Country USA State Ohio City Cincinnati Descriptions & requirements About the role: When you join TQL as a Claims Representative you will play a key role in protecting our business and customers. In this position, you will own an evolving portfolio of cargo claims from start to finish, resolving them through investigating issues and working with carriers, customers and insurance partners to resolve claims quickly and accurately.
The Claims team is a critical part of TQL's commitment to reliability, service excellence, and trust in the fast-paced logistics industry. When unexpected disruptions occur, this group ensures swift resolution, minimizing financial impact, and preserving long-standing customer relationships through efficient, transparent claims management.
Who we're looking for:
* You're highly detail-oriented with a strong focus on accuracy
* You communicate clearly and professionally
* You have solid problem-solving and investigation skills
* You make sound decisions independently while collaborating closely with your team
* You bring a customer-first mindset and build strong relationships
* You're comfortable working in a fast-paced environment with changing priorities
* You have some professional experience in an office environment, customer service, claims, or insurance
What you'll do:
* Investigate reported cargo claims and determine validity
* Manage documentation, submission, and communication for each claim in your portfolio
* Follow up with carriers, insurance partners, and internal and external customers to drive timely resolutions
* Gather all required documents and information to file, review, and resolve claims
* Serve as the point of contact for internal teams and external partners regarding claim status
* Contact carriers, insurance companies, salvage companies and internal/external customers regarding claims made by customers, receivers or shippers
* Work with Accounting and Collections teams to resolve carrier and customer accounting issues related to claims
What's in it for you:
* Compensation starting at $17.50 - $22 per hour, depending on experience
* Outstanding career growth potential with structured paths for advancement
* Comprehensive benefits package
* Health, dental and vision coverage
* 401(k) with company match
* Perks including employee discounts, financial wellness planning, tuition reimbursement and more
* Certified Great Place to Work with 800+ lifetime workplace award wins
Where you'll be: 4289 Ivy Pointe Boulevard, Cincinnati, Ohio 45245
Employment visa sponsorship is unavailable for this position. Applicants requiring employment visa sponsorship now or in the future (e.g., F-1 STEM OPT, H-1B, TN, J1 etc.) will not be considered.
About Us
Total Quality Logistics (TQL) is one of the largest freight brokerage firms in the nation. TQL connects customers with truckload freight that needs to be moved with quality carriers who have the capacity to move it.
As a company that operates 24/7/365, TQL manages work-life balance with sales support teams that assist with accounting, and after hours calls and specific needs. At TQL, the opportunities are endless which means that there is room for career advancement and the ability to write your own paycheck.
What's your worth? Our open and transparent communication from management creates a successful work environment and custom career path for our employees. TQL is an industry-leader in the logistics industry with unlimited potential. Be a part of something big.
Total Quality Logistics is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, genetic information, disability or protected veteran status.
If you are unable to apply online due to a disability, contact recruiting at ******************
*
$17.5-22 hourly 60d+ ago
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Claim Specialist
Dayton Freight 4.6
Claims adjuster job in Dayton, OH
The Claim Specialist serves as the primary contact for the processing and management of company accidents, injuries, or other insurance related matters. Responsibilities * Manage accidents for all lines of coverage including workers compensation, liability, auto, and property for the company
* Analyze and evaluate accident/claim reports and work with others internally to understand extent of loss and applicability to insurance and/or liability
* Identify and analyze employee first report of employee injuries to determine if they are compensable
* Work with third party administrators in managing all workers compensation injuries based on state laws
* Assist the Risk Manager with the analysis of cost regarding workers compensation injuries
* Assist in the development and implementation of an effective post-loss injury program
* Manage and oversee and TWAP light duty program
* Oversee claims management and claim litigation processes
* Collaborate with legal counsel, adjusters, and other appropriate personnel on pertinent claims matters
* Assist the Risk Manager on losses and negotiate settlements, within established authority
Qualifications
* Possess a High School Diploma.
* Possess knowledge of multi-state workers' compensation laws, cost management and return to work practices.
* Possess good written and oral communication skills and the ability to present information in an appropriate manner to various groups including executive management, peers and external partners.
Benefits
* Stable and growing organization
* Competitive weekly pay
* Quick advancement
* Professional, positive and people-centered work environment
* Modern facilities
* Comprehensive benefits package: Health, Dental, Vision, AD&D, 401(k), etc.
* Paid holidays (8); paid vacation and personal days
transportation, trucking, LTL, culture, family oriented, claims, insurance, accidents, workers comp, workers compensation
$52k-65k yearly est. Auto-Apply 9d ago
Claims Specialist - Hybrid (3 days in the office)
Swiss Re 4.8
Claims adjuster job in Fort Wayne, IN
Are you a claims professional with at least 3 years of Mortality Claims experience and an interest in career development? If so, this role may be for you! We are looking for a strategic thinker with leadership skills who has a desire to further hone this skillset and continue to grow their Claims career.
