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Claims adjuster jobs in North Carolina - 292 jobs

  • Claims Representative II

    Berkley 4.3company rating

    Claims adjuster job in North Carolina

    Company Details With over 35 years of proven expertise in the workers' compensation industry, Key Risk delivers innovative and responsive solutions that provide our clients the freedom to do what they do best. Offering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results. All products and services are distributed through appointed insurance agents and brokers. Key Risk is a member company of W. R. Berkley Corporation, whose insurance company subsidiaries are rated A+ (Superior), Financial Size Category XV by A.M. Best Company and A+ (Strong), by S&P. For further information about Key Risk please visit *************** The company is an equal opportunity employer. Responsibilities Key Risk is looking for a Claims Representative who enjoys analysis and management of workers compensation claims. Key functions include but are not limited to the following: Analyzes and processes workers' compensation claims by investigating and gathering information to determine the exposure on the claim. Negotiate settlement of claims up to designated authority level and makes claims payments. Calculates and assigns timely an appropriate reserve to claims and continues to manage reserve adequacy throughout the life of the claim. Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level. Develops and manages claims though well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution. Prepares necessary state filings within statutory limits. Actively manages the litigation process; ensures timely and cost-effective claims resolution. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims. Frequently communicates with all appropriate parties involved with the claim. Maintains professional client relationships. Actively executes appropriate claims activities to ensure consistent delivery of quality claims services. Qualifications BA/BS Degree 2-3 years of workers compensation claims experience Adjuster license strongly desired or ability to obtain license within six months Knowledge of appropriate insurance principles and laws of workers' compensation, preferably jurisdiction specific. Strong verbal and written communication Strong interpersonal, time management and organizational skills. Strong negotiation skills. Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail. Ability to perform with a sense of urgency. Ability to work both independently and within a team environment. Ability to travel for business purposes, approximately less than 10%. Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role Not ready to apply? Connect with us for general consideration.
    $41k-56k yearly est. Auto-Apply 1d ago
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  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims adjuster job in North Carolina

    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 36d ago
  • Raleigh NC Regional Daily Claims Adjuster

    Cenco Claims 3.8company rating

    Claims adjuster job in Raleigh, NC

    CENCO Claims is looking for a qualified Daily Property Adjuster to handle residential and commercial property claims in the Raleigh, NC area. This is a field-based position offering steady claim volume, flexible scheduling, and strong team support. Key Responsibilities: Conduct on-site inspections to assess property damage Create detailed estimates using Xactimate Document findings with clear photos and written reports Communicate professionally with policyholders and carriers Submit complete, accurate claim files on time Requirements: Proficient in Xactimate Strong knowledge of property damage and construction Excellent time management and communication skills Valid driver's license and dependable transportation North Carolina or designated home state adjuster license Preferred: 2+ years of experience as a field property adjuster What We Offer: Competitive per-claim compensation Consistent claim volume in the Raleigh market Flexible scheduling Ongoing support from experienced claims managers Long-term opportunities for growth and continued work Apply Now
    $42k-51k yearly est. Auto-Apply 60d+ ago
  • Independent Insurance Claims Adjuster in Raleigh, North Carolina

    Milehigh Adjusters Houston

    Claims adjuster job in Raleigh, NC

    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-52k yearly est. Auto-Apply 60d+ ago
  • Liability Claims Adjuster

    Divers Alert Network 3.7company rating

    Claims adjuster job in Durham, NC

    TITLE: Liability Claims Adjuster FLSA: Exempt, Full Time DEPARTMENT: Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: Director, Claims OCCUPATIONALSUMMARY: Responsible for the management of commercial general and professional liability claims from first notice of loss through final resolution. This position conducts thorough investigations, evaluates coverage and liability exposure, establishes and maintains reserves, and ensures fair, timely, and compliant claim outcomes in accordance with program standards, regulatory requirements, and industry best practices. DUTIES/RESPONSIBILITIES: Ensure that claims processing procedures and time frames are consistent with contracts, with a quarterly report on any specific shortfalls. Document all claim activity, communications, and decisions in accordance with program standards. Review policy coverage, endorsements, and eligibility specific to dive professionals and operators. Serve as point of contact for insureds providing clear and timely communication regarding claim processes, requirements, status updates, and outcomes. Establish, maintain, and manage complete electronic claim files from first notice of loss through closure. Support leadership with claims reporting, loss trend analysis, reserve reviews, litigation oversight support, and participation in special projects to improve program performance. Prepare and submit required reports, including status reports, loss reports, and management updates. Ensure timely assignment and coordination of external services such as independent adjusters, investigators, defense counsel, medical reviewers, or expert consultants, and monitor performance. Ensure compliance with regulatory requirements, claims handling standards, carrier or program guidelines, and best practices. Other duties as assigned. EDUCATION Bachelors degree or higher 5+ years of relevant claims experience Claims adjuster license or the ability to obtain required REQUIRED KNOWLEDGE, SKILLS & ABILITIES Knowledge of the scuba diving industry Excellent interpersonal communication, organization, and management skills Superior project management skills with proven ability to plan, lead and track projects from concept through implementation Ability to manage timelines and milestones to ensure timely reporting and closures Self-motivated with strong attention to details and problem-solving skills Familiarity with captive insurance companies, risk retention groups, accident and health and trip/travel programs Proficient with Microsoft Office Suite and experienced or adaptable to claims management platforms
    $42k-52k yearly est. 2d ago
  • Claims Adjuster Associate - WC

