Michigan Homeowners Claim Representative II - AAA The Auto Club Group Reports to: Claim Manager IWhat you will do:
Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements, and establish clear evaluation and resolution plans for claims.
Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system.
Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss.
Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler.
Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.
Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
Evaluate the financial value of the loss.
Approve payments for the appropriate parties accordingly.
Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
Utilize strong negotiating skills.
Employees assigned to the Homeowner/CAT claim unit will handle claims generally valued between $5,000 and $25,000 (for the inside desk role) and up to $100,000 (for field role). Investigate claims requiring coverage analysis. When handling claims in the field, prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and update.
Supervisory Responsibilities:
None
How you will benefit:
A competitive annual salary between $64,000 - $72,000
ACG offers excellent and comprehensive benefits packages, including:
Medical, dental and vision benefits
401k Match
Paid parental leave and adoption assistance
Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
Paid volunteer day annually
Tuition assistance program, professional certification reimbursement program and other professional development opportunities
AAA Membership
Discounts, perks, and rewards and much more
We're looking for candidates who:Required Qualifications (these are the minimum requirements to qualify) Education:
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience in property adjusting
In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states
A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members.
Experience:
One year of experience or equivalent training in the following:
Negotiating claim settlements
Securing and evaluating evidence
Preparing manual and electronic estimates
Subrogation claims
Resolving coverage questions
Taking statements
Establishing clear evaluation and resolution plans for claims
Knowledge and Skills:
Advance knowledge of:
Essential Insurance Act (Michigan)
Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Intercompany arbitration
Knowledge of building construction and repair techniques
Ability to:
Handle claims to the line Claim Handling Standards
Follow and apply ACG Claim policies, procedures and guidelines
Work within assigned ACG Claim systems including basic PC software
Perform basic claim file review and investigations
Demonstrate effective communication skills (verbal and written)
Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
Analyze and solve problems while demonstrating sound decision making skills
Prioritize claim related functions
Process time sensitive data and information from multiple sources
Manage time, organize and plan workload and responsibilities
Research, analyze, and interpret subrogation laws in various states
Strong negotiating skills
Ability to work outside normal business hours as needed
Preferred Qualifications:
Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Xactimate software experience/training or experience in an equivalent software
Claimsadjuster experience specifically in home/property claims preferred
Experience working within a customer service setting
Call center experience or experience handling high volume calls preferred, but not required
Excellent communication skills both oral and written
Experience working within an insurance or claims-based role for one year or more
Full claims cycle experience preferred
Work Environment
This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.
And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit ***********
Important Note:
ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
$64k-72k yearly 2d ago
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Workers' Compensation Claims Adjuster - Temp
Argonaut Management Services, Inc.
Claims adjuster job in Wichita, KS
Argo Group International Holdings, Inc.and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.
Job Description
Business Title(s):Workers' Compensation ClaimsAdjuster
Employment Type:Contingent Worker
FLSA Status:Non-Exempt
Location:In-Officeor Remote
Summary:
Although Rockwood underwrites general liability insurance and workers' compensation for many types of businesses, ourspecialtyis underwriting workers' compensation insurance for the mining industry, with a focus on the coal-mining industry. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal. We have never been more committed to our clients to ensure their employees receive excellent medical care if they need it due to a work-related injury or illness. Our passion for outstanding customer focus, combined with our deep industry experience, is what sets up apart from other insurance carriers in this niche market.
We are looking for a highly capable Workers' Compensation ClaimsAdjuster to help us on a temporary assignment through13February2026 and work from anywhere in the continental United States.
If this assignment is filled in one of our following offices, the assignment can be considered temp-to-hire: Albany, Chicago, Los Angeles, New York,Omaha, Richmond (VA), Rockwood (PA), or Springfield (MO). This role willadjudicateindemnity workers' compensation claims of higher technical complexity for our customers in the states of CO, KS, KY, MD, MI, MO, MT, PA, UT, and WV. As this is a temporary assignment, only government-mandated benefits will be provided.
Essential Responsibilities:
Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Resolving issues that are generalized and typically notcomplex butrequire understanding of a broader set of issues.
Reporting to senior management and underwriters onclaimstrends and developments.
Investigating claims promptly and thoroughly.
Analyzing claims forms, policies and endorsements, client instructions, and other records todeterminewhether the loss falls within the policy coverage.
Investigating claims promptly and thoroughly, including interviewing all involved parties.
Managing claims in litigation.
Managing diarytimelyand complete tasks to ensure that cases move to the best financial outcome andtimelyresolution.
Properly setting claim reserves.
Identifying, assigning, and coordinating the assignment and coordination ofexpertiseresources toassistin case resolution.
Preparing reports for file documentation.
Applying creative solutions which result in the best financial outcome.
Negotiating settlements.
Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
Having an appreciation and passion for strong claim management.
Qualifications / Experience Required:
A practical knowledge ofadjudicatingworkers' compensation claims through:
A minimum of two years' experienceadjudicatingindemnity workers'compensation claimsin one or more of the followingjurisdictions: CO, KS, KY, MD, MI, MO, MT, PA, UT, and/or WV.
Bachelor'sdegree from an accredited universityrequired. Two or more insurance designations or fouradditionalyears of related experienceadjudicatingindemnity claims beyond the minimum experiencerequiredabove may be substituted in lieu of a degree.
Must be licensed in KY
Must have good business acumen (i.e.understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
A practical knowledge ofadjudicatingworkers' compensation claims through:
Must have excellent communication skills and the ability to build lasting relationships.
Exhibit natural curiosity
Desireto work in a fast-paced environment.
Excellent evaluation and strategic skillsrequired.
Strong claim negotiation skillsa must.
Mustpossessa strong customer focus.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
Must work independently anddemonstratethe ability to exercise sound judgment.
Demonstrates inner strength. Has the courage to do the right thing anddemonstratesit on a daily basis.
Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
Proficient in MS Office Suite and other business-related software.
Polished and professional written and verbal communication skills.
The ability to read and write English fluently isrequired.
Mustdemonstratea desire for continued professional development through continuing education and self-development opportunities.
The base salary range provided below is for hires in those geographic areas only and will becommensuratewith candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.
Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges:$37.66- $44.33per hour
California outside of Los Angeles and San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Houston metro area, New York State (including Westchester County)and Washington State Pay Ranges:$41.44- $48.79per hour
Los Angeles, New York City and San Francisco metro areas Pay Ranges:$45.12- $53.16per hour
About Working in Claims at Argo Group
Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions andtreateach case as the unique situation it is.
We have a very flat organizational structure, enabling our employeeshavemore interaction with our senior management team, especially when it relates to reviewing large losses.
Our entire claims team works in a collaborative nature to expeditiously resolve claims.We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.
PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at .
Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.
We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.
The collection of your personal information is subject to our HR Privacy Notice
Benefits and Compensation
We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
$37.7-44.3 hourly 1d ago
Manager, Medicare Claims
Blue Cross and Blue Shield of North Carolina 4.3
Claims adjuster job in Wichita, KS
The Manager, Medicare Claims, oversees end-to-end claims services for provider segments, meeting business goals. This role sets performance targets, manages claims processing and financials, handles submissions, refunds, and recoveries, and ensures claims accounting and reporting. Collaboration with claims leadership ensures alignment with customer needs and contracts.
What You'll Do
Streamline shared processing to reduce management by exception
Set operational process to address market trends, BCBSNC capabilities and customer demand
Manage accounting and financial reporting functions in support of the Finance Division including overseeing the gathering, preparation, analysis, and reconciliation of financial data to ensure compliance with accepted accounting principles and standards.
Participate in projects to improve and/or facilitate claims processing, recovery, and accounting functions.
Manage financial recovery activities including refunds and collections
Manage team leads and staff by efficiently driving work volume to keep high level of utilization and engagement in the group
Resolve complex claims appeal by coordinating with different stakeholders for certain high value claims
Collaborate with Audit and Payment Integrity to sustain a pre-determined level of accuracy and quality
Design and develop tools and techniques for improvements. Identifies needed process and procedural changes which will result in improved customer satisfaction.
Serve as Medicare Claims Subject Matter Expert and single point of contact for performance monitoring and troubleshooting.
Represent Claims Operations on monthly CMS calls with CMS Account manager answering questions, providing status updates and expertise routinely and on demand.
Ability to engage as requested by Compliance with regulatory entities, especially CMS on monthly calls and serve as an internal point of contact to prepare feedback on issues under CMS review.
Use good judgement in understanding issues and work with compliance to prepare for discussions.
Ability to represent claims as a knowledgeable SME.
What You Bring
Bachelor's degree or advanced degree (where required)
8+ years of experience in related field.
In lieu of degree, 10+ years of experience in related field.
Bonus Points
1-2 years of Medicare and Medicaid experience or a highly regulated operational environment - highly preferred
Strong analytical skills with the ability to drive change and manage operations
Ensure risks associated with business activities are effectively identified, measured, monitored and controlled within accordance with compliance policies and procedures
What You'll Get
The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community.
Work-life balance, flexibility, and the autonomy to do great work.
Medical, dental, and vision coverage along with numerous health and wellness programs.
Parental leave and support plus adoption and surrogacy assistance.
Career development programs and tuition reimbursement for continued education.
401k match including an annual company contribution
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
$98,092.00 - $156,947.00
Skills
Accounts Receivable (AR), Claims Analysis, Claims Management, Claims Processing, Claims Resolution, Claims Submission, Documentations, Financial Processing, Health Insurance, Insurance Claim Handling, Insurance Claims Processing, Insurance Industry, Medicare Advantage, People Management, Recruiting
$47k-74k yearly est. 20h ago
Claims Adjuster
Steadily
Claims adjuster job in Overland Park, KS
Employment Type: Full-time, In-Office Salary: $85,000-$105,000 base salary including meaningful equity.
Steadily is hiring an ClaimsAdjuster who is the very best at what they do. You'll be surrounded by team members who are the best at what they do, which will just make you even better. You'll be responsible for guiding our customers through the claims process with empathy, accuracy, and speed - making sure we create a fast, easy, and effortless experience.
This is a full-time, in-office position based in Overland Park, KS.
What You'll Do
You will learn the Steadily approach to claims handling, helping create a fast, easy, and effortless experience for our customers.
Establish new claims by taking customer's First Notice of Loss
Request appraisals, estimates, cause & origin reports, and various other reports to assist in the investigation of the claim
Communicate with customers using their preferred channel of communication (phone, text, email, mail)
Review estimates and reports and issue payments as owed under the policy contract
Adjustclaim files with extremely high quality, exceeding the expectations of internal/external auditor security, including ample documentation, regular diary entries, and quality application of coverage and compliance with all claims related laws and regulations
Write exterior estimates with high level of accuracy and attention to detail
If there is a catastrophe, you will be responsible for helping the entire team in an all-hands-on-deck approach
Assist in establishing new workflows, improve existing workflows, and build claims processes
Your Background
Experience: You must possess at least 2 years experience adjusting P&C Insurance claims. You must possess an adjuster license. You're a property claims savant. Experience in homeowners, condo, and landlord insurance is a plus. Xactimate experience preferred.
Nice to Have: You are also knowledgeable on 3rd party claims and 1st party litigation. AIC and/or ARM is a plus.
Communication: You possess superior verbal and written communication skills. You can communicate concisely and diplomatically, maintaining a calm demeanor and professional communication.
Insurance: Extensive knowledge of standard claims practices, estimating, claims processes, coverage application, subrogation, SIU and everything in between. Bonus if you have experience in subrogation, fraud investigation, or property damage estimating.
Digital: You have above average computer skills. You're great at independently learning new software quickly and are savvy using online resources.
Self-Driven: You thrive under intense pressure and can manage a large workload with minimal oversight. There is no task too small or beneath you; “that's not my job” is not in your mantra.
Hungry: You want to make the leap into an earlier-stage tech company to rapidly accelerate your growth. You want to roll up your sleeves and hustle - you are not looking for a traditional 9-5 job.
Project Management: As part of this role, you may be asked to assist in projects. Prior project experience is a plus.
Compensation and Benefits
Salary between $85,000 - $105,000
Equity in the company
3 weeks PTO plus six federal holidays
Health insurance including Medical, Dental, Vision, Life, Disability, HSA, FSA
401K
Free snacks & regular team lunches
This position will start in 1Q 2026
Locations
Overland Park, Kansas (Kansas City Metro)
Relocation assistance available for out of state candidates
Steadily is building a workplace environment of team members who are passionate and excited to be together in person. Our office is in Overland Park and is key to our fast-paced growth trajectory.
Why Join Steadily
Good company. Our founders have three successful startups under their belt and have recruited a stellar team to match.
Top compensation. We pay at the top of the Kansas City market (see comp).
Growth opportunity: We're an early-stage, fast-growing company where you'll wear a lot of hats and shape product decisions.
Strong backing. We're growing fast, we manage over $20 billion in risk, and we're exceptionally well-funded.
Culture: Steadily boasts a very unique culture that our teammates love. We call it like we see it and we're nothing if not candid. Plus, we love to have a good time. Check out our culture deck to learn what we're all about.
Awards: We've been recognized both locally and nationally as a top place to work. We were named a Top 2025 Startup in Newsweek, winner of Austin Business Journal's Best Places to Work in 2025, recognized in Investopedia's Best Landlord Insurance Companies, ranked No. 6 on Inc's list of Fastest Growing Regional Companies, 44th on Forbes' 2025 Best Startup Employers list, and 63rd on the prestigious Inc 5000 Fastest Growing Companies list.
We're excited to meet you!
$85k-105k yearly Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims adjuster job in Kearney, NE
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$45k-53k yearly est. Auto-Apply 36d ago
Claims Representative - Overland Park, KS
Federated Mutual Insurance Company 4.2
Claims adjuster job in Overland Park, KS
Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own.
Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values.
What Will You Do?
Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss.
No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients.
This is an in-office position that will work out of our Overland Park, KS office, located at 6130 Sprint Parkway, Ste 200 Overland Park, KS. A work from home option is not available.
Responsibilities
* Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way.
* Explain policy coverage to policyholders and third parties.
* Complete thorough investigations and document facts relating to claims.
* Determine the value of damaged items or accurately pay medical and wage loss benefits.
* Negotiate settlements with policyholders and third parties.
* Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars.
Minimum Qualifications
* Current pursuing, or have obtained a four-year degree
* Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields
* Ability to make confident decisions based on available information
* Strong analytical, computer, and time management skills
* Excellent written and verbal communication skills
* Leadership experience is a plus
Salary Range: $63,800 - $78,000
Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team.
What We Offer
We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You.
Employment Practices
All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization.
If California Resident, please review Federated's enhanced Privacy Policy.
$63.8k-78k yearly Auto-Apply 16d ago
Casualty Claims Adjuster
Go McPherson
Claims adjuster job in Kansas
Experienced claimsadjuster to adjust complex first and third-party claims involving injuries and other serious losses and claims.
ESSENTIAL DUTIES & RESPONSIBILITIES
· Investigate, evaluate, and conclude casualty claims of highly complex nature. Adjustment of losses in excess of $20,000 required.
· Aptitude for first and third-party claims. To include but not limited to injury, property damages, homeowners and general liability claims.
· Introductory understanding of negotiation and interaction with plaintiff counsel and defense counsel.
· Collaborate with teammates to effectively manage/coordinate complex casualty claims.
· Investigate and evaluate coverage issues.
· Consistently support company, departmental, and managerial decisions through positive interpretation, application and communication of company information and policies to fellow employees, agents, and customers.
· Assist in the training of claims personnel regarding casualty claimsadjusting.
· Perform special projects as assigned.
REQUIRED SKILLS & ABILITIES
· Must be coachable and learn from constructive criticism.
· Must have excellent verbal and written communication skills.
· Strong organizational skills required.
· Sound judgement and problem-solving skills required.
· Excellent computer skills required.
· Ability to read, analyze, and interpret general business reports, company manuals, technical procedures, or governmental regulations.
· Ability to write reports, business correspondence, and procedure manuals.
· Ability to effectively present information and respond to questions from managers, clients, customers, and the general public.
EDUCATION &/OR EXPERIENCE
· College Bachelor's degree preferred. Consideration will be given to applicants with an associate's degree and a minimum one year work experience in the property/casualty insurance industry, and who have demonstrated a desire to learn through the completion of various IIA/CPCU or other recognized industry courses.
· Continued learning through additional courses may be required by the Manager.
PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, reach with hands and arms to operate computer keyboard, talk and hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.
$45k-55k yearly est. 60d+ ago
Independent Insurance Claims Adjuster in Grand Island, Nebraska
Milehigh Adjusters Houston
Claims adjuster job in Grand Island, NE
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed ClaimsAdjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed ClaimsAdjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed ClaimsAdjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claimsadjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed ClaimsAdjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$44k-53k yearly est. Auto-Apply 60d+ ago
Workers Compensation Senior Claim Representative
Travelers Insurance Company 4.4
Claims adjuster job in Overland Park, KS
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$70,400.00 - $116,200.00
**Target Openings**
1
**What Is the Opportunity?**
Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues. The claim may involve minor sprains/ minor to moderate surgery. The Injured worker is working modified duty and receiving ongoing medical treatment. The injured worker has returned to work, reached Maximum Medical Improvement (MMI) and is receiving PPD benefits. File will close as soon as the PPD is paid out. Independently handles all assigned claims up to and including most complex where injured worker (IW) remains out of work and unlikely to return to position. Employer is unable to accommodate the restrictions. The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with permanent restrictions and job is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving moderate to complex offsets, permanent restrictions and/or fatalities. Claims on which a settlement should be considered.
**What Will You Do?**
+ Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability.
+ Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions.
+ Manage files with an emphasis on file quality (including timely contact and proper documentation and proactive resolution of outstanding issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical treatment in collaboration with internal nurse resources where appropriate.
+ Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation).
+ Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome
+ Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy.
+ Prepare necessary letters and state filings within statutory limits. Pursue all offset opportunities, including apportionment, contribution and subrogation.
+ Evaluate claims for potential fraud. Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment.
+ Proactively manage moderate to complex litigation to drive files to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations.
+ Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for the jurisdiction. Apply deep technical expertise to assist in the resolution of highly complex claims. Mentor other Claim Professionals
+ Participate in Telephonic and/or onsite File Reviews. Respond to inquiries - verbal and written. Keep injured worker apprised of claim status
+ Act as technical resource to others.
+ Participate in Telephonic and/or onsite File Reviews. Respond to inquiries - verbal and written. Keep injured worker apprised of claim status. Act as technical resource to others. Engage specialty resources as needed.
+ Performs other assigned duties which may include: Applies deep technical/subject matter expertise to assist in the resolution of complex claims. Acts as an independent mentor to other Claim Professionals. May be dedicated to and apply skills necessary to manage special account relationships (sensitive or complex). May primarily manage a specialized inventory of Workers' Compensation claims.
+ Acts as an independent mentor to other Claim Professionals Applies deep technical/subject matter expertise to assist in the resolution of complex claims
+ Acts as an independent mentor to other Claim Professionals
+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
+ Maintain Continuing Education requirements as required.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Education/Course of Study: Work Experience:
+ Analytical Thinking:
+ Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making.
+ Communication:
+ Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology.
+ Ability to effectively present file resolution to internal and/or external stakeholders.
+ Negotiation:
+ Advanced evaluation, negotiation and case resolution skills.
+ Ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise.
+ General Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract.
+ Principles of Investigation: Intermediate investigative skills including the ability to take statements.
+ Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss.
+ Value Determination: Advanced ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves.
+ Settlement Techniques:
+ Advanced ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package.
+ Legal Knowledge:
+ Thorough knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.
+ Medical knowledge: Intermediate knowledge of the nature and extent of injuries, periods of disability, and treatment needed.
+ WC Technical:
+ Advanced ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims.
+ Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state.
+ Advanced knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.
+ Customer Service:
+ Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes.
+ Teamwork:
+ Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result.
+ Planning & Organizing:
+ Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals.
**What is a Must Have?**
+ High school diploma or equivalent.
+ 2 years Workers Compensation claim handling experience.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
$70.4k-116.2k yearly 8d ago
Public Adjuster
The Misch Group
Claims adjuster job in Kansas City, KS
Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Location: Primary Locations: KS City, Des Moines IA, State of CO, State of CA, St. Louis, State of IL with emphasis on ChicagoCompensation: $75,000 - $100,000 compensation + Performance-based bonuses
QUICK FACTS:
Must have Public Adjuster License
Must have experience with Xactimate
Must have network of Condo, Apartment, Property Management partners
Must be able to physically examine all buildings top to bottom (roofs as well)
About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth.
Position Overview:We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment.
Key ResponsibilitiesKey Responsibilities:
Identify and pursue new business opportunities with homeowners, contractors, and referral partners.
Educate prospective clients on our services and guide them through the insurance claims process.
Develop and maintain a pipeline of leads through prospecting and networking efforts.
Conduct presentations and training sessions to build brand awareness and establish partnerships.
Provide exceptional customer service to existing clients, ensuring their satisfaction and retention.
Work closely with internal teams to optimize the sales process and improve closing rates.
Maintain accurate records of sales activities and client interactions.
Skills, Knowledge and ExpertiseQualifications & Experience:
3+ years of proven sales experience as a licensed Public Adjuster
Strong ability to generate leads, manage relationships, and close deals.
Bachelor's degree in Business, Marketing, Communications, or equivalent experience.
Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms.
Highly organized with strong follow-through skills in a fast-paced environment.
Public Adjuster license
BenefitsWhat We Offer:
Extensive training and support to help you succeed.
Flexible work environment with opportunities for growth and career advancement.
A team-oriented culture with strong leadership and professional development opportunities.
If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
$75k-100k yearly 13d ago
Senior Analyst, Claims Research
Molina Healthcare Inc. 4.4
Claims adjuster job in Grand Island, NE
The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr. Analyst, Claims Research serves as a senior-level subject matter expert in claims operations and research, leading the most complex and high-priority claims projects. This role involves advanced root cause analysis, regulatory interpretation, project management, and strategic coordination across multiple departments to resolve systemic claims processing issues. The Sr. Analyst provides thought leadership, develops remediation strategies, and ensures timely and accurate project execution, all while driving continuous improvement in claims performance and compliance. Additionally, the Sr. Analyst will represent the organization internally and externally in meetings, serving as a key liaison to communicate findings and resolution plans effectively.
Job Duties
* Uses advanced analytical skills to conduct research and analysis for issues, requests, and inquiries of high priority claims projects
* Assists with reducing re-work by identifying and remediating claims processing issues
* Locate and interpret regulatory and contractual requirements
* Expertly tailors existing reports or available data to meet the needs of the claims project
* Evaluates claims using standard principles and applicable state specific policies and regulations to identify claims processing error
* Act as a senior claims subject matter expert, advising on complex claims issues and ensuring compliance with regulatory and contractual requirements.
* Leads and manages major claims research projects of considerable complexity, initiated through provider inquiries, complaints, or internal audits.
* Conducts advanced root cause analysis to identify and resolve systemic claims processing errors, collaborating with multiple departments to define and implement long-term solutions.
* Interprets regulatory and contractual requirements to ensure compliance in claims adjudication and remediation processes.
* Develops, tracks, and / or monitors remediation plans, ensuring claims reprocessing projects are completed accurately and on time.
* Provides in-depth analysis and insights to leadership and operational teams, presenting findings, progress updates, and results in a clear and actionable format.
* Takes the lead in provider meetings, when applicable, clearly communicating findings, proposed solutions, and status updates while maintaining a professional and collaborative approach.
* Proactively identifies and recommends updates to policies, SOPs, and job aids to improve claims quality and efficiency.
* Collaborates with external departments and leadership to define claims requirements and ensure alignment with organizational goals.
Job Qualifications
REQUIRED QUALIFICATIONS:
* 5+ years of experience in medical claims processing, research, or a related field.
* Demonstrated expertise in regulatory and contractual claims requirements, root cause analysis, and project management.
* Advanced knowledge of medical billing codes and claims adjudication processes.
* Strong analytical, organizational, and problem-solving skills.
* Proficiency in claims management systems and data analysis tools
* Excellent communication skills, with the ability to tailor complex information for diverse audiences, including executive leadership and providers.
* Proven ability to manage multiple projects, prioritize tasks, and meet tight deadlines in a fast-paced environment.
* Microsoft office suite/applicable software program(s) proficiency
PREFERRED QUALIFICATIONS:
* Bachelor's Degree or equivalent combination of education and experience
* Project management
* Expert in Excel and PowerPoint
* Familiarity with systems used to manage claims inquiries and adjustment requests
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $106,214 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$80.2k-106.2k yearly 4d ago
Adjuster - 4C 2nd Shift
Gibraltar Industries Inc. 4.0
Claims adjuster job in Manhattan, KS
Adjusters act as inspectors to ensure all mailbox units are assembled properly, free of defects and function correctly to meet customer expectations. For operational flexibility, adjusters are cross trained to rotate into working other positions as needed for coverage purposes.
Other Duties Include:
* Operate a variety of hand tools and operations in their assigned departments, including but not limited to: Riveting, drilling, inserting screws and pins, using a small mallet, and threading nuts on to bolts etc.
* Assemble components that meet specified quality standards at a predefined rate. This may include using physical inspection, gauges, or other forms of inspection to ensure quality
* Follow all safety procedures and guidelines
* Wear proper PPE
* Attend and constructively participate in safety meetings and safety training
* Actively promote safety
* Cooperate with fellow employees and supervisor
* Develop and maintain productive working relationships with other work groups, both within and outside of his/her department
* Keep area clean and free from excess clutter to ensure a smooth operation and desirable work conditions. That includes accounting for use, scrap, rework of material as well as identification, proper storage and care
* Understanding and demonstrated performance in managing component parts associated with the job
* Participate in problem solving as directed and recommend ideas for continuous improvement
Qualifications for Internal Candidates:
* One-year previous experience in a sheet metal or machine shop environment preferred. This should include at least 6 months experience in operating one of the above-mentioned pieces of equipment
* Must have a good attendance record and no higher than a verbal attendance warning (3.5 points)
* Ability to follow verbal and written work instructions read and follow prints and routers. The ability to understand quality requirements and to monitor production.
* Possess Basic math skills.
* Ability to safely and effectively operate various pieces of equipment.
* Ability to learn new operations, become cross-trained, and rotate jobs
Who we are
Located in Manhattan, Kansas, Florence Corporation is part of Gibraltar's MAPS Division. Florence is the nation's leading manufacturer in quality mailboxes, storage solutions and service. From conceptualization to installation to maintenance, we are partners with our clients every step of the way. We are committed to providing the most robust and convenient products tailored to our clients needs. *****************************************
Gibraltar is dynamic and multi-industry leader. We have over 20 different entities and roughly 2,500 employees that are dedicated to our vision of a cleaner, safer and sustainable future.
Our commitment to growth relates not only to the products we deliver, but also to our outstanding employees. We have established several different programs throughout our organization to create a learning culture and ensure employee success through formal class- room learning, virtual opportunities and project-based stretch projects.
Our commitment to making a difference goes beyond our customers and employees. We connect with our communities through Gibraltar's Workplace Giving Program, which partners with four charitable organizations - Ronald McDonald House Charities, St. Jude Children's Research Hospital, Make-A-Wish Foundation of America, and Habitat for Humanity International.
This is what sets us apart. This is what makes us stronger. This is what makes us all #GibraltarProud. For more information, visit our website at: ******************
Employment Opportunity Employer and gives all applicants for
employment equal consideration regardless of race, color, sex, religion, national origin, arrest
record, ancestry, age, physical or mental disability, sexual orientation, transgender status,
genetic information, marital status, citizenship status, veteran status, pregnancy, or any other
status protected by federal, state or local law. Upon request and consistent with applicable
laws, Gibraltar will provide reasonable accommodations to individuals with disabilities who
need an accommodation to fully participate in the application process.
#LI-DNI
$41k-52k yearly est. 18d ago
Daily Property Claims Adjuster - Kearney, NE
Cenco Claims 3.8
Claims adjuster job in Kearney, NE
CENCO Claims is looking for a reliable and detail-oriented Daily Property ClaimsAdjuster to handle residential property claims in the Kearney, NE and surrounding Central Nebraska area. This field-based position offers steady assignments, flexible scheduling, and strong internal support.
What You'll Be Doing:
Conduct on-site inspections of residential properties
Write accurate and thorough estimates using Xactimate
Capture detailed photo documentation and maintain clear reports
Communicate professionally with policyholders and insurance partners
Submit complete and timely claim files
What We're Looking For:
Experience using Xactimate estimating software
Solid understanding of residential construction and property damage
Strong organization, time management, and communication skills
Reliable transportation and a valid driver's license
Active Nebraskaadjuster license or designated home state license
What CENCO Offers:
Competitive per-claim compensation
Consistent daily claim volume in Central Nebraska
Flexible scheduling with field autonomy
Dedicated support from an experienced internal claims team
Long-term opportunities for ongoing work
Apply Today
Join a team that values consistency, professionalism, and quality claim handling.
$43k-55k yearly est. Auto-Apply 29d ago
Property Claims Adjuster
Farm Bureau Financial Services 4.5
Claims adjuster job in Kearney, NE
Will be filled at the appropriate level based on experience Do you thrive in a work environment where you must multi-task and have strong organization skills? Are you a go-getter with high initiative, a positive attitude and strong customer service experience? Are you able to work with limited direction? If so, this Property ClaimsAdjuster opportunity could be a great fit for you!
Who We Are: With Farm Bureau Financial Services, our client/members can feel confident knowing their family, home, cars, and other property are protected. We value a culture where integrity, teamwork, passion, service, leadership, and accountability are at the heart of every decision we make and every action we take. We're proud of our more than 80-year commitment to protecting the livelihoods and futures of our client/members and creating an atmosphere where our employees thrive.
What You'll Do: As a Property ClaimsAdjuster, you will inspect, investigate, evaluate, negotiate, and settle assigned claims involving property insurance coverage. You must investigate the cause of the loss, interpret the policy, and determine whether the loss is covered. You will also determine the value of loss and assist in setting reasonable reserves. As a Property ClaimsAdjuster, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency managers, claimants, policyholders, engineers, restoration specialists, general contractors, attorneys, and others. You will work in the Kearney area and handle claims in the surrounding counties.
What It Takes to Join Our Team:
* College or equivalent required- claims experience a plus.
* Insurance, construction, or Ag and Ag equipment knowledge preferred.
* High attention to detail, strong organizational skills and a good work ethic.
* Strong verbal and written communication skills.
* Exceptional customer service skills.
* Must be able to work under all kinds of weather conditions and fully appraise all physical aspects of the property and buildings, which includes climbing on ladders.
* A valid driver's license and satisfactory Motor Vehicle Records are required.
* Some travel with overnight stays.
* Must attend training schools as required.
What We Offer You: When you're on our team, you get more than a great paycheck. You'll hear about career development and educational opportunities. We offer an enhanced 401K with a match, low-cost health, dental, and vision benefits, and life and disability insurance options. We also offer paid time off, including holidays and volunteer time, as well as a company car and cell phone. Farm Bureau....where the grass really IS greener!
If you're interested in joining a company that appreciates its employees, provides growth and professional development opportunities, and offers great benefits, we invite you to apply today!
Work Authorization/Sponsorship
Applicants must be currently authorized to work in the United States on a full-time basis. We are not able to sponsor now or in the future, or take over sponsorship of, an employment visa or work authorization for this role. For example, we are not able to sponsor OPT status.
$42k-53k yearly est. 39d ago
Indemnity Adjuster - Midwest
Insight Global
Claims adjuster job in Omaha, NE
Insight Global is looking for an Indemnity Adjuster to join our client's team. Responsibilities will include managing complex workers' compensation claims, ensuring fair and efficient resolution while maintaining compliance with state regulations. The ideal candidate will have some experience handling indemnity claims, negotiating settlements, and collaborating with medical and legal professionals.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: ****************************************************
Skills and Requirements
Current Adjuster License
1-3 years of Worker's Compensation Claims experience
Specifically Indemnity & in Nebraska
Preference of experience in the following states: MO, KS, NE, IA, MN, WI, SD, ND, WY
$40k-54k yearly est. 60d+ ago
Daily Property Field Adjuster
Alacrity Solutions
Claims adjuster job in Kearney, NE
Alacrity Solutions
Independent Contractor
Daily Property Field Adjuster
Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Our staffing capabilities, temporary housing services, managed repair network, and subrogation services support a fully integrated solution for all your needs from first notice of loss through completion of repairs. By assembling the best service providers through strategic acquisitions and relying on the right talent, Alacrity Solutions provides consistent, professional, and scalable services throughout the entire claim handling and resolution process. To learn more, visit **************************
The objective of a Daily Property Field Adjuster is to provide excellent claim handling services for our clients regarding daily claim work within your area which can include multiple perils.
Contract Requirements Include:
A contract will be issued within 24 hours of accepting your first claim assignment with Alacrity. This IA contract will include pay details and other pertinent information regarding your work as an independent contract with Alacrity. A completed contract is required to issue pay.
Skills & Requirements/Licensure:
MUST live within 50-100 miles of posted location and willing to travel to location.
Minimum 2-3 years property field adjusting experience.
Independent adjusting license in your home state (area of work), or a designated home state license if residing in a non-licensing state.
Experienced in wind, hail, theft, fire, water losses and other perils preferred.
Have reliable transportation, computer, digital camera, ladder, and other miscellaneous items necessary to perform adjuster responsibilities.
Willing and able to climb roofs.
Computer and Phone System Requirements:
Smart Cell Phone able to access to internet.
Xactimate and/or Symbility proficient with current subscription
Working Laptop computer with reliable high-speed internet
Digital camera and other miscellaneous items necessary to perform adjuster responsibilities.
Working Conditions / Physical & Mental Demands:
The physical demands described here are representative and must be met by the independent contractor to successfully perform this job.
100% travel is required within designated working territory based on the location of assignments received.
Normal office or field claims environment. Ability to operate a motor vehicle for up to 8 hours daily, repeatedly entering and exiting the vehicle. Must be able to make physical inspections of auto loss sites. Must be able to work outdoors in all types of weather. Available to work catastrophic loss events. A willingness to work irregular hours and to travel with possible overnight requirements a plus.
Why Choose Alacrity?
Flexibility: Self-determined Scheduling
Diversity Statement
Alacrity is an equal opportunity employer and is committed to providing employees with a work environment free of discrimination and harassment. All decisions pertaining to an employee's employment are made without regard to race, color, religion, sex (including sexual orientation, pregnancy, childbirth), gender, gender identity or expression, age, national origin, ancestry, physical or mental disability, medical condition, reproductive health decisions, veteran's status, genetic information, creed, marital status, disability, citizenship status, or any other characteristic protected by applicable law.
How Long We Retain Personal Information:
We will keep your personal information for as long as necessary to fulfill legitimate business purposes and in accordance with applicable laws.
$43k-57k yearly est. Auto-Apply 60d+ ago
Subrogation Investigative Claim Representative II
The Auto Club Group 4.2
Claims adjuster job in Omaha, NE
Subrogation Investigative Claim Representative II - The Auto Club Group
Reports to: Claim Manager as appropriate
What you will do:Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards. Take statements and establish clear evaluation and resolution plans for claims.
Assist with subrogation investigations. This may include insurance verification, obtaining proofs, taking recorded statements, and hiring experts.
Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim, and initiating documentation in the claim handling system.
Complete an investigation of the facts and determine possible recovery potential.
Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
Evaluate the financial value of the loss.
Approve payments for the appropriate parties accordingly.
Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
Utilize strong negotiating skills.
Supervisory Responsibilities:None
How you will benefit:
A competitive annual salary between $57,500.00 - $85,000.00
ACG offers excellent and comprehensive benefits packages, including:
Medical, dental and vision benefits
401k Match
Paid parental leave and adoption assistance
Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
Paid volunteer day annually
Tuition assistance program, professional certification reimbursement program and other professional development opportunities
AAA Membership
Discounts, perks, and rewards and much more
We're looking for candidates who: Education:
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states
Experience:One year of experience with:
Negotiating claim settlements
Securing and evaluating evidence
Preparing manual and electronic estimates
Subrogation claims
Resolving coverage questions
Taking statements
Establishing clear evaluation and resolution plans for claims
Knowledge and Skills:
Essential Insurance Act (Michigan)
Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Intercompany arbitration
Technical knowledge of:
Negligence Law
No-Fault Law
Collision repair shop
Ability to:
Handle claims to the line Claim Handling Standards
Follow and apply ACG and Meemic Claim policies, procedures and guidelines
Work within assigned Meemic Claim systems including basic PC software
Perform basic claim file review and investigations
Demonstrate effective communication skills (verbal and written)
Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
Analyze and solve problems while demonstrating sound decision making skills
Prioritize claim related functions
Process time sensitive data and information from multiple sources
Manage time, organize and plan workload and responsibilities
Research analyze and interpret subrogation laws in various states
Strong negotiating skills
Work Environment
This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.
And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit ***********
Important Note:
ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
$28k-33k yearly est. 1d ago
Workers' Compensation Claims Adjuster
Argonaut Management Services, Inc.
Claims adjuster job in Omaha, NE
Argo Group International Holdings, Inc.and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.
Job Description
Business Title(s):Workers' Compensation ClaimsAdjuster
Employment Type:Regular
FLSA Status:Exemptor Non-Exempt
Location:In-Office
Summary:
We are looking for a highly capable Workers' Compensation ClaimsAdjuster to join our Claims team and work from either our Rockwood, PA or Omaha, NE offices. Alternatively, we can also fill this role in our offices in Richmond, VA or Springfield, MO.However,we are open to considering hiring a less qualified candidate (a Trainee or Associate Adjuster) and providingadditionalon-the-job training to bring the candidate's skill set up to an Adjuster level in the next couple of years. The position reports to a manager based in Texas and is focused on adjudicating workers' compensation indemnity and medical-only claims for our largest mining account, underwritten by Rockwood Casualty, mostly in the jurisdictions of IL, IN, KY, NY, PA, and VA. Approximately 20% of the claims assigned to this position are covered by the federal black lung program. Our Adjusters contribute to providing superb results for our clients.
Although Rockwood underwrites general liability insurance and workers' compensation for many types of businesses, ourspecialtyis underwriting workers' compensation insurance for the mining industry, with a focus on the coal-mining industry. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal. We have never been more committed to our clients to ensure their employees receive excellent medical care if they need it due to a work-related injury or illness. Our passion for outstanding customer focus, combined with our deep industry experience, is what sets up apart from other insurance carriers in this niche market.
This is a 100%in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.
Essential Responsibilities:
Working under technical direction and within significant limits and authority,adjudicateindemnity and federal black lung workers' compensation claims of higher technical complexity with a direct impact on departmental results. The amount of direction,limitsand authority will initially vary depending on the skill set of the person hired into this role. In addition,adjudicatemedical-only claims reported by the account as well.
Providing laser-focused customer service to our clients by providing superior claims outcomes and developing meaningful andlong lastingconnections with ourinsured andbrokers.
Resolving issues that are generalized and typically notcomplex, butrequire understanding of a broader set of issues.
Reporting toclaims management, losscontroland underwriters on claims trends and developments.
Identifyingloss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management.
Investigating claims promptly and thoroughly
Analyzing claims forms, policies and endorsements, client instructions, and other records todeterminewhether the loss falls within the policy coverage.
Investigating claims promptly and thoroughly, including interviewing all involved parties.
Managing claims in litigation
Managing diarytimelyand complete tasks to ensure that cases move to the best financial outcome andtimelyresolution.
Creating and reviewing reserves in line with market and Argo's reserving policy
Identifying, assigning, and coordinating the assignment and coordination ofexpertiseresources toassistin case resolution.
Preparing reports for file documentation
Applying creative solutions which result in the best financial outcome.
Settles straightforward claims in line with authority limits and adheres to organizational referral procedures
Negotiates ina timelyand effective manner to provide cost effective solutions for the company and its customers withinownlimits using a range of negotiation styles.
Processing mail and prioritizing workload.
Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
Having an appreciation and passion for strong claim management.
Qualifications / Experience Required:
Practical knowledge of workers' compensation claims, as well as an exceptional customer service focus typically obtained through:
Bachelor'sdegree from an accredited universityrequired. Trainee candidates can substitute four years of general work experience for a degree. For Associate Adjuster or Adjuster candidates, two or more insurance designations or fouradditionalyears of related experienceadjudicatingworkers' compensation claims beyond the minimum experiencerequiredbelow may be substituted in lieu of a degree.
A minimum of two years' experienceadjudicatingindemnity workers' compensation claims isrequiredfor Adjuster-level candidates. For Associate Adjuster level candidates, oneyearexperienceadjudicatingindemnity workers' compensation claims isrequired. No work experience isrequiredfor Trainee level candidates (unless substituting general work experience foradegreeas noted above). Working knowledge of the IL, IN, KY, NY, PA, and VAjurisdictionsis notrequired, but considered a considerableplus).
Must be licensed in KY and NY or haveabilityto obtain a license toadjudicatefirst party claims in those states within90 daysof being hired.
Must have good business acumen (i.e.understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
Adjuster and Associate Adjuster candidates mustexhibitthe ability to regularly exercise discretion and independent judgment with respect to matters of significance.Trainee level candidates will be paid hourly and are not expected to have the skills or knowledge to exercise discretion or independent judgment due to their limited claims experience. This role primarily faces problems and issues thatgeneralizedand typically notcomplex, butrequirean understanding of a broader set of issues.
A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by:
Findinga way to achieve success through adversity.
Being solution (not problem) focused
Thinking with a global mindset first.
Client focus - the ability to effectivelydeterminespecific client needs and to provide value added solutions.
Successful traits (flexibility, ability to thrive in change, being resourceful on your own)necessaryto work in afast pacedenvironment that is evolving constantly.
Ability to develop andmaintainproductive relationships with clients, businesspartnersand organizational peers with a focus ontimelyand meaningful exchanges of information.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Exhibitnatural and intellectual curiosityin order toconsistently explore and consider all options and is not governed by conventional thinking.
Excellent evaluation and strategic skillsrequired.
Strong claim negotiation skillsa must. Ability to takeproactiveand pragmatic approach to negotiation. Negotiation skills will be taught to Trainee level candidates. Associate Adjuster candidates are expected to have a working understanding of negotiation skills that will be further honed withadditionaltraining.
Demonstratesan understanding of mechanisms available for resolvingclaimssettlement disputes (e.g.arbitration and mediation) and when these are used.
Adjuster level candidates should have the ability to articulate the financial value of your work at multiple responsibility levels inside our clients'businesswhich may include CEO.
Demonstratesinner strength. Has the courage to do the right thing anddemonstratesit on a daily basis.
Proficient in MS Office Suite and other business-related software.
Uses listening and questioning techniques to effectively gather information from insureds and claimants
Polished and professional written and verbal communication skills. Presents information clearly, concisely, and accurately.
The ability to read and write English fluently isrequired.
Mustdemonstratea desire for continued professional development through continuing education and self-development opportunities.
About Working in Claims at ArgoGroup
Wehave a very flat organizational structure, enabling our employeeshavemore interaction with our senior management team, especially when it relates to reviewing large losses.
Our entire claims team works in a collaborative nature to expeditiously resolve claims.We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.
PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at .
Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.
We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.
The collection of your personal information is subject to our HR Privacy Notice
Benefits and Compensation
We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
$45k-59k yearly est. 3d ago
Public Adjuster
The Misch Group
Claims adjuster job in Omaha, NE
Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Compensation: $75,000 - $100,000 compensation + Performance-based bonuses QUICK FACTS:
Must have Public Adjuster License
Must have experience with Xactimate
Must have network of Condo, Apartment, Property Management partners
Must be able to physically examine all buildings top to bottom (roofs as well)
About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth.
Position Overview:We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment.
Key ResponsibilitiesKey Responsibilities:
Identify and pursue new business opportunities with homeowners, contractors, and referral partners.
Educate prospective clients on our services and guide them through the insurance claims process.
Develop and maintain a pipeline of leads through prospecting and networking efforts.
Conduct presentations and training sessions to build brand awareness and establish partnerships.
Provide exceptional customer service to existing clients, ensuring their satisfaction and retention.
Work closely with internal teams to optimize the sales process and improve closing rates.
Maintain accurate records of sales activities and client interactions.
Skills, Knowledge and ExpertiseQualifications & Experience:
3+ years of proven sales experience as a licensed Public Adjuster
Strong ability to generate leads, manage relationships, and close deals.
Bachelor's degree in Business, Marketing, Communications, or equivalent experience.
Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms.
Highly organized with strong follow-through skills in a fast-paced environment.
Public Adjuster license
BenefitsWhat We Offer:
Extensive training and support to help you succeed.
Flexible work environment with opportunities for growth and career advancement.
A team-oriented culture with strong leadership and professional development opportunities.
If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
$75k-100k yearly 13d ago
Northland Liability Major Case Claim Specialist
The Travelers Companies 4.4
Claims adjuster job in Overland Park, KS
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$104,000.00 - $171,700.00
Target Openings
1
What Is the Opportunity?
Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims.
Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.
Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required.
This position does not manage staff.
What Will You Do?
* Directly handle assigned severe claims.
* Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value.
* Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
* Work with Manager on use of Claim Coverage Counsel as needed.
* Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.
* Interview witnesses and stakeholders; take necessary statements, as strategically appropriate.
* Complete outside investigation as needed per case specifics.
* Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts.
* Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
* Maintain claim files and document claim file activities in accordance with established procedures.
* Develop and employ creative resolution strategies.
* Responsible for prompt and proper disposition of all claims within delegated authority.
* Negotiate disposition of claims with insureds and claimants or their legal representatives.
* Recognize and implement alternate means of resolution.
* Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
* Utilize evaluation documentation tools in accordance with department guidelines.
* Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis.
* Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure.
* Establish and maintain proper indemnity and expense reserves.
* Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims.
* Recommend appropriate cases for discussion at roundtable.
* Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
* Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others.
* Apply the Company's claim quality management protocols, and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance.
* Apply litigation management through the selection of counsel, evaluation.
* Perform other duties as assigned.
What Will Our Ideal Candidate Have?
* Bachelor's Degree.
* 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.
* Extensive working level knowledge and skill in various business line products.
* Excellent negotiation and customer service skills.
* Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills.
* Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims.
* Able to make independent decisions on most assigned cases without involvement of supervisor.
* Openness to the ideas and expertise of others and actively solicits input and shares ideas.
* Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices.
* Demonstrated strong coaching, influence and persuasion skills.
* Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise.
* Can adapt to and support cultural change.
* Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.
* Analytical Thinking - Advanced.
* Judgment/Decision Making - Advanced.
* Communication - Advanced.
* Negotiation - Advanced.
* Insurance Contract Knowledge - Advanced.
* Principles of Investigation - Advanced.
* Value Determination - Advanced.
* Settlement Techniques - Advanced.
* Litigation Management - Advanced.
* Medical Terminology and Procedural Knowledge - Advanced.
What is a Must Have?
* Four years bodily injury litigation claim handling experience or comparable claim litigation experience.
What Is in It for You?
* Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
* Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
* Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
* Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
* Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
How much does a claims adjuster earn in Kearney, NE?
The average claims adjuster in Kearney, NE earns between $40,000 and $58,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.
Average claims adjuster salary in Kearney, NE
$48,000
What are the biggest employers of Claims Adjusters in Kearney, NE?
The biggest employers of Claims Adjusters in Kearney, NE are: