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  • Mechanical Vehicle Claims Adjuster

    Ascendo Resources 4.3company rating

    Claims adjuster job in Jacksonville, FL

    Vehicle Claims Adjuster 📍 On-site | Full-Time 🚗 From the dealership or shop floor to the office - without leaving automotive behind. We're hiring a Vehicle Claims Adjuster to join our in-office claims team. This role is ideal for professionals with experience as a Service Advisor, Technician, Warranty Administrator, or Claims Adjuster who want to leverage their automotive knowledge in a stable, professional claims environment. In this role, you'll evaluate mechanical failures, review repair estimates, and determine coverage under vehicle service contracts (VSCs), while working closely with repair facilities, dealerships, inspectors, and internal teams. What You'll Do Investigate, evaluate, and adjudicate mechanical and vehicle service contract (VSC) claims Review shop diagnostics, repair estimates, inspections, labor times, and parts pricing Determine coverage based on contract terms and service guidelines Authorize or deny repairs within settlement authority; escalate complex claims with recommendations Communicate professionally with customers, repair facilities, dealerships, agents, and inspectors Negotiate labor times, parts pricing, and scope of repairs when needed Ensure repairs and costs align with industry standards and contract limitations Accurately document claim decisions across multiple claims and estimating systems Identify and escalate gray-area or complex coverage issues Support service-level goals while delivering a positive customer and dealer experience Additional Responsibilities Participate in quality audits, peer reviews, and calibration sessions Assist with onboarding and training of new or junior adjusters Provide feedback on claim trends, cost drivers, and process improvements Support volume spikes, new program launches, or system migrations Collaborate with underwriting, compliance, product, and leadership teams on escalated claims Complete special projects and reporting as assigned What We're Looking For High school diploma or equivalent required; Bachelor's degree or equivalent experience preferred 2-4+ years of experience in automotive claims, VSC/extended warranty claims, warranty administration, or insurance adjusting Strong automotive background, including experience in: Automotive repair or diagnostics Dealership service roles (Service Advisor, Technician, Warranty Administrator) Fleet maintenance, parts management, or service writing Working knowledge of automotive diagnostics, repair procedures, labor times, and parts pricing Experience in a high-volume or call-based claims environment preferred Comfortable navigating multiple systems and platforms Preferred Qualifications ASE Certifications, factory training, or other automotive industry certifications Experience with Vehicle Service Contracts (VSCs), extended warranties, or TPAs Spanish / bilingual skills a plus Skills & Competencies Strong analytical and decision-making skills Excellent verbal and written communication Professional negotiation and conflict-resolution abilities High attention to detail and documentation accuracy Ability to interpret technical repair information and contract language Strong time management and schedule adherence Customer-focused mindset Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity. Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law
    $43k-52k yearly est. 3d ago
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  • Claims Manager

    Seven Seas Insurance Company

    Claims adjuster job in Riviera Beach, FL

    Seven Seas Insurance located in West Palm Beach, Florida is seeking a Claims Manager! We are seeking an experienced and strategic Claims Manager - Marine Insurance to lead and manage the end-to-end claims process. The ideal candidate will bring 7+ years of managerial experience in marine claims, with a deep understanding of policy interpretation, litigation, recovery, and claims strategy. This is a critical leadership role focused on claims efficiency, technical accuracy, team performance, customer satisfaction, and financial control. Responsibilities include, but are not limited to: Directs the investigation, review, evaluation, negotiation and preparation of settlements for Seven Seas Insurance claim submissions, including all Open Cargo Policies. Coordinates mitigation with claimants and/or legal counsel to determine fair and equitable settlement. Prepares and analyzes departmental reports. Forecasts calculation and establish monitoring of the claims reserve accounts. Performs quality reviews on claims in compliance with internal and external audits as well as all regulatory requirements, whether domestic or international. Supervises and leads a team of adjusters handling claims and the department's workflow. Assists the President in determining viable markets and expanding to additional lines of business including but not limited to Hull, P&I and Marine Liabilities. Coordinates with Cargo Loss Prevention to determine and eliminate "high risk areas" to aid in the prevention of claims. Determine areas with high loss ratio and recommend directions to help lower risk exposure. Performs all other assigned duties. Qualifications: Associate's degree in business administration or in a related field. Seven years' experience in Claims Management in all lines of Marine Business. 6-20 Adjusters License. 5% travel to various local and international locations. English fluency is required, Spanish language skills are a strong plus and will be beneficial when communicating with our diverse client base or internal teams. What We Offer: Competitive Pay Free Medical insurance for employees & dependents (Immediate eligibility) Dental, Vision, Life, Short-term & Long-term insurance available at great rates Annual Incentive Bonuses for ALL team members 401(k) retirement plan with company generous company match Tuition Reimbursement Employee Recognition Programs and events Employee Discounts Paid Time Off & Holiday Pay Casual work environment and so much more!!! Submit your Cover Letters and Resumes to ******************* or ******************* Seven Seas Insurance Company has been providing marine cargo coverage since 1967. Cargo insurance has been and continues to be our focus. We value collaboration and making a positive impact in the lives of our clients and claimants.
    $41k-81k yearly est. 5d ago
  • Disability Claims Specialist (Part Time 20 hours+)

    Hays 4.8company rating

    Claims adjuster job in Tampa, FL

    We seek to make a meaningful impact in the lives of our customers and our communities. The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims Consultant is required to exercise independent judgment, critical thinking skills, exemplary customer service skills as well as effective inventory management skills. Essential Business Experience and Technical Skills: Required: **3+ years of LTD/IDI Insurance Claims experience •Prior experience with independent judgement and decision making while relying on the available facts •Be able to demonstrate the use of critical thinking and analysis when reviewing the information •Creative problem-solving abilities and the ability to think outside the box •Excellent interpersonal and communication skills in both verbal and written form •Excellent customer service skills proven through internal and external customer interactions •Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively •Organizational and time management skills • Bachelor's degree Key Responsibilities: •Effectively manages with some level of oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS will be evaluated for increases in their authority levels as they become more experienced in their decision-making and demonstrate consistency in meeting all key performance indicators •Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations • Provides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are used to gather essential details regarding medical condition(s) and treatment, occupational demands, financial information and any other information that may be pertinent to the evaluation of the claim. Once telephone calls are completed, you will be required to document the conversation within the claim file in a timely manner utilizing the appropriate level of detail and professional writing skills •Interacts and communicates effectively with claimants, customers, attorneys, brokers, and family members during claim evaluations •Compiles file documentation and correspondence requiring extensive policy and factual detail. Analyzes information to determine if additional information is needed to make a reasonable and logical claims determination based off the information available •Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions. •Clarifies and reconciles inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed •Proficiently calculates monthly benefits due after elimination period, to include COLA, Social Security Offsets, and Rehab Return to Work benefits, and other non-routine payments •Provides timely and detailed written communication during the claim evaluation process which outlines the status of the evaluation and/or claim determination. •Addresses and resolves escalated customer complaints in a timely and thorough manner. Identifies and refers appropriate matters to our appeals, complaint, or litigation support areas.
    $56k-88k yearly est. 1d ago
  • Manager, Medicare Claims

    Blue Cross and Blue Shield of North Carolina 4.3company rating

    Claims adjuster job in Huntsville, AL

    The Manager, Medicare Claims, oversees end-to-end claims services for provider segments, meeting business goals. This role sets performance targets, manages claims processing and financials, handles submissions, refunds, and recoveries, and ensures claims accounting and reporting. Collaboration with claims leadership ensures alignment with customer needs and contracts. What You'll Do Streamline shared processing to reduce management by exception Set operational process to address market trends, BCBSNC capabilities and customer demand Manage accounting and financial reporting functions in support of the Finance Division including overseeing the gathering, preparation, analysis, and reconciliation of financial data to ensure compliance with accepted accounting principles and standards. Participate in projects to improve and/or facilitate claims processing, recovery, and accounting functions. Manage financial recovery activities including refunds and collections Manage team leads and staff by efficiently driving work volume to keep high level of utilization and engagement in the group Resolve complex claims appeal by coordinating with different stakeholders for certain high value claims Collaborate with Audit and Payment Integrity to sustain a pre-determined level of accuracy and quality Design and develop tools and techniques for improvements. Identifies needed process and procedural changes which will result in improved customer satisfaction. Serve as Medicare Claims Subject Matter Expert and single point of contact for performance monitoring and troubleshooting. Represent Claims Operations on monthly CMS calls with CMS Account manager answering questions, providing status updates and expertise routinely and on demand. Ability to engage as requested by Compliance with regulatory entities, especially CMS on monthly calls and serve as an internal point of contact to prepare feedback on issues under CMS review. Use good judgement in understanding issues and work with compliance to prepare for discussions. Ability to represent claims as a knowledgeable SME. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points 1-2 years of Medicare and Medicaid experience or a highly regulated operational environment - highly preferred Strong analytical skills with the ability to drive change and manage operations Ensure risks associated with business activities are effectively identified, measured, monitored and controlled within accordance with compliance policies and procedures What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $98,092.00 - $156,947.00 Skills Accounts Receivable (AR), Claims Analysis, Claims Management, Claims Processing, Claims Resolution, Claims Submission, Documentations, Financial Processing, Health Insurance, Insurance Claim Handling, Insurance Claims Processing, Insurance Industry, Medicare Advantage, People Management, Recruiting
    $98.1k-156.9k yearly 2d ago
  • APD Claim Representative II - Florida

    The Auto Club Group 4.2company rating

    Claims adjuster job in Jacksonville, FL

    Auto Claim Representative (Florida) - The Auto Club Group Reports to: Claim Manager I What you will do: (Primary Duties & Responsibilities) The Auto Club Group is seeking prospective APD Claim Representative IIwho canwork under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements and establish clear evaluation and resolution plans for claims. In this position, you will have the opportunity to: Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system. Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss. Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). This position is assigned to the Florida Auto Physical Damage ("APD") claim unit and will handle moderately complex claims including the handling of Total Losses. Additional responsibilities may include the following: determining cause of damage, establishing liability, identifying subrogation potential, monitoring repairs and approving car rental expense. May handle simple APD Litigation cases. With our powerful brand and the mentoring, we offer, you will find your position as aClaims Representative IIcan lead to a rewarding career at our growing organization. How you will benefit: Our Auto Club Group Claim Specialistearns a competitive salary of$60,000 - $68,000to start along with the opportunity for an annual company bonus incentive. Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who: Education: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent CPCU coursework or designation I-Car 2000 training CCC training Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience. Must have a Florida state adjuster license Must have a valid State Driver's License Experience: One year of experience with: Negotiating claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Knowledge of: Fair Trade Practices Act as it relates to claims. Subrogation procedures and processes Intercompany arbitration Knowledge of: Negligence Law No-Fault Law Collision repair techniques Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines. Work within assigned ACG Claim systems including basic PC software. Perform basic claim file review and investigations. Analyze and solve problems while demonstrating sound decision-making skills. Process time sensitive data and information from multiple sources Research analyze and interpret subrogation laws in various states. Strong negotiating skills State of Florida Resident Only- near the Tampa Bay area Work Environment This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $60k-68k yearly 4d ago
  • Workers' Compensation Claims Adjuster - Temp

    Argonaut Management Services, Inc.

    Claims adjuster job in Huntsville, AL

    Argo Group International Holdings, Inc.and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions. Job Description Business Title(s):Workers' Compensation Claims Adjuster Employment Type:Contingent Worker FLSA Status:Non-Exempt Location:In-Officeor Remote Summary: Although Rockwood underwrites general liability insurance and workers' compensation for many types of businesses, ourspecialtyis underwriting workers' compensation insurance for the mining industry, with a focus on the coal-mining industry. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal. We have never been more committed to our clients to ensure their employees receive excellent medical care if they need it due to a work-related injury or illness. Our passion for outstanding customer focus, combined with our deep industry experience, is what sets up apart from other insurance carriers in this niche market. We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporary assignment through13February2026 and work from anywhere in the continental United States. If this assignment is filled in one of our following offices, the assignment can be considered temp-to-hire: Albany, Chicago, Los Angeles, New York,Omaha, Richmond (VA), Rockwood (PA), or Springfield (MO). This role will adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the states of WY, KY, IL, IN, KY, NY, PA, and VA. This temporary role will also adjudicate medical-only and traumatic injury claims. The position supports clients primarily within the coal mining industry, requiring experience adjudicating claims in heavy industrial or mining environments. As this is a temporary assignment, only government-mandated benefits will be provided. Essential Responsibilities: Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical complexity, with a direct impact on departmental results. Resolving issues that are generalized and typically notcomplex butrequire understanding of a broader set of issues. Reporting to senior management and underwriters onclaimstrends and developments. Investigating claims promptly and thoroughly. Analyzing claims forms, policies and endorsements, client instructions, and other records todeterminewhether the loss falls within the policy coverage. Investigating claims promptly and thoroughly, including interviewing all involved parties. Managing claims in litigation. Managing diarytimelyand complete tasks to ensure that cases move to the best financial outcome andtimelyresolution. Properly setting claim reserves. Identifying, assigning, and coordinating the assignment and coordination ofexpertiseresources toassistin case resolution. Preparing reports for file documentation. Applying creative solutions which result in the best financial outcome. Negotiating settlements. Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.). Having an appreciation and passion for strong claim management. Qualifications / Experience Required: A practical knowledge ofadjudicatingworkers' compensation claims through: A minimum of two years' experienceadjudicatingindemnity workers' compensation claims in one or more of the following jurisdictions: IL, IN, KY, NY, PA, and/or VA. Bachelor'sdegree from an accredited universityrequired. Two or more insurance designations or fouradditionalyears of related experienceadjudicatingindemnity claims beyond the minimum experiencerequiredabove may be substituted in lieu of a degree. Must be licensed in KYand NY Must have good business acumen (i.e.understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable). A practical knowledge ofadjudicatingworkers' compensation claims through: Must have excellent communication skills and the ability to build lasting relationships. Exhibit natural curiosity Desireto work in a fast-paced environment. Excellent evaluation and strategic skillsrequired. Strong claim negotiation skillsa must. Mustpossessa strong customer focus. Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines. Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO. Must work independently anddemonstratethe ability to exercise sound judgment. Demonstrates inner strength. Has the courage to do the right thing anddemonstratesit on a daily basis. Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking. Proficient in MS Office Suite and other business-related software. Polished and professional written and verbal communication skills. The ability to read and write English fluently isrequired. Mustdemonstratea desire for continued professional development through continuing education and self-development opportunities. The base salary range provided below is for hires in those geographic areas only and will becommensuratewith candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package. Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges:$37.66- $44.33per hour California outside of Los Angeles and San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Houston metro area, New York State (including Westchester County)and Washington State Pay Ranges:$41.44- $48.79per hour Los Angeles, New York City and San Francisco metro areas Pay Ranges:$45.12- $53.16per hour About Working in Claims at Argo Group Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful. Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions andtreateach case as the unique situation it is. We have a very flat organizational structure, enabling our employeeshavemore interaction with our senior management team, especially when it relates to reviewing large losses. Our entire claims team works in a collaborative nature to expeditiously resolve claims.We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas. We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply. PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas. If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at . Notice to Recruitment Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions. We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics. The collection of your personal information is subject to our HR Privacy Notice Benefits and Compensation We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
    $37.7-44.3 hourly 3d ago
  • Unemployment Claims Analyst

    Westgate Resorts

    Claims adjuster job in Ocoee, FL

    Westgate Resorts is the largest privately held timeshare company in the world, with 60+ resorts in top destinations like Orlando, Las Vegas, Gatlinburg, Park City, and Myrtle Beach. Recognized by U.S. News & World Report as one of the Best Companies to Work For, we're committed to creating a supportive, rewarding workplace where our 9,000 Team Members can grow and thrive. Since 1982, we've delivered unforgettable vacations through exceptional service, innovation, and community engagement. With the recent addition of VI Resorts by Westgate, our footprint now includes the Pacific Northwest, Hawaii, Canada, and Mexico. Join us and be part of a team that values passion, integrity, and excellence, where your work helps create memories that last a lifetime. Job Description Primary contact between the organization and state unemployment agencies, responsible for receiving, analyzing, determining appropriate documentation, and responding to unemployment claim-related documents and state agency inquiries within regulatory time limits. Works independently to meet daily goals and project deadlines while maintaining a high level of accuracy and technical diligence. Responsibilities Receive and prioritize claims, state agency documents, determinations, and other unemployment-related data. File timely claim protests and appeals with state UI agencies on behalf of the company. Review files and hearing notes to assist in drafting written appeals to the Board of Review for unfavorable hearing decisions. Provide representation for Westgate Resorts at unemployment hearings. Analyze individual unemployment compensation cases by reviewing company databases, conducting investigative telephone calls, and examining document images to determine appropriate responses to state agencies. Transfer completed claim responses to the Unemployment Claims Specialist for imaging and appropriate storage. Effectively communicate with Human Resources and company leadership regarding the fiscal impact, strengths, and weaknesses of unemployment compensation cases. Respond to internal customers and state agencies with all pertinent information in accordance with mandatory state and organizational compliance guidelines. Initiate timely contact, follow-up, and collaboration via telecommunications, in-person communication, telephone, email, and fax with identified organizational leadership to obtain required documentation. Establish and maintain professional relationships with state agencies and internal customers. Investigate and resolve operational requirements in a timely manner, and coach and assist Human Resources on unemployment compensation topics. Assist in the development and delivery of verbal presentations on unemployment compensation compliance training for Human Resources and organizational leadership. Perform additional responsibilities as needed to ensure departmental operations and governmental compliance, which may include working outside of normal business hours to accommodate varying time zones. Qualifications Must live within a commutable distance to Ocoee, FL. Knowledge, skills, and abilities required are representative of the job's demands. Must demonstrate the ability to exercise independent discretion and judgment. Working knowledge of the overall unemployment compensation cost control process is important. Proven success in working independently and as part of a team to achieve goals and meet deadlines while maintaining high accuracy and focus. Education and/or Experience Bachelor's degree (BA/BS) in Business, Human Resources, Finance, or a related field, and 3-5 years of related experience/training preferred. May consider an AA degree in a related field with 5-7 years of related experience. Equivalent combinations of education and experience are also acceptable. Certificates, Licenses, Registrations PHR or SPHR certifications are a plus. Additional Information Why Westgate? Comprehensive health benefits - medical, dental and vision Paid Time Off (PTO) - vacation, sick, and personal Paid Holidays 401K with generous company match Get access to your pay as you need it with our Daily Pay benefit Family benefits including pregnancy, and parental leave and adoption assistance Wellness Programs Flexible Spending Accounts Tuition Assistance Military Leave Employee Assistance Program (EAP) Life, Disability, Accident, Critical Illness & Hospital Insurance Pet Insurance Exclusive discounts for Team Member (i.e., hotels, cruise, resorts, restaurants, entertainment, etc.) Advancement & development opportunities Community Involvement Programs Westgate Resorts is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status or any other protected status under federal, state or local law. If you have a disability and believe you need a reasonable accommodation in order to complete your application or any part of the recruiting process, please email WGAccommodations@wgresorts.com with the job title and the location of the position for which you are applying. This job posting is intended to provide a general overview of the position and may not include every responsibility, duty, or qualification required. Duties, responsibilities, and activities may change at any time with or without notice.
    $27k-46k yearly est. 2d ago
  • Independent Insurance Claims Adjuster in Pensacola, Florida

    Milehigh Adjusters Houston

    Claims adjuster job in Pensacola, FL

    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.
    $42k-51k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims adjuster job in Pensacola, FL

    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-51k yearly est. Auto-Apply 39d ago
  • Desk Adjuster

    Global Risk Solutions Inc. 4.2company rating

    Claims adjuster job in Jacksonville, FL

    Job: Desk Adjuster Reports To: Claims Manager Summary/Objective This position is an operational role and desk adjusters are expected to investigate insurance claims to ascertain the extent of liability on behalf of an insurance company. He/she will need to coordinate assignment of inspections of homes, commercial buildings, agricultural equipment, farmland, and automobiles with field adjusters and/or engineers, review written report/estimate of damages, and prepare decision letter, issuing payments when applicable. Desk Adjusters will operate under leadership and direction from the Claims Manager and assure that all work product is in line with carrier directives and GRS file standards. The Desk Adjuster will be required to understand and explain written repair estimates and understand application of insurance policy coverage to the documented loss. Essential Functions 1. Make and maintain contact with insured to provide timely service for the insured's claim. 2. Review property damage or personal injury claim written report and/or estimate. 3. Prepare reports and document the claim file as required via carrier. 4. Review reports from specialists such as public adjusters, lawyers, engineers, contractors, vehicle technicians and health care staff. 5. Ability to communicate effectively both orally and in writing. 6. Ability to operate multiple computer applications and programs, including but not limited to word processing and spreadsheets. Ability to quickly learn proprietary client claims systems. 7. Must have professional communication and customer service skills. 8. Strong product identification skills required with a general knowledge of home/commercial building/ auto construction. 9. Ability to effectively prioritize and complete multiple tasks within established timeframes. 10. Ability to travel throughout the United States and Canada (for in-office assignments) or ability to work at home office (for remote assignments). 11. Performs other related duties as assigned. Competencies 1. Leadership - Exhibit's confidence in self and others; Inspires and motivates others to perform well; Effectively influences actions and opinions of others; Accepts feedback from others; Gives appropriate recognition to others. 2. Strong Communicator - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings; Writes clearly and informatively. 3. Decision Making - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions. 4. Teamwork Orientation - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed. 5. Technical Capacity - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others. 6. Learning Orientation - Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed. 7. Project Management - Develops project plans; Coordinates projects; Communicates changes and progress; Completes projects on time and budget; Manages project team activities. 8. Results Orientation - Anticipate, identify, and effectively deal with problems and risks; plan for contingencies to deal with unexpected challenges. Remains open to others' ideas and tries new things. 9. Diversity - Demonstrates knowledge of company EEO policy; Shows respect and sensitivity for cultural differences; Recognize the value of diversity; Promotes a harassment-free environment; Appreciates a diverse workforce. 10. Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values. 11. Adaptability - Adapts to changes in the work environment; Manages competing demands; Change's approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events. Supervisory Responsibility This position will have the responsibility of complete claim file investigation and handling, including issuing payment or communication coverage decision. Work Environment Work location to be determined and may be in office or remote at the discretion of management or based on department needs. 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. This is largely a sedentary role and requires operating a computer and telephone for extended periods of time. The person in this role needs to be in good physical shape with no restrictions. Position Type/Expected Hours of Work This is a seasonal position: Workdays will typically be Monday-Friday during client business hours, but additional days and time may be needed and will be based on volume of work. Travel This position typically requires up to 100% travel (in office assignments), or 0% travel (remote assignments), but can be more in CAT situations based on department need. Preferred Education and Experience 1. Designated Home State Adjuster's License 2. State Specific Adjuster's license 3. 2 + years' experience in a claim handling environment. 4. Must be able to partner effectively with management. 5. Experience with customer service. 6. Smart and engaging leader with ability to work alone or in a team environment to accomplish performance goals. Possess excellent analytical and problem-solving skills. 7. Strong problem-solving skills. 8. Adaptable to changing work requirements. 9. Ability to function well in a high paced and at times stressful environment.
    $45k-57k yearly est. Auto-Apply 60d+ ago
  • Licensed Public Adjuster Destin

    Rockwall National Public Adjusters

    Claims adjuster job in Destin, FL

    Job DescriptionSalary: About Us Rockwall National Public Adjusters is one of the most established public adjusting firms in the region. For more than 15 years, we have successfully advocated for property owners, supported by leadership with over 20 years of experience in the insurance claims industry. We pride ourselves on our longevity, high retention, and reputation for excellence. Many of our adjusters and office staff have been with us for over 10 years, reflecting our supportive culture and commitment to long-term careers. At Rockwall, our mission is simple: level the playing field, fight for our clients rights, and secure the settlements they deserve. By joining our team, you will become part of a well-respected firm with proven processes, unmatched administrative support, and a collaborative environment that fosters professional growth. The Role We are seeking a motivated and Licensed Public Adjuster in the Destin area to join our team in a hybrid, commission-based role. As a Public Adjuster, you will represent policyholders throughout the insurance claims process, guiding them through stressful property damage losses and securing fair settlements. You will play a vital role in soliciting referral business, signing clients, evaluating damages, preparing and negotiating claims, and advocating for clients best interests. This position is designed to support all levels of experience: Newly licensed adjusters benefit from structured training, mentorship, and back-office support. Experienced adjusters gain access to qualified leads, advanced systems, and a trusted brand with a long-standing reputation. Key Responsibilities Collaboratively solicit residential and commercial new claims and referral partners Sign, inspect, evaluate, and document property damage for residential and commercial claims Prepare, submit, and negotiate insurance claims on behalf of policyholders Communicate with clients, insurance carriers, contractors, and stakeholders to advance claims efficiently Advocate for clients best interests and ensure fair settlements are achieved Maintain accurate records, reports, and claim documentation Deliver exceptional customer service while educating clients on the claims process Generate new business and efficiently close provided leads Required Qualifications Active Florida Public Adjuster license (or ability to obtain one) Prior experience in insurance adjusting, construction, restoration, or a related field preferred, but not required Strong negotiation and communication skills Organized, detail-oriented, and able to manage multiple claims simultaneously Professional demeanor with a client-focused mindset Valid drivers license and reliable transportation for field inspections Compensation & Benefits Commission-based structure with unlimited earning potential Training and ongoing professional development Career growth opportunities within a supportive and collaborative team Hybrid work flexibility (field + office) Full administrative and office support (contracts, compliance, claims, invoicing, mortgage company payments) The Rockwall Difference At Rockwall, we provide unmatched support at every stage of the claims process, allowing our adjusters to focus on serving clients and building careers. Key Advantages: Comprehensive adjuster onboarding and mentorship programs Professional ongoing sales training to close contracts faster and expand referral networks Proprietary lead generation sources and affiliate networks Automated client onboarding to reduce paperwork Access to advanced claims management software for streamlined workflows Hands-on field training for residential and commercial claims Xactimate training and estimate reviews to ensure complete assessments Seamless invoicing and fee collection support Regular updates on case law, legislation, and industry trends A collaborative team environment that promotes growth and shared knowledge Why Join Rockwall NPA 20+ years of insurance industry expertise 15+ years as a trusted, established firm Strong reputation and high staff retention Proprietary lead generation sources and long-standing affiliate networks Full support systems that empower adjusters to succeed A company culture built on professionalism, advocacy, and results
    $38k-52k yearly est. 14d ago
  • Independent Adjuster Roofing

    Stratus Roofing

    Claims adjuster job in Winter Garden, FL

    Stratus Roofing is leading the Residential and Commercial ROOFING industry by putting PEOPLE first and we are in search of hard-working professionals to join our Stratus Family! At Stratus Roofing, we operate with a high level of integrity and customer service; therefore, expect this from our vendors and employees alike. We are proud to say we have hand-picked our team to assure our customers work with the most professional roofing consultants in the industry. We are currently seeking experienced, professional Roofing Claims Adjusters to cover the GREATER FORT MYERS, SARASOTA AND TAMPA areas. CORE RESPONSIBILITIES: Communicate with insurance to get agreement on the scope of work and pricing. Evaluate document and estimate storm damage to roofs. REQUIREMENTS: 2+ years working as an insurance adjuster; specifically on storm damage claims for roofing, siding, windows, and gutters Florida PPIA Licensing: All Lines Adjuster (We will pay for courses and designations if needed). Xactimate experience a plus Must have a valid state driver's license and an acceptable Motor Vehicle Driving Record
    $39k-53k yearly est. Auto-Apply 60d+ ago
  • Asset Adjuster

    Max Credit Union 3.2company rating

    Claims adjuster job in Montgomery, AL

    At MAX Credit Union, our culture is built on simplicity, integrity, and hospitality . As an Asset Adjuster, you'll play a vital role in helping members overcome financial challenges with clarity and care. By managing delinquent accounts and guiding members toward solutions, you'll embody our commitment to making banking easy, honest, and personal-protecting the credit union's assets while preserving trust and strengthening relationships. We value our team and offer a competitive benefits package that includes: Comprehensive health and dental coverage 200% employer 401k match! Access to pharmacy and wellness programs Supportive work environment with recognition for outstanding service and more ! Role: To protect and preserve the credit union's financial assets by effectively managing delinquent loan accounts through consistent, accurate, and professional collection efforts. This role requires a high level of attention to detail, adherence to compliance standards, and expertise in analyzing member accounts and recovering funds while maintaining a member-centric approach. Essential Functions & Responsibilities: • Proactively monitors and manages a portfolio of consumer loans that are 11 to 50 days past due. • Follows structured collection processes to contact members, negotiate repayment terms, and ensure timely resolution. • Performs precise file maintenance on member accounts and ensures all teller postings, account updates, and status changes are accurately recorded in the core system. • Accepts and processes member payments with accuracy and ensures all transactions are correctly applied in accordance with internal policies. • Supports proper and timely reporting of loan statuses to credit bureaus and other financial reporting systems; ensuring adherence to Fair Credit Reporting Act (FCRA) guidelines. • Maintains comprehensive, organized records of all member communication and collection activities while ensuring all actions are documented in compliance with regulatory standards and internal procedures. • Performs in-depth skip tracing using internal systems and approved tools to locate members with outdated or inaccurate contact information. • Evaluates accounts for legal collection activity and collaborates with legal partners or attorneys to escalate cases appropriately, ensuring proper documentation and chain of custody. • Prepares, maintains, and analyzes delinquency reports, spreadsheets, and account watch lists to support decision-making and track trends or recurring issues. • Identifies potential legal or operational risks and promptly escalates concerns to management with recommendations for next steps. • Assists in responding to collection hotline calls and provides support to internal team members to ensure seamless member service and issue resolution. • Serves as backup to department adjusters and specialists when needed. • Approaches all collection activity with professionalism, empathy, and the intent to preserve member relationships while enforcing policy and protecting the credit union. • Stays current with policy and regulatory changes. • Maintains a member first mindset. • Upholds core values and builds team member and customer relationships. • Completes all training as required. • Performs other duties as assigned.
    $45k-57k yearly est. 13d ago
  • GL Adjuster

    Resolution Recruiting

    Claims adjuster job in Florida

    Summary: Looking for a seasoned General Liability Adjuster to handle our government agency accounts. If you've got a background in handling GL claims and enjoy working with government clients, this could be the perfect fit. This role involves investigating claims, determining liability, and ensuring timely resolution while maintaining strong client relationships. Responsibilities: Investigate and evaluate general liability claims for government agencies Communicate effectively with all parties involved to gather necessary information Determine coverage and liability based on policy terms and regulations Conduct site inspections to assess damages and liability Negotiate settlements with claimants and their representatives Collaborate with internal teams to resolve complex claims efficiently Maintain accurate claim records and documentation Provide regular updates to government agency clients on claim status and resolution progress Qualifications: Bachelor's degree or equivalent experience Minimum of 3 years of experience in handling general liability claims Strong communication and negotiation skills Ability to work independently and prioritize tasks effectively Proficiency in Microsoft Office and claims management software Willingness to travel for site inspections and meetings as needed
    $39k-54k yearly est. 60d+ ago
  • In-house Public Adjuster

    Icbd Holding LLC

    Claims adjuster job in West Palm Beach, FL

    Public Adjuster Are you a licensed public adjuster looking to stand out in an established but growing company? Get more opportunity to work the big claims at a premier Florida public adjusting firm-Sentry Public Adjusting. We are looking for a hard-working closer who wants be part of a fast growing, professional, ethical and ambitious Public Adjusting Company. About Sentry Public Adjusting Sentry Public Adjusting is a full-service public adjusting firm covering the State of Florida. Our team includes licensed adjusters, certified claim estimators, administrative claim support specialists and mortgage liaisons-everything necessary for an adjuster to be successful. We offer a competitive base salary plus commission commensurate with experience. Our benefits package includes medical, dental, vision, short/long-term disability, life insurance, and 401(k). Our aggressive structure provides an incentive to work hard, help many people in challenging times, and will allow the right candidate to far exceed annual base pay. Your Position The licensed Public Adjuster follows up on qualified leads and develops a working relationship with local property managers and businesses who may experience future losses. The public adjuster networks contacts and follows up on client references to help bring in new clients. What You Will be Doing · Working efficiently with and managing adjuster apprentices · Onboarding, signing up, and maintaining communication with clients · Overseeing claims process from beginning to end . Maintaining internal systems such as Salesforce and ClaimWizard · Negotiating, corresponding, and dealing with insurance carriers · Following up to ensure claims are being properly handled by deadlines . Attendance at Home Shows on occasional weekends will be required. · Traveling -regularly travel to appointments within our operational area. Your Qualifications · Florida Public Adjuster license 3-20 PCA or licensed in a reciprocal state · Experience in real estate, construction, or insurance fields is helpful but not necessary · Strong writing and communication skills including attention to detail · Proficiency with Microsoft Office · Highly organized with the ability to juggle multiple deadlines in a fast-paced environment · Ability to read and interpret contracts Working Conditions Candidates must meet the company's hiring criteria to include a pre-employment background investigation and drug test. We are an Equal Opportunity Employer and a drug-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. Must be able to separate personal issues with work issues to ensure healthy relationships with clients. This is not a work from home position, and you shall be expected to adhere to normal office hours when not on appointments. As per the nature of the work appointments are governed by the requirements of our customer base, so a willingness to work outside of normal office hours and at weekends will at times be expected. Staffing Agencies Unsolicited resumes from search firms will not be honored as valid. Consequently, we politely ask agencies not to solicit our business managers directly as well. Thank you in advance. Job Type: Full-time
    $40k-55k yearly est. Auto-Apply 60d+ ago
  • Public Adjuster

    The Misch Group

    Claims adjuster job in Tampa, FL

    Job DescriptionDescriptionQUICK FACTS: Must have Public Adjuster License Must have experience with Xactimate Must have network of Condo, Apartment, Property Management partners Must be able to physically examine all buildings top to bottom (roofs as well W2, Base Salary 70K+, and industry leading commission package We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment. Key ResponsibilitiesKey Responsibilities: Identify and pursue new business opportunities with homeowners, contractors, and referral partners. Educate prospective clients on our services and guide them through the insurance claims process. Develop and maintain a pipeline of leads through prospecting and networking efforts. Conduct presentations and training sessions to build brand awareness and establish partnerships. Provide exceptional customer service to existing clients, ensuring their satisfaction and retention. Work closely with internal teams to optimize the sales process and improve closing rates. Maintain accurate records of sales activities and client interactions. Skills, Knowledge and ExpertiseQualifications & Experience: 3+ years of proven sales experience as a licensed Public Adjuster Strong ability to generate leads, manage relationships, and close deals. Bachelor's degree in Business, Marketing, Communications, or equivalent experience. Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms. Highly organized with strong follow-through skills in a fast-paced environment. Public Adjuster license BenefitsWhat We Offer: Extensive training and support to help you succeed. Flexible work environment with opportunities for growth and career advancement. A team-oriented culture with strong leadership and professional development opportunities. If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
    $39k-54k yearly est. 3d ago
  • Liability Adjuster II

    TWAY Trustway Services

    Claims adjuster job in Tampa, FL

    JOIN THE ASSURANCEAMERICA TEAM Do you want to be part of an organization where you are valued, and your ideas and opinions have an impact? Join the AssuranceAmerica team. For more than 25 years, AssuranceAmerica has provided superior property and casualty insurance products through contracted independent agents and directly to customers. Our team succeeds through diversity of thought, experiences, skills, and backgrounds. Liability Adjuster II The Liability Adjuster II is responsible for managing a caseload of complex liability and coverage claims, including those involving minor bodily injuries. This role requires the execution of thorough investigations to gather all necessary facts, along with a strong understanding of policy language to ensure accurate and timely coverage and liability determinations. While working with a degree of autonomy, the Adjuster will collaborate with their supervisor for guidance on more nuanced or high-exposure cases. About the ROLE Each day at AssuranceAmerica is different, but as a Liability Adjuster II you will: Conduct thorough investigations and evaluations of coverage, liability, and damages across all lines of personal automobile insurance/. Accurately assess exposure and evaluate injury claims in a fair, consistent, and equitable manner based on the facts and extent of damages. Negotiate timely and appropriate settlements, ensuring all required documentation is obtained to support proper claim resolution and closure. Manage low-complexity, attorney-represented injury claims with sound judgement and attention detail, maintaining compliance with internal guidelines and industry standards. Control expenses and adhere to company reserving philosophy by maintaining proper reserves on all pending claims/potential exposures. Meet and maintain general file handling goals and procedures as outlined by the company including maintaining a 1:1 closing ratio and status on diary reviews. Properly utilize underwriting and policy systems and understand its features and functionality, as needed. Attend any available seminars and classes applicable to this position and the skills required to meet the job duties and responsibilities. Continually ask questions and have a desire to develop additional skills to better investigate and evaluate claims. About YOU Excellent communication skills with demonstrative ease with both verbal and written formats. Attention to detail and ability to multi-task. A high degree of motivation and team orientation. Direct, results driven, and dedicated to the success of the business and each other. Required Minimum three years of experience handling auto claims. Minimum of two years of experience handling complex liability and coverage issues and unrepresented bodily injury cases. Preferred Bachelor's degree or equivalent. Non-standard experience. Adjuster's license in relevant state or the ability to obtain one quickly. Bilingual (English-Spanish). Physical Requirements Prolonged periods sitting at a desk and working on a computer. Must be able to lift 15 pounds at times. Must be able to navigate various departments of the organization's physical premises. About US We are direct, results-driven, and dedicated to the success of our business and each other. We are a diverse group of thinkers and doers. We offer many opportunities to grow in your professional skills and career. We fight homelessness by directing 5% of our earnings from each policy we sell to organizations that help those in need. We call it our Generous Policy. WHAT WE OFFER AssuranceAmerica provides these benefits to Associates: Premium healthcare plans: All full-time Associates and part-time Associates working a regular schedule of 30 hours, or more, are eligible for benefits including Medical, Dental, Vision, Voluntary Life, Flexible Spending Accounts, and a Health Savings Account. Employer Paid Benefits: We enroll all eligible Associates in Group Life and AD&D Insurance, Short- and Long-Term Disability Plans, Employee Assistance Program, Travel Assist, and the Benefit Resource Card which includes Teladoc™, Pet Insurance and Health Advocate. Additional Benefits: 401(k) Employer Match: We want to help you prepare for the future, now. All full-time and part-time Associates over age 21 are eligible to participate in the 401(k) Savings Plan. AssuranceAmerica will match 100% of the first 4% of an Associate's contributions. Engagement Events. We make time for fun activities that strengthen Associate relationships in all our locations. Annual Learning Credit: Want to learn something new? We'll reimburse you for approved educational assistance. Time Off: Paid Time Off (PTO), Parental Leave Pay, Volunteer Time Off (VTO), Bereavement Pay, Military Leave Pay, and Jury Duty Pay.
    $39k-54k yearly est. Auto-Apply 60d+ ago
  • Inside Claims Rep-Pace, FL

    Sfbcic

    Claims adjuster job in Pace, FL

    This job is with Florida Farm Bureau which is the Florida state office for Southern Farm Bureau Casualty Insurance Company, and we currently have an opening for an Inside Claims Representative to work in Pace, FL. This position is responsible for resolving damage and injury claims caused by or incurred by insureds. Starting salary of $54,800. We offer many benefits including health, dental, vision, PTO, Extended Illness Leave, Pension and matching 401K. ESSENTIAL DUTIES AND RESPONSIBILITES: Include the following. Other duties may be assigned. Investigate, validate, evaluate, negotiate, and settle all claims as assigned. Maintain claim files and follow departmental reporting procedures. Submit reserve recommendations on assigned claims. Communicate with customers and other Claims personnel regarding procedures, problems, and coverages. Enroll in training and continuing education courses when and where required. Negotiate fair settlements with individual claimants or attorneys. Report risk reviews to Underwriting Department. Regular and predictable attendance is required. EDUCATION and/or EXPERIENCE: Bachelor's degree from four-year college or university Obtain Adjuster's license in 6 months SKILLS/ABILITY Strong Verbal communication & listening skills Effective negotiation skills Effective conflict management skills Ability to simultaneously handle multiple priorities Possesses strong product knowledge 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. While performing the duties of this job, the employee is occasionally required to sit at a desk or table with some walking, standing, bending, stooping or carrying of light objects. The employee frequently is required to perform continuous operations of personal computer for four hours or more and use their hands to finger, handle, or feel objects, tools, or controls; and talk or hear. Specific vision abilities required by this job include close vision.
    $54.8k yearly 40d ago
  • Claims Investigator - Part-Time

    Security Director In San Diego, California

    Claims adjuster job in Pensacola, FL

    Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Job Description Allied Universal is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation. Florida applicants must either hold a C Private Investigators' License OR Independently complete the 40-hour course necessary to successfully apply for a CC Private Investigator's license (apprenticeship) before applying. Must possess a valid driver's license with at least one year of driving experience RESPONSIBILITIES: Investigate insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty and disability Gather information independently and in collaboration with clients and case managers through various methods such as data collection, interviews, research, and scene investigations Follow guidance from the handling insurance adjuster to perform field tasks essential to the investigation Develop and document information on any investigation in a professional and expert manner by writing clear, concise, and grammatically correct reports, memos, and letters Run appropriate database indices if necessary and verify the accuracy of results found QUALIFICATIONS (MUST HAVE): Must possess one or more of the following: Bachelor's degree in Criminal Justice Associate's degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims High school diploma with a minimum of six (6) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims Ability to be properly licensed as a Private Investigator as required by the states in which you work Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course Minimum of two (2) years of demonstrated experience conducting insurance claims investigations or adjusting complex claims Working knowledge and understanding of anti-fraud laws, insurance regulations, and compliance rules and standards in their home state and within their designated region of the country Special Investigative Unit (SIU) Compliance knowledge Ability to type 40+ words per minute with minimum error Flexibility to work varied and irregular hours and days including weekends and holidays Proficient in utilizing laptop computers and cell phones PREFERRED QUALIFICATIONS (NICE TO HAVE): Military experience Law enforcement Insurance administration experience One or more of the following professional industry certifications Certified Fraud Investigator (CFE) Certified Insurance Fraud Investigator (CIFI) Fraud Claim Law Associate (FCLA) Fraud Claim Law Specialist (FCLS) Certified Protection Professional (CPP) Associate in Claims (AIC) Chartered Property Casualty Underwriter (CPCU) BENEFITS: Medical, dental, vision, basic life, AD&D, and disability insurance Enrollment in our company's 401(k)plan, subject to eligibility requirements Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law. Closing Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: *********** If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices. Requisition ID 2025-1505216
    $29k-41k yearly est. Auto-Apply 17d ago
  • Claims Investigator - Experienced

    Command Investigations

    Claims adjuster job in Pensacola, FL

    Job Description Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals who possess proven investigative skill sets within the industry, as well as honesty, integrity, self-reliance, resourcefulness, independence, and discipline. Good time management skills are a must. Must have reliable transportation, digital recorder and digital camera. Job duties include, but are not limited to, taking in-person recorded statements, scene photos, writing a detailed, comprehensive report, client communications, as well as meeting strict due dates on all assignments. If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your resume. Only the finest individuals are considered for hire. Visit our website and find out why at ****************** The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. Writing accurate, detailed reports Strong initiative, integrity, and work ethic Securing written/recorded statements Accident scene investigations Possession of a valid driver's license Ability to prioritize and organize multiple tasks Computer literacy to include Microsoft Word and Microsoft Outlook (email) Full-Time benefits Include: Medical, dental and vision insurance 401K Extensive performance bonus program Dynamic and fast paced work environment We are an equal opportunity employer. Powered by JazzHR WpChNsxXV1
    $29k-41k yearly est. 25d ago

Learn more about claims adjuster jobs

How much does a claims adjuster earn in Niceville, FL?

The average claims adjuster in Niceville, FL earns between $38,000 and $56,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.

Average claims adjuster salary in Niceville, FL

$46,000
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