    Amerisure Mutual Insurance Co 4.8company rating

    Claims adjuster job in Charlotte, NC

    Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best "A" (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. Amerisure is hiring for a Claims Adjuster Associate to help support the claims department. This role will assist adjusters with all phases of the claim lifecycle. This role will specifically align to support two of our Workers' Compensation teams. This is a hybrid role with 2 days being onsite. The ideal candidate will also possess the following skill set. Summary Statement The Claims Associate provides quality assistance to adjusters at all phases of the claim lifecycle to drive the claim to timely conclusion. Supports the success of the organization through interactions with agencies, policyholders, and employees. This individual will handle incoming calls and mail for the claims department and facilitate tasks and processes to aid the adjuster to process claims accurately and efficiently. Essential Tasks/Major Duties * Respond to inquiries from policyholders, claimants, injured workers, and other stakeholders regarding claim status, receipt of payment or bills, and other claim-related questions. * Obtain and verify information by gathering missing or incomplete details from relevant parties, including policyholders, claimants, witnesses, and external vendors, to support accurate claim processing. * Assist with claim documentation by preparing and submitting require state filings, closing documents, and other administrative support requests on behalf of adjusters. * Draft and distribute correspondence to policyholders, claimants, injured workers, or agents in accordance with company standards and regulatory requirements. * Maintain accurate claim records by entering data into the claims management system and ensuring all documentation is complete and up to date. * Coordinate external vendors by engaging appraisers, attorneys, and contractors, to support the claims process. * Process payments and invoices by reviewing and issuing payments in accordance with company policies and adjuster direction. Knowledge, Skills & Abilities * Associate's degree or equivalent combination of education and experience. * 1 year of experience in insurance, claims, or customer service is preferred. * Ability to obtain appropriate state licensing as required. * Proficiency in Microsoft Office Suite. * Familiarity with claims management software preferred. * Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers. * Excellent verbal and written communication skills with the ability to interact with internal and external customers. * Demonstrated ability to organize and prioritize work to ensure timely deadlines. * Demonstrated ability to input data with a high accuracy rating, and strong attention to detail. Just as we are committed to creating exceptional value for our Partners For Success agencies and policyholders, Amerisure also remains committed to being an employer of choice. We reinforce this commitment by adhering to an Employee Value Proposition that, in part, is provided through a competitive total rewards package. This package includes competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. We also offer flexible work arrangements to promote work-life balance. Recognized as one of the Best and Brightest Companies to Work For in the Nation and one of Business Insurance magazine's Best Places to Work in Insurance, we provide a workplace that fosters excellence and professional growth. If you are looking for a collaborative and rewarding career, Amerisure is looking for you. Amerisure Insurance provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Amerisure Insurance complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Amerisure Insurance expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Amerisure's employees to perform their job duties may result in discipline up to and including discharge.
    $43k-52k yearly est. Auto-Apply 8d ago
  • Public Adjuster

    The Misch Group

    Claims adjuster job in Charlotte, NC

    Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Compensation: $75,000 - $100,000 compensation + Performance-based bonuses QUICK FACTS: Must have Public Adjuster License Must have experience with Xactimate Must have network of Condo, Apartment, Property Management partners Must be able to physically examine all buildings top to bottom (roofs as well) About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth. Position Overview:We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment. Key ResponsibilitiesKey Responsibilities: Identify and pursue new business opportunities with homeowners, contractors, and referral partners. Educate prospective clients on our services and guide them through the insurance claims process. Develop and maintain a pipeline of leads through prospecting and networking efforts. Conduct presentations and training sessions to build brand awareness and establish partnerships. Provide exceptional customer service to existing clients, ensuring their satisfaction and retention. Work closely with internal teams to optimize the sales process and improve closing rates. Maintain accurate records of sales activities and client interactions. Skills, Knowledge and ExpertiseQualifications & Experience: 3+ years of proven sales experience as a licensed Public Adjuster Strong ability to generate leads, manage relationships, and close deals. Bachelor's degree in Business, Marketing, Communications, or equivalent experience. Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms. Highly organized with strong follow-through skills in a fast-paced environment. Public Adjuster license BenefitsWhat We Offer: Extensive training and support to help you succeed. Flexible work environment with opportunities for growth and career advancement. A team-oriented culture with strong leadership and professional development opportunities. If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
    $75k-100k yearly 10d ago
  • Claims Adjuster -GL

    Apidel Technologies 4.1company rating

    Claims adjuster job in Charlotte, NC

    Job Description Manager's Note: Must have active NY license and BI litigation experience Auto casualty Experienced in complex liability and coverage. TPA experience a plus. Bodily injury/uninsured/underinsured motorist handling experience to include demonstrable (fatality, fractures, traumatic brain injury) injury handling. $ threshold handling up to 1 million. No fault (Personal Injury Protection) experience. Licensed in the contiguous 48 states. Litigation handling experience pertaining to BI/UM/UIM Not all candidates will need this but a minimum of 3 will need litigation handling experience. Auto Physical Damage handling experience preferred. Experience working in a fast-paced environment, participating in and presenting cases to both internal and external stakeholders. Primary Purpose: To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Essential Functions and Responsibilities: Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. Responsible for litigation process on litigated claims. Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. Reports large claims to excess carrier(s). Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. Communicates claim action/processing with insured, client, and agent or broker when appropriate. 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. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. Experience Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws. Skills & Knowledge: In-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws Knowledge of medical terminology for claim evaluation and Medicare compliance Knowledge of appropriate application for deductibles, sub-limits, SIRs, carrier and large deductible programs. Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Strong organizational skills Strong interpersonal skills Good negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations Work Environment: When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking Note: Credit security clearance, confirmed via a background credit check, is required for this position. 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. at any time.
    $43k-54k yearly est. 29d ago
  • Complex Liability Claims Specialist - Commercial General Liability

    Utica National Insurance Group 4.8company rating

    Claims adjuster job in North Carolina

    The Company At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an “A” rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier. Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago. What you will do The Specialist will be responsible for the management and effective resolution of high exposure, complex liability claims in multiple jurisdictions. The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Experience handling complex commercial general liability is required. Key responsibilities Responsible for thorough evaluation of coverage and proactive investigation, reserving, negotiating and managing the defense of complex liability claims in multiple jurisdictions. Manage all claims in accordance with Utica National's established claim procedures. Draft and present claim reviews to supervisor and upper management that provide full evaluation of coverage, liability and damages associated with claim, proposed plan to resolve claim and sufficient basis and support for authority requests above the Complex Liability Claims Specialist's individual monetary authority level. Maintain timely and accurate claim reserves in accordance Utica National's reserving philosophy. Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel's work product and working with defense counsel to efficiently and fairly resolve claims. Participate as appropriate in litigation activities including settlement negotiations, depositions, conferences, hearings, alternative dispute resolution sessions and trials. Maintain effective communications with insureds, claimants, agents, and other representatives involved in the claims cycle. Achieve the service standard of “excellent” during all phases of claims handling. Stay abreast of legal trends, case law, and jurisdictional environment and its impact on handling claims within the jurisdiction. Responsible for analyzing and communicating changes in law, regulation, and custom to ensure consistent quality claim handling. What you need Four year degree or equivalent experience preferred. Minimum of 5 years of commercial casualty claims handling experience working with high complexity litigated casualty claims. Proven experience negotiating claims and active participation in alternative dispute resolution practices. Experience with general liability, additional insured considerations and complex coverage determinations. Licensing Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment. Salary range: $103,300 - $136,400 The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications. Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following: Medical and Prescription Drug Benefit Dental Benefit Vision Benefit Life Insurance and Disability Benefits 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) Health Savings Account (HSA) Flexible Spending Accounts Tuition Assistance, Training, and Professional Designations Company-Paid Family Leave Adoption/Surrogacy Assistance Benefit Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance Student Loan Refinancing Services Care.com Membership with Back-up Care, Senior Solutions Business Travel Accident Insurance Matching Gifts program Paid Volunteer Day Employee Referral Award Program Wellness programs Additional Information: This position is a full time salaried, exempt (non-overtime eligible) position. Utica National is an Equal Opportunity Employer. Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. #LI-HL1
    $42k-64k yearly est. 35d ago
  • Supervisor, Warranty Claims

    Cornerstone Building Brands

    Claims adjuster job in Cary, NC

    ABOUT THE ROLE The Field Service Supervisor at Cornerstone Building Brands is responsible for leading and managing warranty claims representatives for both residential and commercial window products, ensuring exceptional customer satisfaction. Reporting directly to the National Claims Manager, this role you will lead a team responsible for managing warranty claims efficiently and ensuring a positive experience for our customers. You will leverage Dynamic CRM to oversee workflows, track claims, and monitor service performance. This role balances operational excellence with team leadership, providing you the opportunity to drive customer satisfaction while fostering professional growth within your team. As the primary point of contact for escalated issues, the supervisor guarantees efficient problem resolution while upholding company policies and warranty protocols. WHAT YOU'LL DO Team Leadership & Supervision: Lead, mentor, and motivate a team of Warranty Claims Specialists to achieve individual and team performance goals. Assign workloads, monitor productivity, and ensure proper coverage during peak claim periods. Conduct regular 1:1s and team meetings to provide coaching, feedback, and professional development guidance. Evaluate performance using Dynamic CRM dashboards and KPIs, providing actionable feedback to improve efficiency and quality. Foster a collaborative, customer-focused team culture that emphasizes accountability, continuous learning, and engagement. Support hiring, onboarding, and training efforts to ensure new team members are fully prepared to handle claims effectively. Recognize high performance and address performance gaps promptly, using a fair and consistent approach. Warranty Service Management: Oversee the end-to-end warranty claims process, ensuring timely and accurate resolution of customer issues. Review, approve, and manage claims within established thresholds, ensuring compliance with company policies. Utilize Dynamic CRM to track claims, monitor workflows, and generate reporting on key metrics such as claim volume, resolution time, and customer satisfaction. Collaborate with Operations, Sales, and Product teams to resolve complex claims and identify root causes. Develop and implement process improvements to streamline warranty service, reduce errors, and enhance customer experience. Ensure warranty documentation and communication are clear, consistent, and meet internal and external standards. Monitor trends in warranty claims to proactively address recurring issues and support product quality initiatives. Customer Engagement: Regularly interact with customers to ensure warranty issues are addressed promptly and accurately. Monitor service dashboards to ensure team members meet targeted service levels and maintain high-quality interactions. Collaborate with Sales, Operations, and Product teams to ensure claims resolution aligns with business objectives. Escalation Management: Serve as the primary escalation point for complex customer issues, resolving high-priority concerns with a focus on customer satisfaction. Monitor Days to Close (DTC) metrics for escalated claims to ensure prompt resolution and identify opportunities to reduce cycle times. Analyze escalation trends and DTC data to identify root causes, implement process improvements, and prevent recurring issues. Track and report on escalated claims performance, providing actionable insights to leadership for continuous service improvement. Reporting & Process Optimization: Drive the development and implementation of streamlined procedures to optimize warranty service operations. Analyze service performance data to identify trends, challenges, and opportunities for process improvements. Prepare and present regular reports to management, highlighting warranty service performance, customer feedback, and suggested improvements. Lead continuous improvement initiatives by gathering feedback from team members, evaluating current processes, and implementing solutions to optimize performance. Lead cross-functional projects aimed at improving warranty claims processes, enhancing customer experience, or implementing new tools and technologies. Develop project plans, track milestones, and ensure timely execution while keeping stakeholders informed of progress and outcomes. LEADERSHIP COMPENTENCIES: Cornerstone Building Brands (CBB) Values and Behaviors & Mindsets Act consistently with CBB's Values (Safety, Integrity, & Inclusion) and Behaviors & Mindsets (Customer-Centricity, Interconnectedness, Continuous Improvement). Anticipation Proactively identify and solve issues before they become problems. Collaboration Highly collaborative team player. Partners with others with respect and humility. Business & Financial Acumen Strong understanding of the business and ability to understand the financial impact of decisions and actions and make informed decisions to maximize ROI on activity. Change Management Ability to lead changes in a way that brings people along in the journey. Energy High positive energy to take on complex business challenges in a fast-paced environment and ability to energize others towards the achievement of business objectives. WHAT YOU'LL NEED Preffered Skills: In-depth knowledge of window and door products, customer service, and warranty procedures. Exceptional communication and interpersonal skills, enabling effective customer relations and team leadership. Strong organizational and problem-solving abilities, with the capability to manage multiple priorities and high-pressure situations. Problem-Solving, Negotiation, and Communication: Strong analytical and interpersonal skills to resolve complex warranty issues and communicate effectively with customers and internal teams. Experienced with Dynamic CRM and Microsoft Office applications (Word, Excel, PowerPoint) to manage claims, track performance, and generate reports. Ability to prioritize multiple responsibilities and manage competing deadlines effectively. Qualifications Education: High school diploma or equivalent required. Associate or bachelor's degree in construction management, Business Administration, or a related field is preferred. Experience: 3+ years in warranty claims, customer support, or related roles; 2+ years in a supervisory or leadership capacity. 10%-20% travel Additional Information All your information will be kept confidential according to EEO guidelines. Why work for Cornerstone Building Brands? Our teams are at the heart of our purpose to positively contribute to the communities where we live, work and play. Full-time* team members receive** medical, dental and vision benefits starting day 1. Other benefits include PTO, paid holidays, FSA, life insurance, LTD, STD, 401k, EAP, discount programs, tuition reimbursement, training, and professional development. *Full-time is defined as regularly working 30+ hours per week. **Union programs may vary depending on the collective bargaining agreement. Cornerstone Building Brands is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, or status as a protected veteran. You can find the Equal Employment Opportunity Poster here. You can also view Your Right to Work Poster here along with This Organizations Participation in E-Verify Poster here. If you'd like to view a copy of the company's affirmative action plan for protected veterans or individuals with disabilities or policy statement, please contact Human Resources at ************ or [email protected]. If you have a disability and you believe that you need a reasonable accommodation in order to search for a job opening or to submit an online application, please contact Human Resources at ************ or [email protected]. This email is used exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only emails received for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response. All your information will be kept confidential according to EEO guidelines. California Consumer Privacy Act (CCPA) of 2018 Must be at least 18 years of age to apply. Notice of Recruitment Fraud We have been made aware of multiple scams whereby unauthorized individuals are using Cornerstone Building Brand's name and logo to solicit potential job-seekers for employment. In some cases, job-seekers are being contacted directly, both by phone and e-mail. In other instances, these unauthorized individuals are placing advertisements for fake positions with both legitimate websites and fabricated ones. These individuals are typically promising high-paying jobs with the requirement that the job-seeker send money to pay for things such as visa applications or processing fees. Please be advised that Cornerstone Building Brands will never ask potential job-seekers for any sort of advance payment or bank account information as part of the recruiting or hiring process.
    $41k-79k yearly est. 7d ago
  • Billing Procedure Claims Specialist

    Summit Spine and Joint Centers

    Claims adjuster job in North Carolina

    Summit Spine and Joint Centers is a rapidly expanding Pain Management Group looking to add an experienced Medical Billing Specialist to our team. With twelve ambulatory surgery centers and twenty-three clinic locations across the State of Georgia, Summit Spine is winning the race to become the largest comprehensive spine and joint care provider in the state. We are looking for a motivated and hard-working Claims Processor who can join our growing team of professionals. Job Duties: Audits and ensure claim information is complete and accurate. claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management. Ensures accurate and timely billing of HCFA 1500 claims. Ensures that files are documented with appropriate information (i.e., date stamped, logged, signed, etc.). Creates logs for providers of pending medical encounters and or encounters with errors. Work directly with other billing staff and management to meet end of month closing deadlines. Able to work with clearinghouse rejections, print, and mail secondaries. Address inquiries from insurance companies, patients, and providers. Understands CPT, ICD10, HCPCS coding and modifiers. Knowledge of third-party payers, HMOs, PPOs, Medicare, Medicaid, Worker's Compensation, etc. Knowledge of ERAs, EOBs Knowledge of payer specific/LCD guidelines Understanding of health plan benefits (deductibles, copays, coinsurance) and eligibility verification Must be proficient with spreadsheets and word processing applications. Qualifications: Minimum of 3 years' experience with medical billing or revenue cycle in a medical setting Experience with Medicare, Medicaid, Commercial insurance plans, Workers' comp, and Personal Injury cases. Knowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management Knowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials. Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required. Excellent computer skills and familiarity with Microsoft Office Comfortable working in a growing, dynamic organization and able to navigate change. Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environment. Bachelor's degree preferred. Experience using eClinicalWorks preferred. Experience with high level procedure billing and coding for Pain Management preferred The position is full time with competitive salary, PTO, health benefits and 401k match. The ideal candidate will be located in Georgia and able to be present at our administrative office, or near Austin, Texas where other members of the billing team are located.
    $31k-54k yearly est. 25d ago
  • Liability Field Adjuster - Wilmington, NC

    CCMS & Associates 3.8company rating

    Claims adjuster job in Wilmington, NC

    Job Description CCMS & Associates is looking for 1099 Field Liability Adjusters. We are answering a call to action to add to our existing roster. The time is now to get on with our innovative team! We are seeking auto/homeowners/general liability field adjusters with at least 5 years of field experience. Requirements: Minimum 5 years auto and/or premise liability adjusting experience Working computer/laptop - internet access and Microsoft Word required Must demonstrate strong time management and customer service skills State adjusters license (where applicable) Must have a valid drivers license Responsibilities: Conduct in-depth investigations into liability claims to gather facts regarding the loss Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses, and by interviewing fire, police, or other government officials as well as inspecting claimed damages Inspect damage to property and obtain personal injury information to assist in determining liability Maintain acceptable product quality through compliance with established best practices Knowledge and Skills: In-depth knowledge of property and liability insurance coverage and industry standards Ability to prepare full-captioned reports by collecting and summarizing required information Strong verbal and written communication skills Prompt, reliable, and friendly Detail-oriented individual to accurately gather and analyze information to avoid errors Preferred but Not Required: College degree Professional designations and certifications All candidates must pass a full background check (void in states where prohibited) Powered by JazzHR J4fU5c6cT8
    $53k-72k yearly est. 2d ago
  • Claims Investigator - Experienced

    Command Investigations

    Claims adjuster job in Greensboro, NC

    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.
    $41k-57k yearly est. Auto-Apply 60d+ ago
  • Claims Specialist

    Libra Solutions 4.3company rating

    Claims adjuster job in Huntersville, NC

    Job Description When life gets hard, we make it easier! Libra Solutions helps overcome the burdens created by slow-moving legal processes. Combining technical innovation and financial strength, we help speed cumbersome workflows and ease financial barriers for our customers. And our companies are leaders in their industries! Oasis Financial is the largest and most recognized national brand in consumer legal funding. Oasis helps consumers awaiting legal settlements to move forward with their lives. MoveDocs is a personal injury solutions platform that integrates and streamlines medical, financial, and professional services for personal injury cases. Our mission is to improve outcomes for plaintiffs, accelerate settlements for attorneys, and ensure timely payment for providers. We are proud of our mission and passionate about applying technology to the challenge of making healthcare more accessible. We also are the leading inheritance funding provider through Probate Advance, helping heirs access their inheritance immediately, without the lengthy process of probate. Together, under the Libra Solutions banner, we have relationships with over 40,000 attorneys and over 7,000 healthcare providers nationwide, which gives us an amazing platform to service our customers. MoveDocs is seeking a Claims Specialist to join our growing Operations team. The successful candidate will be highly motivated to deliver exceptional customer service to various parties within the medical and legal community. This position will function as the primary point of communication with our clients to stay up to date on existing cases and answer client questions. MoveDocs takes pride in providing excellent and expedient service to our clients and the qualified candidate must be self-motivated, able to work autonomously and enjoy working in a fast-paced, high-volume environment. This role is located in our Huntersville, NC office. Answers high volume of inbound calls from insurance companies, attorneys, clients and/or medical providers daily Statuses cases to get updates on pending and ongoing case litigation and/or medical treatment. Drafts correspondence to defense insurance companies and/or attorneys including demand letters, emails, and faxes Delivers customer satisfaction through timely, accurate communications Develops rapport with the attorneys, firms, insurance companies and medical providers Requirements High School or GED required Experience in a high-volume call environment preferred Knowledge or experience with personal injury, medical billing, or claims a plus Previous claims and/or personal injury case manager experience preferred Self-motivated with desire to build great relationships, and to meet and exceed goals Ability to multitask while on the phone and the computer is a must Able to adapt to change and pivot easily between tasks Ability to work quickly and accurately to meet tight deadlines Possess excellent verbal and written communication skills for communicating with insurance companies, attorneys, and medical providers Basic computer proficiency and Outlook experience Benefits MoveDocs offers competitive compensation, benefits that include medical, dental, vision and life insurance plans, plus 401(k) with company match and paid time off.
    $38k-67k yearly est. 2d ago
  • Claims Settlement Specialist

    The Strickland Group 3.7company rating

    Claims adjuster job in Raleigh, NC

    Now Hiring: Claims Settlement Specialist - Inspire, Lead, and Create Meaningful Impact! Are you passionate about leading with purpose, empowering others, and making a lasting impact? We are looking for motivated individuals to join our team as Claims Settlement Specialist, where you'll mentor, inspire, and implement strategies that help individuals achieve financial and personal breakthroughs while building a career that aligns with your values. Who We're Looking For: ✅ Visionary leaders who are passionate about servant leadership and impact ✅ Entrepreneurs and professionals eager to empower others while scaling success ✅ Licensed & aspiring Life & Health Insurance Agents (We'll guide you through licensing!) ✅ Individuals ready to lead with integrity, purpose, and a strong mission for success As a Claims Settlement Specialist, you'll help individuals discover their potential, achieve financial independence, and create meaningful change in their lives and communities. Is This You? ✔ Passionate about mentorship, leadership, and creating impact-driven success? ✔ A strong communicator who thrives on guiding and inspiring others? ✔ Self-driven, disciplined, and committed to personal and professional growth? ✔ Open to mentorship, leadership development, and continuous learning? ✔ Looking for a recession-proof career with unlimited earning potential? If you answered YES, keep reading! Why Become a Claims Settlement Specialist? 🚀 Work from anywhere - Build a career aligned with your values and goals. 💰 Uncapped earning potential - Part-time: $40,000-$60,000+/year | Full-time: $70,000-$150,000+++/year. 📈 No cold calling - Work with individuals who have already requested guidance. ❌ No sales quotas, no pressure, no pushy tactics. 🏆 Leadership & Ownership Opportunities - Develop and expand your own team. 🎯 Daily pay & performance-based bonuses - Direct commissions from top carriers. 🎁 Incentives & rewards - Earn commissions starting at 80% (most carriers) + salary. 🏥 Health benefits available for qualified participants. This is more than just a career-it's an opportunity to lead with purpose, inspire positive change, and build a future that aligns with your mission and impact. 👉 Apply today and take your first step as a Claims Settlement Specialist! (Results may vary. Your success depends on effort, skill, and commitment to learning and execution.)
    $39k-70k yearly est. Auto-Apply 60d+ ago
  • Investigator, Claims

    C&S Family of Companies 4.2company rating

    Claims adjuster job in Lumberton, NC

    Earn $20.00 per hour * Full time First shift ONLY * Grocery (dry goods) - about 50°- 90° 9:00 pm until the works completed Text "CS" to 32543 to learn more about how you can become a part of our legacy. By texting the advertised keyword to 32543 you will opt-in to receive hiring messages from the C&S Family of Companies. Text HELP for help or ******************. Msg & data rates may apply. Msg freq varies. Text STOP to cancel. For terms of use and privacy information, visit ********************************************************************** Job Description Description + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation regarding Customer shortage requests ensuring that all pending claims are researched and processed within the agreed upon time frames. Research will utilize video surveillance as a research tool. + Conduct telephone interviews with store management + Provide documentation packets to warehouse supervision for employee training and or corrective action + Interface with multiple departments to aid in investigations + Travel Required:No Environment + Office : Office Temperature (65F to 75F) Skills + Specialized Knowledge : Knowledge of warehouse operations are essential Knowledge of C&S warehouse and office system applications + Special Skills : + Physical abilities: : Years Of Experience + 0-2 : Relevant experience. Value Propositions (what we offer) + Weekly Pay - (Wednesday) + Paid training provided + Tuition Reimbursement + PTO and Holiday Pay offered + Employee Assistance Program + Career Progression Opportunities + Employee Health & Wellness program + Employee Discounts / Purchasing programs + C&S offers $100 towards the purchase of safety shoes + Benefits available from day 1 (medical, dental, vision, company matched 401k) Qualifications Attendance, General Equivalency Diploma - General Studies, High School Diploma - General Studies, Initiative, Productivity, Quality, Safety, Values Shift 1st Shift (United States of America) Company C&S Wholesale Grocers, LLC About Our Company C&S Wholesale Grocers, LLC is an industry leader in supply chain solutions and wholesale grocery supply in the United States. Founded in 1918 as a supplier to independent grocery stores, C&S now services customers of all sizes, supplying more than 7,500 independent supermarkets, chain stores, military bases and institutions with over 100,000 different products. C&S also proudly operates and supports corporate grocery stores and services independent franchisees under a chain-style model throughout the Midwest, South and Northeast. We are an engaged corporate citizen, supporting causes that positively impact our communities. Working Safely is a Condition of Employment at C&S Wholesale Grocers, LLC. C&S Wholesale Grocers is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status, or any other applicable state or federal protected class. The Company provides affirmative action in employment for qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans' Readjustment Assistance Act. Company: C&S Wholesale Grocers, LLC Job Area: Quality Assurance Job Family: Finance Job Type: Regular Job Code: JC0324 ReqID: R-265929
    $20 hourly 6d ago
  • Claims Specialist

    Capsigna

    Claims adjuster job in Charlotte, NC

    Responsibilities: Processing fast paced inbound customer service calls. Taking inbound calls from clients Providers, Consumers and Insurance companies regarding medical billing. Resubmitting claims, and answering questions regarding benefits Demonstrates excellent customer service skills with the ability to take ownership in assisting, researching and resolving customer issues. Performs other duties as assigned. Requirements Previous Call Center or Customer Service experience preferred. Ability to develop rapport and demonstrate a caring attitude. Clear, distinct oral and written communication skills. Must be detail oriented.
    $30k-54k yearly est. 60d+ ago
  • Inventory Claim Specialist

    Kioti Tractor

    Claims adjuster job in Wendell, NC

    Inventory Claims Coordinator Department: Warehouse Operations - 171032 Reports to: Inventory Supervisor Location: Wendell, NC Position Status: Full-time Status: Hourly, Non-Exempt Management Level: Non-Management JOB SUMMARY The Inventory Claims Coordinator serves as a support element and liaison for all distribution centers and the dealer network. This person will be cross trained and gain exposure to many functions including claims processing, inventory investigations, dealer network relationship building and recording claim data. KEY RESPONSIBILITIES OF JOB The Inventory Claims Coordinator key responsibilities are outlined below: Claims: Resolve and process claim disputes Technical drawing look-up Inventory background investigations Credit and Debit process on claim investigations Issuing and monitoring call tags Resolve and process freight claim disputes and tracking reimbursement if applicable Inventory Management Provide inventory control reporting and vendor reports Track claim data and communicate common themes for mitigation Directly or indirectly locate misplaced parts to help satisfy sale to customer/dealer Help maintain or relay proper product identification and location accuracy and ability to transfer product to correct location if needed Other Responsibilities Determine and record data for KPI's Promote dealer satisfaction utilizing customer service skills EDUCATIONAL AND PHYSICAL REQUIREMENTS High school diploma or GED equivalent required with minimum of 3 years' related experience Associate or Bachelor degree with a minimum of 1 year experience 1-5 Years of related customer service or inventory experience. Must be a team player with strong interpersonal communication skills Good time-management skills and attention to detail Outstanding written and oral communication skills with the ability to effectively present information Proficiency in Microsoft programs, including Excel, a plus SAP experience preferred SalesForce experience preferred
    $31k-55k yearly est. Auto-Apply 60d+ ago
  • Insurance Claims Specialist

    National Ondemand

    Claims adjuster job in Burlington, NC

    National OnDemand, Inc. is a communications and utilities infrastructure provider delivering service solutions to the Fiber, Wireless, Energy and Technology sectors in the United States. Headquartered in Burlington, North Carolina, the Company provides full turnkey infrastructure solutions - on demand, anywhere across its service footprint and has secured and sustained its current standing in the market through the successful completion of mergers and acquisitions, along with demonstrable, steady organic growth. Under the supervision Insurance Claims Manager, coordinate and administer workers' compensation program, automotive, property and casualty claims. Primary Position Duties: * Process and document all worker's compensation claims and property & casualty claims, ensuring compliance with relevant policies, procedures, and legislation. * Serve as liaison with external agencies and regulatory bodies in the claims administration and the care and disposition of claimants. * In coordination with the Insurance Claims Manager, evaluate property and casualty claims to determine liability, damage and exposure. * Elevate to the Insurance Claims Manager larger, more complex claims. * Assist the Insurance Claims Manager, the Senior Director of EHS & Compliance, Human Resources, and Legal, in third-party claims, including negotiations and settlement when required. * Reviews and evaluates all work-related accident reports for completeness and clarity of data; analyzes data, as needed, to ensure compliance with policy and regulatory requirements. * Determines appropriateness and amount of worker's compensation claims; investigates individual claims for eligibility for workers' compensation benefits; ensures that all legal and procedural requirements are met for the processing of claims to ensure proper and timely payment to employees and medical facilities. * Provide authoritative advice and counsel to organizational leadership on interpreting and applying for worker's compensation and property & casualty policies, legislation, regulations, and processes. * Liaison with the organization's insurance broker and providers. * Coordinates and participates in strategic planning aimed at reducing the incidence of worker's compensation-related injuries. * Assembles appropriate medical information and facts regarding claims for cases pending litigation; participates in the Workers' Compensation Administration mediation and formal hearings. * Communicates and interacts with medical professionals, support agencies and others to monitor and assess the progress of rehabilitation efforts and to facilitate either return to work, job restrictions or, depending upon the medical status of the claimant, placement into appropriate alternative positions, ensuring compliance with all appropriate regulations and guidelines. * Updates organizational leadership on employees' return to full duty status. * Prepares all necessary forms, records and documentation, including statistical analyses and reports, for all claims, as required by various regulatory agencies. * Makes recommendations for reducing the frequency and severity of losses using a workers' compensation database and/or other claims data reports; designs and develops databases; performs integrated data analyses and prepares reports. * Process assigned property and casualty claims and performed other job-related duties as assigned. * Claims support during Emergency Events. * Assist EHS & Compliance Administrator as needed. * Assists the Director of EHS & Risk in developing policies and procedures to reduce risk.Performs miscellaneous job-related duties as assigned. Position Requirements: * Access-only office environment with reasonable heating and cooling. * The position will be at a computer workstation much of the time. * Ability to work extended or irregular hours/days (nights and weekends) * Prolonged sitting at a computer workstation performing repetitive tasks. * Ability to occasionally lift, push, or pull up to 25 lbs. * Must have reliable transportation and a valid driver's license. * Ability to travel 10% of the time. Education or Skills: * Bachelor's Degree in Business Administration; at least four years of directly related experience in claims adjusting, investigations, litigation and/or risk management. * Completed degree(s) from an accredited institution. * One or more certifications - Certified Medical Insurance Specialist (CMIS), Certified Risk Insurance Specialist (CRIS), Transportation Risk Insurance Professional (TRIP), Associate in Claims (AIC), or Associate in General Insurance (AINS). * .4 years of experience in risk management handling various claims processes. * Ability to liaison with insurance carriers professionally. * Ability to work independently or with a team at all levels of the organization. * Ability to maintain confidentiality. * Ability to professionally represent the organization. Benefits: This is a full time position with access to our comprehensive benefits which include paid time off (PTO), medical, dental, vision, short- and long-term disability, and life insurance, an Employee Assistance Program (EAP), and 401(k). EQUAL OPPORTUNITY EMPLOYER: NATIONAL OnDemand, Inc. is an equal opportunity employer. The company's policy does not discriminate against any applicant or employee based on race, gender, sex, sexual orientation, gender identity, color, religion, national origin, disability, genetic information, age, veteran status or any other consideration made unlawful by applicable federal, state or local laws. NATIONAL OnDemand, Inc. prohibits harassment of applicants and employees based on any of these protected categories.
    $31k-54k yearly est. 7d ago
  • Claims Service Representative

    National Truck Protection

    Claims adjuster job in Winston-Salem, NC

    National Truck Protection which reports to the Claims Team Manager. The CSR is responsible for leading phone and email communications with customers, creating claim records within the claims handling system, assigning claims to other claims team members, and handling low complexity claims arising from medium and heavy-duty commercial vehicle breakdowns submitted under commercial vehicle warranties. Supervisory Responsibilities: None. Duties & Responsibilities: Serves as the primary contact for customers reporting commercial vehicle warranty claims by phone or email. Creates accurate and complete claim records in the claims handling system. Explains the claims process to customers, answers inquiries, and provides status updates throughout the claim's lifecycle. Assigns claims to appropriate team members based on type, complexity, and workload. Reviews repair facility diagnostic reports and repairs estimates for accuracy and validity of recommended repairs. Evaluates claims for coverage under warranty terms and obtains necessary approvals for repair authorization. Processes low-complexity claims efficiently from first report to payment in accordance with company guidelines. Maintains organized claim documentation and ensures timely follow-up on all open claims. Delivers outstanding customer service by actively listening to customer needs, addressing concerns, and resolving complaints in a calm, professional manner. Communicates clearly and courteously with customers, repair facilities, and internal team members to ensure timely claim resolution. Promotes a positive company image by upholding professionalism, accuracy, and responsiveness in all interactions. Collaborates with other members of the claims team to support overall departmental goals and workload balance. Participates in team meetings and ongoing training to enhance claims knowledge and customer service skills. Performs other duties as assigned. Required Skills & Abilities: A strong desire to meet customer needs and deliver exceptional customer experiences, and an ability to actively listen and calmly resolve customer concerns or complaints. Excellent verbal and written communication skills. Ability to work well with others and support the mutual success of a team. Fluency in Spanish or French is preferred. Education & Experience: High school diploma or equivalent required; Associates degree or higher, or trade/technical school desirable. At least 1 year of experience handling commercial vehicle claims for a property and casualty insurance company, or warranty company, or 1-2 years of experience working in a customer call center environment, or other customer service-related job. Physical Requirements: Prolonged periods of sitting and working on a computer. Manual dexterity to operate standard office equipment (keyboard, phone, calculator). Visual acuity to read detailed claim files, emails, and digital documents. Ability to communicate clearly via phone and email. Occasional standing, walking, and reaching for files or office materials. Work is primarily performed in an office environment with moderate noise levels. This job description may not be inclusive of all assigned duties, responsibilities, or aspects of the job described, and may be amended at any time at the sole discretion of JM Family. All work arrangements are subject to associate performance, business need and manager discretion, and may be revised as necessary. Monday-Friday 8:00 am- 4:30 pm
    $34k-40k yearly est. 6d ago

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Top 10 Claims Adjuster companies in NC

  1. Milehigh Adjusters Houston

  2. Eac Holdings LLC

  3. Sedgwick LLP

  4. Apidel Technologies

  5. Cenco

  6. Divers Alert Network, Inc.

  7. Amerisure Insurance

  8. North Carolina Farm Bureau Mutual Insurance

  9. Great American Insurance

  10. Drivetime

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