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Claims adjuster jobs in Pennsylvania - 456 jobs

  • Pharmacy Claims Specialist

    Blinkrx

    Claims adjuster job in Pittsburgh, PA

    This is a full-time, onsite position based in Robinson Township. Responsibilities: Process pharmacy claims accurately and timely to meet client expectations Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage Maintain compliance with patient assistance program guidelines Document all information and data discovery according to operating procedures Research required information using available resources Maintain confidentiality of patient and proprietary information Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering Requirements: High school diploma or GED required, Bachelor's degree strongly preferred One year of Pharmacy Experience, having resolved third party claims Healthcare industry experience with claims background Strong verbal and written communication skills Attention to detail and a strong operational focus A passion for providing top-notch patient care Ability to work with peers in a team effort and cross-functionally Strong technical aptitude and ability to learn complex new software Location/Hours Full time position hourly, on-site role in Pittsburgh (Robinson) Availability for Monday-Friday across various 8 hours shifts : 8am- 4pm EST , 9am- 5pm EST, 1pm- 9pm EST Availability for rotating Saturday shifts 9am-5pm Scheduling flexibility, as your schedule may change over time according to business needs Benefits Medical, dental, and vision insurance plans that fit your needs 401(k) retirement plan Daily snack stipend for onsite marketplace Pre-tax transit benefits and free onsite parking
    $38k-66k yearly est. 2d ago
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  • Manager, Medicare Claims

    Blue Cross and Blue Shield of North Carolina 4.3company rating

    Claims adjuster job in Philadelphia, PA

    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
  • Workers' Compensation Claims Adjuster

    Argonaut Management Services, Inc.

    Claims adjuster job in Rockwood, PA

    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 We are seeking a Workers' Compensation Claims Adjuster to join our Claims teamand work from either our Rockwood, PA or Omaha, NE offices. Alternatively, we can also fill this role in our offices in Albany, NY, Chicago, IL, Los Angeles, CA, New York, NY, Richmond, VA or Springfield, MO. Our teams work together in the office five days a week to build culture, strengthen collaboration, and drive results. This role reports to a manager based in North Carolina and focuses on adjudicating workers' compensation indemnity claims in AZ, CA, MA, and additional jurisdictions directly contributing to strong outcomes for our clients. Primary Responsibilities Adjudicate workers' compensation claims of higher technical complexity within established authority. Investigate claims promptly and thoroughly, including interviews, documentation review, and coverage analysis. Identify loss drivers and claim trends to reduce frequency and severity through strong claim management. Report trends and developments to claims leadership and underwriters. Manage litigated files and maintain proper reserves aligned with Argo's reserving philosophy. Ensure timely movement of claims through effective diary and workflow management. Coordinate internal and external resources to support resolution strategies. Prepare accurate, concise file documentation and management reporting. Negotiate timely, cost-effective claim resolutions within authority. Communicate professionally with insureds, claimants, attorneys, and internal stakeholders. Prioritize workload, manage correspondence, and maintain disciplined claim handling practices. Core Qualifications Practical knowledge of workers' compensation claims, as well as an exceptional customer service focus typically obtained through: Bachelor's degree or two insurance designations or four additional years of WC adjusting experience. Minimum 2 years' experience adjudicating workers' compensation claims in AZ, CA, and MA. Licensed in FL, GA, or TX, with the ability to quickly obtain all required jurisdictional licenses (within 120 days). Strong business acumen and understanding of how claim outcomes impact profitability. Proven ability to exercise discretion, independent judgment, and sound decision-making. A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by: Finding a way to achieve success through adversity. Being solution (not problem) focused Thinking with a global mindset first. Client focus - the ability to effectively determine specific client needs and to provide value added solutions. Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast paced environment that is evolving constantly. Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information. Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines. Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking. Uses listening and questioning techniques to effectively gather information from insureds and claimants Customer-focused approach with the ability to articulate claim value to stakeholders at all levels, including executives. Understanding of dispute-resolution mechanisms such as mediation and arbitration. Must demonstrate a desire for continued professional development through continuing education and self-development opportunities. Proficient in MS Office and relevant business software; fluent in English. Compensation Albany & Chicago: $86,250 - $101,500 Los Angeles & New York City: $93,750 - $110,500 Salary is location-based and commensurate with experience. All employees are eligible for annual bonuses and a comprehensive benefits package. About Working in Claims at Argo Group At Argo, claims professionals are not treated as a commodity. Our work is diverse, challenging, and impactful. Adjusters are empowered with broad authority and encouraged to develop creative, individualized solutions for each case. We have a flat organizational structure, fostering direct interaction with senior leadership, especially on large losses. Collaboration is at the core of our claim-handling philosophy, and we actively welcome and reward innovative ideas. Argo is committed to building an inclusive, diverse, and welcoming workplace. We encourage talented individuals 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.
    $93.8k-110.5k yearly 5d ago
  • Claims Service Sales Representative

    CWA Recruiting

    Claims adjuster job in Montgomery, PA

    Property & Casualty Insurance Montgomery County, Pennsylvania As a sales representative, your role involves taking initiative and providing guidance throughout the recovery journey. Your support will help build trust, making it easier to finalize the sale. Our skilled team will handle all the necessary paperwork, while you play a crucial role on the front lines, assisting homeowners and business owners as they navigate the aftermath of disasters like fire, water, or storms. Familiarity with the Xactimate system would be beneficial, along with strong writing abilities. The ideal candidate should not only understand property claims but also possess the ability to persuade clients effectively. It is essential to live within the designated territory, which includes Allentown, NE PA, Schuylkill, Lebanon, Reading, Bucks, and Montgomery counties, among others. Since 1964, our company has employed 20 staff members. Candidates must have a clear background, a valid driver's license, and a willingness to obtain an adjuster's license. Availability is required on both weekdays and weekends. We strive for a quick resolution, responding to emergencies, referrals, and opportunities with speed and efficiency.
    $34k-40k yearly est. 1d ago
  • Associate, Wage and Hour - Disputes, Claims & Investigations

    Stout 4.2company rating

    Claims adjuster job in Philadelphia, PA

    At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. Associate - DCI (Disputes, Claims & Investigations), Wage & Hour Stout is seeking an Associate with 2-5 years of experience to join our Disputes, Claims & Investigations (DCI) Wage and Hour practice. This is a full-time role offering comprehensive benefits, a 401(k), and eligibility for annual bonuses. Stout brings deep expertise supporting clients in high-stakes business litigation and economic consulting matters. Associates work closely with experienced professionals and subject-matter experts to analyze complex data and deliver independent, thoughtful analyses. Impact You'll Make This role plays a critical part in delivering high-quality analytical support on complex wage and hour matters. Your work will directly contribute to successful client outcomes and the effectiveness of project teams. Execute and support complex data analyses related to wage and hour disputes and investigations. Contribute to the development of sound methodologies and analytical approaches that support defensible conclusions. Help ensure projects are completed on time, within scope, and with a high standard of quality. Build strong working relationships across project teams to drive collaboration and efficiency. Support client-facing deliverables that clearly communicate findings and insights. What You'll Do These responsibilities reflect the day-to-day work required to support engagements and achieve project objectives. Review, organize, and analyze large and complex datasets to support litigation and consulting engagements. Support multiple concurrent projects, anticipating scope, timing, and budget considerations. Assist in developing work plans, methodologies, and resource needs to optimize project outcomes. Collaborate closely with team members to meet deadlines and manage competing client expectations. Support written analyses, reports, and presentations prepared for clients and other stakeholders. Apply creative problem-solving techniques to manage risks and address analytical challenges. What You Bring This section outlines the qualifications and technical skills needed to succeed in the role. Bachelor's degree from an accredited college or university, preferably in Economics, Mathematics, or a related field. 2-5 years of experience in wage and hour consulting or a closely related field. Working knowledge of advanced data management and analytical tools such as SAS, SQL, STATA, R, or similar platforms. Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Access. Strong written and verbal communication skills with the ability to present complex information clearly. Demonstrated ability to manage multiple projects simultaneously and work effectively with cross-functional teams. How You'll Thrive These competencies and behaviors will help you excel and grow within Stout's collaborative culture. Maintain flexibility and adaptability in response to changing project requirements and timelines. Demonstrate strong organizational skills and rigorous attention to detail. Exhibit intellectual curiosity, self-motivation, and a commitment to quality control. Collaborate effectively with colleagues while managing competing priorities. Uphold Stout's core values and deliver Relentless Excellence in both client service and internal teamwork. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $74,000.00 - $135,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
    $33k-39k yearly est. 5d ago
  • Independent Insurance Claims Adjuster in Philadelphia, Pennsylvania

    Milehigh Adjusters Houston

    Claims adjuster job in Philadelphia, PA

    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.
    $45k-58k yearly est. Auto-Apply 60d+ ago
  • Complex Claims Adjuster - Commercial Liability

    Guard Insurance Group

    Claims adjuster job in Philadelphia, PA

    Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! * Competitive compensation * Healthcare benefits package that begins on first day of employment * 401K retirement plan with company match * Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays * Up to 6 weeks of parental and bonding leave * Hybrid work schedule (3 days in the office, 2 days from home) * Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) * Tuition reimbursement after 6 months of employment * Numerous opportunities for continued training and career advancement * And much more! Responsibilities Join Our Team as a Commercial Liability Adjuster! Are you a seasoned professional with a keen eye for detail and a passion for navigating complex claims? If you thrive in high-stakes environments and have experience in Commercial General Liability, we want you on our team! As a Liability Adjuster, you'll be at the forefront of managing intricate claims, collaborating with legal experts, and ensuring fair, timely resolutions that make a real impact. What You'll Do * Investigate with Precision: Conduct thorough loss investigations, identify coverage issues, and deliver accurate assessments. * Analyze & Strategize: Review evidence, reports, and medical records to establish damages and set reserves confidently. * Drive Resolution: Process payments efficiently and ensure claims are resolved promptly. * Build Strong Cases: Interview insureds, claimants, and witnesses to gather critical information. * Partner with Legal Experts: Collaborate with attorneys to navigate complex litigation and defend our insureds effectively. Qualifications What We're Looking For * CGL Experience: Must have proven experience managing Commercial General Liability Claims. * Education: Juris Doctor (JD) preferred OR Bachelor's degree with proven experience adjusting liability claims and litigation. * Licensing: Active TX All Lines License (or willingness to obtain-on us!). * Skills: Exceptional communication, strong organizational and computer skills, and top-notch time management. * Mindset: Detail-oriented, proactive, and ready to tackle challenges head-on.
    $45k-58k yearly est. Auto-Apply 21d ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims adjuster job in Philadelphia, PA

    At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
    $45k-57k yearly est. Auto-Apply 37d ago
  • Adjuster

    United Envelope

    Claims adjuster job in Pennsylvania

    United Envelope's Mount Pocono, PA facility is seeking candidates for full time Adjuster/Machinery Mechanic positions. Candidates will be responsible to handle machinery repairs and set-ups as required to complete production orders. Prior mechanical experience in a production setting and/or related field is required. On the job training will be provided in regards to machinery safety, set-up quality processes, machinery changeovers. Up to $30.86 per hour to start. Comprehensive benefit package includes medical, dental, vision, disability, 401(k)w/company match, paid life ins., and no limit on new hire referral bonuses up to $3000. Beginning pay of $22.02 up to $30.86 with $1.25 night shift add on. Union facility, paid vacation, sick days, 12 hour shifts with every other Friday, Saturday, and Sunday off, 24/7 schedule which results in an extra 80 days off per year. United Envelope is an EOE
    $30.9 hourly 60d+ ago
  • Auto Claim Rep 1

    The Travelers Companies 4.4company rating

    Claims adjuster job in Pittsburgh, PA

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $55,200.00 - $91,100.00 Target Openings 5 What Is the Opportunity? * There is also a potential for up to a $10,000 sign-on bonus! * Be the Hero in Someone's Story When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process. Travelers offers a hybrid work location model that is designed to support flexibility. What Will You Do? Provide quality claim handling of Auto claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations. Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates. Determine claim eligibility, coverage, liability, and settlement amounts. Ensure accurate and complete documentation of claim files and transactions. Identify and escalate potential fraud or complex claims for further investigation. Coordinate with internal teams such as investigators, legal, and customer service, as needed. What Will Our Ideal Candidate Have? * Bachelor's Degree. * Three years of experience in insurance claims, preferably Auto claims. * Experience with claims management and software systems. * Strong understanding of insurance principles, terminology with the ability to understand and articulate policies. * Strong analytical and problem-solving skills. * Proven ability to handle complex claims and negotiate settlements. * Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants. What is a Must Have? * High School Diploma or GED. * One year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************
    $55.2k-91.1k yearly 16d ago
  • Complex Liability Adjuster - CGL & BOP Specialist

    Berkshire Hathaway 4.8company rating

    Claims adjuster job in Conshohocken, PA

    Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Complex Liability Adjuster, where you'll play a crucial role in managing Commercial General Liability (CGL) and Business Owners Policy (BOP) claims with precision and expertise. We're looking for someone who thrives in high-stakes environments, communicates with confidence, and knows how to navigate the legal landscape with precision. Key Responsibilities: Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments. Review and analyze evidence, reports, and medical records to establish damages and reserves. Interview insureds, claimants, and witnesses to gather essential information and build strong cases. Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively. Manage litigated claims involving CGL and BOP policies, including coordination with defense counsel, litigation strategy development, and resolution planning. Process payments efficiently, ensuring timely resolution of claims. Qualifications Prior experience adjusting Commercial General Liability claims with a proven track record in litigation is required. Juris Doctorate (JD) preferred, reflecting the value we place on strong legal acumen in managing complex liability claims. Licensing: Active TX All Lines License, or willingness to obtain one at company's expense. Exceptional written and verbal communication skills. Strong organizational and computer skills. Excellent time management skills with the ability to prioritize tasks effectively.
    $42k-51k yearly est. Auto-Apply 11d ago
  • Claims Representative

    Mid Atlantic Retina 3.9company rating

    Claims adjuster job in Plymouth Meeting, PA

    This position is eligible for Mid Atlantic Retina's $1,000 Hiring Incentive! The hired candidate will receive $500 after successful completion of 90 days of employment and $500 after successful completion of 1 year of employment! Available to new hires only- not available to agency hires, internal transfers, or re-hires. Sign On Bonus Eligible: Yes Job Type: Full Time Qualifications 3-5 years medical billing experience in a physician practice or third-party billing company preferred Previous experience with claims processing and working with a clearinghouse. Experience with CPT, ICD10 and Microsoft Office Suite required. Job Description The Claims Representative is responsible for submitting both electronic and paper claims to insurance companies. This position ensures that all accounts are billed appropriately and meet all regulatory and compliance requirements. The Claims Representative is also responsible for reviewing daily claim edit reports and working with other departments to resolve the claim edits. Essential Functions 1. Pulls daily Claim Edit report from Nextgen to review red edits for errors. 2. Collaborates with Front Desk and Clinic to correct errors. 3. Submits corrected report through clearinghouse via EDI file or uploading. 4. Complete paper claims by reviewing account, attaching needed information, and mailing out to responsible payer. 5. Ensures correct processing of all accounts. 6. Acts as customer service representative in person and by telephone. Promptly responds to patient and corresponding payor questions regarding accounts. 7. Maintains up to date billing knowledge of insurance carriers to act as a resource for other departments within MAR. 8. Attends regular staff meetings. 9. Works overtime as needed. 10. Travels to other MAR locations as needed. 11. Performs other duties as assigned. Benefits Health Insurance Dental Insurance Vision Insurance Paid Sick Time Paid Vacation Time Company Bonuses twice a year (after 1 year of employment) 7 Paid Company Holidays 401K Profit Sharing Company Paid Life Insurance Physical and Cognitive Demands The physical and cognitive 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; however, some filing may be required. This would require the ability to occasionally lift files, bend, stoop, crouch, reach, and stand on a stool as necessary. Ability to lift or move up to 15 pounds at times. Work with data by calculating and manipulating numbers, processing data on a computer, classify, record, store and retrieve information. Use words to communicate ideas, read with comprehension and explain abstract or complex ideas in more basic terms. The employee will use hands to operate equipment such as a computer mouse, show manual or finger dexterity, handle things with precision or speed, use muscular coordination and physical stamina. While performing the duties of this job, the employee is regularly required to talk, communicate verbally one to one, in front of groups, over the telephone or with a headset and in email. This position requires listening to verbal communication using a telephone or with a headset and processing the information while entering the data into a computer system, processing auditory information, and responding verbally back in an appropriate manner. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus with or without corrective lenses. Ability to follow through on plans or instructions.
    $31k-40k yearly est. 5d ago
  • Adjuster

    Chubb 4.3company rating

    Claims adjuster job in Philadelphia, PA

    is located in Central Pennsylvania. Essential Job Duties and Responsibilities: To accept, contract, and handle claims as assigned. Work as many claims as possible. Assist in resolving complaints from policy holder relative to claims. Assist in investigating more complex claims. Complete Quality Control functions as assigned. Assists with other duties as necessary. Knowledge, Skills, and Abilities: Knowledge of or the ability to learn the agricultural industry, including an understanding of the kinds of crops produced in the territory; agricultural issues. Knowledge of or the ability to learn Rain and Hail's products, services and systems. Knowledge of and the ability to learn the underwriting and claim adjustment rules and regulations associated with the Multiple Peril Crop Insurance program, crop-hail program and the other insurance products offered by the company. Ability to organize and prioritize multiple tasks. Ability to work in a team oriented environment. Ability to effectively communicate and maintain business relationships with Company personnel, outside resources and customers. Ability to use the Company's terminology, procedures and systems. Ability to use department equipment. Ability to perform basic and complex mathematical calculations. Ability to drive a vehicle and maintain a valid drivers license. Ability to remain calm and professional during peak periods of activity. Ability to work from oral and written communication. Ability to maintain confidentiality. Ability to work independently. Ability to travel away from home for extended periods of time and on short notice. Willingness to relocate to another division if requested. Ability to assist in other work-related areas as required. High School or GED required, baccalaureate degree in Agricultural Business or related field preferred with 1-3 years of experience.
    $50k-64k yearly est. Auto-Apply 60d+ ago
  • Public Adjuster Solicitor

    The Misch Group

    Claims adjuster job in Philadelphia, PA

    Public Adjuster Solicitor (Outside Sales Representative) About the Company A well-established public adjusting firm is seeking motivated Public Adjuster Solicitors to join its growing team. This firm specializes in advocating for policyholders and ensuring they receive fair settlements for property damage claims. As the demand for expert claims assistance grows, we are looking for ambitious sales professionals who can build strong client relationships and drive business growth. Position Overview The Public Adjuster Solicitor serves as the first point of contact for homeowners and businesses seeking assistance with insurance claims. This role involves prospecting, educating potential clients, and generating leads while working under the supervision of a licensed public adjuster. It's an ideal position for sales-driven individuals who enjoy helping clients navigate insurance claims and maximizing their settlements. Key Responsibilities Identify and engage potential clients, including homeowners, contractors, and business owners. Educate prospective clients on public adjusting services and the benefits of professional claims representation. Solicit qualified leads furnished from our office and networking through referrals, and direct outreach. Conduct initial consultations to assess client needs and determine claim eligibility. Work closely with management and licensed public adjusters to transition leads into active claims. Provide ongoing client support and maintain strong relationships. Present and sell our service to obtain new clients for the firm. Respond quickly to disaster scenes. Follow-up on all leads and assignments. Qualifications 2+ years of sales experience, preferable in insurance, real estate, restoration, or a related field. Strong ability to generate leads, build relationships, and close sales. Public Adjuster Solicitor license preferred (or willingness to obtain). Self-motivated with strong communication and negotiation skills. Must have a valid driver's license and reliable transportation. Business-like professional appearance. Ability to close on first call. Have in home or face to face sales experience. Work requires to be on-call. What's Offered High earning potential with competitive commission and performance-based bonuses. Extensive training and mentorship to help you succeed in this role. Flexible work schedule with the ability to manage your own territory. A team-oriented culture with strong leadership and professional development support. If you are a motivated sales professional looking for a rewarding career with uncapped earnings potential, apply today and start making a difference for policyholders in Pennsylvania! Competitive Advantages One of the oldest and largest public adjusting firms in Pennsylvania Firm provides unlimited quality leads and informational support. Excellent reputation. Large in-house support staff with experience in construction, personal property and loss of business claims. Experience to handle high-end large and complex losses for both homeowners and business owners. Benefits may Include 401K Health Insurance Paid time-off
    $47k-69k yearly est. 60d+ ago
  • Auto Claims Specialist I (Manheim)

    Cox Enterprises 4.4company rating

    Claims adjuster job in Manheim, PA

    Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Arbitrator I Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox location Travel % No Work Shift Day Compensation Hourly base pay rate is $16.59 - $24.86/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program. Job Description This position facilitates the resolution of customer claims and concerns (includes all physical and digital/online transactions) after a sale and is responsible for the timely and successful arbitration of vehicles between buyer and seller in accordance with auction and NAAA policies. The role will work to gain familiarity with fundamental arbitration concepts, procedures, standards, policies and systems. This position requires organization and management of sale day activities including post sale inspections and sale day arbitrations. Job Responsibilities: Basic Functional Duties * With guidance, performs basic Arbitrator duties, including: * Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines. * Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision making. * Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases. * Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution. * Uses appropriate levels/limits of financial approval authority to resolve cases. * Evaluates claims by obtaining, comparing, evaluating, and validating various forms of information. * Prepares and facilitates communications for resolution via telephone, email, and in-person discussion. * Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold. * Monitors and maintains accurate files for each arbitration case, verifying accuracy of all required documentation, including invoices and settlement agreements. * Engages with supervisor/manager to determine if escalation is required. Knowledge & Subject Matter Milestones * Demonstrates an understanding of investigating claims and negotiating and influencing others while maintaining a positive client experience. * Gains familiarity and understanding of Arbitration concepts and procedures. * Gains foundational understanding of auction-specific operational and administrative processes. * Learns and adheres to National Auto Auction Association (NAAA) arbitration standards, Manheim Marketplace Policies, and relevant legal requirements. Client Interaction/Communication Responsibilities * Advises clients of the arbitration claim process, company policies, any auction- or account-specific guidelines, and NAAA guidelines. * Facilitates both written and verbal communications between buyers, sellers, and various auction team members and third parties to actively gather information necessary to guide parties toward agreement and resolution, while maintaining an awareness of goals and objectives. * Provides relevant information such as claim status to clients. Other Duties * Demonstrates safety commitment by following all safety and health procedures and modeling the appropriate behaviors. * Participates in support of all safety activities aligned with Safety Excellence. * Performs other duties as assigned. Qualifications and Experience * Education * High School Diploma or equivalent required. * Bachelor's degree preferred. * Experience * Previous experience in claims management and/or problem and conflict resolution preferred. Claim adjuster experience is a plus. * 1-2 years of experience in areas of responsibility. * 1+ years of automotive, mechanical, and/or body shop experience preferred. * Skills and Abilities * Active Listening * Accuracy and Attention to Detail * Resilience/Adaptability * Demonstrates Empathy * Verbal and Written Communication * Decision Making * Customer Focus * Time Management * Conflict Resolution * Builds Positive Relationships YDGCOX Drug Testing To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited. Benefits Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. About Us Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship. Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.
    $16.6-24.9 hourly Auto-Apply 10d ago
  • Claims Representative II - Trainee

    PNI

    Claims adjuster job in Harrisburg, PA

    The Claims Representative II Trainee is a closely supervised, entry-level position in which the incumbent obtains knowledge and an understanding of claims handling through both a formal and on-the-job training program. Upon the successful completion of the program, the Claims Representative II Trainee is a candidate for promotion to the Claims Representative II position. The ideal candidate will reside in the Harrisburg, PA region. ESSENTIAL DUTIES AND RESPONSIBILITIES Team Building Demonstrates honesty; keeps commitments made to others; behaves in a consistent manner; keeps sensitive information confidential; adheres to moral, ethical, and professional standards, regulations, and organizational policies. Listens to others and objectively considers their ideas and opinions, even when they conflict with own. Attention to Details As training progresses, perform basic claims handling duties on non-complex claims, under the supervision of the Team Leader, to include: accurate preparation of claim file documentation verification of coverages setting/adjusting reserves making appropriate contacts achieving best practices type settlements in the disposition of claims Issue payments within authority to appropriate parties Quality Orientation Accurately and carefully follows established procedures for completing work tasks. Positive Approach Looks for and communicates the positive qualities and longer-term benefits of challenging situations (while facing the real problems). Applied Learning Successfully complete prescribed professional education courses (IIA, AIC, etc.). Complete and apply knowledge and skills developed during formal classroom and/or on-the-job training sessions, as set forth in defined training schedule. Performs other duties as may be assigned by the Team Leader. SPECIAL RELATIONSHIPS The Claims Representative II Trainee reports to the Claims Manager. The Claims Representative II Trainee has direct contact and interaction with all levels of personnel within the Claims Service Office. As training progresses, will have direct contact with policyholders, claimants, medical and legal professionals and vendors. QUALIFICATIONS Education/Credentials 0-2 years of experience in a customer service oriented position Technical/ Professional Knowledge Effective communication skills, both oral and written Effective inter-personal skills Personal Computer skills, with an emphasis on Microsoft products Ability to work within a team-oriented, fast-paced, customer-focused environment JOB REQUIREMENTS (as required by ADA - Americans with Disabilities Act) This position is primarily a sedentary position that requires occasional standing and walking throughout the office environment. Must be able to see and effectively use a computer monitor. Must be able to operate a computer, keyboard and applicable printers and other general office equipment. Must be able to access and enter information accurately using automated systems. Must be able to hear and communicate via the telephone and/or monitoring devices to both internal and external clients. Must be able to present information to individuals and groups. Must be able to interpret and apply concepts that may or may not be based upon established guidelines. Must be able to maintain acceptable attendance and adhere to scheduled work hours. Must have a valid driver's license and be able to operate a motor vehicle.
    $37k-56k yearly est. Auto-Apply 12d ago
  • Claims Specialist - Auto

    Philadelphia Insurance Companies 4.8company rating

    Claims adjuster job in Harrisburg, PA

    Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. We are looking for a Claims Specialist - Auto to join our team. JOB SUMMARY Investigate, evaluate and settle more complex first and third party commercial insurance auto claims. JOB RESPONSIBILITIES Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with all relevant parties and documents communication as well as results of investigation. Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts. Travel is required to attend customer service calls, mediations, and other legal proceedings. JOB REQUIREMENTS High School Diploma; Bachelor's degree from a four-year college or university preferred. 10 plus years related experience and/or training; or equivalent combination of education and experience. • National Range : $82,800.00 - $97,300.00 • Ultimate salary offered will be based on factors such as applicant experience and geographic location. EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law. Benefits: We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
    $82.8k-97.3k yearly Auto-Apply 60d+ ago
  • Third Party Claims Specialist

    DCS Asset Maintenance 4.5company rating

    Claims adjuster job in Hazleton, PA

    DCSAM is a family owned and operated business with treating all employees like family at the core of our values. Our employees provide innovative, safe, and high-quality infrastructure/maintenance contracting services to State DOTs, railroads, and other commercial/residential customers across the entire United States. Employees receive generous compensation packages, employee engagement events & career development programs, just to name a few of the perks of being part of the DCSAM family! To provide quality service, we need top-of-the-line employees. That is why we offer great compensation, awesome benefits, and a work environment worth bragging about! Job Description Claims Specialist will support asset management projects by providing accurate billing, collection and payment processing for claims related to highway and bridge asset repairs and/or incident management. This is an onsite position located at the corporate office in Hazleton PA. Duties include - but not limited to: Contacting insurance companies to obtain claim information relative to incidents and/or open claims in instances where vehicle owners have not notified insurance companies. Coordinate with project offices to obtain accurate information, records and photos needed to create invoices. Creation and submission of accurate invoices to insurance carriers and vehicle owners. Contacting insurance companies for payment status and mailing follow-up letters to vehicle owners for claims that remain unpaid at 30, 60 & 90 days. Accurately updating claim records for any contact or actions taken on claim invoice. Create and run reports as necessary for claim tracking and follow-up Support to project offices as necessary - including police report investigation and contacting insurance companies. Ability to prioritize workload and assist coworkers as necessary for heavy workload and/or vacation coverage. Provides general office support as needed for mail, payment processing and assistance to 3rd Party Claims Manager. Other duties as assigned. Qualifications EDUCATION: High School Diploma is required. EXPERIENCE: Prior experience in insurance claims preferred - 2 years or more relative experience Excellent computer skills - Proficient in Microsoft Office Word & Excel Customer service focused Detail oriented Self-starter - ability to work independently. Ability to interact productively and positively in a team environment. Ability to communicate effectively and professionally in both verbal and written form. PHYSICAL REQUIREMENTS: Ability to talk, hear and speak to coworkers, insurance carriers and vehicle owners over the phone. Able to use hands and fingers to use keyboard, operative office equipment, phones, and mobile devices. Able to see and read on computer screens and paper, close vision. Ability to lift and carry items up to 10 pounds. Ability to sit at a desk comfortably while working on a computer for extended periods of time. Additional Information Benefit Highlights: Challenging and rewarding work environment Competitive Compensation Excellent Medical, Dental, Vision and Prescription Drug Plan 401(K) Generous Paid Time Off Career Development Pay rate: $20.00-23.00/hour depending on experience Come be a part of the DeAngelo family, today! DCSAM is an equal opportunity employer and complies with all hiring and employment regulations. In the event an ADA accommodation is needed, DCSAM is happy to help all employees achieve gainful employment in an atmosphere where they are appreciated and respected. DCSAM offers subcontracting services to government agencies as such, candidates may be subject to pre-employment screenings such as criminal background checks, pre-employment, post-accident & reasonable impairment drug screenings, motor vehicle record checks, etc. as such, DCSAM complies with all federal and state regulatory guidelines including the FCRA.
    $20-23 hourly 11d ago
  • Workers' Compensation Claims Adjuster

    Argonaut Management Services, Inc.

    Claims adjuster job in Rockwood, PA

    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 We are seeking a highly capable Workers' Compensation Claims Adjuster to join our in-office team (5 days/week) from either our Rockwood, PA or Omaha, NE offices. Alternatively, we can also fill this role in our offices in Albany, NY, Chicago, IL, Los Angeles, CA, New York, NY, Richmond, VA or Springfield, MO. This role reports to a manager in North Carolina and focuses on adjudicating workers' compensation indemnity claims in CT, DE, MA, ME, NH, RI, and VT, along with additional jurisdictions. You'll play a meaningful role in delivering exceptional outcomes for our clients. Primary Responsibilities Adjudicate workers' compensation claims of higher technical complexity within defined authority. Resolve moderately complex issues requiring broad understanding of claims processes and business impact. Investigate claims promptly and thoroughly, including interviews and documentation review. Evaluate policies, endorsements, and client instructions to determine coverage. Manage litigated claims and maintain accurate reserves aligned with Argo policy. Ensure timely file progression through effective diary management and task completion. Identify loss drivers, trends, and opportunities to reduce frequency and severity. Prepare clear, concise claim reports and maintain complete, accurate documentation. Apply creative solutions and negotiate cost-effective settlements within authority. Coordinate internal and external expert resources as needed for case resolution. Communicate professionally with insureds, claimants, attorneys, underwriters, and management. Prioritize workload, process mail, and manage correspondence efficiently. Demonstrate strong claim management fundamentals and a consistent client-focused mindset. Core Qualifications Practical knowledge of workers' compensation claims, as well as exceptional customer service focus, typically obtained through: Bachelor's degree required, OR two insurance designations OR four additional years of WC adjusting experience in lieu of degree. Minimum 2 years' experience adjudicating workers' compensation claims in CT, DE, MA, ME, NH, RI, VT. Licensed in FL, GA, or TX; must be able to quickly obtain other required jurisdictional licenses (within 120 days). Strong business acumen and understanding of how claim outcomes impact profitability. Proven ability to exercise sound judgment and independent decision-making. A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by: Finding a way to achieve success through adversity. Being solution (not problem) focused Thinking with a global mindset first. Client focus - the ability to effectively determine specific client needs and to provide value added solutions. Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast paced environment that is evolving constantly. Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information. Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines. Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking. Excellent evaluation and strategic skills required. Strong claim negotiation skills a must. Ability to take proactive and pragmatic approach to negotiation. Negotiation skills will be taught to Trainee level candidates. Associate Adjuster candidates are expected to have a working understanding of negotiation skills that will be further honed with additional training. Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used. Ability to thrive in a fast-paced, evolving environment with multiple priorities. Uses listening and questioning techniques to effectively gather information from insureds and claimants Demonstrated customer focus and ability to articulate claim value to stakeholders, including senior leadership. High degree of professionalism, curiosity, integrity, and willingness to do the right thing. Proficient in MS Office and related business systems; fluent in English. Commitment to ongoing professional development. Salary Range Albany & Chicago: $86,000-$101,500 Los Angeles & New York City: $93,750-$110,500 Compensation varies by location and experience. All employees are eligible for an annual bonus and a comprehensive benefits package. 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.
    $93.8k-110.5k yearly 5d ago
  • Independent Insurance Claims Adjuster in Pittsburgh, Pennsylvania

    Milehigh Adjusters Houston

    Claims adjuster job in Pittsburgh, PA

    IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
    $44k-56k yearly est. Auto-Apply 60d+ ago

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Top 9 Claims Adjuster companies in PA

  1. Milehigh Adjusters Houston

  2. Eac Holdings LLC

  3. Berkshire Hathaway

  4. Work At Home Vintage Experts

  5. Great American Insurance

  6. Glatfelter Insurance Group

  7. Berkshire Hathaway GUARD Insurance Companies

  8. U-Haul

  9. Guard Insurance Group

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