Post job

Claims adjuster jobs in New Franklin, OH - 86 jobs

All
Claims Adjuster
Claim Specialist
Senior Claims Representative
Claims Supervisor
Adjuster
Claims Representative
General Adjuster
Property Adjuster
Claim Investigator
Property Claims Adjuster
Field Adjuster
Claims Support Specialist
Claims Coordinator
  • Independent Insurance Claims Adjuster in Akron, Ohio

    Milehigh Adjusters Houston

    Claims adjuster job in Akron, OH

    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.
    $41k-52k yearly est. Auto-Apply 60d+ ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims adjuster job in Akron, OH

    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.
    $42k-52k yearly est. Auto-Apply 30d ago
  • Healthcare Claims Adjuster- Stop Loss

    Roundstone 3.9company rating

    Claims adjuster job in Rocky River, OH

    Founded in 2003, Roundstone is not your typical insurance company. We're on a mission to help employers save on healthcare benefits so they can put those savings towards bettering their businesses and taking care of their employees. Role Description We are seeking a detail-oriented Medical Stop Loss Adjuster to join our team. In this role, you will be responsible for evaluating and processing stop loss claims to ensure accurate and timely payments. You will assess claim validity, verify coverage, and determine appropriate reimbursement. The ideal candidate will have a strong understanding of medical terminology, insurance policies, and claims processing, along with excellent analytical and communication skills. This role requires a commitment to maintaining high standards of accuracy and efficiency in a fast-paced environment. Key Duties & Responsibilities: Review and audit claims submissions within authority level for accuracy and completeness and determine appropriate reimbursement. Timely process claims in an accurate manner, communicate with third-party administrators, and ensure proper cost containment. Manage inventory of pended claims according to department metrics. Maintain appropriate reserve records on claims. Actively participate in team meetings and training. Skills and Qualifications: Knowledge of Health Care services, policies, procedures and systems. 3+ years of experience with intake of Medical, Dental, Vision claims Certified in Medical Terminology I, II and ICD9/10 knowledge Precise attention to detail Excellent verbal communication, collaboration, and written skills Strong organizational and time management skills; handles multiple workstreams with deadlines simultaneously Proficiency in Microsoft Office (Word, Excel); Proficiency in claims administration systems such as Javelina, ESL or similar. Better Benefits: We're leaders in our industry, so naturally, we look out for our employees' best interests with a robust benefits package. Roundstone employees are eligible for: Medical, dental and vision benefits Annual bonus Parental Leave Dependent care 100% match up to max allowable PTO beginning on Day 1 Tuition reimbursement Health work/life balance Hybrid office schedule 401(k) plan with company match Employee Assistance Program On-site gym with personal trainer access Life insurance and short term disability insurance More About Roundstone Headquartered in Rocky River, Ohio, Roundstone is proud to be a Northeast Ohio Top Workplace as recognized by The Plain Dealer and cleveland.com , based on anonymous employee feedback. We foster a supportive, values-driven culture where employees feel engaged, valued, and celebrated. Roundstone has also been named an Inc. 5000 award recipient for eight consecutive years, reflecting our continued growth and success. Our Core Values Live well: Be healthier and bring positive energy to all you do. Work smarter: Get things done, better. Own it: Accountability is your middle name. Be on time, do what you say, and finish what you start. Be intellectually curious: Always be learning. See opportunity everywhere and have a drive to know. Culture and fit are integral to success and in an effort to achieve a better match both from a candidate's perspective and our organization, please take a minute, click on the link and take the really brief survey: ***************************************** Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Roundstone Insurance we are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.
    $44k-53k yearly est. 60d+ ago
  • Claims Adjuster

    Hylant 4.6company rating

    Claims adjuster job in Cleveland, OH

    The Opportunity: The Claims Adjuster is responsible for providing partners with exceptional claims handling services. Partners include, but are not limited to, public entities, public schools, agents, reinsurers, and fellow employees. The ideal candidate will be able to apply prior claims handling knowledge from experience in the insurance industry as well as experience with claims for public entities and public schools. This position can be located in one of Hylant's Ohio office locations (Cincinnati, Cleveland, Columbus or Toledo) with remote work flexibility. In This Role You Will Execute On: Investigate to confirm coverage, determine liability, establish damages, report status, document activities, discern immunities/defenses available and negotiate settlement of all types of assigned claims in a supervised learning environment. Determines, reports on, and initiates subrogation and salvage recoveries. Settle and make payments on assigned claims within prescribed authority level. Effectively plan and schedule work needed to properly handle assigned claims. Performs most duties on an individual bases, with assistance of other senior staff or supervisor if needed. Make timely contact and interview customers, claimants, and witnesses while being responsive to messages, phone calls, emails and correspondence. In This Role You'll Need: A bachelor's degree (or work experience equivalent) and valid state driver's license are required. Claims experience required; public entity and/or public-school claims experience is preferred. A well-qualified applicant has exceptional attention to detail; communicates clearly and concisely, both verbally and in writing; is a team player; and is organized and efficient with his/her time. Why Hylant? A multi-year recipient of Best Places to Work in Insurance, Hylant is a full-service insurance brokerage with over 20 offices in seven states. And since the founding of our family-owned business over 90 years ago, we made a promise to strengthen and protect the businesses, employees and communities of our client family by embracing them as our own. We're more than an insurance brokerage firm and you're more than a client, employee or neighbor. You're family. And that's just the way we treat you. Hylant is proud to be an equal opportunity workplace. All qualified applicants will receive consideration for employment without regard to race, marital status, sex, age, color, religion, national origin, Veteran status, disability or any other characteristic protected by law. If you have a disability or special need that requires accommodation, please let us know. Hylant participates in E-Verify. #LI-Hybrid
    $44k-56k yearly est. Auto-Apply 60d+ ago
  • Daily Claims Adjuster Cleveland OH Region

    Cenco Claims 3.8company rating

    Claims adjuster job in Cleveland, OH

    Daily Property Claims Adjuster - Cleveland, OH CENCO Claims is looking for a dependable and skilled Daily Property Adjuster to manage residential and commercial property claims across Cleveland and Northeast Ohio. This field-based role offers consistent assignments, flexible scheduling, and the support of an experienced claims team. Key Responsibilities: Conduct on-site inspections to evaluate property damage from wind, hail, water, and other covered perils. Prepare accurate estimates using Xactimate or similar estimating software. Capture high-quality photos and compile thorough inspection reports. Maintain professional communication with policyholders, contractors, and carrier representatives. Complete and submit claim files accurately and on schedule. Requirements: Proficiency in Xactimate (Symbility experience is a plus). Solid understanding of property damage assessment and repair processes. Strong written and verbal communication skills. Valid driver's license and reliable transportation. Active Ohio (or designated home state) adjuster license. Preferred: 2+ years of field adjusting experience. What We Offer: Steady daily claim volume in the Cleveland metro area. Competitive per-claim compensation with prompt payment. Flexibility and independence in the field. Support from a knowledgeable and responsive claims team. Opportunities for ongoing work and professional growth. If you're an experienced adjuster seeking reliable assignments and a supportive partner in the claims industry, apply today to join CENCO Claims in Cleveland!
    $42k-52k yearly est. Auto-Apply 60d+ ago
  • Subrogation Adjuster I

    Amtrust Financial Services, Inc. 4.9company rating

    Claims adjuster job in Cleveland, OH

    Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Subrogation Claims Investigator. The successful candidate will directly handle subrogation related claims. The This adjuster role is responsible for prompt and independent investigations and review of subrogation claims through effective coverage analysis and liability investigation. In this role, the adjuster is responsible for negotiations and interactions with insureds, claimants, adverse parties, and counsel. The successful candidate will evaluate risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed. This position reports to a line of business supervisor or manager. This position may require hybrid attendance in an AmTrust location. The expected salary range for this role is $46,600 - $60,000. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. Responsibilities * Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer. representatives, claimant or injured party, witnesses, producers, and adverse parties. * Documents strategy, action plan, and summary of correspondence in a clear, succinct, and fact-based manner. * Notifies all potential parties, legal representatives, and insurance companies of our subrogation interest. * Ensures quality and timely service is provided to all internal and external customers, whether directly or indirectly. * While working with internal or assigned Legal Counsel, will build strong relationships, and apply company principles and standards. * Effectively negotiates and resolves litigated and non-litigated subrogation claims, and leverages relationships to achieve optimal outcomes. * Manages and controls loss adjustment expenses while pursuing the best potential recovery outcomes. * Builds and leverages critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret, and understand key or root issues. * Effectively prioritizes work while driving claims resolution for the best potential outcome. * Escalates claims decisions regarding settlement determination when appropriate to management. * Performs other functional duties as assigned. Qualifications Minimum Qualifications * Bachelor's degree or equivalent experience. * State licensure as required. * Demonstrated proficiency with MS Office suites. * Demonstrated skills in loss investigations, evaluations, and negotiations. * Knowledge of insurance liability, theory, and practices. Preferred: * Multi-jurisdictional exposure preferred. * Ability to obtain licensure as required. * Some ability to travel may be required. Unique Minimum Qualifications: * Sound technical experience with negotiations and investigations. * Candidate should have knowledge of commercial general liability, commercial automobile, property and/or Workers' Compensation insurance coverages. * Ability to review and interpret contracts, legal documents, and medical records. * Knowledge of jurisdictional statutes and case law. * Ability to communicate effectively and clearly with many different parties both verbally and written. * Knowledge of claim procedures, policies, state and federal laws and insurance regulations. * Experience with litigation, mediation, and arbitration What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
    $46.6k-60k yearly Auto-Apply 60d+ ago
  • Casualty Claims Senior Representative

    Westfield Insurance 4.6company rating

    Claims adjuster job in Westfield Center, OH

    The Claims Senior Representative serves as a technical expert on claims adjusting and handles injury, material damage, negligence, compensability, damage, and coverage issues. The role determines coverage and investigates, analyzes, negotiates, and settles claims not requiring outside investigation. The role delivers quality customer service in a high volume, moderate complexity work environment and mentors less experienced Adjusters on the team. Westfield Casualty Claims resolves third party liability claims involving injury, property damage, construction defect, personal & advertising injury, and environmental cleanup - both pre-suit and in litigation. This role is not eligible for visa sponsorship. Job Responsibilities Determines whether proper coverage exists for the type of claim assigned. Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and damages, and makes decisions on claim resolution. Meets established goals & objectives, arranges for salvage disposition and other recovery proceedings as necessary, participates in claim file reviews and audits with customer and broker. Determines the value of the physical damage of property, automobiles, or injuries through appropriate tools, recognizes claim file exposures and escalates appropriately. Provides support in negotiation of settlements with insureds, claimants, vendors, attorneys, and other insurance companies. Manages approved vendors and counsel utilized as necessary in the claim process, including approval of investigation plans and budgets. Monitors, reviews, and issues payments to vendors and counsel in accordance with guidelines and standards. Supports to review proper reserves for each claim based upon thorough investigation, evaluation, and experience. Identifies and refers all claims to management for further handling and assignment instructions. Refers claims exceeding authority to appropriate manager or complex claims specialist with recommendations. Formulates sound recommendations for claims file handling, subsequent transactions, and renewal processing. Requests additional information from an agent, identifies the need for referral to the field based on underwriting guidelines. Maintains effective and ongoing communication with insureds, claimants, agents, attorneys, other insurance companies, representatives, vendors, and company personnel. Completes appropriate reports to ensure that the claim status is clearly documented, obtains all necessary documentation to support claim evaluation. Interprets complex and detailed documents such as contracts, legal documents, medical reports, insurance regulations and policies as needed. Maintains knowledge of related coverage, law, and legislative environment and trends, participates in professional industry groups staying abreast of industry changes and advancements and incorporates best practices. Job Qualifications 4+ years of Claims Handling experience. Bachelor's degree in Business, Communication, or a related field and/or commensurate work experience. For field roles only: Valid driver's license and a driving record that conforms to company standards. Location Remote Licenses and Certifications Certified Professional Claims Management (CPCM) (preferred) Behavioral Competencies Collaborates Communicates Effectively Customer Focus Decision Quality Nimble Learning Technical Skills Account Management Claims Investigations Claims Adjustment Financial controls Case Management Customer Relationship Management Project Management Business Process Improvement Auditing Data Analysis and Reporting This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.
    $27k-48k yearly est. Auto-Apply 52d ago
  • Field Claims Property Adjuster- NE Cleveland, OH

    Farmers Insurance Group 4.4company rating

    Claims adjuster job in Cleveland, OH

    We are Farmers! We are… more than just your favorite commercials. At Farmers, we strive to deliver peace of mind to our customers by providing protection and comprehensive advice and delivering in the moments of truth. That means having people who can help us meet changing customer and business needs. Farmers high-performance culture is focused on results and the people who achieve them. We hold ourselves and others accountable for sustainably growing the business and each other. We seek solutions, own our actions, and grow through discomfort. We see setbacks as opportunities while continuously asking ourselves how we impact our customers. Farmers is an award winning, equal opportunity employer, committed to the strength of an inclusive workforce. We are dedicated to supporting the well-being of our people through our extensive suite of benefits, as well as the well-being of the communities we serve through employee volunteer programs and nonprofit partnerships. Helping others in their time of need isn't just our business - it's our culture! To learn more about our high-performance culture and open opportunities, check out ********************************* and be sure to follow us on Instagram, LinkedIn, and TikTok. Workplace: Remote ( #LI-Remote ) Farmers believes in a culture of collaboration, creativity, and innovation, which thrives when we have the ability to work flexibly in a virtual setting as well as the opportunity to be together in person. Our hybrid work environment combines the best of both worlds with at least three (3) days in office and up to two (2) days virtual for employees who live within fifty (50) miles of a Farmers corporate office. Applicants beyond fifty (50) miles may still be considered. Job Summary * Investigates, determines liability, confirms coverage, establishes damages, and negotiates settlement of claims. * Will also be required to maintain an active adjusters license in states where required. Essential Job Functions * Investigates, confirms coverage, determines liability, establishes damages, reports status and negotiates the settlement of assigned cases (has authority to make payment of assigned claims within prescribed limits). * Adjusts all types of homeowner's property claims. * Inspects damaged property, and determines claims related damage. * Estimates the cost of repair or replacement of damaged or stolen property. * Determines and reports on subrogation potential. * Reports theft, fraud, and arson losses as required to state and industry agencies. * Performs most duties on an individual basis, and work has a direct bearing on Management results. * Represents the Company from a public relations standpoint and must conduct oneself as a member of Management at all times. * Personal contacts are a major part of activity and include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and all other persons incident to the investigation and processing of claims. * Performs other duties as assigned. Physical Actions * Bending, Pulling, Sorting Carrying up to 50 lbs. * Climbing of a 1 story ladder and traversal of low to moderately pitched roofing * Pushing, Speaking (English) Climbing, Reaching, Standing Key entering, Reading (English) * Walking, Kneeling, Seeing, Writing (English) Physical Environment * Required job duties are normally performed in a climate- controlled office environment, but with exposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions Excessive Noise Levels Chemicals Chemical/Biological Conditions Moving Mechanical Parts Areas considered to be dangerous. Conditions, which could affect the respiratory system or skin such as: fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Education Requirements * High school diploma or equivalent required. * Bachelor's degree preferred. * Outside insurance education (CPCU, GCA) preferred. Experience Requirements * Successful demonstration/completion of the Senior Claims Representative prerequisites, proficiencies, and exams, as required based on unit assignment. * External candidates should also have a minimum of one year of prior claims or two years of related industry experience. Special Skill Requirement * Communication Personal Computer Literate Valid driver's license Bondable * Insurance policy interpretation * Customer service and dispute resolution * Xactimate estimating * General building damage assessment/evaluation Benefits * Farmers offers a competitive salary commensurate with experience, qualifications and location. o OH Only: $27.04 - $45.90 o Albany County, NY/Cleveland, OH: $28.85 - $39.66 * Bonus Opportunity (based on Company and Individual Performance) * 401(k) * Medical * Dental * Vision * Health Savings and Flexible Spending Accounts * Life Insurance * Paid Time Off * Paid Parental Leave * Tuition Assistance * For more information, review "What we offer" on https://*********************************/#offer Job Location(s): US - OH - Cleveland Anticipated application deadline: At Farmers, the recruitment process is designed to ensure that we find the best talent to join our team. As part of this process, we typically close open positions within 8 to 21 days after posting. If you are interested in any of our open positions, we encourage you to submit your application promptly. Farmers will consider for employment all qualified applicants, including those with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring Ordinance or other applicable law. Pursuant to 18 U.S.C. Section 1033, Farmers is prohibited from employing any individual who has been convicted of any criminal felony involving dishonesty or a breach of trust without prior written consent from the state Department of Insurance. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Farmers is an Equal Opportunity Employer and does not discriminate in any employer/employee relations based on race, color, religion, gender, sexual orientation, gender expression, genetic information, national origin, age, disability, marital status, military and veteran's status, or any other basis protected by applicable discrimination laws. Want to learn more about our culture & opportunities? Check out ********************************* and be sure to follow us on Instagram, LinkedIn, and TikTok. Spokane, WA only: Residents who prefer not to provide their address click here to submit your resume via email: *******************
    $49k-58k yearly est. Easy Apply 60d+ ago
  • Auto Claims Representative

    Auto-Owners Insurance Company 4.3company rating

    Claims adjuster job in Akron, OH

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products Learn and comply with Company claim handling procedures Develop entry-level claim negotiation and settlement skills Build skills to effectively serve the needs of agents, insureds, and others Meet and communicate with claimants, legal counsel, and third-parties Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience Bachelor's degree or direct equivalent experience with property/casualty claims handling Ability to organize data, multi-task and make decisions independently Above average communication skills (written and verbal) Ability to write reports and compose correspondence Ability to resolve complex issues Ability to maintain confidentially and data security Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNP #LI-Hybrid#IN-DNI
    $32k-42k yearly est. Auto-Apply 60d+ ago
  • Casualty Claims Senior Representative

    Westfield Group, Insurance

    Claims adjuster job in Westfield Center, OH

    The Claims Senior Representative serves as a technical expert on claims adjusting and handles injury, material damage, negligence, compensability, damage, and coverage issues. The role determines coverage and investigates, analyzes, negotiates, and settles claims not requiring outside investigation. The role delivers quality customer service in a high volume, moderate complexity work environment and mentors less experienced Adjusters on the team. Westfield Casualty Claims resolves third party liability claims involving injury, property damage, construction defect, personal & advertising injury, and environmental cleanup - both pre-suit and in litigation. This role is not eligible for visa sponsorship. Job Responsibilities * Determines whether proper coverage exists for the type of claim assigned. * Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and damages, and makes decisions on claim resolution. * Meets established goals & objectives, arranges for salvage disposition and other recovery proceedings as necessary, participates in claim file reviews and audits with customer and broker. * Determines the value of the physical damage of property, automobiles, or injuries through appropriate tools, recognizes claim file exposures and escalates appropriately. * Provides support in negotiation of settlements with insureds, claimants, vendors, attorneys, and other insurance companies. * Manages approved vendors and counsel utilized as necessary in the claim process, including approval of investigation plans and budgets. * Monitors, reviews, and issues payments to vendors and counsel in accordance with guidelines and standards. * Supports to review proper reserves for each claim based upon thorough investigation, evaluation, and experience. * Identifies and refers all claims to management for further handling and assignment instructions. * Refers claims exceeding authority to appropriate manager or complex claims specialist with recommendations. * Formulates sound recommendations for claims file handling, subsequent transactions, and renewal processing. * Requests additional information from an agent, identifies the need for referral to the field based on underwriting guidelines. * Maintains effective and ongoing communication with insureds, claimants, agents, attorneys, other insurance companies, representatives, vendors, and company personnel. * Completes appropriate reports to ensure that the claim status is clearly documented, obtains all necessary documentation to support claim evaluation. * Interprets complex and detailed documents such as contracts, legal documents, medical reports, insurance regulations and policies as needed. * Maintains knowledge of related coverage, law, and legislative environment and trends, participates in professional industry groups staying abreast of industry changes and advancements and incorporates best practices. Job Qualifications * 4+ years of Claims Handling experience. * Bachelor's degree in Business, Communication, or a related field and/or commensurate work experience. * For field roles only: Valid driver's license and a driving record that conforms to company standards. Location Remote Licenses and Certifications * Certified Professional Claims Management (CPCM) (preferred) Behavioral Competencies * Collaborates * Communicates Effectively * Customer Focus * Decision Quality * Nimble Learning Technical Skills * Account Management * Claims Investigations * Claims Adjustment * Financial controls * Case Management * Customer Relationship Management * Project Management * Business Process Improvement * Auditing * Data Analysis and Reporting This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.
    $30k-55k yearly est. 52d ago
  • Claims Specialist

    Hummel Group 3.6company rating

    Claims adjuster job in Wooster, OH

    The Claims Specialist is responsible for providing prompt, effective assistance to clients and third parties reporting and settling claims with our agency. They also act as a liaison between the agency and carriers and assist others in the agency with service regarding claims activity. ESSENTIAL JOB RESPONSIBILITIES: To perform this job successfully, an individual must be able to perform each essential duty adequately. The requirements listed below 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. Reports loss/claim information to the appropriate carrier the same day it is received. Gives prompt and courteous service on a same-day basis to all clients. Takes first reports of claims. Organizes claim information on forms and submits claim to appropriate carrier. Sets expectations of the claim process including time frames, deductibles, restoration companies and adjustors. Follows up with insurance companies for the timely and accurate settlement of losses. Responds to customers' inquiries and questions regarding the status of loss within 24 hours of inquiry. Follows all systems, procedures, and insurance company regulations. Authorizes claim payments within agency authority. Coordinates, as necessary, any activities between clients and claim adjusters. Complete weekly and monthly reports of claims notifications and updates. Notifies risk advisor and/or management of severe losses over $100,000. Provides updates to management and or appropriate risk advisor/customer service for clients with severe or frequent losses. Deals promptly and with full integrity with all carrier claims personnel, responding within 24 hours to any request for action or information Qualifications REQUIREMENTS: Knowledge, Skills, and Ability Extensive knowledge of claims procedures and insurance coverage Ability to satisfy the needs of the customer, both internal and external, needs little assistance from others in this endeavor Strong negotiating, decision-making, and relationship building skills Excellent customer service and teamwork skills Ability to interact with employees, customers and vendor companies Working knowledge of computer software packages including Microsoft Word, Excel and Outlook programs Ability to use general office equipment, including a computer, calculator, typewriter, fax machine, copier and telephone Ability to learn and perform new duties and responsibilities Education or Experience High school diploma. Bachelor's degree preferred. Must be willing to work toward industry designations Requires current driver's license Working Environment/ Physical Activities General office work environment. Requires regular use of arms, hands, and fingers. Frequently required to sit for extended periods of time, reach with arm and hands, stand, walk, stoop, talk and hear. Required to lift and/or move up to 10 pounds. Ability to work during regular business hours (8:00am-5:00pm), if required. Travel as needed. HIPAA Compliance This position may have access to Protected Health Information (PHI) and Electronic Protected Health Information (ePHI). An employee will be responsible for following the guidelines of the HIPAA Confidentiality Agreement. Note: This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with this job. The employee is expected to perform those duties listed as well as other related duties directed by management.
    $100k yearly 1d ago
  • Third Party Sr. Claims Representative

    Fleet Response 4.2company rating

    Claims adjuster job in Hudson, OH

    Fleet Response's mission is to provide innovative and effective service to our clients and to maintain a high standard of professionalism and partnership in an environment that fosters opportunity, integrity, and excellence. Our mission would not be possible without an environment that is created from mutual trust and respect, coupled with a commitment to diversity, equity & inclusion Our commitment to diversity, equity & inclusion aligns with our corporate values and is supported at the highest levels in the Company. Diversity helps to drive new business, fuel innovation, and attract and retain the best employees. It makes a difference in the workplace, marketplace, and community advancing the way we live and work. Are you interested in joining a fast growing and customer focused company that is constantly rated as one of the Top Workplaces in Northeast Ohio? Do you feel that hard work should pay off and you value things like workplace flexibility, career advancement opportunities, a positive culture, and a genuine feeling that you belong to a team? If so, you would be perfect for Fleet Response. Fleet Response specializes in providing services to corporations who self-insure physical damages to their fleets. Built from an insurance background with an eye for detail, Fleet Response prides itself on offering a variety of customized services to all our clients. Fleet Response is currently seeking qualified candidates to work virtually or at our corporate office, for the following position: Third Party Sr. Claims Representative. The Third Party Sr. Claims Representative is responsible for the day to day management of client accident claims from assignment through completion. The Third Party Sr. Claims Representative typically manages 3 rd party claims, including repair and rental management, claimant communication, and client communication. Confirms coverage and liability are properly in order prior to assisting 3 rd party customers with repairs and/or rental and proactively works with client. Provides operational input and guidance as needed to teammate and works with the Claims Supervisor and Claims Manager to ensure client and customer parameters and expectations are consistently met by the team. Job Summary: Fleet Response is currently seeking qualified candidates to work virtually or at our corporate office, for the following position: Third Party Sr. Claims Representative. A Third-Party Sr. Claims Representative manages the most complex, high-exposure claims, requiring significant independent judgment, a strategic mindset, advanced technical expertise, and exceptional negotiation skills. They manage claims with complex coverage, liability, damage issues, often involving sensitive customer interactions filed by a third-party claimant against our clients from initiation to closure. This role often involves mentoring the Third Party Claims Specialist. Essential Duties and Responsibilities Includes, but is not limited to, the following: First Notice of Loss (FNOL): Review and send loss notices to clients per client parameters. Administrative Support: Performing general administrative tasks such as mailing documents, creating documents, uploading documents, gathering documents, setting up tows & handling a shared inbox. Information Gathering: Contacting various parties to obtain missing or additional information required for claim processing & verification. Verify Coverage: Review the claim to ensure that the claim is covered. Investigate & Determine Liability: Conduct thorough investigations to establish fault, or liability, for an incident. This includes interviewing the client, claimant, witnesses, and other involved parties, and reviewing police reports and other documentation. Identify Potential Fraud: watch for any signs of fraudulent activity, such as staged accidents or overstated claims, and refer suspicious cases to a Special Investigation Unit (SIU). Mitigating Cost: It is a fundamental duty aimed at controlling expenses while ensuring fair and prompt resolution of claims. Assess Damages: Evaluate the extent of damage, which can include property damage, repairs, total loss, loss of wages, loss of use, rental, towing, diminished value & out-of-pocket expenses. Determine Total Loss vs Repair: Evaluate if the cost of repairs exceeds the value of the vehicle or property and handle the claim toward a total loss settlement if necessary. Manage Repairs: Monitor the progress of repairs to ensure the repairs are being completed timely and accurately. Manage Total Loss Claims: Perform detailed market research to determine the actual cash value (ACV) of a totaled vehicle. This involves analyzing vehicle history, local market comparable, and salvage value. Manage Rentals: verify coverage, explain terms, initiate rental arrangements, advise on non-covered events, rental duration, authorize extensions. Review and Authorize Supplements: Review additional repair costs submitted and approve payment while following guidelines. Ensure Compliance: Adhere to all federal and state laws and regulations governing the claims process. Maintaining Licensing: Maintain insurance adjuster licensing as required in all states. Communication: This requires clear, professional communication and strong interpersonal skills with all parties involved in the claim, including but not limited to peers & leadership. Negotiate Settlements: Determine an appropriate settlement amount based on liability and damage assessment, then negotiate a resolution with the claimant, client or legal counsel. Maintain Claim Files: Ensure that all claim activity, notes, and correspondence are thoroughly and accurately documented. Set Reserves: Set and maintain appropriate financial reserves for each claim to ensure funds are available for potential settlement payments. Process Payments: Process timely & accurate payments for vehicle repairs, total loss settlements, and other covered expenses. Workload and Metrics: Effectively manage a high volume of claims and meet key performance indicators (KPIs), such as average claim processing time, closure rates, and customer satisfaction scores. Finalize & Close Claims: Ensure all necessary steps are completed, and all paperwork is filed before finalizing and closing the claim. Developing: Responsible for actively accepting, acting on, and implementing coaching and feedback to improve professional performance and development. Mentor & Train: Responsibilities may include mentoring a team member and assisting in training. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education/Experience: Associate degree (A.A.) or equivalent from a two-year college or technical school, or 2-4 years of related experience; combination of education and experience may be considered. Industry Experience: Prior experience in automotive, fleet management, claims management, or vehicle re-marketing strongly preferred. Third-party claims handling experience preferred. Licensing: Ability to obtain and maintain insurance adjuster licensing as required in all states. Key Skills & Competencies: Strong oral and written communication, including the ability to simplify complex information and negotiate effectively with claimants, attorneys, and clients. Ability to analyze liability, assess damages, and evaluate complex claims accurately. Customer service and empathy, maintaining professionalism in difficult or emotional situations. Attention to detail with meticulous documentation and record-keeping. Proficiency with claims management systems and Microsoft Office. Strong investigative, analytical, and problem-solving skills. Ability to multi-task, prioritize, and manage a high volume of claims effectively. Knowledge of insurance principles, coverage, and legal/regulatory compliance is a plus. Mathematical/Analytical Skills: Calculate property depreciation, repair/replacement costs, and claimant lost wages. Evaluate multiple bids or vendor quotes to ensure fair settlements. Physical Requirements: Primarily sedentary work with occasional light lifting (up to 10 lbs). Close visual acuity for computer work, reading, and documentation. Ability to communicate clearly in person and via phone. Preferred Traits: Strong initiative and self-motivation. Dependable, punctual, and team-oriented. Adaptable to changing regulations, processes, and claim scenarios. Work Schedule A variety of flexible work arrangement schedules are available, with the ability to work from home as part of your schedule, after completion of training. This position works Monday through Friday, 8:00 AM until 5:00 PM. Additional Benefits: Competitive compensation and PTO 401(k) with employer contribution Medical, dental, vision, life, and disability insurance Several voluntary benefit options A flexible work environment with remote options post-probation
    $41k-53k yearly est. Auto-Apply 32d ago
  • Casualty Claims Senior Representative

    Westfield High School 3.3company rating

    Claims adjuster job in Westfield Center, OH

    The Claims Senior Representative serves as a technical expert on claims adjusting and handles injury, material damage, negligence, compensability, damage, and coverage issues. The role determines coverage and investigates, analyzes, negotiates, and settles claims not requiring outside investigation. The role delivers quality customer service in a high volume, moderate complexity work environment and mentors less experienced Adjusters on the team. Westfield Casualty Claims resolves third party liability claims involving injury, property damage, construction defect, personal & advertising injury, and environmental cleanup - both pre-suit and in litigation. This role is not eligible for visa sponsorship. Job Responsibilities Determines whether proper coverage exists for the type of claim assigned. Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and damages, and makes decisions on claim resolution. Meets established goals & objectives, arranges for salvage disposition and other recovery proceedings as necessary, participates in claim file reviews and audits with customer and broker. Determines the value of the physical damage of property, automobiles, or injuries through appropriate tools, recognizes claim file exposures and escalates appropriately. Provides support in negotiation of settlements with insureds, claimants, vendors, attorneys, and other insurance companies. Manages approved vendors and counsel utilized as necessary in the claim process, including approval of investigation plans and budgets. Monitors, reviews, and issues payments to vendors and counsel in accordance with guidelines and standards. Supports to review proper reserves for each claim based upon thorough investigation, evaluation, and experience. Identifies and refers all claims to management for further handling and assignment instructions. Refers claims exceeding authority to appropriate manager or complex claims specialist with recommendations. Formulates sound recommendations for claims file handling, subsequent transactions, and renewal processing. Requests additional information from an agent, identifies the need for referral to the field based on underwriting guidelines. Maintains effective and ongoing communication with insureds, claimants, agents, attorneys, other insurance companies, representatives, vendors, and company personnel. Completes appropriate reports to ensure that the claim status is clearly documented, obtains all necessary documentation to support claim evaluation. Interprets complex and detailed documents such as contracts, legal documents, medical reports, insurance regulations and policies as needed. Maintains knowledge of related coverage, law, and legislative environment and trends, participates in professional industry groups staying abreast of industry changes and advancements and incorporates best practices. Job Qualifications 4+ years of Claims Handling experience. Bachelor's degree in Business, Communication, or a related field and/or commensurate work experience. For field roles only: Valid driver's license and a driving record that conforms to company standards. Location Remote Licenses and Certifications Certified Professional Claims Management (CPCM) (preferred) Behavioral Competencies Collaborates Communicates Effectively Customer Focus Decision Quality Nimble Learning Technical Skills Account Management Claims Investigations Claims Adjustment Financial controls Case Management Customer Relationship Management Project Management Business Process Improvement Auditing Data Analysis and Reporting This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.
    $31k-36k yearly est. Auto-Apply 52d ago
  • Canton - WC Claims Specialist - PN: 20069850, 20068366, 20068401 & 20068483

    Dasstateoh

    Claims adjuster job in North Canton, OH

    Canton - WC Claims Specialist - PN: 20069************6, 20068401 & 20068************7) Organization: Workers' CompensationAgency Contact Name and Information: Mia Truss-Davis - HCM Sr. Analyst: ******************** Unposting Date: Jan 12, 2026, 10:59:00 PMWork Location: Canton Service Office 339 East Maple Street Suite 200 North Canton 44720-2593Primary Location: United States of America-OHIO-Stark County-North Canton Compensation: $25.77 - $33.52Schedule: Full-time Work Hours: 40Classified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: Claims ExaminationTechnical Skills: Claims Examination, Customer ServiceProfessional Skills: Attention to Detail, Critical Thinking, Teamwork, Time Management, Written Communication Agency OverviewA Little About Us:With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills.Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.BWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application!What You'll Be Doing:Manages a caseload of Workers' Compensation claims: Communicates, coordinates & collaborates with internal & external stakeholders (e.g. Disability Management Coordinator [DMC], Medical Service Specialist [MSS], Managed Care Organization [MCO], Employer Management [EM] team, Safety & Hygiene, injured workers, employers, Third Party Administrators [TPA] & rehabilitation personnel) in order to set return to work expectations.Performs initial/subsequent claims investigation & determination within prescribed timeframes: Contacts parties involved in claim process; completes investigation during initial claim development to determine information pertinent to management of claim (e.g., jurisdiction, coverage, causality, compensability, claim data accuracy, current work status of claimant, job description, salary continuation, physical demands of job, & work history of claimant).Processes various types of compensation ranging from Temporary Total (TT) Compensation, Wage Loss, Permanent Partial and Percentage of Permanent Partial, Living Maintenance, to Lump Sum Advancement requests; addresses subsequent requests by parties to claim via due process notification, investigation, BWC orders & referrals to the Industrial Commission (IC) of OhioResponds to customer inquiries Follows Ohio Revised Code and BWC policies and procedures Communicates with legal representatives, employers, claimants, etc.Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.Qualifications36 mos. exp. working in private insurance organization as claims representative or equivalent position; successful completion of one typing course or demonstrate ability to type 35 words per minute. -Or Completion of undergraduate core coursework in business, humanities, social & behavioral science, education or related field; successful completion of one typing course or demonstrate ability to type 35 words per minute. -Or 24 mos. exp. as Workers' Compensation Claims Assistant, 16720 (i.e., providing assistance to claims field operations team or medical claims team by ensuring all documents are complete, accurate & in compliance with bureau of workers' compensation procedures, determining allowances using code manual ICD/CPT & taking appropriate action on self- insured claims or referring documents for further action by claims team member, reconstructing lost claim files or assigning claim numbers & updating claim information, & managing caseload of self-insured medical & disability claims to ensure compliance with Ohio Workers' Compensation Law). -Or 24 mos. exp. as BWC Customer Service Representative, 64451, (i.e., providing information/assistance to &/or answering complaints, questions &/or telephone inquiries &/or written correspondence from customers pertaining to claims status or procedures, reviewing & analyzing claims, referring customers to available community services, & conducting telephone interviews with citizens reporting fraud allegations) &/or as BWC Employer Service Representative, 63521, (i.e., providing information & assistance &/or responding to complaints, questions & inquiries from customers regarding workers' compensation coverage, established binder/applications maintenance, demographics, supplemental & legal entities, manual classifications, debits/credits & payroll reports &/or various BWC programs & research & explain employer refunds, attorney general balances, payments made to policies &/or divided credits). -Or 12 mos. exp. as Workers' Compensation Medical Claims Specialist, 16721 (i.e., managing caseload of medical-only claims & paying medical claims for Ohio Bureau Of Workers' Compensation). -Or any combination of at least 36 mos. exp. working in private insurance organization as claims representative or equivalent position &/or as Workers' Compensation Claims Assistant, 16720 &/or as Workers' Customer Service Representative, 64451 &/or as Workers' Compensation Employer Service Representative, 63521. -Or equivalent of Minimum Class Qualifications For Employment noted above. Note: Classification may require use of proficiency demonstration to determine minimum class qualifications for employment. Job Skills: Claims Examination Major Worker Characteristics: Knowledge of: workers' compensation laws, policies & procedures*; eligibility criteria & procedures used for processing workers' compensation claims*; English grammar & spelling; oral & written business communication; public relations*; addition, subtraction, multiplication, division, fractions, decimals & percentages; interviewing techniques; internet search engines & navigation; medical terminology; medical diagnosis coding*; Industrial Commission processes*; claims reserving*; Skill in: operation of a personal computer; typing; use of Microsoft Office software (e.g., Outlook, Word, Excel, Access, PowerPoint); use of BWC-specific software (e.g., Workers' Compensation Claims Management System, Intrafin, FMS fraud system)*; operation of office machinery (e.g. calculator, printer, copier, fax, phone); communication skills (e.g., listening, writing, reading, phone etiquette); use of internet; Ability to: define problems, collect data, establish facts, & draw valid conclusions; read & understand medical reference manuals & reports, gather, collate, & classify information about data, people, or things; respond to sensitive inquiries from & contacts with injured workers, employers, providers or their representatives, & the public; answer routine & technical inquiries from injured workers, employers, medical providers & public*; make proper referrals (within agency & external sources)*; diffuse potentially volatile situations; present information to others; work with a team; use International Classification of Diseases (ICD) coding manuals/system*; generate properly formatted business correspondence; read and understand compensation payment plan screens*, interpret Cognos reports*.Supplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, please contact the ADA mailbox ************************ OCSEA Selection Rights:This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position.Salary Information:Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
    $25.8-33.5 hourly Auto-Apply 22h ago
  • Auto Bodily Injury Claim Representative - Independence, OH

    Msccn

    Claims adjuster job in Independence, OH

    ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers . If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $67,000.00 - $110,600.00 Target Openings 1 What Is the Opportunity? Be the Hero in Someone's Story When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process. What Will You Do? Provide quality claim handling of auto claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations. Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates. Determine claim eligibility, coverage, liability, and settlement amounts. Ensure accurate and complete documentation of claim files and transactions. Identify and escalate potential fraud or complex claims for further investigation. Coordinate with internal teams such as investigators, legal, and customer service, as needed. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. Additional Qualifications/Responsibilities What Will Our Ideal Candidate Have? Bachelor's Degree. Three years of experience in insurance claims, preferably auto claims. Experience with claims management and software systems. Strong understanding of insurance principles, terminology with the ability to understand and articulate policies. Strong analytical and problem-solving skills. Proven ability to handle complex claims and negotiate settlements. Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants. What is a Must Have? High School Degree or GED with a minimum of one year bodily injury liability claim handling experience or successful completion of Travelers Claim Representative training program.
    $32k-48k yearly est. 25d ago
  • Executive General Adjuster - Mid Atlantic Region

    Sedgwick 4.4company rating

    Claims adjuster job in Cleveland, OH

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Executive General Adjuster - Mid Atlantic Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and attempts to effect out-of-court settlement with claimants. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock). + Examines claim form and other records to determine insurance coverage. + Interviews, telephones, or corresponds with claimant and witnesses regarding claim. + Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. + Estimates cost of repair, replacement, or compensation. + Prepares report of findings and negotiates settlement with claimant. + Recommends litigation by legal department when settlement cannot be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss experience reports to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required. **Experience** Five (5) years of related experience or equivalent combination of education and experience required. **Skills & Knowledge** + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong customer service skills + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently or in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** : + Must be able to stand and/or walk for long periods of time. + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity. **Auditory/Visual** : Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 100,518.00 - 140,725.00. (Bonus or commission eligibility, if applicable). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $57k-79k yearly est. 60d+ ago
  • Claims Specialist

    Western Reserve Group 4.2company rating

    Claims adjuster job in Wooster, OH

    Candidates may live in Ohio or Indiana! A Claim Specialist works independently or with minimal direction, managing claims that present high exposure and/or complex coverage or liability issues for all lines of business: Homeowners, Personal Auto, Commercial Auto, GarageKeeper, Commercial Liability and Farm Liability. Salary Grade (13) 76,101 - 97,030 - 117,958 Determines coverage, liability, sets and adjusts reserves, evaluates the claim, manages the litigation and negotiates settlements. Works within prescribed authority limits handling claims. Investigate and determine liability of all parties involved. Ensures delivery of high-quality customer service to protect our insured, and assets of the company. Demonstrates a high level of expertise and sound judgment in complex matters; may serve as a subject matter expert. Required to manage assigned caseload of casualty losses in accordance with Company standards and IC 27-4-1/ORC 3901-1-54. ESSENTIAL DUTIES AND RESPONSIBILITIES The following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Coverage/Investigation/Liability - Determines whether proper coverage exists for the type of claim assigned. Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and damages, and makes decisions, where appropriate, on claim resolution. Monitors ongoing case development for appropriateness. Damages - Determines the value of the physical damage of property, automobiles, or injuries through physical inspections and use of appropriate tools. Obtains all necessary documentation to support claim evaluation. Recognizes claim file exposures and escalates appropriately. Reserving/Reporting - Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience. Completes appropriate reports so that the status of the claim is clearly documented at all times. Determines need for, and engages independent adjusters, cause and origin experts. independent medical examiners or other experts (e.g. reconstructionist, engineer). Proficiently and proactively handle the claim file through various phases of litigation. Independently review the applicability of coverage and civil law as well as local statutes. Attend mandatory and court ordered litigation events: mediation, pre-trial, trial. Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to coverage, liability and damages. May analyze the impact upon claims policies and procedures and advises Claims Management. Participates in or leads special projects and mentors others, as needed. Initiate prompt and effective communication with all parties having legal or contractual interest in claim presented Capable of drafting clear and concise letters and other correspondence. Accountable for security of financial processing of claims, as well as security information contained in claims files. Confers directly with policyholders on coverage and resolution issues pursuant to Home Office instructions. Prepare claims for trial, comply with trial alert procedures and notify/update reinsurance when appropriate. Participate in training programs, conferences and departmental and intra-departmental meetings. May be required to be on-call, on a limited basis, for afterhours emergencies Any other duties deemed necessary by supervisor or management. SUPERVISORY RESPONSIBILITIES None QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below 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. EDUCATION and/or EXPERIENCE College Degree or Equivalent Experience At Least 3 years as a Sr. Claim Representative or equivalent preferred Excellent Written and Verbal Communication Skills Excellent Interpersonal Skills Superior Organizational Skills Efficient Time Management skills Ability to Demonstrate effective negotiation skills LANGUAGE SKILLS Excellent verbal and written communication skills. The individual must be able to effectively and clearly communicate with agents, insureds, departmental and company personnel via telephone, fax, e-mail, one-on-one dialogue and small group presentations in a professional manner. REASONING ABILITY The position requires the individual to apply common sense, understanding, reasoning and sound educated judgement coupled with sound Claims training and experience to properly evaluate and analyze claims for recommended action within assigned authority levels. CERTIFICATES, LICENSES, REGISTRATIONS IIA, AIC, or CPCU are highly preferred PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to sit at a workstation to perform various PC functions. Additionally, the employee is required to devote substantial time to telephone communication. While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. Employees may be required to travel from time to time. This may require extended periods of time sitting in a vehicle. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Claim Specialist is responsible for the proper handling of claims. Each Claim Specialist will be assigned a specific work cubicle station and or other individual work areas. The workstation will be located adjacent to other similar workstations. The workstation has the necessary equipment to perform the position duties including personal computer, telephone, file space, and needed work table space. The environment is reasonably quiet with needed interaction between other team members, immediate supervisor, and other Company staff. Moderate noise level from telephone calls is expected.
    $54k-83k yearly est. 54d ago
  • Cleveland - WC Claims Specialist - PN: 20068948

    State of Ohio 4.5company rating

    Claims adjuster job in Cleveland, OH

    Cleveland - WC Claims Specialist - PN: 20068************G) Organization: Workers' CompensationAgency Contact Name and Information: Mia Truss-Davis - HCM Sr. Analyst: ******************** Unposting Date: Jan 15, 2026, 4:59:00 AMWork Location: Lausche Building 615 West Superior Avenue Cleveland 44113-1879Primary Location: United States of America-OHIO-Cuyahoga County-Cleveland Compensation: $25.77 - $33.52Schedule: Full-time Work Hours: 40Classified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: Claims ExaminationTechnical Skills: Claims Examination, Customer ServiceProfessional Skills: Attention to Detail, Critical Thinking, Teamwork, Time Management, Written Communication Agency OverviewA Little About Us:With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills.Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.BWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application!What You'll Be Doing:Manages a caseload of Workers' Compensation claims: Communicates, coordinates & collaborates with internal & external stakeholders (e.g. Disability Management Coordinator [DMC], Medical Service Specialist [MSS], Managed Care Organization [MCO], Employer Management [EM] team, Safety & Hygiene, injured workers, employers, Third Party Administrators [TPA] & rehabilitation personnel) in order to set return to work expectations.Performs initial/subsequent claims investigation & determination within prescribed timeframes: Contacts parties involved in claim process; completes investigation during initial claim development to determine information pertinent to management of claim (e.g., jurisdiction, coverage, causality, compensability, claim data accuracy, current work status of claimant, job description, salary continuation, physical demands of job, & work history of claimant).Processes various types of compensation ranging from Temporary Total (TT) Compensation, Wage Loss, Permanent Partial and Percentage of Permanent Partial, Living Maintenance, to Lump Sum Advancement requests; addresses subsequent requests by parties to claim via due process notification, investigation, BWC orders & referrals to the Industrial Commission (IC) of OhioResponds to customer inquiries Follows Ohio Revised Code and BWC policies and procedures Communicates with legal representatives, employers, claimants, etc.Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.Qualifications36 mos. exp. working in private insurance organization as claims representative or equivalent position; successful completion of one typing course or demonstrate ability to type 35 words per minute. -Or Completion of undergraduate core coursework in business, humanities, social & behavioral science, education or related field; successful completion of one typing course or demonstrate ability to type 35 words per minute. -Or 24 mos. exp. as Workers' Compensation Claims Assistant, 16720 (i.e., providing assistance to claims field operations team or medical claims team by ensuring all documents are complete, accurate & in compliance with bureau of workers' compensation procedures, determining allowances using code manual ICD/CPT & taking appropriate action on self- insured claims or referring documents for further action by claims team member, reconstructing lost claim files or assigning claim numbers & updating claim information, & managing caseload of self-insured medical & disability claims to ensure compliance with Ohio Workers' Compensation Law). -Or 24 mos. exp. as BWC Customer Service Representative, 64451, (i.e., providing information/assistance to &/or answering complaints, questions &/or telephone inquiries &/or written correspondence from customers pertaining to claims status or procedures, reviewing & analyzing claims, referring customers to available community services, & conducting telephone interviews with citizens reporting fraud allegations) &/or as BWC Employer Service Representative, 63521, (i.e., providing information & assistance &/or responding to complaints, questions & inquiries from customers regarding workers' compensation coverage, established binder/applications maintenance, demographics, supplemental & legal entities, manual classifications, debits/credits & payroll reports &/or various BWC programs & research & explain employer refunds, attorney general balances, payments made to policies &/or divided credits). -Or 12 mos. exp. as Workers' Compensation Medical Claims Specialist, 16721 (i.e., managing caseload of medical-only claims & paying medical claims for Ohio Bureau Of Workers' Compensation). -Or any combination of at least 36 mos. exp. working in private insurance organization as claims representative or equivalent position &/or as Workers' Compensation Claims Assistant, 16720 &/or as Workers' Customer Service Representative, 64451 &/or as Workers' Compensation Employer Service Representative, 63521. -Or equivalent of Minimum Class Qualifications For Employment noted above. Note: Classification may require use of proficiency demonstration to determine minimum class qualifications for employment. Job Skills: Claims Examination Major Worker Characteristics: Knowledge of: workers' compensation laws, policies & procedures*; eligibility criteria & procedures used for processing workers' compensation claims*; English grammar & spelling; oral & written business communication; public relations*; addition, subtraction, multiplication, division, fractions, decimals & percentages; interviewing techniques; internet search engines & navigation; medical terminology; medical diagnosis coding*; Industrial Commission processes*; claims reserving*; Skill in: operation of a personal computer; typing; use of Microsoft Office software (e.g., Outlook, Word, Excel, Access, PowerPoint); use of BWC-specific software (e.g., Workers' Compensation Claims Management System, Intrafin, FMS fraud system)*; operation of office machinery (e.g. calculator, printer, copier, fax, phone); communication skills (e.g., listening, writing, reading, phone etiquette); use of internet; Ability to: define problems, collect data, establish facts, & draw valid conclusions; read & understand medical reference manuals & reports, gather, collate, & classify information about data, people, or things; respond to sensitive inquiries from & contacts with injured workers, employers, providers or their representatives, & the public; answer routine & technical inquiries from injured workers, employers, medical providers & public*; make proper referrals (within agency & external sources)*; diffuse potentially volatile situations; present information to others; work with a team; use International Classification of Diseases (ICD) coding manuals/system*; generate properly formatted business correspondence; read and understand compensation payment plan screens*, interpret Cognos reports*.Supplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, please contact the ADA mailbox ************************ OCSEA Selection Rights:This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position.Salary Information:Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
    $25.8-33.5 hourly Auto-Apply 9h ago
  • Field Claims Property Adjuster- NE Cleveland, OH

    Farmers 4.2company rating

    Claims adjuster job in Cleveland, OH

    We are Farmers! We are… more than just your favorite commercials. At Farmers, we strive to deliver peace of mind to our customers by providing protection and comprehensive advice and delivering in the moments of truth. That means having people who can help us meet changing customer and business needs. Farmers high-performance culture is focused on results and the people who achieve them. We hold ourselves and others accountable for sustainably growing the business and each other. We seek solutions, own our actions, and grow through discomfort. We see setbacks as opportunities while continuously asking ourselves how we impact our customers. Farmers is an award winning, equal opportunity employer, committed to the strength of an inclusive workforce. We are dedicated to supporting the well-being of our people through our extensive suite of benefits, as well as the well-being of the communities we serve through employee volunteer programs and nonprofit partnerships. Helping others in their time of need isn't just our business - it's our culture! To learn more about our high-performance culture and open opportunities, check out ********************************* and be sure to follow us on Instagram, LinkedIn, and TikTok. Workplace: Remote ( #LI-Remote ) Farmers believes in a culture of collaboration, creativity, and innovation, which thrives when we have the ability to work flexibly in a virtual setting as well as the opportunity to be together in person. Our hybrid work environment combines the best of both worlds with at least three (3) days in office and up to two (2) days virtual for employees who live within fifty (50) miles of a Farmers corporate office. Applicants beyond fifty (50) miles may still be considered. Job Summary Investigates, determines liability, confirms coverage, establishes damages, and negotiates settlement of claims. Will also be required to maintain an active adjusters license in states where required. Essential Job Functions Investigates, confirms coverage, determines liability, establishes damages, reports status and negotiates the settlement of assigned cases (has authority to make payment of assigned claims within prescribed limits). Adjusts all types of homeowner's property claims. Inspects damaged property, and determines claims related damage. Estimates the cost of repair or replacement of damaged or stolen property. Determines and reports on subrogation potential. Reports theft, fraud, and arson losses as required to state and industry agencies. Performs most duties on an individual basis, and work has a direct bearing on Management results. Represents the Company from a public relations standpoint and must conduct oneself as a member of Management at all times. Personal contacts are a major part of activity and include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and all other persons incident to the investigation and processing of claims. Performs other duties as assigned. Physical Actions Bending, Pulling, Sorting Carrying up to 50 lbs. Climbing of a 1 story ladder and traversal of low to moderately pitched roofing Pushing, Speaking (English) Climbing, Reaching, Standing Key entering, Reading (English) Walking, Kneeling, Seeing, Writing (English) Physical Environment Required job duties are normally performed in a climate- controlled office environment, but with exposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions Excessive Noise Levels Chemicals Chemical/Biological Conditions Moving Mechanical Parts Areas considered to be dangerous. Conditions, which could affect the respiratory system or skin such as: fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Education Requirements High school diploma or equivalent required. Bachelor's degree preferred. Outside insurance education (CPCU, GCA) preferred. Experience Requirements Successful demonstration/completion of the Senior Claims Representative prerequisites, proficiencies, and exams, as required based on unit assignment. External candidates should also have a minimum of one year of prior claims or two years of related industry experience. Special Skill Requirement Communication Personal Computer Literate Valid driver's license Bondable Insurance policy interpretation Customer service and dispute resolution Xactimate estimating General building damage assessment/evaluation Benefits Farmers offers a competitive salary commensurate with experience, qualifications and location. o OH Only: $27.04 - $45.90 o Albany County, NY/Cleveland, OH: $28.85 - $39.66 Bonus Opportunity (based on Company and Individual Performance) 401(k) Medical Dental Vision Health Savings and Flexible Spending Accounts Life Insurance Paid Time Off Paid Parental Leave Tuition Assistance For more information, review “What we offer” on https://*********************************/#offer Job Location(s): US - OH - Cleveland Anticipated application deadline: At Farmers, the recruitment process is designed to ensure that we find the best talent to join our team. As part of this process, we typically close open positions within 8 to 21 days after posting. If you are interested in any of our open positions, we encourage you to submit your application promptly. Farmers will consider for employment all qualified applicants, including those with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring Ordinance or other applicable law. Pursuant to 18 U.S.C. Section 1033, Farmers is prohibited from employing any individual who has been convicted of any criminal felony involving dishonesty or a breach of trust without prior written consent from the state Department of Insurance. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Farmers is an Equal Opportunity Employer and does not discriminate in any employer/employee relations based on race, color, religion, gender, sexual orientation, gender expression, genetic information, national origin, age, disability, marital status, military and veteran's status, or any other basis protected by applicable discrimination laws. Want to learn more about our culture & opportunities? Check out ********************************* and be sure to follow us on Instagram, LinkedIn, and TikTok. Spokane, WA only: Residents who prefer not to provide their address click here to submit your resume via email: *******************
    $41k-57k yearly est. Easy Apply 60d ago
  • Daily Scope Only Property Field Adjuster

    Alacrity Solutions

    Claims adjuster job in Cleveland, OH

    Job Description Alacrity Solutions Independent Contractor Daily Scope Only Property Field Adjuster Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Our staffing capabilities, temporary housing services, managed repair network, and subrogation services support a fully integrated solution for all your needs from first notice of loss through completion of repairs. By assembling the best service providers through strategic acquisitions and relying on the right talent, Alacrity Solutions provides consistent, professional, and scalable services throughout the entire claim handling and resolution process. To learn more, visit ************************** The objective of a Daily Scope Only Field Adjuster is to provide excellent scope-only handling services for our clients regarding daily claim work within your area which can include multiple perils. Contract Requirements Include: A contract will be issued within 24 hours of accepting your first claim assignment with Alacrity. This IA contract will include pay details and other pertinent information regarding your work as an independent contract with Alacrity. A completed contract is required to issue pay. Skills & Requirements/Licensure: MUST live within 50-100 miles of posted location and willing to travel to location. Experience as a roofing contractor, installer OR background in construction or building inspections is highly recommended. Well-versed in roofing material options, construction standards, and recurring structural issues. Knowledge of common signs of wear, damage, and potential issues regarding home inspections. Have reliable transportation, computer, digital camera, ladder, and other miscellaneous items necessary to perform adjuster responsibilities. Willing and able to climb roofs. Computer and Phone System Requirements: Smart Cell Phone able to access to internet. Working Laptop computer with reliable high-speed internet Digital camera and other miscellaneous items necessary to perform adjuster responsibilities. Working Conditions / Physical & Mental Demands: The physical demands described here are representative and must be met by the independent contractor to successfully perform this job. 100% travel is required within designated working territory based on the location of assignments received. Normal office or field claims environment. Ability to operate a motor vehicle for up to 8 hours daily, repeatedly entering and exiting the vehicle. Must be able to make physical inspections of auto loss sites. Must be able to work outdoors in all types of weather. Available to work catastrophic loss events. A willingness to work irregular hours and to travel with possible overnight requirements a plus. Why Choose Alacrity? Flexibility: Self-determined Scheduling Diversity Statement Alacrity is an equal opportunity employer and is committed to providing employees with a work environment free of discrimination and harassment. All decisions pertaining to an employee's employment are made without regard to race, color, religion, sex (including sexual orientation, pregnancy, childbirth), gender, gender identity or expression, age, national origin, ancestry, physical or mental disability, medical condition, reproductive health decisions, veteran's status, genetic information, creed, marital status, disability, citizenship status, or any other characteristic protected by applicable law. How Long We Retain Personal Information: We will keep your personal information for as long as necessary to fulfill legitimate business purposes and in accordance with applicable laws. Powered by JazzHR R8NtYyAWan
    $45k-62k yearly est. 4d ago

Learn more about claims adjuster jobs

How much does a claims adjuster earn in New Franklin, OH?

The average claims adjuster in New Franklin, OH earns between $37,000 and $58,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.

Average claims adjuster salary in New Franklin, OH

$46,000

What are the biggest employers of Claims Adjusters in New Franklin, OH?

The biggest employers of Claims Adjusters in New Franklin, OH are:
  1. Eac Holdings LLC
  2. Molina Healthcare
  3. Milehigh Adjusters Houston
Job type you want
Full Time
Part Time
Internship
Temporary