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  • Michigan Homeowners Claim Representative II

    The Auto Club Group 4.2company rating

    Claims adjuster job in Milwaukee, WI

    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 Claims adjuster 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 3d ago
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  • Workers' Compensation Claims Adjuster [CONTRACT]

    Argonaut Management Services, Inc.

    Claims adjuster job in Milwaukee, WI

    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:Workers' Compensation Claims Adjuster Employment Type:Contingent Worker FLSA Status:Non-Exempt Location:In-Officeor Remote Summary: We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporary assignment through13February2026 and work from anywhere in the continental United States. This role willadjudicateindemnity workers' compensation claims of higher technical complexity for our customers in the states of FL and MA. As this is a temporary assignment, onlygovernment-mandatedbenefits 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 five years' experienceadjudicatingworkers' compensation claims in one or more of the followingjurisdictions: FL and MA. Bachelor'sdegree from an accredited universityrequired. Two or more insurance designations or fouradditionalyears of related experienceadjudicatingmedical onlyclaims beyond the minimum experiencerequiredabove may be substituted in lieu of a degree. License required in FL, RI, or TX. 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 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 3d ago
  • Manager, Medicare Claims

    Blue Cross and Blue Shield of North Carolina 4.3company rating

    Claims adjuster job in Milwaukee, WI

    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
    $45k-72k yearly est. 5d ago
  • Auto Physical Damage Claims Manager

    West Bend Mutual Insurance 4.8company rating

    Claims adjuster job in West Bend, WI

    Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We're committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities. Job Summary The internal deadline to apply is 01/23/26. External applications will be accepted on a rolling basis while the position remains open. Work Location This position offers a hybrid work schedule. Candidates who are located within 50 miles of a West Bend office location will work a hybrid schedule for collaboration days, team meetings or other in-person events. The position can be based in West Bend, Madison or Appleton. Responsibilities & Qualifications Manage a team of Auto Physical Damage supervisors and appraisers responsible for completing damage assessments and vehicle valuations for private passenger, commercial, and inland marine exposures. Manage Auto Physical Damage vendor relationships and vendor performance. Champion technology and innovation to improve estimating accuracy, operational efficiency, and customer experience. Oversee Auto Physical Damage CAT planning, response, and execution. Analyze data and reports to identify opportunities, drive continuous improvement, and share team results. Ensure Auto Physical Damage claims are handled accurately, in compliance with industry standards, and with a strong focus on customer service. Provide expert guidance, advice, and direction to the team while fostering a collaborative, performance-driven environment. Preferred Experience and Skills * 10 years of Auto Physical Damage experience, including private passenger, commercial, and inland marine exposures * 5 years of leadership experience in Auto Physical Damage * Proven vendor management experience * Strong proficiency with current estimating platforms and claims technology * Demonstrated ability to embrace and advance technology and process improvement * Strong interpersonal, oral, and written communication skills * Strong organizational, time management, and decision-making skills * Negotiation, problem-solving, and conflict resolution skills * Ability to lead, mentor, and develop leaders and appraisers Preferred Education and Training * Bachelor's Degree in Business, Insurance or related field * Associate in General Insurance designation * Associate in Claims designation * Licensed in jurisdictions where required #LI-BW1 Salary Statement The salary range for this position is $109,432-$136,790. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate. Benefits West Bend offers a comprehensive benefit plan including but not limited to: * Medical & Prescription Insurance * Health Savings Account * Dental Insurance * Vision Insurance * Short and Long Term Disability * Flexible Spending Accounts * Life and Accidental Death & Disability * Accident and Critical Illness Insurance * Employee Assistance Program * 401(k) Plan with Company Match * Pet Insurance * Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for experienced candidates * Bonus eligible based on performance * West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies. EEO West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.
    $109.4k-136.8k yearly Auto-Apply 8d ago
  • Daily Claims Adjuster - Milwaukee, WI Region

    Cenco Claims 3.8company rating

    Claims adjuster job in Milwaukee, WI

    CENCO is a trusted provider of property claims solutions, partnering with leading insurance carriers to deliver dependable and efficient adjusting services. We're currently seeking experienced Daily Property Claims Adjusters to support residential and commercial claims throughout Milwaukee and southeastern Wisconsin. This is an excellent opportunity for adjusters seeking steady work with the flexibility of independent assignments. Key Responsibilities: Conduct on-site inspections for wind, hail, water, and fire-related property damage. Capture detailed documentation, including photos and written reports. Prepare accurate estimates using Xactimate or Symbility. Communicate clearly and professionally with policyholders, contractors, and carriers. Handle claims promptly and meet all carrier reporting requirements. Requirements: Licensing: Must have an active adjuster license in Wisconsin. Software: Experience with Xactimate or Symbility is preferred. Equipment: Reliable transportation, ladder, laptop, and standard field tools. Work Style: Self-motivated, organized, and able to manage tasks independently. Responsiveness: Ability to accept assignments quickly and complete them on time. Why Work with CENCO? Steady claim volume in Milwaukee and surrounding areas Competitive, timely pay Strong support from our internal team and streamlined systems If you're ready for consistent daily claims work and the opportunity to grow with a respected name in the industry, we want to hear from you!
    $45k-54k yearly est. Auto-Apply 60d+ ago
  • Claims Adjuster Trainee - Milwaukee, WI

    Msccn

    Claims adjuster job in Milwaukee, WI

    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. Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a claims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position, which means you'll be building relationships with customers over the phone. In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims. This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months. After that period, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office as often as you would like. Duties & responsibilities (upon completion of training) Determine coverage Determine liability (who's at fault for the damages) Interview customers, claimants, and witnesses Partner with appraisers/estimators to manage vehicle repairs Negotiate with customers and other insurance carriers and resolve claims Additional Qualifications/Responsibilities Must-have qualifications Three years of work experience OR Bachelor's degree OR Two years work experience and an associate degree Schedule: Monday - Friday, 8:30 am - 5:30 pm for the first four weeks during training, then 9:00 am - 6:00 pm. Location: 9000 W Chester St, Ste 215, Milwaukee, WI 53214 Compensation Once you complete training and pass any necessary testing requirements, your salary will be $54,000-$57,500/year, however, during training, you'll be paid hourly based on your annual salary. Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance Benefits 401(k) with dollar-for-dollar company match up to 6% Medical, dental & vision, including free preventative care Wellness & mental health programs Health care flexible spending accounts, health savings accounts, & life insurance Paid time off, including volunteer time off Paid & unpaid sick leave where applicable, as well as short & long-term disability Parental & family leave; military leave & pay Diverse, inclusive & welcoming culture with Employee Resource Groups Career development & tuition assistance
    $54k-57.5k yearly 1d ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims adjuster job in Milwaukee, WI

    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-55k yearly est. Auto-Apply 38d ago
  • Adjuster, Property Insurance Claims

    Elevate Claims Solutions

    Claims adjuster job in Janesville, WI

    Elevate Claims Solutions is built on the knowledge that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are you ready, willing, and able to Elevate? If you are a daily field property adjuster based in Central Wisconsin, we want to talk to you. How will we Elevate you? We want to know and understand your unique skillset and goals. We are committed to receiving your feedback on how we can best support your progression and advancement towards those goals. Expand your career opportunities in a role where you can see that you are making a difference in people's lives. Meaningful work in a culture of continuous improvement. A diverse market of carriers Clear communication of service and quality expectations; internal and external. Guidelines that provide upfront understanding of each carrier's requirements. Continuous feedback, including real -time Quality Assurance and formalized quarterly coaching sessions to identify areas of strength and opportunity. Training and development opportunities tailored to individual growth objectives. A tenured foundation of industry experts with a wide knowledge base for you to consult. How will you Elevate? Prioritize policyholders during their time loss through demonstrated empathy and understanding. Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders. Outstanding work ethic. This is not a 9 -5 position and you will be called upon to maintain a flexible schedule to help meet the needs of insureds and carriers. Clear, consistent, and timely communication. We, and our carriers, want and need strong lines of communication. You must be open to receiving and providing feedback. The ability to effectively and independently manage workload while exercising good judgement. Strong written and verbal communication skills. Strong technological skills with the ability to work within various claims management systems. Minimum of three years of residential and commercial property adjusting experience. Carrier experience is desired. Liability experience is a plus. Current, active Xactimate license and experience writing both residential and commercial damage estimates in Xactimate. Ability to pass a background screen. Current, active license where required. Equipment and ability to access roofs. If you are ready to Elevate claims with a firm that truly values and supports you, let us know - we may be a fit.
    $44k-54k yearly est. 60d+ ago
  • Independent Insurance Claims Adjuster in Waukegan, Illinois

    Milehigh Adjusters Houston

    Claims adjuster job in Waukegan, IL

    IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
    $44k-54k yearly est. Auto-Apply 60d+ ago
  • Claims Manager

    Radiant Info Systems

    Claims adjuster job in Milwaukee, WI

    Nature of Work: The professional position of Claims Manager requires an experienced, high energy, motivational leader who will effectively provide supervision, leadership, guidance and support for the Client's Claims and Provider Relations staffs with responsibility including but not limited to claims processing, provider relations, claims editing software and all other functionality that supports the client's Medicare and Medicaid product portfolio and administration. The manager must empower staff in meeting performance objectives and provide accurate and timely claims processing in accordance with State and Federal regulations. This position reports directly to the Director of Operations. Qualifications Essential Duties and Responsibilities: Duties listed below may vary in terms of importance and others may be added or eliminated as this position develops. 1. Provides oversight of an operations unit that includes varying levels of employees, both salaried and hourly. 2. Provides oversight of an operations unit that includes varied products and regulatory requirements. 3. Provides high degree of oversight as it relates to improving and maintaining working relationships with client provider Network. This involves developing proactive approaches to prevent claim related issues. 4. Oversees claims staff administration activities including but not limited to pended claims processing, provider reconsiderations and appeals, member bills, coordination of benefits, adjustment processing, provider relations activities/initiatives, claims editing software and pay cycle approval. 5. Supports Provider Network Development in handling provider contract issues, maintaining positive provider relations and answering/addressing all claims/enrollment related provider questions and concerns. 6. Hires, trains, coaches and evaluates performance of direct reports. 7. Establishes department policies and general procedures in addition to business rules and desk level procedures used by third party vendors. 8. Leads staff through change and bias for action, establishing and meeting high performance standards. 9. Audits to monitor efficiency and compliance with policies 10. Provides oversight of outside vendors to ensure compliance with contractual terms including service level agreements. 11. Develops strategies as they relate to computer systems, working with the IT Department, that ultimately assist team members to work toward achieving the goals of the project. 12. Participates in outside audits with various regulatory agencies. 13. Prepares specialized reports or special project work consistent with the role and dictated by the needs of business. 14. Works collaboratively with the Client Finance Department in identifying and researching issues that affect Company financials and reserves. 15. Compiles, maintains and submits accurate and timely internal and external reports reflecting various department metrics, monitors results, analyzes data and makes recommendations for improvements to service levels. 16. Works effectively with internal and external customers and business partners to support client's business strategies. 17. Operates the department within an established budget. 18. Fully participate in client's Compliance Program, including compliance with client's Code of Conduct, policies and procedures, and all applicable Privacy and Security laws. 19. Performs other duties as assigned. Required Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Requires previous management experience in the areas of health insurance, managed care programs, claims processing (preferably Medicaid and Medicare claims), and knowledge of billing codes (CPT, ICD-9, HCPCS, RUGS, CMS and DRG pricing). A combination of education, training and experience which provides the necessary knowledge, skills, and abilities as listed below will be considered. 2. Strong interpersonal skills and ability to work effectively with direct reports, peers, executive management, providers, clients, vendors, regulatory agencies and a wide variety of ethnic, cultural, and socio-economic backgrounds. 3. Ability to communicate effectively both verbally and in writing. 4. Knowledge of managed health care systems and general operational business practices. 5. Ability to effectively and satisfactorily analyze and resolve problems and issues. 6. Ability to work independently and to make independent decisions to creatively address Operations issues and assist in managing provider issues and concerns as they relate to claims processing. 7. Ability to use sound judgment in providing quality customer service to clients customers and providing accurate and timely responses to vendors. 8. Detailed knowledge of Medicaid and Medicare benefits. 9. Understand the overall impacts of claims processing to the company financials 10. Knowledge of compliance implications that may impact the organization. 11. Ability to maintain strict confidentiality. 12. Word processing and spreadsheet skills. (Word and Excel preferred). Additional Information All your information will be kept confidential according to EEO guidelines.
    $39k-71k yearly est. 1d ago
  • Sr. Claims Examiner, Equine & Personal Lines Bodily Injury

    Markel Corporation 4.8company rating

    Claims adjuster job in Milwaukee, WI

    What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders. The position will have increased responsibility for decision making within their authority and work with minimal oversight and will provide training and be a technical referral point for other team members. Job Responsibilities * Confirms coverage of claims by reviewing policies and documents submitted in support of claims. * Analyzes coverage and communicates coverage positions. * Prepares coverage position letters on matters (without assistance of outside coverage counsel) and refers suspicious losses to SIU and assists in the investigation and settling of claim. * Conducts, coordinates, and directs investigation into loss facts and extent of damages. * Directs and monitors assignments to experts and outside counsel. * Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure. * Sets reserves within authority or makes claim recommendations concerning reserve changes to manager. * Negotiates and settles claims typically in litigation within authority. * Presents at roundtables to senior claims leaders and underwriters on cases going to trial and provides advice/insight on others claims going to trial. * Participates in special projects having an impact on the business. May be assigned project lead for larger projects. * Represents Markel at mediations, trials, and conferences. * Pulls and analyses loss information for business stakeholders and presents information during meetings with underwriters and/or insureds. * Serves as a technical resource to underwriting and assists with drafting policy wording. * Assists in training of new hires and provides assistance, guidance, and coaching to others within claims department. * Provides input into maintenance of claims guidelines and best practice procedures. Qualifications * Bachelor's degree or equivalent work experience. * JD preferred. * Must have or be eligible to receive claims adjuster license. * Participation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC, etc.). * Minimum of 5 years of commercial and/or personal lines bodily injury claims handling experience or equivalent combination of education and experience. Skill Sets * Excellent written and oral communication skills. * Strong analytical and problem solving skills. * Strong organization and time management skills. * Ability to work autonomously in a fast paced environment. * Experience in negotiation, mediations and monitoring trials. * Ability to influence claims stakeholders and to effectively direct claims strategy. * Strong litigation management skills are required including the ability to provide direction and guidance to defense attorneys and other experts while controlling expenses. * Ability to deliver outstanding customer service. * Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word). * Knowledge of tort and contract law. * Strong desire for continuous improvement. * Markel offers hybrid working schedules of 3 days in the office and 2 days remote. #LI-Hybrid #LI-SY US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.
    $63k-88k yearly est. Auto-Apply 60d+ ago
  • Claims Representative - Workers Compensation

    Thesilverlining

    Claims adjuster job in West Bend, WI

    Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We're committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities. Job Summary When employees are injured on the job, they need someone who can guide them through the process with care and expertise. As a Workers' Compensation Claims Representative at West Bend, you'll guide injured employees through the recovery process, ensure fair and timely claim resolution, and help businesses stay compliant. If you thrive on problem-solving, negotiation, and making a real impact, this is your opportunity to lead with confidence. Work Location This position offers a hybrid schedule with three in-office collaboration days for team meetings and other events. In certain cases, highly qualified candidates with strong jurisdictional experience may be considered for a remote arrangement. External applications will be accepted on a rolling basis while the position remains open. Responsibilities & Qualifications As a Claims Representative, you will manage claims of varying complexity using current claim technology and best practices. You will conduct thorough investigations to determine coverage, evaluate damages/benefits, and assess liability/compensability. You will negotiate settlements with insureds, claimants, and attorneys while maintaining proactive file management, accurate reserving, and adherence to audit and regulatory standards. This role collaborates closely with internal partners and external stakeholders, with the scope of responsibility (including field work and regional liaison duties) increasing with experience level. Key Responsibilities Investigate and resolve claims within assigned authority Determine coverage, damages, and liability Negotiate settlements with insureds, claimants, and attorneys Maintain accurate documentation and reserving Communicate promptly and professionally with all stakeholders Collaborate with internal teams and external partners Adhere to audit and compliance standards Participate in training and team initiatives Preferred Experience and Skills Prior experience managing claims at the appropriate level of complexity (from low/moderate to high-exposure/complex) Proficiency with computers and current claim technology Interpersonal, oral, and written communication skills with customer-focused professionalism Negotiation, problem-solving, and conflict resolution skills Time management and organizational discipline with proactive file handling Independent decision-making ability (higher levels) and results orientation Technical expertise in coverage analysis, compensability, and damages evaluation (higher levels) Prior experience managing claims across multiple jurisdictions (higher levels) with preferred jurisdictions of Illinois, Wisconsin, and North Carolina Preferred Education and Training Bachelor's degree in Business, Insurance or related field Associate in General Insurance (AINS) designation Associate in Claims (AIC) designation CPCU coursework or other continuing education Licensure in jurisdictions where required #LI-LW1 Salary Statement The salary range for this position is $67,000 - $100,000. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate. Benefits West Bend offers a comprehensive benefit plan including but not limited to: Medical & Prescription Insurance Health Savings Account Dental Insurance Vision Insurance Short and Long Term Disability Flexible Spending Accounts Life and Accidental Death & Disability Accident and Critical Illness Insurance Employee Assistance Program 401(k) Plan with Company Match Pet Insurance Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for experienced candidates Bonus eligible based on performance West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies. EEO West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.
    $29k-41k yearly est. Auto-Apply 4d ago
  • Engine Adjuster - 1st Shift

    Echoorporated

    Claims adjuster job in Lake Zurich, IL

    ECHO Incorporated is an industry leader in developing and manufacturing high-performance, professional-grade, handheld outdoor power equipment. With distributors and thousands of dealers across North and South America, ECHO is constantly anticipating the future of the outdoor power equipment industry and the need for environmental sustainability. Working for ECHO means joining a team of people who are committed to collaboration, innovation, creativity, and high-quality products that make us a globally competitive brand. ECHO is hiring Engine Adjusters for our cutting-edge, climate-controlled facility located in Lake Zurich! The Engine Adjuster is responsible for adjusting 2-stroke engines to engineering specifications in accordance with written procedures. 1st Shift M-F 6:30am-2:45pm! $18/HR ECHO's benefits include: 11 paid holidays Extremely affordable medical, dental, and vision insurance PTO (Paid Time Off) 5% 401K match Tuition reimbursement Career advancement growth opportunities Eligible for a $300 sign-on bonus after 90 days of employment if all qualifications are satisfied Eligible for a $300 referral bonus upon referring an employee who successfully completes 90 days of employment Duties/Responsibilities: Adjusting 2-stroke internal combustion engines to engineering specifications. Evaluating engine performance and reporting irregularities to the Supervisor. Regularly checking equipment to ensure tolerances are maintained. Maintaining tools, fixtures, and benches in a neat and orderly condition. Recording required data. Performing various other duties and assignments as requested to support the department and company's overall functioning. Qualifications: Working knowledge of 2-stroke engine operations preferred. Ability to tolerate loud noises even with protective hearing equipment. Perform high-quality inspection and calibration of engine. Bilingual Spanish preferred. Equal Opportunity Employment: We are an equal opportunity employer. We welcome all applicants. E-Verification: In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.
    $18 hourly 37d ago
  • Property Field Adjuster - Janesville, WI

    RYZE Claim Solutions 4.1company rating

    Claims adjuster job in Janesville, WI

    We are seeking experienced Independent Field Adjusters to investigate and evaluate daily property claims on behalf of our clients. This role involves delivering timely, accurate, fair, and professional service while managing a high volume of claims independently. Contractors are expected to uphold the highest standards of service and professionalism, representing both the client and company with integrity. Essential Responsibilities Promptly and effectively manage all assigned claims with minimal oversight. Make claim decisions within delegated authority per company and carrier policies. Accurately interpret policy coverages and apply appropriate claims practices. Establish and communicate reserves in alignment with carrier expectations. Maintain up -to -date knowledge of insurance policies, guidelines, and industry practices. Understand local construction methods, pricing, and repair standards. Submit supplemental reports as needed (e.g., severe incident reports, ITV reports). Provide exceptional customer service to all insureds, clients, and stakeholders. Maintain high standards of professional conduct throughout all assignments. Perform additional responsibilities as assigned. RequirementsQualifications High school diploma or equivalent required; associate's or bachelor's degree preferred Minimum 2 years of experience handling property claims Minimum 2 years of experience using Xactimate and Symbility estimating software Strong understanding of insurance policies, practices, and procedures General construction knowledge strongly preferred BenefitsImportant: This is a 1099 Independent Contractor Opportunity This opportunity is classified as an independent contractor role under the IRS and applicable state laws, including New York. By applying, you acknowledge and agree to the following: You will not be classified as an employee of Ryze Claim Solutions, and no employer -employee relationship exists. You are responsible for your own taxes, insurance, and business expenses. You control the manner, timing, and method of completing your work, consistent with client expectations. You may provide services to other clients or entities, subject to applicable confidentiality or non -compete terms. To qualify as a 1099 contractor under the ABC test: (A) You must be free from company control and direction in how work is performed. (B) The work must be performed outside the usual course of our business. (C) You must be customarily engaged in an independently established trade or business. If you do not meet all three criteria, you may not be eligible for this engagement
    $42k-56k yearly est. 60d+ ago
  • Subrogation Claim Representative I

    The Auto Club Group 4.2company rating

    Claims adjuster job in Milwaukee, WI

    Eligible candidates must have an active Florida adjuster's license to be considered. Subrogation Claim Representative I - AAA The Auto Club Group Reports to:Claim Supervisor or Manager as appropriate What you will do: Handle low complexity claims under close supervision and with a lower-level of claim-handling authority. Claim handling responsibilities may cover most of the lifecycle of the claim or focus on an expanded role with specific phases such as subrogation. 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 a general 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. Make referrals 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. Employees assigned to the Subrogation unit will complete simple recovery tasks on claims, such as auto collision, home or PIP/med pay assignments associated with the collection process. The tasks may not cover the entire lifecycle of a claim but will be an expansion of those aspects related to the financial recovery of funds previously paid on a claim from liable parties or other insurance carriers. Additional responsibilities may include the following: identifying liable parties and determining insurance status; referring files to collection agencies including preparing associated proofs; answering inquiry calls and gathering additional proofs or completing investigations when necessary; obtaining information from claim-related systems; working with collection vendors to approve requests to file suit; completing the receipt and file closure process ensuring that funds are returned and accounted for appropriately; reimbursing deductibles and preparing mini tort proofs when applicable. Employees assigned to the Salvage unit will complete tasks on vehicles that have been damaged and/or deemed a total loss. The tasks will include the following: Resolving release issues, service orders approvals (key issues, decal removal etc.). Following up on paperwork and releases. Address flood vehicle fees. Potential involvement on total losses with title issues. May also occasionally investigate salvage holds, aged inventory and special transfer processes. Supervisory Responsibilities: None How you will benefit: A competitive hourly salary between $24.00 - $28.00 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! II. Required Qualifications (these are the minimum requirements to qualify) 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. 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: negotiating claim settlements securing and evaluating evidence preparing manual and electronic estimates subrogation claims Knowledge and Skills: Basic knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims subrogation procedures and processes intercompany arbitration Ability to: 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 work load and responsibilities research analyze and interpret subrogation laws in various states travel outside of assigned territory which may involve overnight stay relocate, work evenings or weekends III. Preferred Qualifications Education: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent CPCU coursework or designation I-Car Pro Level training CCC training Xactware Training Experience: Six months of experience with: negotiating claim settlements securing and evaluating evidence preparing manual and electronic estimates subrogation claims IV. 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.
    $24-28 hourly 6d ago
  • Claims Representative - Workers Compensation

    West Bend Mutual Insurance 4.8company rating

    Claims adjuster job in West Bend, WI

    Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We're committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities. Job Summary When employees are injured on the job, they need someone who can guide them through the process with care and expertise. As a Workers' Compensation Claims Representative at West Bend, you'll guide injured employees through the recovery process, ensure fair and timely claim resolution, and help businesses stay compliant. If you thrive on problem-solving, negotiation, and making a real impact, this is your opportunity to lead with confidence. Work Location This position offers a hybrid schedule with three in-office collaboration days for team meetings and other events. In certain cases, highly qualified candidates with strong jurisdictional experience may be considered for a remote arrangement. External applications will be accepted on a rolling basis while the position remains open. Responsibilities & Qualifications As a Claims Representative, you will manage claims of varying complexity using current claim technology and best practices. You will conduct thorough investigations to determine coverage, evaluate damages/benefits, and assess liability/compensability. You will negotiate settlements with insureds, claimants, and attorneys while maintaining proactive file management, accurate reserving, and adherence to audit and regulatory standards. This role collaborates closely with internal partners and external stakeholders, with the scope of responsibility (including field work and regional liaison duties) increasing with experience level. Key Responsibilities * Investigate and resolve claims within assigned authority * Determine coverage, damages, and liability * Negotiate settlements with insureds, claimants, and attorneys * Maintain accurate documentation and reserving * Communicate promptly and professionally with all stakeholders * Collaborate with internal teams and external partners * Adhere to audit and compliance standards * Participate in training and team initiatives Preferred Experience and Skills * Prior experience managing claims at the appropriate level of complexity (from low/moderate to high-exposure/complex) * Proficiency with computers and current claim technology * Interpersonal, oral, and written communication skills with customer-focused professionalism * Negotiation, problem-solving, and conflict resolution skills * Time management and organizational discipline with proactive file handling * Independent decision-making ability (higher levels) and results orientation * Technical expertise in coverage analysis, compensability, and damages evaluation (higher levels) * Prior experience managing claims across multiple jurisdictions (higher levels) with preferred jurisdictions of Illinois, Wisconsin, and North Carolina Preferred Education and Training * Bachelor's degree in Business, Insurance or related field * Associate in General Insurance (AINS) designation * Associate in Claims (AIC) designation * CPCU coursework or other continuing education * Licensure in jurisdictions where required #LI-LW1 Salary Statement The salary range for this position is $67,000 - $100,000. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate. Benefits West Bend offers a comprehensive benefit plan including but not limited to: * Medical & Prescription Insurance * Health Savings Account * Dental Insurance * Vision Insurance * Short and Long Term Disability * Flexible Spending Accounts * Life and Accidental Death & Disability * Accident and Critical Illness Insurance * Employee Assistance Program * 401(k) Plan with Company Match * Pet Insurance * Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for experienced candidates * Bonus eligible based on performance * West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies. EEO West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.
    $33k-41k yearly est. Auto-Apply 26d ago
  • Claims Adjuster Trainee - Racine, WI

    Msccn

    Claims adjuster job in Racine, WI

    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. Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a claims adjuster trainee, you'll learn how to help customers get back on the road after an accident. This is not a field position, which means you'll be building relationships with customers over the phone. In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims. This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months. After that period, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office as often as you would like. Duties & responsibilities (upon completion of training) Determine coverage Determine liability (who's at fault for the damages) Interview customers, claimants, and witnesses Partner with appraisers/estimators to manage vehicle repairs Negotiate with customers and other insurance carriers and resolve claims Additional Qualifications/Responsibilities Must-have qualifications Three years of work experience OR Bachelor's degree OR Two years work experience and an associate degree Schedule: Monday - Friday, 8:30 am - 5:30 pm for the first four weeks during training, then 9:00 am - 6:00 pm. Location: 9000 W Chester St, Ste 215, Milwaukee, WI 53214 Compensation Once you complete training and pass any necessary testing requirements, your salary will be $54,000-$57,500/year, however, during training, you'll be paid hourly based on your annual salary. Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance Benefits 401(k) with dollar-for-dollar company match up to 6% Medical, dental & vision, including free preventative care Wellness & mental health programs Health care flexible spending accounts, health savings accounts, & life insurance Paid time off, including volunteer time off Paid & unpaid sick leave where applicable, as well as short & long-term disability Parental & family leave; military leave & pay Diverse, inclusive & welcoming culture with Employee Resource Groups Career development & tuition assistance
    $54k-57.5k yearly 1d ago
  • Independent Insurance Claims Adjuster in Kenosha, Wisconsin

    Milehigh Adjusters Houston

    Claims adjuster job in Kenosha, WI

    IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
    $44k-54k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims adjuster job in Kenosha, WI

    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-54k yearly est. Auto-Apply 39d ago
  • Subrogation Investigative Claim Representative II

    The Auto Club Group 4.2company rating

    Claims adjuster job in Milwaukee, WI

    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.
    $27k-32k yearly est. 7d ago

Learn more about claims adjuster jobs

How much does a claims adjuster earn in Muskego, WI?

The average claims adjuster in Muskego, WI 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 Muskego, WI

$49,000

What are the biggest employers of Claims Adjusters in Muskego, WI?

The biggest employers of Claims Adjusters in Muskego, WI are:
  1. Progressive
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