to senior management. Continuous Learning: Stay up-to-date with industry standards, regulatory changes, and technological advancements in aviation insurance. Qualifications: Education: Bachelor's degree in Insurance, Aviation Management, or a related field (preferred). Experience: Minimum of 3-5 years of experience as a desk adjuster, with a focus on aviation claims (or related experience). Technical Expertise: Strong knowledge of aviation terminology, aircraft types, and industry-specific regulations. Certifications: Relevant certifications such as AIC (Associate in Claims) or other insurance-related qualifications are a plus. Skills: Strong analytical and problem-solving skills Excellent written and verbal communication Ability to work independently and prioritize tasks effectively Proficiency in claims management software (e.g., Xactimate, Guidewire, or similar) Proficient with MS Office Suite (Excel, Word, Outlook) Preferred Attributes: Familiarity with both general aviation and commercial aviation claims. Knowledge of FAA regulations, aircraft repair processes, and aviation safety protocols. Experience with international aviation claims or multi-jurisdictional policies.
    $41k-58k yearly est. Auto-Apply 60d+ ago
  • MULTI-LINE ADJUSTER - CALIFORNIA / San Diego Area

    Property Claim Professionals

    Remote job

    A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters in your area. There are many competing vendors in our marketplace, but we are not your typical “vendor”. Our company was built by insurance company claims executives to support insurance companies' claim operations to help them meet their organizations goal of providing quality claims solutions at a reasonable cost. We excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Position Summary: A national independent insurance adjusting firm has immediate openings for Multi-Line Claims adjusters that possess the ability to work remotely and have the experience to handle both property and liability claims. The candidate must possess the ability to adjust commercial and residential property losses and must also have a working knowledge of how to determine negligence and assess damages. The candidate should be able to perform all tasks with modest supervision. The candidate must possess the ability to understand coverage, how to investigate a variety of property and negligence claims, how to value and estimate property damage as well as the ability to evaluate Bodily Injury damages for settlement. Requirements: Minimum 5 years first-party commercial and/or residential property and liability adjusting experience Maintain own current estimating software; Xactimate preferred Working computer; internet access and Microsoft Word required Must demonstrate strong time management and customer service skills Ability to take recorded statements in the field or with legal representatives Experience in preparing Statements of Loss, Proofs of Loss, and denial letters State adjuster's license where required Must have valid driver's license Knowledge and Skills: In-depth knowledge of property and liability insurance coverage and industry standards Prepare full captioned reports by collecting and summarizing information required by client Strong verbal and written communications skills Prompt, reliable, and friendly service Must submit to background check; void in states where prohibited Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations Responsibilities: Completes residential and commercial field property inspections utilizing Xactimate software and general liability field investigations to determine negligence and damages Investigate claims by obtaining recorded statements from insureds, claimants or witnesses; by interviewing fire, police or other governmental officials as well as inspecting claimed damages Recommend claim reserves based on investigation, through well supported reserve report Obtain and interpret official reports Review applicable coverage forms and endorsement, providing thorough analysis of coverage and any coverage issues in well documented initial captioned report to client Maintain acceptable product quality through compliance with established Best Practices of client Preferred but Not Required: College Degree AIC, or other professional designations All candidates must pass a full background check
    $51k-69k yearly est. Auto-Apply 60d+ ago
  • Remote - Claims Adjuster - Automotive

    Reynolds and Reynolds Company 4.3company rating

    Remote job

    ":"* This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. You will take inbound calls to determine coverage based on contracts in order to appropriately resolve customer issues. Responsibilities will include, but are not limited to: -\tAnswering inbound calls -\tProvide information about claim processing and explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS' system A home office package will be provided for this position. This includes two computer monitors, a laptop, keyboard and mouse. ","job_category":"Customer Service","job_state":"AZ","job_title":"Remote - Claims Adjuster - Automotive","date":"2025-12-18","zip":"85001","position_type":"Full-Time","salary_max":"55,000. 00","salary_min":"50,000. 00","requirements":"2+ years of experience as an automotive mechanic within a service department, dealership, or independent shop~^~2+ years of experience adjusting automobile mechanical claims~^~ASE certification is a plus~^~Must have a quiet designated work space to work from home~^~Must have reliable internet with at least a download speed of 50mbps~^~Must be able to work effectively under pressure in a fast paced environment~^~Strong communication skills~^~Strong organizational and multi-tasking skills~^~High school diploma","training":"On the job","benefits":"We strive to offer an environment that provides our associates with the right balance between work and family. We offer a comprehensive benefits package including: - Medical, dental, vision, life insurance, and a health savings account - 401(k) with up to 6% matching - Professional development and training - Promotion from within - Paid vacation and sick days - Eight paid holidays - Referral bonuses Reynolds and Reynolds promotes a healthy lifestyle by providing a non-smoking environment. Reynolds and Reynolds is an equal opportunity employer. ","
    $36k-43k yearly est. 60d+ ago
  • Commercial Casualty Litigation Adjuster (Remote)

    Aaaie

    Remote job

    External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Commercial Casualty Litigation Adjuster (Remote) Requisition Number R7516 Commercial Casualty Litigation Adjuster (Remote) (Open) Location Colorado - Home Teleworkers Additional Locations Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 19 more} Job Information We're Mobilitas, a commercial insurance company created by CSAA Insurance. Our mission is to reinvent commercial insurance in the mobility space by providing technologically advanced solutions for today's way of doing business. At Mobilitas, we believe in what's possible, we use our inventive skills to create new opportunities - we're not chasing the status quo, we're chasing a shared vision. We're looking for motivated, innovative individuals who think big, move fast and are dedicated to creating a company from the ground up, without the constraints of a traditional insurance company. We're excited to push the boundaries of commercial insurance and are looking for enthusiastic team members to help us reimagine insurance. We are actively hiring for a Commercial Casualty Litigation Adjuster! Your Role: As a Commercial Casualty Litigation Adjuster, you will be assigned as owning adjuster when injury exposures are identified. Claims will include catastrophic injuries, fatalities, and litigation. In this role, you will be responsible for management of the claim through conclusion, including trial, of litigated claims. May own claims within other specialized lines of business or during catastrophes. You will provide input and direction to defense counsel and be responsible for ultimate resolution through providing settlement authority and participating in negotiations with limited oversight. You will also be responsible for effective management of defense costs and indemnity. May handle first party non-liability-based injury claim (Medical Payment, PIP, Inland Marine, auto physical damage). Your Work: Assigned as owning adjuster when injury exposure is identified. Handles complex 1st and 3rd party auto liability cases involving injury, including complexity litigated cases with defense attorney involvement. May handle 1st party medical payment and PIP claims. Responsible for managing, investigating, and negotiating claims, including collaborating with defense counsel to identify strategy for negotiations. Provides input as the face of the organization via phone or in attendance on video or in-person at mediations and settlement conferences for litigation claims. Interacts directly with defense counsel providing direction, authority for resolution (i.e., settle or go to trial) and ensures appropriate outcome in balancing defense costs and indemnity on litigation claims. Making coverage determinations and advising customers as to proper course of action related to coverage issues. Conducting investigative work of a complex nature (interviewing witnesses; obtaining and analyzing evidence, including medical records; deciding whether an independent medical examination is warranted; etc.). Direct defense counsel in non-litigated or litigated claims. May require appearing at and representing the insureds at arbitrations and trials. May require testimony in a deposition setting. Evaluate defense counsel fees and cost for reasonableness and resolve. Evaluating potential for subrogation and initiating initial notice of subrogation request. Making final decisions to settle within settlement authority, without supervisory approval, and developing negotiating strategies. Presenting cases in Committee setting when seeking above settlement authority level; thereafter, independently negotiating and settling the claim. Will develop and present executive summaries on individual claims to external clients and internal executives in a virtual setting to gain alignment with client on next steps, and settlements. Handles most commercial product types including but not limited to auto, fleet, last mile delivery, and trucking. Will handle claims in most geographic venues. Handles claims involving any vehicle types that may include, but is not limited to auto, motorcycles, scooters, recreational vehicles, trucks, and remote-controlled delivery vehicles. Understands and handles claims in line with any applicable insurance program agreements, claim service level agreements. Plays a direct role in the development of other adjusters through mentorship, training, and coaching. Required Experience, Education, & Skills: 6+ years of claims experience. 3+ years of experience in a Casualty claims role within P&C insurance industry with a minimum of 1 year in a Sr. Casualty role or equivalent Complex Casualty / Litigation experience. BA/BS in business, insurance or related area, or equivalent combination of education and experience. Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of filling position as a condition of employment. What would make us excited about you? 6+ years of Casualty claims adjusters experience. 3+ years of experience in a Commercial claims role Bilingual a plus. Proficiency or ability to obtain proficiency in the handling of minor, moderate and complex litigated claims. Strong analytical, problem-solving, and organizational skills. Proficient in ability to work independently. Strong decision-making ability. Extensive understanding of statutory and regulatory requirements, and ability to develop proficiency in standards of civil procedure. Ability to travel and to work extended hours and/or weekends. Proficient oral and written communication skills and ability to organize and present complex facts to executive management. Strong math skills, basic computer skills and ability to type at least 30 words per minute. Mobilitas Careers At Mobilitas, we're proudly devoted to protecting our customers, our employees, our communities, and the world at large. We are on a climate journey to continue to do better for our people, our business, and our planet. Taking bold action and leading by example. We are citizens for a changing world, and we continually change to meet it. Join us if you… BELIEVE in a mission focused on building a community of service, rooted in inclusion and belonging. COMMIT to being there for our customers and employees. CREATE a sense of purpose that serves the greater good through innovation. Recognition: We offer a total compensation package, performance bonus, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at careers.mobilitasinsurance.com In most cases, you will have the opportunity to choose your preferred working location from the following options when you join us: remote, hybrid, or in-person. Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don't miss important updates from us. If a reasonable accommodation is needed to participate in the job application or interview process, please contact *************************** As part of our values, we are committed to supporting inclusion and diversity. We actively celebrate colleagues' different abilities, sexual orientation, ethnicity, and gender. Everyone is welcome and supported in their development at all stages in their journey with us. We are always recruiting, retaining, and promoting a diverse mix of colleagues who are representative of the U.S. workforce. The diversity of our team fosters a broad range of ideas and enables us to design and deliver a wide array of products to meet customers' evolving needs. Mobilitas is an equal opportunity employer. If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education. Must have authorization to work indefinitely in the US Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska. #LI-CH1 .
    $42k-57k yearly est. Auto-Apply 10d ago
  • Bodily Injury Adjuster

    Generali Global Assistance 4.4company rating

    Remote job

    Why work with us? The North American branch of Generali Global Assistance offers a diverse and inclusive work environment while employees work towards making real difference in the lives of our clients. As an Organization, we pride ourselves with offering white glove service while being mindful of corporate responsibility and our environmental footprint. Employees enjoy a plethora of benefits to include: A diverse, inclusive, professional work environment Flexible work schedules Company match on 401(k) Competitive Paid Time Off policy Generous Employer contribution for health, dental and vision insurance Company paid short term and long term disability insurance Paid Maternity and Paternity Leave Tuition reimbursement Company paid life insurance Employee Assistance program Wellness programs Fun employee and company events Discounts on travel insurance Who are we? Generali Global Assistance is proudly part of the Europ Assistance Group brand and our products utilize a number of corporate and product brands. The brands for our North American team include the following: CSA: US travel insurance brand for retail and lodging partners. Learn more here. Generali Global Assistance (GGA): The primary Corporate brand in the United States for our travel insurance, travel assistance, identity and cyber protection, and beneficiary companion products. Learn more here. GMMI: the industry standard for global medical cost containment and medical risk management solutions. Learn more here. Iris, Powered by Generali: identity and digital protection solution. Learn more here. Trip Mate: US travel insurance brand for tour operator, cruise and airline partners. Learn more here. What you ll be doing. Job Summary: The Liability Claims Adjuster will be reporting to the Supervisor, Liability Claims. This position is responsible for analyzing and processing insurance claims to determine the extent of the insurance carrier s liability in a manner that supports the mission, values, and standards of the Company. Primary responsibilities include efficient adjudication of insurance claims, both phone and written communication with insureds, claimants, attorneys, medical facilities, and others, as well as maintaining all state Department of Insurance regulations for claims files. Principal Duties and Responsibilities: Moderate to severe complexity third-party bodily injury and property damage claims. Responsible for the investigation and resolution of litigated and non-litigated claims. Document claims files with findings of investigation, evaluate liability, and negotiate settlements. Prepare releases of all interested parties, issue reservation of rights letters, and denials of liability. Prepare Large Loss reports on Claims involving severe injuries. Maintaining rapport and open communications with client. Requirements: 5+ years of multi-line claims handling at an insurer or TPA. 5+ years working in liability claims Experience with premises liability claims and injury evaluation. Prior experience handling complex bodily injury claims. Ideal candidate will have CPCU, AIC, SCLA or other industry related training or educational course work, a NYS claims adjuster license as well as other state adjusting licenses. Excellent verbal and written communication, investigation, organization, and analytical skills. An in-depth knowledge of commercial lines coverage and exposure as well as strong decision making, judgment and negotiating skills are needed. Experience working with files in litigation and effective communication skills are a must. Performs work under minimal supervision. Handles complex issues and problems and refers only the most complex issues to higher-level staff. Possesses comprehensive knowledge of subject matter. Provides coaching and/or mentoring to less experienced employees. Education/Certifications: High School Diploma or Equivalent (GED) required. 6+ years liability claims adjusting experience. Must have FL State Adjuster s License. Must secure and maintain a multi-state adjuster license. Where you ll be doing it. This is a hybrid role based out of our Pembroke Pines office. As a hybrid role, you will be working onsite 2-3 days a week and working from home 2-3 days a week. When you ll be doing it. While there is some flexibility in the hours, this position will be Monday-Friday during regular business hours (approximately 8:00am-5:00pm). Occasional overtime may be required according to business need. Apply today to begin your next chapter. Don t meet every single requirement? At Generali Global Assistance, we are dedicated to building a diverse, inclusive and enriching workplace, so if you re excited about this role but your past experience doesn t align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles. California Residents - Privacy Notice for California Residents Seeking Employment with Generali Global Assistance is available here: *************************************************************************************************** The Company is committed to providing equal employment opportunity in all our employment programs and decisions. Discrimination in employment on the basis of any classification protected under federal, state, or local law is a violation of our policy. Equal employment opportunity is provided to all employees and applicants for employment without regard age, race, color, religion, creed, sex, gender identity, gender expression, transgender status, pregnancy, childbirth, medical conditions related to pregnancy or childbirth, sexual orientation, national origin, ancestry, ethnicity, citizenship, genetic information, marital status, military status, HIV/AIDS status, mental or physical disability, use of a guide or support animal because of blindness, deafness, or physical handicap, or any other legally protected basis under applicable federal, state, or local law. This policy applies to all terms and conditions of employment, including, but not limited to, recruitment and hiring, classification, placement, promotion, termination, reductions in force, recall, transfer, leaves of absences, compensation, and training. Any employees with questions or concerns about equal employment opportunities in the workplace are encouraged to bring these issues to the attention of Human Resources. The Company will not allow any form of retaliation against individuals who raise issues of equal employment opportunity. All Company employees are responsible for complying with the Company s Equal Opportunity Policy. Every employee is to treat all other employees equally and fairly. Violations of this policy may subject an employee to disciplinary action, up to and including termination of employment.
    $45k-61k yearly est. 60d+ ago

Learn more about claims adjuster jobs

Top companies hiring claims adjusters for remote work

Most common employers for claims adjuster

RankCompanyAverage salaryHourly rateJob openings
1EMC Insurance$54,715$26.310
2The Jonus Group$51,821$24.91101
3Great West Casualty Company$51,327$24.6820
4Superior Plus Energy$51,018$24.530
5AmWINS Group$50,992$24.520
6CCMSI$50,953$24.5081
7Elephant Insurance$50,212$24.140
8Progressive$50,022$24.0571
9CareFirst BlueCross BlueShield$49,278$23.690
10American Family Insurance$49,199$23.6517

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