About the Role
This Claims Specialist position has responsibility for handling Mortality, while also supporting internal and external customers. You will manage a caseload of claims from receipt to final resolution of mortality, group life, accidental death, disability income, and wavier of premium claims
Additional key responsibilities include:
* Investigate, evaluate and settle claims, applying technical knowledge and people skills to effect fair and prompt claim resolution.
* Complete detailed reviews of claim related issues, document the claim file appropriately.
* Set and maintain appropriate and timely claim reviews and consultations for clients
* Maintain strong client focus by aggressively and proactively researching issues, providing support and assuring client satisfaction in a timely fashion.
* Support Underwriting team needs for Claim information and consultation on coverages.
* Provide quality claims input to the business as required e.g. changes to philosophy and best practice standards
* Support developing technical expertise e.g. participation in claim seminars, training and audits
* Contribute required claims information for business reporting purposes
* Contribute to business projects and initiatives ensuring relevant claims issues are considered in broader based company activities
* Support development on processes/systems where required
* Adhere to risk management guidelines and practices
About the Team
The Life and Health team includes colleagues from multiple Swiss Re offices throughout the US. We are a diverse and inclusive team that works well in a collaborative environment while fostering and developing independent thought.
About You
You are focused, self-motivated and a confident decision maker who is proactive, well-organized and can work well both independently and as part of a team. You bring superior interpersonal, written & verbal communication skills enabling your past and future success in building and maintaining relationships. And you are comfortable interacting directly with insureds, brokers, attorneys, and key stakeholders at any level.
* 3 years' experience handling mortality claims, with some of this experience in a paperless environment.
* Experience with complex mortality claims a plus
* Excellent customer service skills and experience collaborating with underwriters, clients, brokers and internal and external business partners.
* Strong data analytic skills to include recognizing trends or patterns within claims.
* Interest in developing leadership and management skills
* Bachelor's degree or equivalent industry experience
Our company has a hybrid work model where the expectation is that you will be in the office three days per week. This role is not eligible for either relocation assistance or visa sponsorship.
The estimated base salary range for this position is $84,000 to $140,000. The specific salary offered for this, or any given role will take into account a number of factors including but not limited to job location, scope of role, qualifications, complexity/specialization/scarcity of talent, experience, education, and employer budget. At Swiss Re, we take a "total compensation approach" when making compensation decisions. This means that we consider all components of compensation in their totality (such as base pay, short-and long-term incentives, and benefits offered), in setting individual compensation.
About Swiss Re
Swiss Re is one of the world's leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. We cover both Property & Casualty and Life & Health. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world.
Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, race, ethnicity, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability.
If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience.
Swiss Re is an equal opportunity employer. It is our practice to recruit, hire and promote without regard to race, religion, color, national origin, sex, disability, age, pregnancy, sexual orientations, marital status, military status, or any other characteristic protected by law. Decisions on employment are solely based on an individual's qualifications for the position being filled.
During the recruitment process, reasonable accommodations for disabilities are available upon request. If contacted for an interview, please inform the Recruiter/HR Professional of the accommodation needed.
Keywords:
Reference Code: 136445
Nearest Major Market: Fort Wayne
Job Segment: Claims, HR, Risk Management, Underwriter, Insurance, Human Resources, Finance
$84k-140k yearly 5d ago
Field Property Claims Representative II - Northern/Northeastern Indiana
Indiana Farmers Insurance 3.6
Claims adjuster job in South Bend, IN
Full-time Description
Indiana Farmers Insurance is currently looking for an experienced Field Property Claims Professional to join our Claims Team. This position is focused on all types of structures, including farm and commercial risks. The ideal candidate will service counties in the Northern/Northeastern portion of the state of Indiana.
The right candidate will investigate, assess damages, write structural property estimates, make coverage decisions, and ultimately resolve personal, commercial and farm property claims. As a Field Property Claims Representative II with Indiana Farmers Insurance, you will support our vision by driving prompt and fair claims resolutions.
Benefits for the Field Property Claims Representative II:
Free Health insurance
Free Dental insurance
Free Vision insurance
Free Life insurance
Free Short-Term & Long-Term Disability insurance
2% 401k Company Match
11% 401k Company Contribution
Excellent Paid Time Off
Generous paid time off Parental Leave
Day of Service
We promote from within our diverse workforce regularly and offer regular opportunities to learn and grow
Several committees to explore, to connect with coworkers and build relationships
Two robust Employee Assistance Programs for you and your family
Matching funds of up to $100 annually are available from the company for your favorite charitable organization
Associate recognition awards, fun gatherings, and opportunities to make friends are part of our culture
An on-site fitness center, as well as free and convenient parking right next to our building make life easier
Requirements
Qualifications and Responsibilities for the Field Property Claims Representative II include:
Experience and understanding of farm policies, farm structures and equipment, required
Experience and expertise in writing structural property estimates
Must be able to climb, access roofs, basements, crawlspaces, etc.
Minimum of three years field property claims experience, with an insurance carrier, required
College degree, preferred
Professional designation (CPCU, CSLA, AIC, etc.), strongly preferred
Identifying, investigating, and referring potentially fraudulent claims
Ability to read and interpret policies and endorsements
Working knowledge of Xactimate an added benefit
Strong analytical and problem-solving skills
Possess effective and positive interpersonal communication skills and demonstrating a professional, yet friendly demeanor
Ability to set customer expectations and meet and/or exceed them
Fairly and accurately assessing claims, in a timely good-faith manner, according to policies, procedures, and guidelines
Ability to work independently, be self-motivated, and detail-oriented
Ability to effectively cope with difficult individuals and situations
Valid driver's license with acceptable motor vehicle record
Why work for Indiana Farmers Insurance? Imagine working for an employer like this:
95% retention of its associates over the last 5 years
Financially stable as shown by our A- (Excellent) rating by AM Best
Truly customer focused
A strong legacy of excellent performance throughout our 148 years in business!
For more information about Indiana Farmers, please go to **********************************************
Indiana Farmers Insurance is an equal opportunity employer!
$27k-34k yearly est. 60d+ ago
Independent Insurance Claims Adjuster in Georgetown, Kentucky
Milehigh Adjusters Houston
Claims adjuster job in Georgetown, KY
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-54k yearly est. Auto-Apply 60d+ ago
Complex Adjuster Trainee
Root Insurance 4.8
Claims adjuster job in Columbus, OH
The Opportunity
As a Complex Adjuster Trainee, you'll manage a caseload of, low-complexity claims while developing the advanced skills needed to become a Complex Adjuster. Over the next six months, you'll build expertise in evaluating liability, interpreting policy language, and handling more nuanced claim scenarios.. Our goal is to leverage technology, data, and a team of highly talented people to build a claims experience that is recognized as number 1 in the industry.
You will receive role-specific training with Root and will need to self-study before completing an adjuster licensing exam (paid for by Root). This position may be required to have an onsite presence based on operational needs.
Salary Range: $45,000 - $50,000
Root is a “work where it works best” company. This means we will support you working in whatever location that works best for you across the US.
How You Will Make an Impact
Deliver a high-quality claims experience for all policyholders and claimants by managing claims with professionalism and empathy
Verify coverage and assist in determining liability for a range of accident scenarios, under guidance from senior adjusters or claims leadership
Obtain detailed accident statements from drivers, passengers, and witnesses to develop clear liability perspectives
Maintain consistent, prompt, and courteous contact with all involved parties throughout the claim lifecycle
Use time management and organizational skills to proactively manage pending claims, tasks, and correspondence
Coordinate vehicle repairs and assist customers with rental reimbursement processes
Participate in team reviews of claims handling practices to strengthen understanding of policy language and claim best practices
Engage in continuous learning to develop a strong understanding of:
Policy interpretation
Liability assessment and shared negligence scenarios
Court decisions and legislation affecting claims functions
Emerging claims guidelines and industry best practices
Recommend process and product improvements based on observed opportunities
Interact and communicate effectively with customers, peers, vendors, and managers
Support the development of claims documentation and training materials as knowledge grows
What You Will Need to Succeed
Bachelor's degree or equivalent work experience
Successful history of time management, multi-tasking, and customer-facing communication
Ability to secure an adjuster insurance license within 90 days of the start date
Strong written and verbal communication skills
Proficient in Microsoft Office Suite and/or Google Suite
High sense of professionalism while remaining empathetic
Curious in nature
Willingness and ability to keep learning
Great attention to detail with high organizational skills
Ability to approach problems with an open mind
Strong decision-making capabilities
Ability to complete other duties as assigned
As part of Root's interview process, we kindly ask that all candidates be on camera for virtual interviews. This helps us create a more personal and engaging experience for both you and our interviewers. Being on camera is a standard requirement for our process and part of how we assess fit and communication style, so we do require it to move forward with any applicant's candidacy. If you have any concerns, feel free to let us know once you are contacted. We're happy to talk it through.
Please see our Privacy Notice available HERE for more information on how we process your personal data.
$45k-50k yearly 1d ago
Claims Specialist
General Electric Credit Union 4.8
Claims adjuster job in Cincinnati, OH
General Electric Credit Union is a not-for-profit, member-owned full service financial institution headquartered in Cincinnati with branches in Ohio and Kentucky. At GECU, we pride ourselves on maintaining quality service, being an employee-friendly workplace, and developing our team members while teaching you the skills to lead you to career advancement opportunities.
Overview:
The Claims Specialist processes insurance, warranty, and gap claims, acting as the primary point of contact for GECU members experiencing a claim or total loss of a vehicle. The Claims Specialist investigates and reviews claims, ensuring they are handled efficiently, and plays an important role in educating and updating members on their claim status. Essential Responsibilities:
Determine covered insurance losses by studying provisions of a policy or certificate
Analyze insurance claims to determine legitimacy of claim
Establish proof of loss by reviewing documentation (such as police reports, mechanic reports, and auction house reports) and assembling additional information from outside sources
Document claims by completing and recording forms, reports, logs, and records
Collaborate with members to collect appropriate reports and documentation needed for the claims process
Evaluate member and claim documentation and reports to help reduce loss for member and credit union
Ensure legal compliance by following company policies, procedures, and guidelines, as well as state and federal insurance regulations
Maintain quality member service by ensuring claims process is completed within a 90-day time frame
Protect operations by keeping claims information confidential
Process and submit cancellation requests for extended warranties to the dealerships, coordinating follow-up actions as needed
Systematically gather, categorize and file all necessary documentation for total loss GAP claims, ensuring completeness and adherence to regulator and company requirements
Perform other duties to support the department as needed
Education and Experience:
High school diploma or GED required; bachelor's degree preferred
Minimum two years of experience in claims processing, insurance administration, dealer services or related role required
Knowledge, Skills, and Abilities:
Excellent communication and interpersonal skills
Strong conflict resolution skills
Ability to work under pressure and meet deadlines
Strong analytical and problem-solving skills with proficiency in analytical math
Attention to detail and accuracy
Proficiency in Microsoft Office Suite
Good organizational and time management skills
Member service-oriented mindset
Ability to work independently and as part of a team
At GECU, we want to support your wellbeing by offering a wide range of benefits:
Health, Dental and Vision insurance
Life and Disability insurance options
Paid Time Off starts accruing once hired and take your birthday off - paid
401k Retirement plan with up to a 10% match of your base gross compensation
Tuition reimbursement opportunities & professional development
Volunteer opportunities -and earn additional PTO hours!
On-site clinics for Vaccines and Mammograms
And many more!
Come join GECU as we are a curated culture of respect, understanding, and mutual recognition. We believe forming bonds and connecting with each other only stands to strengthen the service we provide to our members in our mission of improving the Quality of Financial lives!
General Electric Credit Union is an Equal Opportunity Employer
$66k-81k yearly est. 51d ago
Automotive Claims Representative
Alpha Automotive 4.3
Claims adjuster job in Columbus, OH
Alpha Automotive is looking for an Automotive Claims Representative to join our rapidly growing team!
Here at Alpha Automotive, we pride ourselves on providing the best service possible for our customers by being an alternative to large, impersonal dealerships and providing them with an elevated level of personalized service each and every time.
We are now hiring for ALL of our locations: Stealth Auto Recovery, Excite Towing, Wayne's Auto Powell, Wayne's Auto Schrock, Wayne's Auto Westerville, Mann's Expedite Service, H.I.N.T., Excite Collision Repair, and Ernie's Auto Repair!
As an Automotive Claims Representative, a typical day may include the following:
Acting as a liaison between insurance companies and customers, to assure claims are being paid in a timely manner so repairs can begin
Working in harmony with the service writers in getting repair estimates sent to insurance companies, and following up to confirm they have been received and submitted correctly
Keeping customers in the loop with any updates from the insurance company, and communicate when there are changes or any additional information is needed from them
This career may be for you if:
You enjoy helping people and problem solving
You love the automotive industry and are ready to make the transition to an office environment
You thrive in a fast paced environment
Benefits include:
Training & competitive pay
Dental, vision, life & disability insurance
Paid time off after a year of service
View all jobs at this company
$29k-36k yearly est. 3d ago
Claims Representative - Indianapolis, IN
Federated Mutual Insurance Company 4.2
Claims adjuster job in Indianapolis, IN
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 Indianapolis, IN office, located at 9785 Crosspoint Blvd. A work from home option is not available.
Responsibilities
* Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way.
* Explain policy coverage to policyholders and third parties.
* Complete thorough investigations and document facts relating to claims.
* Determine the value of damaged items or accurately pay medical and wage loss benefits.
* Negotiate settlements with policyholders and third parties.
* Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars.
Minimum Qualifications
* Current pursuing, or have obtained a four-year degree
* Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields
* Ability to make confident decisions based on available information
* Strong analytical, computer, and time management skills
* Excellent written and verbal communication skills
* Leadership experience is a plus
Salary Range: $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.
$27k-34k yearly est. Auto-Apply 9d ago
Complex Claims Specialist
Berkley 4.3
Claims adjuster job in Indiana
Company Details
Carolina Casualty is a member company of W. R. Berkley Corporation, an insurance holding company that is among the largest commercial lines insurance writers in the United States. We specialize in liability, physical damage, cargo and other insurance solutions for the commercial auto markets including trucking, public transportation and others.
The company is an equal employment opportunity employer.
Responsibilities
The primary role of a Complex Claims Specialist is to promptly and professionally ensure high quality claim handling by analyzing liability of claim submissions while making coverage determinations, investigating losses, conducting independent assessment as to the insured's exposure and moving cases towards timely resolution. You will be an effective source for help and support because of your deep knowledge and liability claim expertise.
Key Functions will include but not be limited to:
The Complex Claims Specialist is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. This person also:
Adjusts and resolves complex to severe commercial claims that may also include all phases of litigation for our Bodily Injury team.
Plans and conducts investigations of high severity claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Refers to claim to subrogation group or Special Investigations Unit as appropriate.
Assesses policy coverage for submitted claims and notifies the insured of any issues.
With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters.
Determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.
Reviews and analyses claim documentation and legal filings.
Assesses actual damages associated with claims and confidently conducts negotiation within assigned authority limits, to settle claims.
Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company.
Acts as senior technical professional on team, assisting team members with escalated issues.
Develops and maintains excellent rapport with our agency force, insureds, claimants, experts, attorneys, and internal customers
Attend mediations, trials, and overnight travel as needed.
Qualifications
Bachelor's Degree
Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state`s tort laws as normally acquired through a bachelor`s degree (or equivalent training) plus 3 to 5 years directly related work experience.
Ability to investigate and evaluate complex liability claims.
Ability to analyze available information and make effective decisions.
Ability to evaluate damages and negotiate fair settlements.
Advanced analytical skills.
Advanced knowledge of coverage within the team's specialty or focus.
Litigation and mediation management experience required.
Excellent verbal and written communication skills.
Strong background in auto and general liability coverage analysis particularly involving commercial claims with complex issues.
Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role Not ready to apply? Connect with us for general consideration.
$91k-109k yearly est. Auto-Apply 9d ago
Auto Bodily Injury Claim Representative
The Travelers Companies 4.4
Claims adjuster job in Independence, OH
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
$67,000.00 - $110,600.00
Target Openings
1
What Is the Opportunity?
Be the Hero in Someone's Story
When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most.
As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner.
In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process.
What Will You Do?
* Provide quality claim handling of auto claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations.
* Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates.
* Determine claim eligibility, coverage, liability, and settlement amounts.
* Ensure accurate and complete documentation of claim files and transactions.
* Identify and escalate potential fraud or complex claims for further investigation.
* Coordinate with internal teams such as investigators, legal, and customer service, as needed.
* 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.
What Will Our Ideal Candidate Have?
* Bachelor's Degree.
* Three years of experience in insurance claims, preferably auto claims.
* Experience with claims management and software systems.
* Strong understanding of insurance principles, terminology with the ability to understand and articulate policies.
* Strong analytical and problem-solving skills.
* Proven ability to handle complex claims and negotiate settlements.
* Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.
What is a Must Have?
* High School Degree or GED with a minimum of one year bodily injury liability claim handling experience or successful completion of Travelers Claim Representative training program.
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 *********************************************************
$33k-48k yearly est. 7d ago
Claims Specialist - Auto
Philadelphia Insurance Companies 4.8
Claims adjuster job in Beachwood, OH
Marketing Statement:
Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.
We are looking for a Claims Specialist - Auto to join our team.
JOB SUMMARY
Investigate, evaluate and settle more complex first and third party commercial insurance auto claims.
JOB RESPONSIBILITIES
Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
Communicates with all relevant parties and documents communication as well as results of investigation.
Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts.
Travel is required to attend customer service calls, mediations, and other legal proceedings.
JOB REQUIREMENTS
High School Diploma; Bachelor's degree from a four-year college or university preferred.
10 plus years related experience and/or training; or equivalent combination of education and experience.
• National Range : $82,800.00 - $97,300.00
• Ultimate salary offered will be based on factors such as applicant experience and geographic location.
EEO Statement:
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Benefits:
We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
$82.8k-97.3k yearly Auto-Apply 60d+ ago
Claims Negotiation Specialist
The Strickland Group 3.7
Claims adjuster job in Indianapolis, IN
Join Our Team as a Claims Negotiation Specialist!
Are you a strategic thinker with a passion for driving business growth and innovation? We are looking for a Claims Negotiation Specialist to develop data-driven strategies, identify new opportunities, and optimize business performance for long-term success.
Why You'll Love This Role:
📈 High-Impact Role - Shape business strategies that drive sustainable growth.
🚀 Career Advancement - Access professional development and leadership opportunities.
💡 Strategic Influence - Work closely with decision-makers to implement winning strategies.
💰 Competitive Compensation - Earn a stable income with performance-based incentives.
Your Responsibilities:
Analyze market trends, business performance, and competitive landscapes to identify growth opportunities.
Develop and implement data-driven growth strategies that optimize revenue and profitability.
Collaborate with cross-functional teams to align business strategies with company objectives.
Provide strategic recommendations on market expansion, customer acquisition, and operational efficiencies.
Monitor key performance indicators (KPIs) and adjust strategies to maximize success.
Identify and mitigate potential risks while exploring new business opportunities.
What We're Looking For:
Proven experience in business strategy, growth consulting, or a related field.
Strong analytical and problem-solving skills with expertise in market analysis.
Ability to develop and execute scalable growth strategies.
Excellent communication and presentation skills.
Experience working with executive leadership to drive business decisions.
Perks & Benefits:
Professional development and continuous learning opportunities.
Health insurance and retirement plans.
Performance-based bonuses and recognition programs.
Leadership growth and career advancement opportunities.
🚀 Ready to Drive Business Growth?
If you're passionate about helping businesses scale and succeed, apply today! Join us and be a key player in shaping innovative growth strategies.
Your journey as a Claims Negotiation Specialist starts here-let's unlock new opportunities together!
$43k-75k yearly est. Auto-Apply 60d+ ago
Bassoon Adjustor
Fox Products Corp 3.7
Claims adjuster job in South Whitley, IN
Position Overview: Aid in the manufacturing of Fox Products double reed instruments by assessing the strengths and weaknesses of all Fox Products bassoons, adjust a fully padded instrument, and assist in the development of final assembly personnel in the Bassoon Finishing Department.
Responsibilities & Duties
Adjust padded bassoons to current specifications
Ensure pads are seated and create a proper seal
Ensure connections, key fits, and spring tensions meet current specifications
Participate in cross-functional team to help define best practices
Represent Fox Products positively to the music community
Clearly understand and communicate outside feedback to the department supervisor
Ability to visualize an assembly and understand how the components fit together
Experience working with light machinery, drill motors, reamers, sanders and buffers
Experience using small hand and power tools
Experience using measuring tools, calipers and scale. Knowledge on how to read fractions and decimals preferred
Ability to solder small metal parts using a brazing method with small flame torch
Competency at performing focused work on small parts with a high level of attention to detail and quality
Ability to work with small intricate metal parts.
Ability to grind, bend, shape and fit metal parts
Good manual dexterity & ability to assemble small components
Leader within the department. Assist department supervisor with moving the business forward through positive change
Perform other tasks and duties as requested by supervisor
Qualifications
Bachelor of Music or higher. Bassoon Performance preferred
Ability to play the bassoon at a high level
Strong mechanical knowledge
Demonstrate knowledge of policies, standards, operations, cleaning and maintenance techniques
Show initiative and make suggestions on operational procedure and conditions
Ability to communicate clearly and effectively in many mediums
Disciplined, detail oriented, punctual, and quality minded
Empathetic and positive attitude
Organized and results-driven with great problem-solving skills
Self-motivated with ability to multitask and thrive in a timeline-driven environment
Collaborative and team-oriented personality
Ability to follow all safety regulations
Employee Benefits:
Flexible Work schedule allowed once trained. Work 5, 8 hours day or 4, 10 hour days with flexible start and end times
Benefits provided 1st of the month following start date.
$37k-46k yearly est. Auto-Apply 60d+ ago
Associate AMD Claim Representative
United Ohio Insurance Company 4.1
Claims adjuster job in Bucyrus, OH
The Associate AMD Claims Representative is an entry-level role that is designed for continuous career growth into the role of AMD Claim Representative. This position learns to investigate and evaluate AMD claims as well as resolves claims from a minor to moderate value. Formal training on claims handling, coverage investigations, negotiations, settlements, diary management, and overall claims resolution are part of the overall role.
Essential Functions
Complies with company procedures and the applicable State Fair Claims Practices Acts.
Reviews policies and claim forms, and manages all external communication with insureds, claimants, and other contacts associated with the claim to determine coverage, liability and damages.
Maintains accurate claims and investigative reports.
Provides optimal customer service during times of high claim volume, which can be frequent; must be able to manage high call, email, and text volume from various customers.
Handles administrative responsibilities associated with the processing and payment of claims:
records and updates status notes,
documents the results of external information gathering,
administers correspondence to customers regarding the status of their claims.
Issues loss and expense payments within stated authority and comply with check security procedures.
Works in a team environment to:
promote and support the unit, department and organizational goals,
communicate effectively,
establish positive relationships with team members,
work with colleagues effectively and professionally.
Performs other duties as assigned.
Working Conditions
Normal office working conditions.
Sitting for extended periods of time.
Eye strain and fatigue.
Extended computer usage.
Handling numerous phone and points of contact from customers daily
Stress associated with high claims volume, upset customers, making difficult decisions and meeting deadlines.
QUALIFICATIONS
Skills and Abilities
Must be proficient with operating a computer.
Exceptional customer service skills.
Experience working in a customer service environment where conflict resolution, time management, workload prioritization and follow-up are key priorities.
Strong organizational and detail-oriented skills.
Ability to focus and manage with frequent interruptions while dealing with various tasks.
Ability to develop and maintain customer relationships.
Strong verbal and written communication skills.
Ability to manage conflict resolution.
Strong analytical and critical thinking skills.
Education Requirements
High School Graduate/GED
College degree preferred or equivalent work experience.
SUPERVISION
Supervision Received
Periodic supervision since most duties are repetitive and related with standard instruction and procedures as guides.
Self-reliant with limited oversight.
Unusual problems are referred frequently to the Claims Unit Manager with suggestions for correction.
Supervision
Exercised
None
$34k-40k yearly est. Auto-Apply 12d ago
Health Claim Investigation Representative
The Phia Group 3.6
Claims adjuster job in Louisville, KY
The Phia Group provides, amongst other things, claim recovery services for health benefit plans. When a health benefit plan pays medical bills, and we later discover someone else should have paid those medical bills, The Phia Group - on behalf of the health plan - will seek to recover the funds. The Case Investigator plays an important role in this effort, by determining whether another proper payer exists, and obtaining the details needed to pursue fund reimbursement.
The Health Claim Investigation Representative is responsible for communicating with plan members (insured participants) to determine potential sources of recovery (i.e. auto insurance, workers compensation, first party coverage, third party coverage, etc.). You will also be in contact with insurance carriers to collect adjuster and claim information while balancing communication with clients (health benefit plan sponsors, employers, and claims administrators) via phone and email.
At The Phia Group, whose mission is to provide high quality yet affordable healthcare to American employees and their families, you can look forward to not only unparalleled benefits for yourself but also being immersed in a company that was named one of USA Today's Top Workplaces for 2025. Meanwhile, from a regional perspective, both The Boston Globe and Louisville Business First also recognized our unwavering commitment to upholding an internal culture of inclusivity, enjoyment, and empathy for our valued employees by listing The Phia Group in their respective lists for the Top Places to Work in 2025.
Note: This is a hybrid position.
Essential Duties and Responsibilities
Calling members for accident details
Drafting, mailing & faxing correspondence
Calling insurance carriers for claim information (claim #, adjuster name, phone, fax & mailing address)
Providing clients with accident details, payment ledgers, police reports, etc.
Reviewing plan documents for possible exclusions
Verifying first party, workers' compensation, third party and/or attorney representation and properly promoting and/or transferring the file to the appropriate CRS
Will be responsible for consistency and accuracy on time-sensitive documents.
Working on a team to efficiently handle tasks and keep the team up to date.
Using MS Word, Excel, Microsoft Outlook and other programs in preparation of correspondence and/or other documents
Experience and Qualifications
Excellent attention to detail with the ability to multi-task
Excellent communication skills
High level of proficiency using Microsoft Word and Excel required
Outstanding organizational, interpersonal, and administrative skills
Excellent telephone, writing, and communication skills
Must be self-motivated and able to meet deadlines under pressure
Must have the ability to work as part of a team, as well as to work independently
The Phia Group's Commitment to Diversity
The Phia Group is committed to creating a diverse environment and we are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. The Phia Group is also committed to compliance with all fair employment practices regarding citizenship and immigration status.
Working Conditions / Physical Demands
Sitting at workstation for prolong periods of time. Extensive computer work. Workstation may be exposed to overhead fluorescent lighting and air conditioning. Fast paced work environment. Operates office equipment including personal computer, copiers, and fax machines.
This job description is not intended to be and should not be construed as an all-inclusive list of all the responsibilities, skills or working conditions associated with the position. While it is intended to accurately reflect the position activities and requirements, the company reserves the right to modify, add or remove duties and assign other duties as necessary.
External and internal applicants, as well as position incumbents who become disabled as defined under the Americans with Disabilities Act, must be able to perform the essential job functions (as listed here) either unaided or with the assistance of a reasonable accommodation to be determined by management on a case by case basis.
Salary: $47,000 - $50,000
$47k-50k yearly 22d ago
Auto Bodily Injury Claim Representative - Cleveland, OH
Msccn
Claims adjuster job in Cleveland, OH
ATTENTION MILITARY AFFILIATED JOB SEEKERS
- Our organization works with partner companies to source qualified talent for their open roles. The following position is available to
Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers
. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.
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.
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
$67,000.00 - $110,600.00
Target Openings
1
What Is the Opportunity?
Be the Hero in Someone's Story
When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most.
As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner.
In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process.
What Will You Do?
Provide quality claim handling of auto claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations.
Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates.
Determine claim eligibility, coverage, liability, and settlement amounts.
Ensure accurate and complete documentation of claim files and transactions.
Identify and escalate potential fraud or complex claims for further investigation.
Coordinate with internal teams such as investigators, legal, and customer service, as needed.
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.
Additional Qualifications/Responsibilities
What Will Our Ideal Candidate Have?
Bachelor's Degree.
Three years of experience in insurance claims, preferably auto claims.
Experience with claims management and software systems.
Strong understanding of insurance principles, terminology with the ability to understand and articulate policies.
Strong analytical and problem-solving skills.
Proven ability to handle complex claims and negotiate settlements.
Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.
What is a Must Have?
High School Degree or GED with a minimum of one year bodily injury liability claim handling experience or successful completion of Travelers Claim Representative training program.
$32k-48k yearly est. 22d ago
Claims Pocesor
Globalchannelmanagement
Claims adjuster job in Mason, OH
Claims Processor needs 1+ years experience,
Claims Processor requires:
Onsite
Medium-Advance level of expertise with Microsoft Excel
Proficient with Outlook
Familiar with Cloud-based applications (i.e. OneDrive)
Ability to multi-task and perform duties using multiple sources or systems
Data Entry experience preferred
Claims Processor duties:
Review incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and validity of data
Communicate when updates are needed for successful membership enrollment and/or submission for processing.
$31k-44k yearly est. 60d+ ago
Claims Representative
Inteletech Global
Claims adjuster job in Evansville, IN
Job Title: Claims Representative The Hoosier Lottery Claims Representative Temp will assist customers with the claims process of Hoosier Lottery prizes, questions related to Hoosier Lottery products and other duties as needed. •Greet customers upon arrival in the Claims Center;
•Ensure all proper documentation is presented prior to claim processing;
•Assist Hoosier Lottery staff with daily office duties;
•Answer claims hotline and assist customers with questions;
•Assist with PR photos of winners when needed..
Job Requirements
•High School diploma or equivalent ;
•Excellent customer service skills;
•General knowledge of and ability to operate a telephone and cash register;
•Basic knowledge of clerical procedures, methods, and principles;
•Proficient in office software, including Microsoft Outlook, Microsoft Excel and Microsoft Word;
•Proficient with modern office equipment including computer, fax machine, and scanners
Required/Desired Skills:
High School Diploma or Equivalent
Required: 0 years of experiencex`
Excellent Customer Service Skills
Required: 0 years of experience
General Knowledge of and Ability to Operate a Telephone and Cash Register
Required: 0 years of experience
Basic Knowledge of Clerical Procedures, Methods, and Principles
Required: 0 years of experience
Proficiency in Office Software (Microsoft Outlook, Microsoft Excel, Microsoft Word)
Required: 0 years of experience
Proficiency with Modern Office Equipment (computer, fax machine, scanners)
Required: 0 years of experience
Compensation: $15.23 - $16.80 per hour
About Us We're more than Software Company with a creative side. We're a full-service creative studio with a serious technology background. We take a holistic view of sales and marketing, building digital brands that deliver real value to our client.
As a marketing agency, our innovative digital strategies grab and hold people's attention, and produce the communication and organizing tools needed for success. With a mix optimized to the specific goals of each client and the character of their target customer demographics, we provide true integration across media platforms and channels.
Our Vision
Inteletech Global, Inc provides consulting services to assist clients with their ongoing demand for changing IT environments. The early 2000s were an exciting time for IT. Digital technology was transforming our lives, and with each innovation, it became clear that digital was the future.
We use our Global Delivery Model for the success of every engagement. Improve effectiveness and efficiency of IT application environments by adopting re-usable software platforms. Our onsite teams work directly with our clients to understand and analyze the current-state of problems and design specifically tailored conceptual solutions.
$15.2-16.8 hourly Auto-Apply 60d+ ago
Claims Representative I (Health & Dental)
Carebridge 3.8
Claims adjuster job in Indianapolis, IN
Title: Claims Representative I (Health & Dental) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Claims Representative I responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.
How you will make an impact:
* Learning the activities/tasks associated with his/her role.
* Works under direct supervision.
* Relies on others for instruction, guidance, and direction.
* Work is reviewed for technical accuracy and soundness.
* Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
* Researches and analyzes claims issues.
Minimum Requirements
* HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences
* Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
How much does a claims adjuster earn in Lexington, KY?
The average claims adjuster in Lexington, KY earns between $40,000 and $59,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.
Average claims adjuster salary in Lexington, KY
$49,000
What are the biggest employers of Claims Adjusters in Lexington, KY?
The biggest employers of Claims Adjusters in Lexington, KY